Oonobangela, iimpawu kunye nonyango lwe tachycardia supraventricular

Intliziyo eqhelekileyo isingqi sisuke sangakumbi ngokuba tachycardia supraventricular. Ngokuqhelekileyo, oko enikwa ngeziqendu nezolo ukwanda rhoqo nobukhali ibetha kwingingqi emzimbeni. Nangona CBT Kudla ngokungabikho ezisongela ubomi, izigulane ezininzi ubunzima ngenxa ephindaphindekayo iimpawu zibe nempembelelo ebalulekileyo umgangatho wobomi babo. iziqephu engacacanga manqapha tachycardia kungabangela inkxalabo enkulu kubantu abaninzi.

Ngesiquphe, uVuyo ekhawulezileyo luphawulwa SVT, kwaye izigulane abaninzi unesifo ngezinga eliphezulu lokuqiniseka kuphela imbali. uphindelela izifundo electrocardiographic inokuba nganto.

Iziganeko SVT imalunga 35 amatyala ngamnye 100 000 ngonyaka, ukwanda kwe - abemi 2.25 nganye-1 000. Ngokuqhelekileyo njengendawo paroxysm bendisoloko supraventricular ubonakala tachycardia, iimpawu ezikhokelela etsolo ikhondo sifo. Iintlobo Basic CBT: Wolff-Parkinson-White syndrome, extrasystole supraventricular okanye supraventricular, tachycardia, rientri atrioventricular abahola.

isebenza njani intliziyo?

ilungu elibalulekileyo liye amagumbi ezine - imithambo emibini kunye ventricles ezimbini. yomntanakhe nganye iqala ngala mandla zombane omncinane ekuveliseni esiludumbo sinoatrial. Yeyona kwesincedisi- kwinxalenye engentla intendelezo ekunene. Ubume yombane Ukhuthaza ecaleni izihlunu intliziyo, ebangela ukuba zisebenze. Ekuqaleni, ihamba imithambo, esiludumbo atrioventricular ekuweleni elisebenza zokusasaza. Ngoko ke udlula i atrioventricular bundle lenze nje umqhubi ngokunikezela la ukuya ventricles. Ngenxa yoko, le ventricles aqale ukusebenzisa igazi yegazi.

Yintoni supraventricular tachycardia, yaye yintoni unobangela wayo?

Isifo olele ukubetha ventricular top kungalawulwa node sinoatrial. Enye inxalenye intliziyo avale ngamaza ombane ukuya-ntliziyo. Umthombo iqala ngaphezu ventricles kwaye isasazeka kubo. Kwiimeko ezininzi, CBT iqala abadala. Kwakhona eqhelekileyo abantwana tachycardia supraventricular. Noko ke, oko kunokuthi kwenzeke nanini na ubudala. Sisifo inqabile, kodwa ke inani ngqo amaxhoba ayaziwa.

tachycardia Supraventricular supraventricular ngenxa yezi zizathu zilandelayo:

• Imithi. Ezi ziquka ezinye njengeeinhalers, izongezo eengcambu kunye amayeza ezibandayo.
• Ukusela eninzi caffeine kunye notywala.
• Uxinzelelo okanye kabi ngokweemvakalelo.
• Ukutshaya.

Atrioventricular kunye nohlobo atrial of SVT. Wolff-Parkinson-White syndrome

AVURT - uhlobo luqhelekileyo tachycardia supraventricular. Senzeka ngokufuthi abantu abangaphezu kweminyaka engama-20 kwaye abafazi phezu 30. Kukho sisiphene kwimeko ukubetha ombane ukuya kwiziko intliziyo. Amaninzi kubonakala kubantu uphilile. Endaweni ukuqalisa yesiqhelo kunye nesicelo kwe esiludumbo ukubetha sinotrialny uyavuma yangoku ezongezelelweyo niyijikeleza le circuit short. Oku kuthetha ukuba ukunyuka izinga lentliziyo ngokukhawuleza kwandule baphuhlise zonke iimpawu SVT.

tachycardia Atrial uhlobo azixhaphakanga. Oku kwenzeka kwindawo encinane kwithishyu, naphi na kwiintliziyo zombini imithambo. Kwiimeko ezininzi unobangela ayaziwa. Noko ke, kunokwenzeka kuloo mimandla apho iposi engabalulekanga iye yakhutshelwa ngaphambili, okanye kukho iingxaki ivelufa ngentliziyo. Wolff-Parkinson-White syndrome likhula ngokukhawuleza kakhulu. Kukho iimpawu nesiyezi, kunokwenzeka ilahleko lokuqonda. ukufa yequbuliso ingxaki yale meko, kodwa ziyenzeka kunqabile kakhulu.

kubonakaliswa clinical

Iimpawu tachycardia supraventricular ingathatha imizuzwana ezininzi, imizuzu okanye iiyure.

