ThanziMatenda ndi zokwaniritsa

Kodi ectopic matenda kayimbidwe kotani?

Heartbeats wochitika basi chifukwa cha mabala ena mu myocardium kapena conduction dongosolo, wotchedwa ectopic matenda mungoli. Kodi izo, ife adzamvetsa m'nkhani ino.

kudwala Kufotokozera

Pamene nkusani mfundo lafooka kapena ikutha ntchito, ndipo mwina mpaka kalekale kapena nthawi, ndiye pali kumenyedwa ectopic (kapena amatchedwanso wogwirizira).

pafupipafupi zawo n'chozama kuposa nkusani mungoli. Ectopic matenda mungoli tinganene kuti nesinusovym. Kutali gwero lake, kotero zimachitika ake pafupipafupi ndi zochepa. chifukwa cha kusintha mu ntchito ya mtima ndi chiyani?

zifukwa zazikulu kusintha mungoli ndi

Kusintha kumene kunachitika mu mfundo nkusani ndi zigawo zina kuchititsa kungadzutse mungoli nesinusovogo. Izi zolakwika kwa kayendedwe zimaikidwa kukhala:

- sclerotic;

- ischemic;

- yotupa.

kaimbidwe gulu nesinusovyh

Gawo kaimbidwe nesinusovyh angakhale osiyana. Zotsatirazi ndi yofala kwambiri.

- Nesinusovy mungoli kungakhale supraventricular ectopic kayendedwe ka chibadwa. Izi zimachitika chifukwa cha ambiri osokoneza wa glycosides mtima, ndi mtima dystonia. Automaticity wa ukuwonjezeka foci ectopic, chifukwa ndi njira imeneyi nesinusovogo mungoli. Apa pali ndalama mkulu mtima, mosiyana m'malo mofulumira ndi kumenyedwa ectopic.

- Nesinusovy mungoli ungakhalenso yamitsempha yamagazi. Izi zikusonyeza atasintha mu myocardium lapansi. Pa otsika kwambiri pafupipafupi contractions yamitsempha yamagazi kwambiri angayambe inatsekeratu matenda a mtima, omwe ana amakumana ndi mavuto aakulu.

- Ndiponso, kayimbidwe kotani angakhale matenda. Nthawi zambiri osauka misempha, matenda a mtima, matenda oopsa, shuga, inatsekeratu matenda a mtima. Cardiopsychoneurosis chingayambitse mungoli amenewa. Komabe, ectopic matenda mungoli ndi mwangwiro wathanzi anthu. Iwo ali chikhalidwe zosakhalitsa, koma ukhoza kwa nthawi yaitali. Izo zingachitike congenitally.

N'zochititsa chidwi kayendedwe ectopic si akuluakulu komanso ana. Izi ndi zotheka ndi zilipo zina malemeredwe foci lomwe paokha wina ndi mzake. Iwo zimakhudza zinthu neuroendocrine ndi kusintha kupitirirabe myocardium lapansi.

mitundu ya kuyan'anila

Makanema koteroko ectopic matenda mungoli mwana akhoza kukhala:

- Amalalikira, amene yodziwika ndi tachycardia paroxysmal ndi kumenyedwa msanga.

- mofulumira (osiyana matenda fibrillation).

Mtima zotsatira organic kudwala ana kuti arrhythmia yamitsempha yamagazi. kudwala izi zikhoza anapezeka mu akhanda wathanzi mwana.

tizilombo kungachititse makanda kuti chifundo cha tachycardia paroxysmal. Mu mtundu uwu wa tachycardia pali choopsa mawonekedwe wotchedwa supraventricular.

mtima olumala, ndi ambiri osokoneza wa aspirin cardio imautsa mawonekedwe choopsa cha tachycardia matenda mungoli.

Izi zikhoza kuchitika pamene mwanayo ali maso kapena kwambiri kokha anasintha udindo wa thupi lake. Supraventricular mawonekedwe paroxysmal tachycardia ndi choopsa kwambiri.

Kodi zizindikiro za kusiyanitsa ectopic matenda kayimbidwe kotani?

