Anorova - ichi ... mwoyo mutinhimira zvirwere - zvinokonzera. Zviratidzo mwoyo chirwere

Anorova - iri zvakajairika nyonganyonga, kunyanya panyaya varwere vakwegura. ezvinhu kwakadaro aine nokuvhiringidzirwa kwomuzvarirwo mwoyo mutinhimira. Nhasi, vanhu vakawanda vari kufarira nyaya chii vari zvinokonzera dambudziko iri, sei ngozi dzoutano, zvinogona kuva.

Anorova - chii?

Nhasi, yakafanana dambudziko nezvakaonekwa zhinji varwere muzvipatara. Saka chii anorova? chirwere ichi, icho chokuita nedzimwe nepfungwa mwoyo mutinhimira. With chirwere chakadai vakachengeta marwadzo hunoshamisa (systole), kana rose myocardium, kana ayo dzakasiyana (semuenzaniso, kuti atria, iyo ventricles).

Anorova - ndozvakajairwa kana kukanganisa utano?

Chokwadi, nhasi, vanhu vakawanda vari nematambudziko akafanana dambudziko. Saka ngozi sei zvinogona chirwere? Kutaura zvazviri, kunoshamisa rutapudzo anogona kuitika uye, chaizvoizvo, anowanikwa chero zera. Somuenzaniso, vechiduku kazhinji vanotsutsumwa pamusoro kunzwa simba mwoyo urove, ichi ndicho anorova. Uyezve, maererano nenhamba, vanenge 80% vanhu vakura kupfuura makore makumi mashanu kubvira nguva nenguva vanotambura nenguva dzirikure zvakaramba "unscheduled".

Ndechipi chikonzero panowanikwa systole? Mune dzimwe zvirwere zvomwoyo uye nhumbi vascular gadziriro nechakatsinhiwa: Yakaumbwa vanonzi ectopic maronda, nzvimbo vawedzere basa. Kakawanda, izvozvo wenyonganyonga rinowanikwa makwara pakati ventricles, atria, ari atrioventricular raiva pedyo nebundu. Zviri izvi ectopic foci chamutsa pulses kuti pave nekukurukurirana heartbeats mashandiro ayo kutandara chehupenyu (diastole). Zvinoita sokuti anorova. Izvi, Sezvineiwo, kunogona kuva nengozi zvikuru.

Chokwadi, pano neapo simuka nomunhu hazvisi nengozi kuti utano hwevanhu. Kunyange zvakadaro, havana kuyambira paine dambudziko, nyanzvi dzinokurudzira varwere akadaro kunyatsoteerera nzira yavo youpenyu, tevedzera Zvokudya uye chaidzo kugara uchiongororwa.

Ukuwo, zvakare kakawanda anorova sei nhengo yose. Pashure pezvose, somugumisiro vakawanda mangwanani maronda kwakaderedza anobuda ropa, zvinoita kuti vasanyanye ropa riyerere muuropi uye coronary arteries. Muzviitiko zvakadaro, mwoyo anorova ngozi kwazvo, sezvo angaita kuvadza myocardium, kufenda kana kunyange kufirwa nomunhu.

Heart mutinhimira chainetsa: Zvinokonzera

Kutaura zvazviri, pane zvikonzero zvakawanda zvingaita kuti kurwisa arrhythmia zvingaitika. Somuenzaniso, mwoyo mutinhimira nenyonganiso zvinogona chokuita simba pamusoro nhengo dzimwe makemikari, kusanganisira zvimwe zvokudya, zvokunwa, zvinodhaka, kunyange tii simba kana kofi. Zvinhu Risk zvinoshandawo kusvuta. Functional mwoyo anorova zvingaitika mune vakadzi panguva yekutevera.

Mukuwedzera, zvinokonzera zvinosanganisira zvimwe zvirwere, kusanganisira osteochondrosis (kunyanya remuromo nomuzongoza), uye vascular dystonia, netsinga-siyana mavambo, uye vamwe.

