Paroxysmal tachycardia yog ib yam ntawm arrhythmia, nyob rau hauv uas muaj kev tawm tsam ntawm ib tug ntse nce nyob rau hauv plawv nres, tab sis lawv cov kab lus yog khaws cia. Cov kab mob no tshwm sim ntau zaus, ob leeg tib si rau cov laus thiab cov menyuam.
Kev faib tawm, ua rau thiab cov tsos mob ntawm tus mob paroxysmal tachycardia
Cov kab mob paroxysmal tachycardia pib thiab xaus dheev, nws tuaj yeem ntev li ob peb feeb mus rau ob peb hnub. Thiab qhov kawg ntawm kev sib tua dheev, tsis hais seb puas tau noj tshuaj. Qee lub sij hawm qhov nce hauv lub plawv atherosclerosis ua ntej yuav muaj kev cuam tshuam rau kev ua haujlwm ntawm lub plawv. Lub plawv dhia thaum lub sij hawm nres (paroxysm) yog 120 - 300 tawm tsam txhua feeb. Tib lub sij hawm hauv ib qho ntawm cov kev saib xyuas ntawm kev kho mob ntawm lub plawv muaj lub hom phiaj ntawm kev xav tau, nyob ntawm seb peb hom kab mob no puas sib koom:
- atrial;
- atrioventricular (nodular);
- ntxooj.
Hauv kev kuaj mob, qhov mob paroxysmal tachycardia tau muab faib ua cov leeg (ventrikulas) thiab cov tshuaj (supraventricular).
Tus kab mob yuav kis tau nrog cov tsos mob xws li:
- ua daus no, trembling;
- tsis muaj zog, kiv taub hau;
- tawm hws, ntau zaus tso zis.
Supraventrricular paroxysmal tachycardia feem ntau yog nrog lub plawv dhia ntawm 180 thiab 240 pulses, nws yog feem ntau txuam nrog kev nce hauv cov kev ua ntawm qhov sympathetic lub paj hlwb. Qhov ua rau tuaj yeem ua rau cov neeg muaj kab mob hauv lub cev tsis zoo, tsis txaus rau cov roj ntsha hauv cov ntshav, thiab lwm yam. Cov mob plab hnyuv taum hauv plab feem ntau yog mob plawv, feem ntau yog mob ntshav nce siab, muaj lub siab ntawm lub caj pas, kev mob hauv plawv.
Ventricular paroxysmal tachycardia yog ib lub plawv dhia ntawm 150-180 neeg ntaus ib feeb thiab feem ntau yog txuam nrog kev hloov ntawm dystrophic hauv myocardium, coronary heart disease, inflammatory diseases ntawm lub plawv mob, thiab lwm yam. Ib qho kev ua mob tuaj yeem ua rau tsis nco qab. Daim ntawv no yog txaus ntshai vim tias nws tuaj yeem ua rau cov hlwv fibrillation - muaj kev puas tsuaj rau txoj sia.
Paroxysmal tachycardia rau cov menyuam yaus
Cov tsos mob ntawm cov menyuam yaus yog qhov zoo tib yam li cov laus. Thaum lub sij hawm muaj tus kab mob, tus menyuam yws yws yws txog kev ntshai, kev mob plawv hauv plawv, mob hauv plab, xeev siab. Tus me nyuam ua daj ntseg, ces cyanotic. Qhov no tuaj yeem ua nrog ntuav, tsis qab los noj mov.
Hauv thaum yau, kev mob paroxysmal tachycardia yuav luag txhua yam yog tshwm sim los ntawm excitability zog, uas, nrog rau supraventricular daim ntawv, feem ntau muaj ib lub hauv paus keeb kwm.
Kev saib xyuas thaum muaj xwm ceev rau kev mob paroxysmal tachycardia
Yog tias tus kab mob tachycardia tuaj yeem tshwm sim, koj yuav tsum hu rau lub tsheb thauj neeg mob. Ua ntej lub sij hawm tuaj txog ntawm tus kws kho mob, koj tuaj yeem sim ua kom tsis txhob muaj tachycardia nrog rau txoj kev:
- kaw koj ob lub qhov muag, zaws qhov muag nrog koj cov ntiv tes rau hauv qhov chaw;
- ntaus suab puv hauv siab, kaw koj lub qhov ntswg thiab qhov ncauj thiab sim ua pa tawm;
- artificially induce ntuav;
- txias so;
- nqa corvalol lossis valocordin.
Kev kho mob ntawm paroxysmal tachycardia
Kev kho yog sau raws li lub hauv paus ntawm tachycardia thiab qhov chaw ntawm lub impulses, uas tuaj yeem kuaj nrog ib qho electrocardiogram. Kev kho mob yuav tsum siv cov tshuaj antiarrhythmic. Yog tias cov tshuaj siv tsis zoo, yog tias qhov kev sib tw tsis ua hauj lwm thaum nruab hnub thiab yog tias cov tsos mob ntawm lub plawv tsis ua haujlwm nce ntxiv, kev kho electroimpulse yog ua tiav. Kev kho kuj yuav muaj xws li kev teem caij muaj kab mob ntsws (acupuncture), tshuaj noj (vegetative medicines), kev kho hlwb. Txoj kev siv phais minimally invasive kuj zoo heev.