Monga tafotokozera kale, matenda chimapangitsa kumabweretsa nesinusovym kaimbidwe. zizindikiro zapadera, si yodziwika. The chikuchititsa mavuto a matenda ndi mungoli kudziwa zizindikiro.

zizindikiro zotsatirazi idzaonetsedwa, imene muyenera tcheru, Pempha chithandizo mwamsanga:

- kuukira kwa paroxysmal tachycardia umayamba mwadzidzidzi ndipo mwadzidzidzi itha;

- palibe harbingers kuukira;

- palibe kufupika kwa mpweya kapena kupweteka mtima m'chiyambi cha nkhondo;

- zikamera wa nkhawa ndi mantha;

- maonekedwe a galimoto m'chikaiko chowakaikitsa, kotero munthu kufunafuna malo a thupi, amathandiza kuletsa kuukira;

- munthu kuyamba kugwirana chanza, maso mdima, chizungulire;

- kuoneka thukuta;

- pamaso pa kunyansidwa ndi bloating;

- zikhoza chilakolako kukodza ndi kayendedwe matumbo: Munthu akhoza kukodza pa mphindi 10-15 kuyambira chiyambi cha tachycardia, ndi mkodzo ndi allocated ndi woyererako pafupifupi mandala, analimbikitsa kuti defecate sakhala wamba.

Paroxysmal tachycardia mukhoza kuyamba pamene munthu akugona. Ndiye mtima wake wayamba kumenya zovuta chifukwa iye akulakalaka Mwachitsanzo, mtundu wina wa loto. Kumapeto kwa amtima akuyamba ntchito modekha, ndi anthu sindidzakhalanso kupuma movutikira.

Pambuyo kuchepa mphamvu mtima kutsogolera anati, ndiye mungoli amakhala yachibadwa nkusani. Nthawi zina m'nyengo Kankhani ululu. Nthawi zina, mlingo mtima liwiro pang'onopang'ono.

zizindikiro zina

Pali zizindikiro zina pamene nesinusovom mungoli. Malinga ndi zimene zotheka ectopic matenda mungoli limodzi, angakhale osiyana:

- Mwachitsanzo, pamene mtima arrythmia amathawira akhakula anthu amaona ngati mtima wake mabasi, kumva kutentha ku pakhosi ndi mtima. Koma zizindikiro zimenezi sizingakhale. thupi owonjezera ndi malamulo hypersthenic kaŵirikaŵiri kungachititse vagotopicheskim extrasystoles.

- The mwana ali kuukira kwa paroxysmal tachycardia kutsogolera kukomoka, midima, chizungulire, kumverera kwa mavuto, pallor, cyanosis, kufupika kwa mpweya, kupweteka pamimba. Izi losiyana ectopic matenda mungoli ana.

Ectopic mungoli Diagnostics Njira

Munthu amene anaona zizindikiro pamwamba, m'pofunika kuthetsa mwachangu kwa dokotala kapena cardiologist. Katswiri adzaika electrocardiogram, lomwe limasonyeza kuti musinthe zinthu zina pa mtima kapena ectopic matenda mungoli.

Waminga R kusintha kasinthidwe ake pamene matenda mungoli. Iye alibe bwino mbali matenda. PQ imeneyi si anasintha levopredserdnom mungoli. Chifukwa yachibadwa malemeredwe wa ventricles si anasintha QRST zovuta. PaVR adzakhala zabwino ndi zoipa P wachitatu ndi wachiwiri amatsogolera aVF pamene dalaivala malo mungoli lamanzere ndi atrium lamanja, ndi m'magulu awo m'munsi. Zolondola kutanthauzira kwa mungoli ectopic kuyesetsa milandu nizhnepredserdnogo mungoli.

Pamene mungoli ndi pravoserdnom gwero malo automatism (P-maselo) mu atrium bwino. Choncho akuwonetseredwa ectopic matenda mungoli pa achinyamata.

Ayeneranso ndi matenda mokwanira. Pamene extrasystoles matenda imasiyana dzino P. adzafupikitsidwa imeneyi PQ anati chosakwanira compensatory kaye ndi yopapatiza yamitsempha yamagazi zovuta.

Ndipo mwina inapita ectopic matenda mungoli.

Mu kumenyedwa msanga kungakhale atrioventikulyarny khalidwe, ECG amasonyeza pakalibe P yoweyula yoperekedwa kwa yamitsempha yamagazi maofesi. Mu extrasystoles yamitsempha yamagazi bwino P muyezo dzino kuchotsedwa oposa (ndi downwards ndi extrasystoles kumanzere yamitsempha yamagazi).

Pamaso embryocardia khalidwe la tachycardia paroxysmal. Pankhaniyi, sikutheka kuwerengera zimachitika. Pali kuchepetsa magazi. Pamaso pa mungoli okhwima ndi yamitsempha yamagazi aberrant maofesi. Ngati ECG ikuchitika kuukira kapena supraventricular tachycardia, izo angaone kumenyedwa munthu, ndipo nthawi kuukira, gulu wolembedwa kumenyedwa ndi wamfupi QRS zovuta.

