Kodi mtolo woyenera wa nthambi ndi momwe mungasamalire

Zamkati

• Zizindikiro zazikulu
• Zomwe zimayambitsa mtolo wolimba wa nthambi
• Momwe mankhwalawa amachitikira

Nthambi yolondola yanthambi imakhala ndi kusintha kwamachitidwe abwinobwino a electrocardiogram (ECG), makamaka pagawo la QRS, lomwe limakhala lalitali pang'ono, kupitilira 120 ms. Izi zikutanthauza kuti chizindikiro chamagetsi chochokera mumtima chimakhala chovuta kudutsa nthambi yolondola ya mtima, ndikupangitsa kuti ventricle yoyenera igwirizane pambuyo pake.

Nthawi zambiri, mtolo wa nthambi yolondola siwowopsa ndipo umakhala wamba, osakhala chizindikiro chamatenda amtima, ngakhale amatha kukhalanso chifukwa cha kusintha kwa mtima, monga matenda am'mimba kapena chotupa m'mapapo .

Dokotalalo likazindikiridwa ndi dokotala pa ECG yanthawi zonse, kuwunika mbiri ya munthuyo komanso zizindikilo zake kumachitika kuti aone ngati kuli koyenera kuyamba mtundu uliwonse wa mankhwala. Komabe, mwina kungakhale kulangizidwa kuti muzilankhulana pafupipafupi ndi akatswiri azachipatala kuti asinthe zosinthazo moyang'aniridwa.

Zizindikiro zazikulu

Kwa anthu ambiri, mtolo wolondola wa nthambi suyambitsa zizindikiro zilizonse, chifukwa chake, kusintha kumangopezeka pakamayesedwa pafupipafupi.

Komabe, anthu ena amatha kukhala ndi zizindikilo zokhudzana ndi malowa, monga:

• Kumva kukomoka;
• Kupindika;
• Kukomoka.

Ngakhale zina mwazizindikirozi ndizofala, ngati zimawoneka pafupipafupi zimatha kuwonetsa vuto la mtima ndipo chifukwa chake, ngakhale sichizindikiro cha nthambi yolondola, iyenera kuyesedwa ndi katswiri wa zamatenda.

Onani zina zomwe zingasonyeze mavuto amtima.

Zomwe zimayambitsa mtolo wolimba wa nthambi

Nthawi zina, sipangakhale chifukwa chenicheni chowonekera cha mtima wolondola, wowoneka ngati kusintha kwabwino pakuchita mtima.

Komabe, ikachitika chifukwa chazifukwa zina, chipikacho nthawi zambiri chimachokera ku:

• Matenda obadwa nawo amtima, monga septum kapena vuto la valavu yamtima;
• Matenda a mtima;
• Kuthamanga kwamitsempha yamagetsi;
• Dulani m'mapapu.

Chifukwa chake, ngakhale nthawi zonse kumakhala kusintha kwabwino, ndikofunikira kukhala ndi mayeso ena, monga chifuwa cha X-ray kapena echocardiography, kuti muwonetsetse kuti palibe vuto loyambitsa chipikacho, chomwe chimafunikira chithandizo chapadera.

Momwe mankhwalawa amachitikira

Nthawi zambiri, mtolo wolondola wa nthambi suyambitsa zizindikilo, chifukwa chake, ndizofala kuti safuna chithandizo. Pazinthu izi, munthuyo amatha kukhala ndi moyo wabwinobwino osawonjezera chiwopsezo cha matenda amtima komanso osachepera moyo.

Komabe, ngati pali zizindikilo kapena ngati chipikacho chimayambitsidwa ndi chifukwa china, katswiri wa zamtima angalimbikitse chithandizo ndi:

• Zithandizo Zothamanga Kwambiri, monga Captopril kapena Bisoprolol: kuthandizira kuti muchepetse kuthamanga kwa mitsempha, ngati ichi ndiye chomwe chimayambitsa block;
• Mankhwala a Cardiotonic, monga Digoxin: amalimbitsa minofu ya mtima, ndikuthandizira kufinya kwake;
• Kugwiritsa ntchito pacemaker kwakanthawi: ngakhale ndizochepa, chida chimayikidwa pansi pa khungu lomwe limalumikizidwa ndi ventricle yoyenera kudzera pamawaya ang'onoang'ono omwe amathandizira kuwongolera zochitika zamagetsi pamtima.

Kuphatikiza apo, ngati munthuyo amakomoka pafupipafupi, adotolo amathanso kuwunika ngati pali nthambi yolumikizira kumanzere ndipo, ngati zingachitike, atha kulangiza kugwiritsa ntchito pacemaker kapena kugwiritsa ntchito mankhwala opatsirana mtima, omwe ali ofanana ndi kugwiritsa ntchito pacemaker, koma ili ndi waya wachitatu womwe umalumikizidwa mwachindunji ndi ventricle yakumanzere, yolumikiza kugunda kwamphamvu kwa ma ventricle onse awiri.