Thaum koj hnov dheev kiv taub hau, ua tsis taus pa tshwm, tawm hws ntau ntxiv, ua rau koj kub taub hau, zoo li koj lub siab tab tom dhia tawm ntawm koj lub hauv siab, muaj kev hloov pauv tseem ceeb hauv kev ua haujlwm ntawm ntau lub cev thiab tshuab. Ntxiv nrog rau cov hlab plawv, ob lub raum, lub cev ntawm lub zeem muag, lub paj hlwb, thiab lub plab zom mov raug kev txom nyem.
Tag nrho cov tsos mob thiab kev tsis zoo no yog tshwm sim los ntawm qhov zoo li ib txwm nce hauv lub plawv dhia uas tshwm sim thaum so, uas hu ua tachycardia.
Ntau lub plawv ua haujlwm
Nquag, nyob rau hauv ib tug neeg laus thaum nruab hnub, lub plawv dhia (HR) yog 60-80 neeg ntaus ib feeb. Thaum pw tsaug zog, daim duab no poob rau 30-40. Tom qab lub teeb khiav los yog lub cev ua haujlwm, lub plawv dhia tuaj yeem dhia mus txog 160 tus neeg ntaus ib feeb.
Tachycardia
Nws feem ntau lees paub tias tachycardia yog ib tus kab mob. Txawm hais tias nyob rau hauv kev muaj tiag qhov no yog deb ntawm rooj plaub. Yog li cov kws kho mob hauv ib lo lus hu cov tsos mob uas tshwm sim nws tus kheej thaum so thiab yog tus cwj pwm los ntawm kev nce siab hauv plawv. Lub plawv dhia (pulse) ntawmtachycardia yuav ntau dua 90 ntaus ib feeb.
Tachycardia tuaj yeem tshwm sim hauv cov neeg noj qab haus huv hauv ntau qhov xwm txheej:
- tom qab kev tawm dag zog lub cev (txog 180 tus neeg ntaus ib feeb);
- thaum muaj kev zoo siab;
- vim kev nyuaj siab;
- thaum tshav kub lossis khaus;
- tom qab noj qee yam tshuaj kas fes, tshuaj yej, cawv;
- tom qab qaij ntse lossis nce.
Hauv lwm qhov xwm txheej, tachycardia yog tshwm sim los ntawm ntau yam kab mob hauv lub cev. Qhov laj thawj tseem ceeb ntawm tachycardia hauv cov poj niam yog kev cuam tshuam hauv kev ua haujlwm ntawm endocrine, paj hlwb, autonomic systems, nrog arrhythmias ntawm ntau hom thiab cuam tshuam hauv kev txav ntawm cov ntshav los ntawm cov hlab ntsha (hemodynamics).
Sinus tachycardia
Daim ntawv no tshwm sim vim muaj kev cuam tshuam hauv kev ua haujlwm ntawm lub hauv paus tseem ceeb ntawm lub plawv dhia - lub qhov ntswg. Qhov ua rau tachycardia hauv cov poj niam hluas feem ntau tshwm sim los ntawm kev ua txhaum ntawm lub sinus atherosclerosis. Ib tug feature ntawm cov tsos mob no yog ib tug txawm atherosclerosis (tsis hloov), tab sis lub plawv dhia ceev heev - mem tes. Qhov kev tawm tsam tuaj yeem ntev heev, thiab nws tuaj yeem nres tsis tau yam tsis muaj kev kho mob.
Ua rau sinus tachycardia hauv cov poj niam:
- Kev tshuaj tiv thaiv tsis zoo.
- Kab mob ntawm cov hlab plawv.
- mob plawv.
- Txoj kev muaj tshuaj lom.
- Smoking.
- kev tsim txom Caffeine (ntau siv dej haus, brewed kas fes).
- Kev mob hlwb hnyav.
YParoxysmal tachycardia
Ib qho tshwj xeeb ntawm hom tachycardia yog qhov pib tshwm sim tam sim ntawd, lub plawv dhia tsis zoo thiab nrawm heev (tseem ceeb ntau dua li cov kab mob sinus) - 150-300-490 neeg ntaus ib feeb. Peb hom paroxysmal tachycardia tau muab faib raws li qhov chaw ua txhaum cai:
- Lub plawv.
- Atrial.
- Nodal.
Atrial tachycardia feem ntau tshwm sim tom qab muaj kev ntshai heev. Pulse dhia mus rau 150-190 neeg ntaus ib feeb.
Nrog nodal tachycardia, paj hlwb impulses tshwm sim ntawm ciam teb ntawm ventricles thiab atria thiab ua rau arrhythmia. Cov hom no yog qhov tshwm sim los ntawm qhov pib ntse thiab tib yam kev npaj txhij txog ua tiav ntawm kev tawm tsam.
