Sinus isingqisho - ntoni na? Kuthetha ukuthini sinus isingqi zentliziyo?

Abanye abantu zikhuthaza abantu ukuba oogqirha wabanika ulwazi ngokupheleleyo malunga nempilo yabo. Kodwa xa ucinga oku asiyongcamango omkhulu onjalo. Zonke ezi amagama nga zokoyikisa nje oqhelekileyo. Ngokomzekelo, yintoni "sinus isingqi wentliziyo"? amagama enjalo awucacanga kakhulu kubantu abaqhelekileyo, kwaye ugqirha ufumana esinye kokuxhalaba nomonde.

Imigaqo zentliziyo

Ngokusebenzisa lo mzimba igazi liya zonke iimpahla umzimba kwaye inika kwiseli nganye ukutya neoksijini. Intliziyo - lo injini yomzimba, yaye injini ubaleka ngokuqhubekayo kubo bonke ubomi bomntu. Isebenza nzima gqitha, kunzima ukukholelwa ukuba amalungiselelo ayo ngesele ukudala indalo.

Yonke lento iqala nge ukubetha sombane esivelisa sinoartrialnym node. Emva ubumnandi eli qela lincinane iiseli ziyancipha intendelezo ibhekisa igazi kungena ventricles. Ngoko kukho kuthanjiswa zabo. Kwelinye icala, nokunciphisa ventricles xa ifikelela kuzo wave yombane, beyiphosa igazi kungena imithambo. Kamva, uyekelele zonke iikhamera ezine. Kwaye konke iqala kwisangqa. Iyamangalisa le ndlela isebenza njani kakuhle. Njengoko umsebenzi wakhe beme owesibini, nokuba engaqhelekanga kangakanani kunqabile ukuba nakanjani na.

Isizukulwana uphawu lukagesi kwenzeka malunga qho ngamathuba amiselweyo, nangona ngokuqhelekileyo banokude kufuneka iyahluka noko. Kwelinye icala, ukuba akunjalo, oko kubonisa waphelelwa loovimba. Esi simo kuthiwa "ngqongqo rhythm". Kokuba babonwe ngexesha ischemia.

sinus rhythm

Yintoni na? Yintoni le ingxelo ECG ukutyhilwa kwalo? Ndifanele ukuphaphazela xa embona? Enyanisweni, okwahlukileyo liyinyaniso. Le entry ngokuqhelekileyo ibonisa ukusebenza okuqhelekileyo intliziyo, nangona kusenokuba kunye izifo ezithile. Nantso into isingqisho sinus wentliziyo, ingakumbi ukuba akukho ezinye amagama. Uyakwazi ukwehlisa umoya, bonana nogqirha kuphela emva konyaka, ngaphandle kokuba kukho ezinye ezifanelekileyo.

Le meko yahlukile xa sithetha sanctions sinus rhythm. Oku kube arrhythmia, ukuxhuzula, tachycardia okanye bradycardia, kwaye kakhulu ngakumbi. Enyanisweni, nawuphi na umbhalo we ECG lifanele licaciswe ugqirha ekhethekileyo okanye ingcali. Kwaye ngoko kuya kuba kanye kucace ingaba kukho naziphi na iingxaki okanye izinto ezilungileyo. Emva ushicilelo "sinus isingqisho mgaqweni 'ukuba elivisayo kunye ngumntu osele ekhulile akayi athetha into enye.

uhlobo

Ngaphandle kwiirekhodi esele zikhankanywe Ingayingxelo ebhaliweyo 'sinus isingqisho nkqo "okanye" othe tye ". Kwaye ukuba na la amabinzana? Kuphela ulwazi malunga Kwathi ngayo ngokusebenzisa iiseli ukunciphisa amandla. Isibakala sokuba iliza yombane udlula inwebu yesihlunu kwicala elithile, ngexesha malunga ne esqwini yokwakheka kwentliziyo. Oko kukuthi, ithetha kuphela malunga iimpawu kwindawo yayo.

Ngokuqhelekileyo, abantu nokuma giperstenichnym yathi tye sinus isingqisho, kwaye abanye - nkqo. Noko ke, omabini la iinketho eqhelekileyo. Olu phawu kuphela.

cardiogram

Sinus Isingqisho has eziliqela iimpawu zazo ngokucacile ibonakale ECG. Okokuqala, izinga intliziyo yi ibetha 60-80 ngomzuzu, kwaye kwiintsana kunye nabantwana ukuya kwiminyaka-6 - ukuya ku-150 Okwesibini, i-P-yomtshangatshangiso usoloko olwandulela QRS ezintsonkothileyo. Okwesithathu, i PQ kukho ixesha rhoqo kuluhlu yesiqhelo (imizuzwana 0,12-0,20). Ekugqibeleni, PP okanye ixesha RR nayo enye.

Ukuze nonspecialists ukubonisa olubonakalayo lwe umsebenzi inkcazelo encinane iintliziyo zabo. Simple sigulane asikwazi ukubona, nkqu yanyhashwa, ngelixa cardiologists olu hlobo uphando ukunika ulwazi oluninzi ezixabisekileyo. Ngoko ngoyaba uhlolo lonyaka akukho mfuneko - i-ECG unakho ukubonisa iingxaki zentliziyo emsebenzini ngelo xesha xa zinganikezelwanga bavakalelwa kwaye musa ukubonisa ngokwabo.

