Hole - keia ... naau pāpana kāna hana - mea, lalau mai. Na hoailona o ka naau maʻi

Mokomoko ana i - keia mea he 'ano like kāna hana, o ka oi aku i loko o ka hihia o ka poʻeʻelemākule nā mea maʻi. Oia ka moku'āina ua pu ma ka hoʻohuikau 'o ka maʻamau naʻau pāpana. I kēia lā, nui a me ka nui kanaka i hoihoi i loko o ka helu o ka mea i na kumu o keia pilikia, pehea pilikia e ola, ka mea hiki ia.

Mokomoko ana i - He aha ka mea?

I kēia lā, he like pilikiaʻalo e he nui loa nā mea maʻi nā keʻena lāʻau lapaʻau. No laila, he aha mokomoko ana i? Kēia kāna hana, a ua pili i kekahi kāna hana o ka naau pāpana. Me ia maʻi malama halawai contraction (systole), a me ka mea a pau myocardium, ai kona kaawale māhele (e laʻa me, ka atria, ke ventricles).

Mokomoko ana i - ke kūmau 'ole ka hoʻoweliweli' e ola?

O ka holo ana, i kēia lā, i ke ehuehu o na kanaka me ka like pilikia. A pehea ka mea hiki ia i ka kāna hana? I ka mea, halawai ka ho'ēmiʻana ke hana, a, ma ka mea, i hoʻomaka ai i kekahi mau makahiki. No ka laʻana, ui kanaka pinepine ohumu o ka manao o ka ikaika naau kui, keia mea kui iho oe a. A, e like me ka 'ikepili helu, ma kahi o 80% o ke kanaka mua ma mua o kanalima makahiki mai ka manawa i ka manawa e ae mai ka papa'āweʻaweʻa kemika "unscheduled" aftershocks.

He aha ka ke kumu hanana o ke systole? Ma kekahi mau kāna hana o ka naau a me kaʻoihana a pau o ka vascular'ōnaehana ua hoʻololi: ka mea i hana i ka ai-kapaia ectopic lesions, mau mea o ka mahuahua ha awina. Loa pinepine, e like me he kāna hanaʻia i loko o ka mau alahele o na ventricles, atria, ka atrioventricular wahi. He mau ectopic foci paha lāʻau ikiʻai wale i kāhea Kalʻano papa hana i loko o kona hoʻomaha pae (diastole). Ua nana e like kui iho oe a. Kēia, incidentally, hiki e'āina weliweli.

O ka holo ana, kēlā wā i kēia wā e ala mai oe impulses mea,ʻaʻole he nui hoʻoweliweli 'i kanaka ola. Aka hoi, ka mea, ao aku o ke alo aku o ka pilikia, poe akamai i waiho aku na nā mea maʻi e uku hou lohe i kā lākouʻaoʻao o ke ola, ma hope o kaʻai, a undergo mau checkups.

Ma ka kekahi lima, he pinepine kui iho oe a he aha ka mea i ka pau meaola. Ma hope o nā mea a pau, e like me ka hopena o ka lau i kakahiaka nuiʻoki hoemi ea puka o ke koko, i hiki aku ai i ka emi i loko o ke koko, kahe ma o ka lolo a me ka coronary arteries. Ma ia mau hihia, o ka naau kui iho oe a ka loa pilikia, e like me ka mea i i poino i ka myocardium, maʻule hou ihola nō paha he ulia ka make ana o ke kanaka.

Heart pāpana haunaele: 'ehaʻeha ka

I ka mea, he nui na aʻe i hiki i ka hoouka ana o arrhythmia ke kānāwai. No ka paha, naau pāpana haunaele hiki ke pili me ka aoao ma ka meaola i kekahi mau Nine Inch, a me kekahi mau ai, kea, ai ', a he ikaika kī a me ke kope. 'Ākena Makaʻu pili kekahi i ka uwahi. Iaea ooieoeiiaeuiiai naau kui iho oe e hana i loko o nā wāhine i menstruation.

Eia hou, nā kumu pū kekahi maʻi, me osteochondrosis (pakahi aku la ia i ka cervical spine), a me ka vascular dystonia, neuroses o na kêia kanaka, a me na mea e ae.

