Uma ukholelwa ukuthi izincwadi kanye zamasiko, inhliziyo eyikho isitho ebucayi kakhulu ukuthi uyakwazi uthando, ukuzizwa, ukucabanga, e kwalokho, zintekenteke kakhulu. Kusukela umbono wezokwelapha kuyinto nkulumo yokugcina kuphela yeqiniso, naphezu kweqiniso lokuthi ukuthi imisipha esiqine umzimba, ukusebenza ngaphandle Ukuphumula nokulala ukuphila kwabo konke. Umsebenzi oyinhloko inhliziyo eyikho ukuqinisekisa ukuhamba kwegazi ngokusebenzisa izitsha, bawuthwale, uqala ngisho phakathi kwengane esiswini. Esikhathini zokugula lomzimba inhliziyo uhlelo sifakwe uyahlaselwa, njengoba ukubaluleka ekusebenzeni kahle umzimba kakhulu, kunzima yokugcizelela. Enye yalezi pathologies - ukuvinjelwa imilenze besigaxa yakhe. Ukuvinjelwa (okuphelele noma olungaphelele) kuphazamisa patency evamile ngiyibona itheku wesistimu inhliziyo, noma kunalokho indlela yayo kanye nesikhathi sokuhamba. Lokhu ishayela ukwakha e engeyokuqala itheku, le Atria kumele bajabule ohlelweni. Lapho ukwephula akwenzeki noma ingekho esimisweni. Ukwephulwa zihlukile: eziyingozi (block ephelele) hhayi (akuphelele). Enye yezingozi ezinkulu ukuvinjelwa kuyinto ukuhlanekezela imiphumela ECG, futhi ngenxa yalokho nzima ukuhlonza izifo eziningi inhliziyo, ikakhulukazi isilethikusebenza.
Nokuvinjelwa emlenzeni isixha lakhe - lokho okushiwo?
Nokuvinjelwa besigaxa kwesokunxele block legatsha ugongolo (noma LBBB) - a zokugula, apharathasi based angase alale lesion inhliziyo emazingeni ehlukene. Ngokwesibonelo, umlenze wesobunxele umgqomo legatsha besigaxa block kungaba umxhwele. Noma isiqu esiyinhloko umlenze kwesokunxele kuya bifurcation. It kungenziwa ngesikhathi esisodwa usindwa imilenze front futhi bakhulise amagatsha beka ngemva ngabodwa yabo esiqwini zomzimba. Futhi, uhhafu kwesokunxele ukwahlukanisa lilimele phakathi ventricles, le nqubo imilenze yomibili egatsheni. Isizathu ungaboniswa izinguquko ngokukhukhumala kwentamo esivimba amanzi e ramifications neuropathy we emhlane nasemilenzeni phambi. Lapho LBBB zazikuphazamisa ukudlula excitation ukuze myocardium ka-ventricle engakwesobunxele emlenzeni ngakwesokunxele. It Kwenziwa engavamile, lapho eziyinkimbinkimbi uzivulekele QRS, futhi sishintsha isiqondiso repolarization e-ventricle engakwesobunxele. Yekuchumana ngeke cabangela le nkinga ngoba Ochwepheshe inhliziyo. Cabangela ezinye izici zalesi sifo. Life imilenze lesion kungaholela izinqubo fibrotic, abahlangene koronaroskleroza kancane futhi - ne myocarditis elinganiselwe (syphilitic, rheumatism, idiphtheria, esithathelanayo). Kakhulu akuvamile, kodwa kuyenzeka ukuthi ukuvinjelwa kwenzeka uma inhliziyo ngokuphelele enempilo. Ingabe ukuvinjelwa ephelele futhi ongaphelele kwesokunxele besigaxa block legatsha. Uma kunguwe egcwele, okuthakazelisayo ekuqaleni kuphela ihlanganisa septum phakathi ventricles, hhayi wonke ventricle ngokuphelele. ukuvinjelwa Akuphelele eba iziyaluyalu electrolyte umzimba, noma izidakamizwa ukweqisa izidakamizwa, noma izinhlobo ezahlukene lokudakwa. Ngenxa yalokhu, okhathazekile ejwayelekile uhlelo conduction inhliziyo, futhi ikhadi excitation umnyuziki kwesokunxele ingekho. Xilonga ukuhlukumeza kungaba usebenzisa electrocardiogram ezivamile kuyoba izinguquko ezibonakalayo e sokuqonda.
Kungakhathaliseki ukuthi kuyingozi?
Uma ukuvinjelwa ukusakaza kuphela ngomlenze owodwa-ke akukho, akusiyo ezisongela ukuphila, nakuba akukho okuhle kuwo, futhi ngokuqinisekile ayizange. Abaningi nangodokotela bababhekene nezifo zenhliziyo lanamuhla ukholelwa ukuthi lesi ukuphambuka uyekile kube ukuphambuka kulezo zimo lapho kukhona phetho nezinye izifo zenhliziyo. Dangerous ukuvaleka ephelele imilenze yomibili, ezimweni ezinjalo kubalulekile ngafakelwa i-pacemaker.
Nokuvinjelwa kwesokunxele besigaxa block legatsha: ukwelashwa kanye nokuvimbela
The main izinyathelo zokwelapha zibhekene ngqo ukuvinjelwa esinqunyiwe - a ukuthola lesi sifo ezibangele ukuvinjelwa kanye nokwelashwa kwayo. Specific eziyinkimbinkimbi zokwelapha ukuhlukumeza asipheli. Ezimweni lapho isiguli uhlushwa umfutho wegazi ophakeme, ingozi senhliziyo noma angina, kudingeka ukwelashwa okukhethekile elihlobene ne inhliziyo kudivayisi ukwesekwa. Kusekelwe amalungiselelo equkethe glycosides inhliziyo, hypotensive namanxusa antiarrhythmic. Iziguli azalwa naso inhliziyo block ezidinga ukuthi kungenelelwe ezehlukile kuhlinzwa. Kwenzeka ukuthi kubantu abasha a ukuvinjelwa enjalo kuyinto evamile, kungaba isethwe kuphela emva eziningana Uchwepheshe izifundo. Khumbula ukuthi ukuzelapha kungaba yingozi empilweni yakho, ikakhulukazi uma kuziwa inhliziyo. Hlala uphilile!