I-Tachycardia nomfutho wegazi ophakeme yizifo ezivamile. Imvamisa, la ma-pathologies atholakala ngokuhlukile, kepha kwesinye isikhathi ahlanganiswa nawo.
Ngenkambo ehlanganisiwe yomfutho wegazi ophakeme ne-tachycardia, izimpawu ezingemnandi zesifo ziya ngokuya ziba zimbi kakhulu isimo sezempilo. Uma kungekho ukwelashwa okufika ngesikhathi futhi okunekhono, izifo ziyaqhubeka ngokushesha, okungaholela ezinkingeni eziningi eziyingozi, kufaka phakathi ukukhubazeka nokufa.
Ngakho-ke, sonke isiguli esinegazi esinenkinga yenhliziyo noshukela wegazi kufanele sazi ukuthi singaziphatha kanjani izimo ezinjalo ngokwazo. Ukuqeda izimpawu ezingemnandi futhi uthuthukise inhlala-kahle iyonke, kusetshenziswa ukwelashwa kwezidakamizwa nezinye izindlela zokupheka. Kepha ngaphambi kokusebenzisa amathuluzi anjalo, kuyadingeka ukuqonda ukuthi zonke lezi zifo zihlanganiswa kanjani nomunye.
Buyini ubudlelwano phakathi kwe-hypertension ne-tachycardia
Emzimbeni womuntu awukho uhlelo olulawula ngasikhathi sinye ingcindezi kanye nenani lokuqunjelwa kwemisipha yenhliziyo. Imvamisa yamapulangwe ilawulwa yi-3 reflexogenic zone, ngokucasuka lapho kukhula i-tachycardia.
Isikhungo sokucindezela kwe-pulse sibhekele isikhungo esisebenza ngenhliziyo esise-medulla oblongata. Iphinda ithinte umthamo we-systological wenhliziyo, noma kunjalo, ayixhunyanisiwe nesifunda se-Refxogenic.
Ukwanda kwenhliziyo, njenge-bradycardia noma i-arrhythmia, ene-hypertension kwenzeka ngenxa yokuthi inhliziyo kufanele ipompe inani lenyuke legazi. Lokhu kuholela ekugcwala ngokweqile kwesitho, okungaba nomthelela ekubonakala kwe-hypertrophy yasesinxele sobunxele.
Kwesinye isikhathi i-tachycardia yenzeka ngesifo se-hypertensive. Lokhu kwandisa ubungozi be-fibrillation ye-ventricular kanye nokwehluleka kwenhliziyo.
Kunesinye isizathu ngoba, lapho, umfutho wegazi ophakeme, isilinganiso senhliziyo sikhuphuka. Ngokukhula komfutho wegazi kanye nokwenyuka kwesilinganiso senhliziyo, ezinye izindlela zokulawula zisebenza emzimbeni. Ngaphansi kwengcindezi kanye nokuzivocavoca okukhulu komzimba, ukuqoqwa kwe-adrenaline kunganda ngokuzumayo, okuholela kumfutho wegazi ophezulu.
Ngabantu abalinganiselayo ababandakanyeka kwezemidlalo imizuzu engu-15 ngemuva kokuqeqeshwa, amazinga omfutho wegazi ajwayelekile. Kepha uma, phakathi kokuzivocavoca ngokomzimba, ukushaya kwenhliziyo kukhuphuka kuze kube ngu-180 ngokushaya ngemizuzwana engama-60, isimo sezempilo sesiguli siya ngokuba sibi, futhi izinkomba zokucindezela ziyanda futhi kungenzeka zingazehli isikhathi eside.
Ingcindezi ye-pulse ne-vascular nayo inyuka nezingcindezi ezinzima, okuholela ekutheni ithoni yemisipha inyuke. Ngakho-ke, isici sokusebenza kwengqondo siyimbangela ehamba phambili yomfutho wegazi ophakeme.
Ukuhlanganiswa kwe-hypertension ebalulekile ne-tachycardia kungakhombisa ukuthuthukiswa kwe-pheochromocytoma. Kungumdlavuza osabalalisa i-adrenaline.
Ukuvimbela ukwenzeka kwemiphumela enjalo eyingozi, kubalulekile ukwazi ukuthi iziphi izidakamizwa okufanele uzisebenzise uma ukhulisa ukushaya kwenhliziyo kanye nomfutho wegazi.
