I-Sinus bradycardia ingenye yephula umthetho wenhliziyo, okuyinto ezimweni eziningi isikhathi eside esingaqapheli iziguli. Lesi simo sithinta kabi ukusebenza komzimba wonke futhi kungaholela emiphumeleni emibi kakhulu.
I-Bradycardia yenhliziyo - iyini?
Kukholelwa ukuthi isilinganiso senhliziyo evamile singama-60 beats ngomzuzu, okungukuthi, imvamisa enjalo ishaya inhliziyo kubantu abadala abaningi. I-Bradycardia - izinga lokunciphisa inhliziyo, elingaphezu kwama-stroke angama-60, elikwazi ukuhambisana ne-pathologies ehlukahlukene, futhi libe yinto yokuphila ngaphansi kwezimo ezithile. Ukuze uchaze igama elithi "sinus bradycardia yenhliziyo," yikuphi futhi yiziphi izizathu zalokhu kuphambuka, sizoqala ukuqonda ukuthi inhliziyo iphika kanjani.
Umsebenzi wenhliziyo kuyindlela enesigqi lapho imisipha yenhliziyo ihamba khona, bese ivuselela, idale amathuba okuhlinzeka ngegazi nokusabalalisa. Ukunciphisa njalo kwe-myocardium kuhlinzekwa yisizukulwane somshini kagesi ku-node yesusus (umqhubi womculo). I-nodule isendaweni yobukhulu bomzimba we-muscle futhi ibopha izintambo zezinzwa kwisistimu yezinzwa ze-autonomic. Ama-palpitations avela ku-node ye-sinus abhekwa njengokulungile.
Umfutho wegesi ovela ku-pacemaker udluliselwa kuma-node amaningi amaningana aqhuba amapulthi kuzo zonke izingxenye ze-myocardium futhi enze inhliziyo ivumelane. Uma kukhona ukungasebenzi kahle ekuhambeni kokudluliselwa komfutho kagesi kusuka kwesodi yesinoma kuya kwamanye ama-node okudlulisa, inhliziyo iqala ukushaya kancane, kodwa kulokhu i-bradycardia ayiyona isono, kodwa ixhunywe nokuvinjelwa kokuzijabulisa. Nge-sinus bradycardia, isigqi senhliziyo siyancipha ngenxa yokuphulwa komshayeli omkhulu wesigqi, esingaqedi futhi senze izimpendulo ngokunciphisa.
I-bradycardia ephakathi
Uma i-sinus bradycardia esilinganisweni itholakale, lokhu kusho ukuthi inhliziyo isebenza ngokuvama kobude obungama-40-50. ngomzuzu. Lo msebenzi wenhliziyo usaqhubeka nokugcina ukujikeleza kwegazi ezingeni elivamile emzimbeni. Kulokhu, ukunciphisa imvamisa yemivimbo kungase kube isici somuntu siqu (kubantu abanezindonga ezinamandla ezizalweni) kusukela ekuzalweni) noma umphumela wokuzivumelanisa nomzimba ekuqeqesheni kwezemidlalo njalo.
I-bradycardia ibizwa
I-pulse ephansi kakhulu - engaphansi kwezingu-40 ngomzuzu - iphawulwe ngesifo esivela phambili esiholela ezinkingeni eziningi zokugeleza kwegazi kanye ne-oksijeni yindlala yezicubu. Ikakhulukazi ehlushwa izitsha ezingasebenzi. Ngenxa yalokho, izitho eziningi nezinhlelo ziwohloka, ezithinta imiphumela engavumelekile engenakuphikiswa kwempilo yabantu kanye nokuphila.
Iyini i-bradycardia eyingozi yenhliziyo?
Into esemqoka, i-bradycardia eyingozi ngokwengeziwe, ingozi yokuboshwa komzimba, okuyinto evame ukusongela iziguli ezinezinga elibi le-anomaly. Kodwa ngisho nokushaya kwenhliziyo encane, okwakubonwa isikhathi eside futhi ujwayele ukuqhubekela phambili, ukhonza njengesiginali sokuhlolwa nokuphathwa, ngoba ngeke nje kube nzima kakhulu izinga lempilo nomsebenzi womsebenzi, kodwa futhi kuholele ekupheleleni, ukuhluleka kwenhliziyo, izindwangu zegazi nokunye.