Aia nō 'ē aʻe i hiki i ka nānāʻana aku i ka naau o na kanaka haunaele pāpana. Nā kumu i ke pili me ke aloha lesions o ka myocardium, a me ka conduction nenoaia. No ka laʻana, ka mea ho'āhewa wale pinepine ana i loko o nā mea maʻi i kekahi ke kino kīnā, e like me ka pono i ma luna o ke kāʻei kua Cardiosclerosis, cardiomyopathy, coronary artery maʻi, hoʻoʻino maʻi (myocarditis, pericarditis). 'Ākena Makaʻu nō hoʻi nā maʻi e like me hemochromatosis, sarcoidosis, amyloidosis, no ka mea, ma na mea o ka moku'āina o kiʻekiʻe pilikia o ka naau ka pōʻino.

Hoouka o arrhythmia pinepine ia lŘlŘ ku ei ka backdrop o ka mai kuni ikaika. Eia hou, ka mea ia ia ke alakai lawe kekahi ai ', a me ka poe ai' i pihaʻi me caffeine, ephedrine, aminophylline, novodrin, a me tricyclic antidepressants, diuretic ai 'a me corticosteroids.

Loa stress, physical stress, mai ka pioloke o ka mea pōhaku maʻiʻo ma myocardial keena - o ka a pau ke kāhea kaʻoi loa contraction o ka naau Muscle.

Mea Maluna o ka aʻe '

O ka holo ana, i keia la, ua nui nā Mea Maluna nenoai, i e ka mea na kui iho oe a e hiki ke maopopo - no ka laʻana, ke kaumaha ma muli o ka IIeEeAIEUAA o ectopic foci. Loa pinepine malama hoʻokō 'ole' ana i loko o ka ventricles, oi ma mua o 60% o nā mea maʻi e hele mai i ke kauka me ia i kaʻike,.

I ka 25% o ka nānā mau atrial kui iho oe a. Loa emi pinepine pāpana haunaele ana maʻekeʻeke o atrioventricular pilina, i loko o ia mau hoopii, e kapaia ka mea, atrioventricular. Eia hou kekahi, he mea likeʻole me ka hui pu ana o ka mea ma luna pepa.

Ma kekahi mau hihia, o ka iniiaiie sinus pāpana ua malamaia no ka poʻe me ke kahua o ka ectopic foci, e like me ka 'aʻe' ua kapaia parasystole. e hoʻolaha aʻe 'ana, a me ka helu o ka foci o excitation, ka mea, i e nā mono- a me ka polytopic.

Inā na kui iho oe a mea mau i loko o ka lalani, ka mea i kapaʻia hui kaulua. Inā ka halawai ka ho'ēmiʻana ma muli o ke ano "oi ma mua o elua i loko o ka lalani," i mea - volley kui iho oe a. Eia hou kekahi, e māheleʻia ia aʻe 'ana i loko o nā pūʻulu kaumaha ma muli o ka wā e hana ana i ka naau contraction (keia kakahiaka nui, waena a me ka lohi). Inā mākou e lawe i ka mooolelo o ka alapine (frequency) o ka hanana o extrasystoles, i e pohihihi keia mea, (emi o 5 kekahiʻoki no minuke), meakino (6 i 15) ole pinepine (e laʻa me pinepine ventricular extrasystole pu ia e oi aku mamua o 15 halawai ventricular contractions no minuke).

Maoli ai, he mea kekahi'ōnaehana ma i arrhythmia ua hoʻolaha e like me kona kumu. No ka laʻana, cardiac pāpana kāna hana i ke pili me kaʻawahia ke aloha a me ka'aʻaʻa lesions, physiological kāna hana.

Like hōʻike kui iho oe a?

I ka mea, na hoailona o ka naau ka mai, ua ike ole a pau nā mea maʻi, i kekahi manawa arrhythmia ua nānā 'ana paha ma ka oaeouee? Electrocardiogram. A, ua nui aʻe i ke aloha ia i ka nui a me ka nui o symptoms i hiki mai. No ka laʻana, hoʻomanawanui iki mai me ke aloha lesions o ka myocardium hiki e kokoke oluolu e lawe arrhythmia Episode, oiai ka lapaʻau kiʻi i loko o kanaka me ka vascular dystonia nana i ka hailona ka paʻakikī.

Loa pinepine extrasystole subjectively ua hoano e like ikaika pahu aku ai i, i ka naau kui iho o ka pahu, mai ka loko. Ma kekahi mau hihia, e hoomanawanui i hōʻike i ka mea, haha me ina o ka naau o ka "Flip" a "somersaults". Ia mau manaʻo i pili me ka ikaika, a me ka hana mikiʻalaʻoi ka ho'ēmiʻana i loko o ka myocardium.

