Zvinokonzera, zviratidzo uye vabatwe supraventricular tachycardia

A zvakafanana mwoyo mutinhimira chainetsa chainzi supraventricular tachycardia. Kazhinji, ngachipiwe pamwe idzokororo Zvikamu nokuwedzera kakawanda nekuomarara anorova mumuviri munharaunda. Kunyange CBT Kazhinji hazvina upenyu-kuvatyisidzira, varwere vakawanda vanotambura nekorasi zviratidzo kuchikosha kukanganisa upenyu hwavo. Kujeka uye apo neapo Zvikamu zviri tachycardia kunogona kukonzera chinokosha nehanya nevanhu vazhinji.

Pakarepo, imwe kukurumidza kurova kwehana dzinoratidzwa SVT, uye varwere vakawanda anogona nechirwere yakakwirira chaizvoizvo chete kare. Akadzokorora kuedza electrocardiographic zveBhaibheri kungava kusingabatsiri.

Kuitika SVT anenge 35 nyaya por 100 000 pagore, kuwanda - 2.25 paminiti 1 000 vaigara. Kazhinji anooneka somunhu inodzokororwa paroxysm pakati supraventricular tachycardia, zviratidzo kuti kukonzera rikwanise weboka chirwere. Basic marudzi CBT: Wolff-Parkinson-White urwere, supraventricular kana supraventricular extrasystole, tachycardia, atrioventricular nodal rientri.

Sei anoita mwoyo?

Inokosha nhengo ane makamuri mana - maviri atria uye vaviri ventricles. Mumwe mwoyo rinotanga zviduku magetsi pulses anogadzirwa sinoatrial raiva pedyo nebundu. Ndiyo pacemaker chokumusoro chikamu rworudyi atrium. The yemagetsi kupomba propagates pamwe mwoyo tsandanyama, zvichiita kuti ishande. Pakutanga, chinoita kuti atria, ari atrioventricular raiva pedyo nebundu iri kupfuura kuti anoita somunhu Distributor. Zvino inopfuura nomunyika atrioventricular tsapo nokuita sezvo nemunhu unokupai pulses kuna ventricles. Uyewo ventricles vanotanga kushandisa ropa kupinda arteries.

Chii supraventricular tachycardia, uye chii ayo chinokonzera?

The chirwere rava kurova kwehana pamusoro ventricular hainei sinoatrial raiva pedyo nebundu. Chimwe chikamu mwoyo rinogumisa zvemagetsi nomunhu kuti pacemaker. Source kunotanga kumusoro ventricles uye anoparadzira kwavari. Kazhinji, CBT anotanga mukutanga vayaruka. Uyewo zvakafanana supraventricular tachycardia vana. Zvisinei, izvozvo zvinogona kuitika chero zera. Zviri isingawanzowanikwi chirwere, asi nhamba chaiyo vanobatwa harizivikanwi.

Supraventricular supraventricular tachycardia nokuda kwezvikonzero zvinotevera:

• Mishonga. Izvi zvinosanganisira zvimwe mushonga waanoita zvokufema, remishonga yemakwenzi uye chando mishonga.
• Kunwa rakawanda zvine caffeine uye doro.
• Stress kana epfungwa.
• Kusvuta.

Atrioventricular uye atrial mhando SVT. Wolff-Parkinson-White urwere

AVURT - vakawanda mhando supraventricular tachycardia. It kunoitika kazhinji vanhu pamusoro makore 20 uye vakadzi vari pamusoro 30. Pane mhosva iri chiitiko ane zvemagetsi kupomba mwoyo centre. Kazhinji richiratidzwa gwindiri vanhu. Panzvimbo inowanzotorwa activation kwaizotevera pokushandisa kupomba sinotrialny raiva pedyo nebundu anobvuma zvimwe pari kumativi remudunhu pfupi iri. Izvi zvinoreva kuti moyo mwero inowedzera nokukurumidza uye ipapo pachava zvose zviratidzo SVT.

Atrial tachycardia iri ishoma mhando. It kunoitika duku nzvimbo zvinyama, pose mumwoyo vose atria. Kazhinji chikonzero harizivikanwi. Zvisinei, zvingaita kuitika munguva idzodzo munzvimbo myocardial infarction kwave Kutamiswa ambotaurwa, kana pane matambudziko nemwoyo vharuvhu. Wolff-Parkinson-White chirwere iri kukura nokukurumidza. Pane zviratidzo dzungu, inobvira kurasikirwa chavanoziva. rufu Sudden iri kuomesa iyi ezvinhu, asi chinoshamisa apo neapo.

zvekuchipatara kuratidzwa

Zviratidzo supraventricular tachycardia anogona kutora mumasekonzi anoverengeka, maminitsi kana kunyange maawa.

