Beats - wannan ... zuciya kari cuta - haddasawa. Ãyõyin cututtukan zuciya da

Beats - wannan shi ne wani fairly na kowa cuta, musamman a yanayin saukan tsofaffi da marasa lafiya. Irin wannan jiha yana tare da rushewa daga al'ada zuciya kari. Yau, mafi kuma mafi mutane da sha'awar a cikin al'amurran da suka shafi abin da suke haddasawa da wannan matsala, yadda kawo hadari ga lafiyar, zai iya zama.

Beats - abin da yake da shi?

Yau, a irin wannan matsalar da fuskantar da yawa marasa lafiya kananan dakunan shan magani. Saboda haka abin da beats? Wannan cuta, wanda ake dangantawa da wasu cuta daga cikin zuciya kari. Tare da irin wannan cuta ya lura m ƙanƙancewa (systole), ko dukan myocardium, ko ta raba sassa (msl, da atria, da ventricles).

Beats - na kullum ko wata barazana ga kiwon lafiya?

Hakika, a yau, mutane da yawa suna fuskantar irin wannan matsala. Saboda haka ta yaya m iya zama da cuta? A gaskiya ma, m rage iya faruwa da, a gaskiya, faruwa a kowane zamani. Alal misali, matasa sau da yawa koka na ji na karfi zuciya kidan, wannan shi ne lashe. Haka kuma, bisa ga statistics, game da 80% na mutanen da girmi shekaru hamsin daga lokaci zuwa lokaci sha daga lokaci-lokaci "unscheduled" aftershocks.

Mene ne dalilin da ya faru na systole? A wasu cuta daga cikin zuciya da kuma tasoshin jijiyoyin bugun gini tsarin da aka canza: shi kafa da ake kira ectopic raunuka, yankunan ƙãra aiki. Mafi sau da yawa, irin wannan cuta bayyana a cikin tafarkin da na ventricles, atria, da atrioventricular kumburi. Yana da wadannan ectopic foci janye hatsaisai cewa fararwa balli inji a shakatawa lokaci (diastole). Yana kama lashe. Wannan, ba zato ba tsammani, na iya zama hadarin gaske musamman.

Hakika, lokaci-lokaci bayyana hasken dake fitowa ne ba mai tsanani barazana ga lafiyar dan adam. Duk da haka, da suka yi gargaɗi da kasancewar wani matsala, masana bayar da shawarar irin marasa lafiya biya fiye da hankali zuwa ga hanyar rayuwa, bi da abinci da kuma sha yau da kullum checkups.

A daya hannun, kuma m lashe shafi dukan kwayoyin. Bayan duk, a sakamakon mahara farkon cuts rage watsi da jini, wadda take kaiwa zuwa wani karu a jini ya kwarara a cikin kwakwalwa da kuma jijiyoyin zuciya jijiyoyi. A irin haka ne, da zuciya beats ne hadarin gaske musamman, kamar yadda zai iya haddasa lalacewar da myocardium, aka rufe da mãgãgi ko kwatsam da mutuwar wani mutum.

Zuciya kari tsangwama: Sanadin

A gaskiya ma, akwai da yawa abubuwan da zai iya haifar da harin da arrhythmia iya faruwa. Alal misali, zuciya kari disturbances za a iya hade da tasiri a kan kwayoyin wasu sunadarai, ciki har da wani abinci, yanã shã, kwayoyi, ko da wani karfi shayi ko kofi. Hadarin dalilai kuma ya shafi shan taba. Aikin zuciya lashe iya faruwa a mata a lokacin haila.

Bugu da kari, haddasawa hada da wasu cututtuka, ciki har da osteochondrosis (musamman na mahaifa kashin baya), da kuma jijiyoyin bugun gini dystonia, neuroses na daban-daban asalin, da sauransu.

