Qoondaynta baarutaan wadnaha

Sida laga soo xigtay tirakoob caafimaad, in meesha ugu horeysa ka mid ah cudurada oo dhan waa cudurro nidaamka wadnaha iyo xididdada dhiigga ee. Maxaa sababay this? Dawladdu waxay arrimo badan oo negative saamayn nidaamka wadnaha. Mid ka mid ah iyaga ka mid ah - stress si joogto ah iyo la'aanta waqti nasasho sax ah. doorka A xun ee koritaanka kuwaas oo heley ruwaayado iyo wasaqowga hawada. Laakiin qofka la il daran ma aha oo kaliya ka dhan ah xaalada deegaanka. On caafimaadka ee deggan dhulkeenna leeyihiin saamayn taban ee dabeylo magnetic. From kuwan inay Cadha daraadeed on Sun waxa ay si gaar xun dareenka saxda ah diirkja. Marxaladda bilowga ah ee ka heley ka sii daran, inta badan halis ah arrhythmia dilaa noqdo.

Nuxurka cudurka

Inta badan "arrhythmia" ereyga waxaa loo gartay ha noo by sida cudurka. Laakiin taas ma daweeyo sida jebinta caafimaadka irresponsibly. Caadi ahaan, tirada stroke waa in aanay noqon in ka badan 90 daqiiqo ah. Haddii tani waa qiimaha waa in aanay noqon wax ka yar 70. Laakiin si ay dad badan oo macluumaad this lama yaqaan. Iyo, sida caadiga ah, ma waxaan ku xakameeyo heerka garaaca wadnahaaga, ma booqan wadnaha ah iyo ma idlaan ay iskood, ECG. Si kastaba ha ahaatee, falalka ay ka midka yihiin qiyaastii ugu hooseeya for ilaalinta ee caafimaadkooda.

Dad badan oo fashil ah sida jidhka muhiim ah sida qalbiga, ka hortagi kara ma aha oo kaliya, laakiin sidoo kale si ay u joojiyaan. Oo haddana dawan ugu horeysay u korsato oo ka mid ah tallaabooyinka ugu deg-deg ah waa weecasho ugu yar kuwa laxanka dhigay, oo waxaa loo arkaa iska caadi ah.

Qaar ka mid ah sababaha, taas oo uu jiro isbeddel in heerka garaaca wadnaha, waa sida soo socota:

- daal,
- walaaca xoogga leh;
- dhaafka ah ee khamriga,
- cudurada wadnaha lagu dhasho.

Arrhythmia line hoose waa in ay tahay xadgudub ka dhan ah nidaamka wadnaha.

Dhakhtarka wadnuhu qoondeeyo darajooyinka kala duwan ee adkaanta weecasho sida. Tusaale ahaan, daawaynta a fudud u adeegi jireen xaalado sida taas oo ah in inta jeer ee la doonayo ma dhergaan stroke yar. Si kastaba ha ahaatee, bukaanka inta badan xanuunsado tan iyo koror weyn oo foosha myocardial. Waa arrin aad u khatar ah si aadanuhu iyo wuxuu noqon karaa mid dilaa ah.

noocyada kala duwan ee cudurada

kala soocidda Lebis baarutaan waxaa hadda la la'yahay. Tan waxa u sabab oo dhan wadahadallada socda ee ku salaysan, taas oo waa in lagu riday ay ku salaysan. Indeed, inkastoo baadhitaan ay horey u qarniyo jir ah cilmiyeed cudurkan, natiijada la rabay in ay daaweynta khubaro ah ma aanan helin.

Tusaale ahaan, waxaa la soo jeediyay in 2014 in soocidda arrhythmia ka mid ahaa saddex nooc oo asaasi ah oo heley. Ka mid ah iyaga,

1. garaaca waa jawaab caadi ah, ku muujiyey in shuruudaha la qabsashada, laakiin keeni xanuunada qaar ka mid ah, waayo shaqeeyo khatar ah.
2. garaaca timi, waayo sharciyeynta waxqabad wadnaha.
3. garaaca sababa shaqaynaya daadsanaan antivolnovogo muruqyada wadnaha.

Qoondaynta baarutaan wadnaha (WHO) ayaa loo aqoonsaday saddex kooxood oo waaweyn, kuwaas oo heley. Waxaa ka mid ah cudurada soo socda:

- formation ay keento jebinta ee nidaamka wadnaha ee wadnaha korontada,
- la xiriira xanuunada tabinta;
- Nooca isku daro ay keento labada hore iyo sababta labaad.

