I-Sinus bradycardia yenye yezophulo zentliziyo yesigqi, eimeko ezininzi kwixesha elide lihlala lingabonwa ngezigulane. Le meko ichaphazela kakubi ukusebenza komzimba wonke kwaye kunokukhokelela kwimiphumo emibi kakhulu.
I-Bradycardia yentliziyo - yintoni na?
Kukholelwa ukuba inqanaba lentliziyo eliqhelekileyo liyi-60 beats ngomzuzu, oko kukuthi, ngokuvakalayo kushaya intliziyo kwininzi yabantu abadala. I-Bradycardia - izinga lokunciphisa intliziyo, elingaphantsi kwama-60, ezingahamba neentlobo ezahlukeneyo zentlupheko, kunye neemeko zomzimba phantsi kweemeko ezithile. Ukucacisa igama elithi "sinus bradycardia yentliziyo," yintoni na kwaye zeziphi izizathu zokuphambuka, siza kuqala siqonde indlela intliziyo eyenyuka ngayo.
Umsebenzi wentliziyo yindlela yokwenza isigxina senhliziyo, kwaye ivuselela kwakhona, idale amathuba okunikezelwa kwegazi kunye nokusabalalisa. Ukunciphisa ngokuphindaphindiweyo kwe-myocardium kuququzelelwe ukuveliswa kwempompo yombane kwi-node yesusus (umqhubi wesigqi). Ingqungquthela ekhoyo kwi-muscle ye-muscle kunye nokubopha iimbilini ze-nervous system kwi-system ye-nerveous autonomic system. Iindwendwe ezivela kwi-node ye sinus zibhekwa njengechanekileyo.
Umfutho wombane ovela kwi-pacemaker udluliselwa kwiindidi ezininzi ezenza ukutshiza kuzo zonke iinxalenye ze-myocardium kwaye zenze intliziyo ivumelwano. Ukuba kukho ukungasebenzi kakubi kwintlupheko yokudluliselwa kwempembelelo yombane kwi-node ye-sinus ukuya kwenye ididi yokudlulisa, intliziyo iqala ukubetha ngokuthe ngcembe, kodwa kule meko i-bradycardia ayiyiyona sinusoidal, kodwa ixhunyiwe kunye nokukhutshwa kwe-excitation. Nge sinus bradycardia, isingeniso senhliziyo iyancipha ngenxa yokuphulwa komqhubi oyintloko wesigqi, esenza singasebenzi kwaye ivelise iimpembelelo ngokunciphisa.
Bradycardia efanelekileyo
Ukuba i-sinus ye-bradycardia i-moderation isifo, ithetha ukuba intliziyo isebenza kwi-40-50 ud. ngomzuzu. Lo msebenzi wenhliziyo usakwazi ukugcina ukujikeleza kwegazi kwindawo eqhelekileyo emzimbeni. Kule meko, ukunciphisa ubukhulu bemivimbo ingaba yinto ethile yomzimba (kubantu abanezindonga ezinamandla ezisuka ekuzalweni) okanye umphumo wokuguqulwa komzimba ekuqeqesheni kwezemidlalo rhoqo.
Bhardycardia
I-pulse ephantsi kakhulu-engaphantsi kwe-40 ibhontshi ngomzuzu - iphawulwe ngengxaki echaziweyo ekhokelela kwiintlobo ezininzi zokuphazamiseka kwegazi kunye ne-oksijini yindlala yesikhumba. Ikakhulukazi ixhamla kwiinqanawa ezingenakunyango. Ngenxa yoko, amaninzi amaninzi kunye neenkqubo zihlahloka, ezithintekayo nemiphumo engathintekiyo kwimpilo nobomi bomntu.
Yiyiphi i-bradycardia eyingozi yentliziyo?
Into ephambili, eyingozi kakhulu i-bradycardia, yinto enokwenzeka yokubanjwa kwentliziyo, esoloko isongela izigulane ezinezinga elibi le-anomaly. Kodwa kwanokuba intliziyo encinci, ibone ixesha elide kwaye ilungele ukuqhubela phambili, isebenza njengombonakaliso woviwo kunye nonyango, kuba ayikwazi nje ukugqithisa umgangatho wobomi kunye nokusebenza komsebenzi, kodwa ikhokelela ekuphelelweni, ekuphelelweni kwentliziyo, kwiinkalo zegazi kunye nokunye.
