Fella nepahetseng sosobaneng le literata ea lekala

A sehloohong sena a re nahana ka bolwetse ena e fella thibela likepe tsa leoto le letona le literata sosobaneng lekala. Ena a leeme tlōla litakatso tsa motlakase ka pelong. lefu lena hangata asymptomatic, empa bopaki ba lefu manyolo pelo le ho susumetsa phello ea lefu lena le ka sehloohong. tepelletse maikutlong le e thehilwe hodima ka dipholo tsa lithuto tsa electrocardiographic. Fella nepahetseng sosobaneng ea lekala le literata e ka 'ngoe le halofo ho tse peli kaofela mane tenths etsang liphesente tse Maemong a,' me ka lilemo, lipalo tsena eketsa feela. Har'a mefuta eohle ea blockades ka maqhubu a bolwetse ena e Ranked bobeli.

Etiology ea ketsahalo e sa lona

Lebaka leo ka sebeletsa e le likoli pelo, gogoga lefu mothapo le overdose ea-ba khahlanong le arrhythmia, pelo ea methapo, stenosis ea phunyang mitral, kgatelelo ya madi methapo, di-valve tricuspid pelo, a hlobaetsang le myocardial infarction, myocarditis, cardio, hypertension pelo, imbalance tsa electrolyte 'meleng, le ho le letona ventricular hypertrophy. seoelo haholo fella nepahetseng sosobaneng ea lekala le literata fumanoa ka batho ba baholo ka bophelo bo botle ba banyenyane. Maemong a joalo, re bua ka tse tloaelehileng.

Fella nepahetseng sosobaneng ea lekala le literata ke sesosa deceleration neeletsanoa bobeli sinus le linaoa ectopic hodima yona. Sena, le eena, e etsa hore liphetoho tse khōlō hakaale ka nyakallo tatellanong ea ba bang ba likarolo tsa ventricles kapa feela ka ho feletseng ventricle.

Fella thibela likepe nepahetseng sosobaneng ea lekala le literata: matšoao

Maemong a mangata, bolwetse ena hase eena ea bakang matšoao bonahaleng, hobane morethetho le maqhubu a ba pelo ha ameha.

Phumano ya lefu lena, joalokaha ho boletsoe ka holimo, e thehilwe hodima ya data fumanoa ka mokhoa oa lithuto tsa electrocardiographic.

Mona ke lethathamo la matšoao a bonahalang ka ho:

• QRS rarahaneng nako e eketsehileng hanyenyane, ho fihlela ho hundredths robong kapa motso oa bobeli e.
• Ka pele le V6 Isang hanyenyane o ahlame leino S le tokelo ea matsoele V1 abduction QRS rarahaneng emela rSr, kapa rsR.

Fella thibela likepe nepahetseng sosobaneng ea lekala le literata: kalafo

The nako le botsitso ea bolwetse tse teng hangata ha ba hloka kalafo efe kapa efe. Empa maemong a moo ponahalo ea lona ketekeloang hong le aggravation ke lefu la pelo, kalafo e nakong e le ea bohlokoa haholo bakeng sa aa tlwaelegileng oa conduction cardiac. Haeba ka bobeli maoto thibela likepe ngoe, nakoana potlako bontša, ha feela e ntseng e eketseha ea bolelele ba nako ba HV-karohano fetang 80-100 milliseconds. bakuli bohle ba baholo le sa tloaelehang conduction joalo angoa ke ho kena sepetlele qobelloang. Ka mafu a hlobaetsang le ho ba sieo ha phekolo contraindications lithethefatsi ka sebelisoa, ka ntle ho lebala ho inconstancy le unreliability ea mokhoa oa joalo ho susumetsa bolwetse ena. Tabeng molemo ka ho fetisisa, u ka itšetleha ka ba le phello e ba nakoana.

Di sebediswa bakeng sa kalafo ya lihlahisoa tse joalo:

1. Anticholinergics, e fokotsa litšusumetso vagal, mohlala 0,1% atropine millitara mong entoe le 0,2% platifillin ka millitara le 'ngoe kapa e le subcutaneously, entoe, empa ketsahalong ena e ke ho hlokahala hore ho hlahisa 5% tsoekere ka bophahamo ba modumo ho 500 di ml.
2. Formulations eketsa phello ea ho kutloelo-bohloko cardiac oona tsamaisong conduction Ka mohlala, 5% ephedrine mong millitara intramuscularly, subcutaneously, kapa a entoe, 0,2% norepinephrine, ka bophahamo ba modumo ea 1 di ml, tsamaisoa ka tsoekere kapa ya 0.05% alupent halofo ho sekotwana se le seng, laolwa bobeli intramuscularly le entoe, kapa 0,1% izadrin e nngwe bophahamo ba modumo millitara.
3. Ka li-hormone sebediswa glucocorticosteroid, mohlala, hydrocortisone, ka lebelo la mg, ho fihlela ho 200 ka letsatsi.
4. Ho fokotsa diteng tsa potassium ke tse lakatsehang ho sebelisa 1% ya Lasix lintho tse ngata e 'ngoe millitara.

Itse'ng lefu lena molemo haholo, empa, fuoa monyetla oa hore a mpefatsang ba mefuta eohle ea mafu a amanang cardiac, e lokela ho ba ho teba ho tšoaro ea hae.