ʻO ka puʻuwai maʻamau 60 a 100 mau kuʻi Puʻuwai i kēlā me kēia minuke, i kēlā me kēia manawa. He mea maʻamau no ka nui o ka puʻuwai e wikiwiki i ka pane ʻana i ka hoʻoikaika kino a i ʻole ke ʻano o ka dysregulation o ka thyroid gland, no ka laʻana. A ʻO ka maʻi puʻuwai hiki mai ka naau kuʻi ʻino ʻole a i ʻole ke kuʻi ʻana ma lalo o 60 puʻuwai puʻuwai a ʻoi aku paha ma mua o 100 puʻuwai i kēlā me kēia minuke, me ka ʻole o ka hōʻoia ʻana.

ʻO Arrhythmia ka maʻi puʻuwai maʻamau. I loko o ka puʻuwai arrhythmic, ka nā manaʻo uila nāna e hoʻomalu i ka Kuʻi puʻuwai puka mai ala ʻino a i ʻole e hele i nā kaapuni uila maʻamau.

He ʻokoʻa ka lōʻihi o ka arrhythmia mai kekahi kanaka a i kekahi a pili pū i ke ʻano o ka arrhythmia.

hoʻopuka. Nui nā ʻano o ka arrhythmia, ʻaʻole i wehewehe ʻia nā mea a pau ma kēia pepa.

ʻO nā ʻano like ʻole o ka arrhythmia

ka nā arrhythmias Hoʻokaʻawale ʻia e like me ka wahi i puka mai ai, ka atrium a i ʻole ka ventricle a e like me ka hopena a lākou e hana ai, ʻo ka wikiwiki a i ʻole ka lohi ʻana o ka puʻuwai puʻuwai. ʻO ka tachycardia pili i ka piʻi ʻana o ka puʻuwai, ka ʻo nā bradycardies i ka emi ana.

ʻO Tachycardias, a i ʻole ka piʻi ʻana o ka puʻuwai

Ke kamaʻilio nei mākou no ka tachycardia i ka wā e paʻi ai ka naʻau i ka wikiwiki ma mua o 100 beats i kēlā me kēia minuke.

Aia kekahi mau tachycardia Nā poʻo. ʻO nā ʻano maʻamau:

