Ma mua o ka hapalua o nā make a pau e pili ana me nā maʻi naʻau. ʻO kahi o nā kumu nui no kēlā mauʻikepili paʻakikī, he kāchycardia ventricular. Keʻikeʻia kēiaʻano pilikino e keʻano o nā pulses likeʻole (mai ka 3), a he mea ia e hoʻohālikelike ai i ka'ākau me ke alapine o kaʻoi aku o nā manawa he 120 i kēlā me kēia minuke.
Nā hōʻaia o ka tachycardia ventricular
ʻO ka ikaika o ka paʻakikī o nā hōʻailona o ka maʻi e pili i konaʻano.
ʻO ka tachycardia ventricular mau loa, ma keʻano he kumu, loaʻa nā hua me nāʻikeʻole. ʻO kēiaʻano o nā maʻi pilikino e hele pūʻia me nā koi o ka arrhythmia, e wikiwiki e hele aʻikeʻoleʻia. I kēia hihia,ʻikeʻia kaʻano kūpilikiʻi o ka maʻi i ka pōʻino loa, no ka mea, he ala waena ia i waena o ka'āpana arrhythmia a me ka fibrillation ventricular. I ka hopena hope, make koke ka make koke.
ʻO keʻano o ke tachycardiaʻano maʻamau keʻano o nā hopena lōʻihi o nā puʻuwai pinepine (ʻoi aku ma mua o 30 kekona). Ma keʻano he hōʻailona hōʻailona, keʻike mauʻia ka hopena hemodynamic o ka hana maʻamau.
ʻO ka monomorphic ventricular tachycardia keʻano o ke kūlana maʻamau,ʻo ka lōʻihi like o ka hoʻoukaʻana a me keʻano o nā maʻi maʻamau maʻamau. ʻO ka'ōmole o nāʻokiʻoki he 100 a 220 manawa i kēlā me kēia minuke.
Hāʻaweʻia ka polymorphic ventricular tachycardia me nā hōʻailona like me keʻano i hōʻike muaʻia, aia wale nō iʻikeʻia i kaʻoleʻole a me ka weheʻana o kēlā me kēia hopuʻana.
Nā Symptoms:
- nā mea nui;
- ka eha i loko o ka umauma, keʻoki a kaumaha paha;
- ʻeleʻele ;
- nā hōʻailona kaha;
- ke kewaheia haʻahaʻa;
- ka nui o ka haunaele;
- ʻO ke kauʻana a iʻole kaʻeha i waenakonu o ka pahu, hāʻawi kekahi manawa i ka lima hema.
Nā hōʻaia o ka tachycardia ventricular ma ka ECG
I ka neleʻana o kekahi mau maʻi maʻamau a me ke kālaiʻia paha ma ka cardiogram, aia kekahi mahele o ka axis naʻau i kaʻaoʻao'ākau. Inā paʻakikī ke tachycardia ma o nā maʻi maʻi concomitant, uaʻikeʻia nā hiʻohiʻona i lalo ma ka ECG:
- lawe a lawe pinepine paha i nāʻano sinusoidal;
- ka wehewehe o nā niho P;
- ke kūkākūkā me kahi niho nui (i kuhikuhiʻia ma ke ala e kū pono ana i ka kuhikuhi o ka'ōpū ventricular a pau);
- ʻO ka pae mua o ka axis ma ka'ākau o ke kūkulu'ākau o ka cardiogram.
Hanaʻia o ka tachycardia ventricular
ʻO ka hoʻoukaʻana i kahiʻano kūponoʻole o ka maʻi, iʻoi aku iʻoi aku i ka hapalua minute, he mea nui e kū koke, ma
ʻO nāʻano me ka hopuʻiaʻana o ka naʻau a me ka nalowaleʻana o ka pulse e pili ana i ka hoʻoponopono ulia pōpilikia.
Ināʻikeʻia ka tachycardia maʻamau i ke kumu o ka bradycardia, ua'ōleloʻia keʻano o ka lāʻau lapaʻau, e hoʻomau i ka noʻonoʻo o ka naʻau, hoʻohemo i nā maʻi electrolyte, ka neemia, ka hoʻopaʻapaʻa, ka hoʻouka houʻana i nā kumukūʻau koko. ʻO nā lāʻau lapaʻau e kohoʻia e ke kāpikipikōʻai ma ka mea hoʻokahi.
ʻO ke ala kūpono loa e paio ai i ka hōʻailona hoʻokolohuaʻana,ʻo ia ka laweʻana i kahi mea loli'elepona e mālama i ka hana cardiac - he cardioverter a mea pacemaker paha. Eia kekahi, i kekahi manawa i kauʻia ka weheʻana o nā'āpana liʻiliʻi o nā palena āpau o kaʻaoʻao.