Arrhythmia iko kukanganisa kwemajaira, rhythm uye kurongeka kwekushushikana nekuputsa kwemoyo. Kune munhu mumwe nomumwe, kutengesa kwomwoyo chiratidzo choga, chinoenderana nekuita zvepabonde, zera, muviri, hutano hwehutano uye zvimwe zvinhu zvakawanda. Asi mumatambudziko akawanda, kushaya kwemwoyo muvanhu vakuru vane utano hahupfuuri 60-90 kurohwa paminiti.
Nzira yekugadzika mukati memwoyo inosanganiswa nemafungiro anokonzerwa nechirwere chechi sinus (mutyairi wemhanzi) ari pamucheto weanori yakakodzera. Pulses inopfuura nepfungwa dzakakosha, zvichiita kuti atrium iite chibvumirano, ichienderera kune nhamba ye atrioventricular uye mhepo inobhururuka. Izvo zvose zvivako izvi zvinodzidzisa mafungiro emwoyo, uye nekuvhiringidzika kupi mukati mawo kune kukanganisa mumoyo rhythm - maitiro akasiyana echirhymia.
Chii chinonzi "sinus arrhythmia" chinorevei?
Sinus arrhythmia isarudzo isina kukwana yemafungiro mumutambo we sinus nekuda kwekuputsa periodicity yekunakidzwa kweiyo yekupedzisira, umo rwiyo runogona kukurumidza kukurumidza kana kuti ruchidimbu, uye kupesana kwemoyo kunogona kuitika panguva isina kufanana kwenguva. Panguva imwecheteyo, kurongeka kwakarurama kwekuvhara kwemoyo kunodzivirirwa.
Mune zvimwe zviitiko, sinus arrhythmia ndeyemamiriro ezvinhu chaiwo asina ngozi, somuenzaniso, senzira yekudzvinyirira kana kushungurudzika mupfungwa, mushure mekudya zvakawanda, nekufema zvakanyanya, nezvimwewo. Mune zvimwe zviitiko, kukanganiswa kwemiromo kunokonzerwa nehutano hwakasiyana-siyana uye hunoda kurapwa.
Zvinokonzera uye zviratidzo zve sinus arrhythmia
Iko kune mapoka mapoka ezvimwe zvinokonzera kukanganisa kwemwoyo, iyo:
1. Mwoyo:
- ischemic heart disease;
- myocardial infarction;
- heart failure;
- cardiomyopathy;
- myocarditis , nezvimwe.
2. Asina kukanganisa:
- vegetovascular dystonia;
- anemia;
- bronchitis;
- bronchial asthma;
- chirwere cheshuga mellitus;
- Utachiona hwehutachiona zvirwere, nezvimwewo.
3. Mishonga - kushandiswa kwenguva refu kana kusadzora kweimwe mishonga, somuenzaniso:
- cardiac glycosides ;
- diuretics;
- antiarrhythmic drugs, nezvimwewo.
4. Matambudziko eElectrolyte - kuchinja kwehuwandu hweyasaiti ye potassium, sodium uye magnesium iri mumuviri.
5. Zvinhu zvinotyisa:
- fodya kusvuta;
- kunwa doro;
- kutsvaga kumakemikari anoshandiswa.
Mumamiriro ezvinhu apo chinokonzera mwoyo rhythm kuvhiringidzika hakugoni kusimbiswa, vanotaura nezve idiopathic sinus arrhythmia.
Chimiro chechimiro chechimiro chemaitiro, chinowanzoitika panguva yakawanda panguva yekurovedza muviri, kuchinja kwemasimoni mumuviri, semugumisiro wekukwegura kwechisikigo, nezvimwewo, hazvirevi kuratidzwa uye hazvikonzeri kushungurudzika kunokosha. Zvimwe zvikamu zvakakomba zve sinus arrhythmia zvinogona kuva nezviratidzo zvinotevera:
- dyspnea pazororo;
- utera hwakasimba;
- kuchinja kweropa;
- manzwiro emoyo wakaoma;
- moyo palpitations;
- chiratidzo chisina kunaka;
- chipfuva chepfu
- manzwiro ekushayikwa kwemhepo;
- chizoro.
Sinus arrhythmia pane ECG
Electrocardiography ndiyo nzira yakakurumbira yekugadzirisa zvirwere. Chiratidzo chehutachiona hwehutachiona hwechirwere chemuviri ndechokuchepeta zvishoma nezvishoma kana kureba kwezvishoma zveRR (kureba pakati pemeno marefu). Kuti uwane mufananidzo wakajeka wehutachiona hweHotter kuongorora hunogona kushandiswa - kuratidzwa kweEGG zuva nezuva, rinoitwa nekuenderera kwemaawa makumi maviri nemaviri uchishandisa rerekori inoshandiswa. IEGG inogonawo kuitwa pasi pemutoro.
Kurapa kwe sinus arrhythmia
Chokutanga pane zvose, varwere vanofanirwa kusabvisa zvinhu zvakashata zvinokonzera kushungurudzika kwemwoyo:
- miitiro yakaipa;
- kushungurudzika;
- kusagona kwehope;
- kunyanya kushanda nesimba;
- zvokudya zvisina kunaka;
- kunwa waini yakasimba, kofi, nezvimwewo.
Kurapa kunotungamirirwa nekubviswa kwezvirwere zvinoparadza zvinozivikanwa, izvo mishonga yakasiyana inowanzoshandiswa. Antiarrhythmic drugs inorayirwa zvakare, uye mumatambudziko akaoma, pacemaker inowanikwa.