Akwai wasu dalilai da zai iya haifar da da lura zuciya kari tashin hankali. A dalilan iya dangantawa da kwayoyin raunuka na myocardium da madugu tsarin. Alal misali, da hare-haren sau da yawa faruwa a marasa lafiya tare da daban-daban nakasa, kazalika a kan bango Cardiosclerosis, cardiomyopathy, jijiyoyin zuciya jijiya cuta, kumburi cututtuka (myocarditis, pericarditis). Hadarin dalilai kuma sun hada da cututtuka kamar hemochromatosis, sarcoidosis, amyloidosis, saboda a irin wannan jiha da babban hadarin da zuciya lalacewa.

Hari na arrhythmia sau da yawa yakan faru a kan backdrop da wani karfi da zazzabi. Bugu da kari, wannan sakamako za a iya kai shan wasu magungunan, ciki har da wadanda kwayoyi dake dauke da maganin kafeyin, ephedrine, aminophylline, novodrin, kuma tricyclic antidepressants, diuretic kwayoyi da kuma corticosteroids.

Tsananin gajiya, jiki da danniya, tashin hankali na ma'adinai abun ciki a cikin tsokar Kwayoyin - duk wanda zai iya fararwa da wani tsananta ƙanƙancewa na zuciya tsoka.

rarrabuwa na take hakki

Hakika, a yau akwai da yawa rarrabuwa da tsarin, wanda sa shi yiwuwa a gane abin da yake cikin lashe - misali, dangane da sarrafawa da ectopic foci. Mafi sau da yawa lura gazawar kudi a cikin ventricles, fiye da 60% na marasa lafiya zo likita da irin wannan ganewar asali.

A 25% na lura atrial lashe. Da yawa kasa akai-akai kari disturbances faruwa a aljifai na atrioventricular connection, a irin haka ne, aka kira su atrioventricular. Bugu da kari, akwai daban-daban haduwa na sama siffofin.

A wasu lokuta, da farko sinus kari ne kiyaye lokaci guda tare da samuwar ectopic foci, irin wannan take hakkin da ake kira parasystole. Keta suna classified da yawan foci na zumudi, su zama biyu mono- da polytopic.

Idan lashe ne biyu a jere, an kira su hadu. Idan m raguwa bi makirci "fiye da biyu a jere," cewa shi ne - volley lashe. Bugu da kari, irin wannan take hakki ya kasu kashi kungiyoyin dangane da lokacin da suka faru a lokacin da wani zuciya ƙanƙancewa (wannan farkon, na tsakiya da kuma marigayi). Idan muka yi la'akari da abin da ya faru na wanda bai kai lashe, dõmin su kasance rare (kasa da 5 pre-lokaci contractions da minti), matsakaici (6 zuwa 15), ko m (misali m na ramin zuciya wanda bai kai lashe tare da fiye da 15 m na ramin zuciya contractions da minti).

Babu shakka, akwai wani tsarin da arrhythmia ne classified bisa ga asali. Alal misali, cardiac kari cuta iya hade tare da mai guba kwayoyin ko nama raunuka, physiological cuta.

Kamar yadda aka nuna lashe?

A gaskiya ma, alamun cututtukan zuciya ne ba ba dukan marasa lafiya, wani lokacin arrhythmia aka ƙaddara kwatsam a lokacin wani zaman yau da kullum electrocardiogram. Bugu da ƙari, akwai da yawa abubuwan da za su iya shafar da adadin da tsanani da cututtuka ba. Alal misali, marasa lafiya da kwayoyin raunuka na myocardium iya zama quite sauki kawo arrhythmia aukuwa, yayin da na asibiti hoto a mutane da jijiyoyin bugun gini dystonia dubi da yawa wuya.

Mafi sau da yawa extrasystole subjectively dandana kamar yadda karfi da tura, har ma da zuciya kidan daga cikin kirji daga ciki. A wasu lokuta, marasa lafiya bayar da rahoton cewa sun ji kamar zuciyar "flips" ko "somersaults". Wannan irin tunani suna hade da wani karfi, mai kuzari da kuma kaifi rage a cikin myocardium.

