Chii chinonzi ectopic atrial mutinhimira?

Heartbeats kuti kwaitika nokuti mamwe cheka vari myocardium kana conduction hurongwa, inonzi ectopic atrial mutinhimira. Chii, tichanzwisisa munyaya ino.

zvokurwara Description

Kana sinus raiva pedyo nebundu simba kana wafa ishande, uye kana zvachose kana kubvira nguva nenguva, ipapo pane ectopic anorova (kana kunzi tsiva).

maitikiro ravo kudzika kupfuura sinus mutinhimira. Ectopic atrial mutinhimira anogona kunzi nesinusovym. Kure kwarwakabva, saka kwayo kupomba maitikiro riri shoma. Chii chinokonzera kuchinja basa mwoyo?

The zvikonzero kuti kuchinja mutinhimira

Kuchinja kwakanga kuchiitika sinus raiva pedyo nebundu nevamwe vachiitisa zvikamu kukonzera nesinusovogo mutinhimira. zvarakasiya izvi kubva chakaipa mutinhimira anogona kuva:

- sclerotic;

- ischemic;

- anogumbura.

Kupatsanura nesinusovyh mutinhimira

Kupatsanura nesinusovyh mutinhimira kunogona zvakasiyana. Zvinotevera vakawanda chimiro.

- Nesinusovy mutinhimira kunogona supraventricular ectopic mutinhimira zvakasikwa. Izvi zvinoitika nokuda ovhadhozi pakati cardiac glycosides, uye vascular dystonia. Automaticity pamusoro ectopic foci kunowedzera, zvinoguma ichi fomu nesinusovogo mutinhimira. Apa pane mwoyo mukuru zvazvingava, mukusiyana kune nokukurumidza yokutsiva uye ectopic anorova.

- Nesinusovy mutinhimira zvinogonawo kuva ventricular. Izvi zvinoratidza kuchinja rinokosha iri myocardium. At zvakare pasi mumwe kakawanda ventricular sunga kazhinji kuva nechirwere chemwoyo, icho hwakazara zvakakomba.

- Mukuwedzera, mutinhimira zvinogona atrial. Kazhinji kutanga rheumatism, zvirwere mwoyo, BP, chirwere cheshuga, nechirwere chemwoyo. Cardiopsychoneurosis kungaita kuti mutinhimira yakadaro. Zvisinei, ectopic atrial mutinhimira uye vanhu gwindiri. It ane Inopera hunhu, asi anogona kugara kwenguva refu. Zvingaita kuitika congenitally.

Sezvineiwo, ectopic mutinhimira hakusi chete kuti vakuru asiwo vana vaduku. Izvi zvinogoneka chete iripo mamwe excitation foci izvo ushande tisingatungamirirwi mumwe. Zvinonzi vanotungamirirwa neuroendocrine zvinhu uye kunopfuurira zvachinja myocardium.

marudzi kutyorwa

Zvikamu dzakadai ectopic atrial mutinhimira ari mwana anogona kuva:

- Active, ayo kuburikidza paroxysmal tachycardia uye rokusamhanyira anorova inozivikanwa.

- Yechipiri (yakasiyana atrial fibrillation).

Cardiac Organic zvokurwara kunoguma pauduku kusvika ventricular arrhythmia. zvokurwara Izvi zvinogona chirwere ari mwana achangoberekwa utano.

Nemavhairasi chirwere kungaita mu vacheche tichibatwa paroxysmal tachycardia. In kwakadai tachycardia pane chimiro huru iyo inonzi supraventricular.

Vachiberekwa mwoyo kuremara, chive ovhadhozi kuti aspirin, cardio kutsamwisa kwazvo chimiro tachycardia atrial mutinhimira.

Izvi zvingaitika kana mwana akamuka kana chete Akakurumidza kuchinja nzvimbo yemuviri wake. Supraventricular chimiro paroxysmal tachycardia ndiyo ngozi chaizvo.

Ndezvipi zviratidzo kusiyanisa ectopic atrial mutinhimira?

Sezvo kare akataura, runotikurudzira chirwere kunotungamirira nesinusovym mutinhimira. Chero chaizvo zviratidzo, haina inozivikanwa. The kukonzera zvirwere uye mutinhimira kuona zviratidzo.

