Ventricular tachycardia: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za tachycardia yamitsempha yamagazi
• Njira zothandizira
• Zimayambitsa yamitsempha yamagazi tachycardia

Ventricular tachycardia ndi mtundu wa arrhythmia womwe umagunda kwambiri, wokhala ndi kugunda kwamtima kopitilira 120 pamphindi. Zimapezeka kumapeto kwa mtima, ndipo zimatha kusokoneza kutulutsa magazi mthupi, zizindikilo zake zimaphatikizira kupuma pang'ono, kufinya pachifuwa ndipo munthu atha kukomoka.

Kusintha kumeneku kumatha kuchitika mwa anthu omwe akuwoneka athanzi omwe alibe zisonyezo ndipo nthawi zambiri amakhala owopsa, ngakhale amathanso kuyambitsidwa ndi matenda akulu, omwe amatha kupha.

Ventricular tachycardia imatha kudziwika ngati:

• Zosathandizidwa: ikayima yokha pasanathe masekondi 30
• Zolimbikitsidwa: ndipamene mtima umagunda zoposa 120 pamphindi yoposa masekondi 30
• Kusakhazikika mwamphamvu: pakakhala kuwonongeka kwa hemodynamic ndipo kumafunikira chithandizo mwachangu
• Zosatha: yomwe imapitilizidwa mosalekeza ndipo imafulumira
• Mkuntho wamagetsi: zikachitika katatu kapena kanayi mkati mwa maola 24
• Makhalidwe: pomwe pali kusintha komweko kwa QRS ndikumenya kulikonse
• Zambiri: QRS ikasintha ndi kumenya kulikonse
• Kuphulika: pomwe pali zoposa 1 QRS munthawi ina
• Ma Torsades de pointes: pamene pali QT yayitali ndikusinthasintha kwa nsonga za QRS
• Zowonongeka zobwereza: pamene pamakhala pachipsera pamtima
• Zolingalira: ikayamba pamalo amodzi ndikufalikira mbali zosiyanasiyana
• Chidziwitso: pamene palibe matenda amtima ogwirizana

Katswiri wamatenda amatha kudziwa zomwe ali atachita ma electrocardiogram.

Zizindikiro za tachycardia yamitsempha yamagazi

Zizindikiro za ventricular tachycardia zitha kuphatikiza:

• Kufulumira kwa mtima komwe kumamveka pachifuwa;
• Kuthamanga kwachangu;
• Pakhoza kukhala kuwonjezeka kwa kupuma;
• Kupuma pang'ono kumatha kupezeka;
• Kusapeza pachifuwa;
• Chizungulire ndi / kapena kukomoka.

Nthawi zina, tachycardia yama ventricular imayambitsa zizindikilo zochepa, ngakhale pamafupipafupi 200 kumenya pamphindi, komabe imakhala yoopsa kwambiri. Matendawa amapangidwa ndi katswiri wa zamatenda potengera electrocardiogram, echocardiogram, mtima wamagnetic resonance kapena mayeso a catheterization yamtima.

Njira zothandizira

Cholinga cha chithandizo ndikubwezeretsa kugunda kwa mtima wanu, komwe kungapezeke ndi defibrillator mchipatala. Kuphatikiza apo, mutatha kuwongolera kugunda kwa mtima ndikofunikira kupewa magawo amtsogolo. Chifukwa chake, chithandizo chitha kuchitidwa ndi:

Kutaya mtima:Amakhala ndi "magetsi" m'chifuwa cha wodwalayo pogwiritsa ntchito chosinthira kuchipatala. Wodwala amalandira mankhwala ogona panthawiyi, motero, samva kuwawa, yomwe ndi njira yachangu komanso yotetezeka.

Kugwiritsa ntchito mankhwala: amawonetsedwa kwa anthu omwe samawonetsa zizindikiritso, koma zomwe sizothandiza monga matenda amtima, ndipo kuthekera kwa zovuta zake kumakhala kwakukulu.

Kuyika kwa ICD: ICD ndichida chokhazikitsidwa cha cardiodefibrillator, chofanana ndi pacemaker, yomwe imawonetsedwa kwa anthu omwe ali ndi mwayi waukulu wopereka magawo atsopano a ventricular tachycardia.

Kuchotsa madera ang'onoang'ono osazolowereka:kudzera mu catheter yolowetsedwa mumtima kapena opaleshoni yamtima yotseguka.

Zovuta zimakhudzana ndi kulephera kwa mtima, kukomoka ndi kufa mwadzidzidzi.

Zimayambitsa yamitsempha yamagazi tachycardia

Zina zomwe zimatha kuyambitsa ma ventricular tachycardia ndi monga matenda amtima, zoyipa zamankhwala ena, sarcoidosis komanso kugwiritsa ntchito mankhwala osokoneza bongo, koma pali zina zomwe sizimadziwika chifukwa chake.