Yintoni i-ectopic rhythm?

Iziphene ze-cardiac ezenzeka ngokuzenzekelayo ngenxa yezinye iziphene kwi-myocardium okanye kwinkqubo yokuqhuba zibizwa ngokuba yi-ectopic rhythm. Yintoni oku, siya kuqonda kweli nqaku.

Inkcazo ye-pathology

Xa i-node ye-sinus ithathaka okanye iyeka umsebenzi wayo, kwaye oku kwenzekayo ngokuqhubekayo okanye ngamanye amaxesha, iziqulatho ze-ectopic (okanye zibizwa ngokuba ziimpawu zendawo).

Ixesha labo lingaphantsi kwelizwi lomculo. I-ectopic ishythri yearriyimu ingathathwa njengengenasi-sinus. Okuqhubekayo ngumthombo wayo, ubukhulu beempembelelo zalo kuya kuba ngaphantsi. Sisiphi isizathu sokutshintsha kwintliziyo?

Izizathu eziphambili ezenza ukuba isigqi siguquke

Utshintsho olwenzeka kwi-node ye-sinus kunye nezinye iindawo eziqhubela phambili zikhokelela kwisigqi se-sinus. Ezi mpazamo ezivela kwisiqhelo sesiqhelo sinoku:

- Sclerotic;

- ischemic;

- ukuvutha.

Ukwahlulelwa kweengcamango ezingenanto

Ukwahlulelwa kweengcamango ezingafaniyo kunokuhluka. Ngezantsi iifom eziqhelekileyo.

- Isingeniso esingaqhelekanga sinokuba yisigxina sesimo se-ectopic. Oku kubangelwa ukugqithisa kwe-cardiac glycosides, kunye ne-vegetovascular dystonia. I-automatism yokugxilwa kwe-ectopic iyanda, ngenxa yoko, le fomu yeshythm ingabonakali. Nantsi kukho izinga eliphezulu lentliziyo, ngokuchasene nokukhawuleza nokutshintsha izandi ze-ectopic.

- Isingeniso esingekho isigqi sinokuthi sibe yintlupheko. Oku kubonisa utshintsho olukhulu kwi-myocardium. Ukuba ukuphindaphindwa kwee-contraricular contractions is low-down, amathuba okuphuhlisa isifo senhliziyo yesimo senzeka kakhulu, enemiphumo emibi.

- Ukongeza, isingeniso sinokupheliswa kwegazi. Ngokusoloko ikhula nge-rheumatism, ukukhubazeka kwentliziyo, ingozi yomshukela, isifo sikashukela, isifo senhliziyo. I-neurocirculatory dystonia ingakhokelela kwisigqi esinjalo. Nangona kunjalo, isigqi sesifo se-ectopic senziwa kwakhona kubantu abaphilileyo. Ufumana uphawu olusisigxina, kodwa lunokuhlala ixesha elide. Unokuhlakulela umntwana.

Kuyathakazelisa ukuba isigqi se-ectopic asikho kuphela kubadala, kodwa nakwabantwana abancinci. Oku kunokwenzeka nge-foci eyongezelelweyo eyongezelelweyo yenkxwaleko, esebenza ngokuzimela. Oku kuthonywe yizinto ezingenayo i-neuroendocrine kunye neenguqu ezenzeka kwi-myocardium.

Iintlobo zokwephulwa

Ezi ziqendu ze-ectopic isigqi sesifo somntwana zingabakho:

- Esebenzayo, ebonakalayo yi-paroxysmal tachycardia kunye ne-extrasystole.

- Ukhawulezileyo (fiber fibrification ezahlukeneyo).

I-cardiac organic pathology iholele ebuntwaneni ukuya kwi-extrasystoles ye-ventricular. Le ntsholongwane iyakwazi ukufunyaniswa kakade kwintsana ephilileyo.

Usulelo lwe-Viral lungakhokelela ekuhlaselweni kwe-tachycardia ye-paroxysmal ebantwaneni abancinci. Olu hlobo lwe-tachycardia luhlobo olubi, olubizwa ngokuba yi-supranventicular.

