Tachycardia ndiro zita rakapiwa chero chero rwiyo rwemwoyo runobereka mwoyo wakakurumidza.
Sinus Tachycardia
Tachycardia inowanzowanzova yakakwana. Ichokwadi, inenge tose zvedu tine iyo inenge zuva rose. Kuwedzera kwemaitiro emwoyo ndiyo nzira huru iyo mwoyo unokwanisa kuwedzera kuwanda kweropa iri kuputira panguva dzekuedza kana kushungurudzika. Izvi zvinowanzoitwa tachycardia, iyo inobudiswa node ye sinus, inonzi sinus tachycardia.
Izvozvo zvisingaiti Tachycardias: Cardiac Arrhythmias
Zvisinei, panewo marudzi mazhinji emagariro e-cardiac arrhythmias (asina kujaira mwoyo miitiro) inokonzera tachycardia.
Pane maviri maitiro akawanda echirhythmias anogadzira tachycardia: the supraventricular tachycardias, inomuka mumatria emwoyo , uye inotricular tachycardias, inomuka mumhepo. Izvozvi marudzi maviri e tachycardia zvakasiyana zvakasiyana zvose mumhando dzevanhu vanowanzova nehuwandu uye muhuwandu hwehutano hwavanowedzera.
Supraventricular Tachycardias
Mhando dzakawanda dzepamusoro-soro tachycardias (SVT) inowanzoitika kune vechidiki, vamwe vanhu vane utano hwakanaka. (Izvo zvakasarudzwa ndezvekushaya zvirwere zveperiyuta , izvo zvinowanzoonekwa kuvanhu vakuru.)
SVT inowanzoitika sezvikamu zvinotanga uye zvinoguma pakarepo, kazhinji pasina chero kunyevera. SVT kazhinji inokonzera marapatiro makuru , kushungurudzika, kuchena kwemazuva kana mutema, kushaya simba, uye dzimwe nguva kupererwa kwemhepo.
Vanhu vane SVT kazhinji havana zviratidzo zvachose pakati pezvikamu. Asi kana zvikamu zvinowanzoitika kakawanda kana zvakapedzisira kwenguva refu, SVT inogona kuratidza kupesana kwehupenyu hwomunhu.
Pasinei nokuti SVT inogona kuita kuti unzwe sei zvakaipa, zvisinei, hazviiti zvachose kuisa dambudziko guru muupenyu uye nhengo.
Kune marudzi mazhinji akasiyana eSVT.
Chinyanya kukosha pane izvi ndeichi:
- Sinema isina kukodzera tachycardia (IST)
- AV nodal reentrant tachycardia (AVNRT)
- Atrioventricular reciprocating tachycardia, rimwe boka rinosanganisira Wolff-Parkinson-White syndrome (WPW)
- Atrial fibrillation
Mukuwedzera kune izvi zvakasiyana-siyana, kune marudzi akawanda eSVT ayo asingawanzozivikanwi.
SVT inogona nguva dzose kutorwa zvakanaka. Chero ani zvake ane SVT anofanirwa kutsvaga kurapwa nechirwere chemwoyo.
Ventricular Tachycardias
I-ventricular tachycardias inosanganisira maitiro maviri akazara arhythmia: ventricular tachycardia pachayo, uye ventricular fibrillation. Muzviitiko zvizhinji, aya arhythmias anoonekwa kuvanhu vakwegura vane chirwere chinokonzera chirwere chepfungwa, kunyanya chigoni chemarita chirwere (CAD) uye mwoyo kusagadzikana .
Ventricular fibrillation (VF) ndiyo inonyanya kuipa yemaridhimiya yemoyo. Kana zvikaitika zvinogara zvichitungamirira kurufu mukati memaminitsi mashomanana kunze kwekuti zvamira.
Mune VF, masimba emagetsi mukati memhepo inotonhora inobva yazara zvachose, mwoyo unobva warega kurova, uye kusungwa kwemoyo kunowanikwa. Kunze kwekuti munhu wacho akawana hutano hwakanaka hwekugadziriswa, rufu runopera mukati maminitsi. Ventricular fibrillation inofungidzirwa kuti inokonzera kudarika kwevanhu vanenge 300 000 kamwe kamwe gore muUnited States chete.
Zviri pachena kuti nzira yakanakisisa yokubata nayo ventricular fibrillation ndeyokudzivirira.
Ventricular tachycardia imwe ingangodaro inogona kukanganisa dhigrim inobva mumhepo. Nepo kune vamwe vanhu tricycardia inotyisa inogadzira zviratidzo zvishoma, kazhinji inowedzera kuvepa, kuora musoro kana kurasikirwa, kana kufa kamwe kamwe. Kusiyana ne-ventricular fibrillation, muzviitiko zvizhinji ventricular tachycardia inobvumira mwoyo kuramba uchiputira kusvika pamwero. Saka kufa kamwe kamwe kunogona kusava nokukurumidza, uye hakugone kuitika zvachose.
Ruzhinji rwevanhu vane tacycardia ye ventricular vane urongwa hweCAD kana mwoyo kusakundikana.
Kunyange zvakadaro, pane zvakawanda zvishoma zvinowanzosiyana zveutricycardia tachycardia inowanikwa kune vanhu vaduku uye vane utano hwakanaka. Aya marudzi e tricycardia inonzi ventricular anosanganisira:
- Long QT syndrome
- Kudzokorora monomorphic ventricular tachycardia (RMVT)
- Arrhythmogenic right ventricular cardiomyopathy (ARVC)
- Catecholamine-sensitive polymorphic ventricular tachycardia (CPVT)
Nokuti mhando dzose dze tricycardia dzinotyisa dzinogona kuuraya, chero munhu ane chirongwa ichi - zvisinei nokuti chii chinokonzera - chinofanira kuongororwa nenyanzvi mumoyo wemagythmia.
> Sources:
Blomström-Lundqvist C, Scheinman MM, Aliot EM, uye al. ACC / AHA / ESC mirayiridzo yevatungamiri vevarwere vane supraventricular arrhythmias - nhepfenyuro yakakura: mushumo weAmerican College of Cardiology / American Heart Association Task Force pamusoro Pemitemo Yezvokuita uye European Society yeCardiology Committee yeMitungamiri Yedzidzo (Komiti Yokunyora Ita Nhungamiro Yekutungamira Kwevarwere Ne Supraventricular Arrhythmias). Circulation 2003; 108: 1871.
Zipes, DP, Camm, AJ, Borggrefe, M, uye al. ACC / AHA / ESC 2006 Nhungamiro Yekutungamirirwa Kwevarwere Ne Ventricular Arrhythmias uye Kudzivirira Kungoerekana Yakafa Rufu-Mutungamiri Mutevedzeri A Nyaya yeAmerican College of Cardiology / American Heart Association Task Force neEuropean Society of Cardiology Komitungamiri Yekushandisa Maitiro (Kunyora Komiti Ikudziridza Nhungamiro Yekutungamira Vatano Ne Ventricular Arrhythmias uye Kudzivirirwa Kwekufa Kwechirwere Chekufa). J Am Coll Cardiol 2006; 48: 1064.