Qalbiyada Xaaladda Wadnaha: Calaamadaha, Calaamadaha, Daaweynta

arrhythmia Wadnaha (ama garaac aan caadi ahayn) waa cudur ka mid ah nidaamka wadnaha, taas oo ah waxa lagu gartaa wax garaaca wadnaha. Dhacdooyinka la xidhiidha isbedelka of joogto, inta jeer oo isku xigxiga ee garaaca wadnaha, garaaca wadnaha waxaa laga yaabaa in aad u soo noqnoqda ama (tachycardia horumarinta) ama aad u gaabis ah (bradycardia). Qaar ka mid ah xaaladaha garaaca waxay keeni kartaa in la soo xiro wadnaha. Garaaca dhacaan da 'kasta, idinkoo jooga qolladaha sare iyo hoose tan qalbiga, ee ku atria iyo intraventricular, siday u kala horreeyaan. noocyada kala Qaar ka mid ah cudurada jira si dhib leh dareemi, halka qaar kalena ay u badan yihiin riwaayado iyo waa dhimasho. arrhythmia Wadnaha waxaa loo arkaa mid ka mid ah sababaha ugu badan ee dhimashada.

hab ay of laxanka caadi ah wadnaha

In la fahmo waxa arrhythmia ah, sababaha ay u saftay, waxaa lagama maarmaan ah in la fahmo sida ay isku mid ka socda contractility myocardial. farsamo ee dhaqdhaqaaqa wadnaha nidaamka tabinta wadnaha caadiga ah waxaa la siiyaa, kaasoo ah cluster ah unugyada takhasus sare leh. unugyadan abuuro falalkooda korontada oo wuxuu ku qaadi fiiloyin gaar ah, taas oo horseedaysa in ay muruqa wadnaha. Inkastoo awoodda Guntin kasta oo nidaamka si ay falalkooda in muruqa wadnaha, halkan dhibic ugu weyn waa Guntin Dalqada wadnaha, kaas oo dhigaya laxanka la doonayo. Waxay ku taalaa sare ee Atrium saxda ah. Ee ay ka falalkooda Guntin Dalqada wadnaha, sida rays ee qorraxda, kala bixin ka jiho kasta. digir Qaar ka mid yihiin "mas'uul ka ah" ee dhimista ama excitation of atria ah, halka qaar kalena ay gacan ka hoos u gaabis ah in waqti Atrium ah u soo dirto Dufcaddii xiga ee dhiig intraventricular ah. Tani waxay xaqiijineysaa laxanka caadiga ah ee wadnaha. Its xadgudub laga yaabaa in ay sabab u tahay laba dhibaato:

- qas habka formation garaaca wadnaha,

- xadgudub ku ah digir ah ee nidaamka wadnaha.

Marka dhibaatooyin sida in node soo socda wareegi qabanayaa ah "mas'uul ka ah" for logu hawlgalka garaaca wadnaha, laakiin hoos u soo noqnoqoshada foosha. Sayidka yeesho arrhythmia ah, sababaha kuwaas oo markii dambe ka wada hadleen.

noocyada arrhythmia

Dhakhaatiirta sooco garaaca, ku xiran tahay ma aha oo kaliya on meelaha ay ka dhacaan (atria ama marinnada maskaxda), laakiin sidoo kale on garaaca wadnaha. garaaca wadnaha Fast la garaaca wadnaha (HR) waa ka weyn yahay 100 garaac halkii daqiiqo ayaa la yiraa tachycardia iyo garaaca wadnaha gaabis ah la garaaca wadnaha a yar 60 garaac daqiiqaddiiba - bradycardia. Sababaha garaaca wadnaha waa si toos ah ay ku xidhan tahay nooca cudurka.

Ma ahan mar walba tachycardia ama bradycardia macnaheedu cudurka wadnaha. Tusaale ahaan, inta lagu guda jiro jimicsi garaaca wadnaha si degdeg ah waxaa loo arkaa iska caadi ah, sida kororka xaddiga garaaca wadnaha ogolaanaya oxygen unugyada jirka ee. Marka la seexdo ama nasashada qoto dheer wadno, waxa ay noqon gaabis ah.

Haddii tachycardia dhacdaa atria ah, ka dibna xadgudubka lagu tilmaamay sida soo socota:

- Wadne - a garaaca wadnaha oo degdeg ah, ay keentay dhaqdhaqaaqa korontada qasan ee atria ah. Signalladaasi waa keeni degdeg ah, hoos u midina ama muruqyada wadnaha daciif ah. Sababaha wadne qalbiga ku jira hawlaha ventricular qasan sida convulsive, kaas oo sida caadiga ah dhacdaa ku saabsan asalka ah cudurada kale ee wadnaha. Arrin ku wadne-u horseedi karaa dhibaatooyin daran, sida stroke.