Kuwonjezera pa maphunziro mwachizolowezi ECG, ntchito tsiku Holter ECG polojekiti ndi transesophageal kuphunzira electrophysiological. Zonsezi amatha kudziwa ndi ectopic matenda mungoli.

chithandizo

Ngati munthu kuzindikiridwa nesinusovy mungoli, mankhwala amusankha malingana matenda chachikulu. Kuti mankhwala agwire ntchito, muyenera kufufuza mosamala chifukwa cha kulephera kwa mtima. Ngati amayamba ndi matenda vegetative-mtima, izo inafunika utsogoleli wa mankhwala. Ngati vagus kulimbitsa, zikuthandizani ndi belladonna ndi "atropine. Tachycardia amafuna kugwiritsa ntchito beta-blockers (" Cordarone, "" Inderal "" Isoptin "," obzidan ").

pamene arrythmia

Pamene arrythmia, amene organic chiyambi, anatumizidwa mlingo "Pananginum" kapena mankhwala enaake potaziyamu. Antiarrhythmic mankhwala zina zimathanso ndi zotsatira zabwino ( "procainamide", "Aymalin"). ntchito "Panangin" ndi "lidocaine wa" m'mnyewa wamtima infarction ndi arrhythmia imodzi. Munthu afika mankhwala awa ndi dropper a.

Kuledzera ndi glycosides mtima

Pamene digitalis kuledzera politopnye extrasystoles zimachitika zimene zimachititsa yamitsempha yamagazi fibrillation. Pamafunika kusiya atangochimwa mankhwala ndi chithandizo "Inderalom", "potaziyamu", "lidocaine wa". "Unitiol" ndi okodzetsa kuthandizapo kuledzera. Kodi wina zichitike matenda a ectopic matenda mungoli mtima?

Nthawi zina massaging ndi carotid nkusani masekondi 20 anachoka ndi ufulu, ngati pali mtundu wa supraventricular. Amathandiza kukakamiza m'mimba ndi maso. Kusowa mpumulo liyenela kuikidwa kwa beta-adronoblokatorov. Iwo tikuuzidwa pa liwiro pang'onopang'ono, ndi zofunika kulamulira Kugunda ndi magazi. Mix 'propanol' ndi 'verapamil' IV ali osavomerezeka.

Kodi ngati kuukira si utatha?

Ngati kuukira si alimira wakhalako kwa nthawi yaitali, alili chatsitsa kanthawi, ntchito cardioversion. Mtima glycoside kuledzera ndi contraindication kuti zochiritsira zamtunduwu. Ndi pafupipafupi ndi aakulu kuukira ntchito zonse AKUYENDA.

Pamene mavuto atumikire monga aggravation mavuto mtima. kupeza nthawi yake kwa dokotala linalamula ectopic mungoli, monga matenda yaikulu kudzachiritsidwa kapena ankalamulira. Choncho, sitiyenera kuda nkhawa kwambiri ngati wapezeka ectopic matenda mungoli ndi electrocardiogram. Kodi izo, ife akufotokozedwa.

Kusamala

Mtima wake mosapita yolongosoka ntchito, ayenera kupatula kukhala mantha ndi kukhala ndi moyo wathanzi. The zambiri munthu amathera nthawi panja, ankagwira ntchito zolimbitsa thupi, athanzi adzakhala mtima wake. Mphamvu zomuthandiza kuti achepetse zakudya mafuta, omwe amalimbikitsa mapangidwe mafuta mipukutuyi. Muyenera kudya CHIKWANGWANI kwambiri, atsopano masamba, zipatso zimene mavitamini. Zofunika kwambiri kwa mtima ndi calcium, magnesium, potaziyamu.

mkaka ndi wolemera mu calcium, tomato ndi nthochi ndalama yaikulu potaziyamu, magnesium chili mwa sipinachi, buckwheat, karoti.

Pomaliza

Nthawi zina chifukwa cha mtima mungoli chosayenerera lagona psyche anthu. Pankhaniyi, mutapita kwa dokotala kapena cardiologist n'zomveka kukaonana ndi dokotala. Mungafunike kumaliza maphunziro a misala.

Pakuti mtima mavuto sayenera kumwedwa mopepuka, koma pa nthawi yomweyo, ife tikhoza kupewa chitukuko cha cardiophobia kapena kuopa matenda a mtima pathologies ena oopsa.

Pamene mtima wa msilikali bwino kutenga nthawi yaitali, mitsempha, zabwino masamba chifukwa ali bwino komanso kukhala pafupifupi palibe contraindications ndi zotsatira zake zoyipa. Zikuphatikizapo valerian tincture, motherwort tincture, "Novopassit", "Persia".

Umo ndi momwe oopsa ectopic matenda mungoli. Kodi izo, ine ndikuyembekeza onse tsopano bwino.

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