Sinus bradycardia chimwe chekuputsika kwemwoyo rhythm, iyo yakawanda nguva refu kwenguva refu inoramba isingazivikanwi nevarwere. Izvi zvinoshungurudza zvakanyanya kushanda kwehupenyu hwose uye zvinogona kutungamirira kumigumisiro yakaipa kwazvo.
Bradycardia yemwoyo - chii ichocho?
Inofungidzirwa kuti inowanzoshaya mwoyo mwoyo makumi matanhatu neminomwe paminiti, kureva kuti, nekufamba kwakadaro kunorova mwoyo kune vakawanda vakura. Bradycardia - kunonoka kwepfungwa yemwoyo, iyo inenge isingapfuuri makumi matanhatu, iyo inogona kuenderera mberi nemararamiro akasiyana-siyana, uyewo kuva chiitiko chepanyama mune mamwe mamiriro ezvinhu. Kuti atsanangure izwi rokuti "sinus bradycardia yemwoyo," chii ichocho uye ndezvipi zvikonzero zvekutsauka uku, isu tichatanga kunzwisisa kuti moyo unopesana sei.
Basa remwoyo inzira inofanirwa mukati memoyo yemwoyo kusiyanisa, ndokudzoka zvakare, zvichiita kuve nekugona kwekupa ropa nekupararira. Nguva dzose kuderedzwa kwemyocardium kunoshandiswa nekuzvarwa kwekushisa kwegesi munharaunda ye sinus (mutyairi wemhanzi). Icho chinhu chinogadzika chiri muhupamhi hwemutsipa wemwoyo uye kusunga mutsara yehutano kuhutachiona hwehutongi hwehutongi. Izvo zvipfeko zvinotangira mu node ye sinus zvinoonekwa sezvakanaka.
Izvo zvinokonzerwa nemagetsi zvinowanikwa mu pacemaker zvinotamirwa kune dzimwe nodes dzakawanda dzinotungamirira kumativi ose emarotari uye dzinoita kuti mwoyo itange kubvumirana. Kana pane kusakosha mune mutambo wekutengesa kwemasimba emagetsi kubva munharaunda ye sinus kuenda kune dzimwe node dzinotumira, moyo unotanga kurova zvishoma nezvishoma, asi munyaya iyi bradycardia haisi sinusoidal, asi yakabatana nekudzivirirwa kwekushushikana. Ne sinus bradycardia, rwiyo rwekushaya moyo runonoka nekuda kwekuputsa mukati mutevedzeri mukuru we rhythm, iyo inenge isingaiti uye inogadzira mafungiro nekuderedza.
Moderate bradycardia
Kana imwe sinus bradycardia inonzwisisika inoratidzwa, izvi zvinoreva kuti mwoyo unoshanda paanowanzoita 40-50 ud. muminiti. Iri basa remwoyo richiri kukwanisa kuchengetedza kupararira kweropa pane imwe nzvimbo yepamusoro mumuviri. Muchiitiko ichi, kuderedzwa kwehuwandu hwekurohwa kunogona kunge uri munhu wepanyama (mune vanhu vane musimba wakasimba masvingo kubva pakuberekwa) kana kuti mugumisiro wekugadziriswa kwezvisikwa mumutambo wenguva dzose yekudzidzisa.
Anodanwa bradycardia
Kupera kwakanyanya-kudarika 40 kurohwa paminiti - kunoonekwa nehutachiona hwehutu hunotungamirira kumatambudziko akawanda ekubuda kweropa uye oksijeni yekushaya nzara kwematumbu. Kunyanya vanotambura nemidziyo isina kukodzera. Somugumisiro, nhengo dzakawanda uye zvirongwa zvinowedzera, izvo zvinowanikwa nemigumisiro isingagadziriswi yehutano hwehupenyu nehupenyu hwevanhu.
Chii chakaipa chebrascardia yemwoyo?
Chinhu chikuru, chinonyanya kuipa bhardycardia, ndiyo inokonzera kusungwa kwemwoyo, iyo inowanzotyisidzira varwere vane chirevo chechimiro chekushaya. Asi kunyange kana kurohwa kwemwoyo, kwakatarwa kwemazuva akawanda uye kunowanzoenderera mberi, kunoshanda sechiratidzo chekuongororwa uye kurapwa, nokuti haigoni kukuvadza chete hupenyu hwehupenyu nekushanda kwebasa, asiwo kunotungamirira pakuora mwoyo, kushaya mwoyo, kuvhara ropa, zvichingodaro.
