Te wa paanui kua whakaritea: 8 meneti
Ripanga o Ihirangi
Ko ngā arrhythmias o te ngakau i roto i ngā ngeru me ngā kurī e whai ake nei.
Ngā arrhythmias supraventricular
He mate manawataki tere, koretake ēnei e ahu mai ana i te pūnga atria, i te pūnga atrioventricular rānei, kei roto, kei runga ake rānei i ngā awhe tohutoro te tere o te manawa ia meneti e rerekē ana i runga i te momo, te ira tangata, me te tau.
CardioNetworks: Drj, CC BY-SA 3.0 https://creativecommons.org/licenses/by-sa/3.0, ma te Wikimedia Commons
• Te tere o te takikardia o te sinus: He mate manawataki auau tēnei e ahu mai ana i te pūnga sinus, e piki ake ai te tere o te ngakau i te awhe tohutoro mō te tau, te momo, me te ira tangata.
• Te tachycardia whakawhiti-pūngao atrioventricular: Ka puta te tere me te auau o te ngakau nā te ngohe hiko e hoki mai ana i roto i te pūnga AV.
• Te tachycardia hononga arotahi: He mate auau tere, koretake hoki tēnei e ahu mai ana i tētahi pūwāhi motuhake e karapoti ana i te pūnga AV.
• Te tachycardia hononga kore-paroxysmal: He momo tachycardia tēnei e mau tonu ana, e puhoi ana te tīmatanga, e ahu mai ana i ngā arotahi huri noa i te pūnga AV.
• Ngā tachycardia whakawhiti atrioventricular: He raruraru tere ēnei e hua mai ana i te ngohe hiko e rere ana i waenga i te pūnga AV me tētahi ara kawe oro tāpiri.
- Te tachycardia ā-whakahoki atrioventricular orthodromic: Ka haere te hiko mai i te pūnga AV ki ngā ventricles mā te ara noa, engari ka hoki anō ki te atrium mā te ara tāpiri.
- Te tachycardia whakawhiti atrioventricular antidromic: Ka haere te hiko ki ngā ventricles mā te ara tāpiri, ka hoki anō ki te atrium mai i te pūnga AV.
• Te