Bated umoya: izinto kunye nonyango

Eshona wentliziyo - unyango lwesi sifo kwiminyaka yakutshanje Iyandonwabisa iingqondo oogqirha abaninzi kwentliziyo, kunye nezinye "intliziyo" leengcaphephe. Yintoni na isizathu, yintoni na iimpawu zesi sifo yingozi, indlela sibaphathe ngayo - ezi kuphela eminye imiba enomdla kubemi bethu. Ngoko akukho mfihlelo kukuba kukho inani elikhulu labantu babe imbangela ezifana 'intliziyo ezikayo ". Iimpawu, unyango amayeza intsomi, wenziwa kumaziko ezizodwa, zixilonga - la magama kufuneka kuqwalaselwe ukuba nabani na iimpawu zesi sifo. La manqaku alandelayo eminye yemiba yangoku nesihloko.

Bated umoya: izinto kunye nonyango

Khuphani ingqondo 'ebunayo "kwi ezintliziyweni umsebenzi inokuba iindidi rhythm and Uhanjiso nokuphazamiseka. Ezinye zezi ithi musa ukuba ungenelelo lonyango, kunye nezinye iintlobo ukulibaziseka kukufunyanwa unyango kunokuba yingozi. Ukwahlula supraventricular kunye ventricular arrhythmias.

arrhythmias supraventricular

Kuyinto umsebenzi zombane ngaphambi intliziyo. Isizathu kukuba lo mthombo ukuba ise imithambo ngemithambo pulmonary emgongxweni kunye okuhlangana atrioventricular. Emva ukuthotywa engaqhelekanga ngayo ukuphuhlisa umise buso okanye epheleleyo postextrasystolic. beats rhoqo ngaphambi kwexesha kokunqumama ixesha elide emva kokuba ekunciphiseni enkulu anganika iyabuna imvakalelo, ukuphazamiseka kwentliziyo.

ukubaluleka Independent kwezonyango kwezi fom kufuneka arrhythmias, ngaphandle kwezo meko xa imbonakalo yazo iyaqala ukubaleka tachycardias supraventricular, enomoya atrial okanye fibrillation atrial.

Xa engekho esinamadlala entliziyweni kwezihlunu extrasystoles supraventricular unyango olulodwa ingafuneki. Kwiimeko apho zikhatshwa ukungakhululeki ebalulekileyo luluvo, beta-blocker, verapamil, ingasetyenziswa nadlamkisayo.

Kudla extrasystoles supraventricular ibonakalisa sifo engundoqo (DYSTONIA, ezinganyangekiyo obstructive isifo yemiphunga, electrolyte disorder), ngoko ke uxilongo ifuna ukuphuculwa kunye nonyango lwe inkqubo ngxabano.

Ventricular fibrillation extrasystolic

extrasystoles Ventricular - umsebenzi zombane kusekude ukuba intliziyo ngokunxulumene isingqisho engundoqo kwavusa ukubetha evela kwi imilenze okanye umahluko block isebe bundle, Orion okanye Purkinje ukusebenza myocardium. Emva kwezi nkqubo ngokubonakalayo amathuba okuba ukuphuhlisa ukunqumama ngokupheleleyo zembuyekezo, leyo, njengoko kunjalo ibetha atrial ngaphambi kwexesha, waziva ngohlobo "ebunayo". iinkqubo Ventricular ngaphandle iqondo isifo sentliziyo zomgquba ayikho into lomngcipheko yabulala ngesiquphe, ngoko alunyangwanga. Ngaphandle zizigulane esempilweni kunye syndromes amafa (zobude naso okanye ukuncipha ye QT, Brugada syndrome, njalo njalo).

Eshona wentliziyo, unobangela kunye iimpawu olinani ubone ukuba kwenzeka ngenxa izingqisho kwentliziyo esinqabileyo.
Isantya Intliziyo eqhelekileyo sicaca uyothuka 60 ukuya 100 ngomzuzu. linyuke period intliziyo kwenzeka xa ulele, xa uphefumla ngokunzulu, xa abadlali.

Kwimeko eyaphula naliphi na ixesha kunye nesizukulwana ukubetha kwentliziyo uvela bradycardia lwezidumbu, esenokuba kwangumqondiso, nazimpawu, yaye abaninzi abadinga unyango.

Izinto ezibangela bradycardia

Ukwahlula phakathi izinto zangaphakathi nangaphandle ze bradycardia.
Izizathu yangaphakathi ziquka:

• ukuguga;
• isifo sentliziyo;
• isifo kwizicwili;
• izifo bekhubazekile, kuquka imposiso esiludumbo atrioventricular;
• amyloidosis kwemisipha;
• umothuko ngotyando (kwemithambo orthotics, abohlukeneyo intliziyo) ;
• Izifo ezosulelayo (isifo somqala omhlophe, isifo sentliziyo samathambo, Ityhefu igazi, yicesina).

Yimiba yangaphandle bradycardia ziquka:

• uqeqesho ngokomzimba;
• elektrotonus vagal kulolwa (blackout reaction; sinus supersensibly carotid);
• amachiza (beta-blocker, blocker calcium channel, digoxin, lithium, arhente antiarrhythmic);
• cocaine;
• hypokalemia;
• hyperkalemia;
• zizigulo zemithambo (CNS ithumba, ukwanda koxinzelelo intracranial);
• Obstructive belele syndrome.