Bradycardia - zvinokonzera
Bhysicardia yephysiological, apo kupisa kunoderedzwa zvishoma, kuwedzera kumunhu mumwe nomumwe unhu hwemuviri uye muviri wakakwana, zvinogona kuonekwa kune vanhu vane utano hwakanaka pasi pesimba rezvinhu zvakadaro:
- kurara;
- kudzikisa kutonhorera kwemukati mhepo;
- kuomerera pamusoro wetirotidhi (nechisungo chakasungirirwa, chikafu);
- kuomerera pameso eziso (ziso-mwoyo reflex);
- chifuva massage mumoyo;
- kusvuta kwenguva refu.
Bradycardia yakadaro, iyo inenge isingasviki 40 kurova paminiti, iyo isingakonzere kuora kwehutano huripo uye haisi kuteverwa nedzimwe kukanganisa, haina kuonekwa sechirwere. Mune zvimwe zviitiko, kuderera kwechikonzero chechikonzero chacho kungave kwakabatana nedzimwe zvirwere. Tinonyora huru yeiyo:
1. Zvirwere zvemwoyo yematambudziko:
- acute myocardial infarction, infarction mumutsara wekucheka;
- rheumatism yemwoyo;
- myocarditis;
- infective endocarditis ;
- hypertension;
- heart defects;
- atherosclerosis ;
- dambudziko kumwoyo;
- cardiomyopathy.
2. Neurological pathologies:
- kukanganisa kwekuyerera kweropa muuropi;
- tsvina, uropi tumor;
- kuwedzera kusagadzikana kwechisimba ;
- neurotic inotaura.
3. Zvirwere zvemukati:
- peptic ulcer;
- gastritis;
- renal or hepatic insufficiency in the terminal terminal;
- chirwere chemugumo we endocrine;
- Chirwere cheAdisonison ;
- hypothyroidism.
4. Zvimwe zvirwere uye zvirwere zvepanyama mumuviri:
- kudhakwa;
- zvirwere zvinotapukira;
- kuora muviri kwemuviri ;
- feverish conditions;
- kushamiswa kwemarudzi akasiyana-siyana;
- kunyanya kuderedza mishonga (calcium channel blockers, beta-blockers, antiarrhythmics, cardiac glycosides);
- kutyisa phosphorus-ine makemikari;
- hypothermia;
- kukwegura kwechisikirwo chemuviri.
Bradycardia - zviratidzo
Kuvhara kwepasi uye nechechi bradycardia uye mumamiriro ezvinhu ehupenyu kazhinji hazvizviratidzi sechiratidzo chipi zvacho. Patigical sinus bradycardia inogona kuratidzwa mumufananidzo unotevera wekliniki:
- nguva dzose kuneta;
- kushaya simba;
- kugona;
- kukanganwa mupfungwa, kunyanya kufunga;
- kuonekwa kusakanganisika;
- ruzha munzeve;
- kunetseka;
- semi-fainting condition;
- fainting;
- kazhinji uhuzi;
- kurwadziwa mubhokisi;
- kuchinja kweropa;
- blanching ganda;
- kunetseka kufema;
- kuwedzera kutuka.
Kushushikana ne bradycardia
Arrhythmia bradycardia inowanzobatanidzwa nehuwandu hwemhepo (kupfuura 140/90 mm Hg), iyo inogona kuratidza kuora kwemararamiro, chirwere cheschemic, cardiosclerosis, pericarditis. Chikonzero chacho pane dzimwe nguva chisarudzo chisina kunaka chine antihypertensive therapy. Zvishoma nezvishoma, sinus bradycardia inorwara inopesana nehutsika hwekudzivirira kweropa, izvo zvinowanzobatanidza ngozi. Izvi zvinogona kuratidzira kubuda mukati, kudhakwa, utachiona hwakanyanya.
