Sinus: Oonobangela, Iimpawu, diagnosis and Treatment

abagulayo sinus syndrome lidibanisa ingqiqo ka arrhythmias ezahlukeneyo kwentliziyo, eyayiqwalaselwe oyena nobangela utshintsho zophendlo lwezifo kumsebenzi esiludumbo sinus. Esi sifo sizibonakalisa bubukho bradycardia, yaye ngakumbi apho rhoqo nakujoliso le arrhythmia.

Ukuze kukuphelisa esi sifo zisenzeka, kubaluleke kakhulu ukuba afunyaniswe isifo kwaye afumane unyango kwe zakhiwo.

Iimpawu zesi sifo

Imisipha onentliziyo echwayitileyo uba liziko icwangcisa kwisingqi yomntanakhe yakhe. Lo msebenzi wenziwa ekuthiwa sinus node, nto leyo kuthathwa ipacemaker. Oku kudala i ngogesi nokujikwa oko entliziyweni.

Sinus node wentliziyo na intendelezo wasekunene kwindawo apho kukho umbutho cava Vena. It is a uhlobo yamandla, esasaza intlawulo enikwa kwisingqi xa ibetha kwemisipha kwentliziyo. Ukuvuthuluka umzimba yomsebenzi yenza uhlobo olwahlukileyo ukuphazamiseka ekusebenzeni kwentliziyo. Le ngezifo kubonakala ngokulinganayo kuzo zombini nabafazi yaye ngokufuthi kwenzeka kubantu abadala.

Abagulayo sinus syndrome - ayikho ukugula enye ethile, kodwa ke ezininzi ezidibene nezinye izifo zentliziyo isingqisho. Le nto ibandakanya:

• bradycardia;
• tachycardia;
• uhlobo mixed.

ngezifo Olo eqhelekileyo nokuphendula kakuhle kunyango, ingakumbi kwisigaba sokuqala esi sifo. Ukuze ubone ubukho sifo, qiniseka ukuba ukwazi unobangela bandiqumbisayo yona ngazo.

Ulwahlulo kwesifo

Abaninzi bayazibuza, sinus arrhythmia - ukuba esi sifo zihlelwe nolusasebenzayo uphawu nguye njani? Ungakhetha ezi ntlobo ezimbi, ezifana:

• sinus bradycardia;
• tachycardia-bradycardia syndrome;
• ibloko sinoatrial;
• ayaphela sinus.

Bradycardia ungachazwa ukuba inani la kwenzeka, yaye oku nokunciphisa iziphumo ekuncitshisweni zokurhwaqela kwezihlunu intliziyo. Ukuba kukho ngaphantsi somzuzu omnye amanxeba mahlanu, loo nto ithathwa ngumqondiso ophambili womntu ohlaselwe bradycardia.

bradycardia-tachycardia syndrome luphawulwa into yokuba ixesha deceleration kwemisipha nesentliziyo kufakwe iyangongoza. Ngamanye amaxesha ngexesha kuphuhliso okwalandela ngezifo waphawula fibrillation atrial.

Xa sinoatrial ukuvimba sinus node aliguqukanga, kunjalo, kukho ukusilela kwenzeka ngexesha transmission ukubetha. Ngendlela ecacileyo kwaye ngokufanayo kwenzeka ukubetha kwafa kuxhomekeke ucutheko zesingqisho imisipha yenhliziyo.

sinus stop imiyalezo kuthetha ngokwayo ukuba kwisincedisi-ntliziyo ukuze ixesha elithile kuthatha ikhefu kuphuhliso ubume. Ukophulwa yomsebenzi site yahlukile kunye umlinganiswa sifo, oko kukuthi, yahlulwe:

• angasebenzi yangoku;
• flow uveza;
• kubonakaliswa for.

Elele phezu kuchazwe into yokuba nokuphazamiseka ye esiludumbo sinus kusebenza ezingabonakaliyo. Ukwehluleka zinqabile kakhulu kwaye ukungaphili kuphela ngexesha uphando olubanzi.

indlela uveza le sifo sizibonakalisa yi into yokuba sinus elifana neli kakhulu ebusuku. Oku kubangelwa igalelo kumsebenzi kwisingqi kwenkqubo yawo. Xa ukuhamba ngezifo ubonisa ukungasebenzi intliziyo kuvela ucaca ngakumbi.

