Cardiac rhythm kudzorera maitiro: magetsi cardioversion
Electrical cardioversion, CVE, inzira yekurapa inoshandiswa kudzorera yakajairika rhythm yemwoyo muvarwere vanotambura neatrial fibrillation, flutter kana tachycardia uye mune iyo pharmacological cardioversion haina kushanda.
Electrical cardioversion - kana ichidiwa
Chinonyanya kukonzera rudzi urwu rwekusagadzikana chirwere chemwoyo; dzimwe nguva murwere anoona kuchinja, asi kazhinji anongoona migumisiro yaro, zvakadai sekuputika, kupera simba, dzungu, kupera simba uye asthenia.
Iyo yakakwirira yemoyo inokonzerwa neaya arrhythmias inokuvadza myocardial muscle sezvo, kana inoramba ichienderera, inotungamirira pakuderedza kushanda kwechibvumirano uye kuderedzwa kwechikamu che ejection; chikamu che ejection chinotibvumira kuongorora kushanda kwepombi yemwoyo uye chiratidzo chakanaka chemyocardial contractility.
Panyaya yeatrial fibrillation, kushayikwa kwechibvumirano muatria kunokonzera kupararira kweropa kusinganzwisisiki mumakumbo emwoyo, uye mu arrhythmias inogara kwemaawa anopfuura 48, thrombi inogona kuumba mune dzimwe nzvimbo dzeatrium; thrombi iyo inogona kutsemuka uye kupararira mukati me arterial circulation zvichitevera kutangazve kweatrial contractility, zvichikonzera sitiroko uye/kana embolisms.
An anamnesis yakarurama pamusoro penguva yekutanga kwezviratidzo inoita basa rakasimba pakurapa kunofanira kugamuchirwa; kana maawa anopfuura makumi mana nemasere apfuura kubva pakutanga kwezviratidzo, zvinosungirwa kutora nguva yeanticoagulant therapy pamagumo ayo emagetsi emwoyo cardioversion anogona kuitwa zvakachengeteka, nokudaro kuderedza cardio-embolic njodzi.
Kune mhando mbiri dze cardioversion, yemagetsi cardioversion uye pharmacological cardioversion
Electrical cardioversion inoshandisa mashock emagetsi anogadzirwa ne defibrillator uye kutapurirwa kumurwere kuburikidza nema electrode akaiswa pachipfuva.
Pharmacological cardioversion, kune rumwe rutivi, inosanganisira kutungamirirwa kwemishonga chaiyo inorwisa-arrhythmic.
Cardioversion inowanzove yakarongwa kurapwa, iyo inoitika muchipatara chechipatara, asi pasina chipatara.
Kutaura zvazviri, pakupera kwekurapa, kana zvinhu zvose zvafamba zvakanaka, murwere anogona kutosunungurwa uye kudzokera kumba.
Electrical cardioversion inowanzobvumirwa zvakanaka kunyange nevarwere vakwegura uye haina ngozi
Hazvipikiswe muvarwere vane pacemakers kana implantable defibrillators.
Contraindications inoenderana nekuzara kweanesthesia inodiwa kune kunze kwemagetsi cardioversion, kuitira kuchengetedza murwere kurwadziwa uye kunzwa kwekuvhunduka kwemagetsi kumoyo.
Njodzi dzemaitiro ishoma uye matambudziko haawanzo; inogona kukonzera kupisa kweganda munzvimbo iyo ma electrodes anoshandiswa munyaya yekunze kwemagetsi cardioversion uye kuderera kwekanguva kweropa.
Abnormal heart rhythm inogona kuitika mushure mekurapwa.
Kana thrombi iripo mukati meatiriyamu yekuruboshwe yemoyo, vanogona kusimuka voenda kune mamwe matunhu zvichitevera kuvhunduka, zvichikonzera embolism.
Nokuda kwechikonzero ichi, cardioversion yemagetsi inotungamirirwa ne transesophageal echocardiogram uye kurapwa nemishonga inorwisa maronda.
RAHIYO YEVANHUVIRI MUNYIKA YOSE? INZI RADIOEMS: SHANYIRA ITS BOOTH PAEMERGENCY EXPO
Kuita Magetsi Cardioversion
Yakarongwa yemagetsi cardioversion inzira inoda kubvumidzwa kuDay Hospital.
Asati aita cardioversion yemagetsi, chiremba wemwoyo anozivisa murwere nezvemaitiro uye anotanga kugadzirira mushure mekusaina chibvumirano cheruzivo.
Kuti udzivise marwadzo ekurwadziwa kunokonzerwa nekubuda kwemagetsi, sedation yakadzika ne hypnoinducers ichaitwa, uye mune dzimwe nguva, zvichipiwa kushandiswa kwemishonga chaiyo, anesthetist achadanwa.
Electric cardioversion inosanganisira kuendeswa kwemagetsi emagetsi ne defibrillator kuburikidza nemarata maviri esimbi anonamatira akaiswa pachipfuva chemurwere; mahwendefa aya akaiswa: kurudyi subclavear - kuruboshwe apical kana antero-posterior.
Kana sedation yave yasimbiswa, chiremba wemwoyo, achizvigadzirisa maererano nehuremu hwemurwere, achasarudza simba rinodiwa rekubuda uye kuwiriranisa kuendeswa kwekuvhunduka nemaitiro e electrocardiogram; kuvhunduka kunofanira kuitwa paR peak nekuti kana yaizoitika paT wave inogona kukonzera kutanga kweanouraya arrhythmias.
Mushure mekuona zvakakosha paramita, chiremba anoenderera mberi nekuendesa kuvhunduka; kana rhythm isina kudzorerwa nekutya kwekutanga, kusvika kune katatu inogona kudzokororwa nekuwedzera zvishoma nezvishoma majoules.
Kupfuura kwemagetsi emagetsi kunokonzera kukurumidza kukanganiswa kwemasero emyocardial kuburikidza nekugadzirisa masero asina kukwana, achibvumira kudzorerwa kwe sinus rhythm.
Kudzorerwa kwemaitiro emwoyo rhythm kunoitika mu75-90% yezviitiko munguva ichangopfuura inotanga atrial fibrillation uye 90-100% mumamiriro e flutter arrhythmia.
Kumutsa murwere nekutarisa maitiro ake akakosha
Convalescence mushure memagetsi cardioversion haidi chero matanho anokosha uye iwe unogona kudzokera kumabasa ako ezuva nezuva mushure memaawa makumi maviri nemana, kunze kwekunge zvaratidzwa nachiremba wako.
Izvo zvinodiwa kuti unyatsotevera zvakatemwa zvekuchengetedza kurapwa, ingave anticoagulant zvinodhaka uye, kana zvichidikanwa, anti-arrhythmic zvinodhaka.
Kuti udzivise kudzoka zvakare, zvinobatsira kutora mararamiro ane hutano: kuderedza kushushikana zvakanyanya sezvinobvira, kubvisa kusvuta uye doro, uye kuchengetedza kurovedza muviri nguva dzose.
Verenga zvakare
Musiyano Pakati Pekungoerekana, Magetsi Uye Pharmacological Cardioversion
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