Zvinotevera zvinoratidza:

• Pulse anova 140-200 anorova paminiti.
• Dzimwe nguva zvinogona nokukurumidza.
• Kolotaniya nemanzwiro zvomwoyo.
• Dzungu, kupfupika mweya.

CBT Kazhinji kunotanga nokukurumidza, pasina chikonzero. Paroxysmal supraventricular tachycardia aona Kuwedzera pamutsipa kana musoro, uye angaperekedzwa muchipfuva kusagadzikana (kujairika marwadzo), kupfupika mweya, mwoyo. Kakawanda, BP iri akatura nokuda akurumidze mwoyo mutinhimira, kunyanya kana zvikaramba kuti maawa mashoma. Mune zvimwe zviitiko, izvi zvinotungamirira kufenda kana akawisa.

The dhigirii zviratidzo dzinosiyana, zvichienderana mashandiro uye contractile kakawanda, kwenguva refu, supraventricular tachycardia, mwoyo ukama zvirwere. Uyewo ine ukoshi nomumwe manzwisisire murwere. Pangave myocardial ischemia.

chirwere kuongorora chirwere

Pane nzira dzakawanda rokuongorora zvirwere zvakadai supraventricular tachycardia: ECG, echocardiogram, cardiac yokuedzwa pamwe muviri. Muzviitiko zvakawanda migumisiro pakudzidza kazhinji muupenyu.

ECG rinoongorora mutinhimira uye zvemagetsi basa muviri. Hazvina nyarara uye anotora maminitsi mashomanana. Kana paroxysmal supraventricular tachycardia chakaitika panguva ECG, mudziyo anogona kusimbisa chirwere uye pakudaro vanodzinga zvimwe zvinokonzera nokukurumidza kurova kwehana.

Sezvo zvisingaiti nguva dzose rokuongorora pamberi chirwere muchipatara ezvinhu, murwere anokurudzirwa kuedza kuziva chirwere achibatsirwa inotakurika electrocardiograph. Aizoita nomusoro pezvakaitwa zvose kuitika mumwoyo kwemaawa 24. Munguva nzira, haugoni kushambira.

Ungafanira kushandisa echocardiogram. Zvakafanira kuti kunyatsoongorora cardiac marongerwo uye basa, asi mhedzisiro kazhinji ari chakaipa siyana. Unofanira kuita zvimwe zviitwa vaifanira kuziva pazvinoitika tachycardia (panguva yechiitwa kana pa zororo). Varwere anganyunyuta kurwadziwa muchipfuva panguva SVT. Zviratidzo izvi haadi kunetseka bvunzo kana angiography. Chisarudzo uchiwedzera yokuedzwa rinofanira kubva murwere nhoroondo uye kuvapo vascular zvinokonzera njodzi.

Aripo marapirwo

Most SVT Zviratidzo chiregai pachavo, pasina kurapwa zvakakodzera. Dzimwe nguva zvinoita kumisa zviratidzo kuburikidza matanho akasiyana-siyana, kusanganisira kunwa mvura inotonhora, akabata mweya wake uye kutura chiso mumvura inotonhora. Zvisinei, kana CBT runogara kwenguva refu kwazvo zviratidzo, unofanira pakarepo kuenda kuchipatara.

Pane nzira dzakawanda kudzora tachycardia:

• The pfupi.
• The refu-refu.
• Pharmacological.

Pasi Kutarira nomumwe wavo voga.

Short-rokuti kudzora chirwere

Chinangwa kurapwa ichi - kumira chakasimba kurwiswa. Izvi zvinogona kuitwa anofambisa izvo zvinowedzera inzwi. Somuenzaniso, unogona kushandisa Cold anotikurudzira kuti ganda. Vane chirwere ichi zvakadai supraventricular muchimiro paroxysmal tachycardia, unogona kuva masaja pamusoro carotid sinus.

Kana matanho aya regai kubatsira, Zvinokurudzirwa kuti kutora chimwe zvinodhaka izvi:

• "Adenosine". Anokurumidza anobvisa zviratidzo kuburikidza ichivharira magetsi nomunhu mumwoyo, asi marapirwo ndechokuti nguva yayo chiito iri diki. Mune zvisingawanzoitiki zviitiko, zvingava sembura bronchospasm kunokonzerwa atypical bhokisi kusanzwa.
• "Verapamil" "Diltiazem". Zvinodhaka zviri raitongwa nomutsinga pamusoro maminitsi 2-3. Ivo kutakura ngozi potentiation ose hypotension uye bradycardia.

