Kungani iziguli ahlupheke sifo ka Adams-Stokes-Morgagni?

Syndrome Adams-Stokes-Morgagni ubhekwa ngempela ezingavamile. Wayesho ngumuntu nakwisyncope, inqubekela phambili isizinda asystole kakade athuthukile. Kulesi ekuguleni Atria futhi ventricles abasebenza bebodwa, ngayodwana. Ngokuvamile, lokhu uphethwe itholakala nge atrioventricular block degree II-III futhi ogulayo itheku syndrome ne ventricular izinga engaphansi kuka 70-60 ngomzuzu kwezinhliziyo zezinsana 45-50 - e izingane ezindala. Kulesi sihloko thina izochaza kabanzi mayelana nokuthi kungani abantu behlupheka sifo ka Stokes-Adams-Morgan, futhi kanjani ukulwa naso.

izizathu

Okwamanje, izazi ukuchaza izizathu eziningana eziyinhloko ukuthi ngqo futhi kuholele le nkinga. Lena isimila endaweni ye itheku carotid, futhi azalwa naso ukulimala esivimba amanzi. Into wukuthi zonke lezi zici kuthiwa ecindezela okuthiwa ezinzwa vagus, ngaleyo ndlela kwande ithoni yayo. Ngale ndlela, iziguli lesi sifo ka Adams-Stokes-Morgagni ufunde ngenkinga ekhona.

izimpawu

Nale uphethwe kwasekuqaleni livela isiyezi kuze kube nokuquleka. Lokhu uphawu ngokuvamile has ubunjalo ukuhlaselwa. Phakathi nale nkathi ngokucacile kakhulu ebonakalayo njalo emithanjeni throbbing. Pulse kuyehla kube ngu-30 ngomzuzu, ngokuvamile hhayi avelayo. Umfutho wegazi ngokuphawulekayo encishisiwe. Kwezinye izimo, iziguli lesi sifo ka Adams-Stokes-Morgagni kungenzeka okungalindelekile ukuchama / sokuzikhulula. Ukuhlaselwa yalolu hlobo ngoba usuku olulodwa nje kungaba liphindwe kuze kube izikhathi eziningana, lubonise Izibikezelo abampofu.

ukwelashwa

Njengoba kuphawulwe ngenhla, isifo Adams 'kunzima ngempela ukuba aphathe. Isiguli lokuqala kufanele ukuqinisekisa ukuthula. Njengoba for yokwelapha izidakamizwa, usikisela ukusetshenziswa izixazululo caffeine noma atropine. Ukuze uthuthukise semithambo ithoni nesitayela isixazululo mezatona. Ezimweni sina ngokukhethekile, aqokwe adrenaline ngemithamo emincane, ukuze singathwesi avuse fibrillation ventricular. In the ukungabikho ukuphumelela ukwelashwa ngenhla uphethwe isicelo okubizwa ngokuthi yokufakelwa ukupholisa yamaphaphu, kanye elivaliwe esifubeni massage ekhethekile inhliziyo.

zokuvimbela

Ukuze uvimbele yokuphindela ukuhlaselwa okunjalo okukhulunywa kufanele aphathwe igunya isifo, isibonelo, uma myocarditis - ukwelashwa ngama-corticosteroid, kanye nokwelashwa exchange angaphandle ngokusebenzisa i-calcium ne atropine. Ngokuvamile, izinyathelo zokuvimbela usesimweni esinjalo, odokotela ubheke indlela njengamanje efanele yokuphila, kuhlanganise ngesikhathi sokukhulelwa, ukudla okunempilo futhi luhlolo zokuxilonga ngesikhathi esifanele nguchwepheshe. Ngokuphathelene nalokhu kwesibili, kungcono ukuba afeze cishe kanye ngonyaka. Lapho eveza iyiphi izifo ezihlobene umsebenzi inhliziyo, kungcono ngokushesha bacedzela ngalokucwebe tifundvo ukwelashwa bese ulandela iziqondiso ezicacile bonke odokotela.

isiphetho

Kulesi sihloko, senza i-akhawunti enemininingwane iningi izimbangela kanye nokwelashwa zamanje iziguli lesi sifo ka Stokes-Adams-Morgan. Qaphela ukuthi uma kwenzeka izimpawu eziyinhloko ngokushesha kumele uxhumane ochwepheshe iseluleko. Odokotela emva luhlolo egcwele ku ngempela linqume ukwelashwa abathile. Hlala uphilile!