Sinus bradycardia ndi imodzi mwa kuphwanya mtima, zomwe nthawi zambiri zimakhalabe zosazindikirika kwa odwala. Matendawa amachititsa kuti thupi lonse liziyenda bwino ndipo zingayambitse mavuto aakulu.
Bradycardia wa mtima - ndi chiyani?
Amakhulupirira kuti mlingo wa mtima ndi 60 kugunda pa mphindi, ndiko kuti, nthawi zambiri zimagunda mtima mwa anthu akuluakulu ambiri. Bradycardia - kuchepa kwa mtima, zomwe zimapweteka makumi asanu ndi limodzi, zomwe zimaphatikizapo zovuta zosiyanasiyana, komanso zimakhala zochitika pamtundu wina. Pofotokozera mawu akuti "sinus bradycardia wa mtima," ndi chiyani ndipo ndi zifukwa zotani zosokonekera izi, tidzatha kumvetsetsa momwe mtima umasinthira.
Ntchito ya mtima ndi njira yomwe mtima umasinthira mosavuta, kenako umabweretsanso, ndikupanga mwayi wokhala magazi ndi kufalikira. Nthawi zonse kuchepa kwa myocardium kumathandizidwa ndi kuyambira kwa magetsi mumsewu wa sinus (woyendetsa nyimbo). Imeneyi imakhala mkatikati mwa minofu ya mtima ndipo imamanga mitsempha ya mitsempha kumayendedwe a mantha. Zilumikizidwe zomwe zimayambira mu nthenda ya sinus zimayesedwa molondola.
Mphamvu ya magetsi yomwe imawonekera pacemaker imatumizidwa kuzinthu zina zambiri zomwe zimayendetsa mbali zonse za myocardium ndikupangitsa mtima kuvomereza. Ngati pali vuto linalake lomwe limatulutsa mphamvu ya magetsi kuchokera ku nthenda ya sinus kupita ku node zina zotulutsa, mtima umayamba kuwombera pang'onopang'ono, koma pakadali pano bradycardia si sinusoidal, koma ikugwirizana ndi kutseka kwa chisangalalo. Ndi sinus bradycardia, chiŵerengero cha mtima kumachepetsanso chifukwa cha kuphwanya kwa dalaivala wamkulu, zomwe zimakhala zosavomerezeka ndipo zimapangitsa kukhudzidwa ndi kuchepa.
Bradycardia yapamwamba
Ngati sinus bradycardia yeniyeni imapezeka, izi zikutanthauza kuti mtima umagwira ntchito pafupipafupi 40-50 ud. mu miniti. Ntchitoyi ya mtima imathabe kusungunuka kwa magazi pa mlingo woyenera m'thupi. Pachifukwa ichi, kuchepetsa kukwapula kwapadera kungakhale chinthu chaumwini (mwa anthu omwe ali ndi makoma amphamvu kuchokera ku kubadwa) kapena chifukwa cha kusintha kwa ziwalo m'zochitika zamaphunziro nthawi zonse.
Anatchulidwa bradycardia
Kutsika kwakukulu - kupitirira 40 kugunda pa mphindi - kumadziwika ndi matenda omwe amatchulidwa omwe amachititsa ku matenda ambiri othamanga magazi ndi mpweya wochuluka wa njala. Makamaka akuvutika ndi zotengera zopanda ntchito. Zotsatira zake, ziwalo ndi machitidwe ambiri amatha, zomwe zimadza ndi zotsatira zosasinthika za thanzi labwino ndi moyo.
Ndi chiyani choopsa cha bradycardia cha mtima?
Chinthu chachikulu, choopsa kwambiri cha bradycardia, ndicho chokhazikika cha kumangidwa kwa mtima, komwe kawirikawiri kumawopseza odwala okhala ndi chiwerengero chosowa cholakwika. Koma ngakhale kugunda kwa mtima kakang'ono, komwe kwawoneka kwa nthawi yaitali ndikuyamba kupita patsogolo, kumakhala ngati chizindikiro cha kufufuza ndi chithandizo, chifukwa sizingangowonjezera ubwino wa moyo ndi ntchito, komabe zimapangitsa kukhumudwa, kulephera kwa mtima, kuvula magazi, ndi zina zotero.
