Ola kino, Lapaau
Kumu, symptoms a me ka hana ana o supraventricular tachycardia
Ua kapaʻia A e like me ka naau o na kanaka haunaele pāpana supraventricular tachycardia. Nui, ka mea, ua hōʻike mai iā ia me ka recurrent Episode hoomahuahua i ka alapine (frequency) a me ka oolea o ke kui iho oe a ma ke kino māhele 'āina. ʻOiai CBT mea IeAUPIIe, IAa IO ole ke ola-hooweliweli, he nui loa nā mea maʻi e ae mai ka recurring symptoms ia i ka nui hopena ma luna o lākou mea e like ai o ke ola. Vague a sporadic Episode o tachycardia hiki i nui manao no na kanaka.
A laila, he kokololio Kal wehewehe aku e SVT, a me ka hapanui o nā mea maʻi hiki ke diagnosed me ka degere kiʻekiʻe o ka pono wale nō ma ka mōʻaukala. Hai ho'āʻo electrocardiographic haʻawina i mea makehewa wale.
Ka mea hiki wale mai o SVT mea ma kahi o 35 hihia no 100 000 no ka makahiki, i ka prevalence o - 2.25 no 1 000 poʻe e noho ana. IeAUPIIe, IAa IO eia kahi mea akaka me he recurring paroxysm o supraventricular tachycardia, na symptoms e alakai i ka huʻi papa o ka maʻi. XIX. Ano CBT: Wolff-Parkinson-White maʻi pale, supraventricular paha supraventricular extrasystole, tachycardia, atrioventricular nodal rientri.
Pehea ka naau hana?
Nui hui, he eha keena - mau atria a me nā ventricles. Kēlā me kēia Kal hoomaka me ka moku pou lāʻau ikiʻai wale hua mai la i loko o ka sinoatrial wahi. He ka pacemaker i loko o ka luna o ka atrium akau. Ka uila pāpaʻa hoʻopulapula ma ka naau Muscle, ma o na la ia e hana. Initially, ko ia neiʻoniʻoni ka atria, ka atrioventricular wahi i hele i ka hana me ke kanaka hoʻouna. Ua laila, hele ma ka atrioventricular laulau hanaʻiʻo akula nō me ke alakaʻi mele haawi lāʻau ikiʻai wale i na ventricles. I huli ai oe, o ka ventricles hoʻomaka e pili i ke koko i loko o ka arteries.
He aha ka supraventricular tachycardia, a me ka aha i kona mea, lalau mai?
I ka maʻi ua hookeai Kal luna ventricular i kekahi lāʻau 'sinoatrial wahi. Kekahi hapa o ka naau e pani i ka pou impulses i ka pacemaker. Kumu hoʻomaka ma luna o nā ventricles, a hohola ia ia. Ma ka hapanui o hoopii, CBT helu kuhi puke i kakahiaka adulthood. No hoi, he pono ole supraventricular tachycardia keiki. Naʻe, ka mea hiki ke hana ma kekahi mau makahiki. He mea pohihihi keia maʻi, akā, i ka kiko'ī helu o nā mōhai mea IKE OLE IA.
Supraventricular supraventricular tachycardia aie i ka mea kēia mau kumu:
- Lapaʻauʻia. Kēia nā kekahi inhalers, lāʻau lapaʻau kumukanawai a me ke anu laau.
- Inu nui dala o ka caffeine a me ka waiʻona.
- Ka hoʻonaʻauao 'ole' ehaʻeha o kōkua.
- Puhi paka.
Atrioventricular a atrialʻano o ka SVT. Wolff-Parkinson-White maʻi pale
AVURT - o ka loa e like me ka 'ano o supraventricular tachycardia. Ua lŘlŘ ka hapanui pinepine i loko o kanaka ma luna o kona mau makahiki 20 a me na wahine e noho ana maluna o 30. Aia i ka hewa i loko o ka hanana o ka uila pāpaʻa i ka naau konu. Pinepine hoikeia ma ka pono ola kanaka. Ma kahi o ka mea maʻamau ho'ā hope, a mahope noi o ka lāʻau ikiʻai wale sinotrialny wahi no ke komo maluna nā pono a puni keia pōkole puni. Kēia 'o ia hoʻi i ka naʻau like, piʻi pū hoʻomaka koke, a laila, e hoʻomōhala i nā symptoms o SVT.
Atrial tachycardia mea he emi like type. Ua lŘlŘ i loko o ka uuku ele ele o'aʻaʻa, anywhere i loko o ka naau o nā atria. Ma ka hapanui o na hihia i ke kumu o IKE OLE IA. Naʻe, ka mea e hana ana i loko o ia mau wahi, kahi i myocardial infarction i ua hoolilo mua, a he mau pilikia a me ka naau kiwikā. Wolff-Parkinson-White maʻi pale ua ulu loa koke. Aia mau symptoms o ka pōniuniu, e hiki lilo o ka ike paka i. Koke make mea he complication o keia kulana, akā, i ka kŰia loa pohihihi keia.
lapaʻau hoike ana
Symptoms o supraventricular tachycardia e lawe mau kekona, minuke paha i hola.
