Zoyambitsa, zizindikiro ndi mankhwala a tachycardia supraventricular

A wamba mtima mungoli chisokonezo anatchedwa tachycardia supraventricular. Nthawi zambiri, izo zikufotokozedwa ndi nkhani kobwereza kuwonjezeka pafupipafupi ndiponso azikhala kumenyedwa mu dera thupi. Ngakhale CBT zambiri osati moyo pachiswe, odwala ambiri amadwala kumatchula zizindikiro yoyipa kwambiri khalidwe moyo wawo. Makanema yosokoneza ndi ayi wa tachycardia zingachititse nkhawa kwambiri chifukwa anthu ambiri.

Mwadzidzidzi, kugunda mofulumira yodziwika ndi SVT, ndipo odwala ambiri akhoza anapezeka ndi digiri yapamwamba ya ndithu okha mbiri. Mobwerezabwereza anayesa maphunziro electrocardiographic akhale opanda ntchito.

Kuchuluka kwa SVT ndi 35 milandu pa 100 000 pa chaka, kuchuluka kwa - 2,25 pa 1 000 okhala. Kawirikawiri zikuoneka ngati paroxysm chosatha cha supraventricular tachycardia, zizindikiro zimene zingawathandize kuti pachimake maphunziro a matenda. Mitundu CBT: Wolff-Parkinson-White syndrome, supraventricular kapena supraventricular extrasystole, tachycardia, atrioventricular nodal rientri.

Kodi mtima ntchito?

Vital limba ali zipinda zinayi - atria awiri ndi ventricles awiri. Aliyense kugunda imayamba ndi ting'onoting'ono nyemba magetsi opangidwa mu mfundo sinoatrial. Ndi pacemaker mu kumtunda kwa atrium bwino. The zimachitika magetsi propagates pamodzi ndi minofu mtima, moti ntchito. Poyamba, limayenda pa atria, ndi mfundo atrioventricular mu m'kupita kuti amachita monga wogulitsa a. Iwo kukufika pa atrioventricular mtolo akuchita monga wochititsa kupereka nyemba kuti ventricles lapansi. Nawonso ventricles ayamba kugwiritsa ntchito magazi mu mitsempha ya.

Kodi supraventricular tachycardia, nanga zimayambitsa?

matenda yatsala kugunda pamwamba yamitsempha yamagazi sumalamulidwa mfundo sinoatrial. mbali ina ya mtima yatsekedwa zilakolako magetsi kuti pacemaker lapansi. Gwero akuyamba pamwamba ventricles ndi kufalikira kwa iwo. Nthawi zambiri, CBT kumayambira akakula. Komanso wamba supraventricular tachycardia ana. Komabe, angayambe pa m'badwo uliwonse. Ndi matenda osowa, koma chiŵerengero cha akuvutika ndi losadziwika.

Supraventricular tachycardia supraventricular chifukwa cha zifukwa zotsatirazi:

• Mankhwala. Zikuphatikizapo ena odwala, zowonjezera mankhwala ndi mankhwala ozizira.
• Kumwa yambiri tiyi kapena khofi ndi mowa.
• Maganizo kapena kukhumudwa maganizo.
• Kusuta.

Atrioventricular ndi mtundu matenda a SVT. syndrome Wolff-Parkinson-White

AVURT - mtundu ambiri tachycardia supraventricular. Kumachitika nthawi zambiri anthu oposa zaka 20 ndi akazi amene ali pa 30. Pali vuto mwambo wa zimachitika magetsi ku likulu mtima. Nthawi zambiri akuwonetseredwa mu anthu mwangwiro wathanzi. M'malo kutsegula zachilendo ndipo ntchito wotsatira wa mfundo zimachitika sinotrialny anavomereza panopa zina mozungulira dera yochepayi. Izi zikutanthauza kuti kugunda kwa mtima ukuwonjezeka kwambiri ndipo kenako kukhala zizindikiro zonse SVT.

Matenda tachycardia ndi mtundu wofala. Kumachitika mu malo aang'ono a minofu, paliponse mu mitima ya atria onse. Nthawi zambiri chifukwa sakudziwika. Komabe, kumachitika m'madera kumene m'mnyewa wamtima infarction wakhala anasamutsa kale, kapena pali mavuto ndi valavu mtima. syndrome Wolff-Parkinson-White kusiyana mofulumira kwambiri. Pali zizindikiro za chizungulire, zotheka imfa ya chikumbumtima. Kumwalira mwadzidzidzi ndi vuto la chikhalidwe ichi, koma chodabwitsa ndi osowa kwambiri.

mawonetseredwe matenda

Zizindikiro za tachycardia supraventricular zingatenge masekondi angapo, mphindi kapena maola.

