Chosokoneza wa intraventricular conduction za mtima.

The kudwala a dongosolo mtima tsopano kusunthira mu malo oyamba mwa onse ena ambiri.

anthu ochepa padziko lapansi masiku ano amene sanamve matenda kayendedwe ka chitetezo cha mtima. zinthu izi pathological monga, ndi chisokonezo cha intraventricular conduction za mtima.

Kulakwila anati madutsidwe si pakalibe kupita kwa zikhumbo za mitsempha. udindo Izi zikusonyeza kuphwanya dongosolo povodyaschey amene angasonyeze monga nyemba deceleration pafupipafupi HIV (ndi mlingo deceleration, motero) ndi kutha kwathunthu kwa ndime ya nyemba (mtima kumangidwa). Choncho, chosokoneza cha intraventricular conduction mtima kuonekera chipika mtima. Choncho, iwo anawagawa zonse (sizikanatheka za ndime ya mitsempha kugula) ndi chosakwanira limene zikhumbo mitsempha imachitika ndi pafupipafupi zochepa.

Komanso, chosokoneza cha intraventricular mtima conduction akhoza m'gulu ndi zotupa malo (mwachitsanzo, anatseka misewu ya chipika lamanja kapena lamanzere mtolo-nthambi). Monga anatseka misewu onse angathe kugawidwa proximal ndi wapotalikira. Pamene izo zifika pa mbali wapotalikira wa ulusi mitsempha ya minofu mtima, iwo sakhala yabwino ndi kufuna kusintha kwa dokotala.

Wina chimake blockades gulu: kulimbikira (aakulu kapena kulimbikira) ndi kufupika (pachimake kapena kusokonekera).

Zifukwa kuti mwina chisokonezo cha intraventricular conduction za mtima zikhoza kugawidwa m'magulu zazikulu zitatu: organic zinchito ndi mankhwala.

Organic - kusintha kapangidwe ka dongosolo mtima conduction. asinthire angayambe myocarditis, inatsekeratu matenda a mtima (mtima, angina, infarction, ndi ena), olumala, cardiomyopathies, ndi zina pambuyo opaleshoni.

kusintha zinchito - kusintha mu dongosolo mtima conduction pakalibe organic kudwala CCC. Machitidwe waukulu malamulo ntchito ya dongosolo mtima conduction ndi machitidwe wachifundo ndi parasympathetic. Pankhaniyi, dongosolo wachifundo kumawonjezera madutsidwe ndi parasympathetic - kubweza. Ntchito yachibadwa kachitidwe awiri awa ali oyenera Komabe, ndi vutoli akuona kusintha zinchito mu dongosolo mtima. Kuchuluka ntchito dongosolo parasympathetic - "vagotonia".

Mankhwala chifukwa chifukwa. gulu Izi zikuphatikizapo mankhwala amene ntchito zikhoza kupatuka pa kayendedwe mtima. Mbali A gulu ili blockades n'lalikulu kwambiri pa ndi torpid (mwamphamvu) chithandizo.

Violation intraventricular conduction amawapeza kudzera njira electrocardiographic. Pamaso pa arrhythmias chosakhalitsa anachita Baibulo wapadera wa ECG maphunziro - Holter polojekiti.

Malinga ndi ECG muyezo n'zovuta kudzaweruza malo, kotero kuti kulongosola pamaso pa proximal kapena wapotalikira anatseka misewu wopereka kulembetsa mtolo wake electrogram (EPG).

Kudziwa okhudzidwa ya ubongo (cha chifundo ndi parasimpatiki) pochititsa anatseka misewu anagwira zolimbitsa kulolerana mayeso.

Choncho, matenda a matenda a mtima tsopano cholinga bwino kwambiri ndiponso molondola, wakupatsani mosavuta kudziwa chisokonezo cha intraventricular conduction za mtima. Chithandizo cha gulu la matenda makamaka chifukwa etiological mbali. Ndiko kuti, chithandizo mu malo oyamba ayenera umalimbana kuthetsa mavuto a anatseka misewu ndi achiwiri kokha - symptomatic mankhwala.