Bated numfashin: haddasawa da kuma magani

Nitsewa cikin zuciya - da magani daga wannan cuta a cikin 'yan shekarun murna zukatan mutane da yawa cardiac likitoci, da kuma sauran "zuciya" na kwararru. Mene ne dalilin da, abin da bayyanar cututtuka da wannan hatsari cuta, yadda za mu bi da shi - Waɗannan su ne kawai wasu al'amurran da suka shafi na amfani ga jama'a. Shi ne ba wani asirin da cewa quite babban yawan mutane suna da irin wannan ganewar asali a matsayin "mai nitsewa zuciya". Alamun, magani na jama'a magunguna, tunani akai qware cibiyoyin, diagnoses - wadannan Concepts ya kamata a bincika ga duk wanda yana da bayyanar cututtuka da cutar. Wadannan karin bayanai wasu daga cikin halin yanzu al'amurran da suka shafi na topic.

Bated numfashin: haddasawa da kuma magani

Sa a ji na "Fading" a cikin zukãtan aiki zai iya zama wani iri-iri kari kuma madugu disturbances. Wasu daga cikin wadannan jihohi ba su bukatar likita shiga tsakani ba, da kuma wasu siffofin da bata lokaci ba a cikin ganewa da kuma magani iya zama m. Rarrabe supraventricular da kuma na ramin zuciya arrhythmias.

supraventricular arrhythmias

Shi ne wanda bai kai lantarki ayyuka na zuciya. Dalilin shi ne tushen abin da ake located in atria da na huhu jijiyoyinmu daga cikin m, kuma a cikin atrioventricular maha? Ar. Bayan irin wannan m raguwa zai iya ci gaba m, ko cikakken postextrasystolic ɗan hutu. M wanda bai kai lashe da kuma dogon hutu bayan da m rage iya ba da ji fades, rushewa daga cikin zuciya.

Independent asibiti muhimmancin wadannan siffofin da arrhythmias, fãce a cikin waɗannan lokuta idan su bayyanar da aka fara gudu supraventricular tachycardias, atrial flutter ko atrial fibrillation.

A cikin rashi na tsarin lahani a cikin zuciya tsoka supraventricular extrasystoles musamman magani ba bukata. A lokuta inda suka suna tare da gagarumin kayadadden rashin jin daɗi, beta-blockers, verapamil, sedatives za a iya amfani da su.

Sau da yawa supraventricular extrasystoles wata alama daga cikin manyan cuta (dystonia, na kullum obstructive na huhu cuta, electrolyte cuta), sa'an nan da ganewar asali na bukatar tsaftacewa da magani daga tamkar tsari.

Na ramin zuciya fibrillation extrasystolic

Na ramin zuciya extrasystoles - anticipatory lantarki ayyuka na zuciya dangane da babban kari kara kuzari bugun jini tasowa a kafafu ko bambance-bambance cuta reshe block, Orion ko Purkinje aiki myocardium. Bayan wadannan matakai muhimmanci mafi kusantar wajen samar da cikakken compensatory ɗan hutu, wanda, kamar yadda a cikin hali na atrial wanda bai kai lashe, ji a cikin nau'i na "Fading". Na ramin zuciya matakai ba tare da wani gradation kwayoyin cututtukan zuciya ba wani hadarin factor for kwatsam mutuwa, saboda haka untreated. Ban ne lafiya marasa lafiya da hereditary syndromes (nakasar elongation ko rage na QT, Brugada ciwo, da dai sauransu).

Nitsewa cikin zuciya, a cikin hanyar da bayyanar cututtuka na wanda aka dauke su zamanto a sakamakon wani m zuciya rhythms.
A al'ada zuciya rate aka ƙaddara cikin 60 zuwa 100 tunkaro da minti. Physiological slowing na zuciya na iya faruwa a lokacin barci, a lokacin da numfashi warai, a cikin 'yan wasa.

A hali na take hakkin a kowane mataki da kuma ƙarni na cardiac bugun jini tasowa pathological bradycardia, wanda zai iya zama symptomatic, asymptomatic, kuma mafi bukatar magani.

A Sanadin bradycardia

Rarrabe tsakanin ciki da kuma na waje Sanadin bradycardia.
A ciki dalilai sun hada da:

• tsufa.
• jijiyoyin zuciya da cututtukan zuciya.
• connective nama cuta.
• nakasar cututtuka, ciki har da wani rauni daga cikin atrioventricular kumburi.
• murdede amyloidosis.
• m rauni (orthotics bawuloli, zuciya dasawa) .
• cututtuka (diphtheria, rheumatic cututtukan zuciya, jini guba, typhoid zazzabi).

By waje dalilai na bradycardia sun hada da:

• jiki horo;
• elektrotonus wasa vagal (vasovagal Ɓoyo. supersensibly carotid sinus).
• kwayoyi (beta-blockers, alli tashar blockers, digoxin, lithium, antiarrhythmic jamiái).
• hodar Iblis.
• hypokalemia.
• hyperkalemia.
• neurological cuta (CNS ƙari, ta ƙara intracranial matsa lamba).
• Obstructive barci apnea ciwo.