Pane zvimwe zvinhu zvinogona kukonzera vakachengeta mwoyo mutinhimira nyonganyonga. Zvikonzero anogona chokuita Organic maronda ari myocardium uye conduction gadziriro. Somuenzaniso, ari kurwisa kazhinji dzinoitika varwere vakaremara siyana, uyewo pamusoro kumashure Cardiosclerosis, cardiomyopathy, coronary tsinga chirwere, anogumbura zvirwere (myocarditis, pericarditis). Zvinhu Risk zvinosanganisirawo zvirwere zvakadai hemochromatosis, sarcoidosis, amyloidosis, nokuti vagumirwe yakakwirira mukana kukuvara mwoyo.

Kurwisa arrhythmia rinowanzoberekera pamusoro colour ane simba nefivha. Mukuwedzera, zvimwechetezvo kungaita kutora zvimwe zvinodhaka, kusanganisira avo zvinodhaka zvine caffeine, ephedrine, aminophylline, novodrin, uye tricyclic antidepressants, zvinodhaka diuretic uye corticosteroids.

Kuzvidya mwoyo, panyama kushushikana, nyonganyonga yacho chicherwa tigutsikane mumasero myocardial - zvose izvo kungamutsawo ane yakawedzera marwadzo mumwoyo tsandanyama.

kupatsanura pakati kutyorwa

Chokwadi, nhasi kune vakawanda kupatsanura mugadziriro, izvo zvinoita kuti tinzwisise chii anorova - semuenzaniso, zvichienderana localization ose ectopic foci. Kakawanda kuchengetwa kukundikana mwero iri ventricles, vanopfuura 60% wevarwere vauye chiremba pamwe chirwere chakadai.

Muna 25% of akaona atrial anorova. Ndoda kazhinji mutinhimira vachivavhiringidza kuitika muhomwe atrioventricular kubatana, mune nyaya dzakadaro, dzinonzi atrioventricular. Uyezve, pane mubatanidzwa akasiyana-siyana pamusoro siyana.

Mune zvimwe zviitiko, chikuru sinus mutinhimira anodzokororwa panguva imwe chete nokuumbwa ectopic foci, kutyorwa yakadaro inonzi parasystole. Kutyorwa dzinoiswa uye uwandu foci pamusoro excitation, vangava vari mono- uye polytopic.

Kana anorova uri maviri panhurikidzwa dzinonzi aiwanzopiwa wokushanda. Kana inoshamisa rutapudzo vakatevera zano "anopfuura maviri panhurikidzwa" kureva - volley anorova. Uyezve, kutyorwa vakadaro vanokamurwa muzvikwata zvichienderana paanenge panguva mwoyo marwadzo (ichi mangwanani, pakati uye mushakabvu). Kana isu kufungawo kakawanda panowanikwa extrasystoles, vangava kushoma (asingasviki 5 zvinoshamisa cheka paminiti), svikiro (6 kusvika 15) kana kakawanda (semuenzaniso kakawanda ventricular extrasystole pamwe dzinopfuura 15 kunoshamisa ventricular sunga paminiti).

Sezvingatarisirwa, pane mamiriro ezvinhu umo arrhythmia iri Classified maererano nemarudzi mavambo. Somuenzaniso, cardiac mutinhimira zvirwere anogona chokuita chepfu Organic kana zvinyama maronda, vasiri zvirwere.

Sezvaratidzwa anorova?

Kutaura zvazviri, zviratidzo mwoyo chirwere varipo kwete varwere vose, dzimwe nguva arrhythmia akatsunga netsaona munguva purogiramu kwemwoyo unonzi, electrocardiograph. Uyezve, pane zvinhu zvakawanda zvinogona kukanganisa yakawanda uye kusimba zviratidzo varipo. Somuenzaniso, varwere Organic maronda ari myocardium zvinogona nyore zvikuru kutakura arrhythmia Zvikamu, ukuwo chiremba mufananidzo vari vanhu vascular dystonia anotarira zvizhinji kuoma.

Kakawanda extrasystole subjectively ruzivo sezvo simba achapesana, kunyange mwoyo urove pechipfuva kubva mukati. Mune zvimwe zviitiko, varwere dzinoshuma kuti sokuti mwoyo "flips" kana kunyange "Piruetas". Manzwiro akadaro pamwe ine simba, simba uye unopinza rutapudzo ari myocardium.

