I-paroxysmal tachycardia: izimbangela, izimpawu, kanye nokwelapha

I-paroxysmal tachycardia iyasheshisa ngokukhawuleza nenhliziyo. Ihambisana nomthelela wokugxila kwe-ectopic, okudala izifiso zokuqedwa kwe-myocardial.

Izimbangela nezinhlobo

I-paroxysmal tachycardia ivela ngesifo senhliziyo, i-myocarditis, i- atherosclerotic cardiosclerosis. Ku-etiology yale-pathology, i-cardiomyopathies nomfutho wegazi ophakeme bayabonakala. Ngaphezu kwalokho, i-tachycardia ye-paroxysmal ithuthuka ngaphandle kokulimala okwenyama kumyocardium. Ngakho-ke, zingabonwa nge- neurocirculatory dystonia, ukuhlukunyezwa kwekhofi noma utshwala, ngokuphazamiseka kwe-hormonal.

Izinhlobo ezilandelayo zalokhu ukuphazamiseka komculo wenhliziyo zihlukile:

• Okumqoka - okubonakala ngokubunjwa kwe-ectopic ekukhoneni kwe-atrioventricular noma e-atria (i-paroxysmal atrial tachycardia);
• Uma izimpendulo ezengeziwe zivela ezigodini, lokhu kubonisa ukuthuthukiswa kwesigqi se-ventricular paroxysmal yenhliziyo.

Ukubonakaliswa kwemitholampilo

Ukuhlaselwa kwe-tachycardia enjalo kuvela futhi kuyanyamalala ngokuzumayo. Ihlala emashumini ambalwa kuya ezinsukwini ezimbalwa. Isiguli sithola ukuqhuma okungazelelwe esifundeni senhliziyo, esidlulisela ku-palpitation ephawulekayo nokuzwa okungathandeki esifubeni. Ngezinye izikhathi iziguli zibona ubuhlungu enhliziyweni nokuphefumula. Ngokuvamile, ama-tachycardias e-paroxysmal ahambisana nobuthakathaka obuvamile kanye nosizi. Ngezinye izikhathi kukhona ukwanda komfutho wegazi, umuzwa wokuntuleka komoya noma i- coma emqaleni. Ungathuthukisa ukuvuthwa ngokweqile ngemuva kokuphela kokuhlaselwa.

Ngokuvamile, nge-tachycardia ye-paroxysmal, izimpawu ze-neurologic zibonwa ngendlela ye-aphasia ne-hemiparesis. Kungase kube nokubonakaliswa kokungasebenzi okuzimele. Iziguli ngesikhathi esifanayo zikhononda nge-nausea kanye nokujuluka, ukushisa okuncane kanye ne-flatulence. Ngemuva kokuhlaselwa, i-polyuria ijwayelekile, umchamo ukhululiwe endaweni ephansi. I-tachycardias eqhubeka isikhathi eside ibonakaliswa ngokuncipha kwengcindezi yegazi, ubuthakathaka nokulahlekelwa ukuqonda.

Ukwelapha

Nge-tachycardia ye-paroxysmal, ungazama ukuqeda ukuhlaselwa ngosizo lwezindlela ezibucayi. Ngakho-ke, ungabamba ukumisa endaweni yesimo salotidi, ubambe umoya wakho bese ubamba ubuso bakho emanzini abandayo ngamasekhondi angu-30, thinta ibhaluni noma unamandla okulinganisela ukuze ucindezele amehlo.

Ukuphathwa kwezidakamizwa kuhlanganisa ukusetshenziswa kwemithi ekhethekile. Izidakamizwa ezivame ukusetshenziswa kakhulu yiNovokainamid, Propafenone, Amiodarone, Verapamil. Uma ukwelashwa kwemithi kungenakusebenza, ukusetshenziselwa ukuguqulwa kwamagesi kusetshenzisiwe, ikakhulukazi ezimweni lapho ukuphelelwa amandla kwe-coronary noma ukuwa kwe-arrhythm kuyaqala.

Uma i-tachycardia ephawulekayo i-paroxysmal iyenzeka, ukusebenza kuphumelela ngoba kuhilela ukuhlukaniswa noma ukususwa ngokuqondile kokugxila kwe-ectopic enhliziyweni. Ukwelashwa okuhlinzekwayo kuboniswa ngokuphindaphinda kaningi kwesifo kanye nokungazi kahle kwezidakamizwa ezithintekayo .