Heart block - ntoni na? Oonobangela, iimpawu kunye nonyango of block intliziyo

Iya isanda, abantu baphethwe ziingxaki entliziyweni. emzimbeni nangokweemvakalelo ntshikilelo kakhulu, izifo ezondeleyo, imikhwa emibi - konke oku, kodwa kuchaphazela nemithambo yegazi. Enye ngezifo ingozi ibhloko intliziyo - sisifo kwenzeka noba oluzimeleyo okanye kuthelekiswa nezinye izifo. Ngoko ke, i imeko apho ukucola okanye eyeka ukudluliselwa noncedo imisipha intliziyo, ubizwa ngokuba block intliziyo. Yintoni na le sifo, zithini izizathu kuphuhliso yayo, iimpawu, iimpawu, indlela uzikhusele kuyo?

izizathu

Le ngezifo zingenzeka ngokwayo okanye ngenxa nezinye izifo okanye ingxaki. Kwimeko yokuqala, indima edlalwe yofuzo. Ukuba umntu kusapho ohluphekayo baneengxaki ngentliziyo, ngoko umelwe ithuba elingcono kakhulu yokutshayiswa nesifo ekuthiwa 'intliziyo block. " Yingozi kakhulu, asinguye wonk 'umntu uyazi, kwaye izigulane abakho aware of Kwiimeko ezininzi iingxaki ezinokubakho kwinkqubo sentliziyo, lo gama beqhubeka ukukhokela ubomi obuqhelekileyo. yesifo azalwa - yenye into igalelo kuphuhliso iingxaki intliziyo yomntu.

Heart block nayo kujongwe kwimvelaphi izifo ezifana myocarditis, angina, kardiosklerosis, iposi engabalulekanga, ukuqina imisipha intliziyo, kunye nabanye. Esinye isizathu kuphuma overdosage kwamachiza okanye ithamo engachanekanga amayeza. Kulo kulandela ukuba kufuneka ulandele iingcebiso ugqirha okanye ngocoselelo kwakhona yokufunda-imiyalelo ukusetyenziswa.

iintlobo

Ukuvaleka ke yenzelwe kwiindawo ezahlukeneyo zomzimba, nto leyo ebonisa ukuhlelwa yayo kunye nonyango.

Xa atrial (sinotrialnyh) yaye kuvalwe kwinqanaba kwezihlunu atrial kusihla imiyalezo-luvo. Ukuba intendelezo ekhohlo, ngoko isimo esinjalo nangoku igama block intliziyo ekhohlo, ukuba ekunene, ngoko ilungelo. Le ngezifo lulula kakhulu kubhidaniswe bradycardia - ngamazwe kwisingqi kwentliziyo. Ngamanye amaxesha umntu esempilweni ngazo olu hlobo kwamabutho. degree yabonisa ekhatshwa unditsho kunye waphela.

block Atrio-esiswini okanye atrioventricular kuphuhliswa ngenxa ukunyhashwa isantya endleleni ukusuka imithambo ukuya ventricles. Ukuvimba ventricle - yimeko apho conductivity yaphukile kwibhloko bundle yesebe. Ukumqumbisa sifo kuba iingxaki ezifana cardiomyopathy, isifo kobuchopho wentliziyo, endocarditis infective, myocarditis, iposi engabalulekanga. Enye imeko - a block yesebe intliziyo. Elinye igama eliqhelekileyo isifo - isifo imilenze block yesebe bundle. Ukuba bafumana zivale kuphela umlenze wasekunene kwentliziyo (okanye ekhohlo), umngcipheko ebomini bakhe, akazange anikezele. kubi kakhulu xa kwafa yomguli zombini imilenze, ngoko kufuna esibhedlele kwangoko kunye nonyango olufanelekileyo.

I degree block Atrioventricular and II

Ukuba isigulane ifumaneka atrioventricular block intliziyo (oko kukuthi - kakuhle bonisa electrocardiogram), urhulumente kunye ALS kuxhomekeke kubungakanani apho kukho amathathu. Le isidanga sokuqala kuphawulwa kancinane i Uhanjiso neemvakalelo. Izizathu zophuhliso lwabo Kukwaphula electrolyte indalo, iposi etsolo engabalulekanga, myocarditis, okwandileyo ilizwi vagal, i libanda, imithi intliziyo. Ukuyibetha ngoyaba le sifo kukhokelela kangangokuba ukwanda okanye kwamabutho ukuqhubela phambili.

Ngokuzalana ebalasele engena ventricles asingawo onke la yi. Iimpawu Clinical chaza: iintlungu esifubeni, isiyezi, hypoperfusion, bradycardia, wegazi, ukubetha rhoqo. Ukuqala kuphuhliso lwemidlalo lobungcali, myocarditis etsolo, umsebenzi phezu kwemithambo, iziphene intliziyo, vagotonia izifo bangaba.

degree wesithathu block atrioventricular

Kuvalwe iindlela kumlinganiselo wesithathu, okanye kwafa epheleleyo - yimeko apho ubume singàphunyezwa konke konke. Ventricular kunye atrial kungakhathaliseki omnye komnye. Isigulane sinokufumana mpawu zilandelayo: iintlungu esifubeni, isicaphucaphu, ukugabha, ukuphelelwa umoya, ubuthathaka, isiyezi, ukubila, lomonakalo osezingqondweni, ukuze kuthi ukufa ngequbuliso.