Vamwe varwere arrhythmia kurwisa fananei zviratidzo coronary tsinga chirwere kana angina. Arrythmia, inobatanidzwa dzichipfekeka kuchinja kazhinji pamwe nemamwe zviratidzo. Somuenzaniso, varwere chokunyunyuta pamusoro yakawedzera vangadikitira, kunzwa pfupi kufema, inopisa flushes, simba, pakarepo yokuvamba simba, kusagadzikana. Dzimwe nguva pane uye asingatsananguriki kunzwa mwoyo, kunyange kutya.

Pane zvimwe zviratidzo mwoyo chirwere. Akadai dzungu. Kakawanda ventricular vakurumidze anorova kana atrial achiperekedzwa vasanyanye goho ropa, iro chinokonzera chiratidzo ichi. In varwere chepfungwa vascular atherosclerosis arrhythmias zvakadaro kungatowedzera nokuvhiringidzirwa ropa kuyerera, achiperekedzwa paresis, syncope, zvimwe zvirwere uye aphasia. Chero zvazvingava, kuratidzwa vakadai inoti hwobva kubvunza chiremba, nokuti migumisiro yacho kunogona kuva nengozi zvikuru uye zvakaoma.

Anorova muuduku

Kutaura zvazviri, anorova vana inowanzonzi chirwere. It vangatambura mwana upi zera, dzimwe nguva kuti zvinetso zvakadaro rinonyoreswa kunyange panguva fetus. Maererano nenhamba, vanopfuura 75% yevana pakawanda, vanotambura mwoyo mutinhimira zvirwere. Uye pamusoro gumi apfuura nhamba yevana vane zvirwere izvi yakawedzera zvinooneka.

Ndezvipi zvinonyanya kukonzera cardiac arrhythmias muvana? Chekutanga zvinofanira kucherechedzwa pakupona uye cardiomyopathy. Mukuwedzera, rakajairika zvinosanganisira kutapuriranwa myocarditis, rheumatic mwoyo chirwere, majini vakatsunga chirwere.

Mune zvimwe zviitiko, maperembudzi chokuita nedzimwe nepfungwa yacho kwemakemikari anobudiswa uye huta nehurongwa. Somuenzaniso, chimiro extrasystole kunogona kukonzera hypothyroidism kana chirwere cheshuga. Ukuwo, zvinoreva chisingaperi anogumbura uye zvirwere urongwa, uyewo zvirwere kushaikwa uye kushaya zvimwe zvinhu, kunyanya mumuviri kana mupfungwa. Chero zvazvingava, kukanganisika yakadaro vanoda kurapwa. Kana nokufembera, paavhareji kana zvisingawanzoitiki anorova, usina pamwe Organic maronda womwoyo, kunoonekwa sechinhu kufamba chimiro chirwere.

Modern nzira nechirwere

Sezvingatarisirwa, pane nzira dzakawanda rokuongorora, kusanganisira ECG. Extrasystole apo yakafanana kudzidza, kazhinji zviri kuonekwa. Zvisinei, kuti chirwere muitiro hakutangi ichi. Chokutanga, chiremba anofanira kuitisa kwazvo kuongororwa, unotanga kuunganidzwa kwemashoko. Murwere anofanira kuudza chiremba iyo zviratidzo waonekwa, sei zvikuru nayo acharwisa, kazhinji sei zvaitika.

Zvinokosha kuti tizive chikonzero cardiac arrhythmias. Kuti izvi zvidaro, kuenda nhoroondo zvokurapa, chiremba vanofanira kungwarira pamberi nezvimwe zvirwere, kushandisa zvinodhaka. Chokwadi chokuti mavambo uye hunhu maronda ari cardiac conduction mamiriro hunoenderana kusarudza zvinobudirira nokurapwa.

Pashure paizvozvo chiremba kazhinji inoitisa kupomba palpation panguva TOUR tsinga. Kana arrhythmia nyanzvi inogona kutsiva kupomba wave kunoitika nguva isati yakwana. Dzimwe nguva, nekusiyana, achiperekedzwa arrythmia Zvikamu kuti "anowira" kupomba anowanika kana pane kukwana kuzadza ventricles panguva diastole.