Arrhythmia waxa lagu tilmaamay oo sababtoo ah asal ahaan. Sayidka, lagu dhasho go'doon, helay iyo cudurada idiopathic. The ugu horeysay oo ka mid ah saddex nooc oo la helay laga bilaabo waqtiga la muuqday wax nin on dunida. arrhythmia Idiopathic waa ka soo jeedo aan la hubin. Sida cudur heleen, waxay ku dhacdaa oo dhan nolosha bukaanka iyo waa natiijo ah oo qaar ka mid ah cudurro halis ah, oo ay ku jiraan: - cudurada wadnaha, macaanka iyo dhiig-karka.

Haddii ay dhacdo in arrhythmia muruqa wadnaha si la mid ah sida ka hor, sii lisidda dhiigga. Si kastaba ha ahaatee, cudurada ay tani keeni kartaa horumarinta heley sida thromboembolism iyo wadnaha oo shaqadiisa gaba. Oo waxay ka hadlaysaa khatarta ah ee arrhythmia.

Ku xadgudubka garaaca wadnaha

Tani waa mid ka mid ah sababaha horumarka cudurada. Marka tan la eego, waxaa jira kala soocidda a baarutaan of qiimaha xaddiga garaaca wadnaha. Waxaa ka mid ah:

1. tachycardia Sanqaroorka. cudurada ku xiran yahay xad gudub ku ah Guntin Dalqada wadnaha oo waa hab ay ugu muhiimsan ee falalkooda korontada wadnaha ah.

Marka noocan ah garaaca wadnaha tachycardia ka badan marinka sare loo siman yahay iyo sagaashan stroke halkii daqiiqo. gobolka noocan oo kale ah waxaa la dareemay by bukaanka sida garaaca wadnaha a.
2. arrhythmia Sanqaroorka. cudurada Tani waa iskhilaafka qaldan heerka garaaca wadnahaaga. Inta badan, arrhythmia sanka lagu arkay carruurta iyo dhallinyarada. Inta badan, waa functional iyo xiriir toos ah la neefta. Inta lagu guda jiro garaaca wadnaha neefsasho soo noqnoqda, iyo marka aad neefta siidaysid, on lid ku ah, waxay noqdaan wax dhif ah.
3. Sanqaroorka bradycardia. Its calaamad weyn waa hoos u dhac ku garaaca wadnaha in 55 garaac daqiiqaddiiba. Tani waxay ifafaale lagu ogaan karaa xitaa in dadka caafimaad ahaan iyo jidh ahaanba u xoog badan inta la hurdayo ama nasasiiyay.
4. wadne paroxysmal. Xaaladdan oo kale, waxaa jira a wadno xoog leh, isagoo laxanka saxda ah. garaaca wadnaha ee aadanuhu mararka gaadho 240 garaac daqiiqaddiiba. Isla mar ahaantaana, waxa keena daciifnimo iyo doorsoonka, dhidid kordhay, iyo dawakhaad. Sababta tani ifafaale waa falalkooda dheeraad ah oo sababo in atria ah. Sidaas darteed, ay muuqaalka waa hoos aad u xooggan oo muddo inteeda kale ee muruqa myocardial.
5. tachycardia Paroxysmal. cudurada waa sax, laakiin waa laxanka aad u soo noqnoqda ee muruqa wadnaha. garaaca wadnaha kiiskan waa in kala duwan ee 140 ilaa 240 garaac daqiiqaddiiba. therapy Paroxysmal, sida caadiga ah, muuqataa oo baaba'aa si lama filaan ah.
6. Arrythmia. Noocan ah arrhythmia waa caadi ahayn (dhicis) hoos u muruqa myocardial. Xaaladdan oo kale, qof dareemi kartaa gariir iyo xoojiyeen ee wadnaha, iyo engegay.

Si loo caawiyo wadnaha

The ugu haboon ka hal dhibic ku ool ah ee view waxaa loo arkaa for dirka garaaca Kuszakowski. Saddex kooxood oo heley waxaa ka mid ah waxa ku jira. Isla mar ahaantaana ay leeyihiin tilmaan faahfaahsan oo dhammaan xubnaha heley kuwan. Ha ka fikiro si aynu isu ekaysiinta ah, taas oo ka mid ah kala soocidda baarutaan.

