Arrhythmia yenhliziyo - yokwelapha

Kuziguli, ukuhlukaniswa kwe-arrhythmia kubaluleke kakhulu, kuye ngesilinganiso senhliziyo:

• i-bradycardia - ukushaya okungaphansi kuka-60 ngomzuzu;
• i-tachycardia - ukwanda kwenhliziyo okwedlula izikhathi ezingu-90 ngomzuzu;
• i-extrasystole - ukunciphisa kwenhliziyo kusuka ekuphenduleni;
• ukuvimbela inhliziyo - lapho ezinye izingxenye zenhliziyo zingenzi izifiso.

Izimpawu ze-arrhythmia

Kuye ngalesi sigaba, isiguli siyoba nezimpawu zokuhleleka nokuphathwa:

1. Nge- tachycardia, isiguli singazizwa:

• ukuphazamiseka enhliziyweni;
• ukuphosa emsebenzini wenhliziyo;
• izinga eliphezulu lenhliziyo;
• ubuhlungu ngemuva kwe-sternum;
• isimo sokwesaba;
• ukungabi nomoya.

Ngezinye izikhathi i-tachycardia ingaba ngokomzimba, okungukuthi, ingavela ngenxa yokucindezeleka, ukuzikhandla ngokweqile ngokomzimba. Kulesi simo, bathi isifo sokuphefumula sinus isakhiwe futhi akukho ukwelashwa okudingekayo. Kodwa-ke, uma isiguli singenakulungiselela ukuthuthukiswa kwe-tachycardia, khona-ke i-arrhythmia ye-cardiac kufanele ilashwe, ngoba ezinye izinhlobo ze-tachycardia, njengesibonelo, zinezidakamizwa, zidinga ukunakekelwa kwezimo eziphuthumayo, ngoba ukuboshwa komzimba kungenzeka.

2. I- Bradycardia iveza :

• ukwehla kwenhliziyo;
• ubuthakathaka jikelele;
• ukuphelelwa amandla;
• ukujula okubandayo;
• i-pallor yesikhumba.

I-Bradycardia ingabonisa ukuthuthukiswa kwesifo senhliziyo, i-infarction ye-myocardial, ukuwa kwehla okucindezelayo, kodwa ukucindezeleka okuyinhloko kwalesi simo kuboshwa inhliziyo.

3. Nge- extrasystole, iziguli zizwa sengathi kukhona "okungeziwe". Ngezinye izinhlobo zama-extrasystoles, iziguli zihlala iminyaka futhi zingabangeli izinkinga, kodwa ngezinye izikhathi ama-extrasystoles ayenzeka ngokulimala komzimba kwenhliziyo: amafutha, i-myocarditis, i-cardiosclerosis futhi ezimweni ezinjalo ukwelashwa okusheshayo kwesimiso sokudinga i-extrasystolic ishythmia kuyadingeka.

4. Izimpawu ezinqenqenqenqenqenqeneni zenhliziyo zifana nalokho ku-extrasystoles, kodwa lesi yisimo esibi kakhulu, okuvame ukuholela ekuboshweni komzimba nasekufeni. Yingakho kubalulekile ukuqala ukwelashwa kwe-cardiac arrhythmia ngesikhathi esifanele.

Arrhythmia yenhliziyo: izimiso zokwelapha

1. Ukwelapha izidakamizwa zokuphefumula kokuphefumula.
2. Ukukhishwa kwama-radiation-cauterization endaweni ethile yenhliziyo.
3. I-pacemaker iyinsimbi ekwazi ukusekela isigqi senhliziyo, futhi ngesikhathi esifanayo, ibuye iqaphe ukuqapha kwe-heart rate.
4. I-cardioverter defibrillator iyisidingo efakwe kuziguli ezinengozi enkulu yokuboshwa kwengqondo okungalindelekile. Uma ivaliwe, iqala ngokuzenzakalelayo inqubo ye-defibrillation ne-pacing.
5. Ukwelashwa kwe-Hybrid.
6. Ukwelashwa kwama-arrhythmias enhliziyo ngamakhambi abantu.

Izindlela zokwelapha i-fibrillation ye-atrial

Uma i-arrhythmia ithola okokuqala, udokotela uqala ukwelashwa kwezokwelapha, okunganciphisa umtholampilo wesifo. Nokho, ngokwezibalo, ngokwesibonelo, ekwelapheni i-paroxysmal arrhythmia, ukwelapha izidakamizwa kusiza kuphela ku-10-15% amacala. Yingakho ukwelashwa kwamanje kwe-cardiac arrhythmia kusho ukwelashwa kwe-hybrid, okuwukuthi, inhlanganisela yamasu amaningana kwesiguli esisodwa.

Yiqiniso, ukukhetha indlela yokwelashwa eyinhloko kuyoxhomeka kuhlobo lwe-arrhythmia, iminyaka yesiguli, isifo esiyinkimbinkimbi, ukutholakala kwe-pathologies ehambelanayo. Nokho, imithi ayimi, futhi kuzovela izindlela ezintsha ezizokwenza ngcono kakhulu izinga lezempilo lesiguli, isibonelo, ukwelashwa okuncane okungenasidingo ukwelashwa kwe-atrial fibrillation - ukukhishwa kwe-radiofrequency.

Muva nje, kuye kwaba nemfashini ukuhileleka ekwelapheni kwe-cardiac arrhythmia ngamakhambi abantu, kuhlanganise nokwelashwa kwe-arrhythmia ngamakhambi. Kufanele kuqondwe ngokucacile ukuthi le ndlela inelungelo lokuba khona nje kuphela njengenye yezinto ezihlukahlukene zokwelashwa kwe-hybride, kodwa neze indlela yokuzimela emele. Amakhambi amaningi akwazi ngempela ukunciphisa, futhi ngezinye izikhathi asuse umtholampilo, kodwa kufanele akhunjulwe ukuthi lokhu kuyindlela yokwelashwa ephawulekayo, futhi isifo esiyisisekelo asihlali singaphathwa.