Ventricular arrhythmia: tohumate me te maimoatanga

I teie mahana, i reira e he maha nui o mate ngakau. Ko te tino noa i roto ia ratou whakaaro kei te ki hei arrhythmia ventricular e puta rite ki te hua o ngātere excitation taimi halá, e mai i te pūnaha ventricular. I roto i tenei take, ohorere te manawataki ngakau te, i reira he hukihuki faahiahia o te raro o ona tari. kitea fibrillation Ventricular te tenei ra, 60% o te iwi, te nuinga kaumātua. I te tahi taime e taea te kite i mokowhiti kōhikohiko i roto i taitamariki iwi hauora. meinga te takanga o tenei mate e te mea kua ia tohumate me pehea ki te hamani i te reira - tatou ka kōrero e pā ana ki reira.

Whakaahuatanga o te mate

Ko te mate, ko te he mate o te manawataki ngakau, ina e hanga e ponana whakahaere i roto i ventricles cardiac i raro i te wāhi i reira branched te paihere o tona te. ka whakaaro matou i raro, e taea e o ngā momo rerekē o te ventricular arrhythmias, maimoatanga me tohu. mahi ratou rite te kāwanatanga e whakawehi te putanga o disorders nui o te ngakau, me te te mutunga ohorere o nga mahi o tenei tinana. Hoki e taea te puta asymptomatic, ngā momo ngawari o te arrhythmia.

Puka o arrhythmias ventricular

I roto i te rongoā e wehea ki e toru ngā rōpū o tenei ahua o te mate: arrythmia, tachycardia me te fibrillation Atrial (kōpura). Tei runga i te mau faaiteraa mate e whai ake nei maimoatanga. I tua atu, kia hoki rerekē tohumate o whakakitenga o arrhythmia. Kia whai whakaaro ano tatou i roto i te taipitopito atu tenei take.

ngā patu

Ko tēnei puka o te mate ko tetahi o te tuhia tino pinepine, e meinga ai e hukihuki taimi halá, o te ngakau. kitea arrhythmia Ventricular (extrasystole) Kei roto i 70% o te iwi o reanga rerekē, meinga maha ona ahua ahotea, waipiro me te nikotīni, kawhe. Ano hoki kia tenei puka o arrhythmia puta kino, ka myocardial tika ki te whanaketanga o ngā mate.

E rima ngā akomanga o arrhythmia, whakakitea te aroaro o tetahi o ratou, ka taea e koe te whakamahi i te ECG i roto i rua tekau-wha haora:

- riro kore piha kahore extrasystoles;

- āhuatanga te piha haapiiraa tuatahi e te ahua o te kore neke atu i te toru tekau auau kotahi mō te kotahi haora;

- āhuatanga tuarua te piha haapiiraa e na te ahua o neke atu i te toru tekau auau kotahi mō te kotahi haora;

- presupposes toru o te piha haapiiraa i te oraraa o extrasystoles Polymorphic;

- kōeke tuawha presupposes te rua o ngä Polymorphic monomorphic ranei;

- āhuatanga rima o te piha haapiiraa e na contractions rōpū, i ētahi wā patua taea o te tachycardia.

tachycardia

whakaaturia arrhythmias Ventricular o tenei puka ko te hua i roto i auau ngakau (90 kapakapa ki te meneti). kia hoki Tachycardia puta rite te māuiuitanga, a rite he āhuatanga whaiaroaro i roto i whakaeke aitua, te itoito tinana, me te pera i runga i. Nuinga o ngā wā ko reira he tohumate o ngā disorders o te endocrine, autonomic pūnaha io. Tachycardia rite te māuiuitanga e taea arahi ki hopearaa kino. ino roa te kupu, taka te pēhanga toto, te rere o te toto ki nga whekau pōturi iho supply toto te tinana, me te ngakau, tae atu e arata'i ki te tūpono o te mate te AVC whakaeke ngakau ranei. Rawe e rave rahi akomanga o tachycardia:

1. pakohu - i reira ko te takahi o te tuku o ponana ki te ventricles o te kōpuku pakohu. kia tenei rite ki te hua o te arā o te kōwae, me raro ahotea, wehi, a na i runga i.

2. Paroxysmal - i reira ko te whawhai o te ngakau ki te 300 kapakapa ki te meneti, e puta, me te riro ohorere. kia pā ana tēnei ki te nui ake mahi o te pūnaha io pukuaroha, me te huringa o te myocardium. Nuinga maha puta te reira i roto i kitea te take whakamutunga e i roto i te nuinga o te wā i roto i te tangata. Ka taea e tēnei tachycardia te whakawhanake ki ischemia, hypotension me ventricular fibrillation. patua tamau o tachycardia i te pānga te waipiro i runga i te tohanga toto o te tinana, te whakanui ake i te mōrea o te tahuti nei.

