Izimbangela ze-tachycardia kwabesifazane abaneminyaka ehlukene

Uma ngokungazelelwe ikhanda liqala ukuzizwa lihlaziyekile, kukhona ukuphefumula, ukujuluka okukhulu, ukuphonsa ekushiseni, kubonakala sengathi inhliziyo iseduze nokuphuma esifubeni, kunezinguquko eziphawulekayo emsebenzini wezinhlaka eziningi nezinhlelo. Ngaphezu kwezinzwa zenhliziyo, izinso, amehlo, isimiso sezinzwa, i-tract yamathunjini ihlupheka.

Zonke lezi zimpawu nezinkinga zidala ukunyuka okunjalo okubonakalayo emsebenzini wenhliziyo, okwenzeka endaweni yokuphumula ebizwa ngokuthi i-tachycardia.

Umsebenzi wenhliziyo evamile

Ngokujwayelekile, umuntu omdala ngesilinganiso senhliziyo yansuku zonke (CBC) ngu-60-80 beats ngomzuzu. Ngesikhathi sokulala, lesi sibalo sehla ku-30-40. Ngemuva kokugijima ukukhanya noma umsebenzi womzimba, ukushayela kungagxuma kuze kube ku-160 ukushaya ngomzuzu.

ITachycardia

Kuvunywa ukuthi i-tachycardia yisifo. Nakuba eqinisweni, lokhu akukude neze. Ngakho odokotela kwelinye igama elibizwa ngokuthi uphawu, olubonakalisa esimweni sokuphumula futhi lubonakala ngokunyuka okukhulu kwenhliziyo. Ukuphindaphindeka kwezinhliziyo zomzimba (impulse) ne-tachycardia kuyoba mkhulu kunama-90 beats ngomzuzu.

I-Tachycardia ingavela kubantu abanempilo ezimweni ezahlukene:

• Ngemuva kokuzikhandla ngokomzimba (ukushaya kuze kube ngu-180 ngomzuzu);
• Ngesikhathi sokucindezeleka ngokomzwelo;
• Ngenxa yokucindezeleka okuhlangenwe nakho;
• Ngesikhathi sokushisa noma kusuka ekuziphatheni;
• Emva kokuthatha amanani athile wekhofi, itiye, utshwala;
• Ngemuva kokujikijela okubukhali noma ukuvuka.

Kwezinye izimo, i-tachycardia idala ukuphazamiseka okuhlukahlukene emzimbeni. Izimbangela eziyinhloko ze-tachycardia kubantu besifazane - ukwephulwa kwezinhlelo ze-endocrine, ukwesaba, ukuzimela, nama-arrhythmias ezinhlobonhlobo ezehlukene nokuphulwa kwegazi kugeleza ezitsheni (i-hemodynamics).

Sinus tachycardia

Leli fomu livela ngenxa yezibizo emsebenzini womthombo oyinhloko wesigqi senhliziyo - i-node yesusus. Izimbangela ze-tachycardia kubesifazane abasha zivame ukubangelwa ukwephulwa kwesigqi sesin. Ukuqaphela kwalesi sibonakaliso kuyisigqi (esingashintshi), kepha ukuvama okukhulu kwezinhliziyo zomzimba - i-pulse. Ukuhlasela kungase kube yisikhathi eside, futhi ngeke kumiswe ngaphandle kwemithi.

Izimbangela ze-sinus tachycardia kwabesifazane:

• Ukusabela okubi kokuthatha imithi.
• Izifo zesimiso senhliziyo.
• Izifo zenhliziyo.
• Ubuthi ngezinto ezinobuthi.
• Ukubhema.
• Ukuhlukunyezwa kwe-caffeine (ukusetshenziswa okuvamile kwamanjiniyela, ikhodi ye-custard).
• Izifo ezinzima ze-neurological.