Izizathu ukuqapha zifumaneka ukuphazamiseka pathways, ifiva etsolo samathambo, myocarditis, iposi engabalulekanga, iingxaki emva kotyando, i libanda, iziyobisi.

Heart ukuvimba ayiphelelanga

Isifo kuxhaphakile ulutsha kwaye nokuba ingqalelo uhlobo eqhelekileyo. Kuphela ingozi ebangelwa kwafa engaphelelanga wentliziyo - ukuba lo mqathango ukuphuhlisa ibe ngokupheleleyo. Kwiimeko ezininzi, esi sifo enxulumene nophuhliso organic ukuphazamiseka intliziyo: cardiomyopathy, aortic vana kwekhono, isifo sentliziyo unesifo, isifo kwemithambo. Uxilongo engaphelelanga ukuvimba olwenziwa ngokusebenzisa electrocardiogram.

Ngamanye amaxesha izigulane uxilongwe "kwafa engaphelelanga yomlenze lasekunene intliziyo" (inyanda lakhe). Esi sifo kuba indalo naso okanye lufundiwe, kwaye ezinxulumene ephula ngokuyinxenye esisuka umlenze wasekunene umlando ukubetha yombane. Apho ingozi, kufuneka akukho unyango oluthile kwaye kunqabile ukuya kwamabutho ngokupheleleyo. ukuvimba engaphelelanga le ventricle kwaye ayikho kuyingozi, kodwa engaboni ihambo yakhe kuyimfuneko ukuthintela inkqubela.

Heart block kubantwana

Xa iiseli umbhexeshi uhlobo yesibini neyesithathu, onoxanduva ukudluliselwa amaza le myocardium contractile ngokusebenzisa inkqubo introducer, lisebenze kakuhle, abantwana baphuhlise block intliziyo. Kwasendaweni kusenokuba ibloko ventricular (ekhohlo nasekunene block intliziyo), atrioventricular okanye ibloko sinoatrial, ngokuba hetiseka - epheleleyo engaphelelanga, ngokuphathelele kwiibloko bundle yesebe - enqamlezileyo okanye longitudinal.

iingxaki Heart umntwana abe naso kwaye ziyafikelelwa. Ukuba abantwana bafumane ngezifo lwalo naluphi na uhlobo wentliziyo, kufuneka ngokukhawuleza bafune iingcebiso unyango ngoko nangoko (wezifo, cardiologist) kwaye uqale unyango. Livela kwe block zentliziyo abantwana siya kuthintela umntwana ithuba ukuphila ubomi obuqhelekileyo, oko rhoqo Ndiyasukela iimpawu, yaye iminyaka yobomi ziza kuncitshiswa kakhulu. Ngoko ke kubalulekile ukuba iyaluthintela uphuhliso iingxaki yesifo sentliziyo, iliso ubume impilo yomntwana, ngayo nayiphi na indlela ukulwela ubomi bakhe.

ekuxilongweni

Uxilongo of block intliziyo kusekwangoko kunokuba linyathelo nempumelelo kwindlela alulame. Ngako oko ke kucetyiswa ukuba ukufuna uncedo xa navuso imiqondiso ezincinane, hayi kuphela xa ethatha inqwelo yezigulana. Ingozi sifo kuxhomekeke kwimeko nganye. Kwaye ukuba isigulane ayiphelelanga ungaqhubeka ubomi obuqhelekileyo, iifom epheleleyo ingabangela iingxaki kakhulu, nkqu nokufa.

ngezifo nokuxilonga kungenziwa ngokusekelwe kwiziphumo electrocardiogram, ngelo xesha lolu phando yenza kube lula ukuba ukuhlola imeko omzimba. Kodwa kuyimfuneko ukuze bakuthathele ingqalelo into yokuba kuvalwe iindlela lubandakanywe kunokuba ngamaxesha athile. ukuvimba Bufutshane kuphandwa ngokusebenzisa uvavanyo obuqinileyo naabo ababathandayo, iliso Holter, kodwa echocardiography linokukwenziwa ukuqinisekisa uxilongo.

unyango

unyango ekuvaleni yahlulwe amanyathelo eziliqela ezibalulekileyo. Okokuqala, akukho sifo ngexesha uze - ukumisela ubume neentsusa. Ngaphezu koko, inkoliso intshukumo kufuneka lujoliswe ekujonganeni oonobangela (ukuba uthenge). Kwezinye iimeko (kwafa ayiphelelanga) ibanjwa esweni kuphela. Badlule unyango ngoko nangoko nezithintelo, leyo, kuxhomekeke kubuzaza, inokuba zonyango okanye yotyando.

Xa ukuphatha amayeza ngokuqhelekileyo emiselweyo iziyobisi ezifana "Ortsiprenalina sulfate", "Izoprenarina hydrochloride" "atropine". imeko elinzima isigulane kunye nokungasebenzi imithi inokuba ibhanile isantya okwethutyana okanye ngokusisigxina. umzila ntliziyo lwenziwa advantageously izigulane iminyaka 60-70 ubudala.