Ukukhubazeka kwenhliziyo, ukugqithisa kwe-aspirin, ikaritiyiphu ikhupha le meko enzima yeshythm tachycardia.

Uhlaselo luyakwenzeka xa umntwana sele evuke okanye eguqule ngokuphawulekayo isikhundla sakhe somzimba. Ifom ye- paroxysmal tachycardia yingozi kakhulu.

Ziziphi iimpawu ezahlula i-ectopic rhythm?

Njengoko sele kuthethwe ngaye, isifo esiyintloko sikhokelela kwisiginci esingeyona sinus. Awufaneli naziphi na iimpawu ezithile. Izifo eziphambili kunye nezizathu zesigqi sinquma iimpawu.

Ngezansi ziimpawu ezifanele zihlawulwe ngokukhawuleza, ngoko nangoko uthintane nodokotela:

- ukuhlaselwa kwe-tachycardia ye-paroxysmal iqala ngokukhawuleza kwaye ngokukhawuleza iphelile;

- akukho zixhobo zokuhlaselwa;

- akukho ukuphefumula okanye intliziyo ebuhlungu ekuqaleni kokuhlaselwa;

- ukuvela kwexhala lokuxhalaba okukhulu kunye noyiko;

- ukubonakala kwexhala lokuxhalabisa, njengokuba umntu efuna indawo yomzimba, enceda ukuyeka ukuhlaselwa;

- umntu uqala ukuthuthumela izandla, amnyama emehlweni, ahlaziye;

- ukubonakala kwesifungo esikhulu;

- ubukho bomsongo kunye nokuqhwala;

- kunokubakho ukukhupha ukukhupha kunye nokukhupha izibilini: umntu unokurhoxisa yonke imizuzu eyi-10-15 ukusuka ekuqaleni kwe-tachycardia, ngelixa umchamo umbala okhanyayo, phantse ubala, ukukhuseleka ukuxhatshaza kuncinci.

I-paroxysmal tachycardia ingaqala xa umntu elele. Emva koko intliziyo yakhe iqalisa ukubetha nzima kuba uphupha, umzekelo, iphupha. Ekupheleni kokuhlaselwa, intliziyo iqala ukusebenza ngokuthula, ngelixa umntu engasayi kuba nomoya wokuphefumula.

Emva kokupheka kwentliziyo, kukho i-push, ngoko ishythm iba yinto evamile. Ngamanye amaxesha ngexesha lokutshiza kukho intlungu. Kwezinye iimeko, ukucotha kwezinga lentliziyo kubonakala kancane.

Ezinye iimpawu

Ngomculo ongasona sinus, kukho imiqondiso ethile. Ngokuxhomekeke kwizinto ezikhoyo ezihamba ne-ectopic ishythm yangasese, ziyahlukahluka:

- Ngoko, umzekelo, kunye ne-extrasystoles, intliziyo inokusebenza kunye nokuphazamiseka, umntu uvakalelwa kukuba intliziyo yakhe iyayeka, uzive ushushu emqaleni nangentliziyo. Kodwa ezi zibonakalisi zingenako. Ubunzima bomzimba obugqithisileyo kunye nomgaqo-siseko ophezulu kudla ngokukhokelela kuma-extrasystoles e-vagotopic.

- Ukuhlaselwa kwe-tachycardia yengane kubangela ukuphazamiseka, ukumnyama kwamehlo, isisu, isisu sokuxhatshazwa kunye nexhala, i-pallor, i-cyanosis, i-dyspnea, intlungu esiswini. Oku kwahlula i-ectopic ishythm ye-atrial kubantwana.

Izindlela zokufumanisa isigqi se-ectopic

Ukuba umntu unempawu ezingentla, kufuneka athethelele ngokukhawuleza umgqirha okanye i-cardiologist. Ingcali iya kumisela i-ECG eya kubonisa utshintsho oluthile kwimisebenzi yentliziyo okanye isigqithiso se-ectopic kwisigqi.

