Paroxysmal supraventricular tachcarcardia

Paroxysmal supraventricular (supranventicular) tachycardia imaonekera pakuwonjezeka kwa mtima kwa 140 mpaka 400 kupweteka pa mphindi imodzi pokhala ndi nyimbo yabwino ya mtima. Kuwombera kumachitika chifukwa cha kubwereza mobwerezabwereza mu dipatimenti yapamwamba ya mtima ndi mzungulidwe wa chisangalalo kupyolera mu makanemadiyamu, ndipo amatha kuchokera nthawi imodzi mpaka masiku angapo.

Kuzindikira matendawa

Paroxysmal supraventricular tachcarcardia pa ECG yakhazikitsidwa monga:

• kupotoza kwa dzino P;
• kuika kwa dzino P pa T;
• zosinthika zosasintha;
• zolondola, koma mwamphamvu kwambiri mwamphamvu.

Monga njira zina zowonetsera, ultrasound ndi tomography zingagwiritsidwe ntchito.

Matendawa sagwirizanitsidwa ndi zilonda zam'mimba za mitsempha kapena kupweteka kwa ntchito ya ventricle ya kumanzere, choncho akatswiri kawirikawiri amapereka chithunzi chabwino pochiza matenda a paroxysmal opraventricular tachcarcardia.

Kusamala koopsa kwa paroxysmal supraventricular tachcarcardia

Kuletsa kuukira kwa PNT, njira izi zikugwiritsidwa ntchito:

1. Kusungidwa kwa mpweya mwa kudzoza ndi kupweteka kamodzi pamakina apamimba.
2. Kubatizidwa kumadera ozizira kumaso kwa madzi ndi mphindi khumi ndi zisanu.
3. Pogwiritsa ntchito mitsuko yoyenera ya carotid pamene wodwalayo wagona kumbuyo kwake.
4. Kupanikizika mosamala pamaso a maso.
5. Kugwiritsa ntchito ayezi owuma kumutu.

Mankhwalawa ndi kugwiritsa ntchito mankhwala:

• Verapamil , adenosine triphosphate ( yogwiritsidwa ntchito mwachangu);
• Novokainamid yothetsera shuga kapena Metazone;
• Aymalin;
• Amiodarone;
• Digoxin;
• Dizopyramide;
• Propranol.

Mukamavutika kwambiri, njira zotsatirazi zothandizira:

• chithandizo cha electropulse;
• kupuma kwa mtima ndi prote electrode.

Ntchito ndi paroxysmal supraventricular tachcarcardia

Njira yayikulu ya matendawa ndi kukana mankhwala omwe akugwiritsidwa ntchito ndizomwe zimagwiritsidwa ntchito opaleshoni. Cholinga chake ndichotseketsa magwero osadziwika a nyimbo ndi thandizo la ma radiation, zotsatira zamakono, ndi zina zotero. kapena kukhazikitsa pacemaker, yomwe imangowonjezereka panthawi ya kuukira ndikusiya kugwira ntchito mutatha kubwezeretsa mtima.

Chithandizo cha mankhwala a paroxysmal supraventricular tachcarcardia

Chithandizo cha PNT chimathandizidwa ndi mankhwala. Zosamalidwa bwino zowonongeka:

• chikondi;
• zipatso za viburnum;
• ananyamuka m'chiuno;
• muzu wa valerian;
• mayi;
• hawthorn.