Cardiac arrhythmia: 'ehaʻeha ka, Symptoms, lapaʻau

Cardiac arrhythmia (ai ole Heartbeat) o ka maʻi o ka mea'ōnaehana mānowai koko oihana, a ua wehewehe aku ma kekahi cardiac arrhythmias. KŰia pili me ka loli o ka regularity, alapine (frequency) a me ka kaʻina o ka naau ana, naau kōmi i eʻoi aku ka pinepine 'ole (ulu tachycardia) a ua lohi (bradycardia). Kekahi hihia arrhythmias e alakai i cardiac hopu. Arrhythmias i hoʻomaka ai i kekahi makahiki, i loko o ka luna, a malalo keena o ka naau, i ka atria a me ventricles, kekahi me kekahi. Kekahi mau 'ano o ka maʻi i ka apuepue kekahi', oiai kekahi poe i oi hana keaka a me ka mea ona. Cardiac arrhythmia ua manaoia kekahi o ka loa e like me ka kumu o ka make.

Keʻano papa hana o ka maʻamau naau pāpana

No ka maopopo i ka mea a ka arrhythmia, na kumu no kona mau helehelena, he mea pono e maopopo ana i ka ia ke hele ma myocardial contractility. Keʻano papa hana o ka maʻamau naau pāpana cardiac conduction'ōnaehana ua hoʻolako, a mea he lālā o ka lahui hana kūikawā keena. Mau keena e ho okumu pou impulses, a lawe aku no hoi ia mau mea i loko o kūikawā olona, i hiki aku ai i ka naau Muscle. I loko nō o ka hiki ana o kēlā me kēia'āina i loko o ka'ōnaehana hiki paha ke impulses i ka naau Muscle, o ke kumu nui wahi 'aneʻi ka sinus wahi, i ka haʻina o ka makemake pāpana. Ua Ua Aia i ka luna o ka atrium akau. Nā Nalu ma ka sinus wahi impulses, e like me ka kukuna o ka la, hohola mai mai ia i loko o nāʻaoʻao. Kekahi lāʻau ikiʻai wale nō "kuleana" no ka ka ho'ēmiʻana a excitation o ka atria, oiai kekahi poe he hoʻonui i ke kua'āina o ho'ēmi i ka atrium manawa, e hoouna aku i ka aʻe'ōhui o ke koko i loko o ka ventricles. Kēia e hōʻoiaʻiʻo ka maʻamau pāpana o ka naau. Kona 'aʻe paha e ku pono pilikia mau i:

- o na kanaka haunaele lāʻau ikiʻai wale ho okumu kaʻina hana;

- he 'aʻe' ana i nā lāʻau ikiʻai wale ua loaʻa i loko o ka cardiac nenoaiu.

A hiki aku ia mau pilikia i ka kekahi wahi i loko o ka huakai kaapuni kuhi ka "kuleana" no ka malama ana i hana o ka naau ana, akā, emi ke alapine (frequency) o contractions. Penei e hoʻomōhala ana i ka arrhythmia, no ka i mea kamaʻilio nui hope na kumu.

arrhythmiaʻAno

Kauka classify arrhythmias, kaumaha ole wale ma na wahi kahi e ana (ka atria paha ventricles), akā, no hoi ma ka naau kōmi. Fast Kal me ka naau uku (HR) , ua oi aku ma mua o 100 kui iho oe a no minuke ua kapaia tachycardia a me ka lohi pāpaʻa me ka naau uku emi o 60 kui iho oe a no minuke - bradycardia. Kumu o cardiac arrhythmias e pono e kaukaʻi ma keʻano o ka maʻi.

'Aʻole mau tachycardia a bradycardia ke ano o ka naau maʻi. No ka laʻana, i hoʻokō 'hookeai Kal ua noʻonoʻo ke kūmau, e like me ka mea i loaʻa i loko o ka naʻau ana e leie aku ka oxygen ma ke kino o nā'aʻaʻa. Ma ka hiamoe 'ole hohonu hoʻomaha palpitations, kamaʻilioʻana i ka e ke kua'āina.

Inā tachycardia ia lŘlŘ i loko o ka atria, laila, ua hoʻolaha i ka 'aʻe' ia penei:

- Atrial fibrillation - he kokololio Kal, kena ae la ia e chaotic pou impulses i loko o ka atria. Mau lepa alakai i ka kokololio, uncoordinated a me ka ho'ēmiʻana o ka nawaliwali naʻau Muscle. Kumu o atrial fibrillation o ka naau e like convulsive chaotic ventricular haʻawina, a i hookuu ia lŘlŘ ma ke kāʻei kua o ka mea'ōnaehana mānowai koko maʻi 'ē aʻe. Ke kŰia o atrial fibrillation ke alakai i ka mea complications, e like me hahau ana.

