Ukuphulwa kwexesha eliqhelekileyo kwintengiselwano yentliziyo, eyenzekayo nakubantu abanobuchoko bonke, i-ventricular extrasystole. Kwezinye iifom, le syndrome ayinobungozi kwaye iquka kuphela amanyathelo okukhusela kunye nokulawulwa ngu-endocrinologist. Iindidi ezinzima kakhulu zokugula zifuna indlela yokudibanisa yokwelapha.
Iimbangela ze-extrasystole kunye neentlobo zayo
Esi sifo sidla ngokuhamba nabantu abangenazo izifo zentliziyo, ingakumbi ukuba utyhafile, uxinzelelo lwengqondo nangokwenyama, ukusela nokutshaya nokutya.
Izizathu ezibalulekileyo ze-extrasystole ziquka:
- isicic heart disease;
- cardiosclerosis;
- i-myocardial infarction;
- osteochondrosis;
- myocarditis ;
- ngxinzelelo lwegazi;
- izifo zesimiso se-nervous and digestive system.
I-syndrome ihlelwa ngokwemiqondiso emibini. Ngokuxhomekeke kwisayithi ekhangela ukubonakala kwee-extrasystoles, izifo zilandelayo zilandelayo:
- I-monotopic okanye i-monomorphic ventricular extrasystole. Imiphumo ivela kwindawo enye, njengommiselo, ayifuni unyango olukhethekileyo. Kuqwalaselwa njengendlela efanelekileyo kakhulu kwisicwangciso sokuxela.
- Polytopic okanye ipolymorphic ventricular extrasystole. Eyona nto ibonakalisa ukungasebenzi kakubi kwinkqubo yokuqhuba i-myocardium, i-extrasystoles ivela kwiindawo ezahlukileyo zeentliziyo. Ubolekisa kakhulu unyango.
Ngombolo yokuphindaphinda kukho enye ye-ventricular extrasystole. Ngamanye amaxesha kukho ididi kunye nefom yeqela lokugula.
I-extrasystole ye-Ventricular kwi-ECG
Ukuba unako ukufunda i-electrocardiogram, unokwazi ukuphulwa okuchazwe ngolu hlobo lulandelayo:
- ukungabi khona phambi kwe-P-teeth-extrasystole;
- ukubonakala okungaqhelekiyo kwaye kufumaneke kwangoko kwangoko kwimeko ehambelanayo yeQRS;
- indawo engavumelaniyo ye-T-wave kunye nengxenye ye-extrasystoles ye-RS-T ngokubhekiselele kwizinyo eziphambili ze-QRS;
- ubukho bekhefu elipheleleyo lokuhlawula emva kwee-extrasystoles;
- ulungelelaniso oluqinileyo njengokongezwa kwee-QRS eziyinkimbinkimbi.
Iimpawu ze-ventricular extrasystole
Njengomthetho, ukuphulwa kweengcamango zentliziyo zenza ngaphandle kwemiboniso yekliniki ebonakalayo. Uhlobo olulodwa lwe-extrasystole kunye neempawu ezibonakaliswe rhoqo. Kuhamba kunye nomvakalelo wokungabikho komoya, utywala, ukuxakeka kunye nobuthakathaka emzimbeni phambi kweso sifo senhliziyo.
Unyango lwexesha eliqhelekileyo kunye ne-polytopic ventricular extrasystole
Ulwaphulo lwenziwe kuphela kule ndlela yokukhubazeka, kuba ezinye iindidi azidingi unyango olulodwa.
Okokuqala, amanyathelo athatyathwa ukukhupha iimpawu ezisemgangathweni zokuphazamiseka kweengcamango zentliziyo kunye nokuqhelekileyo:
- Ukwamkelwa kwezidakamizwa (ezendalo okanye zokwenziwa), kuquka i-Diazepam, 3-5 mg kathathu ngosuku.
- Ukusetyenziswa kwe-beta-blockers (Anaprilin, Propranolol, Obsidan) ye-10-20 mg kathathu ngosuku.
Ekubeni kwe-bradycardia, i-cholinolytics yongezwa ngokwengeziwe:
- Bellaid;
- Itropium;
- Bellataminal;
- amalungiselelo krasavki .
Ukuba olo hlobo lonyango alusebenzi, lwenzeka ngokungaqhelekanga, i-antiarrhymics isetyenziswe:
- Novocaineamide;
- Quinidine;
- Dizopramide;
- Flecainide;
- Mexiletin;
- Propaphenone.
Unyango lwe-extrasystole ye-ventric kunye namayeza omntu
Njengomsebenzi oxhasayo, kucetyiswa ukuba uthathe i-valerian infusion njengendlela yokukhusela ngokufanelekileyo:
- Icaji ye-1 yepuni ye-root valerian kwaye uthele i-1 indebe yamanzi afudumele abilisiwe.
- Ukugxininisa malunga neeyure eziyi-8-10 phantsi kwesiqhekeza.
- Nciphisa i-remedy, thatha isipuni se-1 sesisombululo amaxesha ama-3 kwiiyure ezingama-24 nanini na.