Wasu marasa lafiya da arrhythmia hari ne da ɗan kama da bayyanar cututtuka na jijiyoyin zuciya jijiya cuta ko angina. Arrythmia, da ake dangantawa da aikin canje-canje suna sau da yawa tare da sauran cututtuka. Alal misali, marasa lafiya koka ƙãra sweating, jin short na numfashi, zafi flushes, karfi, abruptly faruwa rauni, rashin jin daɗi. Wani lokaci akwai kuma inexplicable ji na tashin hankali, ko da ya ji tsõro.

Akwai sauran alamun cutar zuciya. Kamar juwa. M na ramin zuciya wanda bai kai lashe ko atrial tare da wani karu a jini fitarwa, wanda ya haddasa wannan alama. A marasa lafiya da cerebral jijiyoyin bugun gini atherosclerosis irin arrhythmias iya haifar da rushewa daga jini ya kwarara, tare da paresis, syncope, sauran cuta da kuma aphasia. A cikin wani hali, bayyanuwar irin wannan jihohin kamata nan da nan tuntubar likita, saboda sakamakon na iya zama hadarin gaske musamman da wuya.

Beats a cikin shimfiɗar jariri

A gaskiya ma, beats a yara ne sau da yawa bincikar lafiya. Yana iya shan wahala daga wani yaro na kowane zamani, wani lokacin da irin wannan cuta da aka rajista ko a lokacin fetal ci gaba. Bisa kididdigar da, fiye da 75% na yara a sãɓãwar launukansa digiri, da wahala daga zuciya kari cuta. Kuma a kan wannan ƙarnin da yawan yara da wadannan cuta ya karu da yawa.

Menene babban Sanadin cardiac arrhythmias a yara? Da farko ya kamata a lura haihuwa lahani kuma cardiomyopathy. Bugu da kari, ya fi na kowa hada da cututtuka myocarditis, rheumatic cututtukan zuciya, genetically niyya cuta.

A wasu lokuta, da cutar da ake dangantawa da wasu cuta daga cikin endocrine da kuma juyayi tsarin. Alal misali, bayyanar extrasystole zai iya sa hypothyroidism ko ciwon sukari. A daya hannun, da muhimmanci na kullum kumburi da cututtuka matakai, kazalika da kasawa cututtuka da kuma rashin wasu abubuwa, da yawa jiki ko wani tunanin danniya. A cikin wani hali, irin wannan cuta a cikin bukatar da ta dace da magani. Amma ga tsinkaya, da talakawan ko rare lashe, wanda aka ba tare da kwayoyin raunuka na zuciya, yana dauke da wani aminci nau'i na cutar.

Hanyoyin zamani na ganewar asali

Babu shakka, akwai hanyoyi da yawa don gane asali, ciki har da ECG. Extrasystole lokacin da irin wannan binciken, yawanci a fili bayyane. Duk da haka, da bincike tsari ba za a fara da wannan. Don fara, likita dole ne gudanar da wani sosai jarrabawa, wanda ta fara da tarin bayanai. A haƙuri kamata a sanar da gwani wanda cututtuka ya bayyana, yadda tsanani shi ke kai hari, sau nawa suke faruwa.

Yana da muhimmanci ga gano dalilin cardiac arrhythmias. Don wannan karshen, za likita tarihi, da likita ya kamata sane da kasancewar sauran cututtuka, shan kwayoyi. Gaskiyar cewa asalin da kuma hali na raunuka na cardiac madugu tsarin dogara sun fi mayar a kan zabi na tasiri jiyya.

Bayan da cewa likita yawanci gudanar da bugun jini palpation a radial jijiya. Lokacin da arrhythmia gwani zai iya maye gurbin bugun jini kalaman da ya auku prematurely. Wani lokaci, a kan m, tare da arrythmia aukuwa na "fadowa" bugun jini da ya auku a lokacin da akwai kasa cika da ventricles a lokacin diastole.

