Mene ne wani ectopic atrial kari?

Balli cewa faruwa ta atomatik saboda wasu cuts a cikin myocardium ko madugu tsarin, da ake kira ectopic atrial kari. Mene ne shi, za mu fahimci a cikin wannan labarin.

Pathology Description

Lokacin da sinus kumburi aka raunana ko daina aiki, kuma shi ne ko dai har abada, ko kuma daga lokaci zuwa lokaci, to, akwai ectopic lashe (ko ma ya kira canza).

Su mita ne m fiye da na sinus kari. Ectopic atrial kari za a iya daukan nesinusovym. M tafi ta source, don haka ta bugun jini mita ne kasa. Mene ne dalilin canje-canje a cikin aikin da zuciya?

Cikin manyan dalilan da canza launi

A canje-canje faruwa a cikin sinus kumburi da sauran gudanar da sassan ba Yunƙurin zuwa nesinusovogo kari. Wadannan sabawa daga al'ada launi na iya zama:

- sclerotic.

- ischemic.

- kumburi.

Nau'in nesinusovyh rhythms

Nau'in nesinusovyh rhythms iya zama daban-daban. Wadannan sun fi na kowa form.

- Nesinusovy launi na iya zama supraventricular ectopic kari yanayi. Wannan ya faru saboda yawan abin sama na cardiac glycosides, da kuma jijiyoyin bugun gini dystonia. Automaticity na ectopic foci ƙaruwa, sakamakon haka ne wannan nau'i nesinusovogo kari. Ga akwai wani babban zuciya kudi, da bambanci ga m maye da ectopic lashe.

- Nesinusovy kari kuma iya zama na ramin zuciya. Wannan ya nuna wani gagarumin canji a cikin myocardium. A ma low a mita na na ramin zuciya contractions mafi kusantar wajen samar da jijiyoyin zuciya da cututtukan zuciya, wanda shi ne fraught tare da tsanani sakamakon.

- Bugu da kari, da launi zai iya zama atrial. Sau da yawa tasowa rheumatism, zuciya cututtuka, hauhawar jini, da ciwon sukari, na jijiyoyin zuciya da cututtukan zuciya. Cardiopsychoneurosis iya kai wa ga irin wannan kari. Duk da haka, ectopic atrial kari kuma shi ne daidai da lafiya mutane. Yana yana da wani canji yanayi, amma za su iya wuce na dogon lokaci. Yana iya faruwa congenitally.

Sha'awa, da ectopic kari ne ba kawai ga manya amma kuma ga matasa da yara. Wannan shi ne yiwu tare da samuwa ƙarin zumudi foci wanda ke gudanar da ayyukansu na juna. An rinjayi neuroendocrine dalilai da gudana canje-canje a cikin myocardium.

daban na take hakki

Irin wannan aukuwa na ectopic atrial kari a wani yaro na iya zama:

- Active, wanda aka halin da paroxysmal tachycardia da kuma wanda bai kai lashe.

- Hanzari (daban-daban atrial fibrillation).

Cardiac kwayoyin Pathology sakamakon a cikin shimfiɗar jariri zuwa na ramin zuciya arrhythmia. Wannan Pathology za a iya bincikar lafiya a jariri lafiya baby.

Kwayar cutar na iya kai a jarirai zuwa bouts na paroxysmal tachycardia. A irin wannan tachycardia akwai mai tsanani nau'i na abin da aka kira supraventricular.

Nakasar zuciya lahani, wani yawan abin sama na asfirin, cardio tsokane mai tsanani nau'i na tachycardia atrial kari.

Wannan na iya faruwa a lokacin da jariri ne farkakku ko kawai da cika fuska canza matsayi na jikinsa. Supraventricular nau'i na paroxysmal tachycardia ne mai hadarin gaske.

Mene ne alamun rarrabe ectopic atrial kari?

Kamar yadda riga ya bayyana, tamkar cuta take kaiwa zuwa nesinusovym rhythms. Duk wani takamaiman bayyanar cututtuka, shi ne ba halin. Babban Sanadin cututtuka da kuma kari ƙayyade da cututtuka.

Wadannan cututtuka za a nuna, wanda ya kamata ka biya kusa da hankali, to ka nẽmi likita nan da nan hankali:

- wani hari na paroxysmal tachycardia fara kwatsam kuma da abruptly ƙare.

- babu harbingers na hari.

- akwai wata nakasa daga 'ya'yan numfashin ko zuciya zafi a farkon wani hari.

