Tachycardia yana nufin saurin bugun zuciya fiye da al'ada. Tare da kumburin sinoatrial, wanda shine asalin zuciyar zuciya, makircin shine tsakanin bugun 60 zuwa 100 a minti daya. Lokacin da ƙimar ta wuce ƙwanƙwasa 100 a minti ɗaya, tachycardia yana nan.

Lokacin da kake magance tachycardia, yana da mahimmanci a fara la'akari da rama dalilin. Jiki yana amfani da kuzarin zuciya azaman aikin ramawa sau da yawa yayin da yaji yana rage ƙamshin turare.

Biyu daga cikin mafi kyau dysrhythmic a cikin EMT da paramedicAkwatin kayan aikin sune OXYGEN da SALINE NORMAL. Duk waɗannan magungunan ya kamata a gwada su kafin amfani da kowane magani. Ba shi da fa'ida don kawar da tachycardia mai raɗaɗi a cikin majiyyacin da yake buƙatarsa ​​don turare. Gano musabbabin rage turaren zai zama mafi kyau duka.

Wani abin da za a yi la’akari da shi shi ne kwanciyar hankalin hemodynamic. Tare da shirya tachycardic rhythms a cikin marasa lafiya marasa ƙarfi, ana nuna aiki tare da canzawa. Da alama akwai tsoro tsakanin masu samar da asibiti idan ya zo m mutane.

The paramedic da alama yafi dacewa da bayarwa anti-arhythmic / dysrhythmic magunguna fiye da yadda suke yin jujjuyawar zuciya. Wannan tunani ne na gaskiya koma baya. Yi la'akari da ra'ayin Kelly Grayson game da magungunan dysrhythmic - zaɓaɓɓun ƙwayoyin zuciya ne. Farkon kashewa, ba a zahiri samursu a jiki ba. Abu na biyu, suna haɓaka cikin lokaci kuma aikin zai iya zama mara tabbas. Abu na uku, ana amfani dasu don magance lalata salon salula.

Shin kun san abin da ke faruwa yayin rashin isassun ƙwayoyin salula a cikin myocardium? Asystole - ba sakamako ne na gama gari ba, amma yana jan hankalin gida batun ba haka bane? Sauran rikitarwa, kamar manyan matakan atrioventricular, da kuma dogon ciwon QT na iya faruwa.

Akasin haka, canzawar aiki tare ba shi da kusan tasirin da ba'a so. Yana aiki da sauri, kuma yana tafi. Magungunan da yakamata kuyi la'akari da shi, wani nau'i ne na kwantar da hankali ko benzodiazapine kafin a juyar da zuciya.

Na gaba, bayan ƙayyade kwanciyar hankali na hemodynamic, ya kamata a yi la'akari da faɗin QRS. Idan mai haƙuri ya tabbata, kuma suna cikin Tachycardia mai ci, za a iya la'akari da magungunan dysrhythmic.

Yana da mahimmanci a ƙaddara girman QRS, saboda magunguna kamar Cardizem (diltiazem), ko Adenocard (adenosine) waɗanda za'a iya ba da su don kunkuntar rhythms, zasu iya yin KYAUTATA mutane masu babban muryoyin QRS.

Lura cewa babu 'tricycardia tachycardia' algorithm? Yana faɗin 'Wide QRS', kuma yana lissafin 'maras tabbas na ƙasa' a ƙasa. Wannan ra'ayi ne mai mahimmanci. Idan yana da fadi, kuma baka da tabbacin asalin, to ventricular tachycardia har sai an tabbatar da in ba haka ba.

Wani dalilin kuma shine Jagoran WCT kuma ba a ventricular tachycardia jagora shi ne saboda yanayi kamar WPW (wolff parkinson white syndrome). Tare da WPW, ana iya yin raƙuman Delta wanda zai haifar da faɗaɗa hadaddun QRS.

Wannan yana da mahimmanci saboda adenosine, da Cardizem bai kamata a yiwa marasa lafiya aikin WPW ba. Akwai takaddama game da ko Amiodarone yana cikin aminci tare da WPW, amma kamar yadda yake yanzu Heartungiyar Zuciya ta Amurka ta ɗauka a matsayin zaɓi mai aminci.

Abubuwan da za su tuna:

• O2 & ruwaye don tachycardia mai raɗaɗi
•  Haɗin katin aiki tare tare da shi shine zaɓi SAFER
• Idan QRS ya kasance daɗaɗɗɗa kamar V-tach