ʻO kēia mau hoike ana:
- Lāʻau ikiʻai wale i 140-200 kui iho oe a no minuke.
- I kekahi manawa ka mea, hiki e wikiwiki.
- Kolotaniya aloha o ka naau.
- Pōniuniu, pokole o ka hanu.
CBT IeAUPIIe, IAa IO hoʻomaka koke, no ka mea,ʻaʻohe'ē aʻe kumu. Paroxysmal supraventricular tachycardia ike i kēia i loko o ka ai a me ke poo, a ua hiki e ukali ma ka umauma discomfort (hana eha), pokole o ka hanu, uunu nui. Pinepine, ke koko, ua kuu iho la ma muli o ia ka kokololio naau pāpana, o ka oi aku ina mea pilikia no kekahi mau hola. Ma kekahi hihia, ua hiki aku i ka maʻule hou ihola nō paha'opi.
Ke degere o ka symptoms loli aʻe kaiāulu, ke kaumaha ma muli o ka hana a me ka contractile alapine (frequency), lōʻihi like 'ole, supraventricular tachycardia, naau pili maʻi. Nō hoʻi ia i ka waiwai o ke kanaka pokole o ka hoʻomanawanui. Aia paha e kekahi myocardial ischemia.
maʻiʻike,
Aia i kekahi mau aoao e diagnose maʻi e like me supraventricular tachycardia: ECG, echocardiogram, cardiac ikea ai me ka hookoikoi. Ma na hihia i ka hopena o ke ao i IeAUPIIe, IAa IO maʻamau.
ECG kaupaona i nā pāpana a me ka uila aayoaeuiinoe o ke kino. He painless a me ka lawe wale i kekahi mau minuke. Inā paroxysmal supraventricular tachycardia hang nei i ka ECG, ka mea hiki ke hoopaa i kaʻike, a me ka hiki ia hookaawale ia nā kumu kokololio Kal.
No ka mea,ʻaʻole mea mau mea hiki e diagnose i ke alo o ka maʻi i loko o ka haukapila 'okoʻa, ka hoʻomanawanui ua hoʻoikaika e ho'āʻo e kuhikuhi i ka maʻi a me ke kōkua o ka lawe electrocardiograph. He makemake hoʻopaʻanaʻau a pau na keʻano o ka hanaʻana lawe wahi i loko o ka naʻau no ka 24 hola. Iloko o ke kaʻina hana, e hiki ole au.
Oe e Pono e hoʻohana i ka echocardiogram. He mea pono no ka loiloi 'ana o cardiac' ole a me ka hana, akā, na nā hualoaʻa e hookuu i loko o ka maʻamau laulā. Oe e hoi Pono e hana i kekahi o na kino e pono ai e hoʻoholo i ka wā e hana tachycardia (i hoʻokō 'ole ma koena). Nā mea maʻi i ohumu o ka umauma eha i SVT. Mau symptoms mai e koi i ka stress ho'āʻo paha angiography. I ka olelo hooholo ma ka hou ikea ai e ia ma muli o ke ahonui i ka mōʻaukala a me ke alo o vascular kamepiula aʻe.
Na lapaau koho
Most ho'ōki SVT symptoms ma luna o lākou iho,ʻaʻohe kanaka i pono ai. I kekahi manawa, he mea hiki, e hooki aku i ka symptoms ma nā ana, a me ka inu ole i ka wai anuanu, e paa ana i kona hanu, a kuu iho la i kona maka i ka wai huihui. Naʻe, ina ka CBT mau he lōʻihi manawa me, ua hanahana loa symptoms, oe e ike koke e hele i ka haukapila.
Aia i kekahi mau aoao e ka mana tachycardia:
- Ka pōkole-manawa.
- Ka lōʻihi-manawa.
- Pharmacological.
Lalo o ka nana aku ma kela a me keia o ia kaawale.
Pōkole-manawa hooponopono o ka maʻi
Ke kumu o keia lapaau - ka cessation o huʻi ho'āhewa wale. Ua hiki ke loaʻa ma kaʻoihana kaʻa i hoomahuahua i ka leo. No kekahi laʻana, e hiki pili i ke anu stimulus i ka ili. No hoi me keia maʻi e like me supraventricular ano o ka paroxysmal tachycardia, e hiki i ka lomilomi o ka carotid sinus.
Inā mauʻanuʻu e ole ke kōkua, ka mea, ua? Aeiiaiaoaony e lawe i kekahi o kēia mau ai ':
- "Adenosine". He koke e lawe aku oe i ka symptoms ma ka paleʻana i ka pou impulses i loko o ka naʻau, akā, i ka downside mea i ka lōʻihi o kona hana mea uuku. Ma pohihihi keia hoopii, ka mea e aggravate bronchospasm, kena ae la ia e atypical umauma discomfort.
