Arrhythmia ndi kuphwanya mafupipafupi, nyimbo ndi dongosolo la chisangalalo ndi kusokonezeka kwa mtima. Kwa munthu aliyense, kuyima kwa mtima ndi chizindikiro chokha, chomwe chimadalira kugonana, zaka, thupi, thanzi labwino ndi zina zambiri. Koma nthawi zambiri, kuthamanga mtima kwa anthu achikulire odwala sikudutsa 60-90 kugunda pamphindi.
Njira yokhazikika mkati mwa mtima imagwirizanitsidwa ndi zofuna zomwe zimachokera mu nambala ya sinus (woyendetsa nyimbo) yomwe ili pampando wa malo abwino. Mitsempha imadutsa muzipangizo zamtengo wapatali, zomwe zimapangitsa kuti atrium agwirizane, kuwonjezera pa nthenda ya atrioventricular ndi ventricles. Zonsezi ndizoyendetsa mtima, ndipo kusokonezeka kuli mmenemo kuli kulephera mtima mumtima - mitundu yosiyanasiyana ya arrhythmia.
Kodi "sinus arrhythmia" amatanthauzanji?
Sinus arrhythmia ndi kusagwirizana pakati pa zofuna zapachikhalidwe chifukwa cha kuphwanya nthawi yachisangalalo cha chisangalalo, momwe nyimbo zimakhala mofulumira kapena pang'onopang'ono, komanso kusintha kwa mtima kumachitika nthawi yosiyana. Pa nthawi yomweyi, kusinthasintha kwabwino kwa mtima kumasungidwa.
Nthawi zina, sinus arrhythmia ndi chikhalidwe chachibadwa chomwe sichingakhale chowopsa, mwachitsanzo, monga momwe amachitira ndi nkhawa kapena kupsinjika maganizo, pambuyo pa chakudya chochuluka, kupuma mokwanira, ndi zina. Nthawi zina, kusokonezeka kwa nyimbo kumakhala chifukwa cha matenda osiyanasiyana komanso kumafuna chithandizo.
Zifukwa ndi zizindikiro za sinus arrhythmia
Pali magulu angapo a zinthu zomwe zimayambitsa kusokonezeka kwa mtima, monga:
1. Kachilombo:
- chithandizo;
- myocardial infarction;
- mtima;
- mtima;
- myocarditis , ndi zina zotero.
2. Osagwedezeka:
- zomera;
- magazi;
- chitsulo;
- mphutsi yamoto;
- shuga;
- Matenda a chithokomiro, ndi zina zotero.
3. Mankhwala - kugwiritsa ntchito mankhwala osokoneza nthawi yaitali kapena osagwira ntchito, mwachitsanzo:
- glycosides wa mtima ;
- diuretics;
- mankhwala osokoneza bongo, ndi zina zotero.
4. Matenda a electrolyte - kusintha kwa chiŵerengero cha salt a potassium, sodium ndi magnesium omwe ali m'thupi.
5. Zinthu zoopsa:
- kusuta fodya;
- kumwa;
- kufotokoza kwa mankhwala othandizira.
Zikakhala kuti vuto la mtima wachisokonezo silingakhazikitsidwe, amalankhula za idiopathic sinus arrhythmia.
Siner arrhythmia, yomwe imapezeka nthawi zambiri pa zochitika zolimbitsa thupi, kusintha kwa mahomoni m'thupi, chifukwa cha ukalamba, etc., sizinayambe kuwonetseredwa ndipo sizimayambitsa vuto lililonse. Miyeso yambiri ya sinus arrhymia ingakhale ndi mawonetseredwe otsatirawa:
- dyspnea pa mpumulo;
- kufooka kwakukulu;
- kusintha kwa magazi;
- kumverera kwa mtima wozama;
- mtima;
- masomphenya omveka;
- kupweteka pachifuwa
- kumverera kwa kusowa kwa mpweya;
- chizungulire.
Sinus arrhythmia pa ECG
Electrocardiography ndiyo njira yeniyeni yothetsera matenda. Chizindikiro chodziwika bwino cha matendawa pa khungu la mtima ndi kuchepetsa kapena kuchepa kwafupipafupi kwa nthawi ya RR (mtunda pakati pa mano opambana). Kuti mupeze chithunzi chokwanira cha momwe kachilombo ka HIV kachipangidwe kamagwiritsidwira ntchito - tsiku lililonse kujambula ECG, komwe kumachitika mosalekeza kwa maola 24 pogwiritsa ntchito zojambula zojambula. Komiti ya ECG ikhozanso kuchitidwa potsatira katundu.
Kuchiza kwa sinus arrhythmia
Choyamba, odwala amayenera kuchotsa mavuto omwe amachititsa kusokonezeka kwa mtima:
- zizoloŵezi zoipa;
- chisokonezo;
- kusowa tulo;
- kuyesetsa mwamphamvu;
- chakudya chosadetsa;
- kumwa tiyi wamphamvu, khofi, ndi zina zotero.
Chithandizo chikuwongolera kuthetsa matenda opweteka omwe amadziwika, omwe mankhwala osiyanasiyana amagwiritsidwa ntchito nthawi zambiri. Mankhwala oletsa antiarrhythmic amalembedwa, ndipo pakakhala zovuta kwambiri, amachititsa pacemaker kukhalapo.