Aan caadi ahayn ee qaababka laxanka

Kooxdani waxa ay ka kooban tahay saddex qaybood-hoosaadka. In mid ka mid ah marka hore, taas oo ah kala soocidda baarutaan daayo hoos xarafka "A", galaan cudurada nomotopnye. Waxay ka koobnaan xadgudub ku ah Guntin Dalqada wadnaha ku. In la sii daayo this:

1. tachycardia Sanqaroorka.
2. Sanqaroorka barikardiyu.
3. arrhythmia sanka.
4. SSS, ama syndrome, sanka buka.

The-qeybta soo socda waxaa ka mid ah ectopic sababaha arrhythmia waxyaalaha qalbiga ku jira.

Qoondaynta tilmaamaysaa liiska heley hoos xarafka "B". qeybinta waxaa ka mid ah cudurada ay keento garaaca heterotopic in waajibo ee la xidhiidha ku badan yihiin ee automatism in xarumaha ectopic. Liiska waxaa ka mid ah:

1. bedel ku soo galay (hakin) iyo kaxeynayo laxanka Daqsi-baxay, oo ay ku jiraan wadne iyo ventricular sidoo kale ka AV-xeryahooda
2. Socdaalka arkay pacemaker supraventricular.
3. noocyada Neparoksizmalnye of tachycardia ama garaaca degdegsiimada sida ectopic.

Qaybta soo socota ku qoran oo aan xad gudub ku ah automaticity of arrhythmia wadnaha. Qoondaynta kala xogta cudurada hoos xarafka "B". Kuwaas waxaa ka mid ah:

1. extrasystole (ventricular, wadne, iyo AV xeryahooda).
2. views tachycardia paroxysmal.
3. flutter Wadne.
4. aamba (flicker) atria.
5. aamba Ventricular.

Rabshadaha ee tabinta

Kooxdan waxaa ka mid ah dhowr kale garaaca ventricular.

Qoondaynta Kuszakowski qoondaysay this:

1. block sinoatrial.
2. block intraatrial.
3. block AV.
4. Go'doominta intraventricular uu laamo xidhmo, oo ay ku jiraan mancaha, cudurada socota gaasta iyo triofaostsikulyarnye saameeya siday u kala horreeyaan mid, laba ama saddex laamood xidhmada atrioventricular.
5. asystole ventricular.
6. Syndromes excitation ventricular dhicis ah.

Isugeynta laxanka cudurada

Kooxdan waxaa ka mid ah cudurada sida:

1. Paraksistopiyu.
2. garaaca ectopic lagu gartaa xannibaadda of bixitaanka.
3. dissociation AV.

nidaamka caalamiga ah

Waxaa xusid mudan leh in go'aan ka soo baxay cudurka noocan oo kale ah sida arrhythmia, qoondaynta WHO u aragto kooxaha sida in ku dhow hab la mid ah. In cudurada this u qaybsan yahay cudurrada uu keeno sababo kala duwan shaqaynaya oo ka mid ah xanuunada muruqa wadnaha. Sayidka, WHO ayaa lagu tilmaamay kooxaha soo socda ee arrhythmia:

1. sababto dhibaatoo of automaticity, oo ay ku jiraan:

a) pacemakers in Guntin Dalqada wadnaha ku (tachycardia sanka, arrhythmia iyo barikardiyu iyo SSS iyo arrhythmia sanka non-neefsashada);
b) pacemakers ka baxsan Guntin Dalqada wadnaha ku (nizhepredserdny, atrioventikulyarny iyo garaaca idioventikulyarnye).

2. Wac xanuunada excitability ah, oo ay ku jiraan:

a) ilo cudurada (ventricular, wadne iyo atrioventikulyarnye);
b) tirada ilaha (mancaha iyo polytropic);
c) Time of dhacdo, hore (inta lagu jiro foosha wadne), ka dib (waqtiga nasashada ee muruqa wadnaha) iyo interpolated (dhibic deegaamaynta dhexeeya foosha ku wadne iyo nasashada ee wadnaha);
d) inta jeer: group (la isku xigta kala duwan), uumi (laba mar a), unugga (shan ama ka yar) oo badan (in ka badan shan);
d) ee ku amro (quadrigemini, trigeminy, bigeminy);
e) tachycardia paroxysmal.

3. rabshooyin tabinta laaluusheen, i.e. waxaa (WPW-syndrome) ama hoos u dhac (noocyada kala duwan ee xiritaanka) kordhiyo.

