Haddasawa, cututtuka da kuma lura da supraventricular tachycardia

A na kowa zuciya kari tashin hankali da aka kira supraventricular tachycardia. Kullum, shi da aka gabatar tare da maimaita aukuwa karuwa a mita da kuma mai tsanani na lashe a jiki yankin. Ko da yake CBT ne yawanci ba rai-barazana, da yawa marasa lafiya da wahala daga maimaituwa cututtuka da cewa suna da wani gagarumin tasiri a kan su ingancin rayuwa. M da kuma harben aukuwa na tachycardia iya haifar da gagarumin damuwa ga mutane da yawa.

Nan da nan, wani m bugun zuciya halin SVT, kuma mafi yawan marasa lafiya za a iya bincikar lafiya tare da wani babban mataki na yaƙĩni ne kawai ta hanyar tarihi. Maimaita yunkurin electrocardiographic nazarin iya zama mara amfani.

A abin da ya faru na SVT ne game da 35 lokuta da 100 000 a kowace shekara, da na ruwan dare na - 2.25 da 1 000 mazaunan. Yawancin lokaci ta bayyana a matsayin wani maimaituwa paroxysm na supraventricular tachycardia, da cututtuka da kai ga m Hakika na cutar. Basic iri CBT: Wolff-Parkinson-White ciwo, supraventricular ko supraventricular extrasystole, tachycardia, atrioventricular nodal rientri.

Yadda cikin zuciya aiki?

M sashin jiki yana da hudu da bẽnãye - biyu atria da biyu ventricles. Kowane bugun zuciya yana farawa tare da kankanin lantarki hatsaisai samar a cikin sinoatrial kumburi. Yana da na'urar bugun zuciya a cikin sama ɓangare na dama atrium. A lantarki bugun jini farfagandar tare da zuciya tsoka, suna ɓuɓɓugar da shi aiki. Da farko, shi motsa atria, da atrioventricular kumburi a shigewar cewa abubuwa a matsayin mai rabawa. Yana nan ya wuce ta atrioventricular cuta addashin a matsayin shugaba samar da hatsaisai ga ventricles. Bi da bi, da ventricles fara nema jini a cikin jijiyoyi.

Mene ne supraventricular tachycardia, da kuma abin da suke ta haddasawa?

Cutar da ake azumi bugun zuciya saman na ramin zuciya ba sarrafawa sinoatrial kumburi. Wani sashi na zuciya rufe lantarki hasken dake fitowa zuwa na'urar bugun zuciya. Source fara sama da ventricles da kuma shimfidawa a gare su. A mafi yawan lokuta, CBT fara a farkon adulthood. Har ila yau, kowa supraventricular tachycardia yara. Duk da haka, shi zai iya faruwa a kowane zamani. Yana da wani m cuta, amma da ainihin adadin wadanda ne ba a sani ba.

Supraventricular supraventricular tachycardia saboda wadannan dalilai:

• Magunguna. Wadannan sun hada da wasu inhalers, ganye kari kuma sanyi magunguna.
• Shan yawa maganin kafeyin da barasa.
• Danniya ko wani tunanin damu.
• Shan taba.

Atrioventricular da atrial irin SVT. Wolff-Parkinson-White ciwo

AVURT - ya fi na kowa da irin supraventricular tachycardia. Yana faruwa a mafi sau da yawa a cikin mutane a kan shekaru 20 da kuma mata suke kan 30. Akwai Laifi a taron na wani lantarki bugun jini zuwa zuciya cibiyar. Sau da yawa bayyana a cikin daidai da lafiya mutane. Maimakon na al'ada kunnawa da m aikace-aikace na bugun jini sinotrialny kumburi shigar da ƙarin halin yanzu a kusa da wannan gajeren kewaye. Wannan yana nufin cewa zuciya rate ƙaruwa hanzari sa'an nan za su ci gaba duk da bayyanar cututtuka na SVT.

Atrial tachycardia ne ƙasa da na kowa irin. Yana auku a wani karamin yanki na nama, ko ina a cikin zukãtansu na biyu atria. A mafi yawan lokuta a cikin hanyar shi ne ba a sani ba. Duk da haka, shi na iya faruwa a cikin wadanda yankuna inda tsokar zuciya infarction an canja shi a baya, ko akwai matsaloli tare da zuciya bawul. Wolff-Parkinson-White ciwo yana bunkasa da sauri sosai. Akwai cututtuka da dizziness, zai yiwu asarar sani. Kwatsam mutuwa ne mai wahala da wannan yanayin, amma sabon abu ne musamman rare.

asibiti manifestations

Alamun supraventricular tachycardia zai ɗauki wasu seconds, minti ko hours.

