Vese vakabereka kana vakabata nevakadzi vane pamuviri vanoziva kuti nguva inotyisa uye kuti chero vanachiremba vanogona kupwanya mukadzi ane pamuviri mukuvhunduka. Cardiologist, Olga Movchan, akagovana nesu rugwaro runonyatsoita kana mukadzi ane nhumbu asingadi kunetseka uye kuteerera kune avo vanomutyisa.
Zvakadaro, Abrama Lvoms Sykin aitaura chokwadi. Ini ndinorangarira muna1993 padenderedzwa remudzidzi akabvunza kuti: "Iwe unofunga kuti zvakanyanya kuomesesa kuna chiremba here?" Kusvika vateereri vekutarisa kunonzwisisika uye, sezvazvinenge zvichitarisirwa, pasina kumirira chero replica, mushure mekumbomira kwakakosha, akapindura, akati: "Zvinonyanya kuomera chiremba haarapi." Yakanga iri pamusoro pemamiriro aya apo, pasina kupindira kwachiremba, zvinogoneka uyezve, zvakare, zvinodikanwa kuita.
Nhasi ndamurera runhare. Inonzi anozivikanwa naye misodzi uye kupererwa. Iye anopiwa kupindira nhumbu yakamirira kwenguva refu kwenguva yakati wandei yemavhiki gumi nematanhatu nekuda kweiyo yakawanikwa supravicic Extrasisttory. Chiremba akamuudza kuti aisazoita nhumbu, asi "kunyangwe maKesariya aisanzwisisa kana zvaizobviswa patafura."
Hazvigone kundishamisa uye hazvitombo tsamwa. Nyaya yacho inozivikanwa. Hazvizove kuwedzeredza kutaura kuti vhiki yega yega, vakadzi vanouya kwandiri, vanorambidzwa kune vane pamuviri kana kupa kupindira nhumbu nekuda kwekuwedzera. Kutaura chokwadi, ini ndinotonyadzisa nezvazvo kuti ndinyorere (ndine urombo, vatinoshanda navo): Mune chero hutungamiri), mune chero hutungamiriri muArmhythmology zvakanyorwa kuti Extrapystolia haisi chirwere chakasimba. Ino inzvimbo yakajairika. Asi chokwadi chinoramba chiri chokwadi. Vanachiremba kazhinji uye vanopihwa nyore kupindira nhumbu kana iyo yekuwedzera iyo yakaonekwa pasina chero chikonzero.
Mafungiro evanachiremba kuti apindise nhumbu ndiyo yakaparadzana uye inokatyamadza musoro wenyaya. Pandakanga ndichifunga kunyora chinyorwa chakakurumbira, nezve nhumbu uye kuwedzera. Zvimwe ndeipi nhumbu ichaverenga.
Pamberi pangu mudiki mukadzi akanaka. Kutaura kwakatarisana kusuwa kusuwa, mumaziso emisodzi. "Chiremba, ndapota ndiponesei nemwana wangu." Nguva yekutanga pandakatanga kushanda nevakadzi vane pamuviri, ndakanga ndanzwa zvakafanana, ndakavhunduka, ndikanzwa chiedza mumunda weSolar Plexus.
"Ndakaudzwa kuti zvaive zvakafanira kupindira nepamuviri, asi handidi."
Panguva ino, ndakanga ndichigadzirira kunzwa kuongororwa kunoshamisa uye mipumburu mumisoro yangu yekutsigirwa kwepfungwa kumukadzi, nekuti, chokwadi, kune humbowo hwekurapa kuvhiringidza nhumbu. Zvinogara zvakaoma uye zvinosiririsa.
- Chii chakaitika kwauri?
Zvigunwe zvakatetepa zvakakandwa mufolda, enda kuburikidza nemagwaro. Pakupedzisira ini ndinotora mhedzisiro yeongororo. Ehe, isu tese tinobvisa, kana zvichidikanwa, asi vaunoshanda navo vanonyorei? Kutarisa: "Echocortiography iri muhurongwa. ECG - isina kutsauka kubva kune zvakajairwa. Mhedzisiro yekuongorora kwezuva nezuva yeHolder: 2652 ventricular exracsistol, inosanganisira 12 bakers uye (yakatenderedzwa tsvuku) 2 kumhanya, yega yega matatu mataira kubva pamoyo chiyero chemwoyo 182 wt. mune min. "
Tichifunga nezve mukadzi. Zvese zvakanaka. - Pane chero chinhu chinokunetsa? - kwete. Hapana. Vanorapa vakanzwa kuti pulse yaive isina kufanana, yakatumirwa kuongororo. Ndipo panoti! - ndizvo zvese here?
Ndakafemedzeka nokuzorora. Zviratidzo zvekuvhiringidza kwemimba neCardiology haina. Sevha, zvakanyanya kunyanya, hapana munhu anofanirwa. Hooray! Mukadzi gumi maminetsi anochema, akajaira ruzivo idzva, ikozvino kubva mufaro. Ehe, achafanira kucherechedzwa pamushagogi panguva ino yekuzvitakura, asi hapana chinhu chinosiririsa mariri.
Kwemakore maviri apfuura, kubva kune vakadzi vane pamuviri vakashanda kune dzimba dzekutyorwa kwekutaurirana muDhipatimendi redu, uchapupu hwekuvhiringidza kwemimba hwaingova musi waive mu 2nd. Matare ese ari maviri aive akabatanidzwa neakakwirira plmonary hypertension kubva kumashure kweshoko risiri-redhored dmpp (chirwere chemwoyo chakachengeteka).