Ga ganewar asali na bradycardia amfani gudanar Holter monitoring, lamarin counters da rubũtãwa, implantable na'urorin, kazalika dauke da fitar da wani electrophysiological binciken.

lura da bradycardia

A mataki na farko shi ne don gano da haddasawa da kuma zai yiwu kawar bradikaridii ayyukansu (an daina beta-blockers). Idan akwai wani m tushe, kana iya bukatar magani far ko wucin gadi, ko kuma m pacing).

magani

Don ta da gagarumin zuciya rate deceleration (ga fiye da 3 seconds) ta amfani da atropine, isoproterenol, aminophylline. Duk da haka, ci na wadannan kwayoyi za su iya fararwa arrhythmias, ciki har da rai barazana na ramin zuciya disturbances.
A marasa lafiya da na tsokar ischemia da bradycardia a sakamakon, ku ciyar antiischemic far da ake biding su lokaci, ta yin amfani da pacing idan ya cancanta.

Marasa lafiya da ciki sinus ciwo katin da atrioventricular block aka kimanta don saita wurin wucin gadi ko m na'urar bugun zuciya.
Akwai ci gaba a Turai alamomi ga shigarwa na dindindin auna bugun zuciya a cikin marasa lafiya da rashin lafiya sinus ciwo, atrioventricular block.

iri-iri na stimulants

Rarrabe guda-jam'iyya, dual-jam'iyya, uku-jam'iyya stimulators. Da farko da na biyu wayoyin 1 da 2 (atrial da / ko dama na ramin zuciya). Uku-jam'iyya na'urorin da ake amfani da shi don biventrikulyatnoy kunnawa kuma suna da wani ƙarin shiryarwa a gare hagu ventricle.

Lokacin da dama atrial ruri na ramin zuciya synchronism an gaji da damuwa. A ECG a lokacin da wannan tsari da aka shigad da kadaici dama cuta reshe block.
Bayan ruri na biyu ventricles kiyaye su synchronous aiki, cardiac hemodynamics a cikin wannan hali, zai fi kyau.

kafawa

A farko wannan naúrar da aka kafa a 1958. A cikin wadannan shi ne su ci gaba. Yanzu shi ne mai zamani, sosai kananan, high-tech na'urorin.

A halin yanzu, akwai wani shekara-shekara shuka daga 400 zuwa 1,200 stimulants da miliyan yawan jama'a.

Kardiopribor gudanar da lantarki kunnawa da myocardium. Siginar da farfagandar tare da cardiac tsoka da ba physiological. Dogon lokaci daukan hotuna iya haifar da wutar lantarki da kuma inji canje-canje a cikin myocardium. A shigarwa ake bukata da za a samar da stimulator tsanani alamomi.

Features ruri halaye

A lokacin dama na ramin zuciya pacing lantarki bugun jini ne amfani da hagu na ramin zuciya koli da kuma depolarizes medlennoprovodyaschy myocardium. A ECG aka bayyana kawancen na hagu cuta reshe block. Irin wannan marasa lafiya da ƙananan ejection sulusi da murabba'i fiye da marasa lafiya ba tare da kawancen. Har ila yau, a lokacin da wannan tsari ya auku lantarki cardiac maimaita. Kwanan nan, akwai wani hali don rage alamomi ga shigarwa stimulants data dangane da wani gagarumin yawan m canje-canje.

An tabbatar da cewa mafi ƙasƙanci ejection sulusi da murabba'i kafa karkashin mataki na ventricles. Average - kunnawa da atria, sa'an nan sauran na zuciya. A mafi kiyaye ejection sulusi da murabba'i a lokacin ruri na atria da ventricles na halitta tafarkin.

Tabbatar da cewa, kasa da suka ci gaba atrial fibrillation a marasa lafiya tare da atrial kunnawa da wani biyu-jam'iyya fiye da a da marasa lafiya da na ramin zuciya kawai rinjayar da na'urar.

A dual-jam'iyya na'urar, tabbatar da bincike da kuma experimentation, shi ne mafi alhẽri a jiki aiki marasa lafiya.
Mai auna bugun zuciya ne a halin yanzu da zinariya misali a lura da marasa lafiya da symptomatic bradycardia. The search ci gaba ga mafi physiological tafarkin tabbatacce illa da kan myocardium.

ƙarshe

Saboda haka, sinking na zuciya (fadowa barci ko a wasu yanayi) - mai matukar hatsari cutar. Lokacin da na farko bayyanar cututtuka da wannan cuta ya kamata nan da nan a tuntuɓi asibiti don gudanar da gwaje-gwaje duk da hankali bi da. The sauri fara jiyya da kuma rigakafin, da mafi tasiri zai zama jiyya.