Sinoatrial block: haddasawa, magani. Disturbances a zuciya launi

Sinoatrial block - a pathological yanayin da ake tare da wani tashin hankali na halitta zuciya kari. tsokar rabo asynchronously rage, inda a can ne na wucin gadi asystole. Babu shakka, irin wannan warwarewarsu ne m. Mutane da yawa marasa lafiya suna neman ƙarin bayani game da wannan cuta. Me kawancen tasowa? Ko akwai wani waje ãyõyinSa? Mene ne jiyya offers zamani magani? Amsoshin wadannan tambayoyi za su ban sha'awa ga masu karatu da dama.

Mene ne sinoatrial block?

Domin bayyana Pathology, da farko kana bukatar ka kula da ilimin Halittar Jiki da kuma physiological halaye na mutum myocardium. Kamar yadda ka sani, da zuciya - jikin partially m. Its raguwa aka bayar da aiki na musamman ganglion, wanda gudanar da jijiyar.

An muhimmin ɓangare na direbobi na cardiac kari ne sinus kumburi. An located tsakanin dama atrial appendage da bude daga cikin m vena cava, a cikin dama atrium bango. Sinoatrial fili yana da rassan, ciki har da katako Toreli, Bachmann, Wenckebach - suka gudanar da hasken dake fitowa da ganuwar biyu atria. Rushewa daga m turu a wannan shafin da kuma kira blockage sinoatrial kumburi.

Saboda haka, a kan bango na Pathology a cikin zuciya kari zama m, abu don asystole, wanda, ba shakka, hadarin gaske musamman. An ce da shi ne quite rare Pathology - shi ne kamu a 0,16% da marasa lafiya a cikin cardiology sashen. Kuma bisa ga ilimin kididdiga nazarin sau da yawa fama da take hakki na maza a kan shekaru hamsin. A mãtã, irin wannan sabawa ne ƙasa da na kowa.

Zai yiwu ga cigaban da kawancen da kuma a cikin shimfiɗar jariri, amma shi yakan auku a kan wani bango na nakasar kwayoyin tsokar lalacewa.

Babban Sanadin cutar

An fahimci cewa CA-kawancen ba wani m cutar. Shi ne, a maimakon haka, da wata ãyã daga sauran pathologies. Kusan 60% na marasa lafiya da blockage sha daga jijiyoyin zuciya da cututtukan zuciya. Bugu da kari, akwai sau da yawa a Pathology a kan bango ko bayan tsokar zuciya infarction.

Bugu da kari, akwai wasu dalilan da zai iya kai ga rushewa daga al'ada zuciya kari. Hadarin dalilai sun hada da kwayar kuma kwayan myocarditis, kazalika da cardio myocardio, calcification na zuciya tsoka nakasar form cardiomegaly. Wani lokaci CA kawancen tasowa a mutanen da fama da rheumatism.

Kawancen na sinoatrial kumburi iya lalacewa ta hanyar yin amfani da ma manyan allurai cardiac glycosides, beta-blockers, quinidine da sauran magunguna. Don samar da Pathology sau da yawa results a cikin wani wuce haddi na potassium a cikin jini. Tun da aikin na zuciya da aka kayyade ta da vagus jijiya, da karuwa da ta sautin kuma iya kai wa ga arrhythmias (karfi buga ko rauni daga cikin kirji, rike da wasu reflex gwaje-gwaje da kara na ayyuka na jijiya endings).

A dalilan hada da sauran magunguna ciki har da zuciya bawul lahani, gaban ƙari a cikin kwakwalwa, malfunctions thyroid bayyana hauhawar jini, meningitis, encephalitis, sankarar bargo, cerebral jijiyoyin bugun gini Pathology. Kamar yadda ka gani, akwai mutane da yawa hadarin dalilai.

Kawancen na farko digiri, kuma da fasali

A zamani magani ne zuwa kashi uku digiri na tsanani daga wannan cuta. Kowace daga cikinsu yana da halaye. Mafi m dauke sinoatrial block farko digiri. Tare da irin wannan Pathology kowane bugun jini wanda ya auku a cikin sinus kumburi, da atria kai. Amma rike da shi a zo da wani bata lokaci ba.

