'O ka pa'i'ana o ka pū'ālā pono i ka wāwae

Ma keia 'atikala, ua manao keia pathology like kāpili blockade o ka akau wāwae laulau lala hihia. 'O kēia kekahi hapa o ka hewa o nā mea hiko i loko o ka pu'uwai. 'O ka ma'i ma'amau kēia ma'i, akā, ua hō'ike'ia he lino lā'au o ka pu'uwai a ho'opilikia i ka hopena o ka ma'i o lalo. Ho'okumu'ia ka'ikepili ma nā hopena o kahi noihelu electrocardiographic. 'O ka pa'i'ana o ka wāwae'ākau o ka pūpū o ka Giss e hana'ia ma ka hapalua a'elua a'oi aku i ka hapahā hapa'umi o ka hapahelu o nā hihia, a me nā makahiki e ho'onui mau ana kēia mau hua'ōlelo. Ma waena o nā'ano āpau o ka pa'i pinepine'ana, hiki ke'ike'ia kēia ma'i pilikino.

'O ka mo'okū'auhau o kona kumu

Ke kumu o ke malama me ka naau mā, coronary artery maʻi a me ka overdose o Anati-arrhythmia, pulmonary naau, stenosis o ka mitral kiwikā, pulmonary hypertension, tricuspid naau kiwikā, huʻi myocardial infarction, myocarditis, cardio, hypertensive naau, imbalance o electrolytes i loko o ke kino, a me ka pono ventricular hypertrophy. 'O ka mea ma'amau,'a'ole i kūpono ka pa'i'ana o ka wāwae'ākau o kāna pūpū i ka po'e'ōpio olakino. Ma nā'ano kūikawā, he'ano like'ole kēia o ka ma'amau.

'O ka pa'i'ana o ka wāwae'ākau o ka pūpū o ka Gis ke kumu o ka ho'ēmi'ana i ka ho'oku'u'ia'ana o nā kino a me nā ectopic ma'i me ia. A eia kekahi, ke alaka'i nei ia i kahi ho'ololi ko'iko'i ma ke ka'ina o ka hau'oli o kekahi o nā māhele o ka ventricles a i'ole ka completericric complete.

'O ka pa'i'ana o ka lālā pono i ka lālā lālā: hō'ailona

I ka hapanui o nā hihia,'a'ole kēia kumuhana e hō'ike i nā hō'ailona'ike, no ka mea,'a'ole i loli ka loiloi a me ka pinepine o ka na'au.

'O ka'ike'ana i kēia'ano pilikino, e like me ka mea i'ōlelo mua'ia a'e nei, e kau'ia ma luna o nā'ike i loa'a ma o ka electrocardiography.

Eia ka papa inoa o nā'ano i'ike'ia ma luna iho:

• Ua ho'onui'ia ka lō'ihi o ka complex QRS, a he'umikumamāiwa haneri o ka lua.
• I ka mua a me ka V6, ua pālahalaha nui ka niho S, a ma ka'ākau pololei V1,'o ka complex QRS ka rSr a i'ole rsR.

'O ka pa'i'ana o ka pū'ali'ākau'ākau pono: ka lā'au lapa'au

'O ka lō'ihi a me ka ho'omau'ana i nā'oihana ho'omana o nā manawa e koi pinepine'ole ai i kahi lā'au. Akā, i kēlā mau hi'ohi'ona i ka'ike'ia'ana o ka hi'ohi'ona me ka hō'eu'eu'ana i nā ma'i pilikino, he mea ko'iko'i ka ho'olālā'ana i ka ho'ohālikelike'ana o ka na'au. I ka loa'a'ana o ka pa'i'ana o nā wāwae'elua i ke kaulike, ua hō'ike'ia ka holo'ana o ka wā pokole, ke'ole he lō'ihi ka HV ma mua o 80-100 milliseconds. 'O nā po'e ma'i kahiko a pau me nā disord disorders ke kūpono i ka ho'olimalima'ana. Me nā ku'ia nui a me ka hiki'ole o nā hō'ai'ē, hiki ke ho'ohana i ka lā'au lapa'au, me ka ho'opoina'ole i ka kuhihewa a me ka hilina'i'ole i ka hopena o ia kālā ma kēia'ano pilikino. Ma ka maika'i, hiki iā'oe ke helu i kahi hopena lō'ihi.

Ho'ohana'ia nā lā'au lapa'au no ka mālama'ana:

1. 'O nā Cholinolytics e ho'ēmi ai i nā hopena o ka vagal, e like me ka'awelike 0.1% atropine, ho'okahi milliliter i loko o ka'ele'ele a me ka 0.2% platyphylline, a ho'okahi milliliter i kēlā me kēia dermal a i'ole i loko'ole, akā ma kēia hihia, e ho'okomo'ia i 5% glucose, 500 milliliters.
2. 'O ka lā'au e ho'onui i ka hopena o ka lokomaika'i i nā pūnaewele conduction cardiac, e like me ka 5% ephedrine, ho'okahi milliliter intramuscularly, subcutaneously, a ma ke'ano'ole, 0.2% noradrenaline, ma kahi nui o 1 ml, injected on glucose, or 0.05% alupent, from half to one cubic, Ho'onohonoho'ia i loko o ka intramuscularly a i'ole i hana'ole'ia, ai'ole 0.1% o ka isadrine, i ka nui o ho'okahi milliliter.
3. Ho'omaopopo pū'ia nā hormones Glucocorticosteroid, e like me ka hydrocortisone, a hiki i 200 mg i ka lā.
4. No ka ho'oha'aha'a'ana i ka mea potassium, ua makemake'ia e ho'ohana i ka helu 1%, i ka nui o ho'okahi milliliter.

'O ka lapa'au'ana o kēia ma'i he mea maika'i loa, akā, no ka pilikia o ka'ino o nā'ano ma'i a pau o ke'ano o ka ma'i, he mea pono e mālama iā ia me nā mea ko'iko'i.