Paroxysmal tachycardia nyob rau hauv cheeb tsam ntawm lub ventricles yog hu ua ventricular fibrillation. Qhov no yog hom kev ua phem rau lub neej uas yuav tsum tau hu rau lub tsheb thauj neeg mob tam sim ntawd. Ua rau tachycardia hauv cov poj niam uas ua rau fibrillation:
- mob plawv mob plawv;
- kev puas tsuaj rau lub paj hlwb;
- shock xeev;
- mob hnyav;
- lub plawv aneurysm (tom qab lub plawv nres);
- kab mob ischemic;
- siab tsis zoo.
Symptoms:
- txhawj xeeb;
- pupil dilation;
- tsis muaj zog;
- tinnitus;
- plab siab thiab mob;
- nausea;
- poob ntshav siab;
- kev so ntawm lub cev sphincters;
- kiv taub hau;
- tsis nco qab.
Tachycardia hauv cov poj niam thiab hnub nyoog
Tachycardia hauv cov poj niam muaj ntau dua li cov txiv neej. Cov kws kho mob piav qhia qhov no los ntawm cov yam ntxwv lom neeg ntawm lub cev cuam tshuam nrog kev ua rau muaj kev pheej hmoo siab ntawm kev tsim hluav taws xob impulse. Nws feem ntau lees paub tias kev tsis sib haum xeeb hauv kev ua haujlwm ntawm lub siab tsuas tuaj yeem tshwm sim ze rau lub hnub nyoog so haujlwm, tab sis qhov no tsis yog txhua yam. Tachycardia tuaj yeem ua rau muaj kev ntxhov siab ntau rau txhua lub hnub nyoog thiab muaj ntau yam laj thawj.
Qhov feem ntau yam uas ua rau tachycardia hauv cov poj niam:
- hormonal fluctuations (11-20 xyoo):
- cev xeeb tub (18-40 xyoo);
- menopause/menopause (tom qab 50-55 xyoos).
Tag nrho cov teeb meem no muaj feem xyuam nrog kev hloov pauv hauv qib estrogen hauv poj niam lub cev. Lwm yam ua rau tachycardia suav nrog:
- qog ntawm cov qog adrenal thiab lwm yam kab mob ntawm lub cev kev tswj hwm;
- qog ntawm hypothalamus thiab pituitary caj pas;
- hypoxia - tsis txaus txaus ntawm cov ntaub so ntswg thiab cov kabmob ntawm lub cev nrog cov pa oxygen (xws li thaum nyob hauv cov chav pw lossis cov roob roob);
- ntsws pathologies (asthma, obstructive bronchitis thiab lwm yam);
- ua xua rhinitis, sinusitis, tonsillitis;
- hypotension - ntshav siab mus tas li;
- thrombosis;
- haus ntau dhau;
- mob kis kab mob nrog ua npaws hnyav;
- kab mob ntawm cov qog adrenal, thyroid caj pas;
- hyperventilation;
- ntshav ntshav - tsis muaj hlau hauv lub cev;
- tus cwj pwm phem (kev haus luam yeeb, siv yeeb tshuaj, haus dej cawv);
- kev nyuaj siab thiab kev nyuaj siab;
- kev nyuaj siab;
- dej;
- npau taws.
Tachycardia thaum cev xeeb tub
Qhov ua rau tachycardia hauv cov poj niam hnub nyoog 30 lossis 20 xyoo kuj muaj ntau yam. Tab sis feem ntau, xws li kev ua txhaum cai thaum tseem hluas yog tshwm sim los ntawm cev xeeb tub. Qhov no yog vim muaj ntau yam cuam tshuam txog kev hloov hauv lub cev:
- hnyav nce;
- tsis muaj cov vitamins thiab minerals;
- pregnancy anemia;
- tawm ntawm cov kabmob hauv nruab nrog cev los ntawm kev loj hlob ntawm uterine;
- toxicosis nrog ntuav ntuav;
- txo qis ntshav siab - hypotension;
- preeclampsia.
Feem ntau, tom qab yug me nyuam, qaug dab peg xaus, thiab kev ua haujlwm ntawm lub siab maj mam rov qab los. Txawm li cas los xij, txhawm rau tsis suav cov kev pheej hmoo rau tus menyuam hauv plab thiab niam nrog tachycardia, tus poj niam cev xeeb tub raug tshuaj xyuas ntau yam:
- Echocardiogram.
- Electrocardiogram.
- Holter txoj kev kawm - kev saib xyuas lub siab txhua hnub.
Raws li cov txiaj ntsig ntawm kev tshuaj xyuas, kev npaj cov poov tshuaj thiab magnesium rau cov poj niam cev xeeb tub, cov tshuaj sedatives ntawm cov hauv paus chiv keeb tau raug sau tseg, lawv pom zoo kom txwv tsis pub lub cev ua si thiab kev thaj yeeb nyab xeeb.
Hormonal fluctuations
Txawm cov ntxhais thaum lub hnub nyoog laus laus muaj mob arrhythmia me me. Lawv suav hais tias zoo kawg nkaus.kom lub cev noj qab nyob zoo, yog lawv tsis thab ntau thiab dhau mus sai yam tsis muaj kev kho mob.
