The blockade kwomwoyo - chii? Zvinokonzera, zviratidzo uye kurapwa nomwoyo misa

Kuwedzera, vanhu vari kutambura nezvinetso zvomwoyo. Kunyanyisa mumuviri uye mupfungwa, chisingaperi zvirwere, zvakaipa tsika - izvi zvose hazvigoni asi kukanganisa kumwoyo. Chimwe chezvinhu ngozi zvokurwara ane mwoyo nechigumbuso - chirwere kunoitika kana ari standalone kana tichienzanisa nedzimwe hosha. Saka, mamiriro umo DZEMUNHU DZINODZORA kana kudzivirira kutapurirana tichimhanya kwomwoyo tsandanyama, anonzi mwoyo nechigumbuso. Chii chiri chirwere ichi, ndedzipi zvikonzero kukura kwayo, zviratidzo, zviratidzo, sei kuti uzvidzivirire nayo?

zvikonzero

The zvokurwara zvingaitika roga kana somugumisiro zvimwe zvirwere kana kuomesa. Muchiitiko chokutanga, basa reDare magene kubatwa. Kana munhu mumhuri ari kutambura zvinetso mwoyo, zvino ane mukana nani zvikuru zvokurerwa akauraya nechirwere inonzi "mwoyo nechigumbuso." It kwakakomba panjodzi, haasi munhu wose anoziva, uye varwere havasi kutomboziva zhinji zviitiko zvinogona zvinetso kumwoyo, apo kuramba kutungamirira zvakajairika muupenyu. Vachiberekwa chirwere - ndechimwe chinhu chinowedzera kukura ane mwoyo matambudziko evanhu.

Mwoyo nechigumbuso inogona kukudziridzwa tikafunga zvirwere zvakadai myocarditis, angina, kardiosklerosis, myocardial infarction, thickening mwoyo tsandanyama, uye vamwe. Chimwe chikonzero makabuda overdosage zvinodhaka kana zvisiri dose kurapwa. Kubva ichi zvinoreva kuti unofanira kutevera nguva dzose zano chiremba kana nokungwarira kuzodzosera verenga mirayiridzo kushandiswa.

mhando

Blockage inogona vemunyika munzvimbo dzakasiyana-siyana dzomuviri, iyo anosarudza ayo kupatsanura uye kurapwa.

Kana atrial (sinotrialnyh) blockade pa atrial tsandanyama pamwero DZEMUNHU DZINODZORA tsinga zvatinganzwa. Kana atrium kuruboshwe, ipapo vagumirwe ichiri zita mwoyo chinogumbura rworuboshwe, kana kurudyi, ipapo rworudyi. zvokurwara iri nyore kuvhiringidzwa bradycardia - tava kuderera mwoyo mutinhimira. Dzimwe nguva utano munhu anogona kuratidza kuti blockade mhando iyi. Ataurwa dhigirii achiperekedzwa nokugwinha uye kufenda.

Atrio-gastric kana atrioventricular misa yakatanga nokuda kutyorwa kuri tichimhanya munzira kubva atria kusvika ventricles. Blockade ventricle - mamiriro umo conductivity iri uchaputswa chinogumbura tsapo bazi. Kutsamwisa chirwere unogona nematambudziko akadai cardiomyopathy, ischemic chirwere kwemoyo, infective endocarditis, myocarditis, myocardial infarction. Imwe mugariro - chidhina bazi mwoyo. Chimwe zita zvinowanzovapo chirwere - chirwere makumbo yebazi chinogumbura masumbu. Kana akawanikwa chete adzikatidza rokurudyi mwoyo (kana kuruboshwe), ngozi kwaari upenyu, haana kupa. Zvizhinji kuipa kana murwere blockade makumbo ose, ipapo zvinoda pakarepo muchipatara uye zvakakodzera kurapwa.

Atrioventricular chinogumbura dhigirii I uye II

Kana murwere akawanikwa atrioventricular mwoyo nechigumbuso (ndiro - zvakanaka kuratidza unonzi, electrocardiograph), hurumende uye fungidziro kunobva papi pane vatatu. Chokutanga dhigirii segwapa anononoka ari conduction kuti mafungiro. Zvikonzero kukura vari kunyanya kutyorwa electrolyte hunhu, chenjera myocardial infarction, myocarditis, rakawedzera vagal matauriro, imwe ovhadhozi kurapwa mwoyo. Kusava nehanya chirwere kungaguma yakawedzerwa papi kana kunoita blockade.

The dhigirii yechipiri dzinoratidzwa vachipinda ventricles kwete pulses zvose. Clinical zviratidzo vanotaura: bhokisi marwadzo, dzungu, hypoperfusion, bradycardia, pasi BP, mugari kufamba kweropa. Rinokonzera pokumuka zvirwere zvinogona mutambo nenyanzvi, rikwanise myocarditis, kuvhiyiwa pamusoro mavharuvhu, mwoyo urema, vagotonia.

