Tachycardia waa magaca lagu siiyay qallalka wadnaha ee soo saaro wadna garaacid degdeg ah.
Sinus Tachycardia
Tachycardia inta badan waa caadi. Dhab ahaantii, ku dhawaad dhammaanteen nala socotaa maalin kasta. Kordhinta garaaca wadnaha waa habka ugu weyn ee wadnaha uu u awoodo inuu kordho xaddiga dhiigga ee bamgareynaya inta lagu jiro xilliyada foosha ama culeyska. Noockani waa nooca loo yaqaan 'tachycardia', kaas oo ay soo saaraan nuugitaanka sanka, waxaa loo yaqaan 'sinus carachardia'.
Tachycardias aan caadi ahayn: Qalbadhka wadnaha
Si kastaba ha noqotee, waxaa jira noocyo badan oo wadnaha ah oo wadnaha ah ( wadnaha aan caadiga ahayn ee wadnaha) kaas oo keena taakulada.
Waxaa jira laba nooc oo ah arrin xinjir ah oo soo saara taakawidhiya: tachycardia supraventricular suits, kaas oo ka soo baxa xuubka wadnaha , iyo tachycardiasis-sidaha, kaas oo ka soo baxa gawaarida. Labadan nooc ee qalabka isgaadhsiinta ayaa aad u kala duwan labada nooc ee dadka ay inta badan saameynayaan iyo qatarta khatarta ay keenaan.
Tachycardia Supraventrikular Tachycardias
Noocyada ugu badan ee taakawidhiyada supraventricular (SVT) ayaa caadi ahaan ku dhaca dhalinyaro, haddii kale dad caafimaad qaba. (Muhiimadda ugu weyn waa fibrillada atrial , taas oo ah mid aad u badan dadka waaweyn.)
SVT waxay u muuqataa in ay dhacdo sida dhacdooyin billaabanaya oo dhammaata si lama filaan ah, caadi ahaan iyadoon wax digniin ah la siin. SVT badanaa waxay sababtaa isbeddel weyn, walaac, madax-wareer ama dawakhaad, daciifnimo, iyo mararka qaarkood neefta oo gaabisa.
Dadka qaba SVT badanaaba wax calaamado ah ma laha inta u dhaxaysa inta u dhaxaysa. Hase yeeshee, haddii ay dhacdo in dhacdooyinka ay dhacdo ama muddo dheer socoto, SVT waxay cadayn kartaa nolosha qofka.
In kastoo sida xun ee SVT ay kuu saameyn karto, si kastaba ha ahaatee, waxay ku dhowdahay inaanay khatar weyn u lahayn nolosha iyo adduunka.
Waxaa jira noocyo badan oo kala duwan oo SVT ah.
Kuwa ugu caansan waa kuwan:
- Cudurka sanbabada aan habboonayn (IST)
- AVNRT-ga yare ee daaweynta suuxdinta (AVNRT)
- Qalabka daaweynta Atrioventricular reciprocating tachycardia, waa nooc ka mid ah Wolff-Parkinson-White syndrome (WPW)
- Fejignaantiisa
Marka lagu daro noocyadan caadiga ah, waxaa jira noocyo badan oo SVT ah oo aan caadi ahayn.
SVT waxaa laga yaabaa in marwalba loola dhaqmo si waxtar leh. Qof kasta oo leh SVT waa in uu raadsado daryeel caafimaad qof takhasus leh oo wadnaha ah.
Tachycardias Ventricular
Daaweynta tachycardia ayaa waxaa ka mid ah laba nooc oo ah arrin xasaasiyadeed: istraatiijiga ah iskudhegista laf-dhabarka, iyo fibrillation-ka xinjirta. Xaaladaha intooda badan, arritamiyadan waxaa lagu arkaa dadka waayeelka ah ee qaba cudur wadne qabad leh, gaar ahaan cudurada halbowlaha wadnaha (CAD) iyo wadnaha oo aan shaqeynin .
Ventricular fibrillation (VF) ayaa ah midka ugu khatarsan ee wadnaha wadnaha. Markuu dhaco waxaa dhacda in uu geeriyoodo dhowr daqiiqo gudahood haddii aan la joojin.
