Sinus mutinhimira - chii? Zvinorevei sinus mutinhimira mumoyo?

Vamwe vanhu vanotsigira kuti kuna vanachiremba akavapa mashoko azere pamusoro utano hwavo. Asi kana uchifunga ichi haisi pfungwa huru yakadai. All yematemu izvi yezvokurapa anogona angazvidederesa ari munhuwo zvake. Somuenzaniso, chii chaanoita "sinus mutinhimira womwoyo"? Mashoko akadaro haasi zvakajeka kuti vanhuwo zvavo, uye chiremba anowana mumwe murwere panicking.

Misimboti mwoyo

Kuburikidza muviri ichi ropa anoenda zvose midziyo muviri uye rinopa Sero rimwe nerimwe zvokudya uye oxygen. Mwoyo - ndiwo injini yemuviri, uye injini anomhanya dzose muupenyu hwevanhu. Zviri anoshanda nesimba chaizvo, zvakaoma kudavira kuti kwakadaro urongwa aigona kusika zvisikwa.

Zvose Runotanga zvemagetsi kupomba urwu sinoartrialnym raiva pedyo nebundu. Zvichitevera nokufarisa boka duku iri masero vari kuderedzwa atrium kufurira ropa mukati ventricles. Zvadaro pane kuzvivaraidza yavo. Asiwo, kuderedza ventricles apo dzinosvika navo yemagetsi wave, vachikandira ropa mukati arteries. Gare gare, usanetseka zvose Camera mana. Zvino zvose inotangira denderedzwa. Zvinoshamisa sei mashandiro azvinoita zvakanaka. Sezvo basa rake haagumiri kuti wechipiri, kunyange vatorwa sei kashoma kupera.

zvemagetsi chiratidzo Chizvarwa kunoitika anenge dzimwe nguva, kunyange zvazvo kazhinji vanogona kunyange kuti siyana zvishoma. Asiwo, kana hazvina, zvinogona kuratidza kuneta kuti reserves. Ichi chirwere anonzi "mutinhimira Rigidity". Inogona kuchengetwa panguva ischemia.

sinus mutinhimira

Chii? Ko chinyorwa ichi muna ECG dudziro? Ndinofanira tidzikame paakamuona? Kutaura zvazviri, pakatarisana ichokwadi. kazhinji kupinda Izvi zvinoratidza zvinoitika anoita mwoyo, kunyange zvazvo zvingava kuenda zvimwe zvirwere. Ndizvo zvinotaurwa sinus mutinhimira mumwoyo, kunyanya kana pasina mumwe mashoko. Unogona kudzikama uye kuona chiremba chete pashure pegore, kana pane dzimwe dzakakodzera.

Zvakasiyana kana tiri kutaura pamusoro kutyorwa sinus mutinhimira. Izvi zvinogona kuva arrhythmia, nezvipusha, tachycardia kana bradycardia, uye zvakawanda. Kutaura zvazviri, chero inopangidza of ECG inofanira nokududzirwawo chiremba chaiyo kana kunyange chiremba. Uye ipapo pachava chaizvoizvo pachena kana paine matambudziko chero kana zvinhu zvakanaka. Pashure kutsikisa "sinus mutinhimira zvisiri pamutemo" nokuda kuyaruka uye munhu akwegura haazorambi anoreva chinhu chimwe.

mhando

Kunze kare ataurwa zvinyorwa anogona kunyorwa "sinus mutinhimira kutwasuka" kana "chinjikira". Uye kuti zvingareva mashoko aya? Chete mashoko sei kuti apfuure masero kuderedza tichimhanya. Chokwadi chokuti yemagetsi chinozunguzirwa inopfuura nomunyika tsandanyama rinenge mune imwe nhungamiro, zvinonyatsobatana anenge aine anatomical akabatana mwoyo. Ndiko chete anotaura pamusoro zvinhu zvayo nzvimbo.

Kazhinji, vanhu vane giperstenichnym nomuviri vakachengeta chinjikira sinus mutinhimira, uye vamwe - hunyambiri. Zvisinei, zvose zvaungasarudza izvi ndozvakajairwa. chinhu ichi chete.

cardiogram

Sinus mutinhimira ane uwandu zvinhu zviri pachena zvinoonekwa pamusoro ECG. Chokutanga, mwoyo mwero iri 60-80 anorova paminiti, uye mune navacheche nevana anosvika 6 makore - kusvika 150. Chechipiri, kuti P-wave inotanga mberi QRS dzakaoma. Chechitatu, kuti PQ ane dzose nguva iri kuipa siyana (0,12-0,20 seconds). Pakupedzisira, PP kana RR nguva ndiko chete.

