Akuphelele kwesokudla block legatsha besigaxa

Kulesi sihloko sibheka lokhu zokugula njengoba ukuvinjelwa ongaphelele nomlenze wesokunene besigaxa legatsha block. Lokhu ukuhlukumeza olungaphelele amaza kagesi enhliziyweni. Lesi sifo ngokuvamile asymptomatic, kodwa ubufakazi organic isifo senhliziyo kanye nomthelela umphumela isifo eyinhloko. Imiphumela yaloku kuhlola okungenhla kusekelwe ngemiphumela yocwaningo electrocardiographic. Akuphelele kwesokudla besigaxa block gatsha ngesikhathi esisodwa nesigamu kuya ezimbili lonke okweshumi ezine amaphesenti amacala, futhi ngeminyaka, lezi zibalo ukwandisa kuphela. Phakathi zonke izinhlobo blockades e imvamisa lokhu zokugula esibalwa yesibili.

Etiology nesenzakalo yayo

Isizathu zingakhiqiza izici inhliziyo, yenhliziyo Umthambo isifo kanye ukweqisa izidakamizwa anti-arrhythmia, inhliziyo yamaphaphu, stenosis of valve mitral, umfutho wegazi ophakeme yamaphaphu, tricuspid inhliziyo valve, acute isilethikusebenza, myocarditis, Cardio, inhliziyo abanomfutho wegazi ophakeme, ukungalingani electrolyte emzimbeni, futhi kwesokudla ventricular hypertrophy. Izimo zethu zihluke kakhulu ezingavamile akuphelele kwesokudla block besigaxa egatsheni wathola e nentsha enempilo. Ezimweni ezinjalo, sikhuluma ijwayelekile.

Akuphelele kwesokudla besigaxa block legatsha kuyimbangela deceleration sokudlulisa kokubili itheku kanye pulses ethunjini kwalo. Lokhu, kuholela ushintsho olukhulu kule ukulandelanisa excitation lwamanye izingxenye ventricles noma nje i-ventricle ngokuphelele.

ukuvinjelwa Akuphelele kwesokudla besigaxa block legatsha: izimpawu

Ezimweni eziningi, lokhu zokugula akubangi izimpawu okuqaphelekayo, ngoba isigqi kanye nokuvama inhliziyo abathintekayo cha.

Ukuxilongwa lesi sifo, njengoba kushiwo ngenhla, kusekelwe idatha etholwe esebenzisa izifundo electrocardiographic.

Nasi uhlu izimpawu ebonakalayo ke:

• QRS isikhathi eziyinkimbinkimbi luyanda kancane, kuze kufike kwayisishiyagalolunye noma nanye kumakhulukhulu yomzuzwana.
• Esikhathini sokuqala futhi V6 uhola kancane wandisa izinyo S futhi ilungelo webele V1 ukuthunjwa QRS eziyinkimbinkimbi limelela rSr, noma rsR.

Akuphelele ukuvinjelwa kwesokudla besigaxa block legatsha: ukwelashwa

Isikhathi kanye ukuzinza zokugula ekhona ngokuvamile awadingi iyiphi indlela yokwelapha. Kodwa ezimweni lapho ukubukeka kwayo kuvumelana okubi kakhulu yokuba nesifo senhliziyo, ukwelashwa esifike ngesikhathi kubaluleke kakhulu ukuze ukuzinza of conduction inhliziyo. Uma imilenze yomibili ukuvinjelwa enye, sivinini yesikhashana eboniswe, inqobo okwandisa ubude HV-isikhawu phezu 80-100 millisecond. Zonke iziguli esezikhulile nge conduction kwezinso enjalo angaphansi esibhedlela ayimpoqo. Ngo iziyaluyalu oyingozi futhi ngenxa yokuntuleka kwezinhlelo ezibanzi yokwelapha Izimo izidakamizwa singasetshenziswa, ngaphandle Ngikhohlwa inconstancy futhi kungathembeki ngezimpawu ezinjalo ukuthonya lokhu egunjini lokuhlolwa kwezifo. Endabeni engcono, ningaqiniseka ukuthi umphumela yesikhashana.

Zisetshenziswa ekwelapheni imikhiqizo efana:

1. Anticholinergics, okuyinto ukunciphisa amathonya vagal, isb 0.1% atropine eyodwa ngemililitha ngemithambo yegazi kanye 0.2% platifillin njengenye ngemililitha noma njengoba phansi kwesikhumba, ngemithambo yegazi, kodwa kulokhu kubalulekile ukwethula 5% glucose in ivolumu 500 ml.
2. Izidakamizwa ukuthi ukwandisa ithonya nozwela inhliziyo conduction uhlelo, isibonelo, ama-5% ephedrine kwelinye ngemililitha esicutshini, ongama, noma umjovo emthanjeni, 0.2% norepinephrine, ngenani 1 ml iqondiswa ku-glucose, noma 0.05% alupent, one-half komunye cube, iqondiswa kokubili intramuscularly futhi ngemithambo yegazi noma 0.1% izadrin kwelinye ivolumu ngemililitha.
3. Njengoba lisetshenziswe hormone glucocorticosteroid, isib, hydrocortisone, ngesilinganiso afika ku 200 mg ngosuku.
4. Ukuze banciphise okuqukethwe potassium kuyinto efiselekayo ukusebenzisa 1% Lasix kwelinye ngemililitha kobukhulu.

Izibikezelo yalesi sifo ngempela evumayo, kodwa, unikezwa ingozi owayephethe kubo zonke izinhlobo zezifo ahlobene inhliziyo, kumelwe abe phezulu kakhulu ekwelashweni kwakhe.