Long-rokuti kurapa chirwere

izvozvo hakubvisi paroxysmal supraventricular tachycardia? Treatment iri pamunhu mumwe zvichienderana kakawanda, kwokuomerwa uye kushanda Zvikamu nezviratidzo pazuva huri upenyu.

Drugs ushandiswe varwere vane:

• Idzokororo Zvikamu zviri symptomatic SVT, kukanganisa mararamiro.
• Zviratidzo vaizivikanwa nokubatsira kwemwoyo unonzi, electrocardiograph.
• Rare Zvikamu pamusoro SVT, asi murwere nyanzvi basa kungaita kuti kukura chirwere.

Radiofrequency anobudisa mushonga zvishoma nezvishoma ablation inokurudzirwa kuti ruzhinji wevarwere izvi. It ane diki mukana yematambudziko uye hunorapa kakawanda. The nzira yemanyorero anotora maawa 1.5, rinogona kuitwa pasi zvomunharaunda yokutindivadza pamwe nyaradzo kana zvarwo yokutindivadza. Varwere kazhinji kugara muchipatara usiku hwose kuti pakuongorora uye cardiac zvichiongororwa.

Pharmacological kurapa chirwere

Vavariro zvinodhaka mishonga - zvinoderedza kakawanda SVT Zvikamu. chidimbu chiduku varwere chete anogona kubvisa zviratidzo zvirwere zvakadai, zvakadai supraventricular tachycardia. Treatment kunosanganisira zvinotevera yakarumbidza zvigadzirwa:

• atrioventricular nodal ichivharira zvinodhaka;
• I antiarrhythmic zvinodhaka uye neboka III.

Beta-blockers uye calcium yakawanda mugero blockers (Kirasi II uye IV) havasi akakodzera vomuzana mutsetse kurapwa mune chirwere pamusoro Wolff-Parkinson-White syndrome. Randomized zvidzidzo mukasazivisa kunotoda ukuru mumwe mumiririri. Zvisinei, Beta-blockers uye calcium yakawanda mugero blockers vakuru kurapa "Digoxin" nokuti anopa nani ichivharira kushanda AVURT vachingotya soro mataurire tsitsi tsinga. Havafaniri ishandiswe varwere pamwe chirwere kuti CPG, sezvo kungawedzera kukurumidza conduction yakawedzerwa makwara pamwe atrial fibrillation, izvo zvingaita kuti ventricular fibrillation.

Kurapa varwere Wolff-Parkinson-White urwere

Nokuti varwere pamwe chirwere CPG kumusoro pane nzira zvinodhaka. Nokuti kurapa zvirwere zvakadai inokurudzirwa:

• "Flecainide".
• "Sotalol» (II uye Kirasi III zviito).

Ndivo kunobatsira kupfuura Beta-blockers uye calcium yakawanda mugero blockers mukudzivirira ari SVT, asi chokuita chiduku mukana ventricular tachycardia. ngozi iyi yakaderera pane varwere pasina STRUCTURAL mwoyo chirwere, asi matambudziko anowanikwa muna 1-3% wevarwere kugamuchira "Sotalol", kunyanya vaya vanoshandisa kumusoro mishonga.

"Amiodarone" asina basa kudzivirirwa-refu kuti SVT sapamazuva Wolff-Parkinson-White urwere, uye mune mamwe marudzi dzamatunhu kakawanda chakakomba chepfu migumisiro iri muviri pamwe kushandiswa kwenguva refu.

Kutadzisa SVT Zvikamu

Unogona kutora zuva nemishonga kudzivirira Zvikamu pamusoro SVT. zvinodhaka Various kunogona magetsi nomunhu mumwoyo. Kana vamwe nzira zvikasashanda kana chinokonzera marwadzo, onana chiremba wako. Achaita huchaitwa ndizvo chii mushonga zvakakodzera panyaya yako.

Unofanira kuudza akakodzera zviremera uye kurega kuchovha seri vhiri mumotokari, kana paine mukana wokuti chirwere vakasununguka achityaira. Musatora zvinodhaka kudzivirira SVT, zvinogona kutowedzera mamiriro ezvinhu uye zvimwe zvinetso mwoyo. The yakanakisisa kudzivirira ndiwo mutoro zuva nezuva kumwoyo pachishandiswa muviri.