I-Arrhythmia inezinhlobo ezimbili eziyinhloko (i-tachycardia ne-bradycardia), ngayinye yayo, nayo, inezinhlobo eziningana. Ziyashintsha lapho kutholakala khona izifo kanye nemvelo yenkambo. I-tachycardia eyinhloko yiyona ndlela ejwayelekile kakhulu ye-arrhythmia, ibonakala ngamacala angu-95% wezokwelapha we-cardiologist enezimpawu zokuphazamiseka kwenhliziyo. Ngesikhathi esifanayo lesi sifo asiyona eyimimoya eyingozi futhi ngokuvamile sinikeza ukwelashwa okunamandla.
Izimbangela nezimpawu ze-tachycardia engaphezulu noma ngaphezulu
Ifomu elichazwe ngokuthi i-arrhythmia linalo leli gama, ngoba ukuphazamiseka kwe-pathological of the heart muscle kuqala endaweni engaphezu kwezinguquko ze-organ. Njengomthetho, lesi sifo senziwa ngendlela yokuhlasela okunamandla - ama-paroxysms.
Izimbangela zesifo esicatshangelwayo ziyizifo ezihlukahlukene emsebenzini kanye nesakhiwo senhliziyo, kanye nesistimu yokuqhuba, izifo ezibangelwa yi-vegetative-humoral, indlela engafanele yokuphila. Uma izici ezenza lolu hlobo lwe-arrhythmia alukwazanga ukubonakala, kune-tachycardia ephezulu ye-idiopathic paroxysmal.
Izimpawu zokukhubazeka:
- izinhliziyo zomzimba ;
- isicasuli;
- isiyezi;
- ukukhathazeka esifubeni;
- umsindo emakhanda;
- ubuhlungu entanyeni.
I-ECG ne-tachycardia engaphezulu
Ithuluzi eliyinhloko lokuxilonga kuleli cala i-electrocardiogram. Nge-tachycardia engaphezulu, i-dzino elihle noma elibi P lihlala likhona phambi kwe-QRS complex.
Ukuqinisekisa ukutholakala, izinga lokushaya kwenhliziyo lilinganiselwa, i-MRI, i-MSCT ne-ultrasound yenhliziyo zenziwa.
Kwezinye izimo, kudingeke ukuba kuqashwe ukuhlolwa kwe- ECG nsuku zonke, lapho kutholakala khona ukuqubuzana okuncane okungekho komuntu. Uma lokhu kungakwaneli, i-cardiogram endocardial yenziwa-ukwethulwa kwe-electrodes ye-intracardiac.
Ukwelashwa kwe-paroxysms ye-tachycardia engaphezulu kanye nokuhlinzwa
Ukwelashwa okuphuthumayo kokuhlaselwa kwe-pathology kuhlanganisa ukuhlinzeka usizo lokuqala (ukucindezela okubandayo ebunzini nasentanyeni, ukucindezela ama-eyesballs, ukubamba umoya nokucindezela), kanye nokuphathwa okunamandla kwezidakamizwa ezinamandla:
- Obsidan;
- I-Novocaineamide;
- I-Giluritmal;
- I-Propranolol;
- Isoptin;
- Quinidine nabanye.
Ngemuva kokuthi i-paroxysm isusiwe, ukubonwa kwesifo sengqondo kuyadingeka ku-cardiologist ozobeka umgomo ohlala njalo wokuphathwa kwe-tachycardia ngayinye.
Uma lesi sifo sinzima noma imithi ingasebenzi, ukungenelela kokuhlinzekwa kunconywa:
- ukushisa kwe-radiofrequency yenhliziyo;
- ukufakwa kwe-defibrillators kagesi;
- Ukubhujiswa kwe-ectopic foci ye-automatism;
- ukufakwa kwe-pacemaker.