Zvinokonzera uye mhando dzechirwere chirongwa chemukati


Kazhinji hatinoteereri, kana musoro uchinge uchitonhora uye mwoyo unonyangadza kazhinji. "Kunyanya, mamiriro okunze, ndaitya, ndaifara," - tinofunga. Muzvokwadi, pane zviratidzo zvemuviri wegidhythmia - kukanganisa kwe mwoyo rhythm. Pasi pavo, zvakare, inogona kunge ichivanza uye zvinetso zvakakomba. Zvinokonzera uye mhando dzechimiro chirongwa chemwoyo chakasiyana. Uye kutora dambudziko iri zvakakomba.

Node ye sinus inoita kuti magetsi ave nemafungiro emagetsi anokonzera kupesana kwemwoyo musungo. Basa remagetsi ye node ye sinus inowanzotungamirira basa reimwe yese masero ari mumoyo. Kana iri pasi pesimba rehutano uye zvimwe zvisingabvumirwi basa re "pacemaker" rinoputsika, mitsva yezvinyorwa inowanikwa mune dzimwe nzvimbo dzemyocardium, inotanga kukwikwidzana kana kuti kunyange kudzivisa node ye sinus. Izvi zvinokonzera kushungurudzika kwepfungwa rhythm - an arrhythmia, mamiriyoni emarudzi. Mhando dzakawanda dzomukati weghythmia ndeyokuti:

- flutter uye fibrillation yepereyria;

- extrasystole;

- paroxysmal tachycardia - mwoyo haurambi uchirova nemoyo wose, asi kurwiswa (kuputika). Kana iEECG isati yaitwa panguva yekurwiswa, icharatidza chimiro chinowanikwa zvakanaka;

- kudzivirirwa kwemoyo.

Kana iwe uchinzwa kupera kana kukanganisa mubasa remwoyo, mapapiro, kusagadzikana kwepfungwa, kushaya simba, ucheche, kupera, unofanirwa kushanyira chirodiologist.

Chii chinogogodza pasi rwiyo?

Chinhu chakakosha ndechekusimbisa kwete chete chikonzero cherhythmia chemoyo, asiwo chikonzero chacho. Pashure pezvose, arrhythmia pachayo haisi chirwere, asi chiratidzo, kuratidzwa kwezvirwere zvakasiyana-siyana. Uyezve, kana kurwiswa kwakaoma kwapfuura, apo chikonzero chacho chisina kubviswa, chinogona kufambira mberi nekudzokorora. Panguva yemasikati, vanenge vanhu vose vane utano vanogona kutevedza kusvika kune mwoyo wakaoma kusakundikana, izvo zvakachengetedzeka, uye vakawanda havanzwi. Asi mumamiriro ezvinhu ekudzivirira huwandu hwekukundikana kwakadaro kunokura, kunyange chikonzero cheizvi hachisi nguva dzose chiri pachena. Kazhinji kacho ndeichi:

- zvirwere zvemwoyo;

ischemic heart disease;

- arterial hypertension;

- Dystrophic and inflammatory disorders of the heart muscle (including alcohol abuse);

- Zvimwe zvisati zviri zvemoyo uye zvirwere (zvirwere zvinotapukira, kukuvadzwa kweguruva, chirwere chetachiona, kushungurudza kwemunyu).

Kudya kutsanya.

Kana chirwere chemoyo chikavhiringidzwa, ropa harifaniri kusvika kune nhengo dzakakwana. Uropi hunova nehanya ne "nzara": chigumisiro ndechekuzora uye kupera. Pane zvirongwa zvinogona kutungamirira kune myocardial infarction, kurwisa kwe angina pectoris, pulmonary edema, kukura kwekushaya mwoyo kwakanyanya. Pakupedzisira, mamwe maitiro e arrhythmia anokuvadza upenyu. Asi neruremekedzo, ivo havakwanisi.

Tichayera zviyero.

Ingave kurapa arrhythmia? Zvingaita sekuti mubvunzo upenzi - zvechokwadi, kurapa! Zvisinei, chero mishonga inopesana nehutachiona ine marwadzo akaipa. Kazhinji kacho vanogona kukanganisa hutsva hwemwoyo, dzimwe nguva hukuru. Saka zviri nani kushandura mishonga kana zvichida kurwisa. Nzira dzakanaka dzokudzivirira uye kurapwa zvirongwa zvakasiyana-siyana zvekupema uye mitsipa yekusimbisa. Kana iyo arrhythmia isingaperi, inoronga mishonga kwenguva yakareba, vanachiremba vane ruzivo vanomiswa pamusana pemigumisiro yakawanda. Chikanganiso chikuru ndechokutora mishonga iwe pachako kana pane mazano emuvakidzani (kunyange kana akabatsira). Mushure mezvose, imwechete yakabva kunze kwevanhu vaviri (kana munhu mumwechete panguva dzakasiyana-siyana dzeupenyu!) Inoda kurapa kwakasiyana.

Nekubatsirwa kwezvakagadziriswa, basa remwoyo rinodzora uropi. Vagamuchire vanoudza ruzivo kuhuropi pamusoro pemasimba ose emagetsi emuviri. Uropi hunotungamirira simba uye mwoyo wekutengesa zvichienderana nemashoko akawanikwa. Ndiko kuti, anopa murairo "kune mutyairi we rhythm" kuburikidza nemakemikari-muyananisi mumatope:

- acetylcholine muhutachiona hwehutachiona hunotadzisa kushaya mwoyo;

- Norepinephrine munzwirwe tsitsi yenheyo inosimudzirwa nerwiyo. Panguva yokurara, kuwanda kweiorepinephrine kunobudiswa, izvo zvinogona kukonzera arrhythmia.

Nzira inonyanya kudzidzisa yekuongorora ndeye marudzi akasiyana e-electrocardiography:

1. Electrocardiogram (ECG) yakagadzirwa;

2. Kuwedzera kuongororwa kwakazara kwemashythmias inozivisa kwenguva yakareba (mukati memazuva) rekodhi - kuongorora kweEGG nenzira yeHolter. Iwe unonamatira kumuviri wemashini maduku, uye iwe uri kuita zvebhizimisi rakawanda zuva rose. Mushure meizvozvo, chiremba anoongorora chirwere chemazuva nokuda kwezuva - izvi zvinokubvumira kuti uone kuchinja kwechimiro mukati mezuva, zvichienderana nebasa rako, mamiriro emweya uye nezvimwe zvakadaro. Nenzira, mumunhu ane hutano, huwandu hwemapuranga ehutundu hwechi sinus husiyana zvichienderana nezvinodiwa zvehupenyu: kubva pa45-60 kaviri pausiku usiku mukurara kusvika 130-160 pamitoro inorema.

Sezvaunogona kuona, kune zvikonzero zvakawanda uye mhando dzechirwere chirongwa chemukati. Pasinei nenyaya inogona kuzvidzivirira uye kuzvipira. Kana iwe uchinzwa kuti pane dambudziko rakadaro iwe kana vadikanwa vako, usatanga chirwere chacho. Tsvaga chiremba uye tevera mazano ake.