Zvinotevera Zviratidzo kucharatidzwa, yaunofanira kunyatsoteerera, zvino vanotsvaka kurapwa nokukurumidza:

- ane kurwisa paroxysmal tachycardia kunotanga pakarepo uye pakarepo inoguma;

- hapana harbingers kurwisa;

- hakuna kupfupika mweya kana mwoyo marwadzo pakutanga kurwiswa;

- the kwaita Kufunganya uye kutya;

- chakaita gwenya wokusagadzikana, zvokuti munhu kutsvaka nzvimbo muviri, kunobatsira kumisa kurwisa;

- Munhu anotanga kukwazisana, maziso nerima, nzwa dzungu;

- nechitarisiko vangadikitira;

- kuvapo svoto uye bloating;

- kungaita shungu urinate uye bowel kufamba: Munhu anogona urinate ose 10-15 maminitsi kubva pakutanga tachycardia, uye weti iri dzinounzwa chiedza ruvara, anenge segirazi, achikurudzira kuti defecate vari ishoma.

Paroxysmal tachycardia anogona kutanga kana munhu avete. Ipapo moyo wake atanga kurova zvakaoma nokuti ndaida Somuenzaniso, Kurota zvimwe mhando. Panoperera mwoyo kurwiswa anotanga kushanda zvakadzikama, nevanhu havachanzwi kupfupika mweya.

Pashure kupera mwoyo riwedzere wakacherechedza, ipapo mutinhimira anova chakaipa sinus. Dzimwe nguva panguva kungosunda ndiyo marwadzo. Mune zvimwe zviitiko, mwoyo mwero kuderera zvishoma nezvishoma.

zvimwe zviratidzo

Pane zvimwe zviratidzo kana nesinusovom mutinhimira. Zvichienderana kuti zvinobvira ectopic atrial mutinhimira achabatsirwa, varege kuva akasiyana:

- Somuenzaniso, kana mwoyo arrythmia rimhanye mafungu, vanhu sokuti mwoyo wake akarega, kunzwa kupisa mukati huro uye mwoyo. Asi Zviratidzo izvi zvingasava. Zvakawandisa muviri uremu uye bumbiro hypersthenic kunotungamirira vagotopicheskim extrasystoles.

- The mwana ane kurwisa paroxysmal tachycardia kunotungamirira kufenda, blackouts, dzungu, kunzwa kunetseka uye kufunganya, pallor, cyanosis, kupfupika mweya, kurwadziwa mudumbu. Izvi zvakasiyana ectopic atrial mutinhimira vana.

Ectopic mutinhimira Diagnostics Nzira

Kana munhu akadaro pamusoro zviratidzo, zvinokosha kutaura nokukurumidza kuti chiremba kana cardiologist. Nyanzvi kugadza unonzi, electrocardiograph, iyo inoratidza zvimwe zvinhu mumwoyo kana ane ectopic atrial mutinhimira.

Barb R kuchinja ayo configuration apo atrial mutinhimira. Haana yakajeka chirwere zvinhu. PQ penguva haina kushanduka kana levopredserdnom mutinhimira. Nekuti zvinoitika excitation pamusoro ventricles haina kushanduka yakaoma QRST. PaVR achava akanaka uye kunaka P rechitatu uye wechipiri anotungamirira aVF apo mutyairi nzvimbo mutinhimira ari kuruboshwe nezvakarurama atrium, uye riri dzakaderera mapoka avo. localization yakarurama ectopic mutinhimira kuti kutsunga muzviitiko nizhnepredserdnogo mutinhimira.

Kana mutinhimira ndiko pravoserdnom tsime nzvimbo automatism (P-masero) zvakarurama atrium. Saka akaratidza ectopic atrial mutinhimira pa kuyaruka.

Vana vanodawo kwazvo kuongorora chirwere. Kana atrial extrasystoles dzinosiyana-siyana zino P. kutapudzwa penguva PQ, akacherechedza kukwana compensatory kumbomira uye yakatetepa ventricular yakaoma.

Uye pamwe wakakurumidza ectopic atrial mutinhimira.

In vakurumidze anorova zvinogona atrioventikulyarny hunhu, kuti ECG zvinoratidzwa yokusakwanisa P chinozunguzirwa pamberi ventricular zvivako. In rworudyi ventricular extrasystoles P mureza zino kubviswa mudenga (uye downwards pamwe rworuboshwe ventricular extrasystoles).

Kuvapo embryocardia hunhu paroxysmal tachycardia. Muchiitiko chino, hazvibviri kuverenga kurova kwemwoyo. Pane rutapudzo BP. Kuvapo yakaoma mutinhimira uye ventricular aberrant zvivako. Kana ECG rinoitwa kurwisa kana supraventricular tachycardia, izvozvo ndichengete nomumwe anorova, uye nguva kurwiswa, boka yakanyorwa anorova pamwe mapfupi QRS dzakaoma.

