Ngati inu mukukhulupirira mabuku ndi nthano mtima ndi owonetsetsa limba amene akhoza kukonda, kumva, kuganiza, kuwonjezera, ndi osalimba kwambiri. Ku maganizo a mankhwala ndi woona yekha otsiriza mawu, ngakhale kuti ndi minofu wamphamvu wa thupi, ntchito popanda kupuma ndi kupeza tulo mu moyo wawo. Ntchito yaikulu ya mtima ndi kuonetsetsa kayendedwe ka magazi kudzera ziwiya, ndi kuchita izo, akuyamba ngakhale pa chitukuko yoopsa. Mu kudwala a dongosolo mtima thupi anaikapo zikuphedwa, monga kufunika uziyenda bwino za thupi kwambiri, n'zovuta overstate. miyendo anatseka misewu - mmodzi wa pathologies izi mtolo wake. Anatseka misewu (wathunthu kapena chosakwanira) zina ndi patency wabwinobwino wa nkusani kugunda kwa dongosolo mtima, kapena m'malo njira yake ndi ulendo. zimachitika izi zimapezeka pa mfundo nkusani, ndi atria ayenera chimwemwe dongosolo. Pamene kuyan'anila sanalembedwepo kapena sadzafika mu chizolowezi. Kuphwanya zosiyana: oopsa (zonse chipika) ndipo osati (chosakwanira). Chimodzi mwa mavuto aakulu kwambiri a anatseka misewu ndi kupotoza zotsatira za ECG, ndipo chotero zovuta oterewa matenda ambiri a mtima, makamaka m'mnyewa wamtima infarction.
The anatseka misewu ya kumanzere mwendo mtolo Ake - chiyani chofunikira?
Anatseka misewu ya kumanzere mtolo nthambi chipika mtengo (kapena LBBB) - ndi kudwala, zida zochokera angagone mtima chotupa mbali zosiyanasiyana. Mwachitsanzo, mwendo kumanzere mu mbiya chipika mtolo nthambi chidwi. Kapena tsinde la mwendo kumanzere kwa bifurcation lapansi. Iwo akhoza imodzi chidwi ndi miyendo kutsogolo ndi kumbuyo nthambi ikani pambuyo kudzipatula kwawo ku tsinde la thupi. Komanso theka kumanzere kwa kugawa chawonongeka pakati ventricles ndi, zimachitika miyendo ya nthambi. chifukwa tingasonyezere kusintha akakufunsani m'mnyewa wamtima mu ramifications zotumphukira kumbuyo ndi miyendo kutsogolo. Pamene LBBB asalankhule Ndime ya malemeredwe kwa myocardium wa ventricle lamanzere pa mwendo wakumanzere. Iwo ikuchitika ndi zachilendo, umene ndi zovuta ndi wakulitsidwa QRS, ndipo amasintha malangizo a repolarization mu ventricle kumanzere. Tsatanetsatane ife saona vuto ili kwa akatswiri mtima. Onani zina zokhudza matendawa. Moyo miyendo chotupa angachotsedwe njira fibrotic, imakhudzana ndi zochepa koronaroskleroza ndi - ndi myocarditis zochepa (chinzonono, enaake ophwanya, diphtheria, matenda). kawirikawiri, koma zimachitika kuti anatseka misewu kumachitika pamene wathanzi mwamtheradi mtima. Yamalizika ndiponso chosakwanira anatseka misewu ya kumanzere chipika mtolo nthambi. Ngati ziri zonse, zosangalatsa poyamba yekha chimakwirira septum pakati ventricles, ndipo si ventricle lonse kwathunthu. Chosakwanira anatseka misewu akufotokozera mu matenda electrolyte kagayidwe, kapena mankhwala ambiri osokoneza bongo, kapena mitundu yosiyanasiyana ya kuledzera. Chifukwa cha ichi, mmene kutanganidwa mtima conduction dongosolo, ndi khadi zonse malemeredwe kumanzere zimachokeradi. Oterewa kuphwanya angakhale ntchito electrocardiogram ochiritsira adzakhala kusintha kuonekera chinawathandiza kumvetsa n'chakuti.
Kaya ndi oopsa?
Ngati anatseka misewu kufalitsa yekha pa mwendo umodzi, ndiye, si kuopseza moyo, ngakhale palibe wabwino mmenemo, ndithudi ayi. Ambiri a cardiologists lero amakhulupirira kuti aiwale ntchito imene watha kukhala kupatuka milandu anthu pamene pali zotsatira za matenda ena mtima. Koopsa wathunthu blockage wa miyendo onse, mu Zikatero m'pofunika likhazikike ndi pacemaker.
Anatseka misewu ya kumanzere chipika mtolo nthambi: mankhwala ndi kapewedwe
Waukulu achire tingathe yeniyeni ku tsankho anatseka misewu - ndi kudziwika matenda imene inachititsa anatseka misewu ndi mankhwala ake. Specific achire zovuta kuti kuphwanya kwa sakutero. Pa nthawi imene wodwala akudwala matenda oopsa, ngozi ya matenda a mtima kapena angina, muyenera mankhwala wapadera kugwirizana ndi chipangizo mtima thandizo. Bukuli lili ndi kukonzekera munali glycosides mtima, hypotensive ndi wothandizila antiarrhythmic. Odwala kobadwa nako chipika mtima amafuna kwapadera alowererepo pa opaleshoni. Zimachitika kuti achinyamata chotero anatseka misewu ndi linalake, zikhoza kukhazikitsidwa pokhapokha maphunziro ambiri a katswiri. Kumbukirani kuti kudziletsa mankhwala n'koopsa thanzi lanu, makamaka pankhani mtima. Khalani wathanzi!