Arrhythmia yog ib qho kev ua txhaum ntawm qhov zaus lossis tsis tu ncua ntawm lub plawv atherosclerosis thiab hluav taws xob conductivity ntawm cov leeg nws tus kheej ncaj qha. Hmoov tsis zoo, ntau tus neeg raug tus kab mob no.
Yog li cas yog vim li cas rau kev tsim ntawm arrhythmia? Los ntawm cov tsos mob dab tsi koj tuaj yeem paub txog nws? Thiab, tseem ceeb tshaj, yuav ua li cas kho mob plawv arrhythmia? Koj yuav kawm cov lus teb rau tag nrho cov lus nug no los ntawm kab lus no.
Nyob rau ntawm pathology
Ua ntej tham txog yuav ua li cas kho arrhythmia ntawm lub plawv, koj yuav tsum tau tham luv luv txog qhov tshwj xeeb ntawm qhov teeb meem no. Feem ntau, lo lus no hais txog ntau yam tshwm sim thiab cov txheej txheem ntawm qhov tshwm sim ntawm lub plawv mob ntsig txog nws txoj kev sib dhos.
Arrhythmias tuaj yeem ua rau muaj kev cuam tshuam loj ntawm kev ua haujlwm ntawm cov leeg nqaij thiab lwm yam kabmob. Feem ntau qhov teeb meem no yog ib qho teeb meem los yog qhov tshwm sim ntawm pathologies loj.
Cov tsos mob ntawm arrhythmias tuaj yeem teev raws li hauv qab no:
- Nyob zoo ib tsoom phooj ywg sawv daws.
- Tsis muaj zog.
- kiv taub hau.
- Kev cuam tshuam thiab lub plawv dhia.
- mob thiab siab hauv siab.
- Faints.
- ua tsis taus pa.
Yog tsis kho tus mob arrhythmia, tus kab mob yuav pib zuj zus. Thiab qhov no yog fraught nrog angina tawm tsam, thromboembolism, pulmonary edema, mob plawv tsis ua hauj lwm, los yog txawm tuag.
Dab tsi ua rau lub plawv arrhythmia? Feem ntau, qhov no pathology tuaj yeem yog qhov tshwm sim ntawm cov hlab plawv pathology, lossis ib qho tshwm sim ywj pheej. Qhov ntawd yog, yog vim li cas nyob rau hauv kev puas tsuaj rau lub plawv cov leeg, los yog nyob rau hauv lwm yam kev hloov nyob rau hauv lub cev: teeb meem nrog lub hauv paus paj hlwb, kab mob ntawm cov thyroid caj pas los yog gastrointestinal ib ntsuj av, electrolyte imbalance, mob hauv siab, thiab lwm yam.
Tachycardia
Tam sim no peb tuaj yeem tham txog kev kho mob plawv arrhythmia. Tachycardia yog ib hom kab mob uas lub suab nrov tshaj 90 neeg ntaus ib feeb.
Kev kho mob suav nrog kev noj tshuaj sedatives, qhov ua tau zoo tshaj plaws yog Relanium, Phenobarbital thiab Diazepam. Cov kws kho mob feem ntau sau tshuaj ntsuab: Novo-Passit, Persen, valerian thiab motherwort extracts, hawthorn tincture.
Yuav tsum tau noj beta-blockers. Lawv tswj cov teebmeem ntawm norepinephrine thiab adrenaline ntawm lub cev. Nov yog cov kev kho mob uas pom zoo:
YBisoprolol (Bisomor, Coronal, Concor).
Hais txog yuav ua li cas kho mob plawv arrhythmia, koj yuav tsum tau teem caij nrog tachycardia cov tshuaj zoo tshaj plaws yog bisoprolol thiab propranolol.
Bradycardia
Cov kab mob no yog tus cwj pwm los ntawm lub plawv dhia qeeb (tsawg dua 60 tus neeg ntaus ib feeb). Cov tshuaj hauv qab no tau siv rau hauv nws txoj kev kho mob:
- "Isoprenaline". Pom zoo kom muab tshuaj intravenously. Qhov no yog ib qho analogue ntawm "Adrenaline". Cov tshuaj accelerates lub contraction ntawm lub plawv cov leeg, ua rau kom lub suab ntawm lub sympathetic paj hlwb thiab nkoos lub adrenergic receptors ntawm lub myocardium. Tus kws kho mob txiav txim siab npaum li cas ntawm tus kheej, qhov zaus ntawm kev tswj hwm yog 2-4 zaug hauv ib hnub.
