Pathology yemoyo rhythm, chirwere cheBouveret chinotsanangurwa sekuitika kwemoyo palpitations iyo inogona kuva chikonzero chekusagadzikana uye kunetseka. Imhaka yekukanganisa kwemoyo wemagetsi conduction. Tsanangudzo.

Chirwere cheBouveret chinoratidzwa nekuvapo kwekuputika kunoitika mukurwiswa kwepakati nenzira yeparoxysmal kukurumidza kwemoyo. Kurova kwemoyo kunogona kusvika 180 kurova paminiti iyo inogona kutora maminetsi akati wandei, kunyangwe makumi akati wandei emaminetsi, wozoerekana wajairira kune yakajairika kurova kwemoyo nekunzwa kugadzikana. Uku kubatwa kunogona kukonzerwa nemanzwiro kana pasina chimwe chikonzero. Ichiri chirwere chakapfava chisingakanganise kushanda kwemoyo kunze kwekukurumidza kukurumidza kudzokorora kubatwa (tachycardia). Hazvipi njodzi yakakosha. Tinotaura nezve tachycardia apo mwoyo unorova zvinopfuura 100 kurova paminiti. Chirwere ichi chinowanzoitika uye chinobata vanopfuura mumwe muvanhu mazana mana nemakumi mashanu, kazhinji kune vechidiki.

Kunze kwekunzwa kwechipfuva palpitations, chirwere ichi zvakare chinokonzera kusagadzikana kwechipfuva nenzira yekunzwa kwekudzvinyirirwa uye kuzvidya mwoyo kana kunyange kutya. 

Kurwiswa kwepalpitations kune kukurumidza kutanga uye kupera, kunokonzerwa nemanzwiro, asi kazhinji pasina chikonzero chakazivikanwa. 

Kubuda weti kunowanzoitika mushure mekubata uye kunobvisa dundira. Kunzwa dzungu, kureruka kana kupera simba kunogonawo kuitika nekusaziva kwenguva pfupi. 

Kuzvidya mwoyo kunoenderana nedhigirii remurwere kune iyi tachycardia. Electrocardiogram inoratidza tachycardia yenguva dzose pa180-200 kurova paminiti ukuwo kurova kwemwoyo kwakajairika kunobva pa60 kusvika 90. Zvinokwanisika kuverenga kurova kwemwoyo nekutora kurova paruoko, uko tsinga yeradial inopfuura kana nekuteerera mwoyo ne a stethoscope.

Mukuwedzera kune electrocardiogram iyo ichatsvaga kusiyanisa chirwere cheBouveret kubva kune dzimwe mwoyo rhythm kusagadzikana, kuongorora kwakadzama dzimwe nguva kunodiwa apo kutevedzana kwetachycardia kurwiswa kunokanganisa zuva nezuva uye / kana dzimwe nguva kunotungamirira kune chizuru, chizuru kana chizuru. . kutadza kuziva kwenguva pfupi. 

Chiremba wemwoyo anobva anyora kushanda kwemagetsi emwoyo achishandisa probe inopinzwa mumwoyo. Kuongorora uku kuchaita kuti tachycardia kurwisa iyo inonyorwa kuti ione tsinga yetsinga mumadziro emwoyo inokonzera tachycardia. 

Kana iyo isiri yakanyanya kuremara uye inobvumirwa zvakanaka, chirwere cheBouveret chinogona kurapwa nemafambisirwo evhavha ayo anokurudzira vagus nerve inobatanidzwa mukudzora kurova kwemoyo (massage yeziso reziso, carotid arteries mumutsipa, kunwa girazi remvura inotonhorera; kurudzira gag reflex, nezvimwewo). Iyi vagus nerve stimulation inononoka kurova kwemoyo.

Kana mafambisirwo aya asina kukwana kudzikamisa dambudziko, mishonga yekurwisa arrhythmic inounzwa nenguva, munzvimbo ine hunyanzvi hwemwoyo, inogona kubaiwa. Vane chinangwa chekuvhara iyo intracardiac node inokonzera tachycardia. 

Kana chirwere ichi chisina kutenderwa nekusimba uye kudzokorora kwekurwiswa, kurapwa kwekutanga kunopiwa nemishonga inorwisa arrhythmic yakadai sebeta blockers kana digitalis.

Pakupedzisira, kana kubatwa kusingadzorwi, kunodzokororwa uye kuremara hupenyu hwezuva nezuva hwevarwere, zvinogoneka, panguva yekuongorora nediki probe inopinda kumoyo, kuita pfuti yekubvisa. node inokonzera radiofrequency tachycardia kurwisa. Ichi chiito chinoitwa neakasarudzika nzvimbo dzine ruzivo rwemhando iyi yekupindira. Kubudirira kweiyi nzira ndeye 90% uye inoratidzwa kune vadiki zvidzidzo kana zvidzidzo zvine contraindication pakutora anti-arrhythmic mishonga yakadai sedigitalis.