Ezilandelayo ezibonisa:

• Pulse iba beats 140-200 ngomzuzu.
• Ngamanye amaxesha kunokuba ibe ngokukhawuleza.
• Kolotaniya imvakalelo kwentliziyo.
• Isiyezi, uphelelwa umoya.

CBT ngokuqhelekileyo iqala ngesiquphe, ngaphandle kwesizathu. tachycardia Paroxysmal supraventricular wambona yokwanda entanyeni okanye entloko, kwaye ikhatshwe kwesifuba (iintlungu engaqhelekanga), ukuphelelwa umoya, ixhala. Rhoqo, uxinzelelo lwegazi uvikivwa ngenxa intliziyo isingqisho ngokukhawuleza, ingakumbi ukuba kuyaqhubeka iiyure ezimbalwa. Kwezinye iimeko, oku kukhokelela niphele okanye ukuwa.

Ubungakanani kweempawu iyahluka kakhulu, ngokuxhomekeke umsebenzi kunye contractile kwamaza, ubude, tachycardia supraventricular, izifo ezinxulumene nentliziyo. Kwakhona unalo ixabiso imbono ngamnye malunga nesigulane eso. Kukho inokuba ischemia engabalulekanga.

uphethwe sisifo

Kukho iindlela ezininzi ngoxilongo kwezifo ezifana tachycardia supraventricular: ECG, echocardiogram, uvavanyo kwentliziyo kunye umthambo. Kwiimeko ezininzi iziphumo zophononongo zikholisa eqhelekileyo.

ECG phonononga rhythm kunye nomsebenzi yombane umzimba. Kuyinto elula kwaye kuthatha imizuzu nje embalwa. Ukuba tachycardia paroxysmal supraventricular yenzekile ngexesha ECG, lesixhobo ukuqinisekisa uxilongo kunye ngaloo ndlela ngaphandle nezinye izinto ezibangela yomntanakhe ngokukhawuleza.

Ekubeni akusoloko kusenzeka ukuba ukufumanisa ubukho besi sifo ndawo esibhedlele, isigulane uyakhuthazwa ukuba ukuzama ukuchonga esi sifo kunye ngoncedo electrocardiograph eziphathwayo. Wayeza ngentloko zonke iinkqubo ezenzekayo entliziyweni iiyure ezingama-24. Ngexesha inkqubo, akukwazi ukuqubha.

Kusenokufuneka ukuba usebenzise i echocardiogram. Kuyimfuneko ukuba uvandlakanyo lwesakhiwo ezesifuba umsebenzi, kodwa iziphumo ngokuqhelekileyo kuluhlu yesiqhelo. Kananjalo kuya kufuneka ukuba enze eminye imisebenzi ziyafuneka ukumisela xa kwenzeka tachycardia (ngexesha umthambo okanye ukuphumla). Izigulane ezikhala iintlungu esifubeni SVT. Ezi mpawu musa ukuba uvavanyo loxinzelelo okanye angiography. Isigqibo malunga olunye uvavanyo kufuneka lusekelwe kwimbali kunye nobukho ubungozi semithambo yesigulana.

Ezikhoyo iinketho zonyango

Uninzi iimpawu SVT kuphela ngokwabo, akukho unyango kuyimfuneko. Ngamanye amaxesha kuyenzeka ukuba uyeke iimpawu ngokusebenzisa amanyathelo ezahlukeneyo, kuquka ukusela amanzi abandayo, ebambe umoya wakhe, ithotywe ubuso bakhe ngamanzi abandayo. Noko ke, ukuba CBT ithatha ixesha elide iimpawu kakhulu kunene, kufuneka ngoko nangoko uye esibhedlele.

Kukho iindlela ezininzi ukulawula tachycardia:

• Igama elifutshane.
• Ixesha elide.
• Kwemithi.

Apha ngezantsi jonga kwi ngamnye kubo ngokwahlukeneyo.

ulawulo elifutshane elide sifo

Injongo yale unyango - ukuyekwa bahlaselwe ahlekise. Oku kuphunyezwa uhlela leyo ukwandisa ithowuni. Umzekelo, ungafaka isicelo stimulus abandayo nolusu. Kwakhona nesi sifo ezifana uhlobo supraventricular of paroxysmal tachycardia, unako ukufumana umyalezo we-sinus carotid.