Kuba lokufunyaniswa ukusetyenziswa bradycardia oqhuba esweni Holter, zokubala isiganeko kunye maza, izixhobo implantable, ngokunjalo ukwenza uphando electrophysiological.

ukuphathwa bradycardia

Inyathelo lokuqala kukuchonga unobangela kunye nokuphelisa kunokwenzeka bradikaridii izenzo zabo (ukupheliswa beta-blocker). Ukuba akukho isiseko elisusekayo, ungafuna therapy iziyobisi okanye isantya okwexeshana okanye isigxina).

amayeza

Ukukhuthaza kakhulu izinga intliziyo deceleration (imizuzwana engaphezu kwama-3) usebenzisa atropine, isoproterenol, aminophylline. Noko ke, ukuthathwa la machiza ivule arrhythmias, kuquka ventricular nokuphazamiseka ezisongela ubomi.
Xa izigulane ischemia engabalulekanga kunye bradycardia ngenxa yoko, chitha unyango antiischemic yaye elindele ixesha labo, esebenzisa isantya xa kuyimfuneko.

Izigulane nokudakumba sinus ikhadi syndrome kunye block atrioventricular liphicothwe ukucwangcisa ipacemaker okwexeshana okanye isigxina.
Kukho kuphuhliswa ezibonisa yaseYurophu ufakelo pacemakers abasisigxina izigulane syndrome sinus ogulayo, ibhloko atrioventricular.

ezahlukeneyo mziba

Ukwahlula stimulators single-gumbi,-mbini kwegumbi, ezintathu-kwegumbi. Yiba electrode yokuqala neyesibini-1 no-2 (atrial kunye / okanye ventricular ekunene). izixhobo-egumbini Ezintathu zisetyenziselwa biventrikulyatnoy kusebenze kwaye zibe sisikhokelo ezongezelelweyo ventricle ekhohlo.

Xa unelungelo atrial inkanuko ventricular synchronism egxobhekile. Le ECG ngethuba le nkqubo ungene bodwa ekunene bundle block yesebe.
Phezu ukukhuthazwa zombini ventricles walondoloza yawo yolunye, hemodynamics kwentliziyo kulo mzekelo, kungcono kakhulu.

umzila

Iyunithi lokuqala ezifana yasekwa ngo-1958 Xa zilandelayo zazivelela zabo. Ngoku a mihla, encinane kakhulu, izixhobo ophezulu-zobugcisa.

Okwangoku, kukho isityalo ngonyaka ukusuka mziba 400 1,200 ngalinye labantu million.

Kardiopribor uqhuba ubulunga wombane myocardium. Uphawu Ukhuthaza ecaleni esihlunwini kwentliziyo ngu non-nokomzimba. ukuhlala kwakhe ixesha elide kunokubangela utshintsho zombane kunye mechanical kwi myocardium. Ufakelo kufuneka ukuba eveliswe stimulator zikhombisa ezinzulu.

Amanqaku iindlela yashukunyiswa

Ngexesha ventricular ekunene ehambahamba ukubetha lombane lusetyenziswa ventricular enkcochoyini yasekhohlo kunye depolarizes myocardium medlennoprovodyaschy. Le ECG sicacisiwe yaye kuvalwe iindlela inyanda lasekhohlo block yesebe. izigulane anjalo ejection iqhekeza ngaphantsi izigulane ngaphandle kwamabutho. Kwakhona, xa le nkqubo lwenzeka ukulungiswa zombane inhliziyo. Kutshanje, kukho umkhwa ukunciphisa okukhomba ukuba data mziba ufakelo ngokunxulumene nenani elibalulekileyo inguqu engentle.

Yaye yasekwa ukuba ejection iqhezu iphantsi wambumba phantsi yintshukumo ventricles. Umyinge - ukusebenza kwawo imithambo, ngoko ke abanye kwentliziyo. Iqhezu ejection liphezulu alondolozwe ngexesha ukukhuthazwa imithambo kunye ventricles yezi ndlela zamakhondo okufunda zendalo.

Kwabonisa ukuba fibrillation eziphuhlileyo kangako atrial kwizigulane kunye kusebenze atrial kunye abegumbi ezimbini kunokuba kwizigulane kunye ventricular kuphela impembelelo ifowuni.

Isixhobo ezimbini-gumbi, uphando eqinisekisiwe kunye nokulinga, kubhetele kwizigulana besempilweni.
Abanezincedisi-ntliziyo okwangoku umgangatho legolide ngaphakathi unyango kwezigulane bradycardia nomqondiso. Ukufunwa kuyaqhubeka kuninzi iindlela komzimba yefuthe elihle kwi myocardium.

isiphelo

Ngenxa yoko, sokwemba entliziyweni (nokulala okanye kwezinye iimeko) - sisifo kuyingozi kakhulu. Xa iimpawu lokuqala lesi sifo kufuneka uqhagamshelane ngokukhawuleza esibhedlele ukuphumeza zonke iimvavanyo kunye baphathwa ngenyameko. Unyango ziqale ngokukhawuleza kunye nothintelo, ngempumelelo ngakumbi iya kuba amayeza.