Kekahi nā mea maʻi me ka arrhythmia hoouka mea i kekahi mau mea i like loa me ka symptoms o coronary artery maʻi paha angina. Arrythmia, Ua pili me ka ooieoeiiaeuiuo loli i pinepine pu ma nā symptoms. No ka laʻana, e hoomanawanui i ohumu o ka mahuahua sweating, e manao ana pōkole o ka hanu, wela flushes, ikaika, ho opa ao i hana nawaliwali, discomfort. I kekahi manawa, he mea a inexplicable aloha o ka iini, he makau.

Aia i nā'ōuli o ka naau maʻi. E like me pōniuniu. Pinepine ventricular premature kui iho oe a atrial pu ma ka emi i loko o ke koko auaiaea, i ke kumu no keia symptom. Ma nā mea maʻi me ka cerebral vascular atherosclerosis ia arrhythmias e alakai i ka hoʻohuikau 'o ke koko, pu ma ka paresis, syncope,'ē aʻe kāna hana a me ka aphasia. Ma kekahi hihia, i ka hoike ana o na Hawaii e ike koke nīnau aku i ke kauka, no ka mea, o ka hopena hiki e loa weliweli a me ka pilikia.

Hole ma kamaliʻi

I ka mea, kui iho oe a ma na keiki ua pinepine ana diagnosed. Ua hiki e ae aku, mai kekahi keiki mai o kekahi makahiki, i kekahi manawa o ia kāna hana ua kakau a hiki ma fetal ulu. Wahi a ka 'ikepili helu, oi ma mua o 75% o nā keiki i ka loli iki ana degere, e ae mai ka naau pāpana kāna hana. A ma luna o ka mea hopeʻumi makahiki ua mahuahua nunui i ka helu o nā keiki i kēia mau kāna hana.

He aha nō i ka papa kuhikuhiE kumu o cardiac arrhythmias i loko o nā keiki? Mua o nā mea a pau ia e ke kaulana hanau mā a me cardiomyopathy. Eia hou, i ka loa, he pono ole nā infectious myocarditis, rheumatic naau maʻi, genetically ka manao o lakou maʻi.

Ma kekahi mau hihia, i ka maʻi ua pili i kekahi kāna hana o ka endocrine a me ko mākou hopohopo nenoai. No ka laʻana, i keʻano o ka extrasystole hiki i hypothyroidism paha mimikō. Ma ka kekahi lima, i ka manaʻo nui o ka maʻi hoʻoʻino a me ka infectious keʻano o ka hanaʻana, e like me deficiency nā maʻi a me ka nele ana o kekahi mau kumu, he nui loa kino ai 'ole mea naʻau stress. Ma kekahi ano, e like me he kāna hana i loko o pono o kupono lapaau. Like no ka wānana, i ka awelika a pohihihi keia kui iho oe a, i ua ole pu ma ke aloha lesions o ka naau, ua noʻonoʻo i ka kŘpa a palekana ano o ka maʻi.

Hoikehonua, ano o kaʻike,

Maoli ai, he nui na aoao e diagnose, me ECG. Extrasystole ka wā he like ao, IeAUPIIe, IAa IO maopopo i nanaia. Naʻe, ka mea PalekanaEND_LINK kaʻina 'aʻole i hoʻomaka me keia. E hoʻomaka, ke kauka pono hoʻomaka i ka hoʻokolokolo pono ninaninau, i hoʻomaka me ka ohi o ka 'ike. Ke hoomanawanui E hoʻomaopopo i ka hoʻomalu a symptoms iʻikeʻia, pehea, pili ka mea pepehi, pehea manawa ka mea ana.

He loa nui e hooholo i ke kumu o cardiac arrhythmias. No keia hopena, e hele ana i ka 'inikua mōʻaukala, ke kahuna lapaau ë he mähele wale o ke alo o nā maʻi, e lawe ai'. Ka mea i ke kumu a me ka ano o lesions o ka cardiac conduction'ōnaehana hilinaʻi nui pili kēia ma luna o ka poʻe uʻi a o ka hoʻokō kūlana kanaka.

Ma hope iho o ia ke kauka 'ana e lawelawe ai i ka lāʻau ikiʻai palpation ma ka kahahānai artery. I ka arrhythmia hoʻomalu hiki e puku i ka lāʻau ikiʻai wale nalu e ia lŘlŘ prematurely. I kekahi manawa, ma ka mea ku ole, pu ma arrythmia Episode o "haule ana" ka lāʻau ikiʻai e ia lŘlŘ ia he mea lawa hoopiha ana i na ventricles i diastole.