Izinyo R liguqula ukucwangciswa kwayo kwinqanaba lomhlaba. Ayinayo impawu yokuxilonga ecacileyo. Isikhathi sePQ asitshintshi ngesigqi sesifo se-atrial. Ngenxa yesidlo esiqhelekileyo ngokusebenzisa i-ventricles, i-complex QRST ayitshintshi. Kuya kuba yi-PaVR emihle kunye ne-P engalungileyo kwisithathu kunye nesibini kwikhompyutha ye -VF xa i-pacemaker ibume kwii-atriums ezisekhohlo nasekunene, ezikwimihlaba yazo ephantsi. Ukuchaneka kwendawo yesigqi se-ectopic akuchazwa kwiimeko zesigqi se-atrial esezantsi.

Kwisigqi sokunene siya kuba yindawo yomthombo we-automatism (i-P-cells) kwi-atrium efanelekileyo. Oku kubonakaliswa kwe-ectopic ishythm yearriyth intsha.

Abantwana nabo bafuna ukuxilongwa ngokupheleleyo. Xa i-extrasystoles yeerri, iinjongo ze-P. utshintsho. Ixesha le-PQ lifutshane, ikhefu elingapheliyo lokuphumula kunye ne-ventricular complex complexes.

Okanye mhlawumbi i-ectopic rhythm ephuthumayo.

I-extrasystole ingaba yi-atrioventicular kwimvelo, kwi-ECG oku kubonakaliswa ukungabikho kwe-wave yangaphambili kwe-P ngaphambi kokuba i-ventricular complex. Nge-rightsystole ye-ventricular, i-P yezinyo ihlaziywa phezulu (kunye nangaphezulu nge-extrasystole ye-ventricular).

Ubukho be-embryocardia bubunjani be-tachycardia ye-paroxysmal. Akunakwenzeka ukubala i-pulse. Kukho ukuhla kwegazi. Ubukho beengqungquthela eziqinileyo kunye neengxube zengxowanxu ezixhasayo. Ukuba i-ECG yenziwa ngaphandle kokuhlaselwa okanye kunye ne-tachycardia ephezulu, ke i-extrasystole ehlukeneyo ingabonwa, kwaye ngexesha lokuhlaselwa, i-extrasystole yeqela kunye neenkcukacha ze-QRS ezimfutshane zichanekile.

Ukongeza kwisifundo esiqhelekileyo se-ECG, ukubeka iliso kwimihla ngemihla ye-ECG ngokubhekiselele kwiHolter kunye ne-transesophageal study electrophysiological. Konke oku kunokubonakalisa i-ectopic rhythm.

Unyango

Ukuba isingqimba esingasona sinus siyifumene kumntu, unyango lukhethwe ngokuxhomekeka kwisifo esingaphantsi kwesifo. Ukuze inyango iphumelele, kuyimfuneko ukuqonda ngokucacileyo isizathu sokungaphumeleli kwentliziyo. Ukuba ngaba kubangelwa zizifo zentyatyambo ye-vegetative-vascular, ngoko kuya kuqulunqwa ukuba kuqeshwe iidalatives. Ukuba i-vagus iqiniswa, i-belladonna kunye ne "Atropine." I-Tachycardia idinga ukusebenzisa i-beta-blockers (iKordaron, Anaprilin, Isoptin, i-Obzidan).

Ngama-extrasystoles

Ngama-extrasystoles, apho imvelaphi yezinto eziphilayo, i-"Panangin" okanye i-potassium chloride imiselwe. Amachiza okwenza i-arrhythmia kwezinye iimeko abuye abe nempembelelo entle (Novokainamid, Aymalin). Nge-infarction ye-myocardial kunye ne-extrasystole yangexesha elilodwa, basebenzisa i- "Panangin" kunye ne "Lidocaine". Umntu ufumana la mayeza kunye nomgca.

