Chimodzi mwa zizindikiro zofunika kwambiri za thanzi ndi kutengeka - chizoloŵezi cha zaka zimakulolani kuti muzindikire kusagwirizana m'ntchito ya thupi m'kupita kwanthawi. Kuthamanga kwa mtima ndikofunikira kwambiri. Zimaganiziridwa pa matenda a matenda osiyanasiyana, kuphatikizapo matenda a mtima.
Kodi mungayese bwanji kuyesa?
Chizindikiro ichi chimagwiritsidwa ntchito poyimira kusinthasintha kwa kuchepetsa kwa minofu ya mtima. Magazi amadutsa m'mitsuko ndi kumenyana ndi makoma awo. Zivomezizi zimatchedwa "pulses". Kuthamanga kwa mtima - kawirikawiri kwa akuluakulu - kumakhala ndi zizindikiro zotero:
- synchronism - amatsimikiza ngati kutentha kuli chimodzimodzi pa ziwalo zofanana za thupi;
- nthawi zonse - zikuwonetseratu zofanana zotsutsana;
- magetsi - amasonyeza ngati kutsutsana kumamveka mukamaika magazi mumtsuko.
Pali mitsempha yowopsya, yowopsya ndi yotupa yam'mimba - chizoloŵezi chimasiyana kwambiri ndi zaka. Zotsatira zafupipafupi zingathe kuwerengedwa m'malo osiyanasiyana a thupi:
- pazitsulo za ulnar;
- kuchisi;
- pa zida;
- mu armpits;
- mu groin;
- pansi pa mawondo;
- mu mitsempha yamakono pamwamba pa nsidze;
- pamapazi;
- pamakona a pakamwa;
- pa khosi.
Kutentha kumatha kuyesedwa m'njira ziwiri:
- Zida - zimagwiritsa ntchito zipangizo zamakono. Kuyeza kumagwiritsidwa ntchito ndi mawotchi apadera, ulusi wamagetsi, mapulaneti oximeters ndi zamagetsi zamtundu. Zidazi zimangowerengera deta, kuzikonza ndikuwonetsa zotsatira pa dial.
- Palpatory ndi njira yachikale. Ngakhale kuti n'zotheka kuwerengera maulendo a ziwalo zosiyanasiyana za thupi, ndondomekoyi nthawi zambiri imatsimikiziridwa ndi mitsempha yomwe ili pamtanda. Kuti mupeze zotsatira zodalirika, muyenera kuyeza molondola mapulaneti.
Njira ya palpation ikuphatikizapo kuchita izi:
- Tenga wotchi kapena stopwatch. Chida ichi ndi chofunikira kuti muyeso molondola nthawi yayitali.
- Musanayambe kugunda, muyenera kukhala pansi ndikukhazikika.
- Dzanja lakumanzere liyenera kumenyedwa ndi burashi la dzanja lamanja kapena zala zazing'ono kuti zigwirizane ndi mitsempha.
- Ndikofunika kulembera nthawi (masekondi 30 kapena 60) ndikuwerengera nambala ya ziphuphu panthawiyi.
- Onetsetsani zotsatirapo ndi momwe msinkhu ulili ndi zaka - tebulo limathandizira kufufuza dziko lenileni.
- Ngati ndi kotheka, bwerezani kuyeza pa dzanja lachiwiri.
Komabe, pali zifukwa zingapo zomwe zimakhudza zotsatira. Iwo sapereka mwayi woti adziwe deta yolondola. Zinthu izi zikuphatikizapo:
- kusuta ndi kumwa mowa;
- njala yamphamvu;
- kugonana;
- kusamba;
- Kutentha kwa dzuwa kwa nthawi yaitali kapena chisanu;
- zosambira zosangalatsa;
- kugwiritsa ntchito chakudya chokwanira kapena zakumwa;
- kutentha kwa nthawi yaitali;
- kusamba.
Kodi ziyenera kukhala zotani?
Chiwombankhanga cha mtima ngakhale mwa munthu wathanzi chimatha kusiyana kwambiri. Chizindikiro ichi chimakhudzidwa ndi zinthu zambiri, mwachitsanzo, kupezeka kwa katundu ndi maganizo. Pambuyo povutika maganizo, chiwerengerochi chikuwonjezeka kufika 140 kuopsya pamphindi. Zochita masewera olimbitsa thupi, mwachitsanzo, masewera, zimapangitsa kuti mtima wafike pamapikisano 90-100 mu masekondi 60.
Chizolowezi cha munthu ndi 60-90 jerks pa mphindi. Chiyero cha mtima chingasinthe nthawi zosiyanasiyana pa tsiku:
- M'mawa ndi usiku, zimakhala zokwana 50-70 pamphindi;
- masana ndi madzulo amafika pamtundu wa 90 pa chigawo chimodzimodzi cha nthawi.
