Ezingazaliswanga ngokupheleleyo ilungelo bundle block yesebe

Kweli nqaku siza kuqwalasela le ngezifo xa kwafa engaphelelanga komlenze wasekunene block bundle yesebe. Le ukuhlukunyezwa kwenxenye ngamaza ombane entliziyweni. Esi sifo idla nazimpawu, kodwa ubungqina yesifo sentliziyo oganikhi kunye nempembelelo isiphumo sifo zaseprayimari. Uxilongo isekelwe kwiziphumo zophando electrocardiographic. Ezingazaliswanga ngokupheleleyo ilungelo bundle kwisebe block kukuthi kwi enye enesiqingatha ukuya emibini iphela ezine izahlulo zeshumi zibe ekhulwini ezi ziganeko, yaye ngenxa yobudala, la manani kuphela ukwanda. Phakathi zonke iintlobo ekuvaleni indlela eyenzeka kwi-frequency le ngezifo ibekwe yesibini.

Umyalezo weimeyile ingenzeka yayo

Isizathu sebenza njengentliziyo yomonakalo, nemithambo Umthambo isifo kunye libanda, olwa-arrhythmia, pulmonary intliziyo, stenosis of the mitral vana, pulmonary lwegazi, tricuspid intliziyo izivingco, etsolo engabalulekanga iposi, myocarditis, Cardio, unesifo intliziyo, ukungalingani electrolytes emzimbeni, kunye nelungelo ventricular hypertrophy. Kakhulu inqabile zingazaliswanga kwibhloko bundle isebe olufunyanwa abadala aphilileyo. Kwiimeko ezinjalo, sithetha nje eqhelekileyo.

Ezingazaliswanga ngokupheleleyo ilungelo bundle ibhloko isebe unobangela deceleration ayidlulisele zombini sinus kunye pulses ethunjini kwalo. Oku kukhokelela utshintsho kwi ulandelelwano excitation kwezinye iinxalenye ventricles okanye ventricle nje ngokupheleleyo.

ukuvimba ezingagqitywanga ilungelo bundle ibhloko yesebe: zesifo

Kwiimeko ezininzi, oku ngezifo akuthethi ukuba naziphi na iimpawu buqapheleke, kuba isingqi kunye nezihlandlo intliziyo ochaphazelekayo hayi.

Uxilongo kwesi sifo, njengoko kukhankanyiwe ngasentla, sisekelwe kwiinkcukacha-lwazi ezithathwe ngokusebenzisa izifundo electrocardiographic.

Nalu uluhlu lwe iimpawu ezibonakalayo kuwo:

• QRS complex ubude bhetele kancinane, elithoba okanye elishumi elinanye hundredths yomzuzwana.
• Xa izinyo S yokuqala kunye V6 ubakhokelela kwandisa kancinane kunye nelungelo V1 incum nokuxhwilwa QRS complex imele rSr, okanye rsR.

Ezingagqitywanga ukuvimba ilungelo bundle block yesebe: unyango

Ubude kunye nozinzo ngezifo ekhoyo rhoqo akukho mfuneko naluphi na unyango. Kodwa kwiimeko apho bembonakalo yayo ingqamana ukuqhubela phambili isifo sentliziyo, unyango ngexesha kubaluleke kakhulu ukuba kuqheleke Uhanjiso intliziyo. Ukuba zombini imilenze yaye kuvalwe ezinye, isantya yethutyana eboniswe, ngaphandle ukwandisa ixesha hv-lokuphumla phezu 80-100 kwimizuzwana emininzi. Zonke izigulane abadala Uhanjiso ukungaqheleki ezinjalo zixhomekeke esibhedlele enyanzelekileyo. Xa izifo ezihlasela zosulele kwaye kungekho unyango Izimo beziyobisi inokusebenziseka, ngaphandle ukukhohlwa esi kunye unreliability iindlela ezinjalo ukuphembelela le ngezifo. Kwimeko ilungileyo, unako ukubala kwi nomphumo okwethutyana.

Zisetyenziswa ukuba unyango izinto ezinjalo;

1. Anticholinergics, leyo ukunciphisa iimpembelelo vagal, umz 0.1% atropine milliliter enye butofelwe ne-0.2% platifillin njengoko milliliter enye okanye kwesikhumba, butofelwe, kodwa lo mzekelo kuyimfuneko ukwazisa-5% glucose umthamo ml 500.
2. Iziyobisi ukwandisa impembelelo kwenkqubo onovelwano Uhanjiso kwentliziyo, umzekelo, 5% of ephedrine kwenye milliliter intramuscular, ongama, okanye inaliti efakwa, 0.2% norepinephrine,-mali ka-1 ml ukwenziwa iswekile, okanye 0.05% alupent, enye enesiqingatha ukuya cube enye, ehanjiswa zombini intramuscularly kwaye butofelwe, okanye 0.1% izadrin enye umthamo milliliter.
3. Hormone kusetyenziswa glucocorticosteroid, umz, hydrocortisone, ngesantya ukuya ku-200 mg ngosuku.
4. Ukunciphisa umxholo potassium inqweneleka ukusebenzisa-1% of Lasix kwenye nangokomthamo milliliter.

Abantu abane yale sifo kakhulu intle, kodwa, banikwe amathuba mandundu kuzo zonke iintlobo zezifo ezinxulumene kwentliziyo, kufuneka nzulu kakhulu unyango lwakhe.