fibrillation

arrhythmia Atrial ventricular, ranei fibrillation Atrial, āhuatanga e te mokowhiti ki 480 kapakapa ki te meneti, heke nga ventricles i te wa taua uncoordinated, te mutunga mutu te ngakau, mate te tangata. fibrillation Atrial Ko te putanga kaikōrero auau o te whakaeke ngakau. I roto i te rongoa, ki te wehewehe i te maha akomanga o fibrillation Atrial:

1. Paraimere - puta i roto i nga ra tuatahi e rua i muri i te tīmatanga o te whakaeke ngakau, me te ko te take noa o te mate ohorere i roto i te iwi.
2. Tuarua arrhythmia ventricular Atrial whakawhanake te reira i rite ki te hua o te ru cardiogenic i roto i ngā tūroro mate i te whakaeke ngakau.
3. puta fibrillation Late i runga i te wha o te mate wiki.

tīmata ohorere fibrillation i roto i te wā katoa. E toru haora i muri i tīmata ia ahua ki ite āmai, puta ngoikore. I muri e rua tekau haora, ngaro te tangata mahara, haehae, tamariki wewiti i wha haora, te kupukupu āta riro iti, a ka tino mutu, i reira mai te mate haumanu.

whakarōpū

I runga anō i te mea i taea te mau hopearaa e whakawhanakehia i muri i reira ko tetahi arrhythmia ventricular o te ngakau (ka te tohu e kōrero i roto i tēnei tuhinga), ua faaoti i te reira ki te tohatoha:

1. arrhythmia Taumahi āhuatanga e te ngaro o te pāpaka cardiac e he kino. Tetahi pōauautanga i muri tata kihai i rite.

2. arrhythmias e he kino mō te tangata, me te whakawhanake ki te mate ngakau, nui haere te auau te tahuti nei i roto i tenei take te.

3. whanaketanga mārere o disorders ūngeri cardiac, puta ina arata'i nui mate ngakau, me te maha ki te mate.

take o

Ko te whanaketanga o arrhythmias taea puta mo te ngā take, i ētahi wā e kore ratou e mohio. I roto i te take whakamutunga ko reira tikanga ki te kōrero e pā ana ki te mate, i te mea idiopathic i te natura. Nuinga o ngā wā fibrillation ventricular (tohumate, maimoatanga me te matapae ka kia kōrero i raro nei) puta rite ki te hua o mate ngakau: ischemia, infarct, Cardiosclerosis, kino piha mitral me mumura myocardial, takawhita, repara e ko, māuiuitanga pūkahukahu. I roto i ētahi wā, te VSD, herniation me iti te mamae hoki e taea meinga hoki te whanaketanga o arrhythmias. arrhythmia Idiopathic whakapataritari e āhuatanga o waho: paowa, waipiro me te kawhe, te whakamahi auau o rongoā cardiac.

Tohumate me tohu

tohu fibrillation Ventricular e mārama e whakahuatia, e kore e te reira. kia whai iwi rerekē mana'o rerekē e kore e e whakawhirinaki i runga i te take o te mate. Nuinga o ngā wā, wheako tūroro ngoikore, hāhā o te manawa, whanoke. faaiteraa pai te kitea o te tohu i runga i te ECG. Tuatahi o te katoa, i reira he he hua i roto i te rahi me te deformation o te niho, i te mea wahi o ventricular matatini. contractions karapīpiti Neke atu i toru o te ngakau e hoki itehia e te aroaro o te arrhythmia. Hoki arrhythmia āhuatanga e koma, manukanuka, nui haere sweating, he mana'o o te hāhā o te manawa, mahi kōhikohiko ngakau. A, no te puta tachycardia whanoke (mauri), mamae i roto i te ngakau, palpitation, dyspnea, hypotension, cramps. Kei te maha fibrillation Atrial whakakitea i roto i te ahua o te kaihapai, mamae pouaka, edema pūkahukahu, hē ngakau. E pā ana ona tohu ki te meka e nga ventricles tere me pārorirori.

tātaritanga o te mate

Ka taea te whakapumautia fibrillation Ventricular te whakamahi i te aroturuki ECG hoki kawea ECG kawenga Vem whakamātautau wīra ranei. Ko te ako ngā te rēhita o ngātere ngakau mā electrodes e e eke i runga i te kiri o te pouaka tangata, me te i runga i ona ringa, me te waewae. E whakaritea Tuhinga runga i te aroturuki, me ka tuku ki te pūrere tā me tāngia i roto i runga i te pepa. A, no te e riro Vem tohu i roto i mahi, mo tenei, te whakamahi i te pahikara mahi. A, no te whakamātautau wīra whakamahia wīra. I roto i te take o te tātaritanga he tika ki te whakaaro i te take e awe te takanga me te mutunga o te whakaeke. Ko ētahi o ēnei āhua aronganui me te hinengaro o te manawanui, mahi tinana, rōpū o raau taero, me te pera i runga i. tikanga atu o te rangahau i runga i te aroaro o arrhythmias ngā: X-hihi, tomography, ultrasound o te ngakau. Mai i nga hua o enei whakamātautau ka whakawhirinaki i runga i te maimoatanga atu o te mate.