- flutter Wadne - la mid ah wadne, ay falalkooda korontada isku waqti dheeraad ah oo abaabulan iyo jiibta badan aamba. flutter Wadne sidoo kale keenaysaa in dhacdo istaroogga.

- tachycardia Supraventricular ama tachycardia supraventricular, taas oo ka mid ah hannaanka ka mid ah foomamka baarutaan timi kor ku intraventricular ah.

Tachycardias in lasoo xirayba ay intraventricular ku kala qaybsan yihiin ee nooc hoosaad soo socda:

- Ventricular Tachycardia - ka dhigan in wadne joogto ah si degdeg ah la signallo koronto aan caadi ahayn in intraventricular ah. Tani waxay ka hortagtaa buux buuxa oo intraventricular iyo ka hortagtaa dhiigga bamka hufan.

- aamba Ventricular - this arrhythmia, sababaha kuwaas oo been shubto hawlqabad la'aan dhiigga sabab u gariireen ventricular. Tani waa dhibaato quruxsan halis ah oo inta badan uu dhammaanayo dhimasho haddii qalbiga uusan awoodin in uu soo celiyo dhaqdhaqaaqa caadiga ah dhowr daqiiqo gudahood. Dadka intooda badan la kulma aamba ventricular, ama aad qabto cudur halis ah oo wadnaha ama soo maray dhaawacyada oo halis ah, sida joojinta hillaac ah.

Waxaa had iyo jeer ma wadne garaac yar yahay oo macnaheedu yahay in qof uu yeesho bradycardia. Haddii aad tahay qaab wanaagsan jirka, qalbiga ku waa awoodaa inuu tuuro dhiig ku filan oo 60 garaac daqiiqaddiiba nasan. yarayn karaa garaaca wadnaha iyo daawooyinka qaarkood. Si kastaba ha ahaatee, haddii aad leedahay heerka qalbigoodu ka raagay, oo aad qalbigiinna oo aan ku listo dhiig ku filan, waxaa laga yaabaa inaad mid ka mid ah dhawr nooc oo ah bradycardia.

- arrhythmia sanka, kaas oo keena daciifnimo sababa Guntin Dalqada wadnaha ku.

- excitation xanibaadda ee falalkooda korontada dhexeeya atria iyo intraventricular. Xaaladdan oo kale, bukaanka waxaa laga yaabaa in ay dareemaan garaaca booday muruqyada wadnaha.

- foosha Dhicis waxyaalaha qalbiga ku jira - intraventricular ku dhacdaa inta u dhaxaysa laba garaac caadiga ah.

Sababaha garaaca wadnaha

Qofka caafimaad dhif u oggolaan kartaa dhibaatooyin la mid ah. Marka arrhythmia a wadnaha, sababaha sabab arrimo xun ay kala duwan ee jidhka. Waxaa laga yaabaa in isbeddel ku muruqa wadnaha, cudurka wadnaha, dheelitir la'aanta elektrolytka ee dhiigga, dhaawac ka dib markii wadno xanuun, habka bogsashada ka dib markii qaliin wadnaha ah iyo kuwa kale. heerka garaaca wadnaha ayaa waxa sidoo kale la walwalka, dhaqdhaqaaqa jirka, maamulka daroogada.

Waxaa muhiim ah in la fahmo in marka uu qofku qabo arrhythmia ah, keena iyo daweynta cudurrada ee category kasta da'da bukaanka noqon doonaa kala duwan. In carruurta, tusaale ahaan, cudurka ku dhacaa sabab u ah arrimo gaar ah ee dadka waaweyn - kale. Waayo, cudur sida arrhythmia wadnaha, sababaha guud ee la cayimi karo liiska:

- xadgudubka in burburka iyo wadnaha iyo khaanadaha (endocarditis, myocarditis, qandho rheumatic).

- Xanuunka qanjirka thyroid ka.

- arrimo iska dhaxlo.

- Fuuqbax iyo la'aanta potassium ee jirka ku jira ama electrolytes kale.

- dhaawac wadnaha sabab u wadno.

- Habka lagu bogsiiyey waa ka dib markii qaliin wadnaha.

