Arrhythmia wa mtima - mankhwala

Kwa odwala, mndandanda wa arrhythmia ndi wofunikira kwambiri, malingana ndi kuyima kwa mtima:

• bradycardia - zida zosakwana 60 pa mphindi;
• tachycardia - kuwonjezeka kwa mtima pamapiko 90 pa mphindi;
• extrasystole - kufupikitsa mtima kuchokera kumbuyo;
• mtima wamkati - pamene mbali zina za mtima sizichita zofuna.

Zizindikiro za arrhythmia

Malinga ndi gululi, wodwalayo adzakhala ndi zizindikiro za arrhythmia ndi mankhwala:

1. Ndi tachycardia, wodwalayo akhoza kumva:

• kusokonezeka mu mtima;
• kumangiriza mu ntchito ya mtima;
• mpweya wa mtima;
• ululu pambuyo pa sternum;
• vuto la mantha;
• kusowa kwa mpweya.

Nthawi zina tachcarcardia ikhoza kukhala yaumulungu, ndiko kuti, ikhoza kubwera chifukwa cha kupanikizika, kuyeserera mwamphamvu thupi. Pankhaniyi, iwo amanena kuti uchimo kupuma arrhythmia wapanga ndipo palibe mankhwala akufunika. Komabe, ngati wodwala sangathe kulongosola chitukuko cha tachycardia, ndiye kuti chifuwa cha mtima chiyenera kuchiritsidwa, chifukwa mitundu ina ya tachycardia, mwachitsanzo, imayambitsa matenda odwala, chifukwa chakumangidwa kwadzidzidzi, chifukwa chakuti kumangidwa kwa mtima kumabwera.

2. Bradycardia imaonekera :

• kuchepa kwa mtima;
• kufooka kwakukulu;
• kukomoka;
• thukuta lozizira;
• phokoso la khungu.

Bradycardia ikhoza kusonyeza kukula kwa matenda a mtima, myocardial infarction, lakuthwa kwachinyengo, koma vuto lalikulu la chikhalidwe ichi ndikumangidwa kwa mtima.

3. Ndi extrasystole, odwala amamva kupitilira "kwina". Ndi mitundu ina yowonjezereka, odwala amakhala ndi zaka zambiri ndipo samayambitsa mavuto, koma nthawi zina zovuta zimachitika ndi kuwonongeka kwa mtima kwa mtima: zoipa, myocarditis, cardiosclerosis ndipo pakakhala zovuta zowonongeka za fetsythmia.

4. Zizindikiro m'maganizo a mtima zimakhala zofanana ndi zovuta zina, koma izi ndizoopsa kwambiri, zomwe zimabweretsa kumangidwa kwa mtima ndi imfa. Ndicho chifukwa chake nkofunika kuyambitsa mankhwala a mtima wamtundu wa panthawi yake.

Arrhythmia wa mtima: mfundo za chithandizo

1. Mankhwala osokoneza bongo a kupuma kwa arrhythmia.
2. Kusokoneza mazira mobwerezabwereza - cauterization wa malo enieni a mtima.
3. Chombo cha pacemaker ndi chida chothandizira kuthandizira muyeso wa mtima, ndipo panthawi imodzimodziyo, imayang'anitsitsa pang'onopang'ono kuyang'ana kwa mtima.
4. Cardioverter defibrillator ndi chipangizo chomwe chimaikidwa kwa odwala omwe ali ndi chiopsezo chachikulu cha kumangidwa kwa mtima kosadziwika. Mukaimitsa, imayambitsa njira yowonongeka ndi kuyendetsa.
5. Mankhwala osakanizidwa.
6. Kuchiza kwa arrhythmias mtima ndi mankhwala ochiritsira.

Njira zochizira matenda a atrial fibrillation

Pamene arrhythmia imapezeka kwa nthawi yoyamba, dokotala amayamba chithandizo chamankhwala, chomwe chingachepetse chipatala cha matendawa. Komabe, molingana ndi chiwerengero, mwachitsanzo, pochiritsa paroxysmal arrhythmia, mankhwala ochiza mankhwala amathandiza kokha mu 10-15% a milandu. Ichi ndichifukwa chake mankhwala amasiku ano amachititsa kuti mankhwala asakanike, kuphatikizapo njira zingapo m'magulu amodzi.

Inde, kusankha njira yaikulu ya chithandizo kudzadalira mtundu wa arrhythmia, zaka za wodwala, matenda aakulu, kukhalapo kwa concomitant pathologies. Komabe, mankhwala sakuima, ndipo njira zatsopano ziwonekere zomwe zidzasintha kwambiri moyo wa wodwala, mwachitsanzo, chithandizo chochepa cha opaleshoni chosakanizidwa cha mankhwala opatsirana pogwiritsa ntchito mankhwala oopsa.

Posachedwapa, zakhala zofewa kuti zitheke kuchiza mtima wa arrhythmia ndi mankhwala ochiritsira, kuphatikizapo chithandizo cha arrhythmia ndi zitsamba. Izi ziyenera kumveka bwino kuti njira imeneyi ili ndi ufulu wokhalapo ngati umodzi mwa mitundu yambiri ya mankhwala osakanizidwa, koma palibe njira yodzipangira yokha. Zitsamba zambiri zimatha kuchepetsa, ndipo nthawi zina zimachotsa kliniki arrhythmia, koma ziyenera kukumbukiridwa kuti izi ndi mankhwala opatsirana, ndipo matenda opatsirana amakhalabe osatulutsidwa.