Third dhigirii atrioventricular misa

Blockade kuti dhigirii rechitatu, kana blockade chakakwana - mamiriro umo kupomba hauna kuitwa zvachose. Ventricular uye atrial kuitika pasinei mumwe. Murwere vanogona zvinotevera zviratidzo: bhokisi kurwadziwa, kuda kurutsa, kurutsa, kupfupika mweya, simba, dzungu, vangadikitira, vanotaura pamusoro pfungwa, kungoerekana rufu zvinogona kuitika.

Zvikonzero blockade vari vakatodzidza metabolic zvinetso, chenjera rheumatic fivha, myocarditis, myocardial infarction, matambudziko pashure pokuvhiyiwa, imwe ovhadhozi zvinodhaka.

Heart kukwana blockade

Hosha anowanika vechiduku uye kunyange achinzi musiyano pakati vasingambooni chakaipa nazvo. The chete ngozi kukwana blockade mwoyo - kuti ichi kunogona kuva zvakazara. Kazhinji, chirwere chokuita kukura makemikari mwoyo zvirwere: cardiomyopathy, kutsemuka vharafu dysfunction, vane chirwere cheBP mwoyo chirwere, coronary tsinga chirwere. Chirwere kukwana blockade rinoitwa kushandisa kwemwoyo unonzi, electrocardiograph.

Dzimwe nguva varwere vari chirwere "kukwana blockade rworudyi gumbo mwoyo" (tsapo webazi nechigumbuso). chirwere ichi vangave vachiberekwa kana akava hunhu, uye Rinobatanidzwa haasaruri kutyora anopfuura kubva kurudyi gumbo His- yemagetsi kufamba kweropa. It anobuda benign, hapana marapiro kunodiwa uye anogona kashoma uende zvizere blockade. Kukwana blockade of ventricle uye haisi ngozi, asi kuona maitiro wake zvakafanira kudzivirira kunoita.

Heart misa muvana

Kana kondakita masero ari mhando rechipiri uye rechitatu, basa nokupfuuridzirwa nomunhu kuna contractile myocardium kubudikidza introducer hurongwa, ishande havaratidzi, vana vanokura mwoyo nechigumbuso. Localization zvingava ventricular kusatombofunga (kurudyi mwoyo nechigumbuso), atrioventricular kana sinoatrial mufurati, nokuti kukwana - kwakakwana uye kukwana, panyaya chinogumbura tsapo bazi - transverse kana longitudinal.

matambudziko mwoyo mwana angava vachiberekwa uye vawana. Kana vana vanoziva zvokurwara upi hunhu kwomwoyo, unofanira kukurumidza kugadzirisa kuti vanachiremba (chiremba, cardiologist) uye kutanga kurapwa. The panowanikwa mwoyo nechigumbuso mune vana kunyima mwana mukana kuti kurarama sezvinongoita, zvichaita nguva dzose teverai zviratidzo, uye upenyu anotarisirwa uchaderedzwa yekudyidzana. Saka zvinokosha kudzivirira kukura chemwoyo yematambudziko, kuongorora mwana utano mamiriro, angambosvika kurwira upenyu hwake.

Diagnostics

Chirwere mwoyo nechigumbuso achiri Danho kungava kubudirira danho mumugwagwa apore. Naizvozvo inokurudzirwa kutsvaka rubatsiro kana kumanikidzika usingashandi zviratidzo, kwete chete kana zvinoda amburenzi. Nengozi hosha kunobva munhu mhosva. Uye kana kukwana murwere anogona kuramba dzose upenyu, kwakakwana siyana zvinogona kuguma kwazvo matambudziko, kunyange rufu.

Rokuongorora zvokurwara inogona inobva migumisiro unonzi, electrocardiograph, iyo panguva pakudzidza runoita kuti vaongorore mamiriro ari nhengo. Asi zvinokosha kufunga kuti panowanikwa blockages kunogona kuva nenguva dzirikure. Zvinopfuura blockade kuongororwa kushandisa wekusimbisa muviri bvunzo, Holter zvichiongororwa, asiwo echocardiography zvinogona basa kuzosimbisa zviratidzo.

mabatiro

blockades kurapwa rakakamurwa matanho anokosha akawanda. Chekutanga, zviri nenguva chirwere uye ipapo - kusimbisa hunhu uye zvinokonzera. Uyezve, vakawanda chiito zvinofanira zvainanga kugadzirisa zvinokonzera (kana akatenga). Mune zvimwe zviitiko (kukwana blockade) ndakaiswa chete vachiongorora. Zvadaro mberi kune kurapwa pakarepo pamusoro blockages, izvo, zvichienderana zvakaoma, zvingava zvokurapa kana zvomusejari.

Kana kurapa mishonga anowanzodanwa ushandiswe mishonga yakadai se "Ortsiprenalina sulfate", "Izoprenarina hydrochloride" "atropine". Heavy ezvinhu omurwere uye inefficiency medicaments kungava chiratidzo kwenguva pfupi kana zvachose pacing. Pacemaker muchibereko rinoitwa advantageously varwere makore 60-70 ekuberekwa.