Bugu da ari gudanar zuciya auscultation. Duk da yake sauraron, ba za ka iya lura gaban preterm I da na II na sautunan. Af, tare da irin wannan cuta, da farko sautin da aka ƙarfafa, wanda ake dangantawa da kadan cika da ventricles. Amma na biyu sautin, a maimakon haka, ya raunana, kamar yadda da ejection na jini a cikin lakã da na huhu jijiya ne da yawa karami.

Bayan da cewa likita zai aika da mãsu haƙuri a tabbatar cardiogram zuciya. Wannan shi ne daya daga cikin mafi m hanyoyin gudanar da bincike. A wasu lokuta, a abin da ake kira Holter ECG. Mene ne hanya? A haƙuri ta jiki ne a haɗe musamman šaukuwa na'urar cewa rubũta da zuciya kari kan 1-2 kwanaki. Bugu da kari, da mãsu haƙuri rike wani diary na aiki, a cikin abin da ya bayyana ji da kuma aikata ayyuka. Irin wannan nazarin da ake amfani da idan kana bukatar ka gano abin da triggers wani arrhythmia.

Idan cardiac arrhythmias bai faruwa a sauran, gudanar da ƙarin gwaje-gwaje - keke ergometry da na'urar motsa jiki gwajin. Wadannan nazarin sa shi yiwuwa a auna sigogi (jini) da kuma yin wani electrocardiogram a lokacin motsa jiki (kamar tafiya a kan wani na'urar motsa jiki, motsa jiki a kan wani keken motsa jiki). Idan ka zargin cewa kwayoyin tsokar lalacewa a marasa lafiya shawarar yin duban dan tayi da kuma cardiac MRI.

Yadda za mu bi arrhythmia?

Kamar yadda aka ambata riga, da magani daga cardiac arrhythmia dogara a kan ta hanyar. Alal misali, idan arrhythmias hade tare da shan wasu magunguna, sa'an nan, ba shakka, bukatar da za a soke. Idan dalilan karya a cikin rashin lafiya na narkewa kamar, kuma zuciya da jijiyoyin jini tsarin, da bukatar ya bi da su da fari, da kuma extrasystoles hare-haren za su shuɗe tare da primary cuta.

A wasu lokuta da ganewar asali taimaka wajen fahimtar abin da kari disturbances tasar da backdrop na juyayi overstrain. Irin wannan marasa lafiya suna kira zuwa neurologist ga shawara kuma, kamar yadda mai mulkin, an sanya sami m sedatives ko magani mai kantad da hankali ganye kudade.

Harben da wuya kai hari arrhythmias ba ya bukatar takamaiman magani, marasa lafiya suna shawarar kawai bi da ka'idodinta da lafiya salon, da kuma daga lokaci zuwa lokaci auku maimaita jarrabawa.

Idan harin faruwa akai-akai, tare da nakasa daga 'ya'yan numfashi, wani rauni da karfi naushe, sa'an nan, mafi m, likita zai zabi ya dace da kwayoyi. Kamar yadda wani janar mulki, don kawar da take hakki na da ake kira wajabta antiarrhythmic kwayoyi, ciki har da lidocaine, sotalol, procainamide hydrochloride, diltiazem, quinidine, Cordarone, mexyl. A wani hali ba za a iya amfani da shi kadai, wadannan kwayoyi, kamar yadda sashi da kuma samun yanayin ne sosai mutum. Haka kuma, wani lokacin da miyagun ƙwayoyi ne a lokacin gudanar da Holter ECG saka idanu, shi ba mu damar gane ko da miyagun ƙwayoyi gaske aiki kamar yadda ya kamata, da kuma ba za ta sa jiki idan yana da mafi zãlunci.

A benign ekstrasistoliyah magani dauki dai da hare-haren suna gaba daya tafi, ko a kalla adadin su za a rage zuwa m. Bayan nan, da adadin kwayoyi fara rage sa'an nan soke shi gaba ɗaya. Yawanci, irin wannan magani yana da dama watanni. Amma a m siffofin da suka faru marasa lafiya shan antiarrhythmics cikin rayuwa.

