N'ihi na ụfọdụ mgbaàmà, na-amata na-emeso ventricular tachycardia?

Ọ e ji mara ventricular tachycardia ngwa ngwa obi ọnụego 100 gafere. / Min. na center nke omume na ventricle. Na 90% nke ikpe ya emee na ndị mmadụ na organic ọnya nke obi n'afọ iri na ụma. Ọtụtụ mgbe, n'afọ iri na ụma nsogbu metụtara na akwara akwara ọrịa. E nwekwara a tachycardia nwere ike ime ka myocardial infarction, congenital na rheumatic ọrịa obi na ọrịa dị iche iche na iche iche nke nsogbu mgbe ọgwụ na psychotropic ọgwụ ọjọọ ma ọ bụ ụfọdụ ọgwụ na-akụnwụ.

mgbaàmà

The puru nke ọrịa a enwekwu na afọ. Men gụrụ ya ka ukwuu karịa ndị inyom. Ndị na-erubeghị afọ 35 megide na ndabere nke a myocarditis, hypertrophic cardiomyopathy pụkwara ịmalite ventricular tachycardia. Mgbaàmà ndị dị ka ndị:

• a echiche nke palpitations, dizziness, nchegbu;
• mkpụmkpụ nke ume, obi mgbu;
• Throbbing na olu;
• na ụfọdụ ọgụ nke adịghị ike na-ada mbà.

pathophysiology

Ventricular tachycardia emee abụọ iche: monomorphic na polymorphic tachycardia. Monomorphic umu e ji a usoro nke pulsed excitation na-nọ mgbe nile. Ọ na-eme na-egosi na ụdị tachycardia n'akparamagwa ndị mmadụ na a structurally nkịtị obi. Na ndị a, ndị na-adakarị prognosis bụ na-emekarị mma. Polymorphic ventricular tachycardia ọdịiche mgbanwe na usoro nke ebighị nke ventricles. The akpata ọrịa nwere ike ibu myocarditis, ischemia ma ọ bụ mkpụrụ ndụ ihe nketa abnormalities na Ọdịdị nke ion ọwa.

tachycardia ọgwụgwọ

Ọgwụgwọ nke ventricular tachycardia ẹkenịmde site n'oru nke antiarrhythmic ọgwụ ọjọọ, nke gbatịrị na ndabere nke jikoro lebara kpatara ọrịa. Dị ka antiarrhythmic gị n'ụlọnga a na-etinyere lidocaine. Ọ na-ndinọ intravenously na 1 mg kwa kilogram nke ime arọ. Na-emekarị, nke a dose ruo 100 mg na na-ndinọ na a nkeji ole na ole. Ọ bụrụ na enweghị mmetụta 15 nkeji nkwadebe na-eji ọzọ na otu onunu ogwu. Ọ bụrụ na ventricular tachycardia na-esonyere a mgbali dobe, na-amụba ya site na iji pressor amines. Nke a ga-eme imi n'afọ iri na ụma. Igbu egbu gbasara obi glycosides ventricular tachycardia emeso ya na potassium chloride na lidocaine ma ọ bụ ọgwụ ọjọọ, "obzidan" na-eji.

The n'ihu nke ọgwụgwọ mgbe mgbake obi ọnụego

Mgbe n'afọ iri na ụma mee atụmatụ prognosis na ndidi management plan ga-haziri. Ọ họpụtara usoro ọgwụ ma ọ bụ echichi cardioverter-defibrillator ma ọ bụ catheter ablation. E nwekwara jikọtara omume nhọrọ. Ha na-na-eji mgbe e nwere oké njọ bughi nhata nke obi. Catheter ablation, n'ihi na ihe atụ, nwere ike na abawanye arụmọrụ nke antiarrhythmic ọgwụ, ma ọ bụ ga-ebelata-agbapụta n'ahụ ọnụego nke tinyere cardioverter-defibrillator.