Izinto ezibangela izifo

Kukho iindidi ngeendidi yezizathu bandiqumbisayo sinus, esenokuba ngaphandle kunye nezo ziphuma ngaphakathi. Ezona zizathu zixhaphakileyo lwangaphakathi ziquka ezifana:

• replacement kweeseli izihlunu kwentliziyo ngu kwizicwili;
• isifo sentliziyo;
• yamafutha;
• utyando kunye ukuhlukumezeka;
• nangokurhala, kungakhathaliseki imvelaphi yazo ethile;
• izifo komzimba;
• kophulwa umthetho protein ukutya.

Kwakhona imiba predisposing babe neengxaki pathways, ukungabikho okanye intsalela yemveliso ihomoni yi esinobubovu lengqula, isifo seswekile, utshintsho abasisigxina ubunzima.

Zingunobangela oqhelekileyo lwangaphandle abagulayo sinus syndrome (ICD-10 - I49.5) ukuze iphenjelelwe ngokungeyomfuneko luvo yesebe elijongene umsebenzi wamalungu zangaphakathi abaninzi. Loo imeko kwenzeka xa:

• ukwenzakala luvo;
• phambi yobubi engqondweni;
• Ukopha ebuchotsheni;
• ngendlela nokwamkelwa amalungiselelo athile amayeza.

Abantwana sinus elifana neli ubukhulu becala isifo somqala omhlophe, kunye nabantu abadala - xa yamafutha iimpahla coronary. Ukuphazamiseka ukusebenza kwisebe imisipha yenhliziyo kwenzeka ubukhulu becala kwizigulane kunye iqhosha elibukhali engabalulekanga. Amaxesha amaninzi unobangela noko ukusilela intliziyo oyingozi.

Iimpawu ze-unit syndrome buthathaka

Ukuze babone ngexesha ukuhamba sifo, qiniseka ukuba uyazi, arrhythmia sinus - yintoni yaye ziziphi iimpawu zesi sifo? Ukunyhashwa zingavela ngeendlela ezahlukeneyo, ngokuxhomekeke isifo zaseprayimari, nto leyo eyabangela kubo. Ekuqaleni, lo sifo kakhulu nazimpawu. Izigulane akufuneki nokuziphawula aphazamiseka kwiimvumelwano entliziyweni luhleli imizuzwana embalwa.

Ezinye izigulane ekuqaleni kusenokubakho iingxaki igazi kwegazi kwingingqi ingqondo kunye nezinye izigqeba, nto leyo enokukhokelela ekubeni obubonakala ezifanelekileyo clinical. Emva koko, kukho ukuqhubeka leengxaki waphawula ukuncitshiswa kwenani kwamathumbu intliziyo. Ubungqongqo sifo kuxhomekeke kakhulu kurhulumente ngokubanzi yenkqubo sentliziyo.

Iimpawu eziphambili abagulayo sinus syndrome sikwinqanaba lokuqala zezi:

• nesiyezi;
• iyangongoza;
• niphele ;
• ubuhlungu esifubeni;
• uphelelwa umoya.

iimpawu ezinjalo non-ngqo, kutheni ukhetha le ndlela ibhetele unyango apho kuyimfuneko ukuqhuba isifo ebanzi. sinus node kwekhono syndrome yahlulwe ngamaqela amabini ahlukeneyo, oko kukuthi, nokuhluthwa umsebenzi kwengqondo, kwaye kukho iingxaki zentliziyo.

Kwimeko zokugxojwa ubuchopho ziyakwazi ukuchongeka iimpawu ezinjalo olusisiseko inkqubo lwezidumbu, ezifana:

• ucaphuka;
• ukungazinzi ngokweemvakalelo;
• imvakalelo njalo nokudinwa;
• imemori sokunciphisa.

abantu abadala kananjalo uba ukuhla nengqondo. In ukuqhubela phambili kwe-nkqubo zophendlo lwezifo ithatha indawo disorder yegazi ukuba Uxhokonxwa iimpawu ezinzima ngakumbi. Isiyezi kunye nesiyezi inokuba ikhatshwe buthathaka kakhulu kwaye ukuvela ukuduma. Ngenxa yoko, Ukonakala kwenye ukusebenza izihlunu senhliziyo drop elibukhali uxinzelelo, kulandele lungapholi kunye pallor ngokugqithisileyo ulusu.