Uyezve akabata mwoyo auscultation. Paunenge uchiteerera, unogona kuona pamberi preterm I uye II zvenzwi. Zviya, ane chirwere chakadaro, wokutanga matauriro chinosimbiswa, iyo chokuita zvishoma kuzadza ventricles. Asi matauriro wechipiri, nekusiyana, simba, sezvo ejection ropa mukati yeropa uye pulmonary tsinga iduku zvikuru.

Pashure paizvozvo chiremba achatuma murwere nechokwadi cardiogram mwoyo. Uyu ndiwo mumwe yakarurama kwazvo nzira tsvakurudzo. Mune zvimwe zviitiko, rimwe anonzi Holter ECG. Chii nzira? muviri murwere wanamatira inotakurika zano rinokosha kuti anonyora mwoyo mutinhimira pamusoro mazuva 1-2. Mukuwedzera, murwere akaramba dhayari kwebasa, umo anorondedzera manzwiro ake uye kuita zviito. Kudzidza kwakadaro rinoshandiswa kana uchida kuziva chii kunokonzera ane arrhythmia.

Kana cardiac arrhythmias hazvina kuitika panguva zororo, kuitisa zvimwe miedzo - bhasikoro ergometry uye wekusimbisa muviri bvunzo. Zvidzidzo izvi kuti tikwanise kuyera parameters (BP) uye kuti unonzi, electrocardiograph panguva yechiitwa (akadai achifamba wekusimbisa muviri, kurovedza pamusoro mira bhasikoro). Kana uchifungidzira kuti makemikari myocardial kukuvadzwa mune varwere inokurudzirwa kuita Ultrasound uye cardiac MRI.

How kubata arrhythmia?

Sezvambotaurwa, pakurapa cardiac arrhythmia kunoenderana ayo chikonzero. Somuenzaniso, kana arrhythmias chokuita adya mishonga, ipapo, Chokwadi, tinoda kuti hazvichaiti. Kana zvikonzero vavete nyonganyonga iri zvomudumbu uye zvemwoyo hurongwa, tinofanira kuvabata pakutanga, uye extrasystoles kurwiswa zvichapfuura pamwe zvikuru chirwere.

Mune zvimwe zviitiko chirwere kunobatsira kunzwisisa chii mutinhimira vachivavhiringidza kwakamuka colour ose huta overstrain. Vanaamai vakadaro dzinotaurwawo chiremba wetsinga nokuda kubvunzana uye, sezvo mutemo, vakanzi kugamuchira vanyoro sedatives kana kunyaradza miti mari.

Nguva dziri kure uye kashoma acharwisa arrhythmias regai zvinoda zvakananga kurapwa, varwere vari akakurudzira chete zvinoenderana nenheyo mararamiro utano, uye panguva nenguva kupfuura kuongorora inodzokororwa.

Kana kurwiswa kuitika kakawanda, achiperekedzwa kupfupika mweya, simba uye matambudziko simba, zvino, Ungangove, chiremba achasarudza mishonga yakakodzera. Kazhinji, kubvisa kutyorwa vanonzi Nachiremba mishonga antiarrhythmic, kusanganisira lidocaine, sotalol, procainamide hydrochloride, diltiazem, quinidine, Cordarone, mexyl. Hapana nyaya hazvigoni kushandiswa oga, zvinodhaka izvi, sezvo chipimo chemushonga uye kugamuchira nzira iri zvikuru nomumwe. Uyezve, dzimwe nguva mushonga chinotarisirwa panguva Holter ECG zvichiongororwa, kunotibatsira kunzwisisa kuti mushonga here anoshanda sezvo kuita, uye haazoiti muviri kana ane mukuru kukuvadza.

In ekstrasistoliyah mishonga benign kutora chero bedzi kurwisa aenda zvachose, kana pane nhamba yavo uchaderedzwa kushoma. Zvadaro, uwandu zvinodhaka dzinotanga zvishoma kuderedza uye ipapo kukanzura zvachose. Kazhinji, kurapa kwakadaro kunotora inoverengeka. Asi akaipa siyana kutyorwa varwere vachitora antiarrhythmics hwose.