VF, dareenka korantada ee gudniinka hawada si lama filaan ah ayuu u noqdaa mid fowdo ah, wadnaha ayaa markiiba joojiya garaaca, iyo xiritaanka wadnaha ayaa dhacaya. Haddii aysan dhibbanaha helin dib-u-daweynta wadnaha, wuxuu dhimayaa daqiiqado gudahood. Fikrooleynta faafidda waxaa lagu qiyaasay in ay ka dhigayso in ka badan 300,000 oo dhimasho deg-deg ah sanad kasta oo Maraykanka ah oo keliya.
Sida iska cad, habka ugu wanaagsan ee lagu xakamayn karo fibrillation ventricular waa in laga hortago.
Cudurka neerfaha ee ventrikula waa arrin kale oo halis ah oo ka yimaada xinjirta. Inkasta oo dadka qaarkiis ay gawracato dareen-yada loo yaqaan 'tachycardia', waxay badanaa keentaa calaamado yar yar, madax-wareer daran ama lumis miyir-beelid, ama dhimasho lama filaan ah. Marka la barbardhigo fibrillada xididdada ah, marar badan oo ah tachycardia ayaa lagu ogaanayaa wadnaha inuu sii wado bamgareynta ugu yaraan ilaa xad. Sidaa daraadeed dhimasho degdeg ah ma noqon doonto mid deg deg ah, mana dhici karto inaysan dhamaan.
Dadka intiisa ugu badan ee leh taakawidhiyada taranka waxay leeyihiin arrintiyaashan sababtoo ah CAD ama wadnaha oo aan shaqeynin.
Si kastaba ha noqotee, waxaa jira noocyo badan oo ka mid ah noocyada caamka ah ee xanuunka dareenka ee ku dhaca dadka da'yarta ah iyo haddii kale caafimaad leh. Noocyada noocaas ah ee farshaxan-gacmeedku waa:
- Cudurka muddada dheer ee QT
- Isku-qabsashada dhirta "monomorphic tachycardia" (RMVT)
- Cudurka wadnaha ee xididada dhiig-mareenka (ARVC)
- Kaccholamine-xasaasiyadeedka saldhigga ah ee lagu magacaabo polycorphic tachycardia (CPVT)
Sababtoo ah dhammaan noocyada qalabka daaweynta xinjirta 'vivrebidria' ayaa ah mid halis ah, qofkasta oo qaba arrintia - wax dhib ah ma aha - waxay u baahan tahay in lagu qiimeeyo khabiirka takhasuska wadnaha.
> Ilo:
Blomström-Lundqvist C, Scheinman MM, Aliot EM, et al. Tilmaamaha ACC / AHA / ESC ee maamulka maareynta bukaanka qaba cudurrada supraventricular - soo koobid kooban: Warbixin ka timid Kulliyaanka Maraykanka ee Daaweynta Daaweynta wadnaha / American Heart Association Association ee Tilmaamaha Tababarka iyo Jaangooyada Guddiga Wadnaha Wadnaha ee Yurub ee Tilmaamaha Tababarka (Guddiga Qoraalka Horumarinta Tilmaamaha Maareynta bukaanada leh Dhexdhexaadin Qalalaasaha ah). Wareegga 2003; 108: 1871.
Zipes, DP, Camm, AJ, Borggrefe, M, et al. ACC / AHA / ESC 2006 Tilmaamaha Maareynta Bukaanka Qalabka Cadaadiska ah iyo Ka Hortagga Dhimashada Wadnaha Dareemka-Soo koobista Warbixinta Warbixinta Kuliyada Bukaanka ee Wadnaha ee Wadnaha / American Heart Association Task Force iyo Guddiga Yurub ee Wadnaha Wadnaha ee Tilmaamaha Tababarka (Qorista Guddiga Horumarinta Tilmaamaha Maareynta Bukaanka leh Dhexdhexaadinta Ventricis iyo Ka Hortagga Dhimashada Wadnaha Dareenka ah). J Am Coll Cardiol 2006; 48: 1064.