Kupatsanura pakati cardiac arrhythmias

Maererano zvokurapa uwandu panzvimbo yokutanga pakati zvirwere zvose vari zvirwere zvomwoyo uye vascular gadziriro. Chii chakakonzera izvi? Mamiriro mazhinji akaipa zvinoita sei kumwoyo. Mumwe wavo - dzose mupfungwa uye kushaya nguva yokuti kunyatsozorora. A akaipa muchinangwa kukura aya pathologies Mitambo uye kusvibiswa mhepo. Asi munhu ari kutambura kwete chete kubva zvose kuipa zvakatipoteredza. On utano vagari yedu vane inokanganisa pakati semadutu rinobva. Kubva watsemuka izvi nomusi Sun kunonyanya zvakaipa vanonzwa chaizvo cores. The kutanga kwekupwanyiwa kupfuura chakakomba pathologies, kazhinji kutyisidzira nokufa arrhythmia anova.

Musimboti chirwere

Kazhinji shoko rokuti "arrhythmia" haisi panoonekwa nesu sezvo chirwere. Asi regai kubata ichi sapakakoromoka utano tisingafungi. Kazhinji, nhamba shamhu hazvifaniri anopfuura 90 kweminiti. Kana iri kukosha harifaniri kuva zvishoma pane 70. Asi kune vanhu vakawanda mashoko ichi hachina kuzivikanwa. Uye, sezvo mutemo, hatidzori mwoyo wako zvazvingava, kwete shanyira cardiologist uye kwete kupfuudza yayo pachangu, asi ECG. Zvisinei, zviito zvakadaro yakadereresa nechiyero kuti ndichengetedze pachavo utano hwavo.

A yakawanda yezvikanganiso chakadaro muviri inokosha somoyo, unogona kudzivirira kwete chete, asiwo kuti kurega. Uye wokutanga bhero nekuda kuitwa chinonyanya zvokukurumidzira zviyero ndiyo kuchangotanga zvokutsauka nevaya kuisa mutinhimira, izvo vaiona vasingambooni chakaipa nazvo.

Vamwe zvikonzero icho pane kuchinja padanho kupomba, ndeinotevera:

- nekuneta;
- mupfungwa simba;
- ane ovhadhozi doro;
- vachiberekwa mwoyo chirwere.

Arrhythmia Kukosha ndechokuti kutyora cardiac hurongwa.

Cardiologists govera madhigirii siyana pamusoro kwokuomerwa kutsauka kwakadaro. Somuenzaniso, nyore kurapwa vakashumira zvinhu zvakadai umo kune zvaaida kakawanda asingadi wakakwanisa Kurohwa mishoma. Zvisinei, varwere kutambura kazhinji kubva kuwedzera myocardial marwadzo. Zviri ngozi chaizvo nevanhu uye kunogona kuurayisa.

siyana zvirwere

Dzakafanana kupatsanura pakati arrhythmias iri parizvino chinoshayikwa. Izvi imhaka ari kugara muchikurukura zvose pamusoro nhandare, izvo zvinofanira kuiswa kwayo hwaro. Zvechokwadi, pasinei zvesayenzi kudzidza chirwere ichi kare emakore-kare, hunokwanisa mugumisiro kwayo mabatiro nenyanzvi havana kugamuchira.

Somuenzaniso, zvakanga yataurwa 2014 kuti arrhythmia kupatsanura vaisanganisira mhando nhatu inokosha pathologies. Pakati pavo:

1. Arrhythmias vari vakakwana mhinduro, richiratidzwa ezvinhu kuchinja, asi kutungamirira vamwe zvirwere, nokuti muviri ngozi.
2. Arrhythmias yomuka kuti mutemo cardiac basa.
3. Arrhythmias anokonzerwa disorganization antivolnovogo kushanda pomwoyo.

Kupatsanura pakati cardiac arrhythmias (WHO) vanozivikanwa mapoka makuru matatu pathologies izvi. Vanosanganisira zvinotevera zvirwere:

- maumbirwo yakakonzerwa rwakavhunika kumwoyo electric kufamba kweropa;
- chokuita conduction zvirwere;
- aibatanidza mhando anokonzerwa vaviri vokutanga uye chechipiri chikonzero.