A lokuta inda wadannan kwayoyi ba aiki, ko da haƙuri saukar da rashin ha} uri, yi amfani da wasu hanyoyin magani, musamman, radiofrequency ablation na zuciya. Af, mai nuni zuwa ga wannan nau'i na far ma wani nau'i na na ramin zuciya arrhythmia, wanda yana tare da dubban 20-30 hare-hare a ranar. Wannan shi ne wani m hanya da dangantaka da minimally cin zali dabaru. An za'ayi amfani na musamman endovascular catheter wanda watsa a high-mita igiyoyin. Saboda haka, dot lantarki zuciya rinjayar rabo inda karya watsin. Tare da irin wannan hanya, za ka iya toshe watsa pathological, "ba daidai ba" bugun jini da kuma ci gaba da al'ada sinus kari.

A sakamakon cardiac arrhythmias, kuma kintace ga marasa lafiya

A hangen nesa ga marasa lafiya kai tsaye dogara ne a kan cutar da kuma gaban concomitant cuta. Alal misali, mafi hatsari ne lashe cewa ci gaba a kan bango na wani ciwon zuciya, cardiomyopathy kuma Organic tsokar lalacewa.

A cikin wani hali, babu m da kuma dace taimako zai iya kai ga nauyi wahala. Duk da cewa mafi yawan lashe ne benign, wani lokacin ci gaba a kan ta baya da kuma sauran hatsari cututtuka, ciki har da paroxysmal tachycardia, atrial fibrillation da atrial flutter. Irin wannan yanayi zai iya kai wa ga mãsu haƙuri ta kwatsam mutuwa.

Akwai wasu sauran matsalolin da bi lashe. Shi ne, na farko, da matsaloli tare da jini wurare dabam dabam da kuma abinci mai gina jiki na kyallen takarda. Bayan duk, idan maimaita extrasystoles girma na jini fitad da zuciya ne ƙwarai rage. Wannan take kaiwa zuwa oxygen yunwa da kuma rushewa daga al'ada wurare dabam dabam. Sau da yawa beats take kaiwa zuwa ga ci gaba na kullum na koda gazawar, jijiyoyin zuciya da kuma cerebral jini, wadda take kaiwa zuwa fi rikitarwa.

rigakafin hanyoyin

Hakika, a haƙuri da irin wannan matsaloli ya kamata a rajista tare da wani likitan zuciyar da sha na yau da kullum dubawa. Babban Hanyar hana m rikitarwa arrythmia ne dace magani na farko da cutar. Marasa lafiya bukatar tabbata ya dauki magani wajabta ta gwani, kazalika da bin tare da jadawalin da regimen. Bugu da kari, zuciya rate na yau da kullum nazarin da ake bukata, tun da wannan ba likita da damar bi da taki na ci gaba da cutar da kuma sakamako na sayen magani kwayoyi.

Lalle ne, marasa lafiya za su bukatar halin sake tunani salon. Kowane zuciya cututtuka bukatar musamman rage cin abinci. Quitting shan taba, barasa da kuma maganin kafeyin ake bukata. Kuma, ba shakka, domin aikin zuciya da jijiyoyin jini tsarin zai zama mai amfani a gare matsakaici amma na yau da kullum motsa jiki, tafiya a cikin sabo ne iska.

Mu yi magana a game da taimakon farko. Attack beats yakan auku ba zato ba tsammani. A haƙuri kamata kwanta da shakata. Haka kuma an bada shawarar ya gyara lahanin da saman mashiga daga rigarsa, gãshin ya ƙulla da bel, a wata kalma, cire duk yiwu cikas cewa tsoma baki tare da numfashi. Idan harin da aka lalacewa ta hanyar danniya, shi ne a yarda ya dauki wani karamin adadin wani magani mai kantad da hankali miyagun ƙwayoyi. Zai fi kyau kira motar asibiti, saboda sakamakon zai iya zama haɗari arrhythmia.