Isingeniso esinjalo sesono

Impendulo yombuzo: "Iyintoni isigqithiso sesine?" Uqala ukuhlambalaza abantu abaninzi xa bethola ukuxilongwa okuthile. Kuze kube ngolu nqanaba, iimpawu zokusebenza ezisentliziyweni azithandi kakhulu. Kule nqaku, isigqi sesinya siya kuhlolwa ngokubanzi.

Ukusebenza ngokuqhelekileyo kwentliziyo kunikezelwa ngemisebenzi emithathu: ukuzonwabisa, ukuzenzekelayo kunye nokuqhuba. Nakuphi na ukuphambuka kokusebenza ngokuqhelekileyo kwezi misebenzi kukhokelela ekuphuhlisweni kwazo zonke iintlobo ze-arthmia. Isiqhelo senhliziyo esilungileyo sakhiwe kwi-node yesusus kwaye sibizwa ngokuba yingoma yesinus. I-Cardiologists xa i-diagnostic ingqalelo ukuba i-rhythm ye-sinus ayisoloko isebenza njengesalathisi sokusebenza kwentliziyo, ezinye izifo zentliziyo zenzeka ngaphandle kokuphazamisa isigqi senhliziyo. Kwiintsana, i-sinus ishythm ye-150 beats isingathwa njengesiqhelo.

I-cardiologist, ekwenzeni irekhodi ye-cardiogram: "ishythm rhythm. Norma ", ithetha oku kulandelayo:

• Inkqubo ye-QRS inomfanekiso wezinyo unomphela P;
• Isiqhelo senhliziyo sinamaxesha angama-60-80;
• Umgama P-P okanye R-R ufana.

Igama elithi "ukuphazamiseka kwesigqi sesinus" lithetha i-arrhythmias kunye ne-blockades. Naluphina ukuxilwa kwintlalo, ukuhlala rhoqo kunye nokuhambelana komsebenzi wenhliziyo kuthiwa yi-arrhythmia. I-blockades ye-cardiac ibangelwa ukuba ukukhungatheka okuvela kumaziko kuphazamiseka ngqo kwiintliziyo zentliziyo.

I-Arrhythmias kwindawo yokuxhatshazwa kwe-pulse iyahlula ibe yinto ebonakala kumagqabila kwaye yabonakala phezu kwee-ventricles. Phakathi koogqirha bamkele ukuhlula okulandelayo, okubonisa indlela yesimo esingaqinisekanga:

I-Dissonance of pulse formation

• I-Dissonance ehambelana nokuphulwa kwe-automatism, equka i- sinus tachycardias, i- bradycardias, i-arrhythmias;
• I-Dissonance ehambelana nokulawulwa kwe-automatism: isantya esicothayo okanye esheshayo, okanye isantlukwano esiphakathi, xa isigqi seentliziyo sinciphisa kwaye siphuthuma (ukuphazamiseka komqhubi womculo);
• I-Dissonance ehambelana nokuphindwa kwakhona kwenkxwaleko.

2. Ukudibanisa kwe-conductivity: olu hlobo lokuphulwa luquka iintlobo ezahlukeneyo zee-blockades.

3. Ukuphulwa okuhlangeneyo

Ukufumanisa ugqirha, kufuneka ufumene i-anamnesis yesigulane, ufumane idatha kwizinto ezisetyenziswayo kunye neeklinikhi. Xa uqokelela i-anamnesis, i-cardiologist izakuzama ukufumana ulwazi malunga nobukho bemikhwa emibi, ukuzalwa kunye nokudluliselwa kwezifo. Ugqirha uya kubuza xa isigulane sokuqala sivakalelwa kukuba isigqithiso sesono siphukile, yintoni evakalelwa ngayo ngexesha elifanayo. Ezi nkcukacha ziya kunceda ukucacisa uhlobo lokuphulwa: isigqi sesinstisi esheshayo kwisigulane okanye ngokulandelelana, sanciphisa. Ngokuqhelekileyo izigulana zikhalaza ngokungahambi kakuhle kwintliziyo yesimo, iimvakalelo ezizenzekelayo okanye ezijoliswe entliziyweni yokuhluleka (ukukhawuleza okanye ukunciphisa). Ngamanye amaxesha ukuphuhliswa kwe-arrhythmia kunokudlula ukungaqapheli isigulane, kwaye kunokukhokelela ekulahlekelweni kwengqondo. Kwakhona ama-arrhythmias ahamba kunye nokuphefumula okufutshane, ukuvakalelwa kwesisu, ubuthathaka. Ukunyanzeliswa kwemizimba yesifo kuthintela ukusebenza ngokuqhelekileyo kwenkqubo yokuphefumula, ekhokelela ekungabikho kwe-oxygen.

Uncedo ekufumaneni i-arrhythmia ine-ECG, kwaye unyango lweziyobisi luya kunceda ukunciphisa ukubonakaliswa okungekho kwesifo. Ukuba ikhosi ye-arrhythmia iyinto engabonakaliyo, ngoko-ke akukho unyango lweziyobisi olufunekayo ngaphandle kokuba ubungakanani obuqhelekileyo benhliziyo kunye nokulondolozwa komsebenzi wabo wesivumelwano luhlala luhambelana. Ukuba ukuphazamiseka kwengqungquthela kuthintela umsebenzi obalulekileyo oqhelekileyo, unyango oluphambili lujoliswe ekudaleni imvelaphi ephezulu ye-electrolyte ngokuqeshwa kwamachiza akhethekileyo. Ukuba i-arrhythmia ingakhokelela ekufeni kwesigulane, i-cardiosurgeons isebenzisa unyango lwe-electropulse. Ezinye iintlobo ze-arrhythmias zinyangwa ngongenelelo olunyango.