Sinus bradycardia. Zvine ngozi here?

Bradycardia rudzi rwekuvhiringidzika kwemwoyo rhythm, rinoratidzwa mudonhe muhuwandu hwekurova kwemwoyo pasi pemakore 55 bpm. Mune zvimwe zviitiko, kuderedzwa kwakadaro muhuwandu hakusi kurwara, asi kunoshanda sechiito chechisikigo chechimiro kune zvinenge zvichiitika mairi. Semuenzaniso, kushaya mwoyo kunononoka panguva yekurara kana mushure mekutora mamwe mishonga. Zvisinei, kazhinji kacho bradycardia ndiyo kurasikirwa kwechibato chechi sinho kukwanisa kuunza mafungiro emagetsi mumagariro evanhu.

Zvinokonzera

Kuita zvechisimba munharaunda ye sinus uye nzira yekudzidzira yemwoyo inogona kukonzerwa nehuwandu hwezvirwere zvakasiyana. Izvi zvinosanganisira zvirwere zvehutano hwemwoyo zvakadai se myocarditis, coronary atherosclerosis, cardiosclerosis, ischemic matenda, post-infarct scars. Sinus bradycardia yemwoyo inogonawo kukonzerwa nekuvhiringidzwa mubasa rehutachiona hwehurumende, zvirwere zvakakomba kana zvirwere zvekupedzisira.

Mhando dzakasiyana dzebrascarcardia

Zvichienderana nezvinokonzerwa nekubuda, marudzi akatevera anosiyaniswa:

1. Mishonga yemaraycardia. Kuderedza pasi rwiyo kunoratidzwa mushure mekutora mishonga yakadaro seOzidzid, Anaprilin, Verapamil, Kordaron, Quinidine.
2. Neurogenic bradycardia inoderera mu rhythm nechepamusoro pematauriro ewedzera yeparasympathetic dhipatimendi, neuroses, depressions, hypertension, uyewo mumamiriro ezvinhu ekuwedzera kusagadzikana kwechisimba.
3. Iroxic bradycardia inoguma zvirwere zvinotapukira. Somuenzaniso, typhoid fever, viral hepatitis, fenza, kana sepsis.
4. Endocrine bradycardia chirwere chinokonzerwa nokuwedzera kwe oksijeni, potassium uye calcium muropa.
5. Cardiogenic organic. Izvi zvakasiyana
   Inoratidzwa ne myocardial infarction, ischemic heart disease, myocarditis, cardiosclerosis.

Zviratidzo uye Kuongororwa

Apo kuongororwa kunoitwa, zvinyorwa zve electrocardiogram zvakakosha zvikuru. Chiremba anopiwa kuongorora kweEECG nemamwe marudzi ekuongorora, zvichienderana nemigumisiro yechirwere chemuongorori. Chiratidzo chikuru mukuona kuti kudonha kuri muitiro wekushaya moyo pasi pemakore 55 bpm. Zviratidzo zvinotevera zvinogona kushanda sezviratidzo zvakare zvechirwere ichi:

• Marwadzo mumoyo;
• Kusagadzikana kweropa;
• Kuneta, kuneta;
• Dhizinesi;
• Kupera.

Kurapa

Kuita zvechisimba kwemaitiro anoshandiswa kwemaitiro echivi kunogona kutungamirira kumigumisiro yakakomba. Mune zvimwe zviitiko, kumanikidzwa kwemwoyo hakubvumiri . Matanho ekudzivirira uye kurapwa kwechirwere ichi chinangwa chekudzivirira migumisiro iyo sinus bradycardia inotungamirira. Zviratidzo zvekuratidzwa kwehutachiona hunoita chiremba kuti anzwisise chiyero chekuvhiringidzika kwemashoko. Kana kuwira mumutambo hakusi pamwe nemarwadzo, kupera kana zvimwe zviratidzo zvekare, kurapwa kungave kusingadiwi. Mune zviitiko apo chirwere chinoratidzika kuti chakakosha, chinofanira kutanga chave chinangwa chechirwere chepakati, izvo zvakaita kuti kuonekwa kwebradycardia. Mukuwedzera, mushonga wezvinodhaka unoshandiswa kugadzirisa hutano hwemwoyo. Mumatambudziko akakomba, kuiswa kwepemaker kunokwanisika.