ImpiloIzifo nemibandela

Itheku isigqi - kuyini? Kusho ukuthini itheku isigqi inhliziyo?

Abanye abantu khulumela ukuthi odokotela wabanika ulwazi olugcwele mayelana nempilo yabo. Kodwa uma ucabanga ukuthi lokhu kungabi umqondo omuhle onjalo. Konke lokhu ngezokwelapha kungaba esabisa ongelutho. Ngokwesibonelo, yini "itheku isigqi inhliziyo '? Amazwi anjengalawa kungacaci kubantu abavamile, futhi lo dokotela uthola omunye panicking nesineke.

Izimiso inhliziyo

Ngalesi umzimba igazi liya zonke izitsha umzimba futhi inikeza cell ngasinye ukudla nomoya-mpilo. Inhliziyo - kuyinto injini komzimba, kanti injini ugijima ngokuqhubekayo konke ukuphila komuntu. Isebenza kanzima kakhulu, kunzima ukukholelwa ukuthi ilungiselelo elinjalo kungase kudale nemvelo.

Konke kuqala nge ishayela kagesi Generating sinoartrialnym engeyokuqala. Ukulandela injabulo aleli qembu elincane lamaseli ziyancipha ATRIUM baphokophelele igazi phakathi ventricles. Khona-ke kukhona ukuphumula yabo. Ngakolunye uhlangothi, ukunciphisa ventricles lapho ifinyelela kubo wave kagesi, ulahle igazi ku imithambo. Kamuva, uphumule zonke amakhamera ezine. Futhi zonke iqala umbuthano. Kuyamangalisa ukuthi lokhu indlela usebenza kahle. Njengoba sazi ukuthi umsebenzi wakhe akagcini yesibili, ngisho ongaziwa ukuthi thukela behluleka.

kagesi isignali isizukulwane kwenzeka cishe njalo ngezikhawu ezithile, nakuba ngokuvamile ziyashesha Kungaze kudingeke nokuba kuyohlukahluka. Ngakolunye uhlangothi, uma kungaqali, lokho kungase kubonise ukuthi ukukhathala reserves. Lesi simo kuthiwa i "rigidity isigqi". It kungabonakala nasemkhakheni ngesikhathi ischemia.

itheku isigqi

Kuyini lokhu? Lisho ukuthini leli rekhodi e ECG incazelo? Akufanele yini ngenze netwetwe lapho eyibona? Eqinisweni, lithi kufanele sizikhethe esizikholelwayo. Le entry ngokuvamile ibonisa operation evamile inhliziyo, nakuba kungase ezihambisana nezifo ezithile. Yilokho isigqi itheku wenhliziyo, ikakhulukazi uma kungekho ezinye amazwi. Ungakwazi ukuzola futhi ubone udokotela kuphela ngemva konyaka, ngaphandle kunezinye ezifanele.

Isimo siba esihlukile uma sikhuluma ukwephula itheku isigqi. Lokhu kungafaka ukugujwa arrhythmia, ukuquleka, tachycardia noma bradycardia, nokunye okuningi. Empeleni, noma yimuphi yombhalo we ECG kufanele uhunyushwe ngendlela udokotela ekhethekile noma owelapha. Futhi ngaleso sikhathi kuyoba khona ncamashi kucace ukuthi zikhona yini izinkinga noma izinto ezinhle. Ngemva okuqoshiwe "itheku isigqi okungajwayelekile" ngoba oweve eshumini nambili futhi umuntu osekhulile ngeke asho into efanayo.

zinhlobo

Ngaphandle amarekhodi sekushiwo kungenziwa ebhaliwe "itheku isigqi mpo" noma "ovundlile". Futhi lokho kungase kusho la mazwi? Kuphela ulwazi mayelana kudlule kanjani ngokusebenzisa amangqamuzana ukunciphisa umfutho. Iqiniso lokuthi leli gagasi kagesi sidlula izicubu imisipha indlela ethile, eqondana cishe nge eksisi yokwakheka inhliziyo. Okungukuthi, kuphela ukhuluma mayelana izici indawo yayo.

Njengomthetho, abantu Imizimba giperstenichnym waphawula ovundlile itheku isigqi, kanye nabo bonke abanye - mpo. Nokho, zombili lezi ongakhetha kuyinsakavukela. Lesi sici kuphela.

cardiogram

Itheku isigqi enezinto eziningi izici kuyabonakala phezu ECG. Okokuqala, ukushaya kwenhliziyo kuyinto 60-80 ngomzuzu, futhi kwezinhliziyo zezinsana nezezingane kuze iminyaka 6 - kufika ku 150. Okwesibili, P-wave njalo obulandela QRS eziyinkimbinkimbi. Okwesithathu, PQ has a ubude njalo ku uhla evamile (0,12-0,20 imizuzwana). Ekugcineni, PP noma RR ubude futhi okufanayo.

