Tachycardia Ventricular: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā ʻōuli o ka tachycardia ventricular
• Nā koho lapaʻau
• Nā kumu o ka tachycardia ventricular

ʻO ka tachycardia Ventricular kahi ʻano o ka arrhythmia i loaʻa ka puʻuwai kiʻekiʻe, me 120 mau puʻuwai puʻuwai i kēlā me kēia minuke. Hiki ia i ka ʻaoʻao haʻahaʻa o ka puʻuwai, a hiki ke keʻakeʻa i ka hiki ke pauma i ke koko i ke kino, nā ʻōuli e like me ka hanu, paʻa i ka umauma a maule paha ke kanaka.

Hiki ke hoʻololi i kēia loli i ka poʻe olakino me ka ʻole o nā ʻōuli a maʻa mau, ʻoiai hiki ke kumu ʻia e nā maʻi koʻikoʻi, a hiki i ka make.

Hiki ke hoʻokaʻawale ʻia ka tachycardia Ventricular ma ke ʻano:

• Kākoʻo ʻole ʻia: ke kū hoʻokahi ma lalo o 30 kekona
• Kākoʻo: ʻo ia ka manawa i hōʻea ka puʻuwai ma mua o 120 mau kani i kēlā me kēia minuke no 30 mau kekona
• Hemolele hemodynamically: ke loaʻa ka maʻi hemodynamic a koi koke ʻia i ka lāʻau
• Incessant: Mālama mau ʻia kēlā a me nā hokele wikiwiki
• ʻIno uila: ke hiki lākou i 3 a 4 mau manawa i loko o 24 mau hola
• ʻO Monomorphic: ke loaʻa ka like QRS hoʻololi me kēlā me kēia pākuʻi
• Polymorphic: ke hoʻololi ka QRS me kēlā me kēia kuʻi
• ʻO Pleomorphic: ke loaʻa nā mea i ʻoi aku ma mua o 1 QRS i kahi manawa
• Nā Torsades de pointes: ke loaʻa kahi QT lōʻihi a me ka huli o nā piko QRS
• Kahuna reentry: ke loaʻa ka ʻili ma ka puʻuwai
• Kālele ana: ke hoʻomaka ma kahi hoʻokahi a pālahalaha i nā ʻaoʻao ʻokoʻa
• ʻIlikopika: ke loaʻa ʻole ka maʻi puʻuwai e pili ana

Hiki i ka cardiologist ke ʻike he aha nā ʻano ma hope o ka hana ʻana i ka electrocardiogram.

Nā ʻōuli o ka tachycardia ventricular

Hiki i nā ʻōuli o ka tachycardia ventricular ke hoʻopili pū me:

• Puʻuwai puʻuwai hiki ke ʻike ʻia i ka umauma;
• Pākuʻi wikiwiki;
• Hiki paha ke hoʻonui i ka helu hanu;
• Hiki paha ka hanu ʻana;
• Hōʻoluʻolu o ka umauma;
• Ka paupauaho a me / a maule paha.

I kekahi manawa, kumu ʻia ka tachycardia ventricular i kekahi mau ʻōuli, ʻoiai ma nā alapine o 200 a i kēlā me kēia minuke, akā weliweli loa ia. Hoʻokumu ʻia ke kuhi e ka mea maʻi puʻuwai e pili ana i ka electrocardiogram, echocardiogram, ka resonance cardiac magnetic a i ʻole ka hōʻike catheterization puʻuwai.

Nā koho lapaʻau

ʻO ka pahuhopu o ka mālama ʻana e hoʻihoʻi i kāu helu puʻuwai i ka maʻamau, i hiki ke hoʻokō ʻia me kahi defibrillator i ka haukapila. Eia hou, ma hope o ka kaohi ʻana i ka puʻuwai he mea nui ia e pale ai i nā ʻāpana e hiki mai ana. No laila, hiki ke hana i ka lapaʻau me:

Cardioversion:komo ia i kahi "uila uila" i ka umauma o ka mea maʻi me ka hoʻohana ʻana o kahi defibrillator i ka haukapila. Loaʻa i ka mea maʻi ka lāʻau hoʻomoe i ka wā o ke kaʻina hana, a no laila, ʻaʻole ʻike ʻia i ka ʻeha, kahi hana wikiwiki a palekana hoʻi.

Hoʻohana o nā lāʻau: i kuhikuhi ʻia no ka poʻe hōʻike ʻole i nā ʻōuli, akā ʻaʻole maikaʻi e like me ka cardioversion, a ʻoi aku ka nui o ka hopena o ka hopena.

Implantation ICD: ʻO ka ICD kahi mea hana i loko o ka cardiodefibrillator implantable, like me ka pacemaker, i kuhikuhi ʻia no ka poʻe i loaʻa ka manawa kūpono e hōʻike i nā ʻāpana hou o ka tachycardia ventricular.

ʻO ka hoʻopau ʻana i nā wahi liʻiliʻi liʻiliʻi:ma o kahi catheter i hoʻokomo ʻia i loko o ka puʻuwai a i ʻole ʻoki puʻuwai puʻuwai puʻuwai.

Pili nā pilikia i ka maikaʻi ʻole o ka naʻau, maule a make koke.

Nā kumu o ka tachycardia ventricular

ʻO kekahi mau hanana i hiki ke kumu i ka tachycardia ventricular e komo pū me nā maʻi puʻuwai, nā hopena ʻē aʻe o kekahi lāʻau, sarcoidosis a me ka hoʻohana ʻana i nā lāʻau lapaʻau, akā aia kekahi mau hihia i hiki ʻole ke ʻike ʻia ke kumu.