Sinus: Zvinokonzera, Zviratidzo, kuongorora chirwere neMarapirwo

sinus sick chirwere inobatanidza pfungwa dzakasiyana-siyana cardiac arrhythmias, iyo vanonzi kukonzera Kumwe kuchinja kunotanga mubasa iri sinus raiva pedyo nebundu. chirwere ichi kunoratidzwa pamberi bradycardia, uye mberi ikoko kazhinji foci pamusoro arrhythmia.

Kuti kubvisa hosha yomuka, zvinokosha kuti chirwere uye unozotevera pakurapa zvakaoma.

Zvakakurukurwa chirwere

The pomwoyo ine muzinda anogadza mutinhimira kuti kurova kwehana yake. basa iri rinoitwa nevanhu vanonzi sinus raiva pedyo nebundu iri vaiona chinodzora kurova. Zvinoita munhu zvemagetsi zvairatidza uye redirects nayo mwoyo.

Sinus raiva pedyo nebundu kwomwoyo akarurama atrium munharaunda apo pane sangano iri vena cava. Zviri mhando simba, nokuparadzira mhosva yakapiwa mutinhimira pakati anorova nomwoyo tsandanyama. Kushatiswa muviri basa pave yakasiyana mhando Kuvhiringidza iri kushanda mwoyo. zvokurwara Izvi zvinoratidza pacharo zvakafanana mune aroorane uye kazhinji inoitika vanhu vakwegura.

Sick sinus chirwere - haasi zvakananga mumwe chirwere, asi akawanda chokuita mumwe mwoyo mutinhimira zvirwere. Pfungwa iyi zvinosanganisira:

• bradycardia;
• tachycardia;
• yakavhenganiswa mhando.

zvokurwara kwakadaro vanowanzochema uye anopindura zvakanaka kurapwa, kunyanya kwokutanga nzendo chirwere. Kuti tizive kuvapo kwezvirwere, iva nechokwadi kuti kuziva zvinokonzera kuti vanotsamwisa uye salient zvinhu.

The kupatsanura chirwere

Vakawanda vanonetseka, sinus arrhythmia - ndiko kuti chirwere ichi chiri Classified uye inova maitire naye? Unogona kusarudza kwemarudzi aya pathologies, akadai:

• sinus bradycardia;
• tachycardia-bradycardia chirwere;
• sinoatrial misa;
• rinooma sinus.

Bradycardia kunoratidzwa muna kuti uwandu pulses kunoitika, uye ichi rutapudzo kunoita rutapudzo pamusoro cardiac tsandanyama sunga. Kana paine idukusa miniti rimwe namakumi mashanu maronda, riri kuonekwa huru chiratidzo bradycardia.

bradycardia-tachycardia chirwere kunoratidzwa ndechokuti nguva deceleration mwoyo tsandanyama inotsiviwa palpitations. Dzimwe nguva panguva haizopereri kuvandudzika zvokurwara vakachengeta atrial fibrillation.

Kana sinoatrial blockade Zvisinei, sinus raiva pedyo nebundu iri kuzochinja, mukundikani kunoitika munguva kufamba kweropa hutachiwana. On sei zvakajeka uye noruvara kunoitika kupomba blockade zvinoenderana mutinhimira marwadzo mwoyo tsandanyama.

sinus zvechivhurumukira vanorega zvinoreva pacharo kuti pacemaker kwechinguva anotora yokumbozorora kukura kurova kwemwoyo. Kukanganisa nzvimbo basa vakasiyana uye unhu chirwere, kureva, akakamurwa:

• Isimba rakadini rinogona kubudiswa kuitika;
• inoratidza kuyerera;
• kunoratidzwa nokuti.

Isimba rakadini rinogona kubudiswa pamusoro kwakunoitwa chokuti dysfunction pamusoro sinus raiva pedyo nebundu vari kushanda asingaoneki. Kukundikana hadziwanzowaniki chaizvo uye zvinogona chete kuziva abnormalities panguva nzwisisika kuongorora.