Iimpawu sinus ngenxa ukunyhashwa kwi inxalenye izihlunu zentliziyo isanda ngokubonakalayo lungenzeki. Ngenxa ukuqhubeka ngezifo waphawula intlungu emva breastbone ukuba kwenzeka ngenxa ukonakala perfusion engabalulekanga. Xa bandisa ngokwasemzimbeni, izigulane ezikhala ukudinwa kakhulu kwakunye nokubamba-bamba umphefumlo. Ukuba ixesha ayiboneleli unyango kwisigulana, oko kunokukhokelela ukusilela intliziyo ezigulo ezondeleyo. Kumanqanaba kamva yenkqubo zophendlo lwezifo lunokubulala.

ekuxilongweni

Ukuze babone ngexesha ubukho ngezifo kunye nonyango kuxilongo ezihlangeneyo sinus ebalulekileyo, oluqhutywa ngokusebenzisa iindlela ezininzi ezahlukeneyo. Indlela elula uthathwa njengonokuthatha i electrocardiogram ngexesha uhlaselo. Ngaphaya koko, iindlela ezo zisetyenziselwa ekusebenziseni zokuxilonga, ezifana:

• esweni Holter;
• sonyango umzimba test;
• intracardiac isifundo electrophysiological;
• definition iimpawu.

Holter kuthetha ukusetyenziswa electrocardiograph eziphathwayo, leyo ebudeni bemini mabarekhode umsebenzi imisipha yenhliziyo. Kuyinto elula kakhulu, kuba kunokwenzeka ukuba ukubona ukuhamba efihliweyo yenkqubo yezifo. Isigulane ke ngoko baphile ubomi babo yesiqhelo kunye neenkqubo ezingundoqo. Ngokuhlaziya data bakufumana, kunokwenzeka ukuba ukumisela ingcambu unobangela kwekhono sinus node.

Kwakhona kuqhutywa iimvavanyo nentshukumo, ngexesha apho intliziyo yomguli iimfuneko ezithile ngaphezulu. Ngexesha umthambo kwandisa inqanaba ioksijini, nto leyo efunekayo ukuze ukutya engabalulekanga. Olu vavanyo luza kuqinisekisa iimpawu oksijini yindlala.

yokunikeza

unyango sinus luqala ekusombululeni imiba ezona engabangela Uhanjiso sifo. Ukuza kuthi ga ngoku, ekuqaleni irhoxisiwe ulwamkelo ngamalungiselelo ezinyuliweyo zonyango. Indlela ephambili konyango, eqinisekisa isiphumo kakhulu engcono ukwenzeka, kucingwa ukuba ufakelo-ntliziyo.

Ukongeza ekupheliseni oonobangela zangaphandle kufuneka ukuba ube intlonelo kwinqanaba eliphezulu umthwalo, ngaphandle nemikhwa emibi. Kuyimfuneko ukuba ukunciphisa inani wokusela caffeine. Ukuba unesifo esinganyangekiyo, echaphazela ukusebenza esiludumbo sinus, wena ngokuqinisekileyo kufuneka bachithe unyango lwabo.

amayeza

Ukuba kukho ukwanda umsebenzi e-nervous system onoxanduva umsebenzi enyama yangaphakathi, kwaye kukho nezinye, yanyhashwa kakhulu, wenziwe unyango lwe sinus egulayo. Ugqirha amisele iziyobisi ukuncedisa ekuphelisweni kwekhono.

Ngexesha unyango ngamachiza ukuba iziyobisi ingqondo ukuncitshiswa izinga lentliziyo, lisibekele uxinzelelo. Kwiimeko ezingxamisekileyo, isigulane lesitofu ichiza "Atropine". Ukwamkelwa iziyobisi ijolise kuphela bayeke iimpawu eziphambili kwaye liqonga yamalungiselelo ukuqhuba uqhaqho.

ukungenelela operative

Ukuze ukuphelisa sinus node kwekhono, kuyimfuneko ukuseka isantya abasisigxina omzimba wesigulane. Kukho imiqondiso ethile ukufaka ipacemaker, ezibandakanya:

• ubukho ngaxeshanye bradycardia kunye nezinye arrhythmias intliziyo;
• bradycardia nge frequency ukubetha eliphantsi kakhulu;
• ukulahleka lokuqonda evela sokuwa;
• insufficiency coronary, isiyezi rhoqo kunye waphela.

