Ya bambanta da ƙwaƙwalwar binciken da aka samu ta hanyar kiwon lafiya da yawa, akwai ƙananan asiri don bincikar fibrillation. Yin tabbatar da ganewar asali shine kawai batun ganin arrhythmia akan wani electrocardiogram (ECG) .
Gwaje-gwaje don gwajin A-Fib
Idan kana da ƙarin bayani idan ka fara neman taimakon likita, za a fara gano asirin nan da zarar an yi ECG.
A gefe guda, za ku iya samun launi na tsauraran zuciya (intermittent) , tare da bayyanar cututtuka da suka zo kuma su tafi, kuma ECG a ofishin likita na iya zama al'ada. A nan, sa ido na labarun (saka mai rikodin ECG na 'yan kwanaki ko' yan makonni) zai bayyana matsalar. Trick shine don tabbatar da sa ido na al'ada har ya ci gaba har sai a kalla an dauki labarin guda daya na bayyanar cututtuka.
Koda ya yiwu ba ku da wani alamar bayyanar cututtuka, kuma ana iya gano arrhythmia a matsayin "binciken da ba zato ba tsammani," a kan ofishin ECG, ko a lokacin gwajin gwagwarmaya ko nazarin nazari na al'amuran da aka yi don wasu dalilai.
Amma wata hanya ko wata hanya, bincikar binciken filastillation shine wani abu na kama da arrhythmia akan wani ECG.
Ganawa da Farantillan Atrial
Da zarar an bincikar fibrillation a matsayin mai shari'a, ainihin aikin zai fara.
A matsayin mataki na gaba, likitanku zaiyi cikakken bincike na likita domin ya nuna alamar cutarku da abubuwan da zai haifar dashi sosai.
Kuna buƙatar kasancewa sosai a gaya likitanku game da tarihin lafiyarku. Tabbatar da gaya masa / ta game da duk wani alamar da kake da shi wanda zai iya haɗuwa da filastillation-palpitations, sauƙi fatiguability, rashin ƙarfi na numfashi, rashin jin daɗi na kwakwalwa, ko ɓangaren haske ko wucewa.
Ka yi kokarin tunawa da duk abubuwan da suka faru ko al'amuran da suka nuna cewa suna da alamun bayyanar cututtuka - kamar motsa jiki, rashin tausayi, barci marar kyau, ko shan barasa.
Kwararku zai tambaye ku game da duk wani bayyanar cututtuka wanda zai iya bayar da shawarar cututtuka na zuciya da cutar huhu, kuma zai yi nazari na hankali don neman ƙarin alamu (alal misali, kasancewar hauhawar jini). Dole likita ya kamata kulawa ta musamman don bincika haddasa mawuyacin abin da ke tattare da filastillation, tun da yake kulawa da waɗannan yanayi zai iya kiyaye arrhythmia daga maimaitawa. Mawuyacin haddasawa sun haɗa da hyperthyroidism , embolus na pulmon, pericarditis , da kuma hanyoyin yin amfani da kwanan nan.
Kuma kada ku damu idan likitanku ya tambaye ku fiye da sau daya game da barasa. Za'a iya haifar da barazanar barazana ta hanyar barazana-a wasu mutane, ko da ƙananan yawan barasa na iya yin shi. Saboda barasa yana daya daga cikin wasu dalilai na hakika da ke tattare da samfurori, yana da muhimmanci ga likita don tantance wannan ɓangaren tarihinku a hankali.
Wasu gwaje-gwaje
Gwajin jini: Bugu da ƙari ga gwajin jini nagari (ciki har da jini mai azumi don neman alamun ciwon sukari), yana da muhimmanci ga likita don samun gwajin aikin aikin thyroid.
Musamman a cikin tsofaffin mutane, matsalolin thyroid na iya kasancewa ba tare da wani alamun bayyanar cututtuka ba.
ECG: Bugu da ƙari don samar da ganewar asali na fibrillation, akwai ECG na iya bayar da mahimmanci game da kasancewa ko rashin ciwon zuciya.
Echocardiogram: Dole ne a yi amfani da rubutun ƙira don yin la'akari da akwatinan kwakwalwa da kuma ɗakunan, yana neman sake alamun cututtukan zuciya. Zai iya zama wajibi ne don yin sakon ƙwaƙwalwar ƙwaƙwalwa na transesophageal (a TEE), wanda ya sa mai karɓar sakonni ya shiga cikin esophagus (haɗuwa da bututu) a gefen zuciya. TAS zai iya zama da amfani a neman jinin jini a cikin hagu na hagu kafin yin kirkiro.
(Za mu magana game da tashin hankali daga baya.)
Jarabawar damuwa: Jarabawar gwaji ba yawanci ba ne don kimantawa na fibrillation, amma zai iya taimakawa idan tarihin lafiyarku ko alamar cututtuka sun bada shawara akan ciwon cututtuka na jijiyoyin jini.
Da zarar an tattara wannan bayanin, lokaci ya yi da kai da likitan ku fara tattaunawa game da jiyya don fibrillation .
> Sources:
> Janairu CT, Wann LS, Alpert JS, et al. 2014 AIHA / ACC / HRS jagorancin kulawa da marasa lafiya tare da filastillation: Wani rahoto na Cibiyar Harkokin Kasuwancin Kasuwancin Amurka da Ƙungiyar Ƙungiyar Amirka ta Ƙungiyar Ƙungiyar Ƙungiyar Ƙungiyar ta Amirka game da ka'idoji da kuma Kamfanin Rhythm Society. Hanya 2014; 130: e199.