Right chiputu Bazi misa

The blockade zvakarurama chiputu bazi nechigumbuso tsoka - awana kutyora conduction mwoyo ventricles. It kunoitika muna 0.2% vechidiki. With zera, ichi arrhythmia maitikiro kunowedzera kusvika 0.45%. chirwere ichi ndiyo inenge nguva kumbowanikwa hono hafu yevagari.

Huru chinhu kunokonzera kukura chirwere ichi chinhu chemwoyo panguva rikwanise chokutambudzika. Vanhu makore makumi mana pakati blockade rwerudyi gumbo chiputu Rake benign, hakuna chokuita abnormalities ose cardiac tishu. Mune zvimwe zviitiko kukura ichi mhando arrhythmia kunoita neBP (60% vose nyaya). Mune zvisingawanzoitiki kacho kunokonzerwa vachiberekwa anomalies (hypoplasia ari kutanga mapazi eumambo myocardium). Uyewo, kuti kwaita mamiriro sei pamberi mwoyo urema: ventricular kuremara, atrial masvingo, kuderedza muromo zvemapapu tsinga. Thromboembolism ngarava, apo obstructive pulmonary chirwere chisingaperi hunhu, zvinoisa kune Munotatamura rwerudyi ventricle, izvozvo kungakonzera zvakafanana arrhythmias.

Zvinoita kuti kukura ichi vari cardiomyopathy, kungopotsera kunotevera zamu, mberi chinonzi dystrophy, hyperkalemia, zvinodhaka ovhadhozi (novokainamidom, quinidine, cardiac glycosides), pakuvhiya nhengo ichi (hunyambiri ventrikulotomiya), cardiac namamota, syphiloma. Complete blockade rworudyi chinogumbura tsapo bazi rine zvekuchipatara zviratidzo nezvirwere zvakakonzera izvozvo. Vamwe varwere takatsunga nokuchinja panguva auscultation: anotsemura rokutanga (ishoma), uye matauriro wechipiri (anonyanya).

Unonzi, electrocardiograph dzakaonekwa zvinotevera chirwere nzira ndiwo: kuwedzera ventricular kunzwisisa, mukuru zino R iyo kuchengetwa yokutanga precordial zvinoisa, serrated R, sezvo rinorondedzerwa kuruboshwe kunotungamirira zino kuti ane zvakasiyana ukoshi; husina nhungamiro S, ST.

Right chiputu chinogumbura bazi, mishonga izvo, zvingaita sezvinoshamisa kuti vanokudzwa, hakurevi chinhu gadziriro chaidzo. Zvinoitawo hakurevi edokardialnoy dzishande, izvo zvakajairika zviitiko zvinoitwa kuitira kudzivirira pakuparwa yomwoyo. Kana zvakakodzera kurapwa zvirwere, iro nguva dzose kutungamirira chimiro ichi mhando arrhythmia. The blockade rworudyi chinogumbura bazi chiputu, rinowanikwa mune vanhu vaduku mapoka, umo hakuna Organic maronda ari cardiac zvinyama ane hwakanyatsorwisa zvakanaka fungidziro. Kure maonero arrhythmia haikwanise kupinda zvizere AB AB raiva pedyo nebundu blockade.

Maererano kuongorora, mawa panowanikwa abnormalities izvi kutungamirira zvishoma nokuvhiringidzirwa conduction kubva atria kusvika ventricles. Zvisinei, pangava kuparara kunotoda mukurwara blockade iyi rutapudzo pakati pulses mu mukomboni AB. Kana achabatanidza kwakadai arrhythmia zvakananga BP, nokuti chirwere ichi dzinokwanisa kuoma, lethality anova mukuru pasi izvi ezvinhu. Zvisingafadzi. chinhu ndiyo pamberi cardiomegaly, congestive mwoyo kukundikana, systolic elongation nguva. The blockade pamusoro chiputu bazi rworudyi yomuka pamusoro yaitwa myocardial infarction, anenge hakuchaonekwi kupinda chero arrhythmia chokuita kutyora mashandiro ari AB nzvimbo. Naizvozvo, kwakadai zvokurwara ane anenge hapana mukuru azvipire hwenyama. Zvisinei, kuvapo chakakomba cardiac yematambudziko, zvingatiita kuti kurema uye kuomesa kurapwa kwavo, izvo zvinogona va neudhadha.