• Ke hoʻopiliʻiaʻana o keʻano o'Atera. ʻO ia ke ʻano maʻamau oarrhythmia. Loaʻa pinepine ia ma hope o ke 60 makahiki, i ka poʻe me ke koko kiʻekiʻe a i ʻole ka pilikia naʻau. He mea maʻamau ia ma muli o ka ʻaʻahu a me ka waimaka ma ke kino conductive o ka puʻuwai. A hiki i ka 10% o ka poʻe 80 a ʻoi aʻe e loaʻa iā ia. Hiki ke lōʻihi nā manawa o ka atrial fibrillation mai kekahi mau minuke a i kekahi mau hola. ʻO ka manawa pinepine e paʻa mau ka fibrillation. Hiki i ka atrium fibrillating ke hoʻopaʻa i ka wikiwiki o 350 a 600 mau manawa i kēlā me kēia minuke (ʻoi aku ka maikaʻi ʻaʻole e paʻi koke nā ventricle no ka mea ua paʻa kekahi o ia mau ʻano ʻino ma ke ala). Hiki ke pilikia kēia ʻano arrhythmia. ʻAʻole lawa ka holo ʻana o ke koko. Ina stagnates ma ka atrium, a ʻōpū koko hiki ke hana, neʻe i ka lolo a hiki i ka hopena o ka hahau ʻana;
• Autial flutter. ʻO kēia ʻano arrhythmia e like me ka atrial fibrillation, ʻoiai ʻoi aku ka hoʻonohonoho ʻana o ka puʻuwai a me ka lohi iki i kēia hihia, ma kahi o 300 i kēlā me kēia minuke;
• ʻO ka tachycardia supraventricular. Nui nā ʻano. ʻO ka mea maʻamau ke kumu o 160 a 200 mau hoʻopaʻapaʻa i kēlā me kēia minuke a hiki ke lōʻihi mai kekahi mau minuke a i kekahi mau hola. Loaʻa ia i ka poʻe ʻōpio a ʻaʻole hoʻoweliweli i ke ola. ʻO ka mea maʻamau ka tachycardia supraventricular paroxysmal ou ʻO ka maʻi o Bouveret (Hoʻokumu ʻia kahi ʻano kaapuni pōkole a hoʻoulu i nā ventricle me ka wikiwiki a maʻamau). ka Wolff-Parkinson-White maʻi maʻi he ʻano ʻē aʻe. Hiki ia i ka wā e hele ai nā manaʻo uila mai ka atrium a i ka ventricle me ka hele ʻole ʻana i ka node atrioventricular;
• ʻO Sinus tachycardia. Hōʻike ʻia e a hoʻonui ʻia ka helu o ka puʻuwai ʻoi aku ma mua o 100 beats i kēlā me kēia minuke. ʻO ka sinus tachycardia ka mea maʻamau i loko o ka puʻuwai olakino ma hope o ka hoʻoikaika kino, dehydration, stress, ʻai ʻana i nā mea hoʻoulu (kofe, waiʻona, nicotine, etc.) a i ʻole kekahi mau lāʻau lapaʻau. Eia naʻe, hiki i kekahi manawa ke hōʻailona o kahi pilikia olakino nui i loko o ka puʻuwai, e like me ka pulmonary embolism a i ʻole ka puʻuwai puʻuwai;
• Atrial extrasystole. ʻO ka extrasystole kahi ʻokiʻoki mua ʻana o ka naʻau, a maʻa mau ʻia me ka hoʻomaha lōʻihi ma mua o ka maʻamau. Ke hele nei ka extrasystole i kekahi manawa ma waena o nā puʻupuʻu maʻamau, me ka ʻole o ka hoʻololi ʻana i kā lākou holomua. He mea maʻamau ka loaʻa ʻana o kekahi mau lā. Me ka makahiki, ʻoi aku ka nui o lākou, akā ʻaʻole mau ka pōʻino. Eia naʻe, hiki ke hoʻokumu ʻia e kekahi pilikia olakino (naʻau a i ʻole nā ​​​​mea ʻē aʻe). Hoʻomaka ka atrial extrasystole i loko o ka atrium, aʻo ka ventricular extrasystole (e ʻike i lalo) mai nā ventricle.

Loaʻa nā tachycardia ʻē aʻe ventricles, ʻo ia hoʻi, ma nā keʻena haʻahaʻa o ka puʻuwai.

• Tachycardia ʻO Ventricular. He kuʻikuʻi maʻamau, akā wikiwiki loa kēia o nā ventricle, mai ka 120 a 250 mau ʻoki i kēlā me kēia minuke. Loaʻa pinepine ia ma ke kahua o kahi ʻula i waiho ʻia e ka ʻoki mua ʻana a i ʻole nā ​​nāwaliwali ma muli o ka maʻi puʻuwai. Ke hala nā manawa he mau minuke, hiki ke hoʻohaʻahaʻa i ka ventricular fibrillation a koi aku ʻike wikiwiki;
• Fibrillation ventricular. ʻO kēia mau ʻokiʻoki wikiwiki a me ka hoʻokaʻawale ʻole o ka puʻuwai puʻuwai he a pilikia olakino. ʻAʻole hiki i ka puʻuwai ke pāpaʻi hou a ʻaʻole kaʻapuni ke koko. ʻO ka hapa nui o ka poʻe e nalowale koke i ka ʻike a koi koke i ke kōkua olakino, ʻo ia hoʻi ka ho'ōla kalapili. Pono e hoʻihoʻi ʻia ka puʻuwai me kahi defibrillator, i ʻole e make ke kanaka i loko o kekahi mau minuke;
• ʻO Syndrome du QT lōʻihi. ʻO kēia pilikia e pili ana i ka lōʻihi o ka lumi QT ma kahi electrocardiogram (ECG), ʻo ia ka manawa ma waena o ka hoʻoiho uila a me ka hoʻokuʻu ʻana o nā ventricle. Hoʻomaka pinepine ʻia e a maʻi kino ai ole ia, he kino kino o ka naau. Eia kekahi, hiki i nā hopena ʻaoʻao o nā lāʻau lapaʻau ke alakaʻi i kēia maʻi. ʻO ia ka mea e paʻa ai ka puʻuwai me ka wikiwiki a me ka maʻamau. Hiki ke alakaʻi i ka ʻike ʻole a hiki i ka make koke;
• Ventricular extrasystole. Hiki ke ʻoki ʻia i loko o ka ventricle. ʻOi aku ka pinepine o Ventricular extrasystole ma mua o ke kumu atrial. E like me ka atrial extrasystole, hiki ke pilikia ʻole i ka puʻuwai olakino. Eia naʻe, pono e makaʻala hou i ka wā maʻamau.

