Inā manaʻo 'oe i ka moʻokalaleo a me nā loina, o ka naau o ka nui loa ikepili koʻikoʻi hui, i mea hiki ke aloha, e haha aku, e manaʻo, ma ka hou, ia mea loa fragile. Mai ka wahi o ka Hawaii o ka lapaau mea wale oiaio hope hoakaka, hoʻowahāwahā i ka mea i ka mea, o ka Muscle ikaika o ke kino, e hana ana me ka hoʻomaha a me ka hiamoe ma ko lakou mau ola. O ka papa kuhikuhi hana o ka naau mea e hōʻoia i ka neʻe o ke koko ma na moku, a me ka lawe ia, e huli no a hiki i ka manawa fetal ulu. Ma ka pathology o ka naau'ōnaehana kino ua hookomoia ma lalo hoouka, e like me ka nui o ka pono functioning o ke kino ka loa kiʻekiʻe, ia mea paakiki ke overstate. I kekahi o kēia mau pathologies - blockade wāwae kona pua. Blockade (piha paha kāpili) interferes me ka maʻamau patency o ka sinus impulse o cardiac'ōnaehana, a he oiaio, ua kona alanui a me Hotele manawa. Kēia lāʻau ikiʻai wale ho okumu i loko o ka sinus wahi, i ka atria pono e inu i ka'ōnaehana. I ka 'aʻe' mai i hoʻomaka ai 'ole' aʻole i ana i loko o ka oaeouee?. Aʻe 'ana i kekahi mau: pilikia (piha aeie) a me ka ole (kāpili). Kekahi o ka mea nui o ka pöʻino o ka blockade mea he ei o ka hopena o ka ECG, a no ia mea, paʻakikī e diagnose na maʻi o ka naau, ma ka pau myocardial infarction.
Ke blockade o ka hema wāwae laulau o kona - ka mea i ka pā?
Blockade o ka hema laulau lala hihia laau nui ( 'ole LBBB) - he pathology, ma muli i hoʻomākaukauʻia e moe cardiac lesion ma kekahi mau pae. No ka laʻana, i ka uha mua hema i loko o ka barela laulau lala hihia hiki e pīhoihoi lākou eʻike. A i 'ole ka papa kuhikuhiE kumu o ka uha hema a hiki i ka bifurcation. Ua hiki e ka poʻe luku aku la ma ka mua a me ka hope wāwae na lala kau ma hope o kā lākou hoʻokaʻawale, mai ka papa kuhikuhiE kumu o ke kino. Nō hoʻi, ma ka hapa hema o ka paku ua poino ma waena o nā ventricles, i ke kaʻina hana 'ole i nā wāwae o ka lālā. Ke kumu hiki e hoike ia ma eiei? Myocardial loli iʻike ākea ramifications o ke kua a me ke alo wāwae. A lohe o LBBB keakeaia'ku, e hooholo ia ana o excitation i ka myocardium o ka ventricle hema ma ka uha hema. Ua ua lawe mai ma ka hana, a ma ka luna 'ua widened QRS, a me ka hoʻololi i ka olelo o ka repolarization i loko o ka ventricle hema. Details,ʻaʻole mākou e noʻonoʻo i kēia pilikia no ka naau hoʻomalu. E noonoo i kekahi mauʻano o ka maʻi. Life mau wāwae lesion i ka hopena fibrotic keʻano o ka hanaʻana, e pili me ka emi koronaroskleroza a - me ka kaupalena myocarditis (syphilitic, rheumatic, diphtheria, infectious). Loa kākaʻikahi, akā, e hana i ka blockade ia lŘlŘ ka wā loa ola naʻau. Ua piha a kāpili blockade o ka haʻalele pua lala hihia. Inā ka mea, 'o ka piha, pīhoihoi ma mua wale uhi ka septum ma waena o nā ventricles, a i ka mea a pau ventricle loa. Kāpili blockade e hoʻomōhala ana i loko o ka electrolyte pūnao kāna hana, a me ka lāʻau overdose, a me nāʻano likeʻole o ka intoxication. No ka mea, o keia, typical meaʻehaʻeha cardiac conduction'ōnaehana, a me ka piha excitation haʻalele kāleka 'aʻole i kānāwai. Diagnose i ka 'aʻe' hiki e hoʻohana 'ana i kaʻike mau electrocardiogram e e māʻaloʻalo loli ma deciphering.
Ina ka mea, Ua pilikia loa?
Inā ka blockade hohola wale ma luna o kekahi wāwae, laila ole, ia mea i ke ola hooweliweli, eia nae, aohe mea maikai i loko o ia, oiaio ole. He nui no i keia la i ka cardiologists manaʻo i kēia haiahū kūmau i oki ia e ka haiahū kūmau i loko o ia mau hihia wā malaila mea heʻilihune o nā naʻau maʻi. Mea weliweli a piha blockage o nā wāwae, ma na hihia a pau ia mea e pono e kanu pūʻia ana i ka pacemaker.
Blockade o ka haʻalele pua lala hihia: lapaau a me ka Kāohi
I ka papa kuhikuhiE pākōlea ana i ho'ākāka 'ia i ka hapa blockade - i ka loaʻaʻana o ka maʻi e kena ae i ka blockade a me kona nohoʻana. I Kekahi Mau pākōlea eiiieaena i ka 'aʻe' hana ole. Ma na wahi i ka hoʻomanawanui ua loohia mai hypertension, o ka pilikia o ka naau e hemahema paha angina, Pono kūikawā Inc pili me ka cardiac kākoʻo noonoo. Ua Ua nānā 'ana i hoomakaukau ana i loaʻa ka cardiac glycosides, hypotensive a me antiarrhythmic konohiki. Nā mea maʻi me ka congenital naau hihia i kauoha mai loaʻa kekahiʻoki lāʻau lapaʻau 'uao. Ua hana ia no ka keiki kanaka, e like me ka blockade o ke kūmau, ka mea hiki ke kau ma hope o ka helu o ka hoʻomalu haʻawina wale nō. E hoomanao i ka pakiko-ka lapaʻauʻia hiki e weliweli i kou ola, o ka oi aku ka wā e hele mai i ka naau. E hoʻokaʻaʻike ola!