Mawonetseredwe zotsatirazi:

• Kugunda amakhala kumenyedwa 140-200 pa mphindi.
• Nthawi zina zingakhale mofulumira.
• Kolotaniya kumverera kwa mtima.
• Chizungulire, kupuma movutikira.

CBT zambiri amayamba mwadzidzidzi popanda chifukwa chenicheni. Paroxysmal supraventricular tachycardia ndinawona uyenderere mu khosi kapena mutu, ndipo akhozanso kukopeka ndi chifuwa kusapeza (ululu zachilendo), kufupika kwa mpweya, nkhawa. Kawirikawiri, kuthamanga kwa magazi ndi adatchithisira chifukwa mofulumira mungoli mtima, makamaka ngati amalimbikira kwa maola angapo. Nthawi zina zimenezi zimadzetsa kukomoka kapena kugwa.

Mlingo wa zizindikiro zimasiyana, malingana ntchito ndi contractile pafupipafupi, nthawi, supraventricular tachycardia, matenda mtima okhudzana. Komanso ali ndi phindu la kuzindikira munthu wodwala. Pakhoza kukhala m'mnyewa wamtima ischemia.

matenda matenda

Pali njira zingapo matenda matenda monga supraventricular tachycardia: ECG, echocardiogram, mtima kuyezetsa ndi thupi. Nthawi zambiri zotsatira za kafukufuku wa amakhala bwinobwino.

ECG ikufotokoza mungoli ndi ntchito magetsi a thupi. Ndi sabweretsa chisoni ndipo akutenga mphindi zochepa chabe. Ngati paroxysmal supraventricular tachycardia zinachitika pa ECG ndi chipangizo otsimikiza matenda ndipo potero kukusalani zinthu zina kugunda mofulumira.

Popeza Sizotheka matenda pamaso pa matenda pokhazikitsa kuchipatala, mtima amauzidwa kuti kuyesetsa kuzindikira matenda ndi thandizo kwa electrocardiograph wonyamulikayu. Iye akanati kuloweza njira zonse zikuchitika mu mtima kwa maola 24. Pa ndondomeko, simungathe kusambira.

Mungafunike ntchito echocardiogram. M'pofunika wounikira dongosolo mtima ndi ntchito, koma zotsatira amakhala mu uthunthu yachibadwa. Inunso muyenera kuchita zina zokambirana zofunika kudziwa pamene izo zikuchitika tachycardia (pa masewera olimbitsa thupi kapena mpumulo). Odwala angadandaule ululu pachifuwa pa SVT. zizindikiro izi popanda nkhawa mayeso kapena angiography. chisankho pa kuyezetsa zina zikhazikitsidwe mbiri wodwalayo ndi kukhalapo kwa zinthu mtima chiopsezo.

Alipo chithandizo

Ambiri SVT zizindikiro zithe paokha, palibe mankhwala n'kofunika. Nthawi zina n'zotheka kusiya zizindikiro mwa miyeso zosiyanasiyana, kuphatikizapo kumwa madzi ozizira, angoti wake ndi adatchithisira nkhope yake m'madzi ozizira. Komabe, ngati CBT zimatha nthawi yaitali matenda kwambiri, muyenera yomweyo kupita ku chipatala.

Pali njira zingapo kulamulira tachycardia:

• The yochepa.
• The yaitali.
• Pharmacological.

M'munsimu tione wina wa padera.

Yochepa kulamulira matenda

Cholinga cha njira imeneyi - kutha kwa chloroquine. Izi chingapezeke mwa ayendetsa omwe amaonjezera kamvekedwe. Mwachitsanzo, mukhoza kugwiritsa ntchito nzothandiza ozizira khungu. Komanso ndi matenda monga mtundu supraventricular wa paroxysmal tachycardia, mukhoza mutafikisidwa wa carotid nkusani.