fibrillation Ventricular: maimoatanga

Ki runga ki te rapunga o te mate e kore he i roto i te wā katoa e rapu maimoatanga motuhake. A, no te rongoā ko te maimoatanga tūtohutia ki te whakarongo ki nga pānga taha o raau taero, me te te roanga o ratou tikanga, kia rite ki taea e hauora kino te faahapa rahi. I roto i te tahi mau pathologies contraindicated te whakamahi o taero ngakau mo te arrhythmia, rite tenei e taea meinga hopu cardiac. Whakaaroa nga tikanga me ngā tikanga o te rongoā arrhythmias me ona momo ngā.

maimoatanga arrythmia

I roto i te wā auau, e pā ana te mate e ki te kore o electrolytes i roto i te tinana tangata, whakakitea nei e te whakamātautau toto. Na maha ka tūtohu arrhythmia konupora-konurehu kai. utu hoki whakarongo ki te moe me te okioki tikanga, kai, peu kino, kohi auau o kawhe, te aroaro o te ahotea, me te pera i runga i. kia kia whakaritea sedatives. Ki te rere pakeke ventricular fibrillation, ka whakahau rongoa, a i roto i ētahi wā e rapu pokanga. kiia te manawanui i ki electrolytes, inhibitors ACE, pūhau, a pera atu. Kei te hoatu hiranga nui ki taero ki arrhythmia.

maimoatanga tachycardia

E rua ngā rōpū o ngā rongoā, whakahaua nei mahi ko ki te maimoatanga o te tachycardia: protivoaritmichnye me āpiha reka. Sedatives kiia i roto i te kaupapa i reira ko GVA. pea he "Diazepam", "Pahi", "Wisteria" me etahi atu i tenei. antiarrhythmic rongoā mō te ventricular arrhythmia whakaritea i muri i pumau te take o te māuiuitanga te. pea he "Verapamin" "Inderal", "Adenosine" me pera i runga i tenei. I roto i tetahi take, kia maimoatanga mātanga taumau.

maimoatanga fibrillation

Ki te puta mai te whawhai o te fibrillation Atrial mo te wa tuatahi he taratahi ranei, he mea e tika ana ki te mutu te whakamahi i te "Quinidine", "Kordorona" ranei "procainamide". Ki te he pumau fibrillation Atrial, kia tango tonu koe rongoā ki te ārai i patu. I roto i tenei take, therapy anticoagulation tika, e hiahia ana koe ki te tango i ahipirini "fafati", heparins.

Ko te waitohunga o arrhythmias

Ka whakawhirinaki te waitohunga o tenei raruraru i runga i tona āhua, te aroaro o te mate ngakau, disorders tohanga i roto i te tangata. fibrillation Ventricular me supraventricular kahore e i pā ana ki te mate ngakau, e kore e hopohopo te ora tangata, me te hauora. Ki te whakawhanake i te mate i runga i te whakamārama o te mate ngakau, he kino te waitohunga. Life tümanako i konei he ti'aturi i runga i te tomokanga wā o te maimoatanga. Na reira e tūtohu ana ki te whakahaere i te mahi o te ngakau, me te whai tūtohutanga hauora katoa, ka taea te mutu te mate. I te wa ano e kore matou me wareware e pā ana ki āraihia, no te mea te tiaki o te hauora koutou taea te tākaro i te wāhi nui, a i roto i ētahi wā ki te whakaora i te ora o te tangata.

ārai

Tuatahi o te katoa, e hāngai ana te ārai arrhythmia te i te maimoatanga o te mate ngakau, e whai wāhi ana ki te takahi o te manawataki me te kawenga. He mea tika ki te aukati i te take o te mate, e taea e te reira paitini, GVA, ahotea, kawehiko tāne i, a pera i runga i. Ko D. reira e tika ana ki te whakawhāiti i te rōpū o te waipiro, nikotīni me te kawhe, me te whakamahi motuhake o taero mō te arrhythmia. kia kawea maimoatanga i tino i te tākuta. Na reira, te ārai o te mate ko e whai ake:

- maimoatanga o te mate nui ngakau;

- kai;

- te whakarerenga o peu kino;

- aroturuki mahi, taimaha, te pēhanga;

- te ārai ki te taero.

Ka rite ki e tohutohu taka ki te tango "Panangin" (konurehu me te konupora), huaora B6, "Ritmonorm", "VFS" me etahi atu.

A, no te taea te tākaro arrhythmias hākinakina, engari kia kia iti mahi. Kaua e panamaha te tinana. Na roto i te whai katoa o nga tūtohutanga me ki te aroturuki ratou hauora, ka taea e koe te whakaora e kore ia anake, engari ano hoki tona ora, me te tākuta, i roto i te tahuri, ka āwhina i whakatau te kōwhiringa o raau taero.