Kule meko, qiniseka ukuba ukubonisa ukufakelwa-ntliziyo, ngokungathi ngokukhawuleza ukuqhuba unyango, kungaba nemiphumela ngakumbi kakhulu, kompu.

Ukusetyenziswa amayeza intsomi

Self-amayeza kunye sinus lokugula akwamkelekanga, nto leyo esisizathu sokuba phambi kokuba nokusebenzisa iindlela zonyango intsomi qiniseka ukuba adibane nogqirha wakho. Ngexesha amayeza onyango emveli eyenziwe izicatshulwa ezikhethekileyo kwezityalo ezingamayeza, ingakumbi, ezifana:

• motherwort;
• eminti;
• valerian;
• Yarrow.

Ezi zityalo ezingamayeza igalelo kuqheleke ubuthongo, ulawulo uxinzelelo, nokuphucula impilo.

prophylaxis

Ukuze ukuthintela ukugxagxiseka, qiniseka ukuba ukwenza nokuthintela abanobuchule. Luquka intlonipho imigaqo yokutya esilungeleleneyo, udinga indlela yolawulo bemini. Xa ukutya kufuneka iimveliso akhoyo ezinomthamo eliphezulu potassium nezinki isandla ekulondolozeni ukusebenza imisipha yenhliziyo.

umsebenzi Physical kufuneka nakanjani babe rhoqo, kwaye umthwalo inyuswe kuxhomekeke kwimeko yomguli ngayo impilo-ntle. Kufuneka uzame ukuphelisa kubomi ngokwasengqondweni iimvakalelo uxinezeleko ntshikilelo. Ukuze smoothen luvo kuyanqweneleka ukusebenzisa iimveliso zendalo kunye ukwala ulwamkelo iziyobisi.

Kwakhona kufuneka kwakhona abeke esweni ubungakanani iswekile yegazi iliso inzuzo ubunzima ebantwaneni kunye nabantu abadala. Awukwazi ukuthatha amayeza ngendlela amayeza ongalawulekiyo, njengoko nkqu amachiza kakhulu kwezinye kungabangela ukonakala umsebenzi intliziyo kwezihlunu. Qiniseka ukuba iimviwo ngexesha unyango ukuthintela nokutshintshwa sifo ngendlela entsonkothileyo kakhulu yeqonga.

Wezulu kunye nemiphumela

Kubalulekile ukukhumbula ukuba sinus sick syndrome - isifo esiyingozi kunokuba neziphumo ezininzi ezimbi. Le leengxaki kwenzeka ubukhulu becala abantu ubudala nangaphezulu, Noko ke, kwafunyaniswa kutshanje kunye nayo kwakhona kubantwana abaselula nabafikisayo. Imiphumo esi sifo kuba kubi kakhulu, ingakumbi, ezifana:

• ukuyilwa kwento bradycardia sinus esisigxina;
• yokuvimba rhoqo intliziyo imizuzwana embalwa;
• uvimba ekudluliseni pulses sinus;
• nokuthandwa tachycardia;
• enomoya atrial.

Ukuba unyango azichanekanga okanye mbilini inkqubo zophendlo lwezifo kunokwenzeka stroke, yaye oku kungabangela umonakalo isicwili sobuchopho nokuphazamiseka nokusebenza kwengqondo. Ukongeza, ngenxa esi sifo kuba ukuyilwa egazi kwegazi, nto leyo eyingozi kakhulu ebomini, ngokungathi kukho umsantsa ihlwili igazi iindonga imithambo yegazi, oko kunokubangela ukufa.

Enye ngezifo kungaba ukusilela intliziyo, nto leyo idla kwasekwa engekho unyango ngexesha phambili kwesifo.

Wona yaphula iziko ubume kwesincedisi- ayikho yingozi kwaye akukho nefuthe elibi yesigulane sokuphila. Usongo kuphela iziphumo ukuba kuxhokonxwa okuvela sifo.

Uhlobo nobungakanani umonakalo liya kuxhomekeka kakhulu iminyaka yobomi eliqikelelweyo. Ukuba sibangelwa esiludumbo sinus, njengoko iingxaki ezibangelwa percolation izifo ingxaki, unamandla kangakanani ukoyiswa ephilayo, iya kuxhomekeka sase- wokusindisa ngakumbi.