Khatarta cudurka kordhaa sigaarka, stress, isticmaalka xad-dhaafka ah ee caffeine ama khamriga, da'da, cadaadis dhiig oo sareeya, cudur kalyaha ah, iyo kuwa kale.

arrhythmia Wadnaha ee carruurta

In carruurta, cudurka waxa lagu tilmaamay sida ay meel cudurada la isugu gudbiyo Suu, ie in intraventricular ama atria. Haddii arrhythmia ah ee carruurta, oo sababa in ay tahay in uu eego aad si taxadir leh si loo kordhiyo fursadaha ilmaha ee soo kabashada. Carruurta garaaca wadne-ka mid ah xadgudubyada soo socda:

- foosha wadne-dhicis,

- tachycardia supraventricular;

- wadne;

- flutter wadne-;

- tachycardia gastric;

- Wolff-Parkinson-White (state ah oo wadnaha korontada aad si deg deg ah waxaa laga yaabaa in ay yimaadaan galay ventricle ah).

xanuunada garaaca wadnaha Ventricular carruurta ka mid ah:

- foosha ventricular dhicis (hore ama dheeraad ah wadnaha);

- tachycardia ventricular (xaalad naf-gooyada ah oo signallo koronto la helo ay intraventricular heerka variable);

- aamba ventricular (aan joogto ahayn, wadna garaac kala daadsan).

Waayo, xanuunada carruurta waxaa lagu gartaa bradycardia soo socda:

- cillad Guntin Dalqada wadnaha (garaaca wadnaha ee carruurta, ay sabab u tahay taasoo keenta laxanka tartiib ah u foosha wadnaha);

- block wadnaha (block dhammaystiran ama dib u maayad koronto ka Guntin ku sinoatrial in intraventricular ah).

Astaamaha baarutaan ku xiran tahay maturity ee ilmaha. Carruurta waaweyn sheegi kartaa isu dareemaan flutter dawakhsan yahay ama waxyaalaha qalbiga ku jira. In dhallaanka ama socod-baradka waxaa lagu calaamadeeyay caro, jirka oo caddaado, rabitaan la'aan cunto. Qaar ka mid ah astaamaha caadiga baarutaan ka mid ah:

- daciifnimo, daal,

- garaac aan caadi ahayn iyo garaaca wadnaha,

- dawakhaad, diidmo ama dawladda presyncopal ;

- caddaan maqaarka;

- xanuunka xabadka;

- neefta oo ku qabata, dhidid,

- la'aan cunto xumo,

- xanaaq.

Haddii ay caruurta horumariyo arrhythmia wadnaha, sababaha cudurka waxaa sababa arrimaha soo socda :, qaadashada daawooyinka qaarkood, qandho, cudurada qandho. Wixii dheeraad ah sababaha dhab ah waxaa ka mid ah curyaanimo lagu dhasho. Xaaladaha intooda badan garaaca aan dhib lahayn in carruurta. Si kastaba ha ahaatee, marka uu jiro isbedel heerka garaaca wadnahaaga ee gobolka ilmaha nasasho, waa ciyaar ama dhaqdhaqaaqa jirka, waalidku waa inay raadsadaan daryeel caafimaad oo xirfadle in hay'ad caafimaad.

arrhythmia Wadnaha ee dhallinyarada

Haddii arrhythmia ka mid ah dhallinyarada, oo sababa in ay kala duwanaan karaan ku xiran tahay laxanka sanka ah. Inta lagu jiro ay qaan, jidhka la kulmin isbedel badan, taas oo inta badan sababa kala duwan oo ka mid ah cudurada. arrin A la mid dhif ah waa cudurada ah, isbedel badan tahay in ay dhacaan heerka nafsaaniga ah, iyo ugu danbeyn baaba'aan. Si kastaba ha ahaatee, tani micnaheedu ma aha in arrhythmia ee dhallinyarada waa in aan la siin muhiimada. Marka marxaladdan hore ee da'yarka cudurka u baahan yahay dhakhtar kormeer joogto ah kuwaas oo la socon doona dhaqdhaqaaqa of arrhythmia. Haddii calaamadaha ma baabi'i 1-2 sano gudahood, yarkaan waa xaqiiqo ah oo u baahan daaweyn.

Nooca ugu badan ee arrhythmia in ay qaan waa bradycardia. Cudurku waa mid khatar ah in maskaxda ilmaha aan la qaadan lacagta loo baahan yahay ee oxygen, taas oo keenta in sii daraysa ee kartidooda aqooneed, kartida tacliinta, dareen diidmo oo gaabis ah, awood la'aanta in ay si buuxda uga qayb galo ciyaaraha iyo dhibaatooyin kale.

