Lub ntsiab lus ntawm lo lus arrhythmia nyob rau hauv Greek thaum ub yog "incoherence", thiab nws piav qhia txog qhov ua rau tus kab mob zoo li ua tau. Kev ua txhaum ntawm kev ua haujlwm ntawm ib ntu tshwj xeeb ntawm cov leeg nqaij hauv lub plawv uas ua rau lub plawv dhia ua haujlwm (sinus-atrial cheeb tsam) thiab tsim cov arrhythmia hauv cov menyuam yaus. Yog tias lub plawv dhia qeeb nws txoj haujlwm, tsawg dua 60 tus neeg ntaus ib feeb, lawv hais txog bradycardia. Yog hais tias lub plawv dhia siab tshaj 100 neeg ntaus ib feeb - tachycardia. Ob qho no thiab qhov tsis sib xws nrog cov qauv lees paub feem ntau tuaj yeem qhia txog kev tsim cov kab mob plawv thiab cov kab mob ntawm cov kab mob autonomic, endocrine systems.
Yog vim li cas
Ua ntej tshaj plaws, qhov ua rau ntawm kev tsim ntawm arrhythmia nyob rau hauv ib tug hluas thaum muaj hnub nyoog 16 xyoo tej zaum yuav excitation ntawm lub plawv cov leeg. Yog hais tias txoj kev loj hlob ntawm lub plawv cov leeg yog txawv txav, ces nws yuav cuam tshuam rau lub plawv dhia.
Cov kab mob hnyav xws li kab mob ntau yam, lub plawv tsis ua haujlwm,kab mob plawv (ob qho tib si hauv plab thiab kis tau), cardiomyopathy, tej zaum yuav yog qhov ua rau arrhythmias.
Tsis txhob tam sim ntawd ntaus palpitations rau pathology, uas tshwm sim tom qab kev tawm dag zog lub cev, muaj teeb meem tshwm sim hauv tsev kawm ntawv, siv cov dej qab zib, lossis ua txhaum ntawm kev pw tsaug zog thiab tsaug zog. Qhov no qhia tau hais tias muaj qhov mob ntawm sinus cardiac arrhythmia. Nws tuaj yeem tshwm sim vim qhov tsis sib xws hauv kev ua haujlwm ntawm cov kab mob vegetative-vascular, hauv nws qhov tsis muaj peev xwm ua kom pom tau qhov kev hloov pauv uas tshwm sim hauv lub cev ntawm tus tub hluas.
Koj yuav tsum tau mus ntsib kws kho mob tam sim ntawd thaum muaj arrhythmia tshwm sim hauv ib tug hluas tsis muaj laj thawj, thaum tsis muaj kev ntxhov siab, lossis thaum lub plawv dhia ua haujlwm. Hauv cov xwm txheej no, lub cev yuav tsum tau kuaj xyuas thiab, raws li kev pom zoo ntawm kev kuaj mob, mus rau kev kho mob ceev kom tsis txhob muaj kev puas tsuaj ntxiv.
Symptoms
Yog tias peb xav txog cov tsos mob ntawm sinus arrhythmia ntawm lub plawv hauv cov tub ntxhais hluas, lawv txawv nrog kev tsim bradycardia (qis hauv plawv contractions) thiab tachycardia (nce hauv contractions). Cov tub ntxhais hluas feem ntau ntsib cov tsos mob thawj zaug hauv daim ntawv ntawm kev nce siab ntawm lub plawv dhia lossis, qhov sib txawv, muaj kev cuam tshuam hauv kev ua haujlwm ntawm lub cev. Qhov tshwm sim yog qhov tsis muaj zog, tawm hws thiab kiv taub hau me ntsis.
Lwm cov paib
Qee zaum muaj kev tsis txaus siab ntawm qhov mob hauv siab thiab hauv siab. Qib ntawm pathology muaj qhov cuam tshuam ncaj qharau tag nrho cov tsos mob ntxiv, yog li muaj cov xwm txheej thaum cov tsos mob tsis tuaj. Yog hais tias tus me nyuam ua tsis taus pa dheev nyuaj thiab daim tawv nqaij tig daj ntseg, ces cov niam txiv yuav tsum nrhiav kev pab tam sim ntawd. Arrhythmia ua tshwj xeeb tshaj yog hais tias muaj mob loj necrosis lossis kis kab mob ntawm myocardium.