I-paroxysmal tachycardia

Isici esikhethekile saloluhlobo lwe-tachycardia yi-a-sudden sudden, isisindo senhliziyo esiphazamisekile futhi esheshayo (okungaphezu kunenkinga ye-sinus) - 150-300-490 beats ngomzuzu. Izinhlobo ezintathu ze-tachycardia ye-paroxysmal zihlanganyela endaweni yenkinga:

• I-Ventricular.
• I-Atrial.
• I-Nodal.

I-tacycardia ye-Atrial ngokuvamile ivela emva kokwesaba okukhulu. I-Pulse iqhubekela phezulu ku-150-190 ukushaya ngomzuzu.

Ngama-nodal tachycardia, izimpikiswano zesibindi zivela emngceleni we-ventricles ne-atria futhi zibangele ukuhlelwa kwemithi. Lezi zinhlobo zibhekene nokuqala okubukhali nokuqedwa okungazelelwe kokuhlaselwa.

I-paroxysmal tachycardia esifundeni se-ventricles ibizwa ngokuthi i-fibrication ye-ventricular. Leli fomu lokusongela lokuphila, okudinga ukushayela ngokushesha i-ambulensi. Izimbangela ze-tachycardia kubesifazane abangela ukufucuza:

• I-infarction ye-myocardial;
• Ukulimala kwesimiso sezinzwa;
• Ukushiya kusho;
• Ubuthi obubi kakhulu ngamathunya;
• Aneurysm yenhliziyo (ngemuva kokuhlaselwa kwenhliziyo);
• Ischemic isifo;
• Ukungalungi kwenhliziyo.

Izimpawu:

• Ukukhathazeka;
• Abafundi abahlukunyeziwe;
• Ubuthakathaka;
• Memeza ezindlebeni;
• Ukucindezeleka nobuhlungu esifubeni;
• I-nausea;
• Yehlisa umfutho wegazi;
• Ukuphumula kwama-body sphincters;
• Isizungu;
• Ukulahlekelwa kokwazi.

I-Tachycardia yabesifazane nabeminyaka

I-Tachycardia yabesifazane iningi kakhulu kunabesilisa. Odokotela bayichaza lokhu ngezici eziphilayo zezinto eziphilayo, ezihambisana nesimo esivumelana nesilinganiso esiphezulu sokukhiqiza kwe-pulse kagesi. Kucatshangwa ukuthi ukwephulwa emsebenzini wenhliziyo kungabonakala kuphela ekupheleni kweminyaka yobudala, kodwa akunjalo. I-Tachycardia ingakwazi ukuletha ukukhathazeka okuningi kunoma yikuphi ubudala futhi ibe nezizathu ezihlukahlukene.

Izinto ezivame kakhulu ezibangela i-tachycardia kubesifazane:

• Izinguquko ze-Hormon (iminyaka engu-11-20):
• Ukukhulelwa (iminyaka engu-18-40);
• Ukunqamuka kwesikhashana / ukuyeka esikhathini sokuqala (emva kweminyaka engu-50-55).

Zonke lezi zinkinga zihlotshaniswa nokushintshashintsha kwezinga le-estrogen emzimbeni wesifazane. Ezinye izizathu ze-tachycardia zihlanganisa:

• Izicubu ezingavamile kanye nezinye iziphazamiso zezinhlelo zokulawula zomzimba;
• Izicubu ze-hypothalamus ne-pituitary gland;
• I-hypoxia - i-saturation yamathambo namazimba omzimba ane-oksijeni (kufaka phakathi lapho isendaweni egcwele noma endaweni enentaba);
• Ukukhubazeka kwamaphaphu (i-asthma, i-bronchitis obstructive nabanye);
• I-allergenic rhinitis, sinusitis, i-tonsillitis;
• I-hypotension - ukucindezelwa kwegazi okuphansi njalo;
• Izintuthwane;
• Ukusebenzisa ngokweqile utshwala;
• Izifo ezithathelwanayo zegciwane, ezihambisana nokunyuka okuqinile kokushisa;
• Izifo ze-adrenal kanye ne-thyroid;
• Ukusetshenziswa kwe-hyperventilation yamaphaphu;
• Ukwelashwa kwemithi - ukungabi nensimbi emzimbeni;
• Imikhuba emibi (ukubhema, ukusebenzisa izidakamizwa, amandla);
• Ukucindezeleka okukhulu nokucindezeleka;
• Iziphazamiso eziphazamisayo;
• Ukwehla kwamanzi;
• Ukushisa.