Bradycardia - kurapwa
Kana munhu akaonekwa kuti ane chirwere chepasi, chii chaunofanira kuita munyaya iyi, unogona kusarudza mushure mokunge wanyatsoongorora chirwere. Usati wapora chirwere chebradycardia chemwoyo, tsvaga kuti chii chinokonzera hutano chinokonzera kuparadzana uku uye kana kuderedzwa kwepfungwa yemwoyo kunowanzoita zvepanyama (mune izvi, kurapwa hakusi kudiwa). Nekugadzirisa zvinhu zvinokonzera kukonzera, electrocardiography, Holter monitoring, ultrasound kuongorora kwemoyo uye dzimwe nhengo, kuumbwa kweropa re electrolyte, kuongororwa ropa kwehomoni, nezvimwewo, zvinoitwa.
Kufunga nezvenzira yekurapa sinus bradycardia yemuenzaniso unoenzanisira uye munyoro, kutanga wevose kutarisa mararamiro ehupenyu uye kudya, kuchinjwa maererano nemitemo ine utano. Saka, zvinokurudzirwa kurega kudya mafuta, doro, kusvuta, kugadzirisa kushandiswa kwemasipi uye kubika. Iva nechokwadi chekuchengeta nzira yakakwana yebasa uye kuzorora, kuita zvekuita, kudzivisa maitiro epfungwa. Mumatambudziko akaoma, kurapa kana kurapwa kunoitwa.
Zvinodhaka neBradycardia
Apo brascarcardia inotsamwiswa nehurusi isati yomuviri wevanhu, mishonga yemishonga inoitwa maererano nehosha iri pasi. Semuenzaniso, zvirwere zvinotapukira zvinoda kushandiswa kwemishonga inorwisa mabhakitiriya, nehutachiona hwehutachiona - mahomoni. Kugadziriswa kwechikonzero chinokonzera kunogona kubvisa kukanganiswa kwe rhythm. Mukuwedzera pakurapa chirwere chinokonzera kukanganisa, mishonga inotevera inogona kushandiswa kuwedzera chiyero chemwoyo, shandisa node ye sinus:
- anticholinergics (Atropine);
- adrenomimetics (Isoprenaline, Iazrin);
- bronchodilator Eufillin ;
- nootropics (Mexidol, Piracetam);
- Kugadzirira caffeine (Aksofen, Izodrin), nezvimwewo.
Dzimwe nguva inorondedzerwa madonhesi nebhinzi-based bradycardia - madonhwe eZelenin, tincture ye ginseng, eleutherococcus, zvichiita kuti kukurumidza kuwedzere mwoyo. Nokuderera kunopinza kwepfungwa yemwoyo uye kudzvinyirira kweropa, pamwe chete nokupera simba, kuora mwoyo, zviratidzo zvepermmary edema zvinoda kugara muchipatara kune murwere muchipatara - dhipatimendi re arrhythmology kana cardiology.
Bradycardia - kurapwa nemishonga yevanhu
Vanhu vanorapa vanokwanisa kuratidza kuti chii chaunofanira kutora nekutsika kwepulse kuti uwedzere, asi kurapa kwakadaro kunofanirwa kuongororwa nechiremba anouya kuzogona kubatana nemishonga inokosha yemishonga. Pakati pemishonga inopiwa nekuda kwekuvhiringidzika kwemishonga isiri yemasikati, mumwe anogona kutaura nezvekuvhiringidza kwe nettle, immortelle, decoctions ye yarrow, tartar, lemon-garlic-honey mix.
Ndeipi yekugadzirira mishonga inokonzera ye yarrow?
Zvisungo:
- mishonga yarrow - 15 g;
- mvura - 1 girazi.
Kugadzirira nekushandiswa:
- Dururirai zvinyorwa nemvura.
- Uyai kumota, virai kwechina cheawa.
- Kusungira kweawa, yakasvibiswa.
- Isai katatu pazuva pazuva pepuni.
Sinus bradycardia inoshanda
Izvo zvinonzi sinus bradycardia, avo vanorapwa nemishonga hazvibatsiri, chiratidzo chekuvhiya mwoyo kwekuiswa kwe pacemaker. Uyu mudziyo, unoiswa pasi peganda uye unobatsira kuisa chimiro chemaitiro emwoyo, kubudisa mafungiro emagetsi nekuvatungamirira kune zvikamu zvakarurama zvemuyocardium.