4. Kala Duwan (flutter flicker / intraventricular / atria).

Dhammaan noocyada cudurada waxaa weheliya xadgudubyada ma aha oo kaliya in qaab-dhismeedka jidh waxyaalaha qalbiga ku jira. Waxay keeni dheelitir la'aanta ah iyo dhammaan geedi socodka dheefshiidka dhaca Wadnaxanuun muruqa. Tani waa kala duwan ee dabiiciga ah iyo muddada garaaca. Ku rid cudurka run kartaan wadnaha oo kaliya. Waxay ku fadhiisin doono Jidka garaaca wadnaha, kala soocidda, etiology, pathogenesis, daliilka kiliinikada ku salaysan xogta electrocardiographic.

nooca ciliated of cudurada

The salaysan noocan ah kala soocidda cudur ka mid ahaa nooca ay dabcan clinical, hababka elektarooniga ah iyo arrimo etiological.

Waa maxay wadne? Qoondaynta tilmaamaysaa noocyada soo socda waxaa ka mid ah:

- chronic (joogto ah);
- joogto ah;
- transient (paroxysmal), waarta ka 24 saacadood in intii toddoba maalmood ah.

In this foomamka chronic oo joogto ah cudurada noqon kartaa noqnoqonaysa.

Waxaa sidoo kale kala duwanaayeen nooca wadne garaaca wadnaha. Sayidka go'doonsan flutter iyo wadne.

Waayo, inta jeer ee la taasoo intraventricular waxaa la dhimay, la kala saaro wadne:

- tahistolicheskuyu (90 jeer ama in ka badan halkii daqiiqo);
- normosistolicheskuyu (60-90 jeer halkii daqiiqo);
- bradisistolicheskuyu (ka yar 60 jeer halkii daqiiqo).

garaaca

Tani waxay kala duwanaansho cudurada a gartaa foosha aan caadi ahayn ee muruqa wadnaha ama qaybo shaqsi (extrasystoles). Isla mar ahaantaana qofka dareensan walwalka, neefta oo ku qabata, wadadii xoog wadnaha ama engegay. cudurada Tani inta badan keenta in angina iyo rabshooyin in wareegga cerebral.

garaac kasta oo lagu gartaa soo diyaariyeen ah ee koobin. Taasi waa sababta ka badan toban qaybood ayaa timaada inta ay dhamaystiran kala soocidda. Si kastaba ha ahaatee, codsiyada la taaban karo dhaadheer oo kaliya kuwa maximally qiyaastii fikiri karaa koorsada cudurka.

Qoondaynta oo ah Lawn garaaca ahayd talaabo muhiim ah in taariikhda wadnaha. Isticmaalka isutagga la soo jeediyay, dhakhtarka waa inay awoodaan inay ku filan u qiimeeyaan macluumaadka ay heli karaan bukaan-socodka iyo darnaanta cudurada ee ay socodka. Xaqiiqada ah in qalbigiisa gastric garaaca (VPB) waa mid aad u baahsan. cudurada Tan waxaa loo arkay in ku dhow boqolkiiba konton dadka bukaanka ah, kuwaas oo la tasho wadnaha ah. In qaar ka mid ah cudurka waa benign iyo naf-gooyada ah oo iniinahoodu ku dhex jirin aan xambaaran karin. Si kastaba ha ahaatee, waxaa jira bukaan ah kuwaas oo la ogaado foom malignant of PVCs, taas oo u baahan koorso gaar ah oo therapy.

Shaqada ugu weyn ee ay fuliyeen soocidda ee cawska, waa in la kala saaro malignant ka cudurada benign. Xaaladdan oo kale, waxaa jira shan fasalada cudurka:

1. extrasystole monomorphic ventricular, kuwaas oo soo noq - in ka yar 30 saacadiiba.
2. PVCs monomorphic leh inta jeer ka badan saacadiiba 30.
3. politopnye.
4. In fasalka afraad waxaa loo qoondeeyey laba hoosaadka (PVCs aaday iyo tachycardia ventricular markii saddex ama in ka badan oo isku xigta PVCs).
5. extrasystole markii R-ruxruxo ee T. ugu horeysay 4/5 ruxruxo

kala soocidda Tani waxay u aragto in ay codsiga ee wadnaha iyo qalliinka wadnaha. Sanado badan, iyo dhakhaatiirta kale ee isticmaalaya. Soo bandhigay 1971, waxay noqotay mid taageero ah oo lagu kalsoonaan karo ee xirfadlayaasha ah inta lagu guda jiro rakibaadda soocidda arrhythmia iyo daaweynta cudurada this.