Mamiriro ezvinhu akasara okutya anotyisa haana kungoda kukanganisa nhumbu, asi kazhinji aisada kurapwa kwakakosha zvachose, kunyangwe paine zvikonzero zvekutarisa kwemwoyo. Pasinei nekudzokorora zvakanyorwa nezvirongwa zvechirongwa zvekurapa kwerwiyo rwekunyora nguva panguva yekuzvitakura hazviwanzo kuwanikwa pasina mimba pane zvese zvine mimba, kana kukurudzirwa kupindira nhumbu nekuda kwekutyora ngozi Muzviitiko apo pakanga pasina kukanganisa kwekuzvitakura.
Isu takasarudza kuburitsa algorithm inogona kuitika zviito uye zvishuwo kune vakadzi vane pamuviri vanoongorora kutyorwa kwemoyo rwiyo rwakaipa.
Chikonzero chekukwezva kune iyo Cardiologist uye kuwedzerwa bvunzo kungave:
- Arrhythmia inoonekwa pane ecg yakarongwa panguva yekuzvitakura; - Chiremba akawana chiremba wemoyo panguva yekuongorora; - Une hanya nezvechimwe chinhu kubva pane zvinotevera: - kunzwa kwekukanganiswa kwebasa remwoyo ; - Kukundikana kwemoyo; - kupfupika kwemweya; - pre-sensor kana trimming inoti; - wobva waonekwa uine runyararo rwekuvhiringidza pamberi pekuzvitakura.
Kana chiremba akazivisa nyonganiso yekuvhiringidza, usatya. Rangarira kuti panguva yekuzvitakura, rwiyo rwekuvhiringidzika rwakajairika. Ivo, sematehwe, hachisi chikonzero chekukanganisa nhumbu, kazhinji hazvinei nemimba, kunyangwe izvo zvavanoda kutenderera kuenda kuCardiologist, kuongorora uye, mune zvimwe zviitiko, kurapwa, kurapwa.
Sekuwedzera kuongororwa, chiremba kazhinji anogona kukupa zano rekuti:
- Echorciography yeECG yekutarisa kweropa kuongorora, general, ndeyekuongororwa kweropa kumahwanda emahosi, kana zvichidikanwa, kuongororwa kweropa kune antibodies kune myocardium
Ive neshuwa yekupaza kuongorora kuti uone zvinokonzeresa arrhythmia. Izvi zvinobvumidza chiremba kuti asarudze kana iwe uchida kurapwa panguva ino kana kunogona kuve kugumira pakutarisa.
Mukurapwa kesi kunokosha, usanetseka. Kana uchisarudza kurapwa kwezvinodhaka, chiremba anotanga kutungamirirwa nechengeteko yeiyo fetus uye iwe. Kurapa kunoratidzwa kana:
- Akaratidzwa Arrhythmia anogona kukanganisa hutano hwako nehupenyu kana kukanganisa kukura kwemwana; - rwizi kutyora rinoperekedzwa nekumanikidzwa kweropa, kusanganisa, kupera kwemapapu); - arrhythmia haina kuendeswa newe, kuperekedzwa nekudanwa kwekusagadzikana, kunetseka, kunetseka.
Pane mamiriro ezvinhu apo rume disoridshers inoda kukurumidza kwekurapa kwekupindira. Kana iwe uchinzwa kuti kurwisa kumashure kwekutyorwa kweiyo rwiyo, iwe wakataurira kushaya simba, kuoma, kudzvinyirira kweropa kunoderedzwa zvakanyanya, mamiriro okuora anowanzoitika, zvinodikanwa kuti angoita kuti ambulensi.
Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge wawedzera Zvichida iwe une runyararo rusingade kurapwa uye njodzi dzichava zvishoma. Ipapo zvinoshamisa. Nhumbu uye unakirwe. Asi arrhythmia painoda kurapwa kwakakomba, uye inogona kubviswa, zvichave zviri nani kubvisa zviratidzo zvisingadiwe "pamhenderekedzo." Mune mamwe marudzi eArrhythmias, zvinoita kuti ubvise arrhythmogenic moyo nerubatsiro rwe yekupindirana kuvhiya. Uyezve kuva nepamuviri, iwe uchafamba zvakare kuti ufambe mupaki, teerera mimhanzi, kana kusangana neshamwari, kazhinji, ita zvaunoda, pane kudhonza pakutambira kune kadhidhi.
Uye pakupedzisira, kana rwiyo rwekuputsa rwunoonekwa, kune dzinoverengeka dzekurumbidza dzinogona kuvandudza mamiriro ako usati warova iyo Cardiologist. Unogona: - Bvisa kofi kubva kune yekudya, yakasimba tii uye zvimwe zvinwiwa zvinwiwa - kunze kwekunwa doro- kuti urege kusvika maawa masere- kusanganisa muhurongwa hwako hwekufamba zuva nezuva - Edza kufambidzana kubva mumamiriro ezvinhu anogona kumutsa pfungwa yepfungwa. Kunyangwe ichiwanzoitika zvakanyanya kuoma kupfuura kusiya chokoreti, edza kudzivirira zvese zvinogona kuburitsa kubva pachako. Kubata nhumbu - hapana nguva yekudzidza kuratidza manzwiro. Ndokunge, kana uchikwanisa, zvakanaka. Asi, kana zvisiri, ingoramba kure nemamiriro ezvinhu anogumbura.
Dzimwe nguva shanduko idzi dziri nyore mumararamiro dzinogona kugadzirisa zvakanyanya kugara zvakanaka. Uye izvi zvakaringana, kana zvinoda kuongororwa uye kurapwa, iwe uchabatsira kunzwisisa chiremba anokwanisa.
Chero zvazvingaitika, kana iwe uchipihwa kuti uchivhiringidze nhumbu nekuda kwehutongi hwechiremba, usati waita sarudzo, tora yechipiri pfungwa kubva kune nyanzvi.