- Atrial kolili - like i atrial fibrillation, ka pou impulses i ka hookahi manawa hou i hoʻonohonoho 'ia a me ka rhythmic ma mua o fibrillation. Atrial kolili i hiki aku ai i ka hanana o ka hahau ana.

- Supraventricular tachycardia a supraventricular tachycardia, i ka loaʻa o ke iiiaanoaa no ano o arrhythmias i kupu mai ma luna o ka ventricles.

Tachycardias i originate ma na ventricles e māheleʻia i loko o ka kēia subtypes:

- Ventricular Tachycardia - ho hookeai regular Kal me'āno'ē pou lepa i ka ventricles. Kēia 'ano ua ālai piha hoopiha ana i na ventricles, a ua ālai' EII ni koko ka maiau.

- Ventricular fibrillation - keia arrhythmia, na kumu o ka i moe i loko o inefficient pumping o ke koko ma muli o ka ventricular Haalulu iho. He He pilikia nani nui i pinepine na welau o ka make, ina o ka naau mea e hiki ke hoihoi mai i ka maʻamau pāpana i loko o kekahi mau minuke. Ka hapanui o kanaka, ka poe ike 'ventricular fibrillation, a i kaumaha ka naʻau maʻi a ua loaa ia mea trauma, e like me ka uwila hahau.

Ia mea,ʻaʻole e mau ana ka haʻahaʻa ka naʻau i kela 'o ia hoʻi i kekahi kanaka e hoʻomōhala ana i bradycardia. Inā 'oe i loko o maikai physical shape, mea hiki ke EII ni lawa ke koko a me ka 60 kui iho oe a no minuke ma maha o ka naau. E hiki anei i emi i ka naau i kela a me kekahi lapaʻauʻia. Eia naʻe, ina oe i ke kali naau ana, a me kou naau ua ole pumping lawa ka koko, oe paha e kekahi o kekahi mauʻano o ka bradycardia.

- sinus arrhythmia, i ke kumu no ka nawaliwali, kena ae la ia e ka sinus wahi.

- Blockade excitation o ka pou impulses ma waena o ka atria a me ventricles. Ma keia hihia, i ka hoʻomanawanui i haha skipped kui iho oe a o ka naau Muscle.

- Premature contraction o ka naau - ka ventricles ia lŘlŘ ma waena o nā maʻamau kui iho oe a.

Kumu o cardiac arrhythmias

hiki apuepue A ola i ke kanaka a mau loa aku e ae mai like pilikia. I ka wā o ka cardiac arrhythmia, na kumu no kona kumu kela adverse aʻe no ke kino. Ua hiki e ka loli i loko o ka naʻau Muscle, coronary naau maʻi, electrolyte imbalance i loko o ke koko, eha ma hope e loaa ana i ka naau kaua, i ka hoola ana kaʻina hana ma hope o ka naauʻoki kino a me na mea e ae. I ka lāʻau ikiʻai wale pākēneka Ua hoi me ka iini, physical haʻawina, lāʻau hooponopono hou pili.

He nui i ka ike i ka wa a ke kanaka i ka arrhythmia, ke kumu a me ka lapaau ana i ka maʻi no kēlā me kēia makahiki waeʻano o nā mea maʻi e e okoa. Ma na keiki, no ka mea hoike, i ka maʻi ia lŘlŘ like me ka hopena o kekahi aʻe i loko o nā mākua - 'ē aʻe. No ka maʻi e like me cardiac arrhythmia, mau kumu hiki ke hōʻike 'ia ma ka papa inoa:

- 'aʻe' o ia poino a me ka naau kiwikā (endocarditis, myocarditis, rheumatic kuni).

- kāna hana o ka thyroid gland.

- Hereditary aʻe.

- Dehydration a me ka nele o ka potasiuma i loko o ke kino a me nā electrolytes.

- poino i ka naʻau ma muli o ia i ka naʻau hoouka.

- ke kaʻina hana o ka hoola ana ma hope o ka naauʻoki kino.

