Izimbangela, izimpawu kanye nokwelashwa tachycardia supraventricular

Inhliziyo ezivamile isigqi ukuphazamiseka wabizwa ngokuthi tachycardia supraventricular. Ngokuvamile, linikezwa ngeziqephu yansukuzonke ukwanda imvamisa nobukhali amabhithi emzimbeni esifundeni. Nakuba CBT ngokuvamile hhayi ezisongela ukuphila, iziguli eziningi uhlushwa okuvela izimpawu ukuthi abe nomthelela obalulekile izinga lokuphila kwabo. iziqephu engacacile oqabukelayo ka tachycardia kungabangela ukukhathazeka okukhulu ngoba abantu abaningi.

Kungazelelwe, ukushaya kwenhliziyo okusheshayo libhekene SVT, kanye neziguli kakhulu kungenziwa unesifo izinga eliphakeme ngokuqiniseka kuphela umlando. Imizamo ephindiwe izifundo electrocardiographic zingase zingabi usizo.

Izigameko zokushona SVT imayelana 35 amakesi 100 000 ngonyaka, nokudlanga - 2.25 per 1 000 izakhamuzi. Ngokuvamile kubonakala njengendlela paroxysm uchungechunge supraventricular tachycardia, izimpawu eziholela acute Yiqiniso lesi sifo. Imihlobo esisekelo CBT: Wolff-Parkinson-White syndrome, extrasystole supraventricular noma supraventricular, tachycardia, atrioventricular rientri nodal.

Kanjani inhliziyo usebenza?

isitho esibalulekile has emakamelweni ezine - Atria emibili ventricles ezimbili. ukushaya kwenhliziyo ngamunye uqala nge ezincane pulses kagesi ikhiqizwa engeyokuqala sinoatrial. Kuyinto pacemaker engxenyeni engenhla ATRIUM kwesokudla. Ingqikithi kagesi Ukhuthaza kanye imisipha yenhliziyo, okubangela ukuba isebenze. Ekuqaleni, ushukumisela Atria, engeyokuqala atrioventricular edlulayo ukuthi izenzo njengendlela distributor. It ke sidlula atrioventricular besigaxa oyibamba wokuba umbhidisi kokunikeza pulses kuya ventricles. Futhi, ventricles uqale ukusebenzisa igazi ku imithambo.

Kuyini supraventricular tachycardia, futhi yiziphi izimbangela zalo?

Lesi sifo ukushaya kwenhliziyo okusheshayo ventricular phezulu hhayi elawulwa node sinoatrial. Enye ingxenye inhliziyo evala amaza kagesi ukuze elingenalo iwashi lenhliziyo. Umthombo iqala ngaphezu ventricles usabalala futhi kubo. Ezimweni eziningi, CBT iqala lapho isikhulile ekuseni. Kuphinda supraventricular tachycardia izingane. Nokho, lesi simo singenzeka ngasiphi yobudala. Lesi isifo ezingavamile, kodwa inani eliqondile izisulu alwaziwa.

Supraventricular tachycardia supraventricular ngenxa yezizathu ezilandelayo:

• Imithi. Lezi zihlanganisa ezinye isifutho, amaphilisi herbal and amakhambi ezibandayo.
• Ukuphuza esiningi caffeine nophuzo.
• Ukucindezeleka noma uphatheke kabi ngokomzwelo.
• Ukubhema.

Atrioventricular kanye nohlobo atrial ka SVT. Wolff-Parkinson-White syndrome

AVURT - owande kakhulu tachycardia supraventricular. Kwenzeka kaningi kakhulu kubantu abeve eminyakeni engu-20 nabesifazane abangabafundi abakhuthele phezu 30. Kukhona iphutha uma kwenzeka i ishayela kagesi maphakathi inhliziyo. Ngokuvamile ubonakaliswa isimo sengqondo abantu ephelele. Esikhundleni ukusebenza ngokujwayelekile nakumasevisi ajwayelekile isicelo alandelayo engeyokuqala ishayela sinotrialny uyavuma zamanje eyengeziwe ngalesi short circuit. Lokhu kusho ukuthi kwenhliziyo inyuka ngokushesha bese ozokhula zonke izimpawu SVT.

tachycardia atrial uhlobo ezingavamile kakhulu. Senzeka endaweni encane izicubu, kuphi izinhliziyo zenu nobabili Atria. Ezimweni eziningi imbangela ayaziwa. Nokho, kungase kwenzeke kulezo zindawo lapho isilethikusebenza sesidlulisiwe ngaphambili, noma kukhona izinkinga kanye valve inhliziyo. Wolff-Parkinson-White syndrome okhula ngokushesha okukhulu. Kukhona izimpawu of isiyezi, kungenzeka nokulahlekelwa ukwazi. ukufa okuzumayo kuyinto inkinga yalesi simo, kodwa ziyenzeka ezingavamile kakhulu.

ukubonakaliswa emitholampilo

Izimpawu tachycardia supraventricular kungathatha imizuzwana embalwa, imizuzu noma amahora.