Imithi enomfutho wegazi ophakeme kanye nokushaya kwenhliziyo
Isifo sikashukela, ukwehluleka kwenzeka emzimbeni wonke. Umphumela ongathandeki wokuphulwa kwe-carbohydrate metabolism kungaba yi-VSD, tachycardia ne-hypertension. Ngakho-ke, lapho kunquma imishanguzo, udokotela ubheka isimo sempilo esigcwele nezimpawu zomzimba wakhe.
I-pharmacology yanamuhla inikezela ngezidakamizwa eziningi eziguqula umfutho wegazi kanye nenhliziyo. Ngakho-ke, i-tachycardia ebangelwa yingcindezi ingalashwa nge-sedatives.
Izidakamizwa ze-Sedative zihlukaniswe ngemvelo (i-tinctures yotshwala, i-Persen) nokwenziwa. Lokhu kubandakanya:
- Etatsizin;
- I-Rhythmylene
- I-Relium
- I-Verapamil.
Uma i-tachycardia ibangelwa ukukhiqizwa ngokweqile kwama-hormone e-thyroid, udokotela unquma izidakamizwa ze-thyreostatic. Ukuze wehlise izinga le-triiodothyronine thyroxine, udinga ukuthatha amaphilisi anjengeMikroyod, i-Potassium perchlorate noma i-Merkazolil.
Ama-glycosides e-Cardiac angolunye uhlobo lwemithi esetshenziselwa ukwenza izinga lokushaya kwenhliziyo nomfutho wegazi. Izidakamizwa ezidumile ezivela kuleli qembu yi-Digoxin noStrofantin. Zinciphisa isidingo se-oksijini senhliziyo futhi zivimbela ukwelula izindonga ze-myocardium.
Ukwelapha okungcono kakhulu kwe-tachycardia enomfutho wegazi ophakeme kungokwesigaba se-beta-blockers. Noma yiluphi ikhambi kulesi sigaba lilawula ukukhiqizwa kwe-adrenaline.
Ama-Beta-blockers ahlukaniswe ngokukhetha nokungakhethi. Iqembu lokuqala lifaka iBetaxol, Metoprolol, Atenolol, nelesibili - iTimolol, Anaprilin neSotalol.
Kodwa-ke, izidakamizwa ezinjalo zithathwa kuphela uma ukushaya isiguli kungaphezu kokushaya okungu-120, ngoba kunenqwaba yokuphambana nemiphumela engathandeki. Ukwelashwa nge-adrenaline blockers akuvunyelwe kubantu besifazane abakhulelwe, izingane, azinqunyelwe i-asthma nezifo ezihambisana nokujikeleza kwe-peripheral okunganele.
Ngokwe-tachycardia ye-supraventricular kanye ne-hypertension, ama-blocker wesiteshi se-calcium angasetshenziswa. Lawa ma-ejenti akavumeli i-calcium ukuthi ikhishwe kumaseli ezitolo zangaphakathi.
Umuthi omuhle kakhulu wokuphazamiseka kwemithambo yegazi uthathwa njenge-Diltiazem, ophethwe ngaphakathi. Kepha kufanelekile ukukhumbula ukuthi umuthi ubangela ukusabela okuningi okungekuhle - hypotension, ukuvuvukala nekhanda.
Ama-blocker wesiteshi se-Sodium nawo asetshenziselwa ukwelapha i-tachycardia kanye nomfutho wegazi ophezulu kushukela. Izidakamizwa ezidumile ezivela kuleli qembu lezidakamizwa yiNovocainamide neQuinidine.
Ama-inhibitors e-ACE anqunyelwa umfutho we-arterial hypertension kanye ne-palpitations yenhliziyo eyenzeka kwabanesifo sikashukela. Izidakamizwa ezinjalo zivimbela ukwehluleka kwenhliziyo kanye nephropathy yesifo sikashukela.
Kepha lezi zimali kufanele zisetshenziswe ngokucophelela, ngoba zifaka isandla ekuqongeleleni i-potassium emzimbeni, zingaphazamisa ukusebenza kwenhliziyo nemisipha yesistimu.