To nonspecialists graphical kuratidzwa basa mwoyo yavo mashoko shoma. Simple murwere haagoni kuona, kunyange zvakakomba kutyorwa, apo cardiologists ichi mhando kutsvakurudza anogona kupa zvakawanda zvinokosha. Saka kufuratira pagore rokuongorora haumanikidzwi - the ECG anogona kuratidza matambudziko mwoyo mubasa panguva hazvina vainzwa uye haaratidzi pachavo.

kukanganisa

Sezvo kunyange yakarurama uye yakavimbika zvikuru mashandiro, mwoyo zvirwere zvinogona. Sezvineiwo, kunyange matambudziko akawanda zviduku zvinenge pakarepo kuti pachavo akanzwa. Kana vanhu kutaura kutyorwa, kazhinji ine mupfungwa kuti nokuda kwechimwe chikonzero kunowedzera, zvinoderedza kana anorasika sinus mutinhimira. Chii? Achitaura ezvokurapa, izvi mamiriro vanozivikanwa se sinus tachycardia, bradycardia uye arrhythmia, ukuwo. Uye zvinoreva kuti raiva pedyo nebundu zvinowanisa ane zvemagetsi zvairatidza kuti hakuna kunaka. Kana tachycardia kutevedzana kwezviitiko maitikiro ose mwoyo kutenderera iri rakaramba, asi mwoyo mwero kwazvo 100 bpm. Kana bradycardia pakatarisana - kakawanda kuti sunga ipfupi kune ukoshi asingasviki 60. Kana arrhythmia yakawanda nguva kutsanya uye kunonoka basa mwoyo unogona Alternate, uye nokufamba zviri zvizhinji PP ECG anogona pfuura 10%.

Ko pakarepo kutyiswa, akaridza kana mumwe mashoko aya kana Somuenzaniso, zvakada "sinus mutinhimira kwemashifiti." Mune zvimwe zviitiko, zvirwere izvi zvinogona kuva vasiri hunhu uye havana zvinoda kurapwa, chete kutevera-up. Saka, pane kazhinji Yaunoti kufema sinus arrhythmia - ichi izwi anonzi rakatumbuka nguva mwoyo-nemataundi kundosvikira kakawanda uye zvikuru isingawanzowanikwi. chirwere kwakadaro nevanhu vana uye kuyaruka. Mamwe sinus arrhythmia vari apo neapo, kazhinji kwazvo zvirwere, zvakadai chakasimba myocardial infarction.

zvinokonzera

Tachycardia uye bradycardia ave zvose pharmacological uye pathological hunhu. Imhandoi nezvinhu zvinogona kuwedzera kana kutapudza kwemwoyo? The Pamazita iwayo yakakura.

tachycardia:

• epinephrine / norepinephrine;
• zvine caffeine;
• chikakananda;
• doro;
• atropine;
• sympathomimetics;
• aminophylline;
• steroids;
• thyroid mahormone;
• diuretics;
• zvinodhaka zvainanga panguva rutapudzo zvavaida.

bradycardia:

• "Verapamil";
• sympatholytic;
• quinidine;
• cardiac glycosides ;
• Beta-blockers;
• morphine.

Zvinofanira kucherechedzwa kuti vamwe nemishonga dzinotaurwa zvose mazita, primnyaetsya mu Obstetrics Somuenzaniso, kuvandudza ropa wedzerai azvarwa uye uterine edema uye kubviswa. Saka, kuti chero zvinodhaka izvi, unofanira kunyanya kunetseka kana haakonzeri zvakakomba kuzvuzvungudza.

Panyaya pathological zvinokonzera kutyorwa, vari zvakare kakawanda chaizvo. tachycardia:

• chenjera kana chirwere chemwoyo;
• myocardial infarction;
• zvakakomba kurwisa angina pectoris;
• chenjera myocarditis;
• hypoxemia;
• kupererwa neropa;
• hypotension;
• nefivha yakasimba;
• hyperthyroidism;
• ropa clot iri pulmonary tsinga;
• pheochromocytoma.

Bradycardia anogona kuenda zvinotevera zvirwere kana mamiriro:

• myocardial infarction;
• sinus sick urwere;
• cardio;
• hypothyroidism;
• chirwere;
• rikakura intracranial kumanikidzwa;
• hypothermia;
• intubation;
• hypercalcemia;
• hypokalemia;
• Gastric uye duodenal maronda;
• uremia;
• dzimwe mhando nomuchetura;
• Meniere kuti syndrome.

Sezvaunogona kuona, mazita rakanyatsojeka yakakura, saka unofanira kuva nechokwadi chokuti akanga asina kuputswa sinus mutinhimira (chii, hatina kare akatsanangura).

Diagnostics

Kunze kare ataurwa electrocardiography, chaizvo aiwanzoshandisa ichi mhando kwekudzidza sonography kana Ultrasound mwoyo. Zvangoitikawo kuti adzidze uye anogona kuzivisa zvinhu zvakawanda zvinonakidza. Zvisinei, haritauri pamusoro kutyorwa vari sinus raiva pedyo nebundu, zvinosuwisa, anenge chinhu, asi kuti ari nechokuita zvirwere. Chero zvazvingava, zvokuongorora kuti "kutyorwa sinus mutinhimira" anoiswa kungobva kuna ECG mashoko.

Treatment uye masimba

Kana hunhu pharmacological ezvinhu, kuvandudza mamiriro inofanira kuva kurambidza zvinoitwa zvinhu pamwoyo. Kana tiri kutaura chero pathological ezvinhu, tachycardia kana bradycardia - chete zviratidzo. Treatment muchiitiko ichi kuchanangidzirwa panguva zvinokonzera chirwere, pashure kuvandudza kurashika uye kusagadzikana chokuita cardiac mutinhimira.

Zviya, chero nguva "injini" anogona kuongorora basa pachako, asi zviri nane kuti kuzviita mangwanani. Zvinokosha chete kuti nhamba anorova paminiti kwemwoyo uye enzanisa nayo chakaipa nazvo. Result 60-80 anonzi zvakakwana kuipa, tinogona kutaura kuti iri sinus mutinhimira. Chii zvino pachena.