- "Izadrin". Muaj nyob rau hauv daim ntawv ntawm kev daws rau kev txhaj tshuaj thiab ntsiav tshuaj. Nws muaj cov txiaj ntsig zoo rau kev kho mob tseem ceeb, vim tias cov tshuaj nquag tsis cuam tshuam rau lub plawv dhia. Nws raug nquahu kom noj cov ntsiav tshuaj uas yuav tsum tau muab tso rau hauv qab tus nplaig. Txaus 2-3 zaug ib hnub.
- "Ephedrine hydrochloride". Nce ntshav siab los ntawm constricting cov hlab ntsha. Siv tau rau impaired myocardial conduction. Nws yog tsim nyog los noj 2-4 zaug ib hnub twg, 1 ntsiav tshuaj. Yog tias tus neeg mob tau kuaj pom tias muaj kab mob atherosclerotic vascular, muaj teeb meem nrog cov thyroid caj pas lossis kab mob plawv ntawm cov organic, nws raug txwv tsis pub "Ephedrine hydrochloride".
- Orciprenaline sulfate ("Asthmopent"). Qhov no yog ib qho analogue ntawm "Izadrin". Thiab nws tau pauv ntau zaus yooj yim dua, dua li, nws tsis ua rau muaj kev cuam tshuam sab nraud. Qhov tsuas yog contraindications yog atherosclerosis. Noj cov tshuaj yuav tsum yog 0.5-1 ntsiav tshuaj 3-4 zaug ib hnub.
- YIpratropium bromide. Lub npe tshuaj - "Ipratropium". Siv tau zoo hauv kev tawm tsam sinus bradycardia, vim nws tsis cuam tshuam rau hauv nruab nrab paj hlwb, tsis ua rau qaug zog thiab qaug zog. Feem ntau yog 0.5-1 ntsiav tshuaj 2-4 zaug hauv ib hnub.
YExtrasystole
Hom arrhythmia no tshwm sim los ntawm kev sib txawv ntawm lub plawv. Nyob rau hauv cov ntaub ntawv no, txoj kev kho yuav maj mam hloov los ntawm cov tshuaj tsis muaj zog mus rau cov uas muaj zog. Kev kho mob pib nrog cov tshuaj sedatives, tab sis yog tias lawv tsis pab, tus neeg mob tau muab tshuaj antiarrhythmic.
Yuav noj dab tsi rau lub plawv arrhythmia, tus kws kho mob txiav txim siab, tab sis ntawm no yog cov tshuaj feem ntau yog:
- Cov tshuaj sedatives uas tiv thaiv kev ntxhov siab ntau dhau ntawm extrasystole foci. Cov tshuaj no ua haujlwm ntawm lub paj hlwb.
- Magnesium- thiab potassium-muaj tshuaj uas ntxiv dag zog rau lub plawv cov leeg. Qhov zoo tshaj plaws yog Panangin thiab Asparkam. Yog tias tus neeg mob noj cov tshuaj electrolyte-washing diuretics, cov tshuaj no tau muab tso rau hauv cov hlab ntsha.
- Yog tias extrasystole tshwm sim tawm tsam keeb kwm ntawm bradycardia, tom qab ntawd cov tshuaj tau muab tshuaj uas muaj belladonna ("Atropine" tshwj xeeb).
- tshuaj tiv thaiv kab mob. Qhov zoo tshaj plaws yog Bretilium, Moratsizin,"Amiodarone" thiab "Propafenone". Muab rau cov neeg uas muaj kev tsis sib haum xeeb nyob rau hauv lub ventricles ntawm lub plawv thiab atria. Muaj ib tug xov tooj ntawm contraindications loj, phiv yog ua tau.
- Nyob rau hauv rooj plaub ntawm extrasystole los ntawm tachycardia, kev siv glycosides yog qhia - tshuaj los ntawm digitalis. Lawv raug tswj xyuas me me.
Nws yog ib qho tsim nyog yuav tau sau qee cov tshuaj ntxiv uas pab tiv thaiv cov kab mob extrasystole, vim peb tab tom tham txog cov tsos mob, ua rau thiab kev kho mob plawv arrhythmias. Metoprolol, Cardanol, Betacardin, Sinopril, Pyramil, Enalapril, Amprilan, Moratsizin, Bretilium, Nifedipine, Cinnarizin, Verapamil tau ua pov thawj lawv tus kheej zoo, "Propafenone" thiab "Amiodarone".
Atrial fibrillation
Qhov no yog qhov txaus ntshai heev pathology, tus cwj pwm los ntawm chaotic contractions ntawm tus kheej cov leeg nqaij. Nrog atrial fibrillation, cov mem tes tuaj yeem nce mus rau 400 tus neeg ntaus ib feeb, hauv cov xwm txheej tsis tshua muaj - txog 600.