Ukuba la manyathelo awakuncedi, kucetyiswa ukuba athathe enye kula machiza:

• "Adenosine". Yena ngokukhawuleza ususa iimpawu ngokubhloka amaza zombane entliziyweni, kodwa zisasuka kukuba ngethuba wesenzo lincinane. Kwiimeko ezinqabe kakhulu, kunokuba mandundu bronchospasm okubangelwa Nedlac kwesifuba.
• "Verapamil" "Diltiazem". Iziyobisi zoshwankathelo zilawulwe yegazi phezu imizuzu 2-3. Bayasithwala umngcipheko potentiation yokuba hypotension kunye bradycardia.

ulawulo Long-term yokugula

akubikho lo tachycardia paroxysmal supraventricular? Unyango uwedwa ngokuxhomekeke amaza bawayo kunye nefuthe izigigaba kwizigulo kumgangatho wobomi.

Imithi ukuba izigulane abaye:

• iziqephu Phindaphinda ka SVT kwangumqondiso, echaphazela umgangatho wobomi.
• Iimpawu zaye zachongwa ngoncedo i electrocardiogram.
• iziqephu Rare of SVT, kodwa umsebenzi isigulane kwezobungcali enokukhokelela kuphuhliso sifo.

Radiofrequency catheter ablation nekucetyiswa ukuba uninzi lwezi izigulane. Kuye umngcipheko elincinane iingxaki kwaye kuliyeza kwiimeko ezininzi. Le nkqubo kuthabatha iiyure 1.5, oko kwenziwe phantsi zomzimba lendawo umthomalalisi okanye Ukubulawa jikelele. Izigulane ngokuqhelekileyo ahlale walala esibhedlele ukuze ahlolwe esweni intliziyo.

ulawulo kwemithi zezifo

Injongo unyango ngamachiza - ukwehliswa ugqaliselo frequency SVT. Kuphela iqhezu encinci izigulane azikwazi kukuphelisa iimpawu izifo ezifana, ezifana tachycardia supraventricular. Unyango kubandakanya imveliso ekucetyiswa zilandelayo:

• iziyobisi atrioventricular ezingundoqo uvimba;
• I iziyobisi antiarrhythmic kunye neklasi III.

Beta-blocker kunye blocker calcium channel (Class II nese IV) ayifanelekanga ukuba isetyenziselwe unyango lodidi lokuqala syndrome ka Wolff-Parkinson-White syndrome. izifundo lunomkhethe ngengasibonisanga noludumileyo kwezonyango nayiphi arhente enye. Noko ke, beta-blocker kunye blocker calcium channel ziphakamile unyango 'digoxin' kuba zinika isiphumo engcono ethintela kwi AVURT kwimo ithoni ophezulu kwenkqubo novelwano luvo. Baya kufuneka ingasetyenziswa kwizigulane kunye syndrome ka CPG, njengoko kusenokuba negalelo Uhanjiso ngokukhawuleza iindlela ezongezelelweyo fibrillation atrial, nto leyo enokukhokelela ventricular fibrillation.

Unyango kwizigulane kunye Wolff-Parkinson-White syndrome

Kwizigulane kunye CPG syndrome ngasentla kukho enye iziyobisi. Kuba unyango lwezifo ezifana kucetyiswa:

• "Flecainide".
• "Sotalol» (II kunye noMgangatho III iintshukumo).

Bayaphumelela ngaphezu beta-blocker kunye blocker calcium channel ekuthinteleni SVT, kodwa ezinxulumene ingozi encinane tachycardia ventricular. Ingozi eliphantsi izigulane ngaphandle isifo sentliziyo kwesakhiwo, kodwa iingxaki kwenzeka 1-3% ezigulane abafumana "Sotalol", ingakumbi abo basebenzisa ngeedosi eziphezulu.

"Amiodarone" akukho indima kuthintelo ixesha elide SVT njengoko kwi Wolff-Parkinson-White syndrome, kunye nezinye iintlobo yobuninzi aphezulu neziphumo yityhefu kwi emzimbeni kunye nokusetyenziswa ixesha elide.

Ukuzikhusela SVT iziqephu

Unako ukuthatha iyeza imihla ukuthintela iziqephu SVT. Amachiza ezahlukahlukeneyo kuchaphazela ngamaza ombane entliziyweni. Ukuba ezinye iindlela ayisebenzi okanye ibanga iziphumo ebezingalindelekanga, qhagamshelana nogqirha wakho. Uya kukucebisa wasela awaphi amayeza kuyimfuneko kwimeko yakho.

Kufuneka kwazisa abasemagunyeni abafanelekileyo ziphele ukuze ndikhwele ngasemva isondo imoto, ukuba kukho amathuba izifo simahla ngoxa uqhuba. Musa ukuthatha amachiza ukuthintela SVT, oko mandundu le meko kwaye ibangele nezinye iingxaki intliziyo. Uthintelo engcono umthwalo mihla le yegazi esebenzisa umzimba.