Wadannan manifestations:

• Pulse zama 140-200 lashe minti daya.
• Wani lokaci yana iya zama sauri.
• Kolotaniya ji na zuciya.
• Juwa ko jiri, shortness na numfashi.

CBT yawanci fara ba zato ba tsammani, wani kwakkwaran dalili ba. Paroxysmal supraventricular tachycardia gani wata karuwa a wuyansa, ko shugaban, da kuma iya bi da kirji rashin jin daɗi (m zafi), shortness na numfashi, tashin hankali. Akai-akai, jini aka saukar saboda wani m zuciya kari, musamman idan ta ci gaba for 'yan sa'o'i. A wasu lokuta, wannan take kaiwa zuwa rufe da mãgãgi ko auka.

A mataki na bayyanar cututtuka dabam yadu, dangane da aiki da kuma contractile mita, duration, supraventricular tachycardia, zuciya da alaka cututtuka. Har ila yau yana da darajar mutum ji na haƙuri. Akwai tsammãninsa ya zama tsokar ischemia.

cuta ganewar asali

Akwai hanyoyi da dama don gane asali cututtuka irin supraventricular tachycardia: ECG, echocardiogram, cardiac gwaji tare da motsa jiki. A lokuta da dama sakamakon da binciken yawanci al'ada.

ECG duba kari kuma lantarki aiki na jiki. Shi ne m da kuma daukan kawai 'yan mintoci. Idan paroxysmal supraventricular tachycardia faru a lokacin ECG, na'urar na iya tabbatar da bincike da kuma game da shi ware wasu haddasawa m bugun zuciya.

Tun da shi ne ba ko da yaushe zai yiwu don gane asali gaban da cutar a wani asibiti saitin, da mãsu haƙuri ne karfafa su su gwada su gane cutar da taimakon mai ɗaukuwa electrocardiograph. Ya zai haddace duk matakai faruwa a cikin zuciya ga 24 hours. A lokacin da hanya, ba za ka iya iyo.

Za ka iya bukatar amfani da wani echocardiogram. Wajibi ne ga kimantawa na cardiac sifa da aiki, amma sakamakon yawanci a cikin al'ada kewayo. Za ka kuma bukatar yin wasu daga cikin darussan da ake bukata domin sanin lõkacin da ta faru tachycardia (a lokacin motsa jiki ko a sauran). Marasa lafiya na iya kai ƙarar ciwon kirji a lokacin SVT. Wadannan cututtuka ba su bukatar wani danniya gwajin ko angiography. The yanke shawara a kan kara gwaji kamata a dogara a kan haƙuri ta tarihi da kuma gaban jijiyoyin bugun gini hadarin dalilai.

Data kasance magani zažužžukan

Mai SVT cututtuka gushe a kan nasu, babu magani ne na wajibi. Wani lokaci yana yiwuwa don dakatar da cututtuka ta hanyar daban-daban matakan, ciki har da shan ruwan sanyi, rike da ya numfashi da kuma saukar da ta fuska a cikin ruwan sanyi. Duk da haka, idan CBT yana da wani dogon lokaci tare da sosai tsanani cututtuka, ya kamata ka nan da nan zuwa asibiti.

Akwai hanyoyin dayawa don sarrafa tachycardia:

• A takaice-lokaci.
• A dogon lokacin da.
• Pharmacological.

Kasa ne a look at kowane daga cikinsu dabam.

Short-lokaci iko da cutar

Manufar wannan magani - da lõkacin fatara daga m harin. Wannan za a iya cimma ta horar da kara sautin. Alal misali, za ka iya amfani da wani sanyi mai kara kuzari a fata. Har ila yau, tare da wannan cuta, kamar supraventricular nau'i na paroxysmal tachycardia, za ka iya samun tausa na carotid sinus.

Idan wadannan matakai ba su taimake, shi ne shawarar ya dauki daya daga wadannan kwayoyi:

• "Adenosine". Ya sauri ta kawar da cututtuka ta tarewa da lantarki hasken dake fitowa a cikin zuciya, amma downside shi ne cewa, tsawon lokacin da ta mataki ne kananan. A rare lokuta, shi iya tsananta bronchospasm lalacewa ta hanyar atypical kirji rashin jin daɗi.
• "Verapamil" "Diltiazem". Kwayoyi suna gudanar intravenously kan 2-3 minti. Suka ɗauke da hadarin potentiation na hypotension da bradycardia.