Intermittent weboka chirwere kunoratidzwa ndechokuti sinus iri vakachengeta ainyanya usiku. Izvi imhaka matambudziko pamusoro basa mutinhimira ari autonomic hurongwa. Apo aibuda zvokurwara kunoratidza atadze kushanda zvakanaka mwoyo kuonekwe zvikuru raidudzwa.

The zvinokonzera chirwere

Pane zvakasiyana-siyana zvinoita kuti vanotsamwisa sinus, izvo zvinogona kwokunze uye dzakawanda. Rakajairika dzakawanda zvikonzero zvinosanganisira akadai:

• yaitsiva cardiac tsandanyama masero kubudikidza connective tishu;
• nechirwere chemwoyo;
• atherosclerosis;
• Kuvhiya kunotevera;
• kuzvimba, zvisinei vavo zvikuru mavambo;
• autoimmune zvirwere;
• kutyora mapuroteni muviri.

Uyewo predisposing zvinhu zvingava metabolic zvinetso, kushaiwa kana yemuraudzo kuti kemikari kurimwa pachishandiswa thyroid shwanu, chirwere cheshuga, zvachose kuchinja uremu.

The chikonzero vakawanda kwokunze sinus kurwara syndrome (ICD-10 - I49.5) zvinogona ikadzorwawo tsinga wedhipatimendi anokonzera basa zhinji nhengo dzomukati. ezvinhu akadaro kunoitika apo:

• kukuvara pakati tsinga;
• pamberi malignancy muuropi;
• chepfungwa ropa;
• enderana kubvuma dzimwe gadziriro somushonga.

Vana sinus ari kuchengetwa kunyanya diphtheria, uye vakwegura - iri atherosclerosis of coronary nhumbi. Disruptions vari kushanda dhipatimendi mumoyo tsandanyama kunoitika runonyanya pavarwere vane chakasimba myocardial infarction. Kazhinji chikonzero rine uye rikwanise mwoyo nokukundikana.

Zviratidzo zviri urwere chikwata simba

Kuti nenguva ticherechedze aibuda chirwere, iva nechokwadi kuziva, sinus arrhythmia - chii uye chii tiri zviratidzo chirwere? Kutyorwa kuoneka zvakasiyana, zvichienderana chikuru chirwere, izvo makatsamwisa kwavari. Pakutanga, chirwere chacho vainyanya asymptomatic. Varwere vanogona kunyange cherechedzai zvinovhiringidza mumwoyo zvibvumirano nokusingagumi masekonzi mashoma.

Vamwe varwere pakutanga pangava nematambudziko ropa kuparadzirwa munzvimbo uropi uye dzimwe nhengo, izvo zvingaita kuti zvakakodzera zvekuchipatara kuratidzwa. Zvadaro, ane mberi kunoita pamusoro zvokurwara vakachengeta zvinoderedza kwenhamba mwoyo sunga. The kwokuomerwa hosha hunoenderana mukuru mamiriro kumwoyo.

The chikuru zviri sinus sick chirwere ari kwokutanga matanho vari:

• dzungu;
• palpitations;
• kufenda ;
• bhokisi marwadzo;
• kupfupika mweya.

Zviratidzo akadaro dzisiri dzakananga, riri sei kusarudza kupfuura rakakodzera nzira kurapwa zvakakodzera kuitisa izere kuongorora chirwere. sinus raiva pedyo nebundu dysfunction chirwere rakakamurwa mapoka maviri, kureva, mitemo pfungwa basa, uye pane zvinetso mwoyo.

Kana kutyora kwouropi basa vangazivikanwa dzakadaro dzinokosha zvaiva pathological muitiro, yakadai se:

• kugumbuka;
• Kusagadzikana mupfungwa;
• Kugara kunzwa kuneta;
• ndangariro vanotaura.

Vanhu vakura vanogonawo kuona vasanyanye rezvedzidzo unyanzvi. In haizopereri kufambira mberi kwemashoko pathological muitiro inoitika kweropa nyonganyonga kuti chinokurwadzai zvikuru zviratidzo. Musoro uye dzungu angaperekedzwa kwazvo simba uye kwaita tinnitus. Somugumisiro, kudzikira mune kushanda pomwoyo unogona kuva inopinza donhwe kumanikidza, ichiteverwa kutonhora uye kunyanya pallor ganda.

