Paroxysmal supraventricular (supranventicular) tachycardia inozviratidza mukuwedzera kwepfungwa yemwoyo kusvika ku 140-240 kurova paminiti apo uchichengetedza rwiyo rwekushaya mwoyo. Kurwiswa kunowanzoitwa nekuda kwekudzokorora kwepamusoro mubazi rekumusoro kwemoyo uye kushambadzira kwemasvondo ekudanha kuburikidza neyo myocardium, uye kubva kune imwe nguva kusvikira mazuva mazhinji.
Kuongororwa kwechirwere
Paroxysmal supraventricular tachycardia pane ECG yakagadzirirwa se:
- deformation yezino P;
- kuisa kwezino P paT;
- kusagadziriswa kwemhepo yakasiyana-siyana;
- rakarurama, asi rakanyanyisa kukurumidza rhythm.
Sevamwe nzira dzekuongorora, ultrasound uye tomography inogona kushandiswa.
Chirwere ichi hachiwanzobatanidzwa nehutachiona hwehupenyu hwemutsipa wemwoyo kana kuputsa kwebasa rekusiya ventricle, uye saka nyanzvi dzinowanzopa hutano hwakanaka mukurapa kweparoxysmal supraventricular tachycardia.
Emergency care for paroxysmal supraventricular tachycardia
Kumira kurwisa kwePNT, nzira dzinotevera dzinoshandiswa:
- Kuchengetedza kufema pamusoro pekufuridzirwa pamwe chete nekushungurudzwa kwemuviri wepamuviri.
- Kumanirirwa muchitonhora kunotarisana nemvura nemweya wemaminitsi gumi nemashanu.
- Kuomerera pamutsetse wakarurama wekarotid apo murwere ari kurara kumashure.
- Kunyatsomanikidzana pameso eziso.
- Kushandisa yakaoma yakaoma kumutsipa.
Kushandisa zvinodhaka ndiko kushandisa kwemishonga:
- Verapamil , adenosine triphosphate (inongororwa inoshandiswa);
- Novokainamid solution yeglucose kana Metazone;
- Aymalin;
- Amiodarone;
- Digoxin;
- Dizopyramide;
- Propranol.
Nekukurumidza kupera mukudzvinyirirwa, nzira dzinotevera dzokurapa dzinorayirwa:
- electropulse therapy;
- chirwere chepfungwa chinopisa ne probe electrode.
Kushanda neparoxysmal supraventricular tachycardia
Nzira yakaoma yechirwere uye kushorwa kwemishonga inoshandiswa inoratidza zviratidzo zvokuvhiya. Inotarisirwa kubvisa zvisizvo zvisizvo zvemhanzi nerubatsiro rwemalasiresirasi, zvinoitika, nezvimwewo. kana kuiswa kwe pacemaker, iyo inongoramba ichitsvaga panguva yekurwisa uye inoguma kushanda mushure mekudzorera mwoyo rhythm.
Mishonga yemishonga yeparoxysmal supraventricular tachycardia
Kurapa kwePNT kunobatsirwe nemishonga yemagariro. Kubudirira kwekudzivirira kunobva pa:
- rudo;
- majikiji eve viburnum;
- akasimuka mahudyu;
- mudzi wevaPerieri;
- motherwort;
- hawthorn.