- "Verapamil" "Diltiazem". Ai 'ka lawelaweia ana intravenously ma 2-3 minuke. Ka mea, e lawe ai i ka pilikia o ka potentiation o hypotension a me ka bradycardia.
Lōʻihi-kau ana o ka maʻi
ka mea, eliminates ka paroxysmal supraventricular tachycardia? Lapaʻau mea Aʻoaʻo ke kaumaha ma muli o ka alapine, oolea a me ka hopena o Episode o symptoms ma ka pono o ke ola.
Ai 'hoakaka ia i ka hoʻomanawanuiʻana, ka poe i:
- Recurrent Episode o symptomatic SVT, me ka hoohuoi ana i ka pono o ke ola.
- Ua hōʻike 'Symptoms me ke kōkua o ka electrocardiogram.
- Pohihihi keia Episode o SVT, akā, i ka hoʻomanawanui i ka 'oihana hana ke alakai i ka kūpono' ana o ka maʻi.
Radiofrequency catheter ablation ua pono no ka hapanui o kēia nā mea maʻi. Ua loaʻa he uuku kamepiula o complications a me ka mea curative i loko o ka hapanui hihia. Ke kaʻina hana nō kāu lawe 1.5 hola, ka mea hiki ke hanaʻia nō ia ma lalo o kūloko anesthesia me ka sedation a mau anesthesia. Nā mea maʻi i hookuu noho i loko o ka haukapila i ka pō no ka kilo cardiac ka mālamaʻana a me ka.
Pharmacological hooponopono ana o ka maʻi
Ka pahuhopu o ka lāʻau Inc - ka ho'ēmiʻana i loko o ka alapine SVT Episode. Wale he uuku hapa o nā mea maʻi e kiʻi pohaku uinihepa, o na symptoms o ia maʻi, e like me supraventricular tachycardia. Lapaau komo ai na kēia paipaiʻia nā huahana.
- atrioventricular nodal ka paleʻana ai ';
- Au antiarrhythmic lāʻau, a me ka papa III.
Hoʻokolohua-blockers a me kalipuna Kanal blockers (Class II a IV) mea e pono ai no mua-laina lapaau i loko o ka maʻi pale o Wolff-Parkinson-White maʻi pale. Randomized haʻawina i ole hōʻike lapaʻau superiority o kekahi i kekahi hope paha. Eia naʻe, Hoʻokolohua-blockers a me kalipuna Kanal blockers e oi i ka Inc "Digoxin" no ka mea, i ka maikaʻi ka paleʻana kanawai ma AVURT i loko o ka moku'āina o kiʻekiʻe leo o ke aloha o ko mākou hopohopo nenoaiu. Ka mea, e ole e ia i loko o nā mea maʻi i ka maʻi pale o CPG, e like me ka mea i hoʻonui i ka kokololio conduction o nā alahele hele me ka atrial fibrillation, a e alakai i ka ventricular fibrillation.
Iapaau ana o nā mea maʻi me Wolff-Parkinson-White maʻi pale
No nā mea maʻi a me ka mea maʻi pale CPG luna he mea i kekahi koho lāʻau. No ka iapaau ana o ia mau maʻi ua paipaiʻia:
- "Flecainide".
- "Sotalol» (II a me Class III hana).
Ka mea, ua oi mana ma mua o Hoʻokolohua-blockers a me kalipuna Kanal blockers i ka pale o ka SVT, akā, pili me ka uuku kamepiula o ke ventricular tachycardia. Kēia kamepiula mea haʻahaʻa i loko o nā mea maʻi me ka mall naʻau maʻi, akā, complications ana i loko o 1-3% o nā mea maʻi e loaa ana "Sotalol", ka oi aku ka poʻe kiʻekiʻe nā māhele i ke hoʻohana 'ia.
"Amiodarone" i ole kūlana ma ka lōʻihi-makahiki Kāohiʻana o SVT like i loko o ka Wolff-Parkinson-White maʻi pale, a me nā 'ano o ke alapine (frequency) kiʻekiʻe o ia meaʻawahia' ole ma ke kino me ka hooloihi ae i ana.
Pale SVT Episode
'Oe ke lawe i kela la i keia ka lapaʻauʻia, e pale aku Episode o SVT. Ke Kula Kaiapuni 'ai' mea e loli i ka pou impulses i loko o ka naʻau. Inā kekahi mea 'aʻole i hana' ole ke kumu noʻaoʻao waiwai, e kelepona i kou kauka. He E kūkā iho i lapaau ia mea e pono ai i loko o kou hihia.
Pono e hoʻomaopopo i ka mea pili Aupuni, a oki i ka holo ma ke kua o ka huila o ke kaʻa, ina he mea ka likelihood o ka maʻi noa ana e hoohauhee ana. Mai lawe ai 'e pale aku SVT, ka mea hiki aggravate i ka pilikia, a i nā naʻau pilikia. ʻO kahi momona a Kāohiʻana o ka kela la i keia mea kaumaha o ka mea'ōnaehana mānowai koko oihana ma ka mea o physical kino.
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