Izithinteli ezisetshenziswa kakhulu ze-ACE:
- I-Enam;
- Kapoten;
- I-Monopril;
- UMavik;
- Univask;
- U-Aseon nabanye.
Uma kwenzeka kuphazamiseka i-carbohydrate metabolism, umfutho wegazi ophakeme kanye nokusebenza kahle kokushaya kwenhliziyo, kunqunyelwe ama-diuretics. Imithi inomphumela wokugaya futhi inciphise ukuvuvukala.
Le mishanguzo ifaka i-amiloride, i-indapamide retard, i-triamteren ne-hydrochlorothiazide.
Amakhambi esintu
Ngaphezu kwemithi, imishanguzo evela kwizithako zemvelo izosiza ukwenze umfutho wegazi kanye nesilinganiso senhliziyo. Usizo lwabo ukuthi banomphumela omnene, empeleni abadingi ukuthi kube nemiphumela emibi futhi babe nobuncane be-contraindication.
Enye yezindlela ezinhle zokuqinisa ingcindezi nokushaya ngamandla okukhishwe kutholakala ku-valerian. Ukuze uzuze umphumela owelaphayo, i-tincture yotshwala kufanele idakwe ngekhosi, ngoba inomphumela wokugcwala.
Ukubhekana nokuqina komfutho wegazi, i-tee kanye ne-infusions kusuka kumaqabunga, izimpande ze-valerian kuzosiza. Futhi, umphumela we-hypotensive and calaring usetshenziswa ngamabhati ngokufakwa kwe-decoction yesitshalo.
Ukhuphula ukungatheleleki futhi uthuthukise umsebenzi wesistimu yenhliziyo kuzosiza i-mamawort, enomphumela opholile futhi ovusa amandla. Ngokusekelwe kwisitshalo, lesi sinqumo esilandelayo sokwelashwa silungiselelwe:
- Amaqabunga omile we-mamawort (izipuni ezi-4) athululelwa ngamanzi ashisayo (200 ml).
- Umkhiqizo ubekwa kubhavu wamanzi.
- Ngemuva kokubilisa, isitsha esinomuthi sikhishwa esitofini, simbozwe futhi sigcizelelwa amahora ama-3.
- Kungcono ukuphuza ukumnika ngemuva kokudla, ngesikhathi awukwazi ukusebenzisa ngaphezu kwezipuni ezimbili ze-decoction.
Ukususa umfutho wegazi ophakeme futhi uzinze umsebenzi wenhliziyo, ungasebenzisa i-hawthorn. Ngendlela, i-hawthorn ilusizo kakhulu kwisifo sikashukela sohlobo 2, esihambisana nomfutho wegazi ophakeme.
Ama-decoction kanye nama-tinctures alungiswa kusuka kunoma yiziphi izingxenye zesitshalo.
Enye yezindlela ezinhle zokusebenzisa i-hawthorn ifaka ukusetshenziswa kwezithelo nezimbali zotshani. Izinto ezingavuthiwe ziyachotshozwa, zibekwe esitsheni esingenamuntu futhi zigcwele amanzi abilisiwe. Ithuluzi ligcizelelwa amahora ama-4 futhi lithathwe izikhathi ezi-5 ngosuku ngemuva kokudla.
Lapho umfutho wegazi usuvele wehlile, futhi ukushaya ngamandla kusephezulu kakhulu, amakhambi abantu we-tachycardia azosiza, hhayi ukwehlisa ingcindezi. Lokhu kufaka phakathi:
- ukumiswa kwe-rosehip;
- i-decoction esekelwe kumamawort;
- iqoqo le-phyto, kufaka phakathi i-calendula, i-lemon balm, hops, i-dill, i-valerian.
Kuyiqiniso, abantu nemithi kusiza ukubhekana nomfutho wegazi ophakeme ne-tachycardia. Kodwa ukuze izifo ezinjalo zingaphinde ziphinde zibonakale, abanesifo sikashukela badinga ukuhola indlela yokuphila enempilo, kubandakanya nokudla okufanele, ukugwema ukucindezelwa, ukusebenza komzimba kanye nokwenqaba ukulutha.
Yiziphi izidakamizwa ezizosiza ukuqeda i-tachycardia echazwe kuvidiyo kule ndatshana.
