Daaweyntu way kala duwanaan kartaa Noocyada kala duwan ee SVT
Supraventricular tachycardia (SVT) waa qayb ka mid ah xannuunada wadnaha oo degdeg ah oo ka soo baxa qolalka qallalka ee wadnaha. ("Supraventrikular" macnaheedu waa "kor-u-qaadista" ventricles. ")
Waxaa jira noocyo kala duwan oo SVT ah, laakiin qof leh SVT dhammaantood waxay dareemayaan isku mid. Waxay guud ahaan soo saaraan is-baddal, iyo inta badan lulmoodhka, iyo inta aanay waligood marnaba halis ku ahayn nolosha, nooc kasta oo SVT ah ayaa adkaan karta in lagu dulqaado.
Inkastoo astaamaha noocyada kala duwan ee SVT ay isku mid yihiin, marka ay timaaddo daaweynta waxaa jira kala duwanaansho muhiim ah. Sidaas awgeed marka uu takhtar daaweynayo qof leh SVT, waxaa muhiim ah in la ogaado nooca SVT ay tahay. SVTs waxay u kala qaybsanyihiin laba qaybood oo ballaadhan: "gaaban" iyo "automatic" SVT.
Dib udheer SVT
Dadka badidooda qaba SVT waxay ku dhasheen qalab koronto oo dheeraad ah wadnahooda. Xidhiidhada dheeraadka ah waxay sameeyaan wareegga korantada.
Xaaladaha qaarkood, wadnaha korontada wadnaha wuxuu noqon karaa "kuxadhi" gudahood wareegga, oo ku wareegsan agagaarka iyo agagaarkeeda si joogto ah. Iyada oo jilib walba, wadnaha garaaca cusub ayaa la soo saaraa, oo soo saaro qalabka daaweynta lugta . Nooca takhaatiirta ay soo saareen xiriiriyadan dheeraadka ah waxaa lagu magacaabaa taakulo-celis (cachycardia).
Noocyada ugu Caansan ee SVTs
Magacyada la siiyay noocyada kala duwan ee SVT ayaa noqon kara jahawareer, laakiin furaha ayaa ah in magacyada ay tilmaamayaan meesha xiriirka dheeriga ah ee ku yaala wadnaha.
Noocyada ugu caansan ee SVT ayaa halkan ku qoran. Riix link si aad u akhrido sifooyinka khaaska ah ee nooc kasta:
- Cudurka qanjidhada qanjiraha 'Atrioventricular nodal tachycardia,' ama AVNRT , taasoo keenta 60% dhammaan SVTs.
- Cudurka daacuunka ee loo yaqaan 'Atrioventricular reciprocating tachycardia, ama AVRT , waa nooca SVT oo ay ku jiraan Wolff-Parkinson-White Syndrome (WPW) . AVRT waxay keeneysaa ilaa 30% dhammaan SVTs.
- Sinus nodal- ga cirro-celiya, ama SNRT, taasoo keenaysa in ka yar 5% SVTs.
- Daawada ilmagaleenka ee 'intravenous surgeon', ama IART, oo keena in ka yar 5% SVTs.
Iyadoo xulashooyinka daaweynta ee noocyada kala duwan ee SVT-ga ay ka mid yihiin hababka abortiska iyo daawooyinka, daaweynta "ugu fiican" waxay ku xiran tahay inta badan nooca gaarka ah.
Tachycardias automatic
Hal nooc oo SVT ah maahan sababo xiriirin koronto oo dheeraad ah wadnaha. Noocaan SVT waxaa loo yaqaan "SVT automatic."
Caadi ahaan, garaaca wadnaha waxaa lagu xakameynayaa dareenka korontada ee uu soo saaray unugyada "qalabka wadnaha" ee wadnaha, oo ku yaala barta sanka .
Laakiin si toos ah SVT, unugyada meel kale oo ka mid ah atria waxay bilaabaan inay soo saaraan dareenkooda korontada, si ka dhakhso badan oo ka yimaada noodhka sanka, sidaas awgeed qaadashada qaylada wadnaha iyo soo saarista SVT automatic ah.
SVT-ga automatic ah ayaa aad uga yar kan SVTs. Waxay badanaa ku dhacaan dadka qaba cudur halis ah - gaar ahaan cudurada sambabada daran, xannuun aan la xakameynin, ama cudurro badan oo ba'an oo daran si loogu baahan yahay daryeel isbitaal oo xoogan.
SVTs sida caadiga ah way adagtahay in si toos ah loo daaweeyo, maadama aysan jirin xiriir koronto oo dheeraad ah oo la dabooli karo, iyo maadaama daawooyinka antiarrhythmic badanaaba aysan si fiican u shaqeynin xakameynta arxanimooyinkaas.
Sidaa darteed daaweynta dhabta ah ee SVT automatic waa qaab aan toos ahayn ee daaweynta, kuwaas oo ah, daaweynaya jirrooyinka jirada hoose. Ku dhowaad gebi ahaanba, marka bukaanka qaba SVT-ga si fiican u soo kabanaya si looga saaro qaybta daryeelka degdegga ah, arritanka ayaa lumay.
Mid ka mid ah noocyo gaar ah oo SVT-ga ah maahan sabab u ah jirro ba'an waxayna u egtahay inay tahay mid joogto ah oo ay adag tahay in la maareeyo. Tani waa Unuga Cudurka Sanbuuska aan Haboonayn (IST), kaas oo mudnaan u leh wadahadal gaar ah .
Xusuusin: In kastoo fibrillada atrial-ka ay tahay farsamo ahaan qaab SVT ah, waxaa loo tixgeliyaa in ay ku jirto qayb gaar ah. Akhri halkan ku saabsan fayriliska atrial .
Ilaha
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.