Lesi sifo okuqala repolarization ventricular

Lapho sitholakele "syndrome okuqala ventricular repolarization" kufanele uhlole ngokugcwele inhliziyo: ukwenza ultrasonography (US) kanye nokuqapha Holter emini ukuvimbela ukuthuthukiswa tachycardia asymptomatic. Futhi-ke, woza lomshado ukuze arrhythmology wenhliziyo, ukuthatha naye electrocardiogram, elibonisa ngeziphambeko Kutholwe ngokucacile. Kungenzeka ukuthi lokhu kuguqulwa kungenxa yobudala ukushintsha kwama-hormone emzimbeni.

Long isikhathi ekuseni ventricular repolarization syndrome (SRRZH) ayebhekwa kuyinsakavukela eyodwa, okungadingi zidinga ukwelashwa. Kodwa namuhla, ke usembula ezingasho kaningi e abasha futhi abasubathi. Lokhu kuholela hhayi ayinangozi syndrome repolarization ekuqaleni ukuvela kohlobo oluthile arrhythmias, zezinzwa izicubu dysplasia nabanye.

Uma umuntu akhonjwe ngesikhathi electrocardiogram ngalesi sifo, odokotela belulekwa ukuba zidlule okulandelayo ukuhlolwa eyengeziwe: echocardiography ukuphumula transesophageal ECG, ukucindezeleka echocardiography (uma kudingwa kadokotela), Holter ECG, cwaningo electrophysiological noma transesophageal ukushukuma kagesi inhliziyo, njll With le miphumela. survey udinga ukuya wenhliziyo. Kuphela angakutshela ukuthi kukhona inhliziyo iyiphi egunjini lokuhlolwa kwezifo. Uma uphethwe is hhayi ukuqinisekisile ke, asikho isizathu sokukhathazeka, futhi asidingi iyiphi indlela yokwelapha. Lesi sifo okuqala repolarization ventricular ngezinye izikhathi kungaba umphumela fetus iziyaluyalu zenhliziyo. Kulokhu, udinga kuphela ukugcina okhokhelwayo. Ukuze avuse ngokuhlasela tachycardia ne kungukuchotshozwa inhliziyo, kufanele ugweme utshwala futhi ugweme ukuzivocavoca.

Phatha syndrome ekuseni ventricular repolarization indlela koda okwengeziwe radiofrequency ablation uvumelanise. Kulesi ephumelelayo kakhulu (90% noma ngaphezulu) Ukuhlola uqhutshwa kusayithi we ipayipi lokhu ugongolo alibulale. Ngaphambi kwesikhathi (ekuseni) ventricular repolarization kungaholela ukuthuthukiswa sibi syndrome senhliziyo. Ngakho-ke, kubalulekile ukuba ngezinye izikhathi ukuthola imbangela yalesi ukuphazamiseka wenhliziyo valve yayo. Ngemva yenhliziyo syndrome, injalo acute kungaholela ngokufa okuzumayo.

Akumangalisi ukuthi kungani eminyakeni yamuva nje impilo abasubathi is ngeso elibukhali ukunakwa, odokotela kanye nabezindaba. Ngoba kulesi sigaba sabantu abasha kungaba kuvele syndrome okusobala ekuseni ventricular repolarization. Ngakho-ke, abasubathi ekuseni KUSEBUSUKU ngisho ebusuku ekuseni baqala ukwenza i electrocardiogram ukuthola ngendlela efanele usaqala, isigqi ukuphazamiseka valve inhliziyo futhi conductivity. Ukuphazamiseka okunjalo ngisho Unezinguquko kubangelwe emagrafu yenqubo ukuqeqeshwa.

Ngakho, sathola ukuthi ekuqaleni repolarization syndrome yisimo mkhuba electrocardiography, okhombisa ukuguqulwa ezithile ngokurekhoda ingcaca womsebenzi inhliziyo phezu ECG. Lesi sifo ubhekwa ezahlukeneyo ayeyivelakancane ka ECG evamile Nokho, okuyinto, kungaphazamisa ukubukeka arrhythmia abulalayo: bradycardia futhi tachycardia, itheku arrhythmia ka atrial, arrythmia, inhliziyo block, paroxysmal tachycardia nabanye, kanye nesifo senhliziyo nemithambo yayo .. Ukuba khona ekuqaleni repolarization ventricular syndrome kwandisa ingozi yokufa kusukela izimbangela inhliziyo e amaphesenti amabili nesishiyagalombili. Lokhu kuvamise elihlobene ne okuvela engathi sína yenhliziyo isigqi thuthuva (ventricular) - tachyarrhythmia, ekuseni khulu, extrasystole polytopic, fibrillation ventricular , njll

In the ukungabikho ekhethekile ekwelapheni arrhythmias, futhi ngalesosizathu thuthuva repolarization, conduction futhi isigqi inhliziyo, singenzeka ebulalayo. Ngakho-ke, uma indlela ethile yokwelapha ngokukhethekile syndrome ebekiwe izidakamizwa antiarrhythmic, isib, amiodarone, futhi liyasetshenziswa yokwelapha energotropic usebenzisa phosphate organic, zizivikele ulwelwesi kanye magnesium amalungiselelo. Zonke yalezi zindlela zokwelashwa ionotransportnoy kujwayeleke umsebenzi izinhlelo zomzimba.