I-paroxysmal yesibini (i-supranventicular) i-tachycardia ibonakalisa ngokwanda kwenani lentliziyo ukuya kuma-140-240 ukubetha ngomzuzu ngelixa ugcina isigqi sokunene senhliziyo. Ukuhlaselwa kwenzeka ngenxa yokuphambuka okuphindaphindiweyo kwisebe eliphezulu nentliziyo kunye nokujikeleza kweseyhula yokudabuka kwi-myocardium, kwaye iphelile ukusuka kwiintsuku ukuya kwiintsuku eziliqela.
Ukuxilongwa kwesi sifo
I-taroxyysmal supraventricular tachycardia kwi- ECG ijongene nayo:
- ukuguqulwa kwezinyo P;
- ukubekwa kwezinyo P kwiT;
- izakhiwo ezinokungatshintshi;
- lungile, kodwa ishythm esheshayo.
Njengeendlela ezongezelelweyo zoviwo, i-ultrasound kunye ne-tomography ingasetyenziswa.
Esi sifo asiqhathaniswa nxamnye nezilonda zomzimba zesifo senhliziyo okanye ukuphulwa komsebenzi we-ventricle engasekhohlo, kwaye ke iingcali zihlala zinika ukunyanzeliswa okulungileyo kwonyango le-tachycardia ephezulu ye-paroxysmal.
Unonophelo olungxamisekileyo kwi-tachycardia ye-paroxysmal
Ukumisa ukuhlaselwa kwe-PNT, ezi ndlela zilandelayo zisetyenzisiweyo:
- Ukugcinwa komoya wokuphefumlelwa kunye nokuxhatshazwa kwangaphandle kwesicindezelo esiswini.
- Ukucwiliswa kwamanzi ebusayo ubuso obunemizuzu engama-15.
- Ukunyanzela umgca we-carotid elifanelekileyo ngelixa isigulane silele emva.
- Ukunyanzeliswa ngokunyamekileyo kwiiyob.
- Ukusebenzisa iqhwa elomileyo entanyeni.
Ukusetyenziswa kweziyobisi kukusetyenziswa kwamachiza:
- I-Verapamil , i-adenosine triphosphate (ilawulwe ngokukhawuleza);
- I-Novokainamid isisombululo se-glucose okanye i-Metazone;
- Aymalin;
- Amiodarone;
- Digoxin;
- Dizopyramide;
- Propranol.
Ngokunciphisa ngokukhawuleza kwingcinezelo, iindlela zonyango ezilandelayo zichazwe:
- unyango lwe electropulse;
- isifo senhliziyo kunye ne-electrode probe.
Ukusebenza kunye ne-tachycardia engaphezulu kwe-paroxysmal
Inkqubo enzima yesi sifo kunye nokuchasene namayeza asetyenziswayo kubonisa ukuhlinzwa. Kujoliswe ekupheliseni imithombo engavumelekanga yeshythm ngoncedo lwemizila ye-laser, iziphumo zangoku, njl njl. okanye ukufakwa kwe-pacemaker, ejika ngokukhawuleza ngexesha lokuhlaselwa kwaye iphelile ukusebenza emva kokubuyisela isigqi senhliziyo.
Ukunyangwa kwamachiza kwi-tachycardia ye-paroxysmal
Ukunyangwa kwe-PNT kuncedwa ngamayeza emveli. Ukuchithwa okuphumelelayo kusekelwe kwi:
- uthando;
- amajikijithi e-viburnum;
- ephakanyisiweyo;
- ingcambu ye-valerian;
- umama;
- hawthorn.