Mlingo wa mlingo wa mtima mwa akazi ndi msinkhu
Pamoyo wonse, oimira zachiwerewere amatha kusintha kufunika kwake. Zaka khumi zilizonse zowonjezera zida 5-10 pamphindi kwa zizindikiro, zomwe zimaonedwa kuti ndizofunikira. Chiwerengero cha akazi (gawo limodzi - masekondi 60) pazigawo zosiyanasiyana za moyo ndi:
- 20-30 - 60-70 zikwapu;
- kwa zaka 40 - 75 pulsations;
- ali ndi zaka 50 - zaka makumi asanu ndi zitatu;
- kwa zaka 60 - zilonda 85;
- 70 ndi zaka zoposa - 90 oscillations.
Kuthamanga Kwakukulu - Zimayambitsa
Kukonda mtima mofulumira pa mankhwala kumatchedwa tachycardia. Kuthamanga kwakukulu kumayambitsidwa ndi zinthu zosiyanasiyana. Izi zikuphatikizapo matenda aakulu:
- angina pectoris ;
- hyperthyroidism;
- mphumu;
- chifuwa chachikulu;
- mavuto owopsa;
- Matenda a Itenko-Cushing ;
- pheochromocytoma;
- matenda opatsirana omwe amachititsa kuti kutentha kwa thupi kuwonjezeke.
Kuitana mapulaneti kungatenge mankhwala ena:
- zovuta kupanikizika (Saroten, Elivel);
- diuretics (Diakarba, Lasix);
- glycoside ya mtima (digoxin);
- mankhwala osokoneza bongo (lidocaine, dinexan).
Zotsatira zofanana zimaperekedwa ndi kugwiritsa ntchito mankhwala osokoneza bongo (Tizin, Naftizin). Kuphatikiza apo, kuchuluka kwa njira zotereku kumawonjezera:
- aphrodisiacs;
- hallucinogens;
- mankhwala.
Zinthu zotsatirazi zingalimbikitse mtima:
- mantha amantha;
- kupanikizika kwambiri;
- kutentha;
- kusowa kwa mavitamini;
- kumwa tiyi ndi khofi.
Kuthamanga kwakukulu pampanipani
Tachycardia ndi matenda oopsa kwambiri. Chikhalidwe ichi chimayambitsa machitidwe ambiri kuti agwire ntchito yowonjezera. Kuthamanga mwamsanga kungatsimikizire kuti zotsatirazi zotsatirazi zimapezeka mu thupi:
- zovuta kuntchito mu ntchito ya kupuma;
- chithandizo cha chithokomiro;
- matenda;
- magazi;
- Matenda a ziwiya zamakono ndi dongosolo la mtima.
Kuthamanga kwakukulu pampanipani wochepa
Sizowopsa kuti tachycardia isamalidwe bwino ndi hypotension. Kuwonjezeka kwa kugunda kumayesedwa ndi zinthu izi:
- chithandizo;
- kumwa mowa mopitirira muyeso;
- atherosclerosis;
- mimba;
- shuga;
- mulungu;
- kugonjetsedwa kwa mgwirizano wamagetsi.
Kuthamanga kwakukulu pavuto labwino
Pali mitundu yotsatira ya tachycardia:
- chikhalidwe - dzikoli likutsutsana ndi zolephera za ntchito za ziwalo ndi machitidwe;
- Zachilengedwe - zimachitika ndi kuwonjezeka kwa nkhawa.
Kuthamanga kwa mtima kumakhala kawirikawiri chifukwa cha izi:
- matenda opatsirana, opangitsa kuti thupi liledzere;
- kuperewera kwa mpweya, mphumu ndi matenda ena a dongosolo la kupuma;
- chithandizo;
- kuperewera kwa magazi.
Kuthamanga kwakukulu - choti uchite chiyani?
Ndi kuwonjezeka kwakukulu kwa kuthamanga kwa mtima, muyenera kuyesetsa kuthetsa mochuluka momwe mungathere. Kuti muchite izi, mukhoza kumwa madzi ndikugona pansi. Pambuyo pa 10-15 mphindi m'pofunika kuyesa kutulutsa kachilombo kachiwiri - kawirikawiri mibadwo idzapangitsa kulingalira mozama kwa mkhalidwewo ndikudziwitsani ngati iyo yatsimikiziridwa. Ngati muyeso wa mtima wabwerera kuntchito, mukhoza kupitiriza ntchito zanu za tsiku ndi tsiku.
Ngati simungathe kubweretsa zochitika pamsinkhu womwe ukukhala bwino, othandizira otsatirawa angagwiritsidwe ntchito:
- Magnesium B6;
- Corvalol ;
- Validol;
- tincture ya motherwort;
- Valocordin.
Kuonjezerapo, kuti mukwaniritse kuchuluka kwa mtima, mukhoza kutenga izi:
- Tsegulani zenera kuti mpweya wabwino upite m'chipindamo.
- Onetsetsani pang'ono pamaso a maso.
- Chifuwa chaching'ono (izi zidzakuthandizira kupha tizilombo toyambitsa matenda).
- Mukhoza kutsuka nkhope yanu kapena kuyang'anizana nayo mumadzi ozizira.
Simungakhale osasamala za tachycardia. Ngati kutuluka kumasiyana kwambiri - kawirikawiri zaka zambiri komanso mtengo weniweni, muyenera kupita kwa dokotala mwamsanga. Katswiri amadziwa kuti adziwe zomwe zimayambitsa vutoli. Iye amadziwa bwino momwe angachepetsere kutentha kwa mtima, kotero adzapereka njira yabwino kwambiri ya mankhwala.
