I-Tachycardia ithetha nje ukubetha kwentliziyo ngokukhawuleza kunesiqhelo. Nge-sinoatrial node, eyintliziyo yokuzalwa kwentliziyo, inqanaba langaphakathi liphakathi kwe-60 kunye ne-100 beats ngomzuzu. Xa ireyithi ingaphezulu kwe-100 beats ngomzuzu, i-tachycardia ikhona.

Xa unyanga i-tachycardia, kubalulekile ukuba uqale uthathele ingqalelo a unobangela wokunyanzelwa. Umzimba uqhela ukusebenzisa izinga lokubetha kwentliziyo njengesixhobo sokunyanzelwa rhoqo xa uziva unciphise ukwenziwa komzimba.

Zibini ezibalaseleyo idyshymics kwi-EMT kunye i paramedic's ibhokisi yezixhobo zezi I-OXYGEN kunye ne-SALINE YAMANDLA. Zombini ezi ndlela zonyango kufuneka zizanywe ngaphambi kokusebenzisa amanye amayeza. Akuncedi ukuphelisa i-tachycardia ehlawulelwayo kwisigulana esiyifunayo ukuba isetyenziswe. Ukufumana unobangela wokuncipha kokuncipha kuya kuba kokufanelekileyo.

Enye into ekufuneka uyiqwalasele kukuzinza kwesigulana. Ngengqokelela ye tachycardic isingqisho kwizigulana ezingazinzanga, ukubonakaliswa kwentliziyo ehambelanayo kubonisiwe. Kubonakala kukho uloyiko phakathi kwabanikezeli be-prehospital xa kuziwa ngothusayo abantu.

The i paramedic Kubonakala ngathi kukukhululeka ngakumbi ukupha amayeza anti-arhythmic / dysrhythmic ngaphezu kokwenza i-cardioversion. Oku kuyinyani yokucinga ngasemva. Cinga indlela uKelly Grayson ajonga ngayo iziyobisi ezinesidima-zizinto ezikhethiweyo ze-cardiotoxins. Okokuqala, azifumaneki ngokwasemzimbeni emzimbeni. Okwesibini, bayaxhamla ngokuhamba kwexesha kwaye impendulo ayinakulindeleka. Okwesithathu, zisetyenziselwa ukumelana nokudiliza iselfowuni.

Ngaba uyazi ukuba kwenzeka ntoni xa ukungabikho kweselfowuni kususwe kwi-myocardium? Asystole - usetyenziso lweWindows kwi- Ivenkile yeWindows hayi isiphumo secala eliqhelekileyo, kodwa iqhubela ekhaya inqaku andibi? Ezinye iingxaki, njengeebhloko eziphezulu ze-atrioventricular block, kunye ne-QT syndrome ende nayo inokwenzeka.

Kwelinye icala, i-cardioversion ehambelanayo ayinazo phantse zonke iziphumo ezingafunekiyo. Isebenza ngokukhawuleza, kwaye iyahamba. Iyeza ekufuneka ulithathele ingqalelo, luhlobo oluthile lokuthomalalisa okanye i-benzodiazapine ngaphambi kwe-cardioversion.

Emva koko, emva kokumisela ukuzinza kwesigulana, ububanzi be-QRS kufuneka buthathelwe ingqalelo. Ukuba isigulana sizinzile, kwaye bakwi i-tachycardia egcinakeleyo, amayeza e-dysrhythmic angaqwalaselwa.

Kubalulekile ukumisela ububanzi be-QRS, kuba amayeza afana neCardizem (diltiazem), okanye i-Adenocard (i-adenosine) enokuthi ilawulwe kwimigca emxinwa yokuxinanisa, inokubabulala ngokuphumelelayo abantu abanesingqisho esibanzi seQRS.

Qaphela ukuba akukho 'algorithm' ye-ventricular tachycardia? Ithi 'iWide QRS', kwaye idwelise 'isingqisho esingaqinisekanga' ngezantsi. Le yingcamango ebalulekileyo. Ukuba ibanzi, kwaye awuqinisekanga ngemvelaphi, kunjalo i-tricycardia ye-ventricular ize iqinisekiswe ngenye indlela.

Esinye isizathu sokuba Isikhokelo seWCT kwaye kungekhona umkhombandlela we-tachycardia Kungenxa yeemeko ezinjengeWPW (wolff parkinson white syndrome). Nge-WPW, amaza e-delta angakhona abangele ukwanda kobunzima be-QRS.

Oku kubalulekile kuba i-adenosine, kunye neCardizem akufuneki zenziwe kwizigulana ezine-WPW. Kukho impikiswano malunga nokuba i-Amiodarone ikhuselekile kunye ne-WPW, kodwa ngoku i-American Heart Association iyithatha njengenketho ekhuselekileyo.

Kufuneka ukhumbule:

• I-O2 kunye namanzi kwi-tachycardia ehlawulelwayo
•  I-cardioversion engqinelanayo yi-SAFER inketho
• Ukuba i-QRS iphathwa ngokubanzi njenge-V-tach