Bated manawa: take me te maimoatanga

Tuhinga o te ngakau - te maimoatanga o tenei mate i roto i nga tau tata nei i ngā te hinengaro o maha tākuta cardiac, me ētahi atu "ngakau" o tohunga. He aha te mea te take, he aha nga tohu o tenei mate kino, me pehea ki te hamani i te reira - e anake etahi take o te pānga ki to tatou tangata enei. Ko reira kahore ngaro e rawa te tokomaha nui o te iwi i te tātaritanga pērā i "he ngakau totohu". Tohu, maimoatanga o rongoā iwi, e puritia ana ki ngā whare motuhake, momo tātaritanga - kia tirotiro enei ariā ki te tangata e he tohu o te mate. Ko te ngā whai etahi o nga take o te kaupapa o nāianei.

Bated manawa: take me te maimoatanga

Meinga te tikanga o "memenge" i roto i te ngakau o te mahi e taea e te whānuitanga o te manawataki me te kawenga raruraru. Ētahi o ēnei āhua e kore e rapua e te wawaotanga hauora, me ētahi atu momo o te roa i roto i te kite, me te maimoatanga e taea e mate. Te wehe supraventricular me ventricular arrhythmias.

arrhythmias supraventricular

Ko te mahi hiko taimi halá, o te ngakau. Ko te take i te pūtake kei e te roto i te atria me uaua pūkahukahu o te tuwhera, me te i roto i te huinga atrioventricular. I muri i taua taea te whakaiti faahiahia whakawhanake okioki postextrasystolic wāhanga oti ranei. Toutou taki taimi halá, me te okioki roa i muri i te whakaiti faahiahia e taea te hoatu te memenga mana'o, tauwhatinga o te ngakau.

Independent auraa haumanu o enei puka i arrhythmias, anake i roto i te hunga wā ina te tīmata ratou ahua ki te whakahaere i tachycardias supraventricular, kaka Atrial Fibrillation Atrial ranei.

I roto i te ngaro o hē hanganga i roto i te uaua ngakau extrasystoles supraventricular maimoatanga motuhake e kore e hiahiatia. I roto i te wā i reira e haere tahi ratou i te hūhi tuakiri nui, beta-blockers, verapamil, taea te whakamahi sedatives.

Mea pinepine extrasystoles supraventricular ko te faaiteraa o te mate matua (dystonia, ma'i mate pūkahukahu taunutia, kawehiko mate), ka titau te tātaritanga whakamahine me te maimoatanga o te tukanga whāriki.

extrasystolic fibrillation Ventricular

extrasystoles Ventricular - mahi hiko anticipatory o te ngakau i roto i te pā ana ki te manawataki matua whakaongaongatia pini puta i roto i nga waewae rerekētanga ranei poraka peka paihere, Tautoru Purkinje ranei te mahi myocardium. I muri i enei tukanga tino pea atu ki te whakawhanake i okioki e vai tonu, e, pera i roto i te take o ngā patu taimi halá, Atrial, ua i roto i te puka o "memenge". e kore te mea tukanga Ventricular kahore tetahi hurihurihanga o mate ngakau organic he take mōrearea mō te mate ohorere, reira kāore. Okotahi he tūroro hauora ki syndromes tuku (elongation congenital ranei shortening o te syndrome QT, Brugada, me ētahi atu).

Tuhinga o te ngakau, kei te whakaaro te take me nga tohu o nei ki te puta rite te hua o te ungeri ngakau onge.
whakaritea te auau noa te ngakau i roto i 60 ki te 100 puranga ia meneti. tērā whaiaroaro o te ngakau kia puta i roto i te moe, ka manawa hohonu, i roto i ngä kaitäkaro.

I roto i te take o te ofatiraa i tetahi wā me te whakatupuranga o te pini cardiac whakawhanake bradycardia pathological, e ai kia symptomatic, asymptomatic, a te nuinga i roto i te hiahia o te maimoatanga.

Ko te take o te bradycardia

Wehewehe i waenganui i take roto, o waho o te bradycardia.
Ko te take ā ngā:

• toulekeleká;
• mate ngakau coronary;
• mate kiko tūhonohono;
• mate congenital, tae atu i te ngoikore o te kōpuku atrioventricular;
• amyloidosis uaua;
• whētuki hāparapara (vaolo orthotics, transplantation ngakau) ;
• mate hopuhopu (diphtheria, mate ngakau rūmātiki, toto poisoning, taipō piwa).

Na roto i te āhuatanga o waho o te bradycardia ngā:

• whakangungu tinana;
• elektrotonus vagal whakakoi (pango vasovagal; pakohu supersensibly kakī);
• taero (beta-blockers, blockers konupūmā hongere, digoxin, lithium, māngai antiarrhythmic);
• rehukeka;
• hypokalemia;
• hyperkalemia;
• disorders neurological (CNS puku, nui haere te pēhanga intracranial);
• Taunutia syndrome apnea moe.

