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    胸悶心悸、乏力氣短,警惕房顫出現!

    時間:2024-09-24   訪問量:1020


    1721035077129618.png

    在日常生活中,有很多種因素都可能導致心跳加速從而感到心慌,但是如果沒有明確誘因的時候出現心慌,就要考慮心臟相關的疾病,比如房顫。

    有人說房顫的感覺就像:

    “心跳得像揣了一只兔子”

    “莫名其妙出現心慌”

    “心率每分鐘可能會達到100-200次之間……”

    那房顫是很嚴重的病嗎?

    石家莊明瀚醫院" data-username="v2_060000231003b20faec8c7ea8e19cad3cb01ec3db07776034ef30f6803ec8a96c0f01aac0ab1@finder" data-desc="房顫出現這倆病癥,已經很嚴重了!#房顫#心衰#腦血栓" data-mediatype="undefined" data-width="1080" data-height="1920" data-nonceid="4469554104029462070" data-parentwidth="647" data-isdisabled="0" data-errortips="" data-maxwidth="677" data-index="0" data-flag="0" data-authiconurl="https://dldir1v6.qq.com/weixin/checkresupdate/icons_filled_channels_authentication_enterprise_a2658032368245639e666fb11533a600.png" data-feedfullcoverurl="https://findermp.video.qq.com/251/20304/stodownload?encfilekey=rjD5jyTuFrIpZ2ibE8T7YmwgiahniaXswqz2u5cjqRDiaNO8Jw4AGTAbiccO6xdz3Y57uTHzNIbZsiaHIl3IN1dyYp3eIyfEcOtKcXByK0HSfmlHVZ5DKBicRHWmw&token=cztXnd9GyrE2FXBVefnmeH66h10f3A318oIyRNJccmwQmPZFaJf9osTEadmAdzPNUHUGtZhDZmKb6sAx4RnhBxTkmSutLAtA1ZwMqQTpTMB0z9UtjYQuGSKNIEnlwos9&idx=1&dotrans=0&hy=SH&m=&scene=2&uzid=2" data-feedthumburl="https://findermp.video.qq.com/251/20304/stodownload?encfilekey=rjD5jyTuFrIpZ2ibE8T7YmwgiahniaXswqzSxXQQg6qG9c2QQF9VZoy67KJAZBaMSXemqq32w1Q5JZ3YQEYpr0nnNDwTyc33KAtFiaeRFJ4965Pia8pqf3ycnBw&token=cztXnd9GyrE2FXBVefnmeH66h10f3A31ekRTmgZBQ7BRTcwWxlgCRsOwl1lJe7iaTZ6YAtugOFx9YRQI7raxotga29nja7HuhedicAsVZribJllEA79UOOkgicoCpjTXNnwo&idx=1&bizid=1023&dotrans=0&hy=SH&m=&uzid=1" data-feedcoverurl="https://findermp.video.qq.com/251/20304/stodownload?encfilekey=rjD5jyTuFrIpZ2ibE8T7YmwgiahniaXswqzfKicHnN8a1uaIX9ia3ictS4Ciad4UEWS6Bq9HJz5rCrUa3WI4OW938Ip0xIJPd4uzX1AXj5ogjaLDibTZeCHafFptpw&token=6xykWLEnztI5DCZcsKqtBUyCZPLg8tqBFQiadW3CQcAX0f4iau0HX3ddwjDRia3XdSkbtE6rdZcv5Udl6xXm0VaaTjXx6xuBnEcS1gWN8KaSFbD2rBmdicJXgIRhsrgPQxYN&idx=1&dotrans=0&hy=SH&m=&scene=2&uzid=2" data-isnews="0" data-likenum="39" style="color-scheme: initial; 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    房顫有兩大主要危害:腦血栓、心力衰竭




    圖片

    房顫為什么會造成腦血栓?

    正常的心房收縮和舒張是非常規律的,一旦房顫,心臟就開始“打哆嗦”,這時血流就會變慢,心房里面有一個像小耳朵的地方,學名叫作“左心耳”,左心耳里面“溝壑”很多,很容易淤積血液形成血栓。

    而這個血栓一旦脫落,會順著血流的方向流動,一旦進入大腦,栓塞到一個小血管,可能還沒有什么感覺;但如果栓塞到一個大血管或者一個比較重要的血管,就會出現非常嚴重的問題。我們平時見到的患者忽然就半身不遂、說不出話或者暈厥等,很多都是這種原因造成的。

    如果沒有對房顫進行及時有效的干預,那么部分患者會發生卒中。卒中不僅容易導致偏癱、半身不遂,甚至會導致直接腦死亡。

    還有一種嚴重危害就是:心力衰竭!

    正常情況下,心房規律收縮,向心室泵血,心室再將血泵給全身。房顫時,這種心房的有效收縮功能喪失,心房向心室的泵血減少因此心室泵向全身的血就減少了。

    此外,心房跳動得不規則時,會導致心室的跳動也變得亂了起來,時間一長就容易引起心肌重塑、心臟結構改變,進而引起心衰。尤其是當房顫急性發作,心室跳得非??斓臅r候,更容易快速誘發心衰!

    而當房顫和心衰合并出現時,這樣的患者可出現胸悶氣短、乏力的癥狀,活動耐力下降,譬如同齡人可以爬三層樓梯,但心功能不全的患者可能爬一層樓就必須要歇一會兒了,或者可能走一小段路就需要休息一下。

    還有些患者會出現水腫(尤其是下肢水腫)、憋氣、食欲差、夜間不能平臥,甚至粉紅色泡沫樣痰的癥狀。當出現這樣的癥狀時,已經是病情嚴重的表現了。一定盡量立即就醫!




    上一篇:流感高發季,你準備好了嗎?教你應對→

    下一篇:發現便血后必須要做的一件事!

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