Extrasystole - matšoao

Extrasystolia ke tlōlo ea pelo ea boithabiso, e amanang le ponahalo ea masoabi a se nang molekane kapa a mabeli a pele a pelo (li-extrasystoles) tse bakoang ke merusu ea myocardial ka mabaka a sa tšoaneng. Ena ke mofuta o tloaelehileng haholo oa khatello ea maikutlo ea pelo ( arrhythmia ), e fumanoang ho 60-70% ea batho.

Kemiso ea extrasystole

Ho itšetlehile ka hore na boemo bo botle ba ectopic foci bo fumaneha joang, mefuta e latelang ea maloetse e khetholloa:

• ho phomola ha ventricular;
• sesupa-phetolelo se ka holimo-limo (li-atrial, tse tsoang ho atrioventricular node);
• extrasystole ea atrioventricular.

Ho itšetlehile ka palo ea ponahalo, li-extrasystoles li khetholloa:

• e masoha;
• lipalli tse peli (tse latelang tse peli ka tatellano);
• sehlopha (tse fetang tse peli).

Kakaretso ea ketsahalo ea extrasystoles e khetholla extrasystole:

• e sa tloaelehang (tlase ho 5 ka motsotso);
• karolelano (6 - 15 ka motsotso);
• khafetsa (hangata 15 ka motsotso).

Sepheo sa ho tseba lintho ke:

1. Mantsoe a mangata a sebetsang ka tsela e sebetsang - matšoao a molumo ho batho ba phetseng hantle ba bakoang ke ho noa joala, lithethefatsi, ho tsuba, ho noa tee e matla kapa kofi, hammoho le mekhoa e sa tšoaneng ea limela, khatello ea kelello, maemo a sithabetsang.
2. Li-extrasystoles tsa tlhaho ea tlhaho - li hlaha ka tšenyo ea likokoana-hloko: lefu la pelo, lefu la pelo, lefu la cardiosclerosis, lefu la pelo, lefu la pericarditis, myocarditis, tšenyo ea likokoana-hloko mesebetsing ea pelo, amyloidosis, sarcoidosis, hemochromatosis, joalo-joalo.
3. Li-extrasystoles tse chefo li hlaha maemong a feverish, thyrotoxicosis, e le phello e le 'ngoe ka mor'a hore u noe meriana e itseng (caffeine, ephedrine, novorrin, li-anti-depressants, glucocorticoids, diuretics, joalo-joalo).

Matšoao a lefu la pelo ea motho ea pelo

Maemong a mang, haholo-holo ka li-extrasystoles, ho na le matšoao a kakaretso ea extrasystole. Empa leha ho le joalo hoa khoneha ho senola palo e 'maloa ea ponahalo ena. Hangata, bakuli ba etsa litletlebo tse latelang:

• ho utloahala ho thothomela le pelo e matla;
• boikutlo ba ho fela, ho ema ha pelo;
• boikutlo ba ho "fetola" pelo ka sefubeng.

Ponahalo ea matšoao a joalo ke tšobotsi ea extrasystole e sebetsang:

• pallor;
• ho fufuleloa ho eketsehileng;
• boikutlo ba ho hloka moea;
• ho tšoenyeha, tšabo.

Extrasystole ea ventricular e ka iponahatsa ka matšoao le lipontšo tse joalo:

• maikutlo a ho sitisa mosebetsing oa pelo;
• botsoa;
• bofokoli;
• bohloko ba angin;
• phefumoloho e khutšoanyane ;
• boikutlo ba khaello ea moea.

Matšoao a li-extrasystole ka ho fetisisa li tšoana, leha ho le joalo, ka molao, mokhoa ona oa ho kula o batla o le bonolo haholoanyane.

ECG lipontšo tsa extrasystole

Mokhoa o ka sehloohong oa ho hlahlojoa ha extrasystole ke electrocardiography ea pelo (ECG) ea pelo. Karolo e tloaelehileng ea mofuta ofe kapa ofe extrasystole ke thabo ea pele ea pelo - ho khutsufatsa ha nako ea pina e kholo ea RR ka electrocardiogram.

Ho hlahloba le ECG ho ka boela ha etsoa - mokhoa oa ho hlahloba oo mokuli a apereng mochine oa ECG o nkiloeng ka nako ho lihora tse 24. Ka nako e ts'oanang, diary e bolokiloe, moo liketso tsohle tsa mokuli (ho phahamisa, ho ja, meleng ea kelello le kelellong, liphetoho tsa maikutlo, ho senyeha ha boiketlo, ho tlohela mosebetsi, bosiu bosiu) li tlalehiloe ka nako. Ka poelano e latelang ea ECG le ditaba tsa diary, dikarabo tsa pelo tse sa tsitsang (tse amanang le khatello ea kelello, ho ikoetlisa, joalo-joalo) li ka fumanoa.