Pakuti zizindikiro zina, ndi kudziwa mmene tiyenera kuchitira tachycardia yamitsempha yamagazi?

N'zimenenso yamitsempha yamagazi tachycardia mofulumira kugunda kwa mtima pa 100 kumenyedwa. / Min. ndi likulu la yatsoka mu ventricle lapansi. 90% milandu kumachitika mwa anthu ndi zotupa organic wa kayendedwe mtima. Nthawi zambiri, kayendedwe chisokonezo kugwirizana ndi matenda mtsempha wamagazi. Palinso tachycardia ndi zingachititse m'mnyewa wamtima infarction, matenda obadwa ndi enaake ophwanya mtima yosiyanasiyana ya mavuto pambuyo mankhwala ndi mankhwala psychotropic kapena mankhwala opha ena.

zizindikiro

Mwina wa matenda kumawonjezera ndi zaka. Amuna zapangitsa kuti mmene woposa akazi. Achinyamata kuposa zaka 35 ndi maziko a myocarditis ndi, hypertrophic cardiomyopathy Komanso yamitsempha yamagazi tachycardia. Zizindikiro ali motere:

• kudzimva palpitations, chizungulire, nkhawa;
• kufupika kwa mpweya, kupweteka m'chifuwa;
• Throbbing pakhosi;
• zina ndi matenda kufooka ndi kukomoka.

pathophysiology

Yamitsempha yamagazi tachycardia kumachitika m'njira ziwiri: monomorphic ndi polymorphic tachycardia. mitundu Monomorphic amakhala ndi ndondomeko ya malemeredwe pulsed likhalebe zonse. Zimachitika kuti chiwonetsero cha mtundu wa tachycardia akupezeka anthu ndi mtima amapanga yachibadwa. Mu milandu, kuti madokotala ananena zawo matenda ndi zambiri yabwino. Polymorphic yamitsempha yamagazi tachycardia chimasiyanitsa masiyanidwe mu ndondomeko ya kutsegula kwa ventricles lapansi. Chifukwa cha matenda angakhale myocarditis, ischemia kapena kuvutika majini mu kapangidwe ka njira ion.

tachycardia chithandizo

Chithandizo cha tachycardia yamitsempha yamagazi umachitika ndi zochita za mankhwala antiarrhythmic, chimene chimafika pa maziko a amayesetsa kuthetsa matenda chimapangitsa. Monga nthumwi antiarrhythmic kawirikawiri ntchito lidocaine wa. Iwo kutumikiridwa m'nsinga pa 1 mg pa kilogalamu ya kulemera kwa wodwalayo. Kawirikawiri, izi kumwa mankhwala mpaka 100 mg ndipo kutumikiridwa mu maminiti pang'ono. Ngati palibe zotsatira kwa mphindi 15 tsiku lokonzekera ntchito kachiwiri mu yemweyo mlingo. Ngati tachycardia yamitsempha yamagazi limodzi ndi dontho kuthamanga, kuwonjezera pogwiritsa ntchito pressor amines. Izi adzabwezeretsa nkusani mungoli. Kuledzela mtima glycosides yamitsempha yamagazi tachycardia ankachitira ndi mankhwala enaake potaziyamu ndi lidocaine wa kapena mankhwala "obzidan" ntchito.

Kupitiriza mankhwala pambuyo kuchira kugunda kwa mtima

Pamene mungoli wobwezeretsedwa Akuti madokotala ananena zawo ndi dongosolo kasamalidwe mtima kuti wasenza. Iye Amasankhidwa ndi mankhwala kapena unsembe cardioverter-Makina amenewa kapena catheter ablation. Palinso ophatikizana chithandizo chosiyanasiyana. Iwo kawirikawiri ntchito pamene pali kwambiri structural chosayenerera za mtima. Catheter ablation Mwachitsanzo, angadwale dzuwa la mankhwala antiarrhythmic, kapena kuchepetsa mlingo kumaliseche kwa anapatsa cardioverter-Makina amenewa.