Cov neeg mob no muaj lub plawv dhia nce, tab sis nws nyuaj rau kev mloog. Cov tawv nqaij ua pa, thiab ntshav siab poob sai. Yog tias pom muaj teeb meem plawv, nws yog ib qho tseem ceeb uas yuav tau saib xyuas koj tus menyuam tus mob thiab nrhiav kev kho mob tam sim.
Views
Cov menyuam yaus hnub nyoog qis dua ib ntus muaj kev cuam tshuam hauv lub plawv dhia. Hom arrhythmias hauv qab no feem ntau tshwm sim hauv cov tub ntxhais hluas:
- Ua pa tsis ua pa. Nws yog qhov feem ntau arrhythmia rau cov menyuam yaus. Nyob rau hauv lub inhalation theem, lub plawv dhia nce, thiab nyob rau hauv lub exhalation theem, nws shortens. Qhov tshwm sim ntawm instability yog qhov tshwm sim ntawm kev ua haujlwm tsis zoo ntawm lub paj hlwb. Kev nce siab thaum hluas yog qhov qub, tab sis qhov tshwm sim ntawm lub plawv dhia tsis zoo yog suav tias yog cov tsos mob ntawm tus kab mob.
- Ib leeg lossis ntau yam extrasystole. Qhov tshwm sim tshwm sim ntawm qhov txawv txav ntawm lub plawv cov leeg. Qhov laj thawj tseem ceeb ntawm arrhythmia hauv cov tub ntxhais hluas yog suav tias yog kev loj hlob ntawm cov leeg nqaij. Extrasystoles tsis tshwm sim rau lawv tus kheej hauv txhua txoj kev. Lawv lub xub ntiag tsuas yog kuaj tau siv electrocardiography.
- Tachyarrhythmia. Nce zaus ntawm contractions (ntau tshaj 100). Feem ntauNrog rau kev qaug cawv hnyav thiab kab mob ntawm cov qog endocrine.
- Bradyarrhythmia. Kev txo qis ntawm lub plawv contractions mus txog 50. Tsim tawm tsam keeb kwm yav dhau los ntawm kev xav ntau dhau.
Diagnosis
Yog tus me nyuam pib yws ntawm qhov tsis xis nyob hauv plawv, nws yog ib qho tseem ceeb kom nrhiav kev pab kho mob uas tsim nyog tam sim.
Ua ntej koj yuav tsum tau teem sijhawm nrog tus kws kho mob menyuam yaus uas sau ntawv ultrasound ntawm lub plawv los tsim kev kuaj mob thawj zaug. Txhua yam kev cuam tshuam hauv lub plawv dhia yuav tsum tau txheeb xyuas los ntawm kws kho plawv. Nyob rau yav tom ntej, tus neeg mob yuav tau mus kuaj ib ntus.
Ua tsaug rau ECG, nws muaj peev xwm muab cov ncauj lus kom ntxaws ntawm lub cev ntawm lub plawv. Txoj kev tshawb no pab txheeb xyuas qhov kev puas tsuaj ntawm myocardial, thiab nws tuaj yeem ua mob ntev lossis mob. Qhov zaus thiab tsis tu ncua ntawm contractions ntawm lub plawv cov leeg yuav raug txiav txim kom raug.
Txoj kev tshawb no yog hu ua EchoCG. Ntawm no, tus kws tshaj lij ua haujlwm tshwj xeeb nrog kev pab ntawm ultrasound. Lub plawv cov leeg yuav pom meej meej ntawm lub vijtsam saib, uas ua rau nws tuaj yeem kawm paub ntau ntxiv txog cov yam ntxwv ntawm kev txav ntawm cov ntshav ntws tsis yog nyob rau hauv atria nkaus xwb, tab sis kuj nyob rau hauv lub ventricles.