ulwaphulo-mthetho

Njengoko nkqu indlela echanekileyo kwaye ithembekile, ukuphazamiseka senhliziyo. Ngethamsanqa, iingxaki ezininzi ezincinane phantse nangoko bazenze ngayo. Xa abantu bethetha daba, ngokuqhelekileyo iye engqondweni ukuba ngenxa yokuba ukunyuka sizathu, wehlise okanye umkayo wanxaxha sinus isingqisho. Yintoni na? Ndithetha zonyango, le meko baziwa sinus tachycardia, bradycardia kunye arrhythmia, ngokulandelelana kwazo. Kwaye oko kuthetha ukuba Lendawo kudala ngogesi into engalunganga. Xa ukulandelelana tachycardia yazo zonke izigaba zomjikelo intliziyo igcinwe, kodwa izinga intliziyo lidlula 100 BPM. Xa bradycardia malunga - nezihlandlo izishunqulelo kuyehla kube ixabiso ngaphantsi kwe 60 Ke ukuba arrhythmia ixesha nangaphezulu umsebenzi ngokukhawuleza zizeka intliziyo nga alternate, eguquguqukayo izixa PP ECG lingaba ngaphezu-10%.

Musa kwaoko luloyiko, bevuthela ukuba elinye lala magama okanye, umzekelo, into efana "sinus isingqisho ezitenxileyo ezinokwenzeka." Kwezinye iimeko, ezi ukuphazamiseka kunokuba enemo nokomzimba yaye akazange afune unyango, kuphela ukulandela-up. Ngoko ke, kukho sinus ekuthiwa nokuphefumla a arrhythmia - eli gama kuthiwa alternating periods intliziyo-oxhomekeke Ukuphefumla rhoqo ngakumbi nangakumbi kunqabile. Loo imeko eqhelekileyo ebantwaneni nakulutsha. Ezinye iintlobo sinus arrhythmia zinqabile kakhulu, ngokufuthi nezifo ezinzima, ezifana acute iposi engabalulekanga.

oonobangela

Tachycardia kunye bradycardia babe uhlobo zombini amayeza kunye zophendlo lwezifo. Yintoni uhlobo izinto ukwandisa okanye ukunciphisa izinga intliziyo? Olu luhlu ebanzi kakhulu.

tachycardia:

• epinephrine / norepinephrine;
• caffeine;
• nicotine;
• kotywala ngendlela engeyiyo;
• atropine;
• sympathomimetics;
• aminophylline;
• steroid;
• hormone;
• womchamo;
• amachiza ejoliswe ekunciphiseni uxinzelelo.

bradycardia:

• "Verapamil";
• sympatholytic;
• quinidine;
• glycosides intliziyo ;
• beta-blocker;
• morphine.

Kufuneka kuqatshelwe ukuba amanye amachiza ezikhankanywe zombini izintlu, primnyaetsya e nokubeleka, umzekelo, ukuphucula unikezelo igazi kwimveku kunye nokudumba zesibeleko kunye nokususwa. Ngoko ke, ukuba naziphi na la machiza, wena akufuneki kakhulu Ungakhathazeki ukuba ingabangeli ukuphazamiseka kakhulu.

Ngokumalunga oonobangela lwezidumbu zokunyhashwa, nobona kakhulu eqhelekileyo. tachycardia:

• Ukungaphumeleli intliziyo etsolo okanye engapheliyo;
• iposi engabalulekanga;
• yokuhlaselwa kanzima sifuba angina;
• myocarditis olunamandla;
• hypoxemia;
• igazi;
• hypotension;
• umkhuhlane omkhulu;
• hyperthyroidism;
• igazi ihlwili kwi pulmonary;
• pheochromocytoma.

Bradycardia nga ihambe izifo okanye miqathango ilandelayo:

• iposi engabalulekanga;
• syndrome sinus ogulayo;
• Cardio;
• hypothyroidism;
• usulelo;
• noxinzelelo intracranial;
• emzimbeni;
• ekumfakeni;
• hypercalcemia;
• hypokalemia;
• Esiswini kunye duodenal izilonda;
• uremia;
• ezinye iindidi ubuthi;
• syndrome Meniere kaThixo.

Njengoko ubona, uluhlu olubanzi kakhulu, ngoko ke kufuneka uqinisekise ukuba sinus rhythm sichithakele na (oko kukuthi, siye sele wachaza).

ekuxilongweni

Ngaphandle electrocardiography sele sitshilo, ngokufuthi kusetyenziswa olu hlobo lokufunda sonography okanye ultrasound intliziyo. Kwakhona kuyenzeka ukuba ulwazi kwaye uyakwazi ukuchaza izinto ezininzi ezinomdla. Nangona kunjalo, oko akuthethi kuthi malunga ukuhlukunyezwa esiludumbo sinus, ngelishwa, phantse nto, ngaphandle kwalowo izifo ezinxulumene. Kuyo nayiphi na imeko, lokufunyaniswa "Kukwaphula sinus rhythm" obekwe kuphela ngokusekelwe data ECG.

Treatment kunye nokulawula

Ukuba uhlobo iimeko amayeza, ukuphucula le meko kufuneka ibe ukuphelisa impembelelo izinto entliziyweni. Ukuba sithetha nayiphi na imeko lwezidumbu, tachycardia okanye bradycardia - kuphela iimpawu. Unyango kulo mzekelo kwenziwe sifo engundoqo, emva uphuculo kungonakali kuhlolwe ezinxulumene kwisingqi intliziyo.

Hi ndlela leyi, nangaliphi na ixesha "imoto" uyakwazi esweni umsebenzi ngokwakho, kodwa kungcono ukwenza oko kusasa. Kuyimfuneko kuphela ukuba zibale inani ibetha izinga lentliziyo umzuzu ngamnye uze uthelekise eqhelekileyo. Isiphumo 60-80 kuqwalaselwa eqhelekileyo, sinokuthi isenziwa sinus isingqisho. Yintoni na ke ngoku icacile.