I-Bradycardia - izimbangela
I-bradycardia engokwemvelo, lapho i-pulse isinciphisa kancane, ngaphezu kwezici ezithile zomzimba nokuzivocavoca umzimba, ingabonwa kubantu abanobuciko abanethonya lalezi zinto:
- ukulala;
- ukunciphisa izinga lokushisa kwe-air ambient;
- ukucindezela emthini we-carotid (nge-necktie eboshwe ngokuqinile, isikhala);
- ukucindezela ezinhlokweni ze-eyeball (reflex ye-eye-cardiac);
- ukuhlunga kwesifuba enhliziyweni;
- ukubhema isikhathi eside.
I-bradycardia enjalo, ukuqhuma okungakaze kube ngaphansi kwezingu-40 ngomzuzu, okungabangeli ukulimala empilweni yonke futhi kungahambisani nezinye iziphambeko, akubhekwa njengengculaza. Kwezinye izimo, ukuqhuma okuphansi kwesizathu kungase kuhlangane nezinye izifo. Sibala uhlu oluyinhloko kubo:
1. Izifo zesimiso senhliziyo:
- i-infarction ye-myocardial acute, i-infarction esiteji sokuqeda;
- i-rheumatism yenhliziyo;
- i-myocarditis;
- i-endocarditis yokuphefumula ;
- i-hypertension;
- izinkinga zenhliziyo;
- i-atherosclerosis ;
- ukuhlukunyezwa enhliziyweni;
- i-cardiomyopathy.
2. Izifo ze-neurological:
- ukwephula ukugeleza kwegazi ebuchosheni;
- ukuhlukunyezwa, isisu sobuchopho;
- ukunyuka kwengcindezi yokunyuka ;
- izimo ze-neurotic.
3. Izifo zezitho zangaphakathi:
- i-peptic ulcer;
- i-gastritis;
- ukuqhwaba noma ukungafinyeleli kahle kwe-hepatic esigabeni sokugcina;
- izifo zesimiso se-endocrine;
- Isifo sika-Addison ;
- hypothyroidism.
4. Ezinye izifo nezinqubo zokwelapha emzimbeni:
- ukuphuza utshwala;
- i-pathologies ezithathelwanayo;
- ukuphelelwa amanzi emzimbeni ;
- izimo ze-feverish;
- ukushuswa kwezakhi zofuzo ezihlukahlukene;
- ukudlula ngokweqile kwemithi (i-calcium channel blockers, i-beta-blockers, i-antiarrhythm, i-glycosides yenhliziyo);
- uketshezi ngamakhemikhali ane-phosphorus;
- i-hypothermia;
- ukuguga ngokwemvelo komzimba.
I-Bradycardia - izimpawu
I-pulse ephansi ne-bradycardia encane futhi uma kwenzeka izimbangela zezinto eziphilayo ngokuvamile ayizibonakali njengezinye izibonakaliso. I-sinus bradycardia ye-pathological ingaboniswa esithombeni esilandelayo:
- ukukhathala okuqhubekayo;
- ubuthakathaka;
- ukulala;
- imemori ekhubazekile, ukugxila kokunakwa;
- ukukhubazeka okubukwayo;
- umsindo ezindlebeni;
- ukuxubha;
- isimo sokuphelelwa amandla;
- ukuphelelwa amandla;
- isiyezi esivamile;
- ubuhlungu esifubeni;
- ushintsho e-blood pressure;
- i-blanching yesikhumba;
- ubunzima bokuphefumula;
- ukujuluka okukhulu.
Ukucindezela nge-bradycardia
I-arrhythmia bradycardia ivame ukuhlanganiswa nomfutho wegazi ophezulu (ngaphezu kuka 140/90 mm Hg), ongabonisa inqubo yokubola, ischemic disease, cardiosclerosis, pericarditis. Isizathu ngezinye izikhathi ukhethe ukwelashwa okulwa namagciwane okungalungile. Ngokuvamile, i-sinus bradycardia itholakala ukuthi imelene nomlando wokucindezela kwegazi ophansi, okuyinto inhlanganisela eyingozi. Lokhu kungabonisa ukuphuma kwegazi ngaphakathi, ukudakwa, ukutheleleka okukhulu.
