Kuyini isigqi atrial ethunjini?

Heartbeats ezenzeka ngokuzenzakalela ngenxa yezinye ukusikeka myocardium noma conduction uhlelo, ngokuthi ethunjini isigqi atrial. Kuyini, siyoyiqonda kulesi sihloko.

zokugula incazelo

Lapho engeyokuqala itheku sesibuthakathaka noma eyeka ukusebenza, futhi kungenzeka ukuthi unomphela noma ngezikhathi ezithile, kukhona ke kukhona amabhithi ethunjini (noma obizwa nangokuthi esikhundleni).

imvamisa yabo ingaphansi kunobukaJohane itheku isigqi. Ethunjini isigqi atrial angabhekwa nesinusovym. Buqamamana lwaluvelaphi, ngakho ishayela yayo imvamisa incane. Iyini imbangela izinguquko umsebenzi inhliziyo?

Izizathu eziyinhloko ekushintsheni isigqi

Izinguquko ezenzeka engeyokuqala itheku nezinye izigaba kokuqhuba zisenza sibe isigqi nesinusovogo. Lezi ngeziphambeko kusukela isigqi evamile kungaba:

- sclerotic;

- ischemic;

- ukuvuvukala.

Ukwahlukanisa nesinusovyh isigqi

Ukwahlukanisa isigqi nesinusovyh kungaba ezahlukene. Lokhu okulandelayo ifomu evamile.

- isigqi Nesinusovy kungaba supraventricular isigqi ethunjini bemvelo. Lokhu kwenzeka ngenxa yokweqisa ka glycosides kwenhliziyo futhi dystonia semithambo. Automaticity ka ethunjini foci inyuka, umphumela uba isigqi leli fomu nesinusovogo. Lapha kukhona okusezingeni eliphezulu kwenhliziyo, ngokungafani kuya esikhundleni ngokushesha futhi amabhithi ethunjini.

- isigqi Nesinusovy nakho kungaba ventricular. Lokhu kubonisa ushintsho oluphawulekayo endleleni myocardium. Ngezinye eliphansi kakhulu imvamisa ventricular Kufinyeta maningi amathuba ukuthuthukisa nesifo senhliziyo nemithambo yayo, okuyinto igcwele nemiphumela emibi ngendlela efanayo.

- Ngaphezu kwalokho, isigqi kungaba atrial. Ngokuvamile ekuthuthukiseni rheumatism, izifo zenhliziyo, umfutho ophakeme wegazi, isifo sikashukela, isifo senhliziyo. Cardiopsychoneurosis kungaholela isigqi ezinjalo. Nokho, ethunjini isigqi atrial futhi abantu ephelele. It has a imvelo ehlala isikhashana, kodwa ingahlala isikhathi eside. Kungase kwenzeke congenitally.

Ngokuthakazelisayo, isigqi ethunjini akuyona kuphela abantu abadala kodwa futhi izingane ezincane. Lokhu kungenzeka ne iyatholakala ezengeziwe excitation foci letisebenta ngayodwana. Lokhu kuthonywa neuroendocrine izici kanye nezinguquko okuqhubekayo myocardium.

nohlobo lodlame

iziqephu okunjalo ethunjini isigqi atrial e ingane kungaba:

- Active, izimpawu tachycardia paroxysmal futhi amabhithi kwesikhathi.

- Ukusheshisa (ezahlukene atrial fibrillation).

Senhliziyo Imiphumela zokugula organic ebuntwaneni ukuba ventricular arrhythmia. Lokhu zokugula kungenziwa kutholakala osanda kuzalwa okunempilo umntwana.

igciwane lohlobo kungaholela e izinsana neziqubu tachycardia paroxysmal. Kulesi hlobo tachycardia kukhona ifomu okunzima othiwa supraventricular.

Azalwa naso inhliziyo yayo yayinezinkinga ezicini, ukweqisa izidakamizwa-aspirin, Cardio avuse ifomu okunzima tachycardia isigqi atrial.

Lokhu kungase kwenzeke lapho umntwana uphapheme noma kuphela Sakushintsha isikhundla umzimba wakhe. ifomu Supraventricular ka paroxysmal tachycardia kuyingozi kakhulu.

Yiziphi izimpawu ukuhlukanisa ethunjini isigqi atrial?

Njengoba kakade ebulula, isifo ecashile kuholela nesinusovym isigqi. Noma yimuphi izimpawu ezithile, it is hhayi ebonakala. Ziyini izimbangela eziyinhloko zalokhu izifo nesigci ukucacisa izimpawu.