Zviratidzo sinus kuti kutyorwa pamusoro chikamu pomwoyo iri kutanga kwekupwanyiwa kushanda zvikasaitika. With kuchiita kuti zvokurwara vakachengeta marwadzo seri breastbone kuti kunoitika pamusana Kuipa myocardial perfusion. Kana ukawedzera kurovedza muviri, varwere vakanyunyutira chakakomba kuneta uye kupfupika mweya. Kana nguva haripi kurapwa murwere, zvinogona kutungamirira chirwere chemwoyo. In akazotevera nzendo pathological muitiro unogona kuva kuurayisa.

Diagnostics

Kuti nenguva kuona pamberi zvokurwara uye vabatwe revatema Diagnostics zvinokosha sinus, iro rinoitwa kushandisa mitoo akawanda akasiyana. Nzira inokosha runoonekwa kuti kutora unonzi, electrocardiograph panguva kurwisa. Uyezve, nzira dzakadaro dzinoshandiswa kushandisa chirwere, yakadai se:

• vachiongorora Holter;
• medicated maekisesaizi bvunzo;
• intracardiac electrophysiological kudzidza;
• Tsanangudzo zviratidzo.

Holter kunoreva kushandisa inotakurika electrocardiograph, izvo masikati achaita kunyora basa mwoyo tsandanyama. Zviri nyore chaizvo, sezvo zvichiita kuti ticherechedze aibuda pathological muitiro zvakavanzika. Murwere Saka vanogona kurarama hwavo dzose upenyu uye zvinokosha kwendangariro. Nokuongorora ndawana data, zvinokwanisika kuziva honzeri yacho sinus raiva pedyo nebundu dysfunction.

Kuitwawo miedzo chaiwo basa, mukufamba izvo mwoyo murwere vamwe zvinodiwa kwirirei. Panguva yechiitwa kunowedzera padanho okisijeni, iyo inodiwa myocardial muviri. bvunzo iyi achasarudza zviratidzo okisijeni nenzara.

kutarisirwa dhirivahari

sinus kurapwa kunotanga kugadzirisa dambudziko zvinhu kungamutsawo conduction disorder. Kuti izvi zvidaro, pakutanga akadzima negashiro akasarudzwa gadziriro dzokurapa. The nzira chikuru kurapwa, iyo dzinovimbisa zvikuru chakanakisisa mugumisiro, riri kuonekwa kugadzwa pacemaker.

Kuwedzera kuchaitwa nechitarisiko chinokonzera kuva kuremekedza Zvakanyanya Kunaka Panguva Yepamuviri mutoro sandara, kunze tsika dzakaipa. Zvinokoshawo kuti kuderedza kudya kuti caffeinated zvinodhaka. Kana uine chirwere chisingaperi, kukanganisa mashandiro ari sinus raiva pedyo nebundu, iwe zvechokwadi kupedza kurapwa kwavo.

mishonga

Kana paine ichiwedzerwa basa tsinga anokonzera nezvebasa zvomukati, uye kune vamwe, zvikuru kutyorwa, akaita nokurapwa pakati sinus kurwara. Doctor varayire zvinodhaka kuti abatsire kubvisa dysfunction.

Panguva mushonga mishonga kudzivisa kushandisa zvinodhaka afunge rutapudzo mwoyo exchange richikwidibira kumanikidza. In zvokukurumidzira Muzviitiko, murwere jekiseni zvinodhaka "Atropine". Kubvuma zvinodhaka nechinangwa chete kubvisa huru zviratidzo uye ari regadziriro Danho kuitisa kuvhiyiwa.

kushanda kupindira

Kubvisa sinus raiva pedyo nebundu dysfunction, zvakakodzera kumisa zvachose pacing mumuviri womurwere. Pane zvimwe zviratidzo hwokugadza chinodzora kurova, anosanganisira:

• ari mawa pamberi bradycardia nezvimwe cardiac arrhythmias;
• bradycardia pamwe zvakanyanyisa pasi kufamba kweropa maitikiro;
• kurasikirwa pfungwa kubva zvipusha pfari;
• coronary insufficiency, nguva dzungu uye kufenda.