Izinto ezilandelayo ezibonisa:

• Pulse iba 140-200 ngomzuzu.
• Ngezinye izikhathi kungaba ngokushesha.
• Kolotaniya umuzwa inhliziyo.
• Isiyezi, iphika.

CBT ngokuvamile iqala ngokuzumayo, ngaphandle kwesizathu. Paroxysmal tachycardia supraventricular ukubonwa yokwanda entanyeni noma ikhanda, futhi kungase kuhambisane esifubeni ukungakhululeki (ubuhlungu engavamile), iphika, ukukhathazeka. Ngokuvamile, umfutho wegazi lehliselwa ngenxa okusheshayo inhliziyo isigqi, ikakhulukazi uma iqhubeka amahora ambalwa. Kwezinye izimo, lokhu kuholela yokufikelwa noma nciphisa.

I degree of izimpawu sehluka kakhulu, kuye ngokuthi umsebenzi futhi contractile imvamisa, ubude besikhathi, tachycardia supraventricular, izifo zenhliziyo ezihlobene. Futhi-ke inenani okuqonda ngabanye isiguli. Kungase kube ischemia esivimba amanzi.

uphethwe isifo

Kunezindlela eziningana ukuxilonga izifo ezifana tachycardia supraventricular: ECG, echocardiogram, ukuhlolwa inhliziyo kanye nokuvivinya umzimba ngendlela. Ezimweni eziningi imiphumela yocwaningo ngokuvamile evamile.

ECG ihlola isigqi umsebenzi kagesi umzimba. Kuyinto kobuhlungu futhi kuthatha imizuzu embalwa nje. Uma paroxysmal tachycardia supraventricular kwenzeka ngesikhathi ECG, idivayisi ziqinisekisa Ihlahlubo kanjalo ngakususi nezinye izimbangela ukushaya kwenhliziyo okusheshayo.

Kusukela akusiyo njalo kungenzeka ukuxilonga khona lesi sifo esimweni esibhedlela, isiguli kuyakhuthazwa zama ukuthola lesi sifo ngosizo a electrocardiograph ephathekayo. Wayezokwenza ngekhanda zonke izinqubo ezenzeka inhliziyo amahora angu-24. Ngesikhathi inqubo, ungakwazi ukubhukuda.

Ungadinga ukusebenzisa i echocardiogram. Kubalulekile kokuhlaziywa kwamathenda lokuphatselene nesakhiwo nemsebenti inhliziyo, kodwa imiphumela kanengi uhla evamile. Futhi uzodinga ukwenza ezinye izivivinyo ukuze kutholakale lapho kwenzeka tachycardia (ngesikhathi umsebenzi noma uphumule). Iziguli ingase esekhala ngobuhlungu besifuba ngesikhathi SVT. Lezi zimpawu angadingi ukuhlolwa ukucindezeleka noma angiography. Isinqumo ukuhlolwa okwengeziwe kufanele esekelwe umlando lesiguli kanye khona semithambo engcupheni.

zokwelapha Ekhona

Iningi SVT izimpawu kuphele bebodwa, akukho ukwelapha kuyadingeka. Ngezinye izikhathi kungenzeka ukumisa izimpawu ngokusebenzisa izindlela ezahlukene, kubandakanya ukuphuza amanzi abandayo, ubambe umoya wakhe bese ngihlaliswa ubuso bakhe ngamanzi abandayo. Nokho, uma CBT ihlala isikhathi eside ne izimpawu ezinamandla kakhulu, kufanele ngokushesha aye esibhedlela.

Kunezindlela eziningana ukulawula tachycardia:

• Zesikhashana.
• Yesikhathi eside.
• Kwemithi.

Ngezansi sibheke ngamunye wabo eceleni.

isilawuli esifushane lesi sifo

Inhloso yalesi ukwelashwa - the ukumisa ukuhlaselwa oyingozi. Lokhu ingatholakala aqondisa ezikhulisa ithoni. Ngokwesibonelo, ungasebenzisa umfutho abandayo esikhunjeni. Futhi nalesi sifo ezifana ifomu supraventricular ka paroxysmal tachycardia, ungaba massage we itheku carotid.