Pathology ntawm hom no tshwm sim tawm tsam keeb kwm yav dhau los ntawm lwm yam pathologies ntawm cov hlab plawv lossis vim qhov ua rau cov thyroid tsis txaus. Tsis tshua muaj, qhov kev ua txhaum cai no dhau los ua qhov tshwm sim ntawm cov kab mob hauv nruab nrog cev.
Yuav ua li cas nrog hom mob plawv arrhythmia? Lub hom phiaj tseem ceeb ntawm kev kho mob yog kho cov mem tes. Tsis tas li ntawd, qhov kev pheej hmoo ntawm cov ntshav los ntshav, ischemic stroke, thiab txawm tias tam sim ntawd nce kev tuag. Yog li ntawd, nws yog ib qho tseem ceeb heev kom txo tau qhov ventricular mus rau 80 neeg ntaus ib feeb.
Koj tsis tuaj yeem ua yam tsis tau noj cov npe nrov beta-blockers - qhov no, "Metoprolol" thiab "Esmolol" tau qhia. KujKev siv cov calcium-hom blockers yog qhia: Diltiazem thiab Verapamil.
Kordaron ua kom pom kev ua haujlwm zoo. Tab sis qhov kev kho no tsuas yog tsim nyog rau kev kho ib ntus xwb. Yog tias koj siv nws ntev ntev hauv kev kho mob, tom qab ntawd cov teeb meem nrog cov kab mob hauv lub cev tuaj yeem tshwm sim. Cordaron tseem yog contraindicated yog hais tias tus neeg mob muaj ib tug neeg intolerance rau iodine los yog tsis muaj poov tshuaj thiab magnesium.
Digoxin tau pom zoo rau kev kho mob mus sij hawm ntev - nws yog qhov tseem ceeb rau cov neeg uas xav tau kev saib xyuas tas li ntawm ventricular contractions thiab mem tes. Nws tseem raug pom zoo siv rau cov neeg mob plawv tsis ua haujlwm. "Digoxin" tsis tsuas yog tshem tawm arrhythmia, nws tseem ua rau kom cov ejection feem ntau, txhawb kev ua haujlwm ntawm cov leeg.
Txawm li cas los xij, Digoxin tsis zoo tawm ntawm lub cev, uas ua rau qaug cawv qeeb. Yog li ntawd, nyob rau hauv cov ntaub ntawv ntawm kev muab tshuaj rau kev kho mob mus sij hawm ntev, nws yog tsim nyog los tswj tus nqi ntawm active tshuaj nyob rau hauv cov ntshav. Yog tias qhov concentration siab dhau lawm, koj yuav tsum tsis txhob noj Digoxin thiab hloov mus rau kev kho mob.
Hlub Blocks
Qhov no yog lub npe ntawm kev ua tsis tiav hauv kev sib dhos ntawm kev cog lus uas tshwm sim vim muaj teeb meem cuam tshuam nrog kev nkag mus ntawm cov hlab ntsha impulses los ntawm kev ua haujlwm ntawm cov leeg. Kev kho mob ib txwm nyob ntawm qhov hnyav ntawm qhov thaiv. Nov yog cov ntsiab lus luv luv:
- Qib thib ob hom 2 cuam tshuam nrog kev sib txuas mus tas li nrog tus kws tshaj lij sab nraud. Thaum ntxov, tus kab mob no tuaj yeem nres, tab sistsuas yog yog vim li cas lies tsis nyob rau hauv heredity. Feem ntau tus kab mob no tshwm sim los ntawm kev siv tshuaj los yog siv tshuaj.
- Yog hais tias qhov thaiv yog tshwm sim los ntawm lwm lub plawv pathology, ces lub pacemaker tuaj yeem ntsia tau.
- Qhov thib peb ntawm tus kab mob tsis kho. Kev kho mob yog txhawm rau txo cov tsos mob thiab txhim kho lub neej zoo. Lub hom phiaj ntawm kev kho mob yog los tiv thaiv lub plawv nres. Yog li cov pacemaker tau teeb tsa hauv txhua kis.
Tsis tiav qhov kev txwv thib ob thiab thawj qib yog asymptomatic, thiab yog li ntawd tsuas yog xav tau kev soj ntsuam thiab kev soj ntsuam niaj hnub. Txawm hais tias lawv yuav tsum xub raug txheeb xyuas, tab sis lawv tsuas pom thaum lub sij hawm ECG.