I-Bradycardia - ukwelashwa
Uma umuntu etholakele ukuthi unesisindo esincane, okumelwe ukwenze kulokhu, ungayinquma emva kokuxilongwa ngokuphelele komzimba. Ngaphambi kokwelapha i-bradycardia yenhliziyo, thola ukuthi yikuphi ukukhubazeka okwenza lokhu kuhlanekezele nokuthi ngabe ukunciphisa kwenhliziyo kuyisimiso somzimba (kulokhu, ukwelashwa akudingekile). Ukuze kutholakale izici zokucabangela, i-electrocardiography, ukuqapha kwe-Holter, ukuhlolwa kwe-ultrasound kwenhliziyo nezinye izitho, ukubunjwa kwegazi le-electrolyte, ukuhlolwa kwegazi kwama-hormone, njll, kwenziwa.
Ukucabangela indlela yokwelapha i-sinus bradycardia yezinga elilinganiselayo nelomnene, kuqala ukulalela indlela yokuphila nokudla, ukulungiswa ngokuhambisana nemigomo enempilo. Ngakho-ke, kunconywa ukuyeka ukudla okunamafutha, utshwala, ukubhema, ukunciphisa ukusetshenziswa kwamaswidi kanye nokubhaka. Qinisekisa ukuthi ugcine indlela efanele yokusebenza nokuphumula, umsebenzi wokuzivocavoca, ugweme izimo zengqondo eziphazamisayo. Ezimweni ezimbi kakhulu, ukwelashwa kwezokwelapha noma ukwelashwa kwenziwa.
Izidakamizwa ezine-bradycardia
Lapho i-bradycardia ishukunyiswa yi-pathologies engeyona inhliziyo, imithi yemithi yenziwa ngokuhambisana nesifo esiyisisekelo. Isibonelo, izifo ezithathelwanayo zidinga ukusebenzisa imithi elwa namagciwane, enezinkinga ze-hormonal - ama-hormone. Ukuqedwa kwezimpande kungabangela ukuphazamiseka komculo ngokuphumelelayo. Ukwengeza ukwelapha isifo se-causative, imithi elandelayo ingasetshenziselwa ukwandisa izinga lokushaya kwenhliziyo, sebenzisa i-node yesusus:
- i-anticholinergics (i-Atropine);
- i-adrenomimetics (Isoprenaline, Iazrin);
- bronchodilator Eufillin ;
- ama-nootropics (i-Mexidol, iPiracetam);
- Amalungiselelo e-caffeine (Aksofen, Izodrin), njll.
Ngezinye izikhathi kunqunywe ukuthi kuhlaselwa nge-bradycardia esetshenziselwa izitshalo - amaconsi kaZelenin, i-tincture ye-ginseng, i-eleutherococcus, okwenza kube nokwanda okusheshayo kwenhliziyo. Ngokwehla okubukhali kwenhliziyo yenhliziyo nokucindezela kwegazi, okuhambisana nokuphelelwa amandla, ukuphazamiseka, izimpawu ze-edema yamapulane kudinga ukunakekelwa kwesiguli esibhedlela - umnyango we-arrhythmology noma i-cardiology.
I-Bradycardia - ukwelashwa ngamakhambi abantu
Abahlengikazi bezinkampani bangase basikisele ukuthi yini okufanele bathathe nge-pulse ephansi ukuze bayandise, kodwa ukwelashwa okunjalo kufanele kukhulunywe ngaso nodokotela oya khona ukuthi kungenzeka ukuthi ahlangane nomuthi oyisisekelo wezokwelapha. Phakathi kwezixazululo ezihlinzekwa kulokhu ukuphazanyiswa ngemithi engeyona yendabuko, umuntu angakhuluma ngama-infusions we-nettle, immortelle, ama-decoctions we-yarrow, i-tartar, i-lemon-garlic-honey mix.
Ungayilungisa kanjani ukungenwa kwemithi kwe-yarrow?
Izithako:
- imifino yarrow - 15 g;
- amanzi - ingilazi eyodwa.
Ukulungiselela nokusebenzisa:
- Thela impahla eluhlaza ngamanzi.
- Letha emathumba, ubilise ingxenye yesigamu sehora.
- Ukumelela ihora, kuhlungiwe.
- Faka isicelo kathathu ngosuku ngosuku lwesipuni.
I-Sinus bradycardia iyinhlangano yokusebenza
I-sinus bradycardia ebizwa ngokuthi, ukwelashwa kwayo ngezidakamizwa akusebenzi, kuyisibonakaliso sokuhlinzwa komzimba ukufakwa kwe-pacemaker. Le divayisi, efakwe ngaphansi kwesikhumba iphinde isize ukuvuselela inani lezinhliziyo, ukukhiqiza izifiso zikagesi nokuziqondisa ezingxenyeni ezifanele ze-myocardium.