Sababaha arrhythmia wakhtigan waxaa had iyo jeer ma la xiriira cudurada nidaamka wadnaha iyo. Cadhaysiinina uu cudurku waxay noqon kartaa cudurada hormoonada jidhka, stress, stress neerfayaasha, isbedel hormoon ee dhallinyarada, sambabka ama bronki cudurada, hargabka, oo ay la socdaan xumad iyo wixii la mid ah. Marka dystonia daaqsinka-vascular, cudur inta badan waa dabeecad phantom, sidaas daaweynta carruurta kuwaas waxaa muhiim ah in maamulka daawada dajiyaha iyo cilmi-nafsi-talin.

arrhythmia Wadnaha ee haweenka

Haweenka, koox ahaan, wakiil set oo xiiso leh caqabadaha waayo wadnaha ku takhasusay rabshooyin garaaca wadnaha. Waxaa jira isbedellada billaha ah ee garaaca qaarkood, kuwaas oo qalbiga ku jira waa il raaxo iyo walaaca bukaanka dumar ah, oo waxaa jira khataro gaar ah marka qof dumar ah waxaa lagu gartaa arrhythmia wadnaha. Sababaha, daaweynta cudurka iyo astaamaha ay ku xiran tahay arrimo badan oo kala duwan si ay u eegaan.

Haweenku waxay baahsanaanta sare ee buka syndrome sanka, tachycardia sanka, tachycardia patrilineal atrioventricular iyo noocyada kale ee cudurrada. Sababaha garaaca dumarka xiriirka la leh garaaca wadnaha si daciif ah:

- tachycardia ventricular (adoo ka tegaya qolladaha hoose ee wadnaha);

- tachycardia supraventricular (dhacdaa qolladaha sare ee wadnaha);

- foosha wadne-dhicis (dhacdaa qolladaha sare iyo hoose ee wadnaha).

Waxaa muhiim ah in la xasuusto in qalbigiisa ku jabay waa calaamad, aan ogaado. Mararka qaarkood, marka ay jirto arrhythmia ah, sababta oo ah waxa ay la xiriirta in qodobada sida stress, farax habdhiska, kacsan dareenka. Si kastaba ha ahaatee, in kiisaskan, lafa guro cudurka, si loo baabi'iyo suurtagalnimada sababaha ka sii daran.

Garaaca inta ay uurka leedahay sida caadiga ah dhacdaa sababtoo ah hormoon badala qof dumar ah. heerka sii kordhaya ee estrogen iyo saameynta gonadotorobin muujinta channels ra'iyi ee wadnaha, isbedel hemodynamic waxaa lagu gartaa in la kordhiyo mugga dhiigga iyo labanlaabantay saarka wadnaha. Intaa waxaa dheer, uurka waxay kordhisaa waa ohyahay dabacsanaadaan. Oo kuwan oo dhan isbeddel ah ee jidhka dheddiga qayb-qaato horumarinta ee arrhythmia.

arrhythmia Wadnaha ee ragga

In ragga, cudurada wadnaha ku dhaco 2 jeer inta badan haweenka. The noocyada ugu badan ee cudurka yihiin block atrioventricular, sanka artery syndrome, wadne, tachycardia supraventricular, Wolf-Parkinson-White syndrome, tachycardia ventricular soo noqnoqonaysa, aamba ventricular iyo geeri kedis ah, iyo Brugada syndrome. Sababaha baarutaan ragga inta badan la xidhiidha xad dhaaf ah, ku xadgudubka qamriga, sigaarka, jimicsi la'aan jireed, cunto xumo, stress, qaadashada daawooyinka qaarkood.

Ragga qaba cudurada wadnaha ayaa si gaar ah u nugul garaaca soo koraya, tan iyo sinaansho ee muruqa wadnaha wuxuu keeni karaa wadnaha ama dib u dhac of signal korontada ka Guntin Dalqada wadnaha si intraventricular ah. Haddii ay jirto arrhythmia ah cuntada ka dib, sababaha xaaladda this yihiin la xidhiidha cadaadiska caloosha si diaphragm ka. Sidaas awgeed waxaa laga riixo ah sternum ah, cadaadiska saaran wadnaha. Sababaha arrhythmia ragga ayaa sidoo kale la xiriira dhiig karka, qanjirka thyroid firfircoonida badan, kaas oo sidoo kale wuxuu kordhiyaa khatarta ah.

