Go'doominta ee xidhmada lugta bidix oo - waa maxay?

Haddii aad aaminsan tahay ee suugaanta iyo cayaaraha hiddaha, qalbiga ku waa xubin aad iyo aad u xasaasi ah in uu awoodo in uu jecel, si ay u dareemaan, inay ka fekeraan, marka lagu daro, waa mid aad u jilicsan. Laga soo bilaabo barta of view of daawo waa uun hadal la soo dhaafay run, inkastoo xaqiiqda ah in ay tahay muruqa ugu xooga badan ee jirka, shaqada aan nasasho iyo hurdo noloshooda oo dhan. Hawsha ugu wayn ee wadnaha waa in ay hubiyaan in dhaqdhaqaaqa dhiiga iyada oo weelasha, iyo fuliyaan waxay, wuxuu bilaabaa xitaa inta lagu guda jiro horumarinta uurjiifka. In cudurada jidhka nidaamka wadnaha la geliyo weerar, sida muhiimadda ay leedahay shaqaynaya saxda ah ee jidhku waa mid aad u sarreeya, way adag tahay in ka badbadiya. lugaha Go'doominta - Mid ka mid ah heley, kuwaas oo uu xidhmo. Go'doominta (complete ama aan dhamaystirneen) faragalin patency caadiga ah ee Suu sanka nidaamka wadnaha ah, ama halkii ay waddo iyo wakhtiga safarka. garaaca wadnaha Tani waxay la xirrira in Guntin Dalqada wadnaha ku, atria waa Dhectuuro nidaamka. Marka xadgudubyada ma dhacdo ama ma dhici karto in caadiga ah. Xadgudubyada way kala duwan yihiin, oo khatar ah (block buuxa) oo aan (dhamaystirnayn). Mid ka mid ah khataraha ugu waaweyn ee go'doominta waa dhalanrog ka mid ah natiijooyinka ECG ah, oo sidaas daraaddeed adag tahay in la ogaado cuduro badan oo qalbiga ku jira, gaar ahaan Wadnaxanuun myocardial.

Go'doominta ee xidhmada lugta bidix oo - waa maxay nuxurka?

Go'doominta of xidhmo bidix ku jirase aad laan block (ama LBBB) - cudurada ah, hay'adaha ku salaysan been ka waxaa laga yaabaa in dhaawaca wadnaha heerar kala duwan. Tusaale ahaan, lugta bidix ee foosto laan xidhmo block wuxuu noqon karaa mid soo jiitay. Ama jirridda ugu weyn ee lugta bidix si bifurcation ah. Waa in la isku dhuftay karo by lugaha hore iyo xagga dambe laamaha meel ka dib markii ay go'doon ka jirridda ugu weyn ee jidhka. Sidoo kale, kala bar bidix ee Risaalo ka hallaabo dhexeeya intraventricular ah, geeddi-socodka ku lug labada lug ee laanta. Sababta lagu sheegi karaa in isbedel myocardial waajihi in lugaha durugsan ee dhabarka iyo lugaha hore. Marka LBBB carqalad maris ah excitation in myocardium ee ventricle bidix lugta bidix. Waxaa la soo baxay oo aan caadi ahayn, ku dheehan adag waxaa ay ballaarisey QRS, oo badala jihada repolarization ee ventricle bidix. Details waxaan u fiirsan doonaa dhibaatadan ku takhasusay wadnaha. Tixgeli muuqaalada qaar ka mid ah cudurka. Life lugaha nabar keeni karta geedi socodka fibrotic, waxa ay la xiriiraan koronaroskleroza yar iyo - la myocarditis xadidan (syphilitic, rheumatic, diphtheria, faafa). Aad ha u yaraatee, laakiin ay dhacdo in xanibaadda dhacdaa marka wadnaha gabi ahaanba caafimaad qaba. Ma Go'doominta dhamaystiran oo aan dhamaystirnayn oo laan xidhmada block tagay. Haddii ay ka buuxaan ah, xiiso badan marka hore oo keliya daboolayaa septum u dhexeeya intraventricular ah, oo aan ventricle oo dhan si buuxda. Go'doominta dhamaystirnayn uu yeesho in cudurada shiid elektrolytka, ama badinta daroogada, ama noocyada kala duwan ee loo eedsaday. Taas darteed, wareersan caadiga ah habka tabinta wadnaha, iyo kaarka excitation buuxa ka tagay ma dhici karto. Ogaado xadgudub ku noqon karaa iyadoo la isticmaalayo electrocardiogram a caadiga ah noqon doontaa isbedel muuqda in deciphering.

Haddii ay tahay khatar ah?

Haddii go'doominta faafin oo kaliya hal lug, markaas ma, ma aha khatar ku ah nafta, in kastoo ay jiraan waxba u wanaagsan in uu yahay, sida xaqiiqada ah ma. Qaar badan oo ka mid ah wadnaha maanta aaminsan yihiin in kala fogaanta dhexdeena waxa uu dayn inay noqon iilasho xaaladaha kuwa marka ay jirto natiijo ah oo cudurada kale ee wadnaha. xannibaad Khatarta dhamaystiran oo labada lugood, in kiisaska noocaas ah waxaa lagama maarmaan ah in ay galaha pacemaker ah.

Go'doominta ee tagay waxay xidhmada laan block: daaweynta iyo ka hortaga

Tallaabooyinka ugu waaweyn ee daweynta ayaa gaar ku ah go'doominta qayb - ogaanshaha a cudurka in ka dhigay go'doominta iyo sida loo daweeyo. adag ku daweyn gaar ah oo xad gudub ku ah ma ahan. Mararka ay xanuunka haya bukaanka ka hypertension, halista ah ee wadnaha ama angina, u baahan daaweynta gaarka ah ee la xidhiidha qalabka taageerada wadnaha. Waxay ku salaysan tahay diyaarinta ka kooban glycosides wadnaha, hypotensive iyo wakiilada antiarrhythmic. Bukaanka qaba cudurada wadnaha ee block wadnaha waxay u baahan yihiin ka-qabashada gaarka ah qalliinka. Waxaa dhacda in dadka dhalinyarada ah in ay cuna-qabatayn noocan oo kale ah waa iska caadi ah, waxaa lagu wadaa kartaa oo keliya ka dib markii tiro ka mid ah cilmiga ku takhasusay. Xusuusnow in isku-daawo khatar gelin kartaa caafimaadkaaga, gaar ahaan marka ay timaado wadnaha. Joog caafimaad!