Kwezinye iimpawu, uze uchonge ukuba sibaphathe njani tachycardia ventricular?

It luphawu tachycardia ventricular nokukhawulezisa izinga intliziyo phezu ibetha 100. / Min. neziko ingenzeka kwi ventricle. Ngowe-90% amatyala oko kwenzeka xa abantu amanxeba eziphilayo kwisingqi kwentliziyo. Amaninzi, ukuphazamiseka isingqisho ezinxulumene nesifo kwemithambo. Kukho kwakhona tachycardia kunokubangela iposi engabalulekanga, isifo sentliziyo azalwa kunye samathambo kunye iintlobo ezahlukeneyo iingxaki emva unyango ngamachiza psychotropic okanye iintlungu ezithile.

iimpawu

Amathuba esi sifo kwandisa kunye nobudala. Amadoda baboniswa ukuba ubukhulu ngaphezu abafazi. Abantu ungaphantsi kweminyaka eyi-35 nxamnye nemvelaphi myocarditis, cardiomyopathy hypertrophic nazo ukuphuhlisa ventricular tachycardia. Iimpawu zezi zilandelayo:

• ingqondo iyangongoza, isiyezi, ixhala;
• ukuphelelwa umoya, iintlungu esifubeni;
• Throbbing entanyeni;
• kwezinye iimeko kuhlaselo buthathaka kunye waphela.

pathophysiology

tachycardia Ventricular kwenzeka iifom ezimbini: monomorphic kunye tachycardia polymorphic. iintlobo Monomorphic luphawulwa kulandelelwano excitation idaleka igcinwa rhoqo. Kuyenzeka ukuba ngokubonakala olu hlobo tachycardia kwenzeka kubantu ngentliziyo ezakheke eqhelekileyo. Kule meko, i-ALS lwezonyango kudla intle. Polymorphic ventricular tachycardia umahluko Ukwahluka ngokulandelelana ubulunga ventricles. Unobangela sifo libe myocarditis, ischemia okanye ukungaqheleki yemfuza kubume lamajelo ion.

unyango tachycardia

Unyango ventricular tachycardia olugcinwe yi sisenzo iziyobisi antiarrhythmic, zona zikhoyo kwi imvelaphi amanyathelo ukujongana sifo ngxabano. Njengoko arhente antiarrhythmic sidla isicelo lidocaine. Oku kulawulwa yegazi-1 mg ikilogram sobunzima isiguli ngasinye. Ngokuqhelekileyo, lo ulapha phezulu ku-100 mg kwaye ibhalwa kwimizuzu embalwa. Ukuba akukho isiphumo imizuzu eli-15 ukulungiselela isetyenziswa kwakhona kwi efanayo oyidlayo. Ukuba ventricular tachycardia sikhatshwa idrophu xi, ndiyandise ngokusebenzisa amine pressor. Oku kubuyisela sinus isingqisho. Ukunxila glycosides wentliziyo tachycardia ventricular ukuphathwa potassium chloride kunye lidocaine okanye iziyobisi "obzidan" iyasetyenziswa.

Ukuqhubekeka konyango emva izinga intliziyo yakho-

Xa isingqisho wambuyisela ALS eqikelelweyo kunye nesicwangciso solawulo nomonde yenziwe up. Yena nguye omisiweyo unyango ngamachiza okanye ufakelo esisa-defibrillator okanye catheter ablation. Kukho kwakhona zidibene iindlela zonyango. Zidla asetyenziswa xa kukho ezingaqhelekanga, mpela kwisakhiwo kwentliziyo. Catheter ablation, umzekelo, nako ukwandisa ukwanela unyango antiarrhythmic, okanye kuya kunciphisa umyinge wokuqhuba isixhobo esisa-mshini.