Calaamadaha cudurka ee dadka waaweyn

In cudur noocaas ah, sida arrhythmia wadnaha, calaamadaha, sababaha cudurka waxay xidhiidh dhow la. Tusaale ahaan, marka uu wadnuhu waa garaaceen dhakhso badan sida caadiga ah, calaamadaha cudurka waxa ka mid ah xanuun ah laabta, uurkuna waa, madax-wareer, madax-xanuun, dhiig-karka. Haddii bradycardia waxaa badanaa keena daal, wareer, suuxid ama gobolka presyncopal, hoos u cadaadiska dhiigga.

Astaamaha baarutaan ee dadka waaweyn waxaa ka mid ah tabar guud, daal kordhay, garaac aan caadi ahayn iyo garaaca wadnaha. In wadne gaabis maskaxda ma heleyso caddada saxda ah ee ogsijiin, si bukaan sheegay wareer soo noqnoqda, suuxid, ama predobmoroki, waxay leeyihiin neefta oo ka mid ah neefta iyo dhidid kordhay. Jirka oo caddaado, daboolay dhididka. Marka tachycardia xanuun soo noqnoqda ee xabadka, caro sii kordhay,

Haddii flutter xabadka yihiin random, inay jirto halis lahayn, iyagu ma ay qaadaan. Laakiin haddii xanuun ku dhaca oo qalbigiisa waxa ay noqonayaan more caadi ah sida qof si joogto ah waxaa jira dareen ah tabar, garaaca wadnaha uu noqdo mid aan caadi ahayn, waa wakhti si aad u aragto dhakhtar.

daaweynta arrhythmia

Noocyada ugu badan ee cudurka wadnaha waxaa loo arkaa in aan dhib lahayn oo aadan u baahnayn daawayn. Haddii qofku qabo arrhythmia a wadnaha, keena, daaweynta cudur inta badan madax banaan kasta oo kale, tan iyo dhakhaatiirta dooran habka daaweynta ku salaysan kuwa waxyaalaha sababay cudurka. Daaweynta cudurka waxaa inta badan si toos ah ugu hortagga xinjiro dhiig oo dhiigga si looga hortago halista faaligga, soo celin a garaaca wadnaha caadi ah, gacanta ku garaaca wadnaha ee kala duwan ee caadiga ah, yareeyo arrimaha halista ku ah cudurrada wadnaha.

Haddii bradycardia ayaa dhexdeenna ma muujiyaan sababo, dhakhaatiirta caadiga ah door biday in ay isticmaalka pacemakers. pacemaker A waa qalab yar, oo la dhigay meel u dhow lafta kalxanta. Mid ka mid ah ama ka badan electrodes talooyin, ka imaanaya qalabka, soo diri karsado korontada iyada oo xididdada dhiigga wadnaha iyo sidaas kicin wadne garaac joogto ah ee aadanuhu.

Noocyada kala duwan ee tachycardia, bukaanka waxaa laga yaabaa in daawo loo qoray, kaas oo u ogolaanaya si loo xakameeyo garaaca wadnaha ama soo celiyo dhaqdhaqaaqa wadnaha oo caadi ah. therapy noocan oo kale ah waxay yarayn karaan dhibaatooyinka oo dhan ay suurtagal tahay. In wadne, dhakhtarku kuu qoro daawo, waxyaabaha dhiigga khafiifiya in looga hortago formation of xinjiro dhiig oo dhiigga. Marka bukaanka wadne qoro dawooyinka la isticmaalayo artafiishal, kaas oo u ogolaanaya in la soo celiyo dhaqdhaqaaqa sanka caadiga ah.

Xaaladaha qaarkood, bukaanka yaabaa in lagu taliyo daweyn qalliin ee arrhythmia. Xaaladaha cudurka halbowlaha wadnaha halis dalab Samir qalliinka isku tallaalidda wadnaha. nidaamka Tani waxay ka caawisaa si loo hagaajiyo dhiigga ku shubma wadnaha ah. ablation Radiofrequency waxaa lagu qabtaa dhacdo heerka dheeraad ah qalbigaaga atar aan ku filnayn. Inta uu hawlgalka socday, dhakhtarka ka dhigaysa dalool ah ee unug nabar ah oo aan qaban kara dhaqdhaqaaqa korontada ah.

ka hortagga

Si looga hortago cudurka wadnaha, garaaca, iyo gaar ahaan, waa in horseedi hab nololeed caafimaad leh, iyadoo la raacaayo talooyinka ku saabsan nafaqada, quusan caadooyinka xun, iska ilaali xaaladaha walaaca, inuu u ciyaaro isboortiga.