Bradycardia, chii ichocho?

Bradycardia, chii ichocho?

Bradycardia inononoka kurova kwemoyo, mhedzisiro yekutora mimwe mishonga kana kunyange pasi pathologies. Kazhinji pasina kuomarara kwakakosha, redundant bradycardia inofanira kutarisirwa zvakakodzera.

Tsanangudzo yebradycardia

Bradycardia is a heart rhythm disorder, inotsanangura kurova kwemwoyo kwakaderera. Ndiko kurova kwemoyo kuri pasi pe60 bpm. Uku kuderera kwekurova kwemoyo kunogona kuve mhedzisiro yekusagadzikana mune sinus nodule kana kusajairika mukutenderera kwemagetsi masaini pamwe nemoyo tsandanyama (myocardium).

Sinus bradycardia inowanzoonekwa uye inonzwa muvatambi kana sechikamu chekuzorora kwakadzika kwemuviri. Mune imwe mamiriro ezvinhu, inogona kunge iri mhedzisiro yehutano, kune varwere vane kushaya simba kwemoyo kana kunyange mushure mekutora mimwe mishonga.

Kuoma kwebradycardia uye kurapwa kwakabatana kwekurapa kunoenderana nenzvimbo yemoyo yakabatwa. Muzviitiko zvakawanda, bradycardia yenguva pfupi hairatidzi kudiwa kwekukurumidza uye kurapwa nokukurumidza. Zvechokwadi, kupera simba kwekurova kwemwoyo kunogona kuitika mukati mehutano hwehutano hwakanaka, kana kunyange mukupindura kuzorora kwemuviri.

Mune zvimwe zviitiko, inogonawo kunge iri kuderera kweiyo myocardium, kunyanya nezera, mumamiriro ecoronary pathologies kana kunwa mamwe madhiragi (kunyanya kurapwa kwearrhythmia kana yearterial hypertension).

Mwoyo unoshanda kuburikidza nemuscular system uye hurongwa hwemagetsi. Kufambisa kwezviratidzo zvemagetsi, zvichipfuura nepakati peatria (zvikamu zvepamusoro zvemoyo) uye kuburikidza ne ventricles (pasi pemwoyo). Aya masaini emagetsi anobvumira tsandanyama yemwoyo kubatirana nenzira yenguva dzose uye yakarongeka: uku ndiko kurova kwemoyo.

Sechikamu che "zvakajairika" kushanda kwemoyo, simba remagetsi rinobva rabva ku sinus nodule, kubva paatrium yekurudyi. Iyi sinus nodule inokonzera kurova kwemoyo, kuwanda kwayo. Anobva aita sepacemaker.

Kurova kwemwoyo, kunonziwo kurova kwemwoyo, kwemunhu mukuru ane hutano kunobva kwave pakati pe60 ne100 kurova paminiti (bbm).

Zvikonzero zve bradycardia

Bradycardia inogona kubva yakonzerwa nekuderera kwemoyo nezera, nechirwere chemoyo kana nekutora mimwe mishonga.

Ndiani anokanganisa bradycardia?

Chero ani zvake anogona kukanganiswa ne bradycardia. Izvi zvinogona kuva imwe-off kana kupfuura kwenguva yakareba, zvichienderana nenyaya.

Vatambi vanogona kutarisana ne bradycardia. Asi zvakare muchirevo chemamiriro ekuzorora kwemuviri (relaxation).

Vanhu vakura pamwe nevarwere vari kutora mimwe mishonga vari panjodzi yebradycardia.

Evolution uye zvinogoneka matambudziko ebradycardia

Bradycardia inowanzokura kwenguva pfupi, pasina kukonzera mimwe mhedzisiro yakaipa.

Nekudaro, mumamiriro ekusagadzikana uye / kana kuramba bradycardia, zvinodikanwa kubvunza chiremba nekukurumidza. Zvechokwadi, mumamiriro ezvinhu aya, chikonzero chinokonzera chinogona kunge chiri mavambo uye chinofanira kutarisirwa kuitira kuderedza chero njodzi yezvinetso.

Zviratidzo zve bradycardia

Mamwe marudzi ebradycardia haana zviratidzo zvinooneka uye zvinonzwa. Mamwe mafomu anogona kuzokonzera kushaya simba kwemuviri nekuziva, dzungu, kana kusagadzikana (syncope).

Mhando dzakasiyana dzebradycardia dzinofanira kusiyaniswa:

  • Dhigirii yekutanga yebradycardia (Rudzi 1), inotsanangurwa nekusingaperi bradycardia uye yakafanana neyakavhiringidzwa zvachose rhythm yemoyo. Muchirevo chechinyorwa chino, kuiswa kwepacemaker (kutsiva basa re sinus nodule) inokurudzirwa.
  • Dhigirii rechipiri (Rudzi rwechipiri), rinoenderana nemafungiro, kubva kune sinus nodule, yakavhiringidzika kusvika kune yakakura kana shoma. Mhando iyi yebradycardia inowanzova mhedzisiro yeiyo iri pasi peiyo pathology. Iyo pacemaker inogonawo kuva imwe nzira munyaya iyi.
  • Dhigirii rechitatu (Rudzi 3), rinobva radzika mwero wekuomarara kwebradycardia. Zvinonyanya kukonzerwa nekutora mimwe mishonga kana mhedzisiro yezvirwere. Kurova kwemoyo kuri kuderera zvisingaite, murwere anonzwa kunzwa kupera simba. Kudzoreredza rhythm yemoyo kunowanzo kukurumidza uye kunongoda mushonga chete. Zvisinei, kuiswa kwe pacemaker kunogona kudiwa mumamiriro ezvinhu akaoma.

Kutarisira bradycardia

Iwo manejimendi sarudzo dzebradycardia zvino zvinoenderana nehuwandu hwekukosha kweiyo yekupedzisira. Kurega kutora mushonga, zvichikonzera kusashanda uku, ndiro danho rekutanga. Kuzivikanwa kweiyo sosi pamwe nekutungamira kwayo ndeyechipiri (nyaya yechirwere chepasi, semuenzaniso). Pakupedzisira, kuiswa kwechigarire pacemaker ndiko kwekupedzisira.

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