Bradycardia yog ib hom mob plawv arrhythmia, uas tau qhia hauv lub plawv dhia qis dua 55 bpm. Qee qhov xwm txheej, xws li kev txo qis hauv zaus tsis yog pathology, tab sis ua haujlwm raws li cov tshuaj tiv thaiv ntawm lub cev rau cov txheej txheem tshwm sim hauv nws. Piv txwv li, lub plawv dhia qeeb thaum pw tsaug zog lossis tom qab noj qee yam tshuaj.
Feem ntau, txawm li cas los xij, bradycardia yog qhov poob ntawm lub sinus node lub peev xwm los tsim hluav taws xob impulses nyob rau hauv ib txwm hom.
Yog vim li cas
Kev cuam tshuam hauv lub qhov txhab thiab cov txheej txheem ntawm lub plawv tuaj yeem tshwm sim los ntawm ntau yam kab mob sib txawv. Cov no muaj xws li cov kab mob ntawm cov hlab plawv system xws li myocarditis, atherosclerosis ntawm cov hlab ntsha, cardiosclerosis, kab mob ischemic, postinfarction nti. Sinus bradycardia ntawm lub plawv kuj tuaj yeem tshwm sim los ntawm qhov txawv txav hauv kev ua haujlwm ntawm lub paj hlwb, kab mob hnyav lossis kab mob endocrine.
Ntau yam ntawm bradycardia
Nyob ntawm qhov ua rau tshwm sim, ntau yam hauv qab no yog qhov txawv:
- kho mob bradycardia. Kev ua kom qeeb ntawm kev sib dhos ua rau pom nws tus kheej tom qab noj cov tshuaj xws li Obzidan, Anaprilin, Verapamil, Kordaron, Quinidine.
- Neurogenic bradycardia yog qhov txo qis hauv kev sib dhos tiv thaiv keeb kwm yav dhau los ntawm kev nce suab nrov ntawm lub tuam tsev parasympathetic, neurosis, kev nyuaj siab, kub siab, nrog rau cov xwm txheej ntawm kev nce siab hauv intracranial.
- Toxic bradycardia yog qhov tshwm sim ntawm cov kab mob sib kis. Piv txwv li, typhoid fever, viral hepatitis, influenza or sepsis.
-
Endocrine bradycardia yog ib yam kab mob tshwm sim los ntawm cov pa oxygen, potassium thiab calcium ntau dhau hauv cov ntshav.
- Cardiogenic Organic. Qhov no ntau yamt manifests nws tus kheej hauv myocardial infarction, kab mob plawv, myocarditis, cardiosclerosis.
Symptoms and diagnosis
Thaum kuaj mob, kev kaw lus electrocardiogram yog qhov tseem ceeb tshaj plaws. Tus kws kho mob muab tshuaj xyuas ECG thiab lwm yam kev kuaj mob, nyob ntawm seb cov txiaj ntsig ntawm kev kuaj mob ntawm tus neeg mob. Cov tsos mob tseem ceeb hauv kev kuaj mob yog qhov poob ntawm lub plawv dhia qis dua 55 bpm. Cov tsos mob ntxiv ntawm tus kab mob tuaj yeem suav nrog cov tsos mob hauv qab no:
- mob siab;
- ntshav siab tsis ruaj khov;
- qaug zog, qaug zog;
- kiv taub hau;
- fainting.
Kev kho mob
Kev ua txhaum ntawm ib txwmkev ua haujlwm ntawm qhov sinus node tuaj yeem ua rau muaj qhov tshwm sim loj. Qee zaum, mob plawv nres tsis raug txiav tawm. Kev tiv thaiv thiab kev kho mob ntawm tus kab mob yog tsom rau kev tiv thaiv qhov tshwm sim uas qhov sinus bradycardia ua rau. Cov tsos mob ntawm qhov tshwm sim ntawm cov kab mob no tso cai rau tus kws kho mob kom nkag siab txog qib ntawm kev puas tsuaj rau ntawm lub pob. Yog tias qhov kev poob qis hauv qhov tsis sib haum nrog qhov mob, ua tsis taus pa, lossis lwm yam tsos mob ntxiv, yuav tsis tas yuav kho. Nyob rau hauv rooj plaub uas qhov kev kuaj mob tau qhia nws qhov tsim nyog, nws yuav tsum ua ntej ntawm txhua yam yog tsom rau cov kab mob hauv qab uas ua rau pom ntawm bradycardia. Tsis tas li ntawd, kev siv tshuaj kho mob yog nqa tawm, txhawm rau txhawm rau rov ua haujlwm ntawm lub plawv. Hauv qhov xwm txheej hnyav tshaj plaws, lub tshuab pacemaker yuav raug cog.