IBradycardia - ibangela
I-bradycardia ye-physics, xa i-pulse iyancipha kancane, ngaphezu kweempawu zomzimba kunye nokuqina komzimba, kuya kubonwa ngabantu abanempilo phantsi kwefuthe lezinto ezinjalo:
- ulele;
- ukunciphisa izinga lokushisa lomoya ojikelezayo;
- uxinzelelo kwi-artery carotid (nge-necktie eboshwe ngokuqinileyo, isikhala);
- uxinzelelo kwi-eyeballs (reflex-heart reflex);
- isifuba esifubeni entliziyweni;
- ukutshaya kwexesha elide.
I-bradycardia enjalo, i-pulse apho kungabi ngaphantsi kwe-40 ibhontshi ngomzuzu, engabangeli ukutshabalalisa kwimpilo yonke kwaye ingahambelani nezinye iziphene, ayithathwa njengengqondo. Kwezinye iimeko, i-pulse ephantsi kwesi sizathu ingadibana nezinye izifo. Silula uluhlu lwazo:
1. Izifo zesistim senhliziyo:
- i-infyoction ye-myocardial acute, i-infarction kwinqanaba lokutshatyalaliswa;
- i-rheumatism yentliziyo;
- myocarditis;
- endocarditis ;
- xi nzelelo;
- i ntliziyo;
- i-atherosclerosis ;
- ukukhathazeka entliziyweni;
- i-cardiomyopathy.
2. Iintsholongwane ze-neurological:
- ukuphulwa kwegazi ukuphuma kwengqondo;
- ukuxhwaleka, ubuhlungu beengqondo;
- uxinzelelo olusandayo ;
- i-neurotic.
3. Izifo zamalungu angaphakathi:
- isilonda sesilonda;
- gastritis;
- ukuguguleka okanye ukungafihli ngokuthe tye kwinqanaba lesigxina;
- isifo se-endocrine;
- Isifo sika-Addison ;
- hypothyroidism.
4. Ezinye izifo kunye neenkqubo zezilwanyana emzimbeni:
- utywala;
- izifo ezithintekayo;
- ukucima amanzi emzimbeni ;
- iimeko ezinesifo;
- ukutshitshiswa kwezityalo ezahlukeneyo;
- ukugqithisa kwamayeza (i-calcium channel blockers, beta-blockers, antiarrhymics, cardiac glycosides);
- utyhefu kunye ne-phosphorus-containing compounds;
- i-hypothermia;
- ukuguga ngokwemvelo komzimba.
Bradycardia - iimpawu
I-pulse ephantsi kunye ne-bradycardia encinci kwaye kwimeko yezizathu zenyama aqhelekanga azibonakali ngathi nayiphi na impawu. I-sinus bradycardia ye-pathological ingabonakaliswa kulo mfanekiso klinikhi olandelayo:
- ukukhathala rhoqo;
- buthathaka;
- kulala;
- imemori engaphelelekanga, ingqwalasela yokuqwalasela;
- ukungabonakali;
- ingxolo ezindlebeni;
- zixhala;
- imeko epholileyo;
- kutyhafa;
- rhoqo utywala;
- intlungu esifuba;
- utshintsho kwixinzelelo lwegazi;
- i-blanching yolusu;
- ukuphefumula;
- zanda.
Uxinzelelo nge bradycardia
I-Arrhythmia bradycardia ivame ukudibaniswa nexinzelelo legazi (ngaphezu kwe-140/90 mm Hg), engabonakalisa inkqubo ye-tumor, ischemic disease, cardiosclerosis, pericarditis. Isizathu ngezinye izihlandlo zikhethwe ngokuchanekileyo unyango olushushu. Ngesiqhelo, i-sinus bradycardia ifunyaniswa ngokuchasene nemvelaphi yexinzelelo lwegazi eliphantsi, elidibeneyo eliyingozi. Oku kunokubonisa ukuphuma kwegazi kwangaphakathi, ukuxhatshazwa, ukusuleleka kakubi.