Arrhythmia iri Classified uye nokuda kwavo mavambo. Saka, yoga vachiberekwa, ndakawana uye idiopathic zvokurwara. Chokutanga izvi kwemarudzi matatu inowanikwa kubva nguva nechitarisiko murume panyika. Idiopathic arrhythmia harinyatsozivikanwa mavambo. Kana akawana chirwere, richiwanika munyika upenyu murwere uye ane migumisiro zvimwe zvirwere zvakakomba, kusanganisira - nechirwere chemwoyo, chirwere cheshuga uye BP.

In zvinoitirwawo arrhythmia cardiac tsandanyama saizvozvo sapakutanga, anoramba kupomba ropa. Zvisinei, zvokurwara ichi inogona kutungamirira kukudziri- pathologies zvakadai thromboembolism uye mwoyo nokukundikana. Zvino anotaura nezvengozi arrhythmia.

Kutyora kwemwoyo

Ichi chimwe zvikonzero kukura zvokurwara. Panyaya iyi, pane kupatsanura pakati arrhythmias zviri kwemwoyo ukoshi. Zvinosanganisira:

1. Sinus tachycardia. zvokurwara ichi chokuita kutyora sinus raiva pedyo nebundu inova huru mashandiro pakati cardiac magetsi nomunhu.

Kana ichi mhando tachycardia kwemwoyo akapfuudza yokumusoro chikumbaridzozve akaenzana makumi shamhu paminiti. ezvinhu kwakadaro kunoitwa murwere ari kurova kwehana.
2. Sinus arrhythmia. zvokurwara ichi zvakaipa alternation mwoyo unodiwa. Kakawanda, sinus arrhythmia kuchengetwa nevana uye kuyaruka. Kazhinji chadzo uye ane zvakananga ukama nokufema. Panguva inhalation kwemwoyo kakawanda, uye kana imi exhale nekusiyana, kuva mashoma.
3. Sinus bradycardia. chikuru chiratidzo Its chinhu zvinoderedza kwemwoyo kusvika 55 anorova paminiti. Fani iyi inogona kuchengetwa kunyange utano uye vakasimba mumuviri vanhu apo akarara kana kuzorora.
4. paroxysmal atrial fibrillation. Muchiitiko chino, pane palpitations mwoyo simba, ane kodzero mutinhimira. Kwemwoyo muvanhu dzimwe nguva inosvika anorova 240 paminiti. Panguva imwe cheteyo, rinoita utera uye pallor, wakawedzera vangadikitira, uye lightheadedness. Chikonzero chinoita izvi zviri zvimwe zvinodiwa yomuka ari atria. Somugumisiro, chitarisiko chavo chakasimba chaizvo rutapudzo rokuzorora nguva myocardial tsandanyama.
5. Paroxysmal tachycardia. zvokurwara uku kwakarurama, asi rinogara chaizvo mutinhimira mwoyo tsandanyama. Heart mwero iyi iri kuwanda 140 kusvika 240 anorova paminiti. Paroxysmal kurapa, sezvinoita ushe, rinowanika uye haarambi pakarepo.
6. Arrythmia. Izvi mhando arrhythmia riri kunoshamisa (vakurumidze) ari rutapudzo kuti myocardial tsandanyama. Muchiitiko chino, munhu anogona kunzwa chakamira pakunodengenyeka zvine uye yanyatsosimba mumwoyo, uye ayo wasvava.

Kuti dzibatsire cardiologist

The zvikuru yokuita kubva inoshanda nemaonero ichaongororwa kuti kupatsanura pakati arrhythmias Kuszakowski. mapoka matatu pathologies yaisanganisira mariri. Panguva iyoyo vane rondedzero nhengo dzose pathologies izvi. Ngatikurukurei typology, izvo zvinosanganisira kupatsanura pakati arrhythmias.

