IArrhythmia kukuphulwa kobuninzi, isigqi kunye nesondlo sokukhutshulwa nokuphambana kwentliziyo. Ngomntu ngamnye, izinga lentliziyo libonakaliso ngamnye, oluxhomekeke kwisini, ubudala, umzimba, imeko yempilo kunye nezinye izinto ezininzi. Kodwa kwiimeko ezininzi, izinga lentliziyo kubantu abadala abadala abanempilo alugqithisi ama-60-90 beats ngomzuzu.
Inkqubo yokweqa entliziyweni inxulumene neempembelelo ezivela kwi-node ye-sinus (umqhubi wesigxina) esesigxina se-right atrium. Iipulsi zidlula kwiifayili ezikhethekileyo, ezibangela ukuba i-atrium ingenise isivumelwano, idluliselwe kwinombolo ye-atrioventricular ne-ventricles. Zonke ezi zakhiwo ziqhuba inkqubo yentliziyo, kwaye nayiphi na ukuphazamiseka kuyo kukho ukungaphumeleli kwintliziyo yesigqibo - iintlobo ezahlukeneyo ze-arrhythmia.
Kuthetha ntoni "i-sinus arrhythmia"?
I-sinus arrhythmia iyisabelo sokungalingani kwempembelelo kwi-node ye-sinus ngenxa yokuphulwa kwexesha lokukhutshulwa kwelokugqibela, apho isingeniso sinokukhawuleza okanye siyashewuleza, kwaye ukuphazamiseka kwemizimba kungenzeka ngexesha elilinganayo lexesha. Ngexesha elifanayo, ukulandelana okuchanekileyo kokuqhekeka kwenhliziyo kugcinwe.
Kwezinye iimeko, i-sinus arrhymia yimeko engokwemvelo engeyingozi, umzekelo, njengempendulo yokuxinezeleka okanye uxinzelelo lomzimba, emva kokutya okuninzi, ngokuphefumla, njl. Kwezinye iimeko, ukuphazamiseka kwesigxina kubangelwa iinkqubo ezahlukeneyo zokugula kunye nokufuna unyango.
Izizathu kunye neempawu ze-sinus arrhythmia
Kukho amaqela amaninzi eemeko ezibangela ukuphazamiseka kwentliziyo, oko kukuthi:
1. Inhliziyo:
- isicic heart disease;
- i-myocardial infarction;
- ukuhluleka kwentliziyo;
- i-cardiomyopathy;
- myocarditis , njl
2. Aphoswanga:
- i-dystonia yemifuno;
- ukukhulelwa kwegazi;
- bronchitis;
- i-asthma ye-bronchial;
- isifo sikashukela;
- Izifo zengqondo ye-Thyroid, njl
3. Amachiza - ukusebenzisa ixesha elide okanye elingalawulekiyo kweziyobisi ezithile, umzekelo:
- glycosides
- diuretics;
- iziyobisi,
Izifo zakwa-Electrolyte - utshintsho kwisilinganiselo samaratha e-potassium, i-sodium kunye ne-magnesium equlethwe emzimbeni.
5. Izinto ezinobuthi:
- utshaya;
- usela utywala;
- ukuboniswa kwamagunya eekhemikhali.
Kwiimeko apho imbangela yokuphazamiseka kwentliziyo ingenakusungulwa, bathetha nge-idiopathic sinus arrhythmia.
I-sinus yokucwangcisa i-arrhythmia, eyenzeka ngokungapheliyo ngexesha lokuzivocavoca, utshintsho lwe-hormonal emzimbeni, ngenxa yokuguga ngokwemvelo, njl njl., Ayikho into ebonakalisiweyo kwaye ayibangeli nantoni na. Iidriyithi ezingakumbi ze-sinus arrhymia zingabonakalisa ezi zinto zilandelayo:
- dyspnea ekuphumleni;
- ubuthathaka obunamandla;
- utshintsho kwixinzelelo lwegazi;
- uvakalelo lwentliziyo ephazamisayo;
- ntliziyo;
- Umbono obolileyo;
- intlungu yesifuba
- ukuvakalelwa ngomoya;
- ukungcola.
I-Sinus i-arrhythmia kwi-ECG
I-Electrocardiography yindlela ephezulu yokuxilongwa kwe-arrhythmia. Uphawu oluphawulekayo lwe-pathology kwi-cardiogram kukunciphisa ngokukhawuleza okanye kwandiswe kwexesha le-RR (umgama phakathi kwamazinyo aphezulu). Ukufumana umfanekiso opheleleyo malunga nokuhlolwa kwe-Holter ye-pathology ingasetyenziselwa - ukurekhodwa kwe-ECG imihla yonke, eyenziwa ngokuqhubekayo kwiiyure ezingama-24 usebenzisa irekhodi eliphathekayo. I-ECG nayo ingenziwa phantsi komthwalo.
Unyango lwe-sinus u-arrhythmia
Okokuqala, izigulane zifunwa ukuba zingabandakanyi izinto ezibangelwa yimpikiswano yentliziyo:
- imikhwa emibi;
- uxinzelelo;
- ukungabikho kokulala;
- ukunyanzelisa umzimba;
- ukutya okungenampilo;
- ukusela itiye eqinile, ikhofi, njl.
Unyango lujoliswe ekuphelisweni kwezifo eziphazamisayo eziye zasetyenziswa rhoqo. Izidakamizwa ze-antiarrhymic zichazwe, kwaye kwiimeko ezinzima, i-pacemaker ifakwe.