Idan a lokacin da aka raba na'urar electrocardiogram na'urar ta rubuta wasu canje-canje a cikin aikin zuciya, to, ganewar asali shine "wani ciwo na farkon sake sakewa na ventricles". Irin wannan yanayin ba koyaushe bane ko cututtuka, amma likita ta sake gwadawa.
Ciwo na farkon sake sakewa na ventricles na zuciya - mece ce?
Kwanan nan, ciwon ciwon kwakwalwa na farko (ARVD) yana da mahimmanci - 8% na maza, mata da yara masu lafiya, suna koyi game da irin wannan abu na ECG a lokacin binciken gwaji. Ƙungiyar ya kunshi:
- Marasa lafiya da cututtuka tare da zuciya, waɗanda suke tare da katsewa cikin aiki;
- mutanen da suke da hannu cikin wasanni;
- baƙi;
- marasa lafiya tare da collagenosis dysplastic.
Yawancin marasa lafiya suna tambaya game da abin da ciwo na farkon sake fasalwar ventricular na nufin. Yana da canji marar kyau a cikin tsarin electrocardiogram kuma zai iya kasancewa na dindindin ko kuma bazuwa. Sau da yawa, abin da ke faruwa na ECG ya faru a matasa da yara. Akwai nau'in halittu 3 da ke da nau'o'in al'ada, amma sun bambanta a cikin matsayi na tsanani:
- iyakar - yana da fiye da 6 take kaiwa;
- matsakaici - kunshi 4-5 take kaiwa;
- m - halin 2-3 take kaiwa.
Rashin ciwo na farko da aka samu na ventricles ya tashi ba kawai a cikin marasa lafiya da suka samu ko kuma abubuwan da ke ciki ba tare da zuciya, amma har ma wadanda suka mallaki:
- hypertrophic cardiomyopathy;
- dysplasia na kayan haɗin kai (gizo-gizo yatsun hannu, haɗin haɗin haɗin haɗin gwiwa, haɓakawa a cikin canal na canji);
- iyalin hyperlipidemia;
- cututtukan zuciya na zuciya;
- neurocircular dystonia;
- jigilar kwayoyin halitta.
Mene ne haɗari na ciwowar ƙaddarar cutar ta farko?
A lokacin nazarin binciken, masana kimiyya sun nuna cewa tsarin ECG na farautar kwakwalwa na farko zai iya haifar da mutuwar mutuwar kwakwalwa, idan an haɗa shi tare da syncope na asali na zuciya. Ciwon ciwo yana taimakawa wajen bunkasa cututtuka irin su:
- zuciya rashin nasara;
- supraventricular arrhythmia;
- sinus tachycardia da bradycardia;
- ischemia daga zuciya;
- atrial fibrillation;
- tachycardia paroxysmal;
- deterioration na hemodynamics;
- lalacewar tasoshin zuciya, da dai sauransu.
Ciwo na farkon sake sakewa na ventricles a cikin yara
Idan bayan wani electrocardiogram ka fuskanci irin wannan matsala kamar yadda ciwon daji na farko da aka samu na ventricles na zuciya a cikin yara, to, kana bukatar ka san cewa don tabbatar da ganewar da yaron zai buƙaci a bincika sosai. Saboda wannan, likitoci sun bayar da cikakkun zane-zane na jini (daga yatsan yatsan) da kuma fitsari, kazalika da yin sau da yawa a duban zuciya. Yawan ya dogara da yanayin lafiyar mai haƙuri.
Wannan ganewar asali a ƙuruciya ba hukunci bane. Ana gudanar da jarrabawar don ƙyale damuwa a cikin aikin zuciya da rudani. Akwai cututtuka a cikin babban tsoka na mutum, kawai likitan zuciya zai iya ƙayyade. Ya nada jarrabawa akai-akai da yaro tare da wani lokaci na wasu watanni. Akwai ciwo a cikin yara waɗanda ke da matsaloli tare da jini a cikin mahaifa.
Idan an gano yaronka tare da ciwo na farko da aka sake farawa da ventricles, to, a nan gaba za ku buƙaci:
- Rage aiki na jiki kuma rage girman su.
- Kare yaron daga dukan matsaloli.
- Kula da abinci.
- Tabbatar cewa yaro yana da salon lafiya.
Ciwo na farkon sake sakewa na ventricles a matasa
Matasa sune mafi rinjaye da wannan yanayin. Wannan yana da mahimmanci a lokacin balaga. Abubuwan da ke fama da ciwo na farko da aka samu na ventricles suna nuna ƙananan canje-canje a cikin aikin zuciya. Ya kamata yara suyi cikakken jarrabawa, wanda, baya ga gwaje-gwaje, ya haɗa da ECHO-CG da ECG. Idan ba a gano alamun ba, to babu magani da aka tsara. Ga iyaye likitoci sun bada shawarar:
- Bincika yaron a kowane watanni shida.
- Don ba yara bitamin.
- Tabbatar cewa yarinya yana da salon kwantar da hankula (ba tare da damuwa da karfi ba).