Ngokuxhatshazwa nge-cardiac glycosides

Xa unxiliswe yi-digitalis, i-polytopic extrasystoles ivela, ekhokelela kwi-fibrillation ye-ventricular. Kudinga ukuhoxiswa ngokukhawuleza kweyeza kunye nokonyango "Inderalom", "Kaliem", "Lidocaine". "Unitiol" kunye ne-diuretics ziya kunceda ukuphelisa ukuxiliswa. Yintoni enye into endiyenzayo ukuba ndiyenze ngesantya sentliziyo ye-ectopic i-diagnosis?

Maxa wambi i-sinus carotid ixutywa imizuzwana engama-20 ukusuka kwicala lasekunene nelinene, ukuba kukho ifom ephezulu. Kunceda ukutshiza kwisisu nakwindawo yamehlo. Ukungabikho kwenkululeko kufuna ukuba kuqeshwe i-beta-hadron blockers. Ziye zaziswa ngejubane elincinci, ngelixa lifuna ukulawulwa kwe-pulse kunye negazi. Hlanganisa "iPropanol" kunye ne "Verapamil" nge-intravenously ayikhuthazwa.

Kuthekani ukuba uhlaselo aluyekanga?

Ukuba uhlaselo aluyeki kwaye luhlala ixesha elithile, imeko yesigulane ibuhlungu ngexesha elinye, unyango lwe-electropulse lusetyenziswa. Ukuxhatshazwa nge-cardiac glycosides kukuchasene nokunyanga okunjalo. Ngokuhlaselwa rhoqo kwaye kunzima, i-electrocardiostimulation isetyenziswa rhoqo.

Njengeengxaki, ukuxhatshazwa kweengxaki zentliziyo kunokuvela. Ikhwelo elifanelekileyo ngexesha eliya kugqirha liqinisekisa ukungabi khona kwesigqi se-ectopic, ekubeni izifo ezisisiseko ziya kunyangwa okanye ubuncinane zilawulwe. Ngoko ke, kubalulekile ukuba ungakhathazeki xa isigqirha se-ectopic ye-atrial sifumaneka yi-ECG. Siye saqwalasela ukuba yintoni.

Imiyalelo ekhethekileyo

Ukuze intliziyo ibe nomsebenzi ocacileyo kwaye ulungelelaniswe, kufuneka ube nexhala kwaye unamathele kwindlela yokuphila enempilo. Xa umntu echitha ixesha elivulekileyo emoyeni, ebenokusebenza ngokulinganayo, kuya kuba yintliziyo yakhe. Ngokondlo, kuyimfuneko ukunciphisa ukutya okunamafutha, okubangela ukuba kwakhiwe i-cholesterol plaques. Kufuneka udle i-fiber ephezulu, imifuno entsha, iziqhamo, eziqukethe iivithamini. Eyona nto ibalulekileyo kwintliziyo i-calcium, i-magnesium, i-potassium.

Iimveliso zobisi zizityebi kwi-calcium, kwiibhanana nakumatamatisi umthamo omkhulu we-potassium, i-magnesium ikhona kwiipinashi, i-buckwheat, iinqathe.

Isiphelo

Ngamanye amaxesha isizathu sokupheka kwesantya senhliziyo esivela kwisiqhelo sise-psyche. Kule meko, emva kokutyelela umgqirha okanye isifo se-cardiologist, kunengqiqo ukufumana intsebenziswano evela kumgqirha. Unokudinga ikhosi epheleleyo ye-psychotherapy.

Iingxaki ngentliziyo akufanele zithathwe ngokulula, kodwa ngelo xesha, umntu akafanele avumele ukuphuhliswa kwengqondo okanye ukwesaba intliziyo yesifo kunye nezinye izifo ezinzulu.

Nge-neurocirculatory dystonia, kunengqiqo ukuthatha izidalwa zengxubeba ixesha elide, zingcono kunezityalo ezivela kuyo, kuba zikhuselekile kwaye azikho nongqinelaniyo kunye nemiphumo emibi. Ziquka ukutshintshwa kwe-valerian, i-tincture ye-motherwort, i-Novopassit, i-Persen.

Le yingozi kangakanani i-ectopic rhythm. Yintoni, siyathemba, iyacaca kuwo wonke umntu ngoku.