Ukuze nonspecialists ukubonisa sokuqhafaza umsebenzi izinhliziyo zabo ulwazi oluncane. nesineke Simple abakwazi ukubona, ngisho nokwephula, kuyilapho nangodokotela bababhekene nezifo zenhliziyo lolu hlobo locwaningo anganikeza eningi ukwaziswa okuwusizo. Ngakho indiva wokuhlola yonyaka akudingekile - the ECG ingase ibonise izinkinga inhliziyo emsebenzini ngesikhathi lapho kungukuthi wazizwa futhi ungabonisi ngokwabo.

sokwephulwa kwe

Njengoba ngisho indlela enembile kakhulu futhi enokwethenjelwa, iziyaluyalu inhliziyo can. Ngenhlanhla, ngisho nezinkinga ezincane kakhulu cishe ngokushesha bazenza wazizwa. Lapho abantu ukukhuluma mayelana nokwephulwa, ngokuvamile it has engqondweni ukuthi ngenxa abanye isizathu inyuka, kunciphe noma eduka itheku isigqi. Kuyini lokhu? Ukukhuluma kukhulunywa ngezokwelapha, lezi zimo eyaziwa ngokuthi itheku tachycardia, bradycardia kanye arrhythmia, ngokulandelana. Futhi kusho ukuthi engeyokuqala edonsa imiyalezo edluliselwa ngogesi ukuthi akulungile. Lapho ukulandelana tachycardia kuzo zonke izigaba umjikelezo inhliziyo lugcinwa, kodwa ukushaya kwenhliziyo idlula 100 bpm. Lapho bradycardia okuphambene - ukuvama Kufinyeta kuyehla kube value esingaphansi 60. Ngokuqondene arrhythmia nezikhathi ngaphezulu kuyashesha futhi kancane umsebenzi inhliziyo kungaba enye, yawo eguquguqukayo nenani PP ECG kungaba idlule ku-10%.

Ungavuli ngokushesha ukwethuka, kwakuzwakala uma omunye lamagama noma, isibonelo, into efana "itheku isigqi okungajwayelekile." Kwezinye izimo, lezi zinkinga ungaba nohlobo bokuphila akazange zidinga ukwelashwa, kuphela ozolandela. Ngakho, kukhona ngokuvamile okuthiwa zokuphefumula itheku arrhythmia - leli gama libizwa kushintshana izinkathi umoya inhliziyo ancike njalo ezingasho ezingavamile. isimo esinjalo ezivamile ezinganeni kanye intsha. Ezinye izinhlobo itheku arrhythmia ezingajwayelekile kakhulu, ngokuvamile izifo ezinzima, ezifana acute isilethikusebenza.

izimbangela

Tachycardia futhi bradycardia kungase kudingeke imvelo kokubili kwemithi kanye sokugembula. Hlobo luni izinto ungakwazi ukwandisa noma ukunciphisa izinga inhliziyo? Loluhlu ngempela ebanzi.

tachycardia:

  • epinephrine / norepinephrine;
  • caffeine;
  • i-nicotine;
  • utshwala;
  • atropine;
  • sympathomimetics;
  • aminophylline;
  • steroid;
  • ama-hormone egilo;
  • isisu;
  • izidakamizwa okuhloswe ngazo ukunciphisa yokucindezelwa.

bradycardia:

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

Kufanele kuqashelwe ukuthi eminye imithi ezishiwo kokubili uhlu, primnyaetsya e zokubelethisa, isibonelo, ukuthuthukisa igazi eligciniwe ezingenzeka embungwini kanye lesizalo edema nokususwa. Ngakho, ukuze uthole noma iyiphi yalezi izidakamizwa, akufanele futhi ukhathazeke uma akakubangeli ngokuphazamisa sina.

Ngokuphathelene izimbangela sokugembula ukwephulwa, kunjalo futhi ivamile impela. tachycardia:

  • oyingozi noma ezingamahlalakhona ukuhluleka kwenhliziyo;
  • isilethikusebenza;
  • yokuhlaselwa kanzima pectoris angina;
  • myocarditis acute;
  • hypoxemia;
  • anaemia;
  • hypotension;
  • imfiva;
  • i-hyperthyroidism;
  • ihlule legazi umfula yamaphaphu;
  • pheochromocytoma.

Bradycardia ungakwazi ukuhamba lezi zifo ezilandelayo noma izimo:

  • isilethikusebenza;
  • ogulayo itheku syndrome;
  • cardio;
  • i-hypothyroidism;
  • ukutheleleka;
  • waqinisa intracranial;
  • hypothermia;
  • intubation;
  • hypercalcemia;
  • hypokalemia;
  • Esiswini kanye duodenal izilonda;
  • uremia;
  • ezinye izinhlobo ubuthi;
  • UMeniere Syndrome.

Njengoba ubona, uhlu ngempela ebanzi, ngakho udinga ukuqinisekisa ukuthi akazange aphule itheku isigqi (kuyini, siye wachaza kakade).

ukuhlola

Ngaphandle nje kokuthi electrocardiography sekushiwo, ngokuvamile kakhulu esetshenziswa lolu hlobo cwaningo njengoba sonography noma ultrasound inhliziyo. Iphinde kwenzeka ukuba ulwazi futhi kungembula izinto eziningi ezithakazelisayo. Nokho, lokho akusho ukuthi ithini ukwephulwa engeyokuqala itheku, ngeshwa, cishe lutho, ngaphandle kokuthi sezifo ezihlobene. Kunoma ikuphi, sitholakele "ukwephula itheku isigqi" ibekwe kuphela ngesisekelo ECG idatha.

Ukwelashwa nokulawula

Uma uhlobo izimo kwemithi, ukuthuthukisa isimo kufanele kube ukuqeda ithonya izinto enhliziyweni. Uma sikhuluma noma yimuphi umbandela sokugembula, tachycardia noma bradycardia - nje izimpawu. Ukwelashwa kulokhu kufanele aqondiswe isifo eziyimbangela, ngemva ngcono izolahleka kanye nokuhlukumezeka elihlobene ne isigqi inhliziyo.

By the way, nganoma isiphi isikhathi "motor" lungangamela umsebenzi ngokwakho, kodwa kungcono ukukwenza ekuseni. Kuyinto kudingekile kuphela ukubala inani beats ngomzuzu kwenhliziyo ukuqhathanise kuyinsakavukela. Umphumela 60-80 kubhekwa ngokuphelele evamile, singasho ukuthi e itheku isigqi. Kuyini manje ecacile.

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