The matenda a oyambirira repolarization yamitsempha yamagazi

Pamene matenda a "syndrome wa repolarization oyambirira yamitsempha yamagazi" ayenera kwathunthu kufufuza mtima: kodi ultrasonography (US) ndi Holter polojekiti masana kupewa chitukuko cha tachycardia asymptomatic. Ndipo, ndithudi, kubwera ku phwando kuti arrhythmology ndi cardiologist, kutenga naye electrocardiogram, lomwe limasonyeza zolakwika bwino wapezeka. N'zotheka kuti kusintha chifukwa kusintha zaka mahomoni mu thupi.

Long nthawi oyambirira yamitsempha yamagazi repolarization syndrome (SRRZH) ankaona ponseponse wina, amene sikutanthauza chithandizo. Koma lero, komabe imasonyeza ndi zambiri wachinyamata ndi masewera basi. Zimenezi zimabweretsa si vuto lililonse syndrome oyambirira repolarization kuti zikamera a mitundu ina ya arrhythmias, connective minofu dysplasia ndi ena.

Ngati munthu munapeza mu ntchito electrocardiogram vuto, madokotala akulangizidwa kudutsa zotsatirazi mayesero zina: echocardiography zina transesophageal ECG, nkhawa echocardiography (ngati amafuna mankhwala), Holter ECG, kuphunzira electrophysiological kapena transesophageal magetsi kukondoweza kwa mtima, etc. Ndi zotsatira. Kafukufuku muyenera kupita cardiologist a. iye yekha angathe kudziwa ngati pali mtima kudwala iliyonse. Ngati matenda si litatsimikizika, palibe chifukwa kudandaula, ndipo popanda mankhwala aliwonse. The matenda a oyambirira repolarization yamitsempha yamagazi zina chifukwa cha matenda yoopsa mtima. Pankhaniyi, muyenera kokha kusunga akatswiri. Pofuna kuutsa kuukira kwa tachycardia ndi kuyenda mu mtima, ayenera kupewa kumwa mowa komanso kupewa kuchita masewera olimbitsa thupi kuyenda.

Azichitira syndrome oyambirira yamitsempha yamagazi repolarization olanda njira zina radiofrequency ablation mtengo. Mu ichi kwambiri kothandiza (90% panji kujumpha) ndondomeko yoyendera imachitika kwa malo catheter a mtengo uwu ndi adzautaya. Msanga (oyambirira) yamitsempha yamagazi repolarization zingachititse kuti chitukuko cha matenda pachimake inatsekeratu. Choncho, n'kofunika nthawi kupeza chifukwa cha chisokonezo ichi wa mtima ndi mavavu ake. Pambuyo syndrome inatsekeratu, mu maonekedwe ake pachimake kungachititse kuti imfa yadzidzidzi.

Small n'zosadabwitsa kuti zisakuyenda thanzi la othamanga ndi chimakhudzana kuyang'aniridwa ndi chidwi, onse ndi madokotala ndi atolankhani. Pakuti ali mu gulu la achinyamata kwadzidzidzi kumaonekera matenda a repolarization oyambirira yamitsempha yamagazi. Choncho, othamanga m'mawa ndi madzulo, ndipo ngakhale usiku woyamba unayamba kuchita ndi electrocardiogram kudziwa pa siteji oyambirira, kayimbidwe kotani chisokonezo kuli nthambi mtima ndi madutsidwe. Matenda oterowo ngakhale kusintha amayambitsidwa ndi chintchito za ndondomeko maphunziro.

Kotero, ife tinapeza kuti oyambirira repolarization syndrome ndi chodabwitsa electrocardiography, zimene zikusonyeza kusintha enieni kujambula mwatsatanetsatane za zochita mtima pa ECG lapansi. syndrome Izi ankaona kuti mitundu n'chosoŵa wa ECG wabwinobwino amene Komabe, zingakhudze maonekedwe a arrhythmia zilonda: bradycardia ndi tachycardia, nkusani arrhythmia wa matenda, arrythmia, kuletsa mtima, paroxysmal tachycardia ndi ena, komanso matenda a mitima .. Kupezeka kwa oyambirira syndrome yamitsempha yamagazi repolarization kumaonjezera ngozi ya imfa zimayambitsa mtima mu peresenti twente eyiti. Kawirikawiri kugwirizana ndi zosayembekezereka wa lalikulu chisokonezo mtima mungoli (yamitsempha yamagazi) - tachyarrhythmia, oyambirira ndi polytopic extrasystole, yamitsempha yamagazi fibrillation , etc.

Popeza wapadera mankhwala a arrhythmias, motero chisokonezo repolarization, conduction ndi kayendedwe ka mtima, angayambe kufa. Choncho, pamene inayake syndrome mankhwala zotchulidwa mankhwala antiarrhythmic, mwachitsanzo, amiodarone, ndi amagwiritsidwanso ntchito mankhwala energotropic ntchito phosphates organic, amateteza Kakhungu ndi kukonzekera magnesium. Zonse mwa njira zimenezi mankhwala ionotransportnoy matenda ntchito za machitidwe thupi.