Paradoxical zimachitika: ndichiyani, ndipo kodi matenda anachokera kuti?

kugunda kwa mtima, kapena zimachitika - munthu muyeso chiwerengero cha mtima ukugunda pa mphindi. Mtengo si nthawi zonse ndipo zimadalira zochita za anthu. Choncho, pamene akuthamanga kugunda kwa mtima ndi apamwamba kuposa akagona. Kugunda ndi wamkulu - kwenikweni ndi polojekiti thanzi lake.

magawo Normal zimachitika

HR wakudziko ndi osiyana kwa mibadwo yonse:

• Newborn - 120-160.
• Kuyambira mwezi 1 1 chaka - 80-140.
• Kuyambira zaka 2 mpaka 6 - 75-120.
• Kuyambira zaka 7 mpaka 12 - 75-110.
• Kugunda ndi wamkulu (zaka 18) - 60-100.
• Pakuti othamanga - 40-60 ukugunda pa mphindi.

Kodi ndi zinthu ziti kulimbikitsa ntchito za zimachitika?

Ukulu wa kugunda kwa mtima bwanji mfundo zotsatirazi:

• Yozungulira kutentha.
• thupi malo.
• Fitness.
• boma maganizo (chisangalalo, nkhawa, mantha, mkwiyo pali kuwonjezeka kugunda kwa mtima).
• Kunenepa.
• Chikuonetseratu mankhwala.
• Kusuta.
• Kuvomereza mowa.

Ngati wosaphunzitsidwa wamkulu wodwalayo kugunda kwa mtima zosakwana 60 kumenyedwa. / Min, ndiye mmodzi ayankhula wa bradycardia. Tachycardia - bradycardia zosiyana chikhalidwe imene mtima ukugunda zambiri 100 kumenyedwa / Mph ..

Kodi kuyeza zimachitika dzanja?

Kugunda mosavuta anayeza pa dzanja la, womwe mtsempha wamagazi zozungulira. Kuti tichite zimenezi, ika dzanja lako kanjedza mmwamba, kukonza pa dzanja ndi zala ziwiri linzake. mosavuta chogwirika amakankhira magazi - ichi ndi kugunda kwa mtima, kapena zimachitika. Ntchito wotchi kapena wotchi yoyimitsa ndi aŵerenga zikhumbo mwa miniti, inu mukhoza kuika mlingo mtima.

Kodi kuyeza zimachitika dzanja ayenera kudziwika kwa aliyense, chifukwa ndi losavuta nzeru zokwanira zingakhale zothandiza pa nthawi iliyonse.

Paradoxical zimachitika - ndichiyani?

Choncho, liwu loti mankhwala otchedwa kuchepetsa kwambiri pa chete kudzoza mu kuthamanga systolic magazi. Paradoxical zimachitika nthawi zambiri chifukwa cha matenda ena.

Kodi matenda zimachitika

Maonekedwe a mtima chotero chodabwitsa ndi zotsatira za kuyan'anila za zimachitika matenda awa:

• Mtima tamponade - kuphwanya yamitsempha yamagazi kudzazidwa kumachitika chifukwa kudzikundikira mu madzimadzi pericardial. The chifukwa ndi kuthamanga vnutriperikardialnoe, ndi wodwalayo zimachitika paradoxical (chopezeka 100% odwala ndi tamponade mtima).
• Constrictive pericarditis - vuto la pericarditis pachimake, kumachitika chifukwa walitsa wa mediastinum lapansi. Matendawa kumabweretsa mfundo yakuti ventricle a mtima odzazidwa ndi kuti nawonso, ndi kutsogolera kuwonjezereka kupewa kuthamanga venous. Matenda unkachitika kutopa, utachepa ntchito, komanso chiwonetsero cha zizindikiro za mitsempha stagnation. Paradoxical zimachitika pericarditis - misa chodabwitsa, amapezeka 30-45% odwala.
• matenda a m'mapapo (ndiko kumayambitsa chifuwa cha mphumu, hyperventilation). matenda dyhatelnoy dongosolo patsogolo kwa chikole magazi pa inhalation, chifukwa mu kuchepa kuthamanga systolic magazi. Choncho, 80% ya mphumu anapeza zimachitika paradoxical.
• Kunenepa - chisokonezo zimachitika mu nkhani iyi ndi chifukwa chachikulu, kusinthasintha kwambiri ndi kuthamanga intrathoracic.