Ndikofunika kutsatira malangizo a dokotala ndendende. Ngati chithandizo cham'tsogolo chisanayambike kapena sichikuchiritsidwa kotheratu, mavuto aakulu angayambe:
- kupweteka;
- mtima;
- chowopsya chakupanga.
Kutsika mtima kwa mtima - zifukwa
Kuchepetsa kutentha kwa mtima kumatchedwa bradycardia. Kuthamanga kwapansi kumayambitsidwa ndi zifukwa zomwe zingatchulidwe ndi mmodzi wa magulu atatu:
- matenda;
- zinthu zakuthupi;
- Osati a mtima wakupha.
Pa zifukwa za thupi ndi izi:
- chithunzi;
- umoyo;
- maphunziro a thupi (mwa othamanga, minofu ya mtima imasuka momasuka).
Matenda a mtima omwe amachititsa bongodidia:
- kuwopsa kwa thupi ndi matenda a mtima;
- kupweteka kwa mtima;
- kusokoneza maganizo kochititsa chidwi m'mitsempha ya mtima.
Zomwe zimachitika chifukwa cha matenda osagwirizana ndi mtima omwe amachititsa kuti munthu azidwala matendawa ndi awa:
- poizoni wa thupi ndi kutsogolera kapena chikonga;
- chithandizo;
- zakudya zovuta;
- kusowa kwa potaziyamu ndi calcium;
- matenda opatsirana;
- kutenga mankhwala ena (beta-blockers, otsutsa calcium).
Kuthamanga pang'ono pampanipani
Bradycardia omwe ali ndi odwala matenda oopsa omwe nthawi zambiri amawoneka ndi kusintha kwakukulu kwa kutentha kwa chilengedwe. Kuchuluka kwa mtima kumachepa mofulumira pamene mutuluka m'chipinda chofunda mumsewu mu chisanu ndi mosiyana. Kuphatikizanso, dontho lakuthwa mu chikoka likuyambitsa zifukwa zotsatirazi:
- kupweteka kwa hormonal ;
- posachedwa ;
- kusungunuka kwa minofu ya mtima;
- matenda a endocrine.
Kutsika pang'ono pampanipani wochepa
Tsamba ngati limeneli ndi loopsa kwambiri. Ikhoza kuyambitsa chizungulire, kupweteka komanso imfa. Kutsika mtima kwa hypotension kungayambitsidwe ndi zifukwa zotsatirazi:
- kutopa kwa thupi;
- hypothermia;
- kupweteka m'khosi kapena dera la thoracic;
- zovuta;
- kutaya magazi kwakukulu;
- poizoni woopsa.
Kuthamanga kwapansi pampanipani
Chikhalidwechi chikuwonetsa kusagwirizana kwa ziwalo zina ndi machitidwe. Kaŵirikaŵiri chikoka cha munthu wamkulu chimachepetsedwa pa zifukwa zotsatirazi:
- Kwa nthawi yaitali ankakhala m'madzi ozizira kapena m'katikati ndi kutentha kwa mpweya;
- munthu amakumana ndi njala ya oxygen;
- Thupi limachotsedwa kwambiri chifukwa cha kusowa tulo kapena kuchita mwamphamvu thupi.
Kuchuluka kwa mtima wa mtima - choti uchite chiyani?
Zinthu sizikanatha kunyalanyazidwa. Ngati nthendayi yachepetsedwa (deta lenileni ndi chizoloŵezi sizingagwirizane zaka zambiri), chithandizo chamankhwala n'chofunika. Kulimbana ndi vutoli kupyolera mu kuyesayesa sikungagwire ntchito. Ndikofunika kukaonana ndi katswiri wa zamoyo. Adzasankha kufufuza kwathunthu kuti adziwe zomwe zimayambitsa vutoli. Kenaka, poganizira zotsatira zomwe zapezeka, ndipo mlingo wamtima umakhala wotani kwa azimayi, adokotala adzapereka chithandizo choyenera. Mankhwalawa angaphatikizepo kayendetsedwe ka Ascoffen, Coguitum, Apentpent ndi Cordarone.
Kuonjezera chikoka cha amayi chidzakuthandizani njira zotsatirazi:
- Kulandila njira za tonic - kukonzekera pogwiritsa ntchito lemongrass, eleutherococcus, radiola rosea. Komabe, mofulumira ndi mankhwala, mankhwalawa amachulukitsa kuthamanga kwa magazi.
- Kukhalapo pa zakudya za maswiti. Makamaka ndi ntchitoyi ndikulimbana ndi chokoleti chakuda.
- Kumwa khofi kapena tiyi.
- Kuchita masewera olimbitsa thupi.
- Mafuta osambira ndi kuwonjezera kwa tonic zonunkhira mafuta.
- Nsabwe za mpiru zimagwedeza pamalo ozungulira.
- Kukhalapo kwa zakudya zonunkhira mu zakudya. Zimathandiza kuti magazi aziyenda bwino.