Mosiyanasiyananso nkusani mungoli

Yankho la funso: "Kodi munthu wabwinobwino nkusani mungoli" akuyamba amazunza anthu ambiri Muziwathandiza ndi matenda enieni. Nthawi imeneyi makhalidwe zinchito za mtima si nkhani ya masewera. Nkhani zofunikila Izi angaganize gonjerani nkusani mungoli.

Normal ntchito mtima amaperekedwa ndi ntchito atatu: malemeredwe, automatism ndi madutsidwe. zolakwika chilichonse opareshoni yachibadwa mwa zizindikiro zimenezi kungathandize kuti apange zamitundu yosiyanasiyana arrhythmias. A mlingo yachibadwa mtima ndi kwaiye mu mfundo nkusani ndipo amatchedwa nkusani mungoli. Cardiologists pa nkhaniyi matenda chifukwa chakuti nkusani mungoli si nthawi zonse chizindikiro cha kugwira bwino ntchito mtima, ena matenda a mtima saonetsa arrhythmias mtima. Makanda obadwa kumene, ndi mofulumira nkusani mungoli, wolemera 150 kumenyedwa, ankaona bwinobwino.

Cardiologist, kupanga mbiri pa cardiogram 'nkusani mungoli. Norma ", ali mu malingaliro zotsatirazi:

• QRS zovuta ali ndi P funde la mawonekedwe nthawi zonse;
• Kayendedwe ka mlingo mtima ndi 60-80 kumenyedwa;
• Distance P-P kapena R-R identically.

Mawu akuti "matenda nkusani mungoli" amatanthauza arrhythmias ndi blockades. disharmony mu pafupipafupi, mosalekeza komanso kugwirizana kwa arrhythmia mtima otchedwa. chipika mtima ankaipembedza pamene wosweka conduction wa malemeredwe ku likulu mwachindunji minofu mtima.

Arrhythmias pa malo a zimachitika ogaŵikana dissonance akuwuka mu ventricles ndi ventricles anayambika pa. Madokotala gulu lotsatirali kutengera kunyezimiritsa wosakhazikika nkusani mungoli:

1. dissonance zimachitika kutchukitsa

• Dissonance kugwirizana ndi kuphwanya automatism, monga nkusani tachycardia, bradycardia, arrhythmias;
• Dissonance kugwirizana ndi ulamuliro wa automatism: pang'onopang'ono kapena inapita kayimbidwe, kapena mwina wapakatikati, pamene mlingo mtima kubweza ndi kufulumizitsa (a kuphwanya pacemaker a);
• Dissonance kugwirizana ndi zosayembekezereka mobwerezabwereza chilakolako chogonana.

2. conduction Dissonance: kwa mtundu uwu kuyan'anila monga onse a anatseka misewu.

3. Pamodzi kuyan'anila

Kwa matenda a dokotala ayenera kupeza mbiri mankhwala wodwala, kupeza deta ya maphunziro zoimbidwa ndi matenda. Pamene kusonkhanitsa mbiri cardiologist adzayesa kuti mudziwe za kukhalapo kwa zizolowezi zoipa, chibadwa ndi matenda anasamutsidwa. adokotala kufunsa pamene wodwala oyamba anaganiza kuti nkusani mungoli linathyoka, kodi zomverera anakumana nazo kanthawi. deta Izi zingathandize kudziwa chikhalidwe cha matenda: ndi mofulumira nkusani mungoli mu mtima kapena mosinthanitsa, wosakwiya. Nthawi zambiri, odwala kudandaula mavuto mu dera mtima, cholinga ayi, kapena zomverera kusokonezeka kwa mtima (mathamangitsidwe kapena deceleration). Nthawi zina arrhythmias angaphunzitse amaona wodwalayo komanso kungachititse kuti imfa ya chikumbumtima. Arrhythmia nthawi zambiri limodzi ndi kufupika kwa mpweya, nseru, kufooka. Chuma cha ntchito mtima amakhudza uziyenda yachibadwa a dongosolo kupuma, imbaenda kusowa oxygen.

Thandizo Kupeza Vuto arrhythmias ali ECG, ndi mankhwala akhoza kuthandiza kuchepetsa zizindikiro zoipa matenda. Ngati pa arrhythmias asymptomatic, ndi mankhwala si chofunika chifukwa chosafuna phindu yachibadwa za mtima ndi kuteteza contractile ntchito yake. Ngati arrhythmias bwanji kugwira ntchito bwinobwino, mankhwala waukulu umalimbana kukonza mulingo woyenera electrolyte maziko ndi kuika kukonzekera mwapadera. Ngati arrhythmia kungachititse kuti imfa ya mtima, madokotala ntchito cardioversion. Ena mitundu ya arrhythmias asonyezedwa mwa opaleshoni.