'Ākena o ka maʻi, piʻi pū me ka uiki, stress, excessive hokii o ka caffeine a ka waiʻona, makahiki, kiʻekiʻe ke koko, hakuʻala maʻi, a me na mea e ae.

Cardiac arrhythmia i keiki

Ma na keiki, i ka maʻi ua hoʻolaha e like me ka impulse EYI kāna hana wahi, oa i loko o ka ventricles a me atria. Inā i arrhythmia i loko o na keiki, ke kumu no ka mea, e nana nui akahele, e hoʻonui i ke keiki i ka manawa o ke ola. Children atrial arrhythmias loaʻa nā kēia aʻe ':

- premature atrial contraction;

- supraventricular tachycardia;

- atrial fibrillation;

- atrial koliliʻana;

- gastric tachycardia;

- Wolff-Parkinson-White (he moku'āina ma a ka uila pāpaʻa i hiki nui koke i loko o ka ventricle).

Ventricular naau kōmi kāna hana i loko o nā keiki ioiinyony:

- premature ventricular contractions (kakahiaka nui ole keu Heartbeat);

- ventricular tachycardia (he ola-na olelo hooweliweli au ana i loko o i ka pou no lepa i loaa lākou ventricles ee iaaanu aey kōmi);

- ventricular fibrillation (ole, disorganized Heartbeat).

No na keiki o kāna hana i wehewehe aku ma ka bradycardia penei:

- sinus wahi dysfunction (cardiac arrhythmias i na keiki, ma muli o ia i ke kumu no na mea pāpana o cardiac contractions);

- naau hihia (piha aeie ole e hookaulua i ka pou impulse mai ka sinoatrial wahi a hiki i ka ventricles).

Symptoms o arrhythmias hilinaʻi nui ma luna o ka waiwai nui o ke keiki. Mua keiki ke hai aku ana ia lakou iho haha aku kaʻona, a me ka malamalama koliliʻana o ka naʻau. Ma na kamalii uuku a i hāʻawe i wae irritability, haikea ili, nele o kona'ōpū. Kekahi, he pono ole symptoms o arrhythmias nā:

- nawaliwali, luhi;

- ole Kal a me ka lāʻau ikiʻai wale;

- pōniuniu, maʻule hou ihola nō paha presyncopal moku'āina ;

- paleʻili;

-ʻeha i loko o ka pahu;

- pokole o ka hanu, sweating;

- ka nele o ka ikaika loa ka makemake;

- irritability.

Inā ma ka noho 'ana kamaliʻi ke kino cardiac arrhythmia, ua kena ae la kumu o ka maʻi ma ka kēia mau kumumea :, e lawe i kekahi mau lapaʻauʻia, kuni, kuni nā mea palahēhē. No ka hou nui, lalau mai nā congenital malformations. Ma ka hapanui o na hihia e noho malie hoi arrhythmias i loko o nā keiki. Naʻe, ka wā ma laila mea i ka loli o ka naau ana i loko o ka pēpē o ka moku'āina o ka poe i koe, o ka holoholona hihiu a physical haʻawina, nā mākua e imi 'oihana mālama' ia ma ka 'inikua kula.

Cardiac arrhythmia ma adolescents

Inā i arrhythmia iwaena o adolescents, ke kumu no ka mea, e oko i ka sinus pāpana. Ma adolescence, i ke kino ua waiho kokoke ana i mau loli, a pinepine ke kumu no keʻano o kāna hana. A like kŰia mea kākaʻikahi he pathology, loli paha ana i ka physiological kiʻekiʻe, a me ka ho'ōla nalo. Naʻe, i kēia aʻole i manaʻo 'ole e i ka arrhythmia ma adolescents e haawi nui. Ma ka loiloi mua ke kahua o ka maʻi teenager koi regular nana kauka nana e kanaka hoʻoponopono i nāʻano o ka arrhythmia. Inā na symptoms mai i nalo i loko o 1-2 makahiki, ka teenager mea maopopo leʻa ma ka pono o ka nohoʻana.

Ka loa e like me ka ano o ka arrhythmia ma adolescence ka bradycardia. Ka maʻi o ke kamepiula i ke keiki ka lolo ua i noho i ke koi 'ia ka nui o ka oxygen, i nā hualoaʻa ma ka mea hōʻemi i ka' imi naʻauao nā mea hiki, kālaiʻike hana, he ahonui reactions, hikiʻole i ka piha komo i loko o haʻuki a me nā pilikia.