Izimpawu ezilandelayo uyoboniswa, lapho kufanele siqaphelisise ke afune usizo lwezokwelapha ngokushesha:

- ngokuhlasela paroxysmal tachycardia iqala ngokuzumayo futhi wavele wathi uphela;

- akukho harbingers zokuhlasela;

- akukho iphika noma ubuhlungu enhliziyweni ukuqala ukuhlasela;

- ukuvela imizwa yokukhathazeka nokwesaba;

- ukubukeka motor ukungahlaliseki, yokuthi umuntu ofuna isikhundla umzimba, kuyasiza ukuvimba ukuhlaselwa;

- umuntu baqala ukudlikizela izandla, amehlo amnyama, isiyezi;

- ukubukeka ukujuluka;

- khona nesicanucanu ukuvuvukala;

- kungadala nesifiso sokufuna ukuchamela kanye wamathumbu ukunyakaza: umuntu achame njalo ngemva kwemizuzu engu 10-15 kusukela ekuqaleni tachycardia, kanye nomchamo banikezwe kube umbala okhanyayo, cishe esobala, akhuthaza ukuba azikhulula mancane ezivamile.

Paroxysmal tachycardia usungaqala uma umuntu elele. Khona-ke inhliziyo yakhe iqala ukushaya kanzima ngoba ngiphuphe, isibonelo, uhlobo oluthile iphupho. Ekupheleni yinhliziyo iqala ukusebenza ngomoya ophansi, nabantu ongasakhululekile iphika.

Ngemva lantambama inhliziyo umfutho waphawula ke isigqi iba itheku evamile. Ngezinye izikhathi phakathi push ubuhlungu. Kwezinye izimo, inhliziyo ishaya ingasheshi kancane kancane.

nezinye izimpawu

Zikhona izimpawu ezithile isigqi lapho nesinusovom. Kuye ukuthi kungenzeka ethunjini isigqi atrial kuhambisana, angase ezahlukene:

- Ngokwesibonelo, lapho inhliziyo arrythmia angase agijime anolaka, abantu bazizwe sengathi inhliziyo yakhe zamabhasi, bazizwa ukushisa emphinjeni futhi inhliziyo. Kodwa lezi zimpawu zingase zingabi. esisindo okweqile kanye nomthethosisekelo hypersthenic ngokuvamile iholela vagotopicheskim extrasystoles.

- Ngale ndlela umntwana ngokuhlasela paroxysmal tachycardia okuholela yokufikelwa, ukuquleka, isiyezi, umuzwa ukucindezeleka nokukhathazeka, pallor, cyanosis, iphika, ubuhlungu esiswini. Loku kuyehluka ethunjini isigqi atrial ezinganeni.

Ethunjini isigqi Ukuxilonga Izindlela

Uma umuntu uzigcinile izimpawu ngenhla, kubalulekile ukubhekana ngokushesha kudokotela noma zenhliziyo. Uchwepheshe liqoke electrocardiogram, elibonisa izinguquko ezithile inhliziyo noma isigqi atrial ethunjini.

Barb R ekushintsheni ukumisa yayo lapho isigqi atrial. Akanalo izici ecacile zokuxilonga. PQ isikhawu engashintshwa uma levopredserdnom isigqi. Ngenxa excitation evamile ventricles engashintshwa QRST eziyinkimbinkimbi. PaVR kuyoba P emihle nemibi e yesithathu neyesibili kuholela aVF lapho umshayeli indawo isigqi e kwesokunxele bese ATRIUM kwesokudla, bese kuba ezigabeni zabo engezansi. kwasendaweni Esinembile isigqi ethunjini azimisele ezimweni nizhnepredserdnogo isigqi.

Lapho isigqi kuyinto pravoserdnom umthombo indawo automatism (P-cells) ku ATRIUM kwesokudla. Ngakho wabonakaliswa ethunjini isigqi atrial ngesikhathi intsha.

Izingane nazo zidinga ukuxilongwa ngokuphelele. Lapho extrasystoles atrial iyahlukahluka izinyo P. mfushane PQ isikhawu, waphawula akuphelele misa isikhashana compensatory futhi ayibanzi ventricular eziyinkimbinkimbi.

Futhi mhlawumbe yashesha ethunjini isigqi atrial.

Ngo amabhithi ngaphambi kwesikhathi kungaba uhlamvu atrioventikulyarny, le ECG kubonakala ngokungabi bikho P wokuzuliswa phambi izakhiwo ventricular. Ngo ilungelo ventricular extrasystoles P izinyo ejwayelekile isuswe phezulu (futhi phansi nge kwesokunxele ventricular extrasystoles).

Ukuba khona embryocardia nobuntu tachycardia paroxysmal. Kulokhu, akunakwenzeka ukubala ishayela. Kukhona ukwehliswa wegazi. Ukuba khona isigqi eqinile ventricular izakhiwo aberrant. Uma ECG Kwenziwa kuhlasela noma tachycardia supraventricular, kungase ukugcina amabhithi ngabanye, futhi nje leqembu kuhlasela eqoshiwe ushaya nge QRS emifushane eziyinkimbinkimbi.

