Dhamaystirnayn xaq block laan xidhmo

In this article aan tixgelin doonna cudurada sida Go'doominta dhamaystirnayn oo lugta midig ah laan xidhmo block. Tani waxay xadgudub qayb ka mid ah dhaqdhaqaaqa korontada wadnaha ka. Cudurkani waa caadi ahaan astaamo, laakiin cadayn cudurka wadnaha organic iyo saamayn natiijada cudurka hoose. cudurka wuxuu ku salaysan yahay natiijooyinka daraasaadka electrocardiographic. Dhamaystirnayn xaq block laan xidhmada waa mid ka mid ah iyo badh ilaa laba dhan boqolkiiba afar-meelood kiisaska, iyo da'da, tirooyinkan oo kaliya la kordhiyo. Ka mid ah dhammaan noocyada ayaa xayiraad ku soo noqnoqoshada cudurada this ayaa kaalinta labaad.

Etiology ay dhacdo

Sababta ugu adeegi kartaa sida cilladaha wadnaha, cudurka halbowlaha wadnaha iyo badinta of anti-arrhythmia, wadnaha sambabada, stenosis ee waalka mitral, hypertension pulmonary, khaanadaha wadnaha tricuspid, Wadnaxanuun myocardial ba'an, myocarditis, wadnaha, wadnaha hypertensive, dheelitir la'aanta ah ee electrolytes ee jirka ku jira, iyo hypertrophy ventricular midig. Waxay jeelyihiin in dhif block aan dhamaystirnayn xaq laanta xidhmo ogaadaa in dhalinyarada waaweyn caafimaad. Xaaladaha noocaas ah, waxaan ka hadleynaa waa caadi.

Dhamaystirnayn xaq block laan xidhmada waa sababta deceleration gudbiyo ee sanka iyo digir ectopic labada meeshaas dusheeda. Tani, ka bacdi, waxay keenaysaa in isbeddelka weyn ee isku xigxiga excitation qaar ka mid ah qeybo ka mid ah intraventricular ama kaliya si buuxda ventricle ah.

Go'doominta dhamaystirnayn block laan xaq xidhmo: calaamadaha

Xaaladaha intooda badan, cudurada taasi ma keenin wax astaamo, maxaa yeelay, laxanka iyo inta jeer ee qalbiga ma saameeyeen.

Cilad-cudurkan, sida kor ku xusan, waxa lagu saleeyay xogta laga heli by yahay ee barashada cilmiga electrocardiographic.

Halkan waxaa ku qoran liis ay ku qoran calaamadaha in ay yihiin la arki karo waxa on:

• QRS duration adag waa in yar kordhay, ilaa sagaal ama kow iyo toban boqol ee labaad ah.
• In hore iyo V6 raadad yar ballaarisey S ilig iyo V1 naaska QRS afduubka adag xaq u matalaa rSr, ama rsR.

Dhamaystirnayn Go'doominta block laan xaq xidhmo: daaweynta

The duration iyo xasiloonida cudurada ku jira inta badan uma baahna wax daaweyn ah. Laakiin xaaladaha halkaas oo muuqashadeeduna la kulmeen xaalad xumeyd ee cudurada wadnaha, daaweynta waqtigii waa muhiimad weyn u caadi ah ee tabinta wadnaha. Haddii labada lug beddelka go'doominta, laso- ku meel gaar ah muujiyey, la siiyo kordhinta muddada HV-bareeg ka badan 80-100 rabtay. Dhammaan bukaanka ka weyn la aan caadi ahayn tabinta sida waxaa waajib ah in isbitaal la khasabka ah. In xanuunada ba'an oo ay ka maqan yihiin therapy sababo daroogada lagu saleyn karaa, iyada oo aan halmaamay waxay inconstancy iyo unreliability ku tahay sida ay u saamayn cudurada this. In kiiska ugu fiican, inaad tirin karaa on saamayn ku meel gaadh ah.

Waxay waxaa loo isticmaalaa daaweynta waxyaabaha sida:

1. Anticholinergics, taas oo yarayn lahayd awooda vagal, tus 0.1% atropine hal mililitir intravenously iyo 0.2% platifillin sida hal mililitir ama sida subcutant, intravenously, laakiin ay dhacdo in this waxaa lagama maarmaan ah inay soo bandhigto 5 glucose% ee mugga 500 ml.
2. Daawooyinka xoojinta saamaynta nidaamka tabinta wadnaha ah u dabacsanaadaan, tusaale ahaan, 5% ephedrine hal mililitir intramuscularly, subcutant, ama faleebo, 0.2% norepinephrine, in mugga of 1 ml, maamula on glucose ama 0.05% qeybtii alupent in mid ka mid saaraayo, maamula izadrin labada intramuscularly iyo intravenously, ama 0.1% ka mid ah mugga mililitir.
3. Sida hormoonnada isticmaalo glucocorticosteroid, tus, hydrokortisoni, heer ah ilaa 200 mg maalin kasta.
4. Si loo yareeyo content ee potassium waa la jecel yahay in la isticmaalo 1% Lasix in mid ka mid ah tiro mililitir.

Saadaal cudurkan waa arrin wanaagsan, laakiin, siin halista ah ee iyaga u sii hurinaysaa oo dhan cayn kasta oo ah cudurada wadnaha la xiriira, waa in ay ahaadaan kuwo aad u culus uu daaweynta.