Nā kumu o ka arrhythmia i loko o keia mau makahiki e ole mau pili me ka maʻi o ka mea'ōnaehana mānowai koko nenoaiu. Hoʻonāukiuki i ka maʻi hiki e endocrine kāna hana, stress, ko mākou hopohopo stress, hormonal loli ma adolescents, akemāmā a bronchial maʻi, ke anu, pu ma ke kuni, a me ka pela ia. I ka vegetative-vascular dystonia, he maʻi pinepine mea he phantom ano, no laila, i ka iapaau ana o kēia mau keiki ka mea nui i ka hooponopono ana o kiaha dala a me ka aʻoaʻo 'ia psychologists.

Cardiac arrhythmia i loko o nā wāhine

Women, me ka hui, ho i ka hana hoihoi 'ia paha o nā hana nui loa ia no ka cardiologist e specializes i loko o ka naʻau pāpana ka haunaele. Aia i malama loli i loko o kekahi arrhythmias, ma i ka naau o ke kumu o ka discomfort a me ka nui o ka wahine nā mea maʻi, a ma laila nō kekahi ka pilikia i ka wa a ka wahine ua diagnosed cardiac arrhythmia. Kumu, lapaau o ka maʻi a me kona symptoms hilinai ma na mea he nui okoa aʻe e noonoo.

Women i ka prevalence oi aku o ka maʻi sinus maʻi pale, sinus tachycardia, atrioventricular nodal tachycardia a me na ia a pau o ka maʻi. Kumu o arrhythmias i loko o na wahine i pili me ka hihia hoʻi naʻau kōmi:

- ventricular tachycardia (e hele ana, mai ka haahaa keena o ka naau);

- supraventricular tachycardia (ia lŘlŘ i loko o ke keʻena ma luna o ka naʻau);

- premature atrial contractions (ia lŘlŘ i loko o ka luna, a malalo keena o ka naau).

He nui no ka hoomanao ana i ka naau pepe mea he symptom,ʻaʻole i kaʻike,. I kekahi manawa, i ka wa aole mea he arrhythmia, i ke kumu o ka mea i e pili ana i kumumea like me stress, ko mākou hopohopo pīhoihoi, 'ehaʻeha o kōkua. Eia naʻe, i loko o kēia manawa, he hoʻokolokolo ponoʻike, no ka maʻi, e hoʻopau i ka manawa kūpono o ka oi kaumaha kumu.

Arrhythmias i hāpai keiki ana ia lŘlŘ no ka hormonal hoʻololi i ka wahine. Hoonuiia pae o ka estrogen a me kanaka chorionic gonadotropin ololi o ka hōʻike o ka ion kaha ma ka naau, e wehewehe aku hemodynamic loli ma ka hoomahuahua i loko o ke koko a me ka buke cardiac auaiaea na kaʻawale. Eia hou kekahi, hāpai keiki maoli i ke aloha o leo. O kēia mau hoʻololi i loko o ka wahine kino he hoʻonui i ke kūpono 'ana o ke arrhythmia.

Cardiac arrhythmia i loko o na kanaka

I na kanaka, naau maʻi ana i loko o 2 manawa hou ma mua o nā wāhine pinepine. Ka loa e like me ka ano o ka maʻi i atrioventricular aeie, carotid sinus maʻi pale, atrial fibrillation, supraventricular tachycardia, Wolf-Parkinson-White maʻi pale, recurrent ventricular tachycardia, ventricular fibrillation a me ka manawa e make, a me Brugada maʻi pale. Kumu o arrhythmias i loko o kanaka, ua pinepine pili me ka i overweight, waiʻona hainā, pūnuku puhi, physical inactivity, ilihuneʻai, stress, e lawe i kekahi mau lapaʻauʻia.

Men me ka naau maʻi e pololei ai prone i ulu arrhythmias, no ka paewaewa ma ka naau Muscle hiki i ka naau o ka hoʻokō 'ole' ole kali hou aku; o ka pou neaiaea, mai ka sinus wahi i na ventricles. Inā he mea i arrhythmia ma hope o ka palaoa, me nā kumu o kēiaʻano i pili i ka puʻe o ka'ōpū i ka diaphragm. Pela ka mea, he mīkini'opihia o ka sternum, i ka puʻe ma ka naau. Nā kumu o ka arrhythmia i loko o na kanaka i kekahi me ka kiʻekiʻe ke koko, overactive thyroid gland, i kekahi maoli i ke kamepiula hou pili.