Muchiitiko chino, iva nechokwadi kuratidza kugadzwa pacemaker, sezvo kana kwete nokukurumidza kuitisa kurapwa, zvaigona kunge zvikuru, kunyange inouraya.

Kushandiswa zvavo mishonga

Self-mishonga pamwe sinus kurwara isingagamuchiriki, ndokusaka pamberi nokushandisa chevarwere kurapa mitoo kuva nechokwadi kuti bvunza chiremba wako. Panguva kurapa chinyakare mishonga kubva anokosha atakatora makwenzi, zvikurukuru, akadai:

• motherwort;
• chemindi;
• valerian;
• Yarrow.

Izvi zvirimwa somushonga pave normalization kurara, okuderedza kuzvidya mwoyo, uye kuvandudza utano.

prophylaxis

Kudzivirira kudzikira, iva nechokwadi kuti aite rimwe rainyatsoigona dziviriro. It kunoreva kuremekedza nhungamiro zvinovaka muviri, unofanira kuva kudzora kwadzinoita zuva. In zvokudya zvinofanira kuvapo zvigadzirwa rurefu zviri potassium uye magnesium izvo dzinobatsira kuramba kunyatsoshanda mwoyo tsandanyama.

basa rinoda vanofanira hazvo kugara, uye mutoro uri kuramba zvichienderana murwere ezvinhu utano uye kugara zvakanaka. Unofanira kuedza kubvisa kubva hwako psycho-mupfungwa uye mupfungwa. Kuti smoothen tsinga zviri zvinodiwa kushandisa zviwanikwa zvinhu uye vanoramba kugamuchira zvinodhaka.

Zvinofanira zvakare kuongorora uwandu yomuropa uye akuteerere kufuta mune vana nevakuru. Haukwanisi kutora mishonga iri inondimukira mishonga, sezvo kunyange zvinodhaka zvikuru Hakuna Basa kungakonzera Kuipa pomwoyo basa. Iva nechokwadi kuti kutora nenguva kuongororwa uye kurapwa kudzivirira kuchinja chirwere ari kupfuura kunzwisisa Danho.

Kushurudzira nemigumisiro

Zvakakosha kuyeuka kuti vanorwara sinus chirwere - chirwere ngozi chinogona kuva dzakawanda Migumisiro. zvokurwara ichi kunoitika kunyanya Zvisinei, mune vanhu vakwegura zera, chirwere ichangobva naro muna vana uye kuyaruka. Migumisiro chirwere zvinogona dzakakomba zvikuru, kunyanya, akadai:

• paumbwe mubatanidzwa sinus bradycardia;
• Kugara ichivharira kwomwoyo nokuda masekonzi mashoma;
• ichivharira kupararira sinus pulses;
• kakawanda tichibatwa tachycardia;
• atrial flutter.

Kana zvisiri kana kukurumidza kurapwa kuti pathological muitiro zvingaitika sitiroko, uye izvi zvinogona kukuvadza kuti uropi uye nokuvhiringidzirwa pfungwa chaitika. Mukuwedzera, mhedzisiro chirwere ichi chingava paumbwe ropa clots, izvo ngozi chaizvo kuti upenyu, sokunge pane ropa clot kuparadzana kubva pamasvingo midziyo ropa, zvinogona kukonzera rufu.

Chimwe zvokurwara zvinogona kukundikana mwoyo, iyo kazhinji kuumbwa pasina nenguva kurapwa uye chirwere kunoita.

Pacharo kutyora kupomba nechepakati pacemaker haisi ngozi uye hakuna inokanganisa murwere upenyu anotarisirwa. Kutyisidzira vari chete zvinokonzerwa zvinogona kukonzerwa panowanikwa chirwere.

The hunhu uye kukura zvaparadzwa kuchaenderana zvikuru pamusoro for upenyu anotarisirwa. Kana atadze kushanda zvakanaka pamusoro sinus raiva pedyo nebundu aumba sezvo matambudziko zvinobva percolation inotsigira chirwere, sei simba rakanga kukundwa muviri, achaita kuvimba for nokuda mberi vapone.