Wannan Pathology ba za a iya gani a kan wani electrocardiogram, kuma ba waje bayyananen - marasa lafiya ga mafi part ji al'ada. Diagnosing farko digiri Can kawancen a lokacin intracardiac EFI.

Kawancen na biyu digiri: taƙaitaccen bayanin

Wannan mataki da aka ci gaba da Pathology za a iya raba iri biyu:

• Kawancen na 2nd digiri na farko da irin watsin bi ta a hankali a hankali karu a sinus kumburi. Irin wannan warwarewarsu iya riga a kamu a kan wani electrocardiogram. Game da waje bayyanar cututtuka, marasa lafiya sau da yawa koka na maimaituwa dizziness, wani rauni. Kamar yadda cutar m, a rayuwar mutum ana gangarawa, da kuma wani lokacin mai shudewa asarar sani tsokane ta ƙãra jiki aiki, da karfi tari, kaifi jũya na kai, da sauransu. D.
• Kawancen na 2 nd digiri na biyu da irin An riga tare da wani madaidaici cardiac arrhythmia, wanda zai iya ji da mãsu haƙuri. Alal misali, zuciya ne na farko Littafi (a mutum na iya jin contractions), sa'an nan abruptly tsaya a nan ba, kuma yana ci gaba bayan wani ɗan hutu. A lokaci na asystole, da mãsu haƙuri ji mai kaifi wani rauni, sau da yawa hasarar sani.

Abin da ãyõyi tare da wani kawancen na uku mataki?

Pathology na uku mataki - cikakken sinoatrial block. A wannan yanayin, da myocardium kuma bai sami hasken dake fitowa daga sinus kumburi. Babu shakka, da Pathology gani a kan wani electrocardiogram, saboda haƙuri tasowa asystole a kan bango na da cikakken madugu kawancen. Kamar wancan akwai da elusive ectopic kari godiya ga ayyukan da uku domin na direbobi. A lokacin ECG za a iya gani cewa babu gidaje PQRST.

magani

Nan da nan ya kamata a ce cewa makirci na magani ya dogara da dalili na Pathology. Idan sinoatrial block m, kuma ba wata barazana ga rayuwar haƙuri, da takamaiman far bazai zama dole - zuciya kari zai iya komawa zuwa ga al'ada da kanta.

Duk da haka, kana bukatar ka yi wa na farko cuta. Alal misali, idan kawancen tsokane ta da karuwa a vagal sautin, yana da muhimmanci ga mãsu haƙuri, "Atropine" (canza "ephedrine", "Ortsiprepalinom", "isoprenaline"). A cikin taron cewa wani katsalandan na cardiac kari a kan bango na wani yawan abin sama, shan yiwuwar hatsari kwayoyi ya kamata a tsaya nan da nan da kuma kokarin kawo jiki na sharan magunguna.

Abin baƙin ciki, quite sau da yawa wannan launi tashin hankali take kaiwa zuwa cin gaban fibrosis a cikin myocardium. A irin haka ne, don tabbatar da al'ada ƙanƙancewa na zuciya tsoka ne kawai zai yiwu ta akai lantarki ruri.

Taimakon farko ga kawancen

Kamar yadda aka ambata a riga, a mafi yawan lokuta, blockage ne m, kuma ba a kai tsaye barazana ga rayuwa na haƙuri. Duk da haka, a wasu lokuta, da cikakken lõkacin fatara daga cikin watsa na lantarki hasken dake fitowa ta kaiwa zuwa wani kwatsam tasha da zuciya.

Idan zuciya kari an kiyaye tsanani setback zuwa tasha, sa'an nan aka gudanar atrial pacing. Kamar yadda ba za ka iya saka lamba kan eyeballs (yana taimaka canza zuciya rate) a matsayin gajere gwargwado. Abin takaici, wani lokacin, da mãsu haƙuri bukatar m kula, cardiac tausa da kuma dangane da rai goyon bayan na'ura.