Symptoms o ka maʻi i loko o nā mākua

Ma ia i ka maʻi, e like me cardiac arrhythmia, symptoms, kumu o ka maʻi i pili loa ua hoʻopili. No ka laʻana, ka wā o ka naau e pepehi wikiwiki ma mua o maʻamau, na symptoms o ka maʻi nā pahu discomfort, palpitations, pōniuniu, headache, hypertension. Inā bradycardia ua ana, kena ae la ka luhi, pōniuniu, maʻule hou ihola nō paha presyncopal moku'āina, hookuu iho ana o ke koko,.

Symptoms o arrhythmias i loko o nā mākua nā mau nawaliwali, mahuahua luhi, ole Kal a me ka naau kōmi. I ae hoolohi Kal lolo 'aʻole i loaʻa mai i ka huina akau o ka oxygen, no laila, e hoʻomanawanui iki mai i ka hoike pinepine pōniuniu, maʻule hou ihola nō, a me predobmoroki, ka mea, i ka pokole o ka hanu, a mahuahua sweating. Skin haikea, uhi me ka hou. I ka tachycardia pinepine kaʻeha i loko o ka pahu, mahuahua irritability,

Inā ka pahu kolili i huikau, aohe mea ino, aole lakou e e hali. Akā, inā i ka eha i loko o kona naʻau e lilo aku, he pono ole i ke kanaka mau aia no he manao o ka nawaliwali, i ka lāʻau ikiʻai wale i ole, ia ka manawa e ike i ke kauka.

arrhythmia lapaʻau

Ka hapanui ano o ka naau maʻi e manaoia e noho malie hoi e a mai e pono ai lapaau. Inā he kanaka i ka cardiac arrhythmia, kumu, hana maikaʻiʻole o ka maʻi ana kuokoa o kekahi i kekahi, mahope mai o kauka koho Inc hana ma muli o ka poʻe o nā kumumea i triggered i ka maʻi. Lapaau ana i ka maʻi ua ana kuhikuhi ma Kāohiʻana o ke koko clots i loko o ke koko, e pale aku i ka pilikia o ka hahau ana, e hoihoi mai i ka maʻamau naau pāpana, naau ana i ka mana hoʻomalu ma ka maʻamau huahelu, emi ke kamepiula kumumea no ka mea'ōnaehana mānowai koko maʻi.

Inā bradycardia ua kaua kipi i ka hoike kumu, kauka i hookuu, Kamuela i ka pono o pacemakers. A pacemaker mea he uuku manaʻo, a ua waiho kokoke i ke collarbone. One a oi nā uila aʻa lolo me ka manaʻo kōkua, e hele mai ana, mai ka mea, e hoʻouna aku pou lāʻau ikiʻai wale ma na moku a hiki i ka puu wai koko, a pela hoʻoulu i ka papa naʻau ana i loko o kānaka.

No ka mea, he nui na ano o ka tachycardia, i ka hoʻomanawanui i e hoakaka ia ka lapaʻauʻia, e leie aku i ka mana i ka naau i kela a hoihoi aku i ka maʻamau naʻau pāpana. Oia Inc hiki loa kń hiki a pau complications. Ma atrial fibrillation, ke kauka prescribes ka lapaʻauʻia, ke koko thinners e pale aku i ke kahua o ke koko clots i loko o ke koko. I ka atrial fibrillation hoomanawanui i hoakaka ia ai 'ka hoʻohana cardioversion, e leie aku e hoihoi maʻamau sinus pāpana.

Ma kekahi mau hihia, i ka hoʻomanawanui i ke paipaiʻoki lāʻau lapaʻau kanaka o ka arrhythmia. Ma na hihia o ia mea coronary artery maʻi ahonui kaumaha no coronary holo alaʻokoʻaʻoki kino. Kēia kaʻina hana kōkua i ka hoʻoikaika 'ana i ke koko kahe ana i ka naau. Radiofrequency ablation ua hana ma ka hihia o ka mahuahua naau ana me ka lawa ole ka lāʻau ikiʻai. Iloko o ka hana, ke kauka i ka puncture i loko o ka me ka makaʻu no'aʻaʻa i ole hoʻomaka hiki pou impulses.

Kāohi

I mea e pale aku ka naau maʻi, arrhythmias, a ma ka hana, e alakai i ka olakino Aloha Hawaii, ma hope na koi e pili ana i kou kino, e haawi mai inoʻano, loaʻa stressful wahi, i hiki, e pāʻani haʻuki.