ʻO Extrasystole - hōʻailona

ʻO ka extrasystolia he mea hōʻeha i ka puʻuwai o ka naʻau, kahi e pili ana me kaʻike o nā hoʻoiʻokoʻa i hanaʻia ma ka puʻuwai (extrasystoles) i hanaʻia ma muli o ka hopena o ka myocardial no nā kumu likeʻole. ʻO kēia keʻano maʻamau o ka puʻuwai o ka puʻuwai ( arrhythmia ), i loaʻa i 60-70% o nā kānaka.

ʻO ke kūlanaʻana o nā pana

Ma muli o kaʻikeʻana o ka hanaʻana o ka ectopic i ka hopena o ka hauʻoli, uaʻikeʻia nāʻano hana pilikino e like me kēia:

• kālepa makani hāʻiliʻili;
• ka supraventricular extrasystole (keʻokoʻa, mai ke kōpena o nā kumuhana);
• ke kalaponaʻokoʻa.

Ma muli o ke alapine o ka heleʻana, eʻikeʻia nā extrasystoles:

• hoʻokahi;
• hui pūʻia (ʻelua mau lā ma ka lālani);
• hui (ʻoi aku ma mua oʻelua).

ʻO ke alapine o ka hanaʻana o nā extrasystoles eʻike i ka extrasystole:

• ka nui (i lalo o 5 mau minuke);
• ka awelika (6 - 15 mau minuke);
• pinepine (he 15 mau minuke wale nō).

ʻO ka helu etiological:

1. ʻO nāʻoihanaʻoihanaʻoihana - nā pilikia o ka maʻi ma ka poʻe olakino i hanaʻia ma o ka inuʻana i ka waiʻona, nā lāʻau lapaʻau, kaʻawaʻawa, ka inuʻana i ka wai ikaika a me ka kofe, a me nāʻano likeʻole o ka mea kanu, nā manaʻo kaumaha, nā pilikia.
2. Hoʻokumu i nā mea'alapili - e ala mai i kaʻinoʻino o ka meocardia: ka maʻi o ke kino kokonā, kaʻeha meocardial, cardiosclerosis, cardiomyopathy, pericarditis, myocarditis, hewa'eleocardia i nā hana'anakino, amyloidosis, sarcoidosis, hemochromatosis, etc.
3. Hiki i nā meaʻoi aku i ke ahi, i kāu mau meaʻeha, i ka hopena ma hope o ka laweʻana i kekahi mau lāʻau (caffeine,'ephedrine, meaʻole, antidepressants, glucocorticoids, diuretics, etc.).

Nā hōʻailona o ka naʻau

I kekahi mau kumu, keʻano me nā kumuhana o nā extrasystoles,ʻaʻohe mau hōʻailona hōʻailona. Akā naʻe, hiki hiki ke hōʻike i nā hōʻailona o kēiaʻano pilikino. ʻO ka hapanui pinepine, ua hana nā mea maʻi i nā'ōhumu i lalo:

• ʻO keʻano o ka haʻalulu a me ka puʻuwai ikaika;
• keʻano o ka palaho, ke kāohiʻana i ka naʻau;
• keʻano o ka "hoʻohuli" i ka naʻau i loko o ka umauma.

ʻO keʻano o ia mau hōʻailona heʻano kūpono no ka hoʻopiliʻana o ka hana:

• pallor;
• piʻi nui ka wela;
• keʻano o ka nele o ka ea;
• keʻano o ka hopohopo, ka makaʻu.

Hiki ke hōʻailonaʻia ka hōʻailona kala me nā hōʻailona a me nā hōʻailona:

• nā manaʻo o ke keakeaʻana i ka hana o ka puʻuwai;
• nā mea nui;
• nāwaliwali;
• nā meaʻeha;
• pōkole o ka hanu ;
• me ka manaʻoʻole i ke eaʻole.

Aia nā hōʻailona o ka extrasystole hoʻokahi, akā, ma keʻano he kūlana,ʻo kēiaʻano o nā maʻi pilikino heʻoi aʻe ka maʻalahi o ka pahu.

Nā'āpana ECG o kaʻaeʻana

ʻO keʻano maʻamau o ka hōʻailona o ka extrasystole,ʻo ia nō ka electrocardiography cardiac (ECG). ʻAno maʻamau o kekahiʻano ʻO ka extrasystole ka hopena o ka naʻau - kahi pōkole o ke kau o ka kaha nui o RR ma ka electrocardiogram.

Hiki ke hoʻokōʻia ka hana Holter ECG - kahi hana diagnostical kahi e halihali ai ka mea maʻi i kekahi mea ECG makaleʻa no 24 mau hola. I ka manawa like, mālamaʻia kahi diary, kahi e hanaʻia ai nā hana nui a ka mea maʻi (hāpai, meaʻai, kino a me ka noʻonoʻo, hoʻololi o ka naʻau, ke ola o ka noho maikaʻi, ka hoʻomahaʻana, ka pō ala) i ka manawa. Ma ka hoʻohui houʻana o ka ECG a me kaʻikeʻana i kaʻikepili, hiki keʻikeʻia nā arrhythmias (cardiac arrhythmias) (pili i ke kaumaha, ka hana kino, a me nā mea'ē aʻe).