- fitowan na ji na tashin hankali da tsoro.

- bayyanar motor restlessness, irin wannan cewa mutum neman matsayi na jiki, taimaka a daina kai hari.

- wani mutum fara girgiza hannun, duhu idanu, m.

- bayyanar sweating.

- gaban tashin zuciya da kuma bloating.

- na iya haifar da tura zuwa urinate da hanji ƙungiyoyi: da mutum zai iya urinate kowane 10-15 minti daga farkon tachycardia, da kuma fitsari da aka kasaftawa wani haske launi, kusan m, tura zuwa defecate ne ƙasa da na kowa.

Paroxysmal tachycardia iya fara a lokacin da wani mutum yake barci. Sa'an nan zuciyarsa yana farawa doke tukuru saboda ya mafarkin da, misali, wasu irin mafarki. A ƙarshen ciwon zuciya ya fara aiki calmly, tare da mutane ba ji shortness na numfashi.

Bayan Fading zuciya impetus lura, sa'an nan da kari zama al'ada sinus. Wani lokaci a lokacin da tura shi ne zafi. A wasu lokuta, da zuciya rate inda hakan ya sauka a hankali.

sauran cututtuka

Akwai wasu alamun idan nesinusovom kari. Dangane da abin da wani zai yiwu ectopic atrial kari yana tare, su zama daban-daban:

- Alal misali, lokacin da zuciya arrythmia iya gudu m, mutane jin kamar idan zuciyarsa tsaya a nan ba, jin zafi a cikin makogwaro da kuma zuciya. Amma wadannan cututtuka bazai. Wuce haddi jiki nauyi da kuma kundin tsarin mulkin kasar hypersthenic sau da yawa kai ga vagotopicheskim extrasystoles.

- The yaro yana da wani hari na paroxysmal tachycardia manyan zuwa rufe da mãgãgi, blackouts, juwa ko jiri, ji na danniya da kuma tashin hankali, pallor, cyanosis, shortness na numfashi, zafi a ciki. Wannan ya bambanta ectopic atrial kari a yara.

Ectopic kari kanikancin hanyoyin

Idan mutum ya kiyaye sama bayyanar cututtuka, shi ne zama dole don magance gaggawa ga likita ko likitan zuciyar. Specialist sanya wani electrocardiogram, wanda ya nuna wasu canje-canje a cikin zuciya ko wani ectopic atrial kari.

Barb R canza ta sanyi a lokacin da atrial kari. Ya ba shi da wani sarari bincike fasali. PQ tazara ba a canza a lokacin da levopredserdnom kari. Saboda al'ada zumudi na ventricles ba canza hadaddun QRST. PaVR zai zama tabbatacce kuma korau P a cikin na uku da na biyu kaiwa aVF lokacin da direba wuri kari a hagu da kuma dama atrium, kuma shi ne a cikin ƙananan ƙungiyoyin ba. M sarrafawa na ectopic kari da za a yi niyya a lokuta nizhnepredserdnogo kari.

Lokacin da kari shi ne pravoserdnom tushen wuri automatism (P-Kwayoyin) a dama atrium. Saboda haka bayyana ectopic atrial kari a matasa.

Yara ma bukatar wani sosai ganewar asali. Lokacin da atrial extrasystoles dabam hakori P. taqaitaccen tazara PQ, ya lura bai cika compensatory hutu da kuma kunkuntar na ramin zuciya hadaddun.

Kuma watakila kara ectopic atrial kari.

A wanda bai kai lashe iya zama atrioventikulyarny hali, da ECG aka nuna a cikin rashi na P kalaman kafin na ramin zuciya gidaje. A dama na ramin zuciya extrasystoles P misali hakori cire sama (da ƙasa da hagu na ramin zuciya extrasystoles).

A gaban embryocardia halayyar paroxysmal tachycardia. A wannan yanayin, ba shi yiwuwa su ƙidaya, bugun jini. Akwai raguwa a jini. A gaban wani m launi da kuma na ramin zuciya aberrant gidaje. Idan ECG aka kai harin, ko supraventricular tachycardia, shi kiyaye mutum lashe, da kuma lokacin da aka kai harin, kungiyar rubuta lashe tare da gajeriyar QRS hadaddun.