Muzviitiko apo mishonga iyi haashandi, kana murwere akazivisa kusashivirira dzavo, kushandisa dzimwe nzira kurapwa, kunyanya radiofrequency ablation mwoyo. Zviya, chiratidzo kuti nzira iyi yokurapa ariwo chimiro ventricular arrhythmia, icho pamwe nezviuru 20-30 kurwiswa rimwe zuva. Ichi kuvhiya kuti chokuita zvishoma invasive unyanzvi. It rinoitwa kushandisa endovascular anobudisa mushonga zvishoma nezvishoma chaiyo iyo transmits mukuru-maitikiro dzenzvimbo. Nokudaro, dot electrode mwoyo kunokanganisa migove apo kuputswa conductivity. Aine nzira yakadaro, unogona kumisa nokupfuuridzirwa pathological, "zvakaipa" kupomba uye kutangazve zvakajairika sinus mutinhimira.

Zvakaipira cardiac arrhythmias, uye Zvaifungidzirwa vanorwara

The fungidziro varwere zvakananga kuvimba chirwere uye kuvapo concomitant zvirwere. Somuenzaniso, vakawanda ngozi anorova zvinokura pamusoro makuriro yomwoyo, cardiomyopathy uye Organic myocardial kukuvara.

Chero zvazvingava, kusavapo vanokwanisa uye nenguva rubatsiro kungaita kuti uremu kuomesa. Pasinei chokwadi kuti vakawanda anorova riri benign, dzimwe nguva kuva pamusoro wayo avakaita uye zvimwe zvirwere ngozi, kusanganisira paroxysmal tachycardia, atrial fibrillation uye atrial flutter. ezvinhu akadaro kungaita kuti murwere kwakaerekana rufu.

Pane mamwe matambudziko kuti pematanho anorova. Ndizvo, pakutanga kwezvose, matambudziko ropa wokufambisa uye zvokudya pamusoro munyama. Pashure pezvose, kana kudzokororwa extrasystoles Vhoriyamu ropa vabudiswa nokuda mwoyo ipfupi kwazvo. Izvi zvinotungamirira okisijeni nenzara uye nokuvhiringidzirwa kwomuzvarirwo kutenderera. Kazhinji anorova zvinoisa kukura echirwere renal kukundikana, coronary uye chepfungwa ropa midziyo, iyo inotungamira kunyange kupfuura matambudziko.

dziviriro nzira

Chokwadi, mumwe murwere nezvinetso zvakafanana inofanira vakanyorwa pamwe cardiologist uye vanosangana nguva kuongorora. Nzira huru yokudzivirirwa yematambudziko ngozi arrythmia ndiyo kurapwa chezvinhu chirwere. Sick vanhu vanofanira kuva nechokwadi kutora mishonga chairayirwa nyanzvi, uyewo zvinoenderana papurogiramu uye zvaiitwa. Uyezve, kwemwoyo dzose ongororo vanosungirwa, sezvo izvi kunoita chiremba mukana kutevera kumhanya kukura chirwere nokuitika mushonga zvinodhaka.

Zvirokwazvo varwere vanofanira zvikuru uongorore zvakare mararamiro. zvirwere Chero mwoyo zvinoda chaizvo kudya. Kurega kusvuta, doro uye zvine caffeine kunodiwa. Uye, chokwadi, nokuti basa kumwoyo achava rinobatsira mwero asi nokugara uchirovedza muviri, kufamba yakachena mhepo.

Tinofanira kutaura rwekutanga. Attack unorova kazhinji kunoitika nokukurumidza. Murwere anofanira pasi uye kuzorora. Zvinonzi Dzakamukurudzirawo kubvisa pamusoro zvikorekedzo hembe yake, akasunungura chisungo ake uye bhanhire, mune shoko, kubvisa zvinobvira zvipingamupinyi zvose kuti chivhiringidze kufema. Kana Kurwisa kwakakonzerwa kushushikana, zvinonzi kubvumidzwa kutora shoma munhu kunyaradza zvinodhaka. Zvakanakisisa kudaidza amburenzi, nokuti migumisiro yacho inogona kuva arrhythmia ngozi.