Dogon lokacin da management na rashin lafiya

shi da gusar da paroxysmal supraventricular tachycardia? Jiyya ne individualized dangane da mita, mai tsanani da kuma tasiri na aukuwa daga cututtuka a kan ingancin rayuwa.

Kwayoyi wajabta wa marasa lafiya da suke yi:

• Dawowa aukuwa na symptomatic SVT, shafi ingancin rayuwa.
• Alamun da aka gano tare da taimakon wani electrocardiogram.
• Rare aukuwa na SVT, amma haƙuri da sana'a aiki zai kai ga ci gaban da cutar.

Radiofrequency catheter ablation bada shawarar ga mafi yawan wadannan marasa lafiya. Yana yana da kananan hadarin da rikitarwa da kuma shi ne curative a mafi yawan lokuta. A hanya yawanci daukan 1.5 hours, shi za a iya yi a karkashin maganin sa barci da kwantad da hankali ko janar maganin sa barci. Marasa lafiya yawanci zauna a cikin asibiti na dare domin kallo da kuma cardiac monitoring.

Pharmacological management cuta

Manufar miyagun ƙwayoyi far - rage a cikin mita SVT aukuwa. Kawai kananan ƙunshi juzu'i na marasa lafiya za su iya rabu da mu da bayyanar cututtuka na irin cututtuka, kamar supraventricular tachycardia. Jiyya ya shafi wadannan shawarar kayayyakin:

• atrioventricular nodal tarewa kwayoyi.
• Na antiarrhythmic miyagun ƙwayoyi da kuma aji III.

Beta-blockers da alli tashar blockers (Class II da kuma IV) ba su dace domin farko-line lura a cikin ciwo na Wolff-Parkinson-White ciwo. Yi da ka karatu sun ba da aka nuna asibiti magabaci na kowane daya wakili. Duk da haka, beta-blockers da alli tashar blockers ne mafĩfĩta far "Digoxin" domin sun samar da wani mafi tarewa sakamako a AVURT a Jihar high sautin na m juyayi tsarin. Su ya kamata ba za a yi amfani da marasa lafiya da ciwo na CPG, kamar yadda zai iya bayar da gudummawa ga m aiwatar da ƙarin tafarkin da atrial fibrillation, wanda na iya haifar da na ramin zuciya fibrillation.

Jiyya da marasa lafiya da Wolff-Parkinson-White ciwo

Ga marasa lafiya da ciwo CPG sama akwai wani madadin miyagun ƙwayoyi. Domin lura da irin cututtuka bada shawarar:

• "Flecainide".
• "Sotalol» (II da kuma Class III ayyuka).

Su ne mafi tasiri fiye da beta-blockers da alli tashar blockers a hana SVT, amma hade da wani kananan hadarin na ramin zuciya tachycardia. Wannan hadarin shi ne low a marasa lafiya ba tare da tsarin da cututtukan zuciya, amma rikitarwa faruwa a 1-3% da marasa lafiya da samun "Sotalol", musamman ma wadanda suka yi amfani da high allurai.

"Amiodarone" yana da wani rawa a cikin dogon lokacin da rigakafin SVT kamar yadda a cikin Wolff-Parkinson-White ciwo, da kuma cikin wasu iri na high mita na tsanani mai guba effects a jiki tare da shafe tsawon amfani.

Hana SVT aukuwa

Za ka iya daukar wani kullum magani don hana aukuwa na SVT. Daban-daban kwayoyi na iya shafar lantarki hasken dake fitowa a cikin zuciya. Idan da wasu wajen bai yi aiki ba, ko ya haddasa illa, tuntuɓi mai likita. Ya za shawara abin da magani ya zama dole a cikin al'amarin.

Dole ne ka sanar da dacewa hukumomi da kuma gushe hau a baya da dabaran da mota, idan akwai alama na cuta free yayin tuki. Kada ku riƙi kwayoyi su hana SVT, zai iya tsananta halin da ake ciki da kuma haifar da wasu zuciya matsaloli. A mafi kyau rigakafin ne kullum kaya na zuciya da jijiyoyin jini tsarin ta hanyar motsa jiki.