Kunze zvatinosiita ECG zvidzidzo, ndikarangarira zuva Holter ECG zvichiongororwa uye transesophageal electrophysiological kudzidza. Zvose izvi unogona kuona imwe ectopic atrial mutinhimira.

mabatiro

Kana munhu akataura nesinusovy mutinhimira, marapirwo anosarudzwa zvichienderana runotikurudzira chirwere. Kuti mushonga kuti vabudirire, unofanira kunyatsoongorora mhaka kukundikana mwoyo. Kana zviri kukonzerwa vegetative-vascular zvinetso, zvingava zvinoda rokutarisira sedatives. Kana vagus zvakasimbisa, zvichabatsira belladonna uye "Atropine!. Tachycardia zvinoda kushandiswa Beta-blockers (" Cordarone, "" Inderal "" Isoptin "," obzidan ").

kana arrythmia

Kana arrythmia, vane makemikari mavambo, basa mwero "Pananginum" kana potassium chloride. Antiarrhythmic mishonga mune zvimwe zviitiko kunogonawo kuva kunobatsirawo ( "procainamide", "Aymalin"). kushandisa "Panangin" uye "Lidocaine" Myocardial infarction uye arrhythmia panguva imwe chete. Man anowana zvinodhaka izvi aine dropper.

Kudhaka pamwe cardiac glycosides

Kana Digitalis kudhaka politopnye extrasystoles kuitika izvo zvinozoita kuti ventricular fibrillation. It zvitarisiswe pakarepo kurega zvinodhaka uye kurapwa "Inderalom", "Potassium", "lidocaine". "Unitiol" uye diuretics kubatsira kuunza kudhaka. Chiizve ngazviitwe nechirwere pamusoro ectopic atrial mwoyo mutinhimira?

Dzimwe nguva massaging ari carotid sinus mumasekonzi 20 kuruboshwe uye kodzero, kana pane chimiro supraventricular. Zvinobatsira kumanikidzwa pamusoro dumbu uye meso. Kushaikwa kusunungurwa zvinoda kugadzwa Beta-adronoblokatorov. Vari chinotaurwa pana zvishoma kumhanya, pamwe zvakafanira kuzvidzora kupomba uye BP. Mix 'propanol' uye 'verapamil' IV haina inokurudzirwa.

Zvakadini kana kurwisa isina akamira?

Kana Kurwisa hauna akamira uye zvawave kwechinguva, murwere nemamiriro kuipa apo, kushandisa cardioversion. Cardiac glycoside kudhaka munhu contraindication kuti kurapa kwakadaro. With kakawanda uye kwazvo kurwisa anoshandiswa kuramba pacing.

Sezvo matambudziko ave kusembura matambudziko mwoyo. Panguva Chaiyo kuwana chiremba kunogarirwa ectopic mutinhimira, sezvo zvirwere zvikuru apora kana kudzorwa. Naizvozvo, zvakakosha kuti tisatya kana dzakaonekwa ectopic atrial mutinhimira nokuda kwemwoyo unonzi, electrocardiograph. Chii, hatina akaongororwa.

Zvokungwarira

To mwoyo wake wakanga wakajeka uye kwakarongeka basa, vanoda zvishoma kuti kutya uye kuchengetedza utano hwakanaka. The Kazhinji munhu anopedza nguva panze, mubasa mwero yokurovedza basa, kuti hutano achava mwoyo waro. The simba zvakakodzera kuti dzisanyanya mafuta zvokudya, izvo inosimudzira paumbwe remafuta akawandisa plaques. Unofanira kudya zvakawanda faibha, matsva muriwo, michero kuti ane mavhitaminzi. Anokosha nokuda komoyo calcium, magnesium, potassium.

Dairy zvigadzirwa akapfuma calcium, madomasi uye mabhanana makuru yakawanda potassium, magnesium ari sipinachi, Buckwheat, twakadai.

mhedziso

Dzimwe mhosva mwoyo mutinhimira abnormality iri yevanhu psyche. Muchiitiko chino, pashure kushanyira chiremba kana cardiologist zvine musoro kubvunza mumwe chiremba. Ungafanira kupedza nzira psychotherapy.

Nokuti mwoyo matambudziko hakufaniri kurerutswa, asi panguva imwe chete, tinogona kudzivisa kukura cardiophobia kana kutya mwoyo kurwisa uye zvimwe pathologies zvakakomba.

Kana mwoyo Musoja wacho musoro kutora nguva refu, sedatives, yakanakisisa miriwo nokuti njodzi uye anongoda hapana contraindications uye marwadzo. Izvi zvinosanganisira valerian tincture, motherwort tincture, "Novopassit", "Persia".

Ndizvo sei nengozi ectopic atrial mutinhimira. Chii, ndinovimba zvose zvino pachena.