Nws twb tau hais tias nrog kev pab ntawm ultrasound, tus kws kho mob yuav tuaj yeem kuaj xyuas, tab sis cov lus teb ntxaws yuav tsum muaj kev sim kuaj. Qhov no yuav tsum pub ntshav pub dawb.
Tshuaj kho mob arrhythmia hauv tub hluas
Kev xaiv ntawm kev kho tshuaj yog nyob ntawm qhov laj thawj,uas ua rau lub plawv dhia tsis zoo. Tom qab ua tiav qhov kev kuaj mob tsim nyog, tus kws kho mob tuaj koom, raws li cov txiaj ntsig tau txais, xaiv cov tshuaj, suav nrog kev txwv thiab contraindications cuam tshuam nrog hnub nyoog. Nyob rau hauv cov ntaub ntawv thaum lub manifestation ntawm arrhythmia yog tshwm sim los ntawm lub cev overload, ntxhov siab vim ntxhov siab vim nyob rau hauv tsev kawm ntawv, kev kho mob tshuaj nyob rau hauv thawj theem yog nqa tawm nrog kev pab los ntawm sedatives raws li tshuaj ntsuab tshuaj uas normalize lub plawv dhia, piv txwv li:
- valerian tincture, motherwort;
- "Dormiplant" raws li txiv qaub balm thiab valerian cag.
tshuaj tshuaj
Yog tias kev siv cov tshuaj sedatives tsis muaj qhov xav tau, tus kws kho mob tuaj koom txiav txim siab cov npe tsim nyog ntawm cov tshuaj tiv thaiv kev mob arrhythmic, nyob ntawm seb qhov xwm txheej ntawm lub plawv pathology. Cov pab pawg hauv qab no ntawm cov tshuaj siv los kho arrhythmia hauv cov tub ntxhais hluas los ntawm cov kab mob plawv tuaj yeem paub qhov txawv:
Nyob rau hauv cov ntaub ntawv ntawm lub plawv atherosclerosis cuam tshuam rau keeb kwm ntawm hypokalemia, kev npaj cov tshuaj potassium, suav nrog cov tshuaj potassium chloride, Potassium Orotate, Panangin. Kev noj tshuaj thiab kev noj tshuaj ntawm cov tshuaj no yog ua raws li kev saib xyuas nruj ntawm tus kws kho mob tuaj koom txhawm rau tiv thaiv hyperkalemia
- Txhawm rau txo cov kev coj ua thiab kev ua kom lub plawv dhia, cov tshuaj "Novocainamide" yog siv. Kev xaiv cov koob tshuaj ntawm tus neeg sawv cev yog ua tiav ib txhij nrog kev tswj ntshav siab thiab electrocardiogram.
- Thaum flickeringarrhythmias, nrog rau kev tawm tsam los ntawm paroxysmal tachycardia, feem ntau yog cov tshuaj "Etmozin". Cov tshuaj yog siv rau hauv daim ntawv ntsiav tshuaj, nrog rau kev txhaj tshuaj intramuscular nws yog siv ua ke nrog novocaine. Thaum muab tso rau hauv cov hlab ntsha, "Etmozin" yog diluted hauv cov tshuaj sodium chloride lossis qabzib.
- txhawm rau txo kev tawm tsam ntawm arrhythmia hauv cov menyuam yaus thiab cov tub ntxhais hluas, xws li cov tshuaj adrenolytic thiab tshuaj loog hauv zos xws li Anaprilin thiab nws cov analogues tau siv dav. "Oxenoprolol" muaj cov nyhuv zoo sib xws, tab sis nws tsis muaj tshuaj lom thiab muaj cov nyhuv me me hauv kev ua kom ntshav siab.
