Ukwelashwa kwezifo zenhliziyo: izidakamizwa zokulwa nezidakamizwa

I-Arrhythmia iyimbangela evamile yesifo senhliziyo futhi ibonakala ngushintsho ekuvamile kanye nokuvama kwezinhliziyo. Ukukhubazeka kungabangelwa ukuphazamiseka kokusebenza, kanye nezilonda zenhliziyo ezinzima.

Kunezigaba ezilandelayo zesifo:

- I-Tachycardia (ukushaya inhliziyo);

- i-bradycardia (ibambezelekile);

- extrasystology (izifinyezo ezingavamile);

- i- heart block (izifinyezo ezingenakuhlanganiswa).

I-cardiac arrhythmia: ukwelashwa

Isibonakaliso esiyinhloko salesi sifo ukuwohloka kwesimo sempilo, esibonakala ku-palpitation, isizungu, ubuthakathaka, ukucindezeleka nobuhlungu esifubeni, ukuphefumula okusheshayo, ukuphefumula, ukuphelelwa amandla nokulahlekelwa nokuqonda.

Ezimweni eziningi, iziguli zesikhathi eside azihlangabezane nokukhathazeka okuthile okuhlotshaniswa nalesi sifo, ngakho-ke sifuna usizo ngesikhathi. Ngezibonakaliso zokuqala zalesi sifo, kufanele nakanjani uye kudokotela oqeqeshiwe owazi ukwelapha i-arrhythmia. Ukuzivocavoca ezimweni ezinjalo akufanelekile.

Kubalulekile ukwazi ukuthi izidakamizwa ezifanele zokulwa nezidakamizwa zingahle zenziwe ngumchwepheshe kuphela, ngoba yonke imithi elwa nezifo zenhliziyo inomsebenzi wayo. Ukuthatha izidakamizwa ezingalungile kungabangela ukuhlaselwa okungeziwe kwe-arrhythmia, kuhlanganise nalabo isiguli esingakaze sibe nakho ngaphambili.

Uma isiguli sisolakala ukuthi si-arrhythmia, i-electrocardiogram ishiwo. Lolu cwaningo luyisindlela esiyinhloko sokuthola isifo senhliziyo. Ngokuvamile, ekwelapheni izifo ezinjalo, izidakamizwa zokulwa nezidakamizwa zinqunywe, ezimweni eziningi zinganciphisa ukubonakaliswa kwesifo. Ezimweni ezinzima, kwenziwa ukuhlinzwa ukufaka i-pacemaker, idivaysi eyenzelwe ukusekela izinga lenhliziyo.

Izidakamizwa ze-antiarrhythm: incazelo

Ukuze ubuyisele umsebenzi wezinsizwa zenhliziyo , umuthi "Quinidine" uvame ukushiwo. Isetshenziselwa ukuphatha izinhlobo ezahlukene zezi-arrhythmias. Ngosizo lwakhe, ungayeka ukuhlasela, ngaphezu kwalokho, imithi isetshenziselwa ukuvimbela. Uma usebenzisa umkhiqizo, imiphumela emibi ingase ivele, kodwa ngesilinganiso esifanele, ukutholakala kwabo kuncishisiwe.

Ukungafani kokuthatha umuthi kungukuthi i-hypersensitivity, i-atrioventricular blockade, ukwehluleka kwenhliziyo, ukukhulelwa, ukuxilongwa okukhulu. Isidakamizwa esithi "Quinidine" sikhishwe ngamaphilisi ama-milligram angu-10 no-20.

Izidakamizwa ezihlukunyezwayo zikhona ohlwini lwawo kanye nethuluzi elinjenge "Novokainamid." Imithi ihilelekile ekubuyiseni isigqi esivamile senhliziyo, sinomphumela wendawo we-anesthetic. Isidakamizwa sisetshenziselwa ukuvuthwa komzimba, i-paroxysmal arrhythmias, engaba yingozi empilweni, kanye nokuphambana komsindo wenhliziyo ngesikhathi sokuthola umzimba ngemuva kwe-anesthesia.

Isidakamizwa esithi "i-Novokainamid" sithathwa ngaphakathi (amaphilisi) noma nge-intravenously ezimweni zokuhlasela kwe-tachycardia ye-paroxysmal. Ubude besikhathi sokwelapha kanye nomthamo wenziwa ngumdokotela ngamunye.

Imiphumela emibi ihlanganisa ukunxanxathela, ukuhlanza, ukukhanda ikhanda, ukuleleka, ubukhulu obuthakathaka, ukufutheka emlonyeni. Ukuqapha kufanele kusetshenziswe ekusebenziseni izidakamizwa zesifo sezinso.

Imithi ye-"Etmozin" ibuye ifakwe kwiqembu elithi "Antiarrhythmic". Umuthi unomphumela wendawo we-anesthetic osebenza kahle, uvumela ukususa izimpande zezinhlanzi ezibushelelezi zenhliziyo, ihlanza izitsha. I-agent isetshenziselwa ama -arrhythmias we- ventricular asongela ukuphila, kanye nokuphathwa kwe-ventricular tachyarrhythmias.

Isidakamizwa esithi "Etmozin" sinqatshelwe iziguli ezinezinkinga ezinzima zenhliziyo, okungafani nesibindi nezinso, ezimweni ezinzima ze-hypotension.