zifukwa zina adzionere paradoxical

Kuwonjezera tanenera poyamba, pali zifukwa zina zodabwitsazi:

• A boma kakasi.
• Kumanja yamitsempha yamagazi infarction.
• Kumanja yamitsempha yamagazi kulephera.
• Chaukali mtima kulephera.

Kodi paradoxical n'zosiyana zimachitika?

Chigamulocho paradoxical zimachitika - basi azisiyana, chomwe mu kuwonjezeka kuthamanga systolic. Zizindikiro makamaka pa kudzoza.

The zifukwa kubwerera zimachitika paradoxical ndi:

• Hypertrophic obstructive cardiomyopathy - matenda oopsa kuti nthawi zambiri chifukwa cha mwadzidzidzi mtima imfa achinyamata. Kupeza matenda ndi zotheka ndi electrocardiography. Zizindikiro monga kufupika kwa mpweya, posungira madzimadzi, tachycardia. Monga ulamuliro, matenda ndi banja ndipo anatengera.
• kumanzere yamitsempha yamagazi kulephera amakhala ndi chisokonezo hemodynamic odwala pa mpumulo (mu magawo oyambirira). N'chifukwa chake matenda kaŵirikaŵiri matenda patapita nthawi yaitali, pamene chirichonse kwasanduka chikhalidwe katundu. Mu siteji kuweruza ndondomeko zofuna za thupi si anapereka zonse, imbaenda mavuto aakulu: a stagnation magazi mu mapapo, ndi atrium kumanzere.
• Violation m'mapapo mpweya (yatsoka a kuthamanga zabwino pa kutulutsa a).

Kodi kudziwa ndi zimachitika paradoxical

The kuli zochitika mu wamkulu akhoza kunena, ngati kuwerenga zimachitika kuthamanga panthawi iliyonse mpweya yafupika ndi oposa 10 mm Hg. Limagwirira wa zosayembekezereka ya zimachitika paradoxical ndi zovuta asanamvetsetse. Afunefune chithandizo mwamsanga ngati zizindikiro monga dyspnea, mphumu, komanso pafupipafupi, yachangu kusiyana kuthamanga intrathoracic.

Kodi anayeza mtsinjewo zimachitika paradoxical

Muyeso wa zimachitika paradoxical n'zotheka ntchito sphygmomanometer, ndi fixation palokha zosavomerezeka. dokotala ayenera kukhala pa bedi la wodwalayo kuti imodzi kusunga mpweya wa m'dera lake ndi mankhwala enaake pa chipangizo. Ziyenera kukhala zotheka kutulutsa mmwamba khafu pneumatic mpaka onse extraneous phokoso auscultation, ndiyeno yambani pang'onopang'ono deflate. Pa mbadwa za khafu ali wofunikila kutsatira kayendedwe wa thoracic ndi m'mimba mpanda wa mtima, kujambula mtengo kuthamanga mwamsanga pamene Korotkoff phokoso amamva. Chachiwiri mtengo magazi zalembedwa mwamsanga Korotkoff malankhulidwe ndi distinguishable osati pa mpweya, komanso wina akapuma. Kusiyana mfundo anapezeka ndi ankafunila paradoxical zimachitika, amayezedwa millimeters mankhwala enaake oopsa.

M'pofunikanso kukumbukira kuti thanzi lathu - m'manja athu. kupeza nthawi yake kwa dokotala adzatha kupewa chitukuko cha matenda oopsa ambiri. Ngakhale zizindikiro wofatsa, zina zooneka ngati amapusitsa, zingasonyeze kupitilira matenda. Dzitetezeni, achibale anu ndiponso anzanu. Musanyalanyaze anu bwino ndipo musaope kuti kupempha thandizo oyenerera!