Arrhythmia ine 2 mafomu makuru (tachycardia uye bradycardia), rimwe nerimwe rawo, zvakare, rakasiyana nemarudzi. Zvinokanganisa mukuona kwehutano uye maitiro edzidzo. Supraventricular tachycardia ndiyo inowanzozivikanwa yeurhythmia, inowanikwa muna 95% ematambudziko ekurapa kwechirwere chemapurisa ane zviratidzo zvemoyo mhirizhonga. Panguva imwecheteyo chirwere ichi hachisi chemamiriro ezvinhu ane ngozi uye kazhinji chinopa mukuchengetedza kurapa.
Zvinokonzera uye zviratidzo zvepamusoro kana chepamusoro tachycardia
Iyo yakatsanangurwa maitiro echirhythmia ine zita iri, sezvo maitiro ezvinyorwa zvepfungwa dzemwoyo zvinotangira munzvimbo iyo pamusoro pemhepo dzemuviri. Sezvo mutemo, chirwere ichi chinowanikwa nenzira yekurwisa zvakanyanya - pikisopisi.
Zvimwe zvinokonzera chirwere chinotaridzika ndeyekusiyana kwehutano mubasa uye sarudzo yemwoyo, pamwe chete nehutachiona hwehutano, zvinokonzera zvinomera-humoral, mararamiro asina kururama. Kana zvikonzero zvinokonzera rudzi urwu rwegermythmia harungagoni kuonekwa, pane idiopathic paroxysmal supraventricular tachycardia.
Zviratidzo zvehutano:
- moyo palpitations ;
- nausea;
- chizoro;
- kuchema mubhokisi;
- ruzha mumusoro;
- kurwadziwa mumutsipa.
ECG ne supraventricular tachycardia
Chinhu chikuru chekuongorora chirwere munyaya ino i electrocardiogram. Ne supraventricular tachycardia, chitubu chakanaka kana chakaipa P nguva dzose chiri pamberi peku QRS yakaoma.
Kuti kusimbise kuongororwa, mwoyo wekuyeresa unoyerawo, MRI, MSCT uye ultrasound yemwoyo inoitwa.
Mune zvimwe zviitiko, kutarisana kweEECG zuva nezuva kunotarisirwa, panguva iyo kukanganisa kwenguva pfupi kunonyorwa kusina kunzwika nemunhu. Kana izvi zvisina kukwana, chirwere chekupedzisira chinonzi cardioogram chinoitwa-kuiswa kwema-electracous intracardiac.
Kurapa kwepoposysms yepamusoro-soro tachycardia uye chirwere
Emergency therapy yekurwisa kwehutano inosanganisira kupa rubatsiro rwekutanga (kukanda compress pamhino uye mumutsipa, kupindira pamaziso eziso, kubata mweya nekushungurudza), pamwe nekurwisa kwemuviri wezvinodhaka zvinopesana:
- Obsidan;
- Novocaineamide;
- Giluritmal;
- Propranolol;
- Isoptin;
- Quinidine nevamwe.
Mushure mokunge paroxysm yabviswa, chirwere chekurapa chirikudikanwa kune chiremba wehutapi uyo anopa chirongwa chisingaperi chekurapa tachycardia mumwe nomumwe.
Kana chirwere ichi chakakomba kana mishonga isingabatsiri, kupindira kwekuvhiya kunokurudzirwa:
- kutengesa kwepfungwa kwemoyo;
- kuiswa kwemagetsi emagetsi;
- Kuparadzwa kwe ectopic foci ya automatism;
- kuiswa kwe pacemaker.