Hoi e paa ana ia naau auscultation. Oiai hoolohe, e hiki ke hai i ke alo o ka preterm I a me II o nanahe. Ma ke ala, a me ia i ka maʻi, i ka mua leo ua hoʻoikaika, a ua pili i ka hōʻemi iki hoopiha o na ventricles. Akā, i ka lua o ka leo, ma ka mea ku ole, hoʻonāwaliwaliʻia, e like me ka ejection o ke koko i loko o ka aorta a me ka pulmonary artery mea nui uuku.

Hope i ke kauka, e hoʻouna aku au i ka hoʻomanawanui e eʻoiaʻiʻo cardiogram naʻau. 'O kēia kekahi o ka loa pololei ano o ka noiʻi. I kekahi manawa, he ai-i kapaia o Holter ECG. He aha ka ke kaʻina hana? Ke hoomanawanui i ka ke kino ua pili i ka hana lawe mea i mooolelo o ka naau pāpana ma 1-2 lā. Eia hou, i ka hoʻomanawanui mālama i ka diary o ka haʻawina, ma a wehewehe i kona manaʻo, a hana i ka hana. Oia ke ao ua hoʻohana 'ia ina e pono e loaʻa mai mea triggers ka arrhythmia.

Inā cardiac arrhythmias i ole i hoʻomaka ai i koena, hoʻomaka nā ho'āʻo ma - he paikikala ergometry a me ka Makamae hōʻike. Kēia mau haʻawina e ka mea hiki e ana i ka mea kiko'î (ke koko,) a me ka e i electrocardiogram i hooko (e like me e hele ana ma luna o ka Makamae, hoʻokō 'ia ma kekahi wahi Bike). Inā 'oe hāʻupu aʻe i ke aloha myocardial poino i loko o nā mea maʻi ua? Aeiiaiaoaony e hana ultrasound a me cardiac MRI.

Pehea e hana arrhythmia?

E like me ua oleloia, i ka iapaau ana o cardiac arrhythmia hilinaʻi nui ma luna o kona kumu. No ka laʻana, ina arrhythmias pili me ka lawe i kekahi lapaʻauʻia, alaila, o ka papa, e pono no e hōʻoki aku. Inā na kumu moe i loko o ka kāna hana o ka digestive a me ka mea'ōnaehana mānowai koko nenoai, i ka pono, e pono ia i loko o ka wahi mua, a me ka ho'āhewa wale extrasystoles e nalo a me ka iniiaiie maʻi.

Ma kekahi hihia i kaʻike, e kokua i ka maopopo mea ala ae e ku ei ka backdrop o ko mākou hopohopo overstrain pāpana ka haunaele. i haawiia ia nā mea maʻi i ka neurologist no kukakuka a me, like me ka rula, e häʻawi mai ai iä loaa mehana kiaha dala a me kiaha dala lāʻau ikiʻai uku.

Sporadic a kākaʻikahi pepehi arrhythmias mai i koi kekahi 'inikua lapaʻau, e paipai i ka hoʻokō wale nō me nā loina o ke olakino Aloha Hawaii nā mea maʻi, a mai ka manawa i ka manawa e hele aku i ka hai ninaninau.

Inā ho'āhewa wale ana pinepine, pu ma ka pokole o ka hanu, nawaliwali a me ka ikaika hahau, laila, loa paha, ke kauka, e koho i ka ai 'kūpono. E like me he mau rula, e hoʻopau aʻe 'ana o ka ai-kapaia i hoakakaia antiarrhythmic ai', a me lidocaine, sotalol, procainamide hydrochloride, diltiazem, quinidine, Cordarone, mexyl. I ole hihia hiki ole ke hoʻohana wale, mau ai ', e like me ka laʻau heluna a me ka loaa ana' ano mea mahalo kanaka. A, i kekahi manawa i ka lāʻau 'ua lawelawe i Holter ECG ka mālamaʻana, e mau hiʻohiʻona nō mākou, e ike ina o ka lāʻau' maoli e like me ka mea pono e hana, a e ole i ke kino ina mea i oi aku ia ia ka poino.

Ma benign ekstrasistoliyah ka lapaʻauʻia, e lawe like loa me ka ho'āhewa wale i pau i hele aku, a e e hoemi i ka liʻiliʻi lākou helu i ka palena iki. Mahope, i ka nui o ka ai 'hoʻomaka i ke kiʻekiʻe o ho'ēmi i, a laila, ana ia mea. Nō kāu, ua hana mau mau mahina. Akā, i loko o malignant ano o ka 'aʻe' ana o nā mea maʻi lawe antiarrhythmics ma ke ola.