ʻO Bradycardias, a i ʻole ka emi ʻana o ka puʻuwai puʻuwai

Hana ʻia ka Bradycardia i ka wā e kahe ʻia ai ke koko emi iho ma mua o 60 puʻuwai i kēlā me kēia minuke. i lohi ka helu o ka naʻau ʻAʻole ia he mea weliweli i ke ola. He hōʻailona paha ia o ke olakino puʻuwai maikaʻi loa. ʻO kekahi o nā mea pāʻani, no ka laʻana, loaʻa ka puʻuwai hoʻomaha o 40 mau kuʻi i kēlā me kēia minuke a maikaʻi loa.

Ma ka ʻaoʻao ʻē aʻe, i nā hihia kahi i hiki ʻole ai i ka puʻuwai ke hoʻolako pono i nā kino me ka oxygen, ke kamaʻilio nei mākou hōʻailona bradycardia. ʻO nā ʻano ma lalo nei ka mea maʻamau:

• ʻO ka hana ʻino o ka node Sinoatrial. ʻO kēia ka mea maʻamau i ka puʻuwai ma lalo o 50 i kēlā me kēia minuke. ʻO ke kumu maʻamau, ʻo ia ka ʻili ʻili e hoʻopau a hoʻololi paha i ka node sinoatrial;
• Atrioventricular block. ʻO kēia hemahema i ka hoʻoili ʻia ʻana o ka manaʻo uila (hoʻolohi, hoʻopau i kekahi manawa a hoʻopau piha paha) ma waena o ka atria a me nā ventricle e hoʻolohi i ka puʻuwai.

Nā kumu

Nā kumu oarrhythmia i ka naʻau he nui a komo i keia:

• ʻelemakule maʻamau;
• Ka pilikia;
• ʻO ka hoʻomāinoino ʻana i ka paka, ka waiʻona, ke kofe a i ʻole kekahi mea hoʻoikaika ʻē aʻe; hoʻohana cocaine;
• Make wai;
• Arteriosclerosis a me ka atherosclerosis;
• Ke lawe nei i kekahi mau lāʻau;
• Broncho-pneumopathies (nā pilikia me ka ʻōnaehana hanu);
• ʻO ka embolism o ka pulmonary;
• ʻO ka lawaʻole o ka coronary e alakaʻi ana i ka nele o ka oxygenation o ka puʻuwai puʻuwai.

Nā pilikia i hiki

ʻO kekahi mau ʻano arrhythmia e hoʻonui i ka pilikia o nā pilikia e like me:

• he pōʻino o ke koko (stroke);
• puʻuwai puʻuwai;
• a ka hala o kaʻike (kakaʻikahi, ʻo kekahi mau ʻano arrhythmia wale nō).

I ka manawa e nīnau ai i ke kauka?

E aʻo aku iā lākou nā lawelawe kūikawā koke inā ʻike ʻoe i nā hōʻailona e like me ka puʻuwai palpitations, pākī ai ole ia, he nele i ka hanu, manaʻo ʻole a wehewehe ʻole ʻia.