Bayan da ya saba ECG karatu, amfani da kullum Holter ECG saka idanu da kuma transesophageal electrophysiological binciken. Duk wannan shi ne iya gane wani ectopic atrial kari.

magani

Idan wani mutum ya gano nesinusovy kari, da magani aka zaba dangane tamkar cuta. Domin ga far zama tasiri, kana bukatar ka sosai gudanar da bincike cikin hanyar da gazawar da zuciya. Idan shi ne ya sa ta vegetative-jijiyoyin bugun gini cuta, shi, na bukatar gwamnatin sedatives. Idan vagus ƙarfafa, shi zai taimaka belladonna da kuma "Atropine!. Tachycardia bukatar yin amfani da beta-blockers (" Cordarone, "" Inderal "" Isoptin "," obzidan ").

idan arrythmia

Lokacin da arrythmia, wanda kwayoyin asalin, sanya kudi "Pananginum" ko potassium chloride. Antiarrhythmic magunguna a wasu lokuta kuma iya samun kyau sakamako ( "procainamide", "Aymalin"). amfani da "Panangin" da "Lidocaine" tsokar zuciya infarction da arrhythmia lokaci guda. Man samun wadannan kwayoyi da dropper.

Maye da cardiac glycosides

Lokacin da Digitalis maye politopnye extrasystoles faruwa wadda ta kai ga na ramin zuciya fibrillation. Yana bukaci nan da nan karbo daga cikin miyagun ƙwayoyi da kuma magani "Inderalom", "Potassium", "lidocaine". "Unitiol" da kuma diuretics don taimaka kawo buguwa. Abin da kuma ya kamata a yi a cikin ganewar asali ectopic atrial zuciya kari?

Wani lokaci Halan da carotid sinus 20 seconds bar da dama, idan akwai wani nau'i na supraventricular. Ya taimaka matsa lamba a kan ciki da idanu. Rashin taimako na bukatar nada beta-adronoblokatorov. An gabatar da su a wani jinkirin gudun, tare da zama dole iko bugun jini da kuma jini. Mix 'propanol' da kuma 'verapamil' IV ba da shawarar.

Abin da idan hari da aka ba tsaya?

Idan hari da aka ba tsaya kuma da aka faruwa ga wasu lokaci, haƙuri da yanayin tabarbarewa.Idan yayin, nema cardioversion. Cardiac glycoside maye ne contraindication to irin hanyoyin kwantar da hankali. Tare da m, kuma mai tsanani hare-haren an yi amfani da kullum pacing.

Kamar yadda rikitarwa iya aiki a matsayin ƙarin tsanani daga zuciya matsaloli. Dace samun wani likita daman ectopic kari, kamar yadda manyan cututtuka zai iya warke ko akalla sarrafawa. Saboda haka, yana da muhimmanci ba tsoro idan gano ectopic atrial launi da electrocardiogram. Mẽne ne, mun sake nazari.

tsõratar

Don zuciyarsa ya bayyanannu, kuma hadewa aikin, bukatar kasa ya zama juyayi da kuma kula da lafiya salon. A mafi sau da yawa wani mutum ciyarwa lokaci a waje, tsunduma a cikin matsakaici jiki aiki, da koshin lafiya zai kasance ta zuciya. Da ikon zama dole su rage m abinci, wanda ya inganta da samuwar cholesterol plaques. Kana bukatar ka ci more fiber, sabo da kayan lambu, 'ya'yan itatuwa da cewa dauke da bitamin. A mafi muhimmanci a cikin zuciya ne alli, magnesium, potassium.

Dairy kayayyakin ne mai arziki a cikin alli, tumatir da ayaba babbar yawa potassium, magnesium ne ba a alayyafo, buckwheat, karas.

ƙarshe

Wani lokaci cikin hanyar zuciya kari abnormality ta'allaka ne da mutum psyche. A wannan yanayin, bayan ziyarar da likita ko likitan zuciyar shi ya sa hankali domin ganawa da wani ilimin. Za ka iya bukatar kammala wani hanya na psychotherapy.

Domin zuciya matsaloli ba za a dauka ɗauka da sauƙi, amma a lokaci guda, za mu iya hana ci gaban cardiophobia ko tsõro daga ciwon zuciya da kuma sauran m pathologies.

Lokacin da sojan ta zuciya sa hankalta to kai wani dogon lokaci, sedatives, mafi kyau kayan lambu domin su ne aminci da da kusan babu contraindications da illa. Wadannan sun hada da valerian tincture, motherwort tincture, "Novopassit", "Farisa".

Wannan yadda hatsari ectopic atrial kari. Mene ne shi, ina fata duk Yanzu a sarari yake.