Nau'in cardiac arrhythmias

A cewar likita statistics, da fari tsakanin dukkan cututtuka ne cututtuka na zuciya da jijiyoyin bugun gini tsarin. Me ya sa haka? A jihar yawa korau dalilai shafi zuciya da jijiyoyin jini tsarin. Daya daga cikinsu - da akai danniya da kuma rashin lokacin dace sauran. A korau rawa a ci gaban da wadannan pathologies kwaikwaiyo da kuma iska gurbatawa. Amma wani mutum yana shan wahala ba kawai daga abin da tabarbarewar muhalli da yanayi. A kan kiwon lafiya na mazaunan duniya tamu da mummunan tasiri na Magnetic hadari. Daga wadannan bursts a kan Sun ne musamman bad Feel daidai tsakiya. A farko daga wani mafi tsanani pathologies, sau da yawa barazana daga m arrhythmia zama.

Jigon da cuta

Sau da yawa da Kalmar "arrhythmia" ba a gane ta da mu a matsayin ganewar asali. Amma ba mu bi da wannan a matsayin wani warwarewarsu kiwon lafiya irresponsibly. Yadda aka saba, da yawan shanyewar jiki kada ta kasance fiye da 90 na minti. Idan wannan shi ne darajar kada ta kasance kasa da 70. Amma ga mutane da yawa da wannan bayanai da aka ba su sani ba. Kuma, kamar yadda mai mulkin, ba mu sarrafa ka zuciya rate, ba ziyarci wani likitan zuciyar da ba auku a kan kansa himma, da ECG. Duk da haka, irin wannan ayyuka ne mafi ƙasƙanci awo da adana nasu kiwon lafiya.

A yawa na kasawa da irin wannan muhimmanci jiki kamar zuciya, ba zai iya kawai hana, amma kuma ya daina. Kuma na farko kararrawa domin tallafi na fi gaggawa matakan ne 'yar alamar karkata daga waɗanda kafa kari, wanda suna dauke da kullum.

Wasu daga cikin dalilan da akwai wani canji a matakin bugun jini, su ne kamar haka:

- gajiya.
- karfi gajiyan.
- wani yawan abin sama da barasa.
- nakasar zuciya cuta.

Arrhythmia The kasa line shi ne cewa shi ne wani take hakkin cardiac tsarin.

Cardiologists ware daban-daban digiri na tsanani daga irin wannan karkata. Alal misali, a mafi sauki magani bauta irin wannan yanayi a cikin abin da ake so mita ba ta taso ba kawai 'yan shanyewar jiki. Duk da haka, marasa lafiya sha sau da yawa daga wani gagarumin karuwa a tsokar ƙanƙancewa. Yana da matukar hatsari ga mutane da kuma na iya zama m.

irin cututtuka

Uniform rarrabuwa na arrhythmias a halin yanzu bace. Wannan shi ne saboda duk da gudana tattaunawa a kan filaye, wanda ya kamata a sa a cikin ta da asali. Lalle ne, duk da riga ƙarni-tsohon kimiyya binciken da wannan cuta, da ake so sakamakon a lura da masana ba su samu.

Alal misali, ya aka nuna a shekarar 2014, da cewa arrhythmia rarrabuwa hada da uku na asali iri pathologies. Daga cikin su:

1. Arrhythmias ne na al'ada martani, bayyana a cikin yanayi na karbuwa, amma kai ga wasu cuta, don m kwayoyin.
2. Arrhythmias tasowa domin tsari na cardiac aiki.
3. Arrhythmias lalacewa ta hanyar disorganization antivolnovogo aiki na zuciya tsoka.

Nau'in cardiac arrhythmias (WHO) ya gano uku manyan kungiyoyin wadannan pathologies. Sun hada da wadannan cututtuka:

- samuwar sa da wani warwarewarsu a cikin zuciya da jijiyoyin jini tsarin na lantarki bugun jini.
- dangantawa da madugu cuta.
- hada da irin sa ta biyu na farko da na biyu dalili.

