Yamitsempha yamagazi fibrillation

Yamitsempha yamagazi fibrillation - ndi kusokonezeka kwa ntchito magetsi a myocardium yamitsempha yamagazi. Pa matenda fibrillation (kapena akuthwanima) yamitsempha yamagazi chidule mabasi, chifukwa mu linanena bungwe mtima ndi anaima, ndiye magazi, kupuma, ndi mtima wotaya kutsitsimuka. The ECG wolembedwa pa nthaŵi osasamba, kawirikawiri oscillations magetsi, amene kusintha kwambiri matalikidwe. Ngati pa nthawi ngati wodwalayo mwachangu si nthawi mtima odwala mwakayakaya, n'kutheka, iye sanali atengenso kutsitsimuka.

Pamene mtima kulephera mu 70% milandu zimachitika fibrillation yamitsempha yamagazi. Komanso, 80% milandu chifukwa cha imfa yadzidzidzi ndi yamitsempha yamagazi fibrillation anali. The matenda abambo ali pa katatu zambiri kuposa akazi.

causation matenda

Ambiri odwala matenda akufotokozera pamaso pa matenda a mtima kapena zina matenda aliwonse sanali mtima. Chifukwa pakuwonekera kwake kungakhale:

- matenda a mitima;

- dilated cardiomyopathy ;

- kalopatiya;

- hypertrophic cardiomyopathy;

- kuledzera;

- mantha magetsi;

- hypoxia ndi acidosis;

- hypothermia;

- mankhwala ena.

Development fibrillation zimalimbikitsanso zinthu zingapo zimene kuchepetsa ntchito magetsi a myocardium lapansi. zinthu izi monga kuwonjezeka kukula kwa mtima, kulalikira mwakhama wachifundo ndi kukhalapo kwa foci wa alibe ndi sclerosis mu dongosolo conduction ndi m'mnyewa wamtima contractility.

zosokonezeka

Popeza yamitsempha yamagazi fibrillation kumachitika zokha nthawi zambiri vuto yaikulu, pakalibe chithandizo mwadzidzidzi ndi imfa. Pofuna kubweretsa wodwalayo maganizo amafuna uyambenso. Uyambenso - ndi mtundu wa "zeroing" mtima wa milandu.

mavuto ena monga kukhumba chibayo, komanso kuwononga m'mapapo omwe angagwe pambuyo wovulala nthiti mwa kuwatsitsimula.

Pa kumangidwa mtima, yamitsempha yamagazi fibrillation, ie, nthawi akufotokozera m'mnyewa wamtima ischemia, amene angathe postresuscitation mavuto monga arrhythmia, m'mnyewa wamtima infarction, kapena kulephera electromechanical ntchito za mtima.

Nthawi zambiri odwala pambuyo yamitsempha yamagazi fibrillation anaona ndi mavuto neurologic. Mwachitsanzo, anoxic encephalopathy, yomwe ndi chotsatira cha hypoxia oziziritsa pa kuukira kwa matenda uoneke ndi matenda convulsive ndi chikomokere. Akuluakulu ubongo pa kuwatsitsimula mtima ndi bwino kawirikawiri. Ichi ndi chifukwa, makamaka, chakuti, pakalibe miyeso bwino ndi HIV mtima kwambiri mtima wodwalayo Sikuyaka.

chithandizo

Chithandizo, monga tatchulazi, wapangidwa kuwatsitsimula bwino wodwalayo. Otsalawo kanthu akangofika madokotala umalimbana popewa matenda kapena kukonza ndi kubwezeretsa mphamvu wodwalayo.

Chithandizo cha fibrillation matenda si yeniyeni ndi sasiyana ku mankhwala a ventricles lapansi. Mu odwala mwakayakaya, odwala onse pambuyo kuukira pa mokakamiza limasonyeza mankhwala mpweya, mwachitsanzo kuchiritsa oxygen.

Palibe mankhwala enieni chifukwa kuukira encephalopathy. Mu milandu, wosamalira zaumoyo uyenera kutaya yekha ndi mankhwala symptomatic, zomwe cholinga chake ndicho kupewa hypotension ndi hypoxia, komanso matenda a zimam'patsa ndi electrolyte kagayidwe wa chamoyo.