Qhov kev pheej hmoo loj tshaj plaws rau tib neeg lub neej yog sawv cev los ntawm kev thaiv cov qib siab, nrog rau cov kab mob loj zuj zus. Vim muaj tej xwm txheej ntawd, muaj kev ua txhaum ntawm cov ntshav khiav thiab lub plawv tsis ua hauj lwm.
Pacemaker phais yog ib qho xwm txheej ceev. Cov txheej txheem yog ua los ntawm Atropine, Adrenaline, Theophylline thiab Dopamine. Rehabilitation hais txog qhov yuav tsum tau noj ntawm m-anticholinergics, beta-agonists thiab sympathomimetics.
Kev noj haus
Nws tseem yuav tsum tau tham luv luv txog cov ntsiab lus ntawm kev noj haus hauv plawv arrhythmias. Kev noj zaub mov yuav tsum txawv ntawm qhov ib txwm muaj - tus neeg mob yuav tsum nquag noj zaub mov nrog cov ntsiab lus siab ntawm calcium, potassium, magnesium, thiab lwm yam kab kawm tsim nyog rau kev ua haujlwm ntawm lub plawv.
Tsis tas li, los ntawm kev kho cov khoom noj, koj tuaj yeem ua tautua cov paj hlwb vagus receptors. Tom qab tag nrho, nws yog tus uas thaiv los yog inhibit qhov kev ua ntawm lub sinus node, yog li provoking malfunctions nyob rau hauv lub plawv system.
Ntxiv rau, kev noj zaub mov zoo yog ib txoj hauv kev los tawm tsam qhov hnyav dhau thiab txhim kho cov txheej txheem metabolic. Cov xwm txheej no kuj yog ib qho ntawm cov provocateurs ntawm lub plawv tsis ua hauj lwm.
Yuav ua li cas kho lub plawv arrhythmia hauv tsev? Kev rov zoo tag nrho yog ib qho teeb meem ntawm tus kheej nkaus xwb, tab sis qhov tseeb txhua tus neeg mob los ntawm tus kab mob no yuav tsum tau ua yog suav nrog cov khoom hauv qab no hauv lawv cov ntawv qhia:
- Txiv hmab txiv ntoo nplua nuj nyob rau hauv kab thiab cov vitamins. Cov no yog pears, plums, bananas, raspberries, txiv apples, txiv kab ntxwv thiab currants.
- Y zaub: zaub qhwv, txiv lws suav, taub dag, dib, qos yaj ywm, taum, beets, kua txob liab.
- nqaij qaib (qaib ntxhw, qaib thiab luav) thiab cov ntses lean (steamed, nyiam dua).
- Med.
- Cov khoom noj mis - yogurt thiab tsev cheese tsis muaj rog.
- Rosemary, raws li nws txhawb cov hlab ntsha.
- Broccoli, vim nws muaj ntau yam kab thiab cov vitamins (fiber, iron, phosphorus nrog rau).
- Avocado, vim nws muaj tooj liab thiab hlau nyob rau hauv ntau qhov ntau, nrog rau cov enzymes uas nres kev txhim kho ntawm arrhythmia.
- Grapefruit, vim nws suav tias yog qhov tseem ceeb tshaj plaws ntawm glycosides thiab zaub fiber ntau. Nws noj tsis tu ncua pab ntxiv dag zog rau lub plawv cov leeg thiab normalize cov txheej txheem metabolic.
- Parsley, vim nws yog ib qho diuretic zoo heev, indispensable rau arrhythmias.
Cov zaub mov txwv tsis pubkuj yuav tsum tau teev tseg, txij li thaum peb tab tom tham txog yuav ua li cas koj tuaj yeem kho arrhythmia ntawm lub plawv. Nyob rau tib lub sijhawm nws raug pom zoo kom tso cov nqaij haus luam yeeb, cov nqaij rog, cov nqaij rog, cov khoom qab thiab cov khoom qab ntsev, cov kua mis muaj roj, cov khoom ua tiav, cov zaub mov hauv kaus poom, qe (koj tuaj yeem tsuas yog chav omelet thiab muag muag) thiab cov txuj lom.
kev kho neeg zoo
Saum toj no, ntau tau hais txog qhov ua rau, cov tsos mob thiab kev kho mob plawv arrhythmias. Tam sim no peb yuav tsum luv luv tham txog cov kev kho neeg pej xeem, kev siv uas yog tsom rau kev sib ntaus sib tua no pathology thiab ntxiv dag zog rau cov leeg tag nrho. Nov yog qee cov zaub mov yooj yim:
- Sib tov 400 grams ntawm walnuts, qhuav apricots thiab lub teeb raisins. Sib tov nyob rau hauv ib tug blender, ntxiv finely tws txiv qaub (ua ke nrog tev), sib tov nrog May zib mu (7 tablespoons). Insist rau peb teev, muab tso rau hauv lub tub yees. Noj 1 tbsp. l. sawv ntxov thiab yav tsaus ntuj.