Hoki te tātaritanga o te whakamahi bradycardia whakahaere aroturuki Holter, porotiti raruraru me tuhi, whakaaro implantable, me te mau ana i roto i te ako electrophysiological.

maimoatanga o te bradycardia

Ko te mahi tuatahi, ko te ki te tautuhi i te take, me te bradikaridii taea whakakorenga ratou mahi (korenga atu o beta-blockers). Ki te kahore he turanga tango, kia hiahia koe therapy tarukino te kaiwhakahaere poto pūmau ranei ranei).

rongoā

Hei whakaongaonga nui whakapōturinga auau ngakau (hoki roa atu i te 3 hēkona) te whakamahi i atropine, isoproterenol, aminophylline. Heoi, te horomanga o enei taero e taea tīmata arrhythmias, tae atu ki ngā raruraru ventricular ora-te whakawehi.
I roto i te tūroro ki ischemia myocardial me bradycardia rite ki te hua, noho therapy antiischemic me e biding ratou wa, te whakamahi i kaiwhakahaere ki te tika.

Tūroro ki te korekore pakohu kāri syndrome me poraka atrioventricular arotakea te ki whakaturia te pacemaker poto pūmau ranei.
He whakawhanakehia tohu Pākehā mo te tāutanga o pacemakers pūmau i roto i te tūroro ki te syndrome pakohu mate, poraka atrioventricular.

momo o stimulants

Wehewehe stimulators kotahi-ruma, rua-ruma, e toru-ruma. Whai kawehiko tuatahi, me te tuarua 1 me 2 (Atrial me / ranei ventricular matau). E whakamahia ngā pūrere e toru-ruma mo biventrikulyatnoy whakahohe me whai he aratohu atu mo te roro maui.

A, no te ohorere tika synchronism whakaongaonga ventricular Atrial te. takiuru te ECG i roto i tenei tukanga te wehe matau poraka peka paihere.
Ki runga ki whakaongaonga o ventricles e rua tiaki ratou mahi tukutahinga, hemodynamics cardiac i roto i tenei take, nui pai.

implantation

whakapumautia te kōwae taua tuatahi i roto i 1958. I roto i te whai ake ko to ratou kukuwhatanga. Na ko reira he hou, iti rawa, whakaaro nui-tech.

I tēnei wā, i reira he he whakato ā-tau i 400 ki te 1,200 faaitoitoraa ia taupori miriona.

Kardiopribor whakahaere whakahohenga hiko o te myocardium. whakanoho te tohu me te uaua cardiac i te whaiaroaro-kore. Ka taea e tona rongo wā roa-meinga huringa hiko, me te pūkaha i roto i te myocardium. hiahiatia ana te tāutanga te ki kia whakaputaina e te stimulator tohu nui.

Āhuatanga aratau whakaongaonga

I roto i ventricular matau tono mai'a pini hiko te ki te tihi ventricular maui, me te depolarizes myocardium medlennoprovodyaschy. Ua faaite te ECG te pā o te paihere maui poraka manga. Taua tūroro i te hautanga ejection raro atu i te tūroro, kahore pā. Ano, ka puta tenei tukanga TEETH cardiac hiko. Maoro, i reira he he fakahehema ki te whakaiti i te tohu mō te stimulants tāutanga raraunga i roto i te hononga ki te maha nui o huringa kino.

I whakapumautia te reira e hanga e te hautanga pana raro i raro i te mahi o nga ventricles. Toharite - te faaitoitoraa o te atria, na te toenga o te ngakau. Te hautanga ejection rawa tiaki i roto i te whakaongaonga o te atria me ventricles o nga huarahi māori.

Whakamatauria e te fibrillation Atrial iti whakawhanakehia i roto i te tūroro ki whakahohenga Atrial me te-ruma e rua atu i roto i te tūroro ki ventricular te mana anake o te pūrere.

Ko te pūrere rua-ruma, rangahau kï me tamataraa, he pai i roto i te tūroro kaha tinana.
Ko tēnei wā Pacemakers te paerewa koura i roto i te maimoatanga o te tūroro ki te bradycardia symptomatic. Ko te rapu tonu hoki te nuinga o ngā huarahi whaiaroaro o pānga pai i runga i te myocardium.

mutunga

Ko te kupu, ko te totohutanga o te ngakau (hinga moe ranei i roto i te tahi atu mau huru) - he mate tino kino. A, no te e whakapā atu tonu nga tohu tuatahi o tenei mate te hōhipera ki te kawe i nga whakamātautau katoa me āta tukinotia. Ko te tere maimoatanga tīmatanga me te ārai, te whai hua ake ka hei maimoatanga.