Ukuba uyakholwa ukuba iincwadi namabali emveli, intliziyo ilungu ethe kakhulu ukuba uyakwazi ukuthanda, ukuziva, ukucinga, ukongeza, kuba ethe kakhulu. Ukususela ngokombono amayeza nje ingxelo yokugqibela okwenyaniso, nangona ukuba umsipha womeleleyo umzimba, besebenza ngaphandle ukuphumla balale kubo bonke ubomi babo. Umsebenzi ophambili kwentliziyo kukuqinisekisa ukuhamba kwegazi ngokusebenzisa ezityeni, zimke nayo, uqala naxa Palsy. Xa ngezifo yomzimba inkqubo intliziyo kufakwa phantsi kuhlaselwa, njengoko ukubaluleka ekusebenzeni eyiyo umzimba liphezulu kakhulu, kunzima ukuba ayikhulise. imilenze ukuvimba - Enye yezi ezimbi axel 'yakhe. Ukuvimba (epheleleyo okanye engaphelelanga) kuphazamisa patency yesiqhelo sinus angxamele inkqubo kwentliziyo, okanye mandithi umendo walo kunye nexesha lokuhamba. Le ukubetha kusekwe kwi esiludumbo sinus, imithambo kufuneka sibe le nkqubo. Xa ukunyhashwa azenzeki okanye awufumaneki yesiqhelo. Ukunyhashwa azifani: eziyingozi (block ngokupheleleyo) kwaye (ezingaphelelanga). Enye ngeengozi ezinkulu ukuqapha yi uhlaba kweziphumo ECG, ngoko ke kunzima ukubona izifo ezininzi wentliziyo, xa iqhosha ethile engabalulekanga.
Le kuvalwe iindlela ekhohlo umlenze bundle bakhe - yintoni eyona?
Kuvalwe iindlela umqulu lasekhohlo block yesebe umqadi (okanye LBBB) - a ngezifo, isixhobo ofisini alale sisilonda esidumbileyoesingaphakathi kwentliziyo kumanqanaba ahlukeneyo. Umzekelo, umlenze ekhohlo kwi umphanda block isebe bundle kunokuba kuchukumiseka. Okanye esiqwini yomlenze ekhohlo ukuya bifurcation. It ngaxeshanye ukwazi kungenwa yi imilenze ngaphambili nangesemva beka amasebe emva ukuzikhetha esiqwini ka umzimba. Kwakhona, nakwisiqingatha lasekhohlo ulwahlulo yonakele phakathi ventricles, inkqubo obandakanyekayo zombini imilenze sebe. Isizathu ingavezwa utshintsho engabalulekanga kwentamo xa ramifications engabalulekanga ngasemva kunye nemilenze yangaphambili. Xa LBBB evinjwe indlela excitation ukuya myocardium le ventricle ekhohlo kumlenze ngasekhohlo. It ikhutshwa phandle engaqhelekanga, apho isakhiwo uyandiswa QRS, kwaye lutshintsha indlela le repolarization kwi ventricle ekhohlo. Iinkcukacha asiyi ingqalelo le ngxaki ukuze ziingcali intliziyo. Cinga ezinye iimpawu zesi sifo. Life imilenze sisilonda esidumbileyoesingaphakathi kungabangela iinkqubo fibrotic, zinxulunyaniswa koronaroskleroza ngaphantsi yaye - kunye myocarditis oluncinane (syphilitic, samathambo, isifo somqala omhlophe, esosulelayo). kunqabile kakhulu, kodwa kuyenzeka ukuba kwafa kwenzeka xa intliziyo esempilweni ngokupheleleyo. Ngaba ukuvimba epheleleyo kunye engaphelelanga zashiya bundle kwibloko yesebe. Ukuba oko a ngokupheleleyo, umdla ekuqaleni igquma kuphela ekudibaneni phakathi ventricles, hayi yonke ventricle ngokupheleleyo. ukuvimba ezingagqitywanga senzeka kule ukuphazamiseka electrolyte ukutya, okanye libanda, iziyobisi, okanye iintlobo ezahlukeneyo ukunxila. Ngenxa yoku, waphazamiseka eqhelekileyo inkqubo Uhanjiso kwentliziyo, kwaye ikhadi excitation ngokupheleleyo ngasekhohlo lungenzeki. Ukuxilonga ukuhlukunyezwa ingaba usebenzisa electrocardiogram eqhelekileyo iya kubakho utshintsho ebonakalayo ziqonde.
Nokuba kuyingozi?
Ukuba ukuqapha kwenzeka kuphela ngomlenze omnye, ngoko akukho, akukho ubomi emngciphekweni, nangona akukho nto ilungileyo phakathi kuyo, ngokuqinisekileyo hayi. Uninzi cardiologists namhlanje bakholelwa ukuba unxaxho Uyekile ukwenza ukutenxa kwindlela kwezo meko xa kukho ngenxa nezinye izifo zentliziyo. ukuvaleka Eyingozi epheleleyo yomibini imilenze, kwiimeko ezinjalo kuyimfuneko ukuba ukutyala ipacemaker.
Kuvalwe iindlela ngasekhohlo bundle block yesebe: unyango kunye nothintelo
Amanyathelo aphambili imithi ethile kwafa inxenye - a efumanise isifo ukuba kwafa kunye nonyango yayo. ezintsonkothileyo ethile therapeutic ukuthi ukuhlukunyezwa ayinayo. Kwiimeko apho isigulane ukubandezeleka wegazi, ubungozi sisifo sentliziyo okanye angina, kufuneka unyango olulodwa ezinxulumene isixhobo inkxaso intliziyo. Oku kusekelwe ngamalungiselelo equlathe glycosides kwentliziyo, iqinile kunye arhente antiarrhythmic. Izigulane bekhubazekile ngentliziyo block ifuna ungenelelo ezingaqhelekanga yotyando. Kuyenzeka ukuba abantu abatsha ukuba kwafa onjalo nanjengokwesimo, oko kusetwa kuphela emva inani lezifundo zobungcali. Khumbula ukuba ukuzeyisa kungaba yingozi kwimpilo yakho, ingakumbi xa kufikwa ngentliziyo. Hlala uphilile!