Tachycardia. Sababaha iyo Daaweynta

Xaalad meesha garaaca wadnaha waxaa lagu qiyaasaa tirada 90 ama ka badan oo garaac halkii daqiiqo ayaa la yiraa tachycardia. wadno oo sabab u ah cabsi, farax ama ka badan dhaqdhaqaaqa jirka waa arrin caadi ah nafsaaniga ah. Laakiin waxaa jira wax sida tachycardia bahal ah sida. Sababaha xaaladan waxaa loo arkaa inay waxyeello, waa sida soo socota:

• function wadnaha noqdo xumaada, tan iyo hoos u dhaca dhiigga ku shubma xubnaha kala duwan iyo unugyada ay sabab u tahay hoos u cadaadiska dhiigga sabab u buux dhamaystirnayn oo intraventricular la dhiig;
• sababtoo ah khatarta ah ee wadno ama cudurka halbowlaha wadnaha iyada oo sababtu tahay qulqulka dhiigga saboolka ah si ay wadnaha iyo oksajiin la'aan halka laga kordhinayo load ah waxa on.

Tani waxay ifafaale looma tixgeliyo cudur: waxaa la ogsoon yahay in cudurro kala duwan calaamadaha sida cad sida tachycardia. Sababaha in lagu celiyo inta badan lagu gartaa qaababka kala duwan ee arrhythmia, xanuunada autonomic (haddii kale, autonomic ah) habdhiska, cudurada of hemodynamics. Waxaa loo sharxay by qaabka iyo mabda'a of wadnaha, oo wuxuu ka kooban yahay afar qolalkiisa, labada gole sare (atria) iyo laba qolalka hoose (intraventricular). garaaca wadnaha, sida caadiga ah ay gacanta ku Guntin ku sanka, oo ku yaalla Atrium saxda ah (ama halkii, in kooxda ay derbiga), taas oo ah pacemaker dabiiciga ah. Guntin Dalqada wadnaha saarta falalkooda korontada, sida caadiga ah laga bilaabo garaaca wadnaha kasta. From Guntin Dalqada wadnaha ku falalkooda korontada ku safraan atria, taasoo keenta muruqyada atria iyo in la yareeyo qulqulka dhiigga galay intraventricular ah. Marka falalkooda korontada gaaraan muruqyada intraventricular ah, waxay qandaraas, taasoo keenta dhiigga waxaa la quudiyey galay halbowlaha iyo sambabada iyo xubnaha kale iyo unugyada jirka.

Guntin Dalqada wadnaha ku faraxsan yahay la soo noqnoqoshada ah ku xiran u dabacsanaadaan ah (qayb ka mid ah habdhiska ku autonomic, qanjidhada neural kaasoo ku yaala meel fog ka soo xubnaha innervated) iyo parasympathetic (ama qayb ka mid ah nidaamka autonomic neerfayaasha, autonomic, oo ka shaqeeya nidaamka u dabacsanaadaan nervous) kicinta. In case of xadgudub innervation u dabacsanaadaan ama parasympathetic, iyo cudurada ee sanka dhabta ah dhacdaa sanka (ama ventricular) tachycardia. Sababaha waxaa loogu talagalay jiifsan in cillad ka mid ah Guntin Dalqada wadnaha ama dhibaatooyin gudaha ah.

Waxaa sidoo kale jira dhibaatooyin dibadda, sida cillad of habdhiska ku autonomic. Sidaas darteed of rabshooyin ee u dabacsanaadaan habdhiska (Carbinta kordhay) muuqataa uurkuna waa, in ay tahay, waxaa jira tachycardia. Sababaha uurkuna waa dadka caafimaadka qaba ay sabab u tahay isticmaalka caffeine. Cillad nidaamka hormoonada jidhka ku wehlin karaan in la kordhiyo wax soo saarka adrenaline oo u wadin inuu soo tachycardia. arrimaha dibadda waxaa ka mid ah wax ka qabashada hemodynamic marka dhiig karka waxaa hoos u ah (la'aan awgeed dhiigga, isbedel kadis ah booska jidhkaaga ama fuuq-bax), in ay hab-celin ah ugu mahad naqa, waxay kordhisaa inta jeer ee garaaca wadnaha.

Waxaad ku qori kartaan sababaha ugu weyn ee tachycardia.

- Burburka muruqa wadnaha sabab u ah cudurka wadnaha ah.

- cillado lagu dhasho oo ka mid ah dhaqdhaqaaqa korontada iyo sidoo kale cudurada iyo cilladaha lagu dhasho ee wadnaha.

- cadaadis dhiig oo sarreeya.

- xadgudub Alcohol, qandho, sigaarka, cabitaanka aad u tiro badan kaafiinka.

- Saameyn liddi ah ee daroogada.

- Xadgudubka of daroogo, sida cocaine.

- dheelitir la'aanta ah electrolytes, macdanta loo baahan yahay si ay u qabtaan falalkooda korontada.

- tayroodh (tayroodh). Xaaladaha qaarkood, sababta dhabta ah ee tachycardia aan la go'aamin karaa, waxa la yidhaahdaa waa idiopathic.

Sida loo daaweeyo tachycardia? Xulashada Daaweynta ku xiran tahay sababta, da'da iyo xaaladdiisa caafimaad ee bukaan-socodka, iyo sidoo kale qaar ka mid ah arrimo kale. Ujeedadu waa in la hakiyo wadnaha deg deg ah, si looga hortago dhacdooyin xiga ee tachycardia iyo si loo yareeyo khatarta ka mid ah dhibaatooyinka. Waxaa inta badan ku filan si ay u yeelaan daaweynta tayroodh. Xaaladaha kale, marka sababta aan la helin, dhakhtarka ayaa laga yaabaa in ay isku dayaan hab kale. Si loo soo celiyo wadnaha caadi bandhigay duro antiarrhythmic (flecainide iyo propafenone). Saamaynta ay qalbiga ku shoog koronto (saameynta artafiishal ee wadnaha in falalkooda korontada iyo dib u soo celisa uu garaaciisu noqdo caadi) waxaa loo isticmaali karaa in xaalad deg deg ah marka daaweyn kale uma shaqeeyaan. tallaalmid defibrillator - cardioverter, xakamaynta garaaca wadnaha oo uu ogol yahay dib u soo celinta korontada saxda ah garaaca wadnaha.