Arrhythmia ne classified kuma sabõda asalin. Saboda haka, ya zama ruwan dare nakasar, tsiwirwirinsu, da idiopathic Pathology. A farko daga cikin wadannan uku jinsin aka samu daga lokacin da aka bayyanar mutumin a cikin duniya. Idiopathic arrhythmia ne na bai tabbata asalin. Kamar yadda na samu cuta, shi ya auku a ko'ina cikin rãyuwar haƙuri, kuma shi ne saboda abin da wasu tsanani cututtuka, ciki har da - jijiyoyin zuciya da cututtukan zuciya, da ciwon sukari da kuma hauhawar jini.

A taron na arrhythmia cardiac tsoka kamar yadda kafin, ya ci gaba da tsotso jini. Duk da haka, wannan Pathology iya kai ga ci gaban da pathologies kamar thromboembolism da zuciya rashin cin nasara. Shi kuwa yanã magana da hatsarin arrhythmia.

Take hakkin da zuciya rate

Wannan shi ne daya daga cikin dalilan domin cin gaban Pathology. A wannan batun, akwai wani rarrabuwa na arrhythmias na zuciya rate darajar. Yana hada da:

1. sinus tachycardia. Wannan Pathology an haɗa da take hakkin da sinus kumburi wanda shi ne babban tsarin ba da cardiac lantarki hasken dake fitowa.

Lokacin da irin wannan tachycardia zuciya rate ya wuce na sama bakin kofa daidai casa'in shanyewar jiki da minti. Irin wannan jiha da aka ji da haƙuri kamar yadda wani bugun zuciya.
2. Sinus arrhythmia. Wannan Pathology ne ba daidai ba awar zuciya rate. Mafi sau da yawa, sinus arrhythmia lura a yara da kuma matasa. Sau da yawa, shi ne aikin, kuma yana da wata dangantaka ta kai tsaye tare da numfashi. A lokacin inhalation bugun zuciya m, da kuma lokacin da ka exhale, a maimakon haka, ya zama mafi rare.
3. sinus bradycardia. Its main alama ne raguwa a zuciya rate zuwa 55 lashe minti daya. Wannan sabon abu za a iya lura ko da a cikin lafiya da kuma jiki karfi mutane yayin da barci ko Allaha.
4. paroxysmal atrial fibrillation. A wannan yanayin, akwai wani karfi zuciya palpitations, ciwon dama kari. Zuciya rate a cikin mutane wani lokacin kai 240 lashe minti daya. A lokaci guda, shi sa wani rauni da pallor, ta ƙara sweating, kuma lightheadedness. Dalilin wannan sabon abu ne ƙarin hasken dake fitowa ta tasowa a cikin atria. A sakamakon haka, su bayyanar shi ne mai karfi akan rage sauran lokaci na tsokar tsoka.
5. Paroxysmal tachycardia. Wannan Pathology daidai ne, amma yana da matukar m kari na zuciya tsoka. Zuciya kudi a wannan harka shi ne a cikin kewayon 140 zuwa 240 lashe minti daya. Paroxysmal far, kamar yadda mai mulkin, bayyana da kuma vuya ba zato ba tsammani.
6. Arrythmia. Wannan irin arrhythmia ne m (wanda bai kai ba) da nakasa daga tsokar tsoka. A wannan yanayin, wani mutum zai iya ji da tremors da kuma karfafa a cikin zuciya, da kuma ta Fading.

Don taimaka wa likitan zuciyar

A mafi yawan dace daga wani m ra'ayi aka dauke domin rarrabuwa na arrhythmias Kuszakowski. Uku kungiyoyin na pathologies kunshe a shi. A daidai wannan lokaci suna da wani cikakken bayanin dukkan yan wadannan pathologies. Bari mu bincika typology, wanda ya hada da rarrabuwa na arrhythmias.

