I-ventricular tachycardia: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu ze-tachycardia ye-ventricular
• Izinketho zonyango
• Unobangela tachycardia ventricular

I-Ventricular tachycardia luhlobo lwe-arrhythmia enesantya esiphakamileyo sentliziyo, esingaphezulu kwe-120 ukubetha kwentliziyo ngomzuzu. Iyenzeka emazantsi entliziyo, kwaye inokuphazamisa ukubanakho ukupompa igazi emzimbeni, iimpawu zibandakanya ukuphefumla kancinci, ukuqina kwesifuba kwaye umntu angade afe isiqaqa.

Olu tshintsho lunokwenzeka kubantu ababonakala besempilweni bengenazimpawu kwaye zihlala zinobungozi, nangona zisenokubangelwa zizifo ezinzulu, ezinokude zikhokelele ekufeni.

I-tachycardia yeVentricular inokuhlelwa njenge:

• Ayixhaswanga: xa iyema yodwa kwimizuzwana engaphantsi kwama-30
• Ukugcinwa: Kulapho intliziyo ifikelela ngaphezulu kwe-120 beats ngomzuzu ngaphezulu kwemizuzwana engama-30
• Ukungazinzi kwe-hemodynamically: xa kukho ukukhubazeka kwe-hemodynamic kwaye kufuna unyango kwangoko
• Ongafakwanga: igcinwe ngokuqhubekekayo kwaye ihlala ngokukhawuleza
• Isaqhwithi sombane: xa zenzeke izihlandlo ezi-3 okanye ezi-4 kwisithuba seeyure ezingama-24
• Ubume: xa kukho utshintsho olufanayo lweQRS ngokubetha ngakunye
• Polymorphic: xa i-QRS itshintsha ngokubetha ngakunye
• Ukunyibilika: xa kukho ngaphezulu kwe-1 QRS ngexesha lesiqendu
• Torsades de amanqaku: xa kukho i-QT ende kunye nokujikeleza kweencopho ze-QRS
• Ukungena kwakhona kwescar: xa kukho isiva entliziyweni
• Ukujonga: xa iqala endaweni enye kwaye isasazeka kumacala ahlukeneyo
• Idiopathic: xa kungekho sifo sentliziyo sinxulumene noko

I-cardiologist iyakwazi ukuba zeziphi iimpawu emva kokwenza i-electrocardiogram.

Iimpawu ze-tachycardia ye-ventricular

Iimpawu ze-tachycardia ye-ventricular ingaquka:

• Ukubetha kwentliziyo okukhawulezayo okunokuviwa esifubeni;
• Ukubetha okukhawulezayo;
• Kunokubakho ukwanda kwinqanaba lokuphefumla;
• Ukuphefumla okufutshane kunokubakho;
• Ukungonwabi kwesifuba;
• Ukuba nesiyezi kunye / okanye ukuphelelwa ngamandla.

Ngamanye amaxesha, i-tachycardia ye-ventricular ibangela iimpawu ezimbalwa, nokuba zihamba rhoqo ukuya kwi-200 beats ngomzuzu, kodwa iseyingozi kakhulu. Uxilongo lwenziwa yi-cardiologist esekwe kwi-electrocardiogram, i-echocardiogram, i-cardiac magnetic resonance okanye i-cardiac catheterization exam.

Izinketho zonyango

Injongo yonyango kukubuyisela ukubetha kwentliziyo yakho kwesiqhelo, okunokuthi kufezekiswe ngesibulali zixhobo esibhedlele. Ukongeza, emva kokulawula ukubetha kwentliziyo kubalulekile ukukhusela iziqendu ezizayo. Ke, unyango lunokwenziwa nge:

Intliziyo:Iqukethe "ukutshitshiswa kombane" kwisifuba sesigulane kunye nokusetyenziswa kwe-defibrillator esibhedlele. Isigulana sifumana iyeza lokulala ngexesha lenkqubo, kwaye ke, ayiziva ntlungu, eyinkqubo ekhawulezayo nekhuselekileyo.

Ukusetyenziswa kwamayeza: kubonisiwe kubantu abangabonisi zimpawu, kodwa ezingasebenziyo njenge-cardioversion, kwaye amathuba okuba neziphumo ebezingalindelekanga mkhulu.

Ukufakwa kwe-ICD: I-ICD sisixhobo se-cardiodefibrillator esimiselweyo, esifana nesomatshini, esiboniswa kubantu abanethuba eliphezulu lokuveza iziqendu ezitsha ze-ventricular tachycardia.

Ukuhlanjululwa kweendawo ezincinci ze-ventricular ezingaqhelekanga:nge-catheter efakwe entliziyweni okanye ngotyando lwentliziyo oluvulekileyo.

Iingxaki zinxulumene nokusilela kwentliziyo, ukuphelelwa ngamandla nokufa ngesiquphe.

Unobangela tachycardia ventricular

Ezinye zeemeko ezinokubangela i-tachycardia ye-ventricular ibandakanya isifo sentliziyo, iziphumo ebezingalindelekanga zamanye amayeza, i-sarcoidosis kunye nokusetyenziswa kweziyobisi ezingekho mthethweni, kodwa kukho iimeko ezithile apho isizathu singenakufunyanwa.