Paroxysmal tachycardia ndi mtundu wa arrhythmia, umene umayambitsa kuwonjezereka kwakukulu kwa mapangidwe a mtima, koma mndandanda wawo umasungidwa. Matendawa amapezeka nthawi zambiri, onse akuluakulu komanso ana.
Kafukufuku, zizindikiro ndi zizindikiro za paroxysmal tachcarcardia
Kuthamanga kwa tachcardiadia kumayambira ndipo kumathera mwadzidzidzi, ikhoza kutha kwa masekondi pang'ono mpaka masiku angapo. Ndipo mapeto a chiwonongeko mwadzidzidzi, mosasamala kanthu kuti mankhwala achotsedwa. Nthawi zina kuwonjezeka kwa mtima muyeso kumayambitsidwa ndi kusokonezeka kwa ntchito ya mtima. Kuthamanga kwa mtima pa nthawi yovutitsa (paroxysm) ndi kugunda kwa 120 mpaka 300 pa mphindi. Panthawi imodzimodziyo m'matawuni a kayendetsedwe ka mtima kameneko pali cholinga cha chisangalalo, malingana ndi momwe mitundu itatuyi ya gawoli ikugwirira ntchito:
- matenda;
- atrioventricular (nodular);
- ventricular.
M'chipatala, paroxysmal tachcarcardia imagawidwa mu ventricular (ventricular) ndi supraventricular (supraventricular).
Kuukira kungakhale limodzi ndi zizindikiro zotere:
- kusunthira, kunjenjemera;
- kufooka, chizungulire;
- kutuluka thukuta, kuchuluka kwafupipafupi.
Supraventricular paroxysmal tachcarcardia nthawi zambiri imakhala ndi kugunda kwa mtima kwa 180 mpaka 240 mapulaneti, nthawi zambiri zimagwirizanitsidwa ndi kuwonjezeka kwa ntchito yachisoni. Zowonongeka zingakhalenso matenda a endocrine, kusayenerera kwa chiwerengero cha electrolytes m'magazi, ndi zina zotero. M'thupi ndi nthenda yotchedwa paroxysmal tachycardia nthawi zambiri imadziwika ndi nyimbo ya mtima, nthawi zambiri imakhala limodzi ndi kuwonjezeka kwa magazi, kumverera kwa coma kummero, kupweteka mumtima.
Mvula yotchedwa Ventricular paroxysmal tachcarcardia imakhala ndi kupweteka kwa mtima kwa 150-180 pamphindi ndipo nthawi zambiri imakhudzidwa ndi kusintha kwakukulu kwa myocardium, matenda a mtima, matenda opweteka a minofu ya mtima, ndi zina. Kuukira kungayambitse kuperewera kwa chidziwitso. Fomu iyi ndi yoopsa chifukwa imatha kuyambitsa matenda a ventricular - chiwonongeko chowopsya.
Paroxysmal tachcarcardia ana
Zizindikiro mwa ana ndizofanana ndi akuluakulu. Pa chiwonongeko, mwana angadandaule ndi mantha, kupweteka m'mtima, kupweteka m'mimba, mseru. Mwanayo amayamba kutuluka, kenako amasambira. Kugonjetsedwa kungaperekedwe ndi kusanza, kusafuna kudya.
Ali mwana, paroxysmal tachcarcardia pafupifupi pafupifupi zonsezi zimayambitsa kuwonjezeka, komwe, ndi mawonekedwe apamwamba, nthawi zambiri amakhala ndi mantha.
Kusamalidwa koopsa kwa paroxysmal tachcarcardia
Ngati kugwidwa kwa tachcardiadia kukuchitika, muyenera kuyitana ambulansi. Dokotala asanafike, mukhoza kuyimitsa tachycardia ndi njira izi:
- kutseka maso anu, kusisita maso ndi zala chanu pazomwe mukuchita;
- kuyika mpweya wodzaza chifuwa, kutseka mphuno ndi pakamwa ndikuyesera kupuma;
- kumapangitsa munthu kusanza;
- kupukuta kuzizira;
- tengani corvalol kapena valocordin.
Kuchiza kwa paroxysmal tachcarcardia
Chithandizo chimayikidwa molingana ndi chiyambi cha tachycardia ndi malo a zofuna, zomwe zingapezeke ndi electrocardiogram. Chithandizo chidzafuna kugwiritsa ntchito mankhwala osokoneza bongo. Ngati mankhwalawa sagwira ntchito, ngati chiopsezo chikupitirira masana ndipo ngati zizindikiro za mtima sizikuwonjezeka, chithandizo cha electroimpulse chikuchitidwa. Kuchiza kungaphatikizepo kusankhidwa kwa thupi, mankhwala osokoneza bongo, psychotherapy. Njira zamakono zothandizira opaleshoni zochepa zimathandizanso.