Munanan a cikin launi tsarin

Wannan kungiyar kunshi uku sub-sassan. A na farko daya, wanda yake shi ne rarrabuwa na arrhythmias sake karkashin harafin "A", shigar nomotopnye Pathology. Su dokoki ne a take hakkin da sinus kumburi. A wannan release:

1. sinus tachycardia.
2. sinus barikardiyu.
3. sinus arrhythmia.
4. SSS, ko ciwo, rashin lafiya sinus.

A gaba sub-sashe hada ectopic Sanadin arrhythmia na zuciya.

Nau'in gano jerin pathologies karkashin harafin "B". Wannan rabo ya hada da cuta lalacewa ta hanyar heterotopic rhythms cewa sun taso dangane da predominance na automatism a ectopic cibiyoyin. Wannan jerin hada da:

1. musanya (rage) da gardama-fita kari gidaje, ciki har da atrial da kuma na ramin zuciya kazalika daga AV-mahadi
2. Hijira lura a supraventricular na'urar bugun zuciya.
3. Neparoksizmalnye iri tachycardia ko kara rhythms kamar ectopic.

Wadannan sashe ƙayyade ba take hakkin automaticity na cardiac arrhythmia. Nau'in bambanta Pathology data karkashin harafin "B". Wadannan sun hada da:

1. extrasystole (na ramin zuciya, atrial, kuma AV mahadi).
2. paroxysmal tachycardia views.
3. Atrial flutter.
4. fibrillation (flicker) atria.
5. na ramin zuciya fibrillation.

Disturbances a madugu

Wannan kungiyar hada da dama sauran na ramin zuciya arrhythmias.

Nau'in Kuszakowski allocates wannan:

1. sinoatrial block.
2. intraatrial block.
3. AV block.
4. intraventricular kawancen da cuta rassan, ciki har da mono-, bio- da triofaostsikulyarnye Pathology shafi daidai da daya, biyu ko uku rassan da atrioventricular cuta.
5. na ramin zuciya asystole.
6. syndromes wanda bai kai na ramin zuciya zumudi.

Hada Pathology launi

Wannan kungiyar hada da irin wannan cuta:

1. Paraksistopiyu.
2. Ectopic rhythms halin da blockage na fita.
3. AV dissociation.

duniya makirci

Yana da daraja yana mai cewa a tabbatar da dalilin da irin wannan cuta a matsayin arrhythmia, WHO rarrabuwa ya wadãtu da irin wadannan kungiyoyi a kusan irin ta dā. A wannan Pathology ne zuwa kashi cututtuka sa da dalilai daban-daban da aiki na zuciya tsoka cuta. Saboda haka, WHO ya gano da wadannan kungiyoyin na arrhythmia:

1. lalacewa ta hanyar disturbances na automaticity, ciki har da:

a) auna bugun zuciya a cikin sinus kumburi (sinus tachycardia, arrhythmia da barikardiyu da SSS da kuma wadanda ba na numfashi sinus arrhythmia).
b) auna bugun zuciya waje da sinus kumburi (nizhepredserdny, atrioventikulyarny da idioventikulyarnye rhythms).

2. Kira da excitability cuta, ciki har da:

a) domin Pathology kafofin (na ramin zuciya, atrial da atrioventikulyarnye).
b) da yawan kafofin (mono- da polytropic).
c) Lokaci na abin da ya faru: farkon (a lokacin atrial ƙanƙancewa), daga baya (a lokacin shakatawa na zuciya tsoka) da kuma fassara (tare da sarrafawa batu tsakanin atrial ƙanƙancewa da shakatawa na zuciya).
d) mita: kungiyar (tare da mahara jere), tururi (biyu a lokaci), naúrar (biyar ko kasa) da kuma mahara (fiye da biyar).
d) ga umurnin (quadrigemini, trigeminy, bigeminy).
e) paroxysmal tachycardia.

3. madugu disturbances jawo, Ina nufin kara da shi (WPW-ciwo) ko rage (daban-daban na rufe).