Ma na wahi mau ai 'mai i hana, a me ka hoʻomanawanui, hōʻike maila lākou intolerance, hoʻohana' ē aʻe ano o ka lapaʻau, i ka nui, radiofrequency ablation o ka naau. Ma ke alanui, he PAaIEN a hiki i keia ano o ka Inc mea i keʻano o ka ventricular arrhythmia, i ua pu ma na tausani o ka 20-30 ho'āhewa wale i ka lā. Kēia mea heʻoki lāʻau lapaʻau hana i pili i ka minimally invasive 'ana i kūpono. Ua Ua lawe mai ka hoʻohana 'ana i ka kūikawā endovascular catheter i? Aaeaao ke kiʻekiʻe-alapine (frequency) paialewa. Penei, i ke kiko'ūholo uila naʻau e loli wale i kaʻai i kahi e wāwahiʻia conductivity. Me ia i kekahi kaʻina hana, e hiki aeie i ka EYI o pathological, "hewa" ka lāʻau ikiʻai a me ka hoʻomau 'maʻamau sinus pāpana.

I ka hopena o cardiac arrhythmias, a me Time] no ka poe mai

Ke prognosis no ka hoʻomanawanui iki mai 'ana hilinaʻi ma luna o ka maʻi a me ke alo o concomitant kāna hana. No ka laʻana, ka noho pilikia loa e kui iho oe a e hoʻomōhala ma luna o ke kāʻei kua o ka naau kaua, cardiomyopathy a me ke aloha myocardial poino.

Ma kekahi hihia, i ka wa e kaawale aku o kōkua palapala hōʻoia a me ka 'āwīwī ke alakai i ke kaupaona complication. I loko nō o ka nui, e hoike i ka hapanui o na kui iho oe a mea benign, kekahi manawa hoʻomōhala ma kona kāʻei kua a me nā pilikia maʻi, a me paroxysmal tachycardia, atrial fibrillation a me atrial koliliʻana. Oia na kumu ke alakai i ka hoʻomanawanui i ka manawa e make.

Aia nō kekahi complications'ē aʻe e pili ana i na kui iho oe a. Ua mea, mua o nā mea a pau, pilikia a me ke koko a me ka holo kino o nā'aʻaʻa. Ma hope o nā mea a pau, i ka wa a hai extrasystoles ka leo o ke koko kipakuʻia ka naʻau ua nui hoemiia. Ua hiki aku i ka o oxygen pololi a me ka hoʻohuikau o maʻamau holo. Pinepine mokomoko ana i hiki aku ai i ke kūpono 'ana o ka maʻiʻaʻa puʻuwai' ole, a me ka coronary cerebral moku koko, i hiki aku ai i ke ahiahi nui complications.

Kāohi ki ina hana like

O ka holo ana, i ka hoomanawanui me ka like pilikia e e kakau me ka cardiologist a undergo maʻamau nana. O ka papa kuhikuhi hana o ka pale pilikia complications arrythmia o ka pono lapaau o ka iniiaiie maʻi. Pono maʻi kanaka e eʻoiaʻiʻo, e lawe ka lapaʻauʻia i hoakaka ia ma ka hoʻomalu, e like me, e like me ka haʻalele 'ana a me ka regimen. Eia hou, e koi naau kōmi regular haʻawina, mai kēia i hāʻawi mai i ke kauka i ka manawa kūpono e hahai i ka iki mai o ka? Acaeoey o ka mai, a me ka hope o ke kuhikuhi ai '.

Heʻoiaʻiʻo, nā mea maʻi, e pono e radically rethink Aloha Hawaii. Kekahi naau maʻi e noi mai ana i ka kūikawāʻai. Quitting pūnuku puhi, ka waiʻona a me ka caffeine ua koi. A, o ka papa, no ka hana ana i ka mea'ōnaehana mānowai koko'ōnaehana e e pono no ka lōpū akā, regular hoounauna, e hele i loko o ka hawaiian lewa.

Mākou E olelo e pili ana i mua kōkua. Hoouka mokomoko ana i IeAUPIIe, IAa IO ia lŘlŘ koke. Ke hoomanawanui E moe ilalo, a hoʻonānea. Ua Ua hoi pono e wehe i ka luna pihi o kona Awaits, hemohemo i kona Hawai i, a kāʻei, ma ka olelo, e wehe hiki a pau nā pilikia i ālai ia 'aʻe me ka hanu. Inā i ka hoouka i ke kumu ma ka stress, ka mea, ua 'ae' ia lawe i ka uuku nui o kekahi kiaha dala lāʻau. He pono e ao aku i ka ambulance, no ka mea, o ka hopena hiki e weliweli arrhythmia.