Bradycardia - zimayambitsa
Katswiri wamaganizo, pamene matendawa amatsitsa pang'ono, kuphatikizapo maonekedwe a thupi ndi thupi lawo, amatha kuwonedwa mwa anthu omwe ali ndi thanzi labwino chifukwa cha zinthu izi:
- kugona;
- kuchepetsa kutentha kwa mpweya wozungulira;
- kupanikizika pa mitsempha yamakono (ndi kumangirika mwamphamvu, nsalu);
- kupanikizika pamaso a maso (reflex-maso a mtima);
- chifuwa minofu mu mtima;
- kusuta fodya kwa nthawi yaitali.
Mbira yotchedwa bradycardia, yomwe imakhala yosagonjetsa 40 pa mphindi imodzi, yomwe siimayambitsa kuwonongeka kwa thanzi labwino ndipo sichikutsatidwa ndi zolakwika zina, sizikuwoneka ngati zovuta. Nthawi zina, vutoli limakhala lopatsirana ndi matenda ena. Tikulemba mndandanda wa iwo:
1. Matenda a mtima:
- kupweteka kwapachikapu kameneka, kuperewera kwapakati pa sitepe ya scarring;
- rheumatism wa mtima;
- myocarditis;
- chithandizo ;
- chowopsa;
- zofooka za mtima;
- atherosclerosis ;
- kusokonezeka mtima;
- matenda a mtima.
2. Mitsempha yokhudzana ndi matenda:
- kuphwanya magazi mu ubongo;
- kupweteka, chifuwa cha ubongo;
- chisokonezo chowonjezeka ;
- zonena za neurotic.
3. Matenda a ziwalo:
- ululu;
- gastritis;
- chiwindi kapena chidziwitso chodziletsa mu siteji yotsiriza;
- matenda a dongosolo la endocrine;
- Matenda a Addison ;
- hypothyroidism.
4. Matenda ena ndi njira zowonongeka m'thupi:
- chidakwa;
- matenda opatsirana;
- kutaya thupi kwa thupi ;
- malingaliro;
- kudabwa kwa majeremusi osiyanasiyana;
- Kuwonjezera pa mankhwala (calcium channel blockers, beta-blockers, antiarrhymics, glycosides mtima);
- poizoni ndi mankhwala a phosphorous;
- chithandizo;
- kukalamba kwa thupi.
Bradycardia - zizindikiro
Kuthamanga pang'ono ndi kachirombo kakang'ono ndi kachitidwe ka thupi kawirikawiri sikudziwonetsera nokha ngati chizindikiro chilichonse. Chithunzi cha pathological sinus bradycardia chikhoza kufotokozedwa mu chithunzi chotsatira chachipatala:
- kutopa nthawi zonse;
- kufooka;
- kugona;
- kulephera kukumbukira, kusamalitsa;
- kuwonetsa;
- phokoso m'makutu;
- phokoso;
- chiwonongeko;
- kukomoka;
- chizungulire kawirikawiri;
- ululu m'chifuwa;
- kusintha kwa magazi;
- blanching khungu;
- kupuma kovuta;
- thukuta lalikulu.
Kuthamanga ndi bradycardia
Arrhythmia bradycardia nthawi zambiri imakhala pamodzi ndi kuthamanga kwa magazi (kuposa 140/90 mm Hg), zomwe zingasonyeze chotupa, matenda a ischemic, cardiosclerosis, pericarditis. Chifukwa chake nthawi zina amasankha mankhwala osokoneza bongo molakwika. Kawirikawiri, sinus bradycardia imapezeka kuti imayambitsa vuto la kuthamanga kwa magazi, lomwe ndi loopsya. Izi zingasonyeze kutuluka kwa magazi, kumwa mowa, matenda aakulu.
