Usoro mweghachi nke ụda obi obi: cardioversion eletriki

By Cristiano Antonino On Feb 20, 2023

Eletrọnịkị cardioversion, CVE, bụ usoro ọgwụgwọ a na-eji weghachi ụda obi nkịtị na ndị ọrịa na-arịa fibrillation atrial, flutter ma ọ bụ tachycardia na ndị cardioversion pharmacological adịghị arụ ọrụ.

Eletriki cardioversion - mgbe ọ dị mkpa

Ihe na-ebutekarị ụdị ọrịa a bụ ọrịa obi; mgbe ụfọdụ onye ọrịa na-aghọta mgbanwe ahụ, ma ọ na-ahụkarị naanị nsonaazụ ya, dị ka palpitations, adịghị ike, dizziness, nkụda mmụọ na asthenia.

Ọnụ ọgụgụ obi dị elu nke arrhythmias ndị a na-akpata na-emebi ahụ ike myocardial dịka, ọ bụrụ na ọ na-adịgide adịgide, ha na-eduga na mbelata ọrụ nkwekọrịta na mbelata nke ntakiri ejection; ihe ntakiri ejection nke na-enye anyị ohere ịchọpụta ịdị irè nke ọrụ mgbapụta obi na ọ bụ ezigbo ihe ngosi nke myocardial contractility.

N'ihe banyere fibrillation atrial, enweghị nkwekọrịta na atria na-akpata mgbasa ọbara na-adịghị mma n'ime oghere obi, na arrhythmias na-adịru ihe karịrị awa 48, thrombi nwere ike ịmalite n'akụkụ ụfọdụ nke atrium; thrombi nke nwere ike ịgbaji ma gbasasịa n'ime akwara akwara na-esote mmaliteghachi nke nkwekọrịta atrial, na-ebute ọrịa strok na / ma ọ bụ embolisms.

anamnesis ziri ezi na oge mmalite nke mgbaàmà na-arụ ọrụ dị mkpa na ọgwụgwọ a ga-anabata; Ọ bụrụ na ihe karịrị awa 48 gafere site na mmalite nke mgbaàmà, ọ bụ iwu na a ga-eme oge ọgwụgwọ anticoagulant na njedebe nke enwere ike ịme cardioversion eletrik n'enweghị nsogbu, si otú a na-ebelata ihe ize ndụ cardio-embolic.

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E nwere ụdị abụọ nke cardioversion, eletriki cardioversion na pharmacological cardioversion

Eletriki cardioversion na-eji ọkụ eletrik emepụtara site na defibrillator ma bufee onye ọrịa site na electrodes etinyere na igbe.

N'aka nke ọzọ, cardioversion pharmacological gụnyere nchịkwa nke ọgwụ mgbochi arrhythmic kpọmkwem.

Cardioversion na-abụkarị ọgwụgwọ a na-eme atụmatụ, nke a na-eme na etiti ụlọ ọgwụ, mana enweghị ụlọ ọgwụ.

N'ezie, na njedebe nke ọgwụgwọ ahụ, ọ bụrụ na ihe niile agaala nke ọma, onye ọrịa ahụ nwere ike ịhapụ ya ma laghachi n'ụlọ.

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Eletriki cardioversion na-anabatakarị nke ọma ọbụna site n'aka ndị agadi agadi na ọ dịghị ize ndụ

A naghị egbochi ya na ndị ọrịa nwere ihe na-eme ngwa ngwa ma ọ bụ defibrillators a na-akụnye ya.

Ihe mgbochi na-ejikọta ya na nhụsianya zuru oke achọrọ maka cardioversion eletriki mpụga, iji chebe onye ọrịa ahụ mgbu na mmetụta nke ujo eletrik na obi.

Ihe ize ndụ nke usoro a dị ntakịrị na mgbagwoju anya dị ụkọ; ọ nwere ike ime ka akpụkpọ anụ na-ere ọkụ na mpaghara ebe a na-etinye electrodes n'ihe gbasara cardioversion eletrik dị n'èzí na mbelata ọbara mgbali elu nwa oge.

