Zvakasiyana zvakadaro sinus rhythm

Mhinduro kumubvunzo uyu: "Chii chinowanzoitwa sinus rhythm?" Inotanga kutambudza vanhu vazhinji pavanoita chimwe chekuongorora. Kusvikira pano, zvinoshanda zvemoyo hazvifadzi. Muchikamu chino, rwiyo rwe sinus ruchaongororwa zvakadzama.

Kazhinji kushanda kwemoyo kunopiwa nemitatu mitatu: kushushikana, kugadzirisa uye kuitisa. Chero kukanganisa kunobva pakugadzirisa kushanda kwemabasa aya kunotungamirira kukurudzirwa kwemarudzi ose e arrhythmias. Chimwe chepfungwa chepfungwa chinowanzogadzirwa mu node ye sinus uye inonzi sinus rhythm. VanaCardiologists pavanoita kuti chirwere chacho chifungisise chiitiko chokuti sinus rhythm haisi kushanda nguva dzose sechiratidzo chekushanda kwakakodzera kwomwoyo, dzimwe zvirwere zvepfungwa zvinowanikwa pasina kuvhiringidza mwoyo rhythm. Mumazvakaberekwa, chirwere chinokurumidza chinokonzera kusvika kumakumbo 150 chinoonekwa sechinhu chakanaka.

Nyanzvi yehupenyu, zvichiita pamusoro pehupenyu hwehupenyu: "sinus rhythm. Norma ", zvinoreva zvinotevera:

• Tsvina ye QRS inomirira mairi mazamu P;
• Rhythm yemwoyo ine nguva yakawanda ye 60-80 shamroke;
• Rutivi P-P kana R-R yakafanana.

Izwi rokuti "sinus rhythm kuvhiringidzi" rinoreva arrhythmias uye blockades. Chero kusvibiswa chero kupi zvako, nguva dzose uye kusagadzikana kwebasa remwoyo kunonzi arrhythmia. Cardiac blockades inokonzerwa kana kushamwaridzana kubva kune nzvimbo kuchivhiringidza zvakananga kumwoyo wemisungo.

Arrhythmias munzvimbo ye dissonance yemhepo inoparadzaniswa kune iyo yakaonekwa mumhepo yepamusoro uye yakaonekwa pamusoro pemhepo. Pakati pevanachiremba vakabvuma zvinotevera, izvo zvinoratidza chimiro chisina kugadzikana chimiro:

1. Kushungurudzika kwekupisa

• Kushungurudzika kunobatanidza nekuputsa kwe automatism, iyo inosanganisira sinus tachycardias, bradycardias, arrhythmias;
• Kushamwaridzana kunobatanidza nekutonga kwekudzidzira: kunonoka kana kukurumidza kuita maitiro, kana kusiyana kwepakati, apo rhythm yemwoyo inoderera uye inowedzera (rhythm mutyairi kukanganiswa);
• Kusagadzikana kunobatanidza nezvezvekuitika kwekunakidzwa.

2. Kushungurudzika kwekutengesa: rudzi urwu rwekuputsika runosanganisira marudzi akasiyana-siyana e blockades.

3. Kukanganisa kwakabatana

Kuti uongorore chiremba, iwe unoda kuziva murwere wechirwere, uwane dhiyabhorosi kubva kuchikoro uye zvidzidzo zvechipatara. Paunounganidza annesnesis, nyanzvi yemhepo ichaedza kuwana ruzivo pamusoro pekuvapo kwemaitiro akaipa, hupenyu uye hutachiona zvirwere. Chiremba achange achinyatsokumbira kana murwere ainzwa sokuti rwiyo rwe sinus rwakavhuniwa, chii chaaisangana nacho panguva imwe chete. Iyi dheta ichabatsira kubva kuti chii chakakanganiswa: kuwedzera kwechivi chechimiro mumurwere kana zvimwewo, zvakaderera. Kazhinji varwere vanong'un'una nezvekusuruvara mukati memwoyo nzvimbo, kuzvidzora kana chinangwa manzwiro ekushaya simba kwemoyo (kukurumidza kana kuderedza). Dzimwe nguva kukurudzirwa kwegermythmia kunogona kudarika kusingaoneki kumurwere, uye kunogona kutungamirira pakurasika kwekuziva. Uyewo arrhythmias inowanzofambidzana nekupfupika kwemhepo, manzwiro ekunyunyuta, kushaya simba. Vakadzvinyirirwa basa romwoyo kunokanganisa kushanda kwemaitiro ekufema, izvo zvinotungamirira kusisina oxygen.

Kubatsira pakuongorora kurhythmia kune ECG, uye remishonga inodhaka ichabatsira kuderedza kusaratidzwa kwakaipa kwechirwere. Kana chikamu cherhythmia chisingaiti, zvino chirwere chemishonga hachidikanwi kana chikafu chechimiro chemoyo uye kuchengetedzwa kwebasa ravo rechibvumirano chinoramba chisina kumira. Kana kushungurudzika kwechirwere kuchiita basa rinowanzokosha, chirwere chikuru chinangwa chekugadzira yakakwana ye electrolyte background nekugadzwa kwemishonga inokosha. Kana arrhythmia inogona kutungamirira kurufu rwerwere, cardiosurgeons inoshandisa electropulse therapy. Mamwe maitiro e arrhythmias anobatwa nekupindira kwokuvhiya.