- Muab cov kua txiv hmab txiv ntoo dub nrog zib ntab hauv qhov sib npaug. Noj 15 ml peb zaug ib hnub ua ntej noj mov.
- Noj 100 grams ntawm cov txiv hmab txiv ntoo uas zoo rau lub plawv (teev ua ntej) thiab ncuav ib liter ntawm boiling dej. Cia nws brew rau 30 feeb. Tom qab ntawd ntxiv zib mu (3 tablespoons). Haus thaum nruab hnub es tsis haus tshuaj yej.
- Ncua ob khob dej npau 2 tsp. calendula thiab insist nyob rau hauv ib lub thermos rau ib teev. Haus 4 zaug ib hnub twg, 100 ml.
- Brew rosehips (2 tablespoons) nrog ib khob ntawm boiling dej, ces insist rau ib teev. Ces lim. Haus dej cawv ib teev ua ntej noj tshais.
- Lovage cag hauv qhov nyiaj ntawm 40 grams ncuav dej txias (4 khob). Cia nws brew rau ib hmo. Lim thiab haus thaum sawv ntxovthaum nruab hnub tag nrho ntim.
- Hauv qhov sib npaug sib npaug sib xyaw chamomile, mint thiab valerian. Tom qab ntawd noj 1 tbsp. l. sau thiab ncuav ib khob ntawm boiling dej. Yam tsawg kawg 3 teev kom insist nyob rau hauv ib lub thermos. Ces lim. Haus tag nrho ntim ua ntej mus pw, koj tuaj yeem ntxiv zib mu.
Tau kawg, cov no tsis yog txhua qhov kev kho neeg zoo - tsuas yog qee qhov ntawm cov npe nrov tshaj plaws. Lawv tsis yog cov tshuaj kho tseem ceeb thiab suav tias tsuas yog kev kho mob ntxiv rau cov ntsiav tshuaj. Yuav kho mob plawv arrhythmia li cas, tus kws kho mob txiav txim siab, thiab koj yuav tsum sab laj nrog nws txog qhov tsim nyog ntawm kev siv lwm txoj kev.
Huab cua
Puas muaj peev xwm kho mob plawv arrhythmia mus ib txhis? Qhov tseeb, qhov kev kwv yees nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum cai ntawm hom no yog tsis meej pem. Qee cov arrhythmias tsis ua rau muaj kev hem thawj rau lub neej thiab kev noj qab haus huv yog tias lawv tsis cuam tshuam nrog cov organic pathology ntawm lub plawv. Lwm tus, ntawm qhov tsis sib xws, tuaj yeem ua rau ischemic stroke, mob plawv tsis ua haujlwm thiab lwm yam tshwm sim.
Yuav ua li ntawd, nws tsis tuaj yeem kho tus kab mob kom tiav. Tab sis kom ua tiav qhov kev zam txim ruaj khov yog qhov tiag! Qhov tseem ceeb tshaj plaws yog ua raws li tag nrho cov lus pom zoo kho mob. Yuav ua li cas nrog lub plawv arrhythmia, tus kws kho mob yuav qhia rau tus neeg mob kom meej meej ntawm tus kheej, raws li cov txiaj ntsig ntawm nws qhov kev kuaj mob.
Loads
Sib tham txog yuav ua li cas lub plawv arrhythmia tshwm sim nws tus kheej thiab dab tsi yog qhov tsim nyog rau kev kho tus kab mob no, peb yuav tsum hais ob peb lo lus hais txog kev ua neej uas txhua tus neeg uas ntsib tus kab mob no yuav tsum ua raws.pathology.
Nws yog ib qho tsim nyog yuav tsum tso tseg kev khiav ceev, taug kev, kev tawm dag zog lub cev, nqa qhov hnyav, thiab tseem yuav tsum tsis suav nrog koj lub neej txhua yam uas ua rau muaj kev ntxhov siab, ntxhov siab thiab ntxhov siab. Ib qho ntawm cov khoom uas tau teev tseg yog tias mob plawv arrhythmia yog qhov txaus ntshai.
Nws raug nquahu kom taug kev ntau zaus hauv huab cua ntshiab, so hauv hiav txwv thiab hauv hav zoov, thiab ua haujlwm luv luv ua kom muaj kev noj qab haus huv nrog lub hom phiaj ntawm kev txhawb nqa dav dav.
