Clinic Frederick urwere

Frederick chirwere akawana zita rayo mukukudza muBelgian physiologist, uyo kunorondedzerwa sechinhu ibatanidzo uzere transverse (atrioventikulyarnoy) blockade uye atrial fibrillation, mune zvimwe zviitiko - atrial flutter. Nyaya ino inokurukura Frederick chirwere: zvekuchipatara features, chirwere uye kurapwa zvirwere.

urwere mashandiro

Frederick chirwere anotevera zvigadziriswe: kubva atria kusvika ventricles zvachose chinomisa conduction pamusoro nomunhu; zvisina, ita mhirizhonga, kazhinji akadzokorora kurudziro uye rutapudzo vamwe mapoka tsandanyama fibers yacho atria. The ventricles vari inovapo nokuda pacemaker, iri atrioventricular kubatana kana conduction hurongwa.

Zvikonzero Frederick urwere

The chirwere chinogona kuitika mushure zvakakomba Organic maronda mwoyo, izvo kazhinji achiperekedzwa anogumbura urongwa, sclerotome kana degeneration ari myocardium. pezvakaitwa kwakadaro zvinosanganisira Somuenzaniso, ischemic mwoyo chirwere, kunyanya muchimiro echirwere, chenjera myocardial infarction, myocarditis, cardiomyopathy, angina pectoris uye nevamwe. In zvirwere izvi mwoyo tsandanyama kuva sclerotic urongwa, zvichiguma buda anowedzera kuti connective zvinyama, izvo unotsiva kuipa, vaiwanzotiudza muviri masero kuti anogona kuitisa magetsi nomunhu. Naizvozvo, conductance iri kwakakanganiswa, uye pane blockade.

Ko cardiogram

Kuzosimbisa murwere chirwere Frederick, sezvinoita mutemo, mufambiro electrocardiograms dzakabatwa. Uyezve, kudzidza kuitwa kwemazuva nani kuongorora mwoyo mwero panguva dzakasiyana uye kuunganidza mamwe mashoko.

In pamberi chirwere pamusoro ECG mafungu zvinonyorwa fibrillation kana atrial flutter, apo hwakanaka munhu anofanira kuva kwemeno. Ventricular mutinhimira anova nomusimboti kana idioventricular, uye vakawanda - nesinusovym ectopic. RR zvikamu zviri kugara uye kodzero mutinhimira. Kuwanda ventricular mwero akanyorwa mari isingadariki 50-60 nguva paminiti. Ventricular zvivako Kazhinji wakakurisa uye akaremara.

Clinical zviratidzo uye zviratidzo

Chete tichibatsirwa unonzi, electrocardiograph kunogona kusimbisa zvakarurama murwere Frederick syndrome. Clinic, vaimuperekedza hwezuva nezuva muupenyu, ndiko kuswedera pfungwa munhu - kashoma, asi mwoyo yakarurama mwero nemwoyo yevanhu vanenge 30 uye kwete kanopfuura ka60 paminiti. Pulse zvazvingava anodonhedza nokuti kwakaderedza kupomba kushanda kwomwoyo. Uyewo, pamusoro kunotungamirira okisijeni nenzara wouropi.

Varwere kunyanya kunyunyuta simba, dzungu, kupfupika mweya, kuwedzera noutano kunyange pashure zvishoma maekisesaizi. Kana munhu asingadi kuteerera Frederick kuti urwere, zviratidzo zviri kuwedzerwa, kuonekwe cardiac kusungwa inogara 5-7 seconds. Uyezve, kungava kurasikirwa kuziva nemhaka ventricular tachycardia.

mabatiro

Kuwedzera, vanachiremba vanobvuma kuti chete yakarurama mhinduro nokuda pakurapa Frederick chirwere ndiyo muchibereko rakagadzirwa nevanhu pacemaker. Izvozvo akaiswa mugomba ventricle electrode, izvo anorwira pulses uye artificially hunokonzera marwadzo ari myocardium. The kakawanda marwadzo iri pachine zvichienderana nemamiriro murwere uye mumuviri wake basa.

Kuwedzera pacing uye kushandisa holinoblokatory. Izvi zvinhu inokosha, yakadai atropine. Zvisinei, munguva pfupi yapfuura, chikumbiro chavo akaramba nekuti vazhinji nemishonga, kusanganisira inokanganisa pamusoro psyche murwere Somuenzaniso, kukura atropinovogo psychosis.

Kazhinji, kurapwa kunoenderana kutsiga hemodynamics uye zvinokonzera atrioventikulyarnoy blockade.

Saka, Frederick chirwere kwakakomba zvakakwana kukunda cardiac tsandanyama, inozivikanwa zvachose transverse blockade akabatana atrial fibrillation.

Pari Zvisinei, zvakakodzera uye panguva yakakodzera diagnoses kuti chiitiko ichi chinogona kurapwa, pashure idzo murwere anogona kudzokera dzose uye kuramba kwavo netsika mararamiro.