Ngaphandle evamile izifundo ECG, isicelo nsuku zonke ukuqapha Holter ECG kanye cwaningo transesophageal electrophysiological. Konke lokhu uyakwazi ukuthola i isigqi atrial ethunjini.

ukwelashwa

Uma umuntu akhonjwe isigqi nesinusovy, ukuphathwa kuyakhethwa kuye ngokuthi isifo ecashile. Ukuze ukwelashwa ukuba siphumelele, udinga baluhlolisise imbangela yokwehluleka inhliziyo. Uma kubangelwa iziyaluyalu vegetative-semithambo, kuzodinga nokuphathwa sedatives. Uma vagus wamqinisa kuyokusiza Belladonna futhi "Atropine!. Tachycardia kudinga ukusetshenziswa beta-blocker (" Cordarone, "" Inderal "" Isoptin "," obzidan ").

lapho arrythmia

Lapho arrythmia, umsuka kabani organic, inikezwa izinga "Pananginum" noma potassium chloride. imithi Antiarrhythmic kwezinye izimo ungase futhi nethonya elihle ( "procainamide", "Aymalin"). sebenzisa "Panangin" futhi "Lidocaine" isilethikusebenza kanye arrhythmia kanyekanye. Man uthola le mithi nge weThrojani.

Ukudakwa ne glycosides inhliziyo

Lapho kwenzeka ukudakwa digitalis politopnye extrasystoles okuholela ventricular fibrillation. Kudinga ukudamba ngokushesha zomuthi kanye nokwelashwa "Inderalom", "potassium", "lidocaine". "Unitiol" futhi isisu ukusiza ukuletha ukudakwa. Yini okunye okufanele kwenziwe sitholakele ethunjini atrial inhliziyo isigqi?

Ngezinye izikhathi bazihlikihle carotid itheku imizuzwana 20 washiya kanye kwesokudla, uma kukhona uhlobo supraventricular. Kuyasiza ingcindezi isisu emehlweni. Ukungabi wokukhululeka kudinga ukuqashwa we-beta-adronoblokatorov. Yethulwe ngesivinini kancane, ne ezidingekayo ukulawula ukushaya kwenhliziyo nomfutho wegazi. 'Propanol' Mix futhi 'verapamil' IV is hhayi Kunconywa.

Kuthiwani uma lokhu kuhlasela akuhlobene wayeka?

Uma lokhu kuhlasela akuhlobene wama sekuqhubeke isikhathi esithile, isimo lesiguli liwohloka ngenkathi, isicelo cardioversion. Senhliziyo glycoside lokudakwa a contraindication ukuze ukwelapha ngalezi zindlela. Nge asetshenziswa ukuhlaselwa njalo futhi ezinzima njalo sivinini.

Njengoba yezinkinga bangase benze njengokungathi okubi kakhulu zezinkinga inhliziyo. ukufinyelela esifike udokotela sikuphoqelela isigqi ethunjini, njengoba izifo ezinkulu siyophulukiswa noma okungenani elawulwa. Ngakho-ke, kubalulekile ukungaxhamazeli uma sitholakale ethunjini isigqi atrial ngu electrocardiogram. Kuyini, siye sibuyekezwe.

Izixwayiso

Ukuze yenhliziyo yakhe umsebenzi ecacile futhi ehlelekile, kudingeka ngaphansi ukwethuka kanye nokugcina yokuphila enempilo. I kaningi umuntu echitha isikhathi ngaphandle, wahlanganyela emisebenzini yezandla kungakwenza ngokulinganisela, le kunempilo kuyoba inhliziyo yayo. Amandla ezidingekayo ukuze kukhawulwe ukudla okunamafutha, ekhuthaza kumiswa cholesterol zingcwecwe. Udinga ukudla fiber xaxa, imifino, izithelo aqukethe amavithamini. Into ebaluleke kakhulu ukuba inhliziyo kukhona calcium, magnesium, i-potassium.

Imikhiqizo yobisi abacebile calcium, utamatisi kanye ubhanana izindodla potassium, magnesium elikhona isipinashi, nokunye okufana nokolweni, isanqante.

isiphetho

Ngezinye izikhathi imbangela angahlangani inhliziyo isigqi itholakala psyche womuntu. Kulokhu, ngemva kokuvakashela udokotela noma wenhliziyo kunengqondo uthintane owelapha. Ungase udinge ukuqedela inkambo ukwelashwa kwengqondo.

Ngoba inhliziyo izinkinga akufanele kuthathwe kalula, kodwa ngesikhathi esifanayo, asikwazi ukuvimbela ukuthuthukiswa cardiophobia noma kokuhlaselwa yinhliziyo nezinye pathologies sina.

Lapho inhliziyo yesosha kunengqondo kungathatha isikhathi eside, sedatives, zemifino engcono ngoba ziphephile futhi babe cishe akukho contraindications engemihle. Lezi zihlanganisa valerian tincture, motherwort tincture, "Novopassit", "nasePheresiya".

Yileyo indlela eziyingozi ethunjini isigqi atrial. Kuyini, Ngithemba wonke manje ecacile.