Bradycardia - mankhwala
Ngati munthu atapezeka kuti ali ndi matenda ochepa, muyenera kuchita chiyani pakadali pano, mutha kudziwa momwe thupi lanu likudziwira. Musanayambe kuchiritsa bradycardia ya mtima, fufuzani kuti ndi chiani chomwe chimapangitsa kuti izi zisokoneke komanso ngati kuchepetsa mtima kwa thupi ndizochitika mthupi (pakali pano, mankhwala sakufunika). Pofuna kukhazikitsa zinthu zowonongeka, magetsi, kuyang'ana kwa Holter, kuunika kwa mtima ndi ziwalo zina, kuikidwa magazi, electrolyte, magazi, mahomoni, ndi zina zotero.
Poganizira momwe mungagwiritsire ntchito sinus bradycardia yapamwamba ndi yofatsa, choyamba muziganizira momwe moyo ndi zakudya zimasinthira, mogwirizana ndi zikhalidwe zabwino. Choncho, tikulimbikitsidwa kusiya zakudya zamtundu, mowa, kusuta fodya, kuchepetsa kugwiritsa ntchito maswiti ndi kuphika. Onetsetsani kuti mumagwira ntchito yoyenera ndi kupumula, kuchita masewera olimbitsa thupi, kupewa zovuta za maganizo. Pa milandu yovuta kwambiri, chithandizo chamankhwala kapena opaleshoni chikuchitika.
Mankhwala ndi bradycardia
Pamene bradycardia imakwiyitsidwa ndi anthu osakhala ndi mtima wamagulu, mankhwala a mankhwala amachitika mogwirizana ndi matenda aakulu. Mwachitsanzo, matenda opatsirana amafunika kugwiritsa ntchito maantibayotiki, omwe ali ndi matenda a hormonal - mahomoni. Kuchotsa chomwe chimayambitsa zikhoza kuthetsa chisokonezo cha nyimbo. Kuwonjezera pa kuchiza matendawa, mankhwala otsatirawa angagwiritsidwe ntchito kuonjezera kuthamanga kwa mtima, kutsegula nthenda ya sinus:
- anticholinergics (Atropine);
- adrenomimetics (Isoprenaline, Iazrin);
- chodabwitsa ;
- nootropics (Mexidol, Piracetam);
- Kukonzekera kwa khofi (Aksofen, Izodrin), ndi zina zotero.
Nthawi zina amalembedwa ndi dothi lotchedwa bradycardia - madontho a Zelenin, tincture a ginseng, eleutherococcus, omwe amachititsa kuti chiŵerengero cha mtima chiwonjezeke mofulumira. Ndi kuchepa kwakukulu kwa mtima wa mtima ndi kuthamanga kwa magazi, kuphatikizapo kutaya, kusokonezeka, zizindikiro za edema ya pulmonary imafuna kuchipatala kwa wodwalayo m'chipatala - dipatimenti ya arrhythmology kapena cardiology.
Bradycardia - mankhwala ndi mankhwala ochiritsira
Anthu ochiritsa amatha kunena zomwe ayenera kuchita ndi kutsika pang'ono, koma mankhwalawa ayenera kukambirana ndi dokotala yemwe akupezeka kuti athe kugwirizanitsa ndi mankhwala othandiza. Zina mwa mankhwala omwe amaperekedwa chifukwa cha chisokonezochi ndi mankhwala omwe si achikhalidwe, amatha kutchula za matenda a nettle, immortelle, decoctions ya yarrow, tartar, mandimu-garlic-uchi kusanganikirana.
Kodi mungakonzekere bwanji kulowetsedwa kwa yarrow?
Zosakaniza:
- therere yarrow - 15 g;
- madzi - 1 galasi.
Kukonzekera ndi ntchito:
- Thirani zowonjezera ndi madzi.
- Bweretsani ku chithupsa, wiritsani kwa kotala la ora.
- Limbikirani kwa ora, osankhidwa.
- Ikani katatu patsiku pa supuni.
Sinus bradycardia ndi opaleshoni
The pronounced sinus bradycardia, amene amagwiritsira ntchito mankhwala osokoneza bongo ndi osagwira ntchito, ndi chizindikiro cha opaleshoni ya mtima poika phokoso lamoto. Chipangizochi, chomwe chimayikidwa pansi pa khungu ndipo chimathandiza kuimitsa chiwerengero cha mtima, kutulutsa zofuna zamagetsi ndikuwatsogolera ku mbali zabwino za galimotoyo.