4. Mixed (flicker / ventricles / atria flutter).

All iri cututtuka suna tare ba kawai take hakki a cikin ilimin Halittar Jiki tsarin da zuciya. Sun kai zuwa wani rashin daidaituwa da kuma duk tafiyar matakai na rayuwa da ke faruwa a cikin tsoka infarction. Wannan shi ne daban-daban a yanayi da tsawon arrhythmias. Saka gaskiya ganewar asali iya kawai likitan zuciyar. Za su kafa dalilin cardiac arrhythmias, rarrabuwa, etiology, pathogenesis, na asibiti manifestations a kan tushen da electrocardiographic data.

Ciliated irin Pathology

Dalili na da irin wannan cuta rarrabuwa hada da yanayin da na asibiti Hakika, electrophysiological sunadaran da etiological dalilai.

Mene ne atrial fibrillation? Nau'in gano wadannan iri shi:

- kullum (m).
- m.
- dõgẽwa (paroxysmal), zaunanniya daga 24 hours zuwa kwana bakwai.

A wannan na kullum da kuma m siffofin Pathology iya zama maimaitawa.

Haka kuma an bambanta da irin atrial fibrillation cardiac lashe. Kamar wancan ware flutter da atrial fibrillation.

Domin da mita da abin da ventricles an rage, rarrabe atrial fibrillation:

- tahistolicheskuyu (90 sau ko fiye da minti daya);
- normosistolicheskuyu (60-90 sau minti daya);
- bradisistolicheskuyu (kasa da 60 sau da minti).

beats

Wannan bambance-bambancen da wani halin da Pathology m contractions daga cikin zuciya tsoka ko ta mutum sassa (extrasystoles). A daidai wannan lokaci da mutum ji juyayi, shortness na numfashi, mai ƙarfi impetus ga zuciya ko Fading. Wannan Pathology sau da yawa take kaiwa zuwa angina da disturbances a cerebral wurare dabam dabam.

Duk wani lashe halin da tsararru na sigogi. Wannan shi ne dalilin da ya sa fiye da goma sassan da aka jefarwa a lokacin da cikakken rarrabuwa. Duk da haka, domin m aikace-aikace emit kawai wadanda wanda zai iya maximally kamar gani cikin shakka daga cikin cutar.

Nau'in arrhythmias Lawn ya na da muhimmanci mataki a cikin tarihi na cardiology. Amfani da samarwa ra'ayoyi, likita ne iya mayalwaci tantance bayanai samuwa ga mãsu haƙuri kuma mai tsanani daga cikin Pathology na ta kwarara. Gaskiyar cewa na ciki da serdtsa extrasystole (ZHES) yana sosai tartsatsi ne. Wannan Pathology aka lura a kusan hamsin bisa dari na marasa lafiya da suke yi shãwara a likitan zuciyar. A wasu daga cikinsu da cutar ne benign kuma babu rai-barazanar a kanta ba ya gudanar. Duk da haka, akwai marasa lafiya da suke yi gano wani m nau'i na PVCs, wanda na bukatar wani takamaiman hanya na far.

Babban aikin yi da rarrabuwa na Lawn, shi ne su raba m daga benign Pathology. A wannan yanayin, akwai biyar azuzuwan da cutar:

1. monomorphic na ramin zuciya extrasystole, wanda mita - kasa da 30 a kowace awa.
2. monomorphic PVCs da mita fiye da 30 a kowace awa.
3. politopnye.
4. A karo na hudu aji aka kasaftawa biyu subsections (guda biyu PVCs da kuma na ramin zuciya tachycardia lokacin da uku ko fiye a jere PVCs).
5. extrasystole lokacin da R-kalaman a farko 4/5 kalaman T.

Wannan rarrabuwa sami aikace a cardiology kuma cardiac tiyata. Domin shekaru masu yawa, ta amfani da shi da kuma sauran likitoci. Gabatar a shekarar 1971, ya zama wani abin dogara da goyon bayan da kwararru a lokacin shigarwa arrhythmia rarrabuwa da kuma lura da wannan Pathology.