ʻO ka noʻonoʻoʻo Nadzheludochkovoy he hana i hōʻeha i ka naʻau maʻamau. ʻO nā kumu a me nā hōʻike o kēia pilikia uaʻano likeʻole. ʻO ia wale nō,ʻaʻole iʻoi loa ka weliweli o kēia maʻi, akā,ʻaʻole kēia he kumu e haʻalele ai iā ia. ʻO nā mea a pau ma muli o ka loiloiʻana o ka supraventricular extrasystole i nā hopena maikaʻiʻole.
He aha kēia -ʻo ke kōkō nui keu?
Ke waiho wale nei, he arrhythmia kēia, hele pū me keʻano o nā manaʻo hou o ka naʻau. Kū i waho kēia mau mea ma waho o ka pūnaewele kāpili naʻaupō - ma ka'āpana atria aiʻole ka liʻiliʻi atrioventricular. ʻO ia mau manaʻo e lilo i kumu no nā kūlana kūikawā kūikawā.
ʻO ka hapanui o ka manawa o keʻano o keʻano o keʻano o nā kumuhana o ka naʻau. Akā, i kekahi manawa he mea maʻalahi ka mea maʻalahi a me nā kānaka olakino.
Nā kumu o kaʻokiʻoki o supraventricular
Nā mea e kākoʻo i ka hoʻokōʻana i nā extrasystoles, he nui. ʻO ka hopena o ka hopena o kēia mau mea a me nā mea paha o lākou ma ke kino, e hilinaʻi ana i ka nohona o ke ola kanaka, kona mau hiʻohiʻona.
ʻO nā kumuhana maʻamau o nā extrasststoke supraventricular i heluʻia penei:
- ka maʻi o ka maʻi ischemic;
- ka hōʻeha kino;
- ʻO ka maʻi oxygen o ka puʻuwai;
- myocarditis ;
- maʻi diabetes;
- ka hōʻoiaʻana o nā diuretics, glycosides a me kekahi mau lāʻau lapaʻau antiarrhythmic;
- nā hāʻule kino hormonal;
- ka hopena ma ke kino o nā toxins;
- hoʻohana hoʻomāinoino i ka nicotine a me ka waiʻona;
- hypoxia (e komo pū ana me keʻano hoʻomehana);
- nā pilikia i ka hana o ka pūnaewele kūʻokoʻa autoko;
- kekaumaha;
- maʻi;
- anemia.
Nā hōʻailona o ka suprasventricular extrasystole
E like me ka hōʻikeʻana, hōʻike pinepineʻia keʻano extrasystole e nā hōʻailona:
- ka manaʻo o ka hoʻopilikia i ka hana o ka puʻuwai;
- pōkole o ka hanu ;
- he manaʻo no ka nele o ka ea;
- nā mea nui;
- ka lapalapa nui a me ka malaise;
- haohao;
- pōʻino;
- nā hōʻeha o ka makaʻu a me ka weliweli;
- ka makaʻu i ka make.
He nui nā mea maʻi e hoʻopiʻi nei i ka wā o ka hopuʻia eʻike lākou e huli ana ka naʻau i loko o ka umauma.
ʻO ka hōʻoiaʻana a me ka mālamaʻana i ke kōkō o ka supraventricular
No ka hoʻomaʻemaʻe ponoʻana i ka hōʻailona, pono ia e nānā i ka nānāʻana. ʻO ka kūkākūkāʻana me kekahi kanaka lapaʻau e pono e komo i ka hoʻokolohua maʻamau, ka palpation o ka pulse, ka piʻo o ka puʻuwai. I ka wā e hoʻokolokoloʻia ai, he pono ke ho'āʻoʻana i ka mimi a me ke koko.
Hiki keʻike i nā extrasystoles pinepine ma luna o ka ECG, a ma ka manawa echocardiography. ʻO kēia mau haʻawina e ākea iāʻoe eʻike i nā loli liʻiliʻi eʻikeʻia i nāʻano likeʻole o ka extrasystole.
ʻO ka kohoʻana o keʻano o ka lāʻau lapaʻau nui ma muli o ke kaʻina a me keʻano o ka maʻi. Ināʻaʻohe pilikia o nā mea maʻi me nā pūnaewele cardiovascular a me endocrine, ua lawa pono ka hahaiʻana i nā kuhikuhi o nāʻoihana, hoʻomaha hou, e hoʻolālā i ka manawa ma waho a ho'āʻoʻaʻole e hana pono.
I kekahi mau kumu, hiki ke hoʻohanaʻia nā lāʻau lapaʻau kūikawā e mālama ai i nā extrastricular extrasystole. ʻO ka pinepine, ke noi mai nā kauka i kōkua mai:
- Allapinin;
- Quinidine;
- O Diltiazem;
- Propranolol;
- Betaxolol;
- Hoʻopiʻi;
- Hōʻikeʻia;
- ʻo Diltiazem a me ke koena.
Ma muli o nāʻano maʻamau o nā hana maʻamau, hāʻawi i nā hopena maikaʻi. Inā hikiʻole iā lākou ke nawaliwali, pono ke hele i kahi hana:
- ka hoʻolālā'iliala radiofrequency;
- ke kīʻaha o ka naʻau.
ʻO kaʻoihana o ka hanaʻana he mea maikaʻi ia no nā'ōpiopio.