I-Tachycardia ekukhulelweni

Izimbangela ze-tachycardia kubantu besifazane 30 noma ngisho neminyaka engu-20 nazo zihlukile. Kodwa ngokuvamile ukuphulwa okunjalo lapho usemncane kubangela ukukhulelwa. Lokhu kungenxa yezizathu eziningi ezihlobene nezinguquko emzimbeni:

• Inzuzo yesisindo;
• Ukungabi namavithamini namaminerali;
• I-anemia yowesifazane okhulelwe;
• Ukususwa kwezitho zangaphakathi ezibangelwa ukwanda kwe-uterine;
• Toxicosis ngokuhlanza njalo;
• Nciphisa ukucindezelwa kwegazi - hypotension;
• I-Gestosis.

Ngokujwayelekile, emva kokulethwa, ukuhlaselwa kuphelile, futhi umsebenzi wenhliziyo ubuyiswa kancane kancane. Kodwa-ke, ukuze ugweme izingozi ze-fetus nomama nge-tachycardia, ukuhlolwa okuningana kunqunyelwe owesifazane okhulelwe:

• I-Echocardiogram.
• I-Electrocardiogram.
• Ucwaningo lwe-Holter - ukuqapha kwansukuzonke kwenhliziyo.

Ngokusekelwe emiphumeleni yokuhlolwa, misela amalungiselelo e-potassium ne-magnesium abesifazane abakhulelwe, ama-sedative of plant origin, batusa ukunciphisa umzimba nokuphumula ngokomzwelo.

Izinguquko ze-Hormonal

Ngisho namantombazane ekukhusheni ahlaselwa okuncane kwe-arrhythmia. Zibhekwa njengezamukelekile ukuba zibe nempilo enempilo, uma zingakhathazeki kakhulu futhi zidlula ngokushesha ngaphandle kokungenelela kwezokwelapha.

Izimbangela ze-tachycardia kulabo besifazane abaneminyaka engama-30 zingathintana nokungalingani kwe-hormonal, okungukuthi, ukushintshashintsha kwezinga lika-triiodothyronine, thyroxine ne-calcitonin. Ikheli kumhlengikazi-endocrinologist uma ngaphandle tachycardia uphazamiseka:

• I-Mood iyashintsha;
• Izinkinga ngokulala;
• Ukukhathazeka;
• Ukuthukuthela;
• Ukuthuthumela okukhulu;
• Ukuthuthumela kwezandla;
• Ukungahambi kahle komjikelezo wesimiso;
• Khipha ukulahleka kwesisindo (ngenkathi ugcina ukudla okuvamile nokuzivocavoca).

Izimbangela ze-tachycardia kubesifazane abangaphansi kweminyaka engu-40 lapho lezi zimpawu zivela zivame ukulula. Inkinga ejwayelekile kunazo zonke ukusebenza kwegciwane le-thyroid - hyperction. Ukwephulwa okunjalo nge ukwelashwa okufika ngesikhathi futhi okunembile kungeneka kalula ekulungiseni futhi esikhathini esizayo akubanga neze ukukhathazeka okukhethekile.