Uma lezi zinyathelo musa asize, kutuswa ukuba esinye salezi izidakamizwa:

• "Adenosine". Ngokushesha kususa izimpawu by ekuvimbeni amaza kagesi enhliziyweni, kodwa embi ngalo wukuthi okuyisikhathi wesenzo incane. Ezimweni ezingavamile, kungase kuphakamise bronchospasm kubangelwa atypical esifubeni ukungakhululeki.
• "Verapamil" "Diltiazem". Izidakamizwa iphathwa ngemithambo yegazi phezu imizuzu 2-3. Ziba ingozi potentiation ka hypotension futhi bradycardia.

ukuphathwa eside lokugula

ke aqede paroxysmal tachycardia supraventricular? Ukwelashwa kwemfuyo kusebenza abathile kuye ngokuthi imvamisa, kobukhulu kanye nomthelela zezigigaba izimpawu ku izinga lempilo.

Izidakamizwa elibekelwe iziguli:

• iziqephu Phindaphinda ka SVT lingaze, ezithinta izinga lempilo.
• Izimpawu zihlonzwe ngosizo i electrocardiogram.
• iziqephu ezingavamile SVT, kodwa umsebenzi lesiguli professional kungaholela ukuthuthukiswa lesi sifo.

Radiofrequency ipayipi ablation Kunconywa iningi kulezi ziguli. It has a ingozi encane yezinkinga futhi ekwelapheni ezimweni eziningi. Inqubo ngokuvamile uthatha 1.5 amahora, ke engenziwa ngaphansi izinzwa wendawo ne ukupholisa noma ukubulawa kwezinzwa okuvamile. Iziguli ngokuvamile zihlala kule ngobusuku obubodwa esibhedlela ukuyohlolwa kanye nokuqapha inhliziyo.

ukuphathwa kwemithi yesifo

Umgomo yokwelapha izidakamizwa - nokuncipha iziqephu imvamisa SVT. Kuphela encane kakhulu uma kuqhathaniswa iziguli balahle owabona izimpawu zezifo ezifana, ezifana tachycardia supraventricular. Ukwelashwa kuhlanganisa ukubulawa mikhiqizo Kunconywa:

• atrioventricular izidakamizwa nodal ekuvimbeni;
• Mina izidakamizwa antiarrhythmic futhi isigaba III.

Beta-blocker kanye calcium channel blocker (Class II futhi IV) ayifanele yomugqa wokuqala e sifo ka Wolff-Parkinson-White syndrome. izifundo olwenziwa baye ayiboniswa bokuphakama basemtholampilo noma iyiphi i-ejenti eyodwa. Nokho, i-beta-blocker kanye blocker-calcium channel njengabakhulu kunani yokwelapha "Digoxin" ngoba uhlinzeke ukusebenza kangcono ivimbela at AVURT esimweni ithoni eliphezulu nonozwela isimiso sezinzwa. Akufanele isetshenziswe ezigulini sifo ka CPG, njengoba kungase kube nomthelela kule conduction okusheshayo yemizila eyengeziwe nge fibrillation atrial, okungase kuholele ekubeni uthunyelelwe ventricular fibrillation.

Ukwelashwa kweziguli Wolff-Parkinson-White syndrome

Ezigulini ne CPG syndrome ngenhla kukhona izidakamizwa okunye. Ukuze ekwelapheni izifo ezifana Kunconywa:

• "Flecainide".
• "Sotalol» (II futhi Class III izenzo).

Ziyakwazi kuphumelela ngaphezu beta-blocker kanye blocker calcium isiteshi kuvimbela SVT, kodwa kuhlobene nengozi encane ventricular tachycardia. Lokhu ingozi iphansi iziguli ngaphandle kwesakhiwo isifo senhliziyo, kodwa yezinkinga zenzeka 1-3% seziguli ezithola "Sotalol", ikakhulukazi labo abasebenzisa ebulilini.

"Amiodarone" ayinalo iqhaza ekuvimbeleni kwesikhathi eside SVT njengasezinsukwini Wolff-Parkinson-White syndrome, futhi ezinye izinhlobo imvamisa eliphezulu sina imiphumela enobuthi emzimbeni ngokusebezisa isikhathi eside.

Ukuvimbela SVT iziqephu

Ungakwazi ukuthatha imithi nsuku zonke ukuvimbela iziqephu SVT. izidakamizwa abahlukahlukene kungathinta amaza kagesi enhliziyweni. Uma ezinye izindlela akusebenzi noma ebangela side effects, xhumana nodokotela wakho. Yena uzokweluleka ukuthi imithi kubalulekile endabeni yakho.

Kufanele wazise iziphathimandla ezifanele bese beyeka ukugibela beshayela imoto, uma kukhona amathuba isifo khulula ngenkathi ushayela. Ungathathi izidakamizwa ukuvimbela SVT, kungaba senze isimo sishube futhi abangele nezinye izinkinga inhliziyo. Ukubhekwa kokuvinjelwa eliwadlula wonke umthwalo nsuku zonke esimiso senhliziyo nemithambo yegazi esebenzisa umzimba.