Qhov ua rau tachycardia hauv cov poj niam hnub nyoog 30 xyoo tuaj yeem cuam tshuam nrog cov kab mob hormonal, xws li kev hloov pauv hauv qib ntawm triiodothyronine, thyroxine thiab calcitonin. Tham nrog tus kws kho mob endocrinologist yog tias koj txhawj xeeb ntxiv rau tachycardia:
Nyob zoo ib tsoom phooj ywg;
Qhov ua rau tachycardia hauv cov poj niam hnub nyoog qis dua 40 xyoo thaum cov tsos mob tshwm sim feem ntau yooj yim heev. Qhov teeb meem tshaj plaws hauv kev ua haujlwm ntawm cov thyroid caj pas yog hyperfunction. Xws li kev ua txhaum cai, nrog rau kev kho raws sijhawm thiab tsim nyog, tuaj yeem kho tau yooj yim thiab tsis ua rau muaj kev txhawj xeeb ntau yav tom ntej.
Ua rau tachycardia hauv cov poj niam tom qab 50 xyoo yog feem ntau cuam tshuam nrog qhov pib ntawm menopause. Thaum cev xeeb tub, cov tshuaj estrogen poob qis heev. Namely, cov tshuaj no tswj kev ua haujlwm ntawm lub cev muaj zog, uas cuam tshuam rau kev ua haujlwm ntawm lub plawv thiab txhawb nqa vasodilation. Yog li ntawd, tam sim ntawd hu rau koj tus kws kho mob gynecologist yog tias, ntxiv rau tachycardia, koj pib pom:
- heat;
- hnub hws;
- menstrual irregularities;
- qhuav mucous daim nyias nyias thiab daim tawv nqaij;
- nquag tso zis;
- txo qis kev nyiam.
Nyob zoo ib tsoom phooj ywg;
Qee tus poj niam xav tau kev kho tshuaj hormone hloov, tshuaj rau kev mob tachycardia hnyav, thiab kho kom nthuav cov hlab ntsha thiab txhim kho ntshav txaus.
Raws li ib qho tshuaj ntxiv uas txo cov tsos mob ntawm palpitations, koj tuaj yeem siv:
- ua pa ua pa;
- yoga chav;
- meditative thiab lwm yam kev so;
- infusions ntawm motherwort, valerian, sage thiab St. John's wort.
Tachycardia thiab ntshav siab
Feem ntau, kev tawm tsam ntawm tachycardia yog nrog los ntawm kev txo cov ntshav siab. Hauv qhov no, koj yuav xav tias:
- heartbeat;
- plab plab;
- kiv taub hau;
- mob hauv cheeb tsam occipital ntawm lub taub hau;
- xov xwm ceeb thiab ntshai;
- mob plab.
Cov tsos mob zoo li no tuaj yeem tshwm sim los ntawm kev poob ntshav hnyav, kev poob siab (tshuaj lom, kis kab mob, anaphylactic, traumatic shock), vegetovascular dystonia thiab cev xeeb tub.
Txhawm rau nres qhov kev tawm tsam, koj tuaj yeem sim ua kom nruj cov leeg ntawm cov ceg thiab cov xovxwm rau 15-25 vib nas this lossis tuav koj txhais tes ib pliag tom qab ua pa ntev.
Txawm tias cov lus pom zoo no pab tau, koj yuav tsum mus ntsib kws kho mob sai li sai tau. Qhov ua rau tachycardia hauv cov poj niam hnub nyoog qis dua 40 thiab laus dua tuaj yeem yog qhov mob hnyav tshaj plaws. Thiab qhov kev txiav txim tsuas tuaj yeem ua los ntawm kws kho mob tom qab tus neeg mob tau kuaj xyuas tiav.
Ua rau tachycardia hauv cov poj niam uas muaj lub siab ib txwm muaj feem ntau cuam tshuam nrog:
- overeating;
- cov teeb meem thyroid;
- kev nyuaj siab lossis ntshai;
- mob hlwb ntau yam;
- pw tsaug zog;
- ntshav qab zib;
- kev npam;
- smoking;
- haus ntau dhau.
Nws tsim nyog sau cia tias tachycardia nrog ntshav siab tshwm sim tsis tshua muaj.
Kev kho mob ntawm tachycardia
Muaj peb txoj hauv kev kho cov tsos mob no:
- Kev tshem tawm (tswj) cov tsos mob nrog kev pab ntawm kev txhaj tshuaj ntawm Novocainamide lossis Kordaron.
- Normalization thiab tu ntawm ib txwm mem tes. Kev siv cov beta-blockers lossis Digoxin.
- Kev tiv thaiv cov ntshav txhaws - ntshav thinners (xws li Warfarin).
- Kev kho tus kab mob ua rau tachycardia.