Abnormalities iri mutinhimira idzodzo

boka iri une Sub-zvikamu zvitatu. Mune wokutanga, inova kupatsanura pakati arrhythmias zvabudiswa pasi tsamba "A", kupinda nomotopnye zvokurwara. Idzowo kutyora sinus raiva pedyo nebundu. In kusunungurwa ichi:

1. Sinus tachycardia.
2. Sinus barikardiyu.
3. sinus arrhythmia.
4. SSS, kana urwere, vanorwara sinus.

Rinotevera Sub-chikamu zvinosanganisira ectopic zvinokonzera arrhythmia mwoyo.

Kupatsanura rinozivisa mazita pathologies pasi tsamba "B". Kupesana uku kunosanganisira kunyongana anokonzerwa heterotopic mutinhimira kuti vavapo maererano predominance kuti automatism ari ectopic nzvimbo. Pamazita Izvi zvinosanganisira:

1. wakatora (zvishoma) uye nhunzi-kubva mutinhimira zvivako, kusanganisira atrial uye ventricular uyewo kubva AV-yeimwe
2. Kutama kuchengetwa supraventricular pacemaker.
3. Neparoksizmalnye zvokuzvivaraidza tachycardia kana nokukurumidza mutinhimira yakadai ectopic.

Muchikamu chinotevera kutaura asiri zvaipesana automaticity ose cardiac arrhythmia. Kupatsanura chinosiyanisa zvokurwara Data pasi tsamba "B". Idzi dzinosanganisira:

1. extrasystole (ventricular, atrial, uye AV pamusoro yeimwe).
2. paroxysmal tachycardia maonero.
3. Atrial flutter.
4. fibrillation (kudzima) atria.
5. Ventricular fibrillation.

Mhirizhonga munyika conduction

boka iri zvinosanganisira akawanda zvimwe ventricular arrhythmias.

Kupatsanura Kuszakowski allocates iyi:

1. sinoatrial misa.
2. intraatrial misa.
3. AV nechigumbuso.
4. intraventricular blockade matavi ake chiputu, kusanganisira mono-, bio- uye triofaostsikulyarnye zvokurwara kukanganisa ukuwo mumwe, vaviri kana vatatu mapazi atrioventricular masumbu.
5. ventricular asystole.
6. Syndromes rokusamhanyira ventricular excitation.

Combined zvokurwara mutinhimira

boka iri zvinosanganisira zvirwere zvakadai:

1. Paraksistopiyu.
2. Ectopic mutinhimira hwokuratidza blockage of buda.
3. AV dissociation.

dzakawanda zano

Kuchitaura kuti kutsunga yakadaro chirwere sezvo arrhythmia, ndiye WHO kupatsanura inokurukura mapoka akadaro anenge saizvozvo. In zvokurwara ichi rakakamurwa nezvirwere zvinokonzerwa nezvikonzero zvakasiyana-siyana kushanda pomwoyo zvirwere. Nokudaro, NDIANI rairatidza zvinotevera mapoka arrhythmia:

1. kukonzerwa vachivavhiringidza pamusoro automaticity, kusanganisira:

a) pacemakers ari sinus raiva pedyo nebundu (sinus tachycardia, arrhythmia uye barikardiyu uye SSS uye non-kufema sinus arrhythmia);
b) pacemakers kunze sinus raiva pedyo nebundu (nizhepredserdny, atrioventikulyarny uye idioventikulyarnye mutinhimira).

2. Dana excitability zvinetso, kusanganisira:

a) nokuti zvokurwara manyuko (ventricular, atrial uye atrioventikulyarnye);
b) nhamba zvinyorwa (mono- uye polytropic);
c) Nguva chiitiko: mangwanani (panguva atrial marwadzo), gare gare (panguva yokuzorora zvomwoyo tsandanyama) uye interpolated (pamwe localization pfungwa pakati atrial marwadzo uye kutandara mwoyo);
d) maitikiro: boka (multiple mumutsara), chiutsi (vaviri panguva), iyo chikwata (shanu zvichidzika) uye vakawanda (vanopfuura vashanu);
d) nokuti achirayira (quadrigemini, trigeminy, bigeminy);
e) paroxysmal tachycardia.

3. conduction vachivavhiringidza anonyengetedzwa, i.e. kuwedzera izvozvo (WPW-chirwere) kana kuderera (mhando dzakasiyana-siyana kuvharwa).