Ukunqamuka kwesikhathi

Izimbangela ze-tachycardia kubantu besifazane emva kweminyaka engu-50 zivame ukuhambisana nokuqala kokuya esikhathini. Ngesikhathi sokuya esikhathini, ukukhiqizwa kwe-estrogen kuyanciphisa kakhulu. Ngokufanayo, leli hormone lilawula umsebenzi wesimiso semifino, esithinta umsebenzi wenhliziyo futhi ikhuthaza ukwanda kwemithambo yegazi. Ngakho-ke, ngokushesha uthintane nodokotela wamazinyo uma, ngaphezu kwe-tachycardia, waqala ukuphawula:

• Ukushisa;
• Izithukuthuku ebusuku;
• Ukungasebenzi kwemjikelezo yokuya esikhathini;
• Ukushisa kwezingqimba zomzimba nezikhumba;
• I-Mood iyashintsha;
• Isifiso esiningi sokuvuthwa;
• Isifiso esinciphile.

Abanye besifazane badinga ukwelapha okwakhiwa kwe-hormone, ukuxoshwa kwezidakamizwa zokuhlaselwa okujulile kwe-tachycardia, kanye nokwelapha ukwandisa ukukhanya kwemithambo yegazi nokuthuthukisa ukugeleza kwegazi.

Njengama-agent engeziwe abakhululeka izimpawu zokushaya kwenhliziyo ngokushesha, ungafaka isicelo:

• Ukuzivocavoca umzimba;
• Amakilasi e-Yoga;
• Ukuzindla nezinye izinhlobo zokuzilibazisa;
• Ama-Infusions of motherwort, valerian, sage no-St John's wort.

I-Tachycardia nomfutho wegazi

Ngokuvamile, ukuhlasela kwe-tachycardia kuhambisana nokuncipha kwengcindezi yegazi. Kulokhu, uzozizwa:

• Ukushaya kwenhliziyo okusheshayo;
• Lump esiswini;
• Isizungu;
• Ubuhlungu esifundeni se-occipital sekhanda;
• Umqondo wokwesaba nokwesaba;
• Ubuhlungu ku-sternum.

Izimpawu ezinjalo zingabangela ukulahlekelwa okunamandla kwegazi, izimo zokuphazamiseka (ezinobuthi, ezithathelwanayo, ezine-anaphylactic, ukuphazamiseka okukhulu), i-vegetovascular dystonia nokukhulelwa okuvamile.

Ukuze umise ukuhlaselwa, ungazama ukuhlukumeza imisipha yezinyathelo nokucindezela imizuzwana engu-15-25 noma ukubamba umoya okwesikhashana ngemuva kokuphefumulelwa isikhathi eside.

Ngisho noma lokhu kunconywa kuye kwasiza, udokotela kufanele axhumane ngokushesha ngangokunokwenzeka. Izimbangela ze-tachycardia kulabo besifazane abangaphansi kweminyaka engama-40 nangaphezulu bangaba yingozi kakhulu. Futhi isiphetho singenziwa udokotela kuphela emva kokuhamba kwesiguli sokuhlolwa okuphelele.

Izimbangela ze-tachycardia kulabo besifazane ngaphansi kwengcindezi evamile ngokuvamile zihlotshaniswa nalokhu:

• Ukudla ngokweqile;
• Izinkinga ku-gland yegciwane;
• Ukucindezeleka okukhulu noma ukwesaba;
• Izifo ezehlukene ze-psyche;
• Ukungabi nokulala;
• I-anemia;
• Ukudakwa;
• Ukubhema;
• Ukusebenzisa ngokweqile utshwala.

Kumele kuqashelwe ukuthi i-tachycardia enezikhukhula zegazi kwenzeka kaningi.

Ukwelashwa kwe-tachycardia

Kuneziqondiso ezintathu zokwelashwa kwalesi sibonakaliso:

• Ukususa (ukumisa) kwezimpawu ngokujova okufakelwa "i-Novokainamid" noma "i-Kordaron."
• Ukumiswa nokugcinwa kwe-pulse evamile. Ukusetshenziswa kwe-beta-blockers noma isidakamizwa "i-Digoxin."
• Ukuvimbela ukwakheka kwe-thrombi - izidakamizwa ezihlanza igazi (isibonelo, "Warfarin").
• Ukwelashwa kwesifo esibangela i-tachycardia.