- Don ciyar da yara da amfani da abinci daban-daban.
Ciwo na farko da aka sake fasalin wasanni a cikin 'yan wasa
A lokacin nazarin, wanda ya kasance a cikin kula da 'yan wasa masu sana'a, an gano cewa kimanin kashi 80 cikin dari suna da bradycardia (zuciya a cikin minti daya zuwa 60). Ciwon ciwo na farko da aka samu na ventricles na zuciya ya bayyana a cikin yawancin tasirin da ake ciki da kuma ci gaba a ventricle na hagu na katako na katako. Irin wannan mutane ya kamata:
- Rage kaya.
- Don ware kullun samun magunguna (dope).
- Kula da likita.
Ciwo na farkon sake sakewa na ventricles lokacin daukar ciki
Lokacin da mahaifiyar nan gaba ta gano tare da ciwo na farkon sake sakewa na myocardium na ventricular, sai ta fara tsoro, ta damu sosai kuma tambaya tana fitowa game da yadda wannan halin zai shafi jariri da kuma aiwatar da gestation. Masana kimiyya sun tabbatar da cewa matsalar ECG ba ta shafi tasirin tayi da kuma lafiyar kowace hanya, idan mace mai ciki ba ta da wasu cututtuka masu tsanani (alal misali, arrhythmia).
Ciwo na farkon sake sakewa na ventricles - bayyanar cututtuka
Mafi yawancin lokutta an gano kwayar cutar ECG ba tare da bata lokaci ba a lokacin jarrabawar wasu cututtuka. Marasa lafiya bazai da gunaguni ko suna da alaka da ganewar asali. Alamar ciwo da aka samu a farkon farawa na ventricles an bayyana su a cikin nau'i-nau'i daban-daban, wanda aka la'akari da mummunar barazana ga lafiyar jiki kuma zai iya haifar da mutuwa (ventricular fibrillation).
Yawancin marasa lafiya suna da:
- dysfunction daga cikin zuciya, haifar da hemodynamic cuta;
- harshe mai kwakwalwa ;
- rashin ƙarfi na numfashi ;
- ciwon zuciya na cardiogenic ;
- rikicin rikici .
Binciken jariri ya hada da gwaji:
- Kulawa ECG a lokacin rana ko fiye;
- gabatarwa na novocainamide mai ciki, don haka a kan na'urar ya bayyana alamun anomaly;
- samfurin da potassium, lokacin da mai haƙuri ya dauka magani (kashi 2 g) don bayyanar bayyanar cututtuka;
- nazarin kwayoyin halitta na biochemical;
- lipidogram.
Ciwo na sake farawa na ventricles akan ECG
Idan akwai tuhuma na ciwon cututtukan zuciya na zuciya, ana yin katin cardiogram kullum, ƙwayar cuta ta farko na ventricles na iya bayyana kanta a kan na'urar a cikin hanyar:
- bayyanar wani ƙarin jigon J a cikin ƙwayar QRS;
- canje-canje a tasirin T idan yana da tushe mai mahimmanci;
- fitarwa na hasken lantarki zuwa hagu;
- canza yanayin siffar siginar ST, ta rushe, bayan bayanan ya tashi;
- Girgizar (ƙwanƙwasawa ta tsakiya) na sashen ST a cikin thoracic ya kai sama da isoline (har zuwa 3 mm).
Ana iya ganin alamun anomaly a shafin yanar gizo na thoracic a cikin ECG. Ya kamata a kula da hakori S, saboda zai iya ragewa sosai a cikin girman ko ƙananan daga rassan thoracic a gefen hagu. Wannan alamar yana nuna wa likitoci cewa zuciya ta mutum ya juya tare da bayanan tsaye a cikin agogon lokaci. A wannan yanayin, za a kafa QRS (QR) mai rikitarwa a cikin sassan V5 da V6.
Ciwo na farko da aka sake yin amfani da ventricles a kan ECHO
A lokacin jarrabawar, likitoci zasu iya yin bayani game da hutawa (ECHO) da ECG, da ciwo na farkon sake sakewa na ventricles a cikin yaro ya fi kyau bayyana a cikin wadannan hanyoyi. Suna taimakawa wajen gano ɓoyewar ɓoye a cikin zuciya, ba da ra'ayi game da matakai, rhythm da aikin babban tsoka. Irin waɗannan maganganu suna da lafiya ga lafiyar yara.
Ciwo na farkon sake sakewa na ventricles - magani
Don biyan abin da ECG ya yi ba shi da hankali, saboda ba shi da alamar cututtuka kuma ba cutar bane. Domin ciwon ciwo na farkon sake sakewa na myocardium na ventricular a cikin yara da kuma tsofaffi kada su ci gaba da zama matsala mafi tsanani, likitoci sun bada shawara:
- Ku zo ku gan su kowane watanni 6.
- Hanyar dacewa da dama.
- Lokacin kashewa a cikin iska.
- Yana da kyau a ci.
- Cire dukan miyagun halaye.