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

mhando dzose nezvirwere vari pamwe kwete chete yokutyora ari anatomical nemamiriro mwoyo. Hunozoita kuti kusaenzana uye zvose metabolic pezvakaitwa kuitika tsandanyama infarction. Izvi zvakasiyana zvakasikwa uye paanowedzera arrhythmias. Isa chirwere wechokwadi unogona chete cardiologist. Ivo Uchamisa mhosva cardiac arrhythmias, kupatsanura, etiology, pathogenesis, kurapwa zvinozonzi maererano ari electrocardiographic mashoko.

Ciliated mhando zvokurwara

Hwaro ichi Chirwere kupatsanura raisanganisira hunhu waro kunotoda Chokwadi, electrophysiological zvigadziriswe uye etiological zvinhu.

Chii atrial fibrillation? Kupatsanura rinozivisa zvinotevera mhando nayo:

- chisingaperi (kugara);
- Kuramba;
- zvinopfuura (paroxysmal), zvisingaperi kubva maawa 24 kusvika mazuva manomwe.

In ichi chirwere uye kuramba siyana zvokurwara anogona kuva idzokororo.

Zvinonzi nevamwe nokuda mhando atrial fibrillation cardiac anorova. Saka dzoga flutter uye atrial fibrillation.

Nokuti kakawanda iyo ventricles vari akaderedzwa, kusiyanisa atrial fibrillation:

- tahistolicheskuyu (90 nguva kana kupfuura paminiti);
- normosistolicheskuyu (60-90 nguva paminiti);
- bradisistolicheskuyu (nguva asingasviki 60 paminiti).

anorova

Izvi Musiyano imwe zvokurwara dzinoratidzwa zvinoshamisa sunga mwoyo tsandanyama kana wayo mumwe zvikamu (extrasystoles). Panguva imwe cheteyo munhu anonzwa kufunganya, kupfupika mweya, kurudziro yakasimba kuti mwoyo kana dzaisvava. zvokurwara Izvi zvinowanzoita kuti angina uye kuvhiringidzika chepfungwa wechiGeorgian.

Chero anorova ichazivikanwa noku siyana parameters. Ndokusaka zvikamu zvinopfuura gumi vakanga chaibwinya panguva rakwo kupatsanura. Zvisinei, nokuti dzinoshanda mafomu emit chete izvo zvinogona maximally anenge kuratidza nzira chirwere.

Kupatsanura pakati arrhythmias Lawn raiva danho rinokosha munhoroondo cardiology. Uchishandisa aronga muzvikwata zvisina tsarukano, nachiremba anogona zvakakwana kuongorora ruzivo kuwanikwa murwere kwokuomerwa ari zvokurwara kuyerera kwayo. Chokwadi chokuti gastric mwoyo anorova (VPB) zvachakapararira kwazvo. zvokurwara iri kuchengetwa kusvika makumi mashanu kubva muzana varwere watarisa cardiologist. Mune vamwe chirwere chacho benign uye hapana upenyu-kutyisidzira pachako haarambi. Zvisinei, pane varwere vakanga dzakaonekwa munhu akaipa chimiro PVCs, izvo zvinoda chaizvo nzira yokurapa.

Huru basa kuteererwa kupatsanura pakati tsangadzi, kuparadzana nyanyisa kubva benign zvokurwara. Muchiitiko chino, pane mapoka mashanu chirwere:

1. monomorphic ventricular extrasystole, ane maitikiro - asingasviki 30 paawa.
2. monomorphic PVCs ane kakawanda zvinopfuura 30 paawa.
3. politopnye.
4. kirasi yechina iri dzinounzwa subsections maviri (aiwanzopiwa wokushanda PVCs uye ventricular tachycardia apo akatevedzana PVCs matatu kana kupfuura).
5. extrasystole apo R-wave rokutanga 4/5 chinozunguzirwa T.

kupatsanura ichi anowana chikumbiro aro cardiology uye cardiac kuvhiyiwa. Kwemakore akawanda, kuishandisa uye vamwe vanachiremba. Akatanga muna 1971, zvazova rutsigiro yakavimbika nyanzvi panguva rokugadza arrhythmia kupatsanura uye Mabatirwo zvokurwara ichi.