- Bradycardia unyango
Ukuba umntu ufumanisa ukuba unesiphelo esiphezulu, yintoni omele uyenze kulo mzekelo, unokumisela emva kokuxilongwa ngokupheleleyo komzimba. Ngaphambi kokunyanga i-bradycardia yentliziyo, fumana ukuba yiyiphi intlupheko eyenza ukuba le nto iphosakeke kwaye nokuba ukunciphisa intliziyo yesimiso kuyinto evamile (kule meko, unyango aluyimfuneko). Ukuze kuqinisekiswe izinto ezibangelwa yi-causative factors, i-electrocardiography, uhlolo lwe-Holter, ukuhlolwa kwe-ultrasound yentliziyo kunye nezinye izitho, ukubunjwa kwegazi, ukuhlolwa kwegazi kuma-hormone, njl.
Ukuqwalasela indlela yokuphatha i-sinus bradycardia yesidanga esilinganiselweyo kunye nesicatshulwa, okokuqala kuqala ukuqwalasela indlela yokuphila kunye nokutya, ukuguqula ngokuhambelana nemimiselo enempilo. Ngoko ke, kucetyiswa ukuyeka ukutya okunamafutha, utywala, ukutshaya, ukunciphisa ukusetyenziswa kweesekese kunye nokupheka. Qinisekisa ukuba ugcine indlela eyaneleyo yomsebenzi nokuphumla, umsebenzi wokwenyama, ugweme iimeko zengqondo. Kwiimeko ezinzima, unyango okanye unyango olwenziwa ngonyango lwenziwa.
Iidakamizwa ne bradycardia
Xa i-bradycardia ishukunyiswa yi-non-cardiac pathologies, imithi yonyango iyenziwa ngokuhambelana nesifo esisiseko. Ngokomzekelo, izifo ezithathelwanayo zifuna ukusetyenziswa kwee-antibiotics, ezineengxaki ze-hormonal - i-hormone. Ukugqitywa kweengcambu kubangelwa ukuphelisa ukuphazamiseka kwengqungquthela. Ukongezelela ekuphatheni i-pathology causative, amayeza alandelayo angasetyenziselwa ukwandisa izinga lentliziyo, sebenzisa i-node ye sinus:
- anticholinergics (Atropine);
- i-adrenomimetics (i-Isoprenaline, i-Iazrin);
- bronchodilator Eufillin ;
- i-nootropics (Mexidol, iPiracetam);
- ukulungiselela i-caffeine (Aksofen, Izodrin), njl.
Ngamanye amaxesha kunikwe umyalelo we-bradycardia esezityalo ezisezantsi eziseZelenin, i-tincture ye-ginseng, i-eleutherococcus, enokunyusa ngokukhawuleza kwintliziyo. Ngokunciphisa ngokukhawuleza kwintliziyo yegazi kunye noxinzelelo lwegazi, kunye nokuphelelwa yintlungu, ukudibanisa, iimpawu ze-edema yamapulmatory kufuna ukufakwe esibhedlele kwisigulane esibhedlele-isebe le-arthmology okanye i-cardiology.
I-Bradycardia - unyango kunye nezilwanyana zomntu
Abaphili bezilwanyana banokucebisa ukuba bathabathe ukuthini ukunyuka kwe-pulse ukunyusa, kodwa unyango olunjalo kufuneka luxoxwe kunye nodokotela oya kwiindawo zokunxibelelana kunye neyeza eliphambili lonyango. Phakathi kwamanyathelo anikezelwe kule ngxakusho ngamachiza engeyendabuko, umntu unokuthetha ngamathambo e-nettle, immortelle, i-decroctions ye-yarrow, i-tartar, i-lemon-garlic-honey mix.
Indlela yokulungiselela ukunyuswa kwamayeza e-yarrow?
Izithako:
- imifuno ye-yarrow - 15 g;
- amanzi - 1 iglasi.
Ukulungiselela nokusetyenziswa:
- Thela impahla eluhlaza ngamanzi.
- Yizisa kwi-thumba, ubilise ikota yeyure.
- Ukunyanzelisa iyure, ecocekileyo.
- Faka isicelo kathathu ngosuku ngosuku lwesipuni.
I-Sinus bradycardia iyintsebenzo
I-sinus bradycardia ebizwa ngokuthi, unyango lwayo kunye neziyobisi alusebenzi, lubonisa ukuhlinzwa komzimba ekufakeni i-pacemaker. Esi sixhobo, esilungele phantsi kwesikhumba kwaye sinceda ukulungelelanisa inani leentliziyo, ukuvelisa iimpembelelo zombane nokuziqondisa kwiindawo ezifanelekileyo ze-myocardium.