- Nyob rau hauv txoj kev kho mob ntawm arrhythmia, nws tseem yuav tsum tau siv cov tshuaj uas normalize cov txheej txheem metabolic ntawm lub plawv cov leeg, suav nrog Riboxin, Cocarboxylase.
kev kho neeg zoo
mob sinus arrhythmia nyob rau hauv ib tug hluas yog ib tug kab mob uas txawm tias kws kho mob pom zoo kho nrog pej xeem tshuaj. Kev npaj tshuaj ntsuab rau arrhythmias nrog rau cov tshuaj tuaj yeem pab tau txawm tias tom qab thawj daim ntawv thov.
Valerian hauv paus yog ib qho ntawm cov kev kho mob arrhythmia zoo tshaj plaws. Motherwort thiab hawthorn soothe lub plawv zoo. Koj tuaj yeem npaj ib daim ntawv kho mob koj tus kheej. Cov zaub mov txawv tshaj plaws:
- Recipe one. Cov khoom xyaw: valerian hauv paus, calendula paj, viburnum bark, motherwort. Tag nrho cov tshuaj yuav tsum tau noj nyob rau hauv sib npaug proportions. Nyob rau hnub yuav tsum tau steamed 2 tbsp. l. sau thiab coj mustxhua hnub. Kev kho mob yog 7-10 hnub.
- Daim ntawv qhia ob. Sib tov npaj txhij-ua tinctures ntawm valerian, motherwort, hawthorn nyob rau hauv sib npaug zos proportions, ntxiv ob peb tee ntawm Corvalol. Noj ib zaug ib hnub ua ntej noj mov rau ib lub lis piam.
Tub
Zoo heev hauv kev sib ntaus tawm tsam hnyav arrhythmia hauv cov tub ntxhais hluas, da dej nrog decoction ntawm valerian hauv paus pab. Ncuav lub decoction uas twb tau npaj lawm (300 ml) rau hauv da dej thiab txaus siab rau cov nyhuv soothing.
Kho nrog tshuaj ntsuab yog ib txoj hauv kev zoo hauv kev tawm tsam ntau yam mob. Xws li kev kho mob yuav tsis tsuas yog pheej yig dua, tab sis kuj muaj kev nyab xeeb dua rau cov kab mob me me.
Kev Tiv Thaiv
Kev mob plawv yuav tsum tsis txhob ignored. Tawm tsam keeb kwm yav dhau los ntawm kev hloov hormonal, nws yog ib qho tseem ceeb kom tsis txhob nco txoj kev loj hlob ntawm tus kab mob. Kev tiv thaiv yuav tsum muaj xws li:
- Tsis muaj kev ntxhov siab thiab kev cuam tshuam ntawm lub paj hlwb.
- noj mov tsis tu ncua thiab sib npaug.
- Kev tsis lees txais cov khoom noj uas ua rau muaj kev ntxhov siab ntawm lub paj hlwb (qab zib, caffeine, zaub mov rog, khoom noj ceev).
- Noj mov yuav tsum noj 4-5 zaug ib hnub.
- Hauv kev noj zaub mov ntawm cov tub ntxhais hluas, cov khoom noj uas muaj cov zaub mov thiab kab kawm (poov tshuaj, magnesium, calcium) yuav tsum muaj.
- noj zaub thiab txiv hmab txiv ntoo txhua hnub yuav tsum yog 1/3 ntawm tag nrho cov khoom noj.
- kev tawm dag zog txhua hnub.
- Kev siv lub cev kom raug yuav ua kom cov leeg nqaij muaj oxygen.
- Txoj kev pw tsaug zog thiab sawv.
- Qhov tseem ceeb tshaj plaws hauv kev tiv thaiv arrhythmia hauv cov tub ntxhais hluas yog ib txoj hauv kev niaj hnub ua kom zoo. Txhua hnub, tus tub hluas yuav tsum tau pw ntau dua 8 teev tsaus ntuj. Mus pw tsis pub dhau 23:00.
- Tus neeg mob sab nraud taug qab cov ntu ntawm arrhythmias tau ob xyoos.
Tsim kom muaj kev haum xeeb rau kev ua kom lub cev zoo li qub hauv cov tub ntxhais hluas yuav tiv thaiv qhov hnyav lossis kev loj hlob ntawm tus kab mob.
