I-paroxysmal tachycardia iyinhlobo ye-arrhythmia, lapho kuhlaselwa khona ukukhushulwa okubukhali kwezingqinamba zenhliziyo, kodwa ukulandelana kwazo kugcinwa. Lesi sifo sitholakala kaningi, kokubili kubantu abadala nangabantwana.
Ukuhlukaniswa, izimbangela nezimpawu ze-tachycardia ye-paroxysmal
Ukuhlasela kwe-tachycardia nge-paroxysmal kuqala futhi kuphelile ngokuzumayo, kungadlulela kumasekhondi ambalwa kuya ezinsukwini ezimbalwa. Futhi ukuphela kokuhlaselwa kungazelelwe, kungakhathaliseki ukuthi umuthi uthathwe yini. Ngezinye izikhathi ukunyuka okusheshayo enkundleni yenhliziyo kulandelwa umuzwa wokuphazanyiswa emsebenzini wenhliziyo. Ukushaya kwenhliziyo ngesikhathi sokuhlaselwa (i-paroxysm) kushaya okungu-120 kuya kwangu-300 ngomzuzu. Ngesikhathi esifanayo komunye weminyango ye-conduction system yenhliziyo kukhona ukugxila kokuzijabulisa, kuye ngokuthi yiziphi izinhlobo ezintathu zalesi sabelo sokukhubazeka:
- inrial;
- i-atrioventricular (nodular);
- i-ventricular.
Ekuxilongweni kwemitholampilo, i-paroxysmal tachycardia ihlukaniswe yaba yi-ventricular (ventricular) kanye ne-supraventricular (ngaphezulu).
Ukuhlaselwa kungahambisana nalezi zimpawu:
- ukukhahlela, ukuthuthumela;
- ubuthakathaka, isiyezi;
- ukujuluka, ukuvama kwenyuka yokuvuthwa.
I-tachycardia ephezulu ye-paroxysmal ivame ukuhambisana nokushaya kwenhliziyo ye-180 kuya kwezingu-240, okuvame ukuhambisana nokwanda komsebenzi wesimiso somzwelo ozwelayo. Izimbangela zingase zibe nezinkinga ze-endocrine, ukungalingani kwenani lama electrolyte egazini, njll. I-tachycardia ye-Atrial ne-nodal ne-nodal i-tachycardia ngokuvamile ihambisana nesigqi senhliziyo, evame ukuhambisana nokunyuka kwengcindezi yegazi, ukuzwa kwe-coma emqaleni, ubuhlungu enhliziyweni.
I-tricycardia ye-Ventricular i-ventricular ibonakala ngokushaya kwenhliziyo ka-150-180 ngomzuzu futhi ngokuvamile ihlotshaniswa nezinguquko ezinzima ze-dystrophic ku-myocardium, izifo zenhliziyo, izifo ezivuthayo zomzimba we-muscle, njll. Ukuhlaselwa kungabangela ukulahlekelwa kwengqondo. Leli fomu liyingozi ngoba lingabangela i-fibrillation ye-ventricular - isifo somsindo esongela ukuphila.
I-paroxysmal tachycardia ezinganeni
Izimpawu ezinganeni zifana nakancane nabantu abadala. Ngesikhathi sokuhlaselwa, ingane ingase ikhononde ngesimo sokwesaba, ukusizwa ubuhlungu enhliziyweni, ubuhlungu esiswini, isicashu. Ingane iyaba mhlophe, bese i-cyanotic. Ukuhlaselwa kungahambisana nokuhlanza, ukufisa ukudla.
Lapho eseyingane, i-tachycardia ye-paroxysmal cishe zonke izimo ibangelwa ukunyuka okukhulu, okuyinto, ngefomu elingaphezulu, ngokuvamile elivela emsuka.
Ukunakekelwa okuphuthumayo kwe-tachycardia ye-paroxysmal
Uma ukuhlasela kwe-tachycardia kwenzeka, udinga ukubiza i-ambulensi. Ngaphambi kokufika kukadokotela, ungazama ukumisa i-tachycardia ngezindlela ezinjalo:
- ukuvala amehlo akho, ukuphuca amehlo ngeminwe yakho esimweni esivamile;
- ukuthayipha umoya ogcwele esifubeni, vala imphumulo yakho nomlomo bese uzama ukuphefumula;
- ukuveza ukuhlanza ngokweqile;
- ukusula okubandayo;
- uthathe i-corvalol noma i-valocordin.
Ukwelashwa kwe-tachycardia ye-paroxysmal
Ukwelashwa kunqunywe kuye ngokuthi imvelaphi ye-tachycardia kanye nendawo yezimpembelelo, ezingatholakala ukuthi une-electrocardiogram. Ukwelashwa kuzodinga ukusetshenziswa kwezidakamizwa ezithathelwanayo. Uma le mithi ingasebenzi, uma ukuhlaselwa kuqhubeka phakathi nosuku futhi uma izimpawu zenhliziyo ikhula, ukwelashwa kwe-electroimpulse kwenziwa. Ukwelashwa kungabandakanya ukuqokwa kwe-acupuncture, izidakamizwa zemifino, i-psychotherapy. Izindlela zanamuhla zokwelapha okungenasidingo ezinamandla nazo ziyasebenza.