Ọkpụkpụ obi na-adịghị mma nwere ike ime na-esochi ọgwụgwọ.

Ọ bụrụ na thrombi dị n'ime atrium aka ekpe nke obi, ha nwere ike ịwepụ ma kwaga na mpaghara ndị ọzọ na-esochi ujo ahụ, na-ebute embolism.

N'ihi nke a, a na-ebute cardioversion eletriki site na transesophageal echocardiogram na ọgwụgwọ na ọgwụ anticoagulant.

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Na-eme Eletriki Cardioversion

Cardioversion eletrik ahaziri ahazi bụ usoro chọrọ nnabata n'ụlọ ọgwụ ụbọchị.

Tupu ịme cardioversion eletriki, onye na-ahụ maka ọrịa obi na-agwa onye ọrịa banyere usoro ahụ ma malite nkwadebe ahụ mgbe ọ bịanyere aka n'akwụkwọ nkwenye ahụ.

Iji zere ihe mgbu na-akpata site na mwepu eletriki, a ga-eme mgbatị miri emi na hypnoinducers, na n'ọnọdụ ụfọdụ, n'iji ọgwụ ụfọdụ eme ihe, a ga-akpọ onye na-ahụ maka anesthetist.

Igwe ọkụ eletrik na-agụnye nnyefe ọkụ eletrik na defibrillator site na efere ígwè abụọ na-ejikọta ya na-etinye n'ime obi onye ọrịa; Edobere efere ndị a: subclavear aka nri - apical akaekpe ma ọ bụ antero-azụ.

Ozugbo emebere mgbatị ahụ, onye na-ahụ maka ọrịa obi, na-edozi onwe ya dị ka ịdị arọ nke onye ọrịa ahụ si dị, ga-ahọrọ ike mgbapụta dị mkpa ma mekọrịta nnyefe nke ujo na usoro electrocardiogram; a ga-eme ujo ahụ na elu R n'ihi na ọ bụrụ na ọ ga-eme na T ebili mmiri nwere ike ime ka mmalite nke arrhythmias dị njọ.

Mgbe ọ chọpụtachara paramita ndị dị mkpa, dọkịta ahụ ga-ebuli ujo ahụ; Ọ bụrụ na emeghị ka ụda ahụ dịghachi site na ujo mbụ, enwere ike ịmegharị ihe egwu atọ site na iji nwayọọ nwayọọ na-abawanye joules.

Ọpụpụ nke ọkụ eletrik na-ebute mkpụkọ ozugbo nke mkpụrụ ndụ myocardial site na ịtọgharịa sekit ndị na-adịghị mma, na-enye ohere iweghachi ụda nke sinus rhythm.

Mweghachi nke ụda obi nkịtị na-eme na 75-90% nke ikpe na mmalite mmalite atrial fibrillation na 90-100% n'ihe gbasara flutter arrhythmia.

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Ịkpọlite onye ọrịa ahụ site na nyochaa paramita ya dị mkpa

Ịdị mma mgbe cardioversion eletrik adịghị achọ nlekọta pụrụ iche ma ị nwere ike ịlaghachi n'ọrụ gị kwa ụbọchị mgbe awa 24 gasịrị, ọ gwụla ma dọkịta gị egosighi ya.

Ọ dị mkpa iji nlezianya na-agbaso usoro ọgwụgwọ edoziziri, ma ọ bụrụ ọgwụ na-egbochi ọrịa obi na, ọ bụrụ na ọ dị mkpa, ọgwụ mgbochi arrhythmic.

Iji zere nlọghachi azụ, ọ bara uru ịmalite ibi ndụ dị mma: ibelata nchekasị dị ka o kwere mee, ịkwụsị ise siga na mmanya na-aba n'anya, na ịnọgide na-emega ahụ mgbe niile.