Clinical features
Zviratidzo zvinoenderana nerudzi rweArthmia uye rinosanganisira:
- kuwedzera kwenhamba yemwoyo;
- kuwedzera kwenhamba yemwoyo;
- kushungurudzika kana kurwadziwa kwepfupa;
- kupfupika kwemhepo;
- chizoro uye kupera.
Vakawanda vedu tinoziva manzwiro e "kupera" kwemoyo (extrasystoles). Izvi zvinowanzova zvisina mhosva uye zvinoda kuongororwa chete nekurwiswa kazhinji. Kupesana kwomuviri wemwoyo kunowanikwa apo kuwirirana kwezvakasiyana kwepfungwa yemwoyo kunotywiswa. Pane nzira dzakawanda dzegurmiti. Iko pacemaker (ninoatrial node) haikwanise kutanga magetsi. Mumuviri wepfungwa, chirwere chechirwere chemagetsi chinogona kuoneka, zvichiita kuti zviputi zviwedzere. Kukanganisa kunogona kuitika kwekushisa kwemagetsi.
Zvikonzero zvekurapa
Mimwe mamiriro ezvinhu anogona kukonzera arrhythmias. Pakati pavo:
- high blood pressure;
- ischemic heart disease;
- congestive heart failure;
- cardiomyopathy (mwoyo musonda chirwere);
- kushandisa zvakanyanya doro;
- pulmonary embolism;
- hyperthyroidism.
Inenge chikamu chetatu chevarwere vanotambura nehuwandu hwechirongwa chemahymthmia - hutachiona hwemagetsi, haagoni kuziva chero chinangwa chinokonzera. Arrhythmias inogona kukanganisa zvose mudzimba dzepamusoro dzemwoyo (atria) uye makamuri ekumusoro (ventricles). Kune miviri miviri mikuru yearimythmias: tachycardia, iyo inomhanya ye mwoyo yakareba kwazvo, uye bradycardia, iyo yakanyanya kuderera. Mhando dzakasiyana dzemarimuti dzinosanganisira zvinotevera. Atrial fibrillation ndiyo inonyanya kukanganisa yemwoyo rhythm, umo kukurumidza kwepfungwa yemwoyo kunofambidzana nechimiro chisina kukwana. Izvi zvinogona kuva zvekusingaperi kana paroxysmal uye zvinowanzoonekwa kune vakwegura. Nadzheludochkovaya tachycardia - kukurumidza kwemaitiro emwoyo, zvinowanzoenderana nevechidiki. Ventricular fibrillation - mumhando iyi yeurmhythmia, inokonzerwa nehutachiona inokonzerwa nemhepo, iyo inogona kukonzera kukurudzirwa kwemaitiro akaoma arhythmia anoda kurapwa nokukurumidza. Kuzadza kwepachivirikuvha - kushandiswa kwemagetsi kubva kuAria hakusviki pamhepo. Mwoyo unoyerera unoderera zvakanyanyisa. Wolff-Parkinson-White syndrome chirwere chisingawanzwisisiki chinokonzera kukanganisa mwoyo. Kuora mwoyo kunokonzerwa nokusakwana kwenhengo yemwoyo kunobvumirana. Kuongorora kunowanzoitwa nekuverenga kutapira pamushonga wakajeka munharaunda uye nekuteerera mwoyo. Mune varwere vazhinji, kuongororwa kunosimbiswa ne electrocardiography (ECG). Sezvo mamwe maitiro e arrhythmias aripo, zuva rega rekuregererwa kweEECG rinogona kushandiswa kushandiswa kushandiswa kwekushandisa. Mukuwedzera, chiremba anogona kupa chirongwa chekutsvaga ropa kuti aone kuti zvinokonzerwa nekushaya ropa, pamwe nebhokisi x-ray.
Forecast
Zvisizvo zvisingabatsiri zvinokonzera kuderera kwekubudirira kwemoyo. Izvi zvinogona kutungamirira kumudziviriro wekuyerera kweropa mumutsipa wemwoyo (ischemia), kuputsa kwechibvumirano chebasa remwoyo uye kuderera kweropa rekushaya ropa.
Njodzi yekurohwa
Kurwisana kwebasa rinobvumirana nemwoyo kunotungamirira kukuti chikamu cheropa chinoramba chiri muAria, iyo ichaita mamiriro ekugadzirwa kwetrombi. Izvi zvinogona kuenderera mberi nemidziyo kune nhengo dziri kure, semuenzaniso muhuropi, nekuvandudzwa kwesitiroko. Pakati pehutachiwana hweproke ndeye 5% pamusana pejeri uye inopararira nezera, pamwe nekuvapo kwehutachiona hwehutachiona, kukanganisa kwemwoyo, chirwere cheshuga uye chirwere chemwoyo. Varwere vasati vava nemakore makumi matanhatu vasingakwanisi kuisa njodzi pamusoro apa vane ngozi shoma yekurohwa.
Morbidity
Nyaya dzepamwoyo dzakawanda dzinowanikwa mune vechidiki, asi huwandu hwavo hunowedzera nezera. Atrial fibrillation ndiyo chete; inobata 1% yevanhu vanove nemakore makumi mana kusvika kune makumi matanhatu nemashanu uye 5% yevanhu vanopfuura 65. Vanenge makumi mashanu kubva muzana yevarwere vane efriction fibrillation vane makore makumi manomwe kana kupfuura. Kurapa kwerhythmia kunowirirana zvichienderana nerudzi rwavo. Pakati pemitemo yekurapa: zvinodhaka remishonga ndiyo nzira inowanzoshandiswa pakurapa tachycardia. Semuenzaniso, mushonga wekusarudzwa kweearrium fibrillation ishaini inogona kuderedza mwoyo wekura. Mamwe madhiragi anoshandiswa anosanganisira verapamil uye beta-blockers; cardioversion - kushandisa shanduro yemagetsi inoshandiswa kumapfupa pasi peanesthesia. Iyi nzira inogona kudzorera chimiro chemwoyo chaiwo kune varwere vane maitiro akaoma e-supraventricular tachycardia; kutengesa kwemafuro emhepo yeAV node nekuparara kwechirwere chetachiona chekufungidzira kusinganzwisisi; Kugadzirisa pacemaker - pamutengo we mwoyo wepasera makumi matanhatu neminomwe paminiti uye nekudzokorora zvikamu zvekusungwa kwemoyo, chigadziro chemapemaker chinofanira kuiswa.
Kudzivirira
Kumwero wakadaro, kukanganisa kwemwoyo kunogona kudzivirirwa nekubatsirwa kwezviyero zvinosimbisa hutano hwemoyo, izvo zvinogara zvichishanda muviri, kurega uye kudya kwakakodzera.Upi mushonga, kurapwa kwechirwere chemwoyo kunopa nzira dzakasiyana-siyana dzokubvisa dambudziko nemuviri uyu.