Tachycardia. Zvinokonzera neMarapirwo

A ezvinhu apo kwemwoyo kunoonekwa nokuwanda 90 kana kupfuura anorova paminiti anonzi tachycardia. Heart palpitations somugumisiro kutya, kufara kana kupfuura kurovedza muviri chinhu chakaipa vasiri chinoshamisa. Asi pane zvakadai chinhu sechinhu pathological tachycardia. Zvikonzero ichi anoonekwa kuti kukuvadza, ndeinotevera:

• mwoyo basa anova basa, sezvo ungaderedza ropa riyerere kuti siyana nhengo uye munyama nokuda richikwidibira ropa nevezera nokuda kukwana kuzadza ventricles neropa;
• nokuda ngozi yomwoyo kana coronary tsinga chirwere somugumisiro murombo ropa wedzerai mwoyo uye kushaya okisijeni apo kuwedzera mutoro pamusoro payo.

Fani iyi hakunganzi chirwere: zvinozivikanwa kuti zvirwere zvakasiyana-siyana pachena zvakadai zviratidzo sezvo tachycardia. Zvikonzero zviri inodzokororwa kakawanda dzinoratidzwa siyana arrhythmia, autonomic zvirwere (zvikasadaro, kuti autonomic) tsinga, kusagadzikana hemodynamics. Vari akatsanangura nemamiriro uye nheyo kwemoyo, iro rinoumbwa makamuri mana: maviri okumusoro (atria) uye vaviri ezasi makamuri (ventricles). Heart mutinhimira, kazhinji raitungamirwa sinus raiva pedyo nebundu, riri kurudyi atrium (kana kuti, panzvimbo yayo divi pamadziro), rinova yepanyama pacemaker. Sinus raiva pedyo nebundu unobereka magetsi nomunhu, kazhinji achitanga mumwe mwoyo urove. Kubva sinus raiva pedyo nebundu magetsi nomunhu vofamba atria, kukonzera atria tsandanyama uye kuderedza chokubuda ropa mukati ventricles. Kana magetsi nomunhu anosvika tsandanyama ari ventricles, ivo vanobatwa, zvichiita ropa zvokudya munzvimbo tsinga uye mumapapu uye dzimwe nhengo uye nyama dzomuviri.

Sinus raiva pedyo nebundu dzinoitirwa ane kakawanda novimba tsitsi (chikamu autonomic tsinga, Neural nodes izvo dziri ari kure kubva innervated nhengo) uye parasympathetic (kana chikamu autonomic tsinga, autonomic, iyo inoshanda pamwe chete tsitsi tsinga) Kukuchidzira. Kana kutyora tsitsi kana parasympathetic innervation, uye zvokurwara chaiko sinus kunoitika sinus (kana ventricular) tachycardia. Zvikonzero izvozvo vavete atadze kushanda zvakanaka pamusoro sinus raiva pedyo nebundu kana matambudziko zvemukati.

Kunewo zvokunze nematambudziko, akadai atadze kushanda zvakanaka pamusoro autonomic tsinga. Somugumisiro kuvhiringidzika tsitsi tsinga (kuwedzera kurudziro) sokuti palpitations, kuti pane tachycardia. Zvinokonzera palpitations vanhu utano nokuda caffeine. Atadze kushanda zvakanaka pamusoro kwemakemikari anobudiswa ino angaperekedzwa kuwedzera adrenaline kugadzirwa uye kutungamirira tachycardia. External zvinhu zvinosanganisira hemodynamic norudaviro kana BP iri kutura (nokuda nokurasikirwa neropa, kuchinja chimbichimbi muviri chinzvimbo kana kupera muviri), nemhaka inofambiswa mashandiro, anowedzera kakawanda mwoyo anorova.

Unogona kunyora chikuru zvinokonzera tachycardia.

- Kukanganiswa pomwoyo nokuda mwoyo chirwere.

- vachiberekwa anomalies of zvemagetsi nomunhu uyewo chirwere uye vachiberekwa abnormalities zvomwoyo.

- High BP.

- doro, fivha, kuputa, kunwa caffeinated zvinodhaka zvakawanda.

- A divi mugumisiro zvinodhaka.

- Kunwisa kuzvivaraidza zvinodhaka, zvakadai cocaine.

- An kusaenzana kwezvinhu electrolytes, zvicherwa vaifanira kuitisa magetsi nomunhu.

- hyperthyroidism (hyperthyroidism). Mune zvimwe zviitiko, chikonzero chaiwo tachycardia hazvigoni kutsunga, inonzi idiopathic.

Sei kurapa tachycardia? Marapirwo kuvimba chikonzero, zera uye mamiriro eutano murwere, uyewo zvimwe. Chinangwa ndechekuda kuderedza nokukurumidza kurova kwehana, kudzivisa Zvakazoitwa Zvikamu pamusoro tachycardia uye yekuzvidzivirira yematambudziko. Kazhinji rakakwana kupa nokurapa hyperthyroidism. Mune zvimwe zviitiko, kana chikonzero haiwaniki, chiremba anogona kuedza dzimwe nzira. Kudzorera chakaipa kwemwoyo akasuma antiarrhythmic jekiseni (flecainide uye propafenone). Zvazvinoita pamusoro mwoyo wemagetsi kuvhunduka (cardioversion kunechekuita mumwoyo kuti magetsi nomunhu uye anodzosa zvisingatomboiti mutinhimira) inogona kushandiswa panjodzi kana dzimwewo nzira hadzishandi. muchibereko defibrillator - cardioverter, kudzora mwoyo mwero uye anopa kudzorerwa zvakanaka kwemwoyo magetsi.