Chii chinonzi tachycardia. Zvinokonzera, kurapwa kwechiratidzo ichi

Iko inowanzoenderana nekushaya mwoyo kwevanhu vakuru kunotsanangurwa mumakero makumi matanhatu kusvika ku80 paminiti. Tachycardia - kuwedzera kwemajairo emwoyo kunorova kupfuura 80 neminiti. Node ye sinus inoita mumuviri inhengo yegadziriro huru yemwoyo rhythm. Nekuwedzera kwechiito chechivi chechirimusi pasi pesimba rezvinhu zvakasiyana-siyana zvekunze nechomukati, sinus tachycardia inokura, izvo zvinokonzera, kurapa kwacho kuchakurukurwa pasi apa.

Sinus tachycardia - zvinokonzera, kuongororwa, kurapwa

Sinus tachycardia inowanzosanganiswa nehutano hwepachiviri uye inotsanangurwa nemamiriro akasiyana ehutano uye ehutano. Inogona kukonzerwa nekushungurudzika mupfungwa, kuita basa, kuwedzera kwekushisa. Kune hukama hunozivikanwa pakati pehuwandu hwepfungwa dzepfungwa uye kutonhora kwemuviri - nekuwedzera kwekushisa ne 1C, mutengo wemwoyo unowedzera ne 6-10 kurohwa paminiti. Chirwere chechipatara chinonzi tachycardia chinoitika nemoyo kusagadzikana kwakabva zvakasiyana-siyana.

Chimiro chakatarisana ne sinus tachycardia chinonzi sinus bradycardia. Pano hutano hwepfungwa yemwoyo, kuderedza kudarika 60 kweminiti kunowanikwa. A bradycardia inokura pamusana pekuderera kwebasa re node ye sinus.

Izvi zvinorambidza kuputsa kwomwoyo rhythm hazvive nehuwandu hwekuongorora hunokosha. ECG nemisidhiso iyi ye rhythm inenge isiri yakasiyana nezvinodiwa. Kurapa chiratidzo, zviratidzo zvekurapa zvinoenderana nechikonzero, izvo zvakakonzera kukanganisa kushandiswa kwechinhu chinonzi sinus node.

Paroxysmal tachycardia: zvinokonzera, kuongororwa uye kurapwa

Chii chinonzi paroxysmal tachycardia, chinokonzera, kurapwa kwechiitiko ichi, tinofunga pasi apa.

Paroxysmal tachycardia inonzi palpitations, umo maitiro emwoyo inopesana inosvika 150 - 220 kurova paminiti neine rhythm yakarurama. Semurairo, vanotanga uye vanoguma kamwe kamwe. Paroxysmal tachycardia, zvinokonzera, kurapa kunogona kuve kwakasiyana, nokuti yakakamurwa kuva inrial uye ventricular.

Atrial paroxysmal tachycardia inowanzowanika kune vanhu vane utano hwakanaka nehutachiona hwemagetsi. Kunyanya kazhinji kuurayiwa kunoitika mushure mekushungurudzika mupfungwa, kushandiswa kwezvinwiwa zvakadai sesimbi yakasimba, kofi, uye nedoro. Izvi zvinowedzera kukonzerwa kwehurongwa hwemagetsi uye zvinobatsira pakuvandudza kwekuwedzera kwemwoyo.

Paroxysmal supraventricular tachycardia kazhinji inokonzerwa nemafungiro akanaka pamwoyo kune zvirwere zvakasiyana-siyana zvemukati. Kurwiswa kunogona kuitika semugumisiro wehutachiona hwehutachiona panguva yekuzvitakura, kuenda kumwedzi.

Izvo zvinonzi ventricular fomu, sekutonga, inowanikwa muhutachiona hwehutachiona hwemwoyo (ischemic disease, kunyanya neacute myocardial infarction, myocarditis, arterial hypertension).

Varwere vanongonyunyuta pamusoro pechiitiko chisinganzwisisiki panguva yekurwisa. Panogona kuva nemanzwiro ekurwadziwa mukati memwoyo uye kurwadziwa kwakafanana angina. Dzimwe nguva pane kusuruvara, kurutsa. Paroxysmal tachycardia inowanzosangana nehutano husina simba, pfungwa yekutya, dzimwe nguva nzara, kupera.

Munguva yekuongorora, unogona kutsanangurira pallor yeganda, uye nekurwisa kwenguva refu - acrocyanosis, kuwedzera kwekushandiswa kwemidziyo yemutsipa. Pulse iri rhythmic, kazhinji, kuzadza kuduku. Ropa rinowanzoderedzwa.

Kuongororwa kweparoxysmal tachycardia kunoitwa nekufungisisa nezveEEC data.

Kurwiswa kwepamusoro-soro tachycardia kunogona kusimbiswa nezviito zvakakonzerwa nekukurudzira vagus nerve. Kuti uite izvi, iwe unogona kuisa maziso eziso, kufambisa mishonga yepamuviri, kumutsa kushambidzika, kuratidza murwere kushivirira, kubata mweya wake. Kana kusakosha kunoshandiswa kushandiswa kwezvinodhaka zvinodhaka. Mumatambudziko akaoma, kukurudzira mwoyo uye electropulse therapy inoitwa. Ventricular tachycardia inobatwa nevana parenteral ekurwisa zvinodhaka, uye electropulse therapy inorayirwa.

Takaongorora munyaya ino rudzi rwe tachycardia, runokonzera, kurapwa kwechirwere ichi.