Ngati zimenezi mulibe kuthandiza, Ndi bwino kuti mmodzi wa mankhwala awa:

• "Adenosine". Mwamsanga amachotsa zizindikiro ndi kutsekereza zilakolako magetsi mu mtima, koma downside ndi nthawi ya ntchito yake ndi yaing'ono. Nthawi zina, izo angawonjezere bronchospasm chifukwa cha atypical pachifuwa nkhawa.
• "Verapamil" "Diltiazem". Mankhwala kutumikiridwa m'nsinga pa mphindi 2-3. Umboni chiopsezo potentiation wa hypotension ndi bradycardia.

kasamalidwe yaitali matenda

izo kumatha paroxysmal supraventricular tachycardia? Mankhwala payekha malinga pafupipafupi, mwamphamvu ndi zotsatira za nkhani zizindikiro za khalidwe la moyo.

Mankhwala Kwalamulidwa kwa odwala amene ali ndi:

• Makanema kobwereza wa SVT symptomatic, zokhudza khalidwe la moyo.
• Zizindikiro anafotokozedwa ndi thandizo la electrocardiogram ndi.
• Makanema osowa wa SVT, koma wodwala akatswiri ntchito pangachitike chitukuko cha matenda.

Radiofrequency catheter ablation akulimbikitsidwa ambiri odwala awa. Iwo ali pangozi ka mavuto ndipo umathandizanso nthawi zambiri. Ndondomeko ambiri amatenga maola 1.5, zikhoza kuchitidwa pansi mankhwala oletsa ululu pamalopo ndi sedation kapena mankhwala ochititsa dzanzi ambiri. Odwala zambiri kukhala mu kuchipatala usiku chifukwa kuonetsetsa ndi polojekiti mtima.

Pharmacological kasamalidwe ka matenda

Cholinga cha mankhwala - kuchepetsa mu nkhani pafupipafupi SVT. Only kagawo kakang'ono ka odwala akhoza tichotse zizindikiro za matenda, monga tachycardia supraventricular. Chithandizo kumakhala ndi izi mankhwala tikulimbikitsidwa:

• atrioventricular nodal kutsekereza mankhwala;
• Ine antiarrhythmic mankhwala ndi kalasi III.

Beta-blockers ndi blockers kashiamu njira (Maphunziro II ndipo IV) sali oyenera woyamba mzere mankhwala mu matenda a syndrome Wolff-Parkinson-White. maphunziro osapanganika sanasonyeze matenda ukulu wa wothandizila wina. Komabe, beta-blockers ndi blockers kashiamu njira ali opambana mankhwala "Digoxin" chifukwa iwo kupereka bwino kutsekereza zotsatira pa AVURT mu mkhalidwe kamvekedwe mkulu wa mantha dongosolo chisoni. Iwo sayenera kugwiritsidwa ntchito odwala ndi matenda a CPG, monga angapereke kwa conduction mofulumira njira zina ndi fibrillation matenda, kungachititse fibrillation yamitsempha yamagazi.

Chithandizo cha odwala matenda Wolff-Parkinson-White

Kwa odwala ndi matenda CPG pamwamba pali mankhwala njira. Zochizira matenda tikulimbikitsidwa:

• "Flecainide".
• "Sotalol» (II ndi Maphunziro III zochita).

Iwo kwambiri kuposa beta-blockers ndi blockers kashiamu njira popewa ndi SVT, koma kugwirizana ndi chiopsezo ka tachycardia yamitsempha yamagazi. chiopsezo Izi otsika odwala popanda matenda structural mtima, koma mavuto zimachitika 1-3% odwala kulandira "Sotalol", makamaka amene ntchito mlingo waukulu.

"Amiodarone" alibe udindo kupewa yaitali SVT monga syndrome Wolff-Parkinson-White, ndi zina pafupipafupi mkulu wa mavuto poizoni pa thupi ndi ntchito yaitali.

Kupewa nkhani SVT

Inu mukhoza kutenga mankhwala tsiku kuteteza nkhani ya SVT. mankhwala osiyanasiyana bwanji zilakolako magetsi mu mtima. Ngati njira zina zilibe ntchito kapena amayambitsa zotsatira zina zoyipa kudziwitsa dokotala anu. Iye amalangiza zimene mankhwala m'pofunika vuto lanu.

Muyenera kudziwitsa boma zogwirizana ndi kuleketsa kukwera kumbuyo gudumu la galimoto, ngati pali mosavuta matenda ufulu pamene galimoto. Musamalandire mankhwala kuteteza SVT, tingathe kukulitsa nkhaniyo ndi mavuto ena mtima. Kupewa bwino ndi katundu tsiku la kachitidwe mtima mwa thupi.