Ngaphezu kwengxenye yabo bonke ukufa okuhambisana nezinkinga zenhliziyo kwenzeka ngokuzumayo. Esinye sezizathu eziyinhloko zezibalo ezinjalo zokudumazeka yi-ventricular tachycardia. Lesi sifo sibonakala ngokubonakala kwe-pulses elandelanayo (kusuka ku-3), okubangela ukuphambana komzimba ngevama izikhathi ezingaphezu kuka-120 ngomzuzu.
Izimpawu ze-tachycardia ye-ventricular
Ukuqina kwesibindi sezibonakaliso zomtholampilo zesifo kuncike ekujuleni kwayo.
I-tachycardia engenawo amandla, njengombuso, iyaqhubeka ngaphandle kwempawu ecacile. Lolu hlobo lwe-pathology luhambisana nokuhlaselwa kwe-arrhythmia, okusheshayo kudlule futhi ingabonakali. Kulesi simo, uhlobo olungaqinile lwesifo lubhekwa njengengozi kakhulu, ngoba luyisixhumanisi esiphakathi phakathi kwe-trigger arrhythmia ne-fibrication ye-ventricular. Esikhathini esilandelayo, ukufa okungazelelwe kwenzeka njalo.
Uhlobo oluqinile lwe-tachycardia lubonakala ngokuhlaselwa okude kakhulu kwezinhliziyo zenhliziyo (ngaphezulu kwamasekhondi angu-30). Njengemibonakaliso yemitholampilo, ukuphazanyiswa kwe-hemodynamic yomsebenzi we-cardiac kuvame ukubonwa.
I-monomorphic ventricular tachycardia ibonakala ngokuhlala njalo, isikhathi esifanayo sokuhlaselwa nokubonakala kwezimo eziyinkimbinkimbi ezinomsoco. Isilinganiso sokusikeka sihlala sisuka ku-100 kuya ku-220 izikhathi ngomzuzu.
I-tachycardia ye-polymorphic ventricular ihambisane nezibonakaliso ezifanayo njengefomu echazwe ngaphambilini, kuphela ezibhekwa ngokungavamile futhi ngokuthunjwa ngalunye kuhlukile.
Izimpawu:
- isiyezi;
- ubuhlungu esifubeni, ukucindezela noma ukucindezeleka;
- ukuphelelwa amandla ;
- amaphilpitations aqinile;
- umfutho wegazi ophansi;
- ukuphazamiseka kwenhliziyo;
- Ukwehlisa noma ukudweba phakathi kwesifuba, ngezinye izikhathi unikeza ingalo engakwesokunxele.
Izimpawu ze-tachycardia ye-ventricular ku-ECG
Uma kungabikho ezinye izifo ezingapheli noma ezinomzimba eziphethwe yi-cardiogram, kukhona ukuphambana kwenhliziyo ehlangene ngakwesokudla. Uma i-tachycardia yinkimbinkimbi nge-concomitant pathologies, izici ezilandelayo ziphawuleka kwi-ECG:
- ukuthunjwa kwezakhiwo ze-sinusoidal ezithunjiwe kakhulu;
- ukuhlukaniswa kwamazinyo P;
- i-concordance ngezinyosi eziphakeme zaseT (eziqondiswe esiqondeni esingaphambene nomqondisi wenkimbinkimbi yonke ye-ventricular);
- Ukumiswa kwangaphambili kwe-axis enqabeni yesenyakatho-ntshonalanga ye-cardiogram.
Ukwelashwa kwe-tricycardia ye-ventricular
Ukuhlaselwa kwesimo esingaqiniseki sesifo, esihlala ngaphezu kwengxenye yomzuzu, kubalulekile ukuma ngokushesha, by
Izimo zokuboshwa komzimba nokunyamalala kwe-pulse zibhekene nokuhlushwa okuphuthumayo.
Uma i-tachycardia ye-ventricular ivela emlandweni we-bradycardia, ukuhanjiswa kwezidakamizwa kunconywa, okuhloswe ukuba kuvunyelwe izinga lokushaya kwenhliziyo, ukuqeda izifo ze-electrolyte, ischemia, hypotension, ukubuyiselwa kwamanani wegazi wegazi. Imithi ikhethwe yi-cardiologist ngesinye isinye.
Indlela ephumelela kunazo zonke yokulwa ne-pathology ehlolwe ukufakwa kwesidingo sedivaysi e-electronic elawula umsebenzi wenhliziyo - i-cardioverter noma i- pacemaker . Kanti futhi, ngezinye izikhathi ukususwa kwezindawo ezincane zezindawo zokulimaza ezilimazayo kunqunywe.