Kuvhiringidza kunowanzoitika kwechimiro chemoyo, icho chinoitika kunyange muvanhu vane utano hwakakwana, inonzi ventricular extrasystole. Mune dzimwe nzira, chirwere ichi hachisi ngozi uye chinosanganisa matanho ezvidziviriro uye kutariswa ne-endocrinologist. Mamwe maitiro akaoma ehutano anoda chirongwa chakabatanidzwa chekurapa.
Zvinokonzera zvinonzi ventricular extrasystole nemhando dzayo
Dambudziko iri rinowanzoenda nevanhu vasina chirwere chepfungwa, kunyanya kana ichideredzwa mupfungwa, kunyanya mupfungwa uye mupfungwa, kunwa uye kusvuta, uye kudya.
Zvikonzero zvinokonzera extrasystole zvinosanganisira:
- ischemic heart disease;
- cardiosclerosis;
- myocardial infarction;
- osteochondrosis;
- myocarditis ;
- arterial hypertension;
- zvirwere zvekutya uye kugadzika chirongwa.
Iyo syndrome inorongwa maererano nemaviri zviratidzo. Zvichienderana newebsite iyo inokonzera kuonekwa kwezvinyorwa zvekare, chirwere chacho ndechimwe mhando dzinotevera:
- Monotopic kana monomorphic ventricular extrasystole. Mifungiro inobva panzvimbo imwe chete, sekutonga, haifaniri kutarisirwa. Inofungidzirwa kuti ndiyo inonyanya kufarirwa muurongwa hwekufananidzira.
- Polytopic kana kuti polymorphic extraricstole ventricular. Iyo inozivikanwa nekusaremera kwakakomba mu conductive system ye myocardium, extrasystoles inobva kumativi akasiyana emwoyo. Anokweretesa kuchipatara.
Nehuwandu hwekudzokorora kune imwe chete uye kazhinji inonzi ventricular extrasystole. Dzimwe nguva kune peji uye maitiro eboka rezvirwere.
Ventricular extrasystole pa ECG
Kana iwe uchikwanisa kuverenga electrocardiogram, unogona kuona kutyorwa kunotsanangurwa nemitemo inotevera:
- kusasipo kusati kwatanga extrasystole P-jino;
- izvo zvinoshamisa uye zvinowanzotanga kutaridzika kwechinenge chakashandurwa chinonzi QRS complex;
- chinopesana nzvimbo yeT-wave uye chikamu chemashizha anonzi RS-T maererano neino rinowanzo re QRS complex;
- kuvapo kwekambiso yakakwana yekubhadhara pashure pezvimwe zvechikoro;
- kusimba kwakasimba sekuwedzera kweku QRS yakaoma.
Zviratidzo zvekuwedzera kwemhepo
Sezvo mutemo, kukanganisa kunofungidzirwa kwemoyo kunotora pasina zviratidzo zvinoratidzika zvekliniki. Iyo chete ye extrasystole neyo inonzi zviratidzo zvinowanzoitika. Inofambidzana nemanzwiro ekushaikwa kwemweya, dutu, dambudziko, uye kushaya simba mumutumbi mushure mekukonzera chirwere chemwoyo.
Kurapa kwechijoka uye polytopic ventricular extrasystole
Chirwere chinoshandiswa chete pamarudzi aya ehutachiona, nokuti mamwe mhando dzaro hadzidi kurapwa kwakakosha.
Chokutanga, matanho anotorwa kuti abvise zviratidzo zvikuru zvemoyo mhirizhonga uye rukuru:
- Kubvuma kwekuzvidzivirira (zvinokonzerwa kana zvakagadzirwa) zvinodhaka, kusanganisira - Diazepam, 3-5 mg katatu pazuva.
- Kushandisa beta-blockers (Anaprilin, Propranolol, Obsidan) kwe 10-20 mg katatu pazuva.
Pamberi pebrascarcardia, cholinolytics inowanikwa zvakare:
- Bellaid;
- Itropium;
- Bellataminal;
- kugadzirira krasavki .
Kana kurapa kwakadaro kusingabatsiri, izvo zvinowanzoitika kazhinji, antiarrhythmics inoshandiswa:
- Novocaineamide;
- Quinidine;
- Dizopramide;
- Flecainide;
- Mexiletin;
- Propaphenone.
Kurapa kwechirwere chechirwere chechirwere chechirwere nemishonga yevanhu
Sekuita basa rinotsigira, zvinokurudzirwa kutora valerian kuvharwa sechirongwa chekuita zvakanaka:
- Ipai pasipuni 1 yevhu yakaoma valerian uye muidururire 1 mukombe wemvura inopisa yakabikwa.
- Simbisa maawa 8-10 pasi pechivigiro.
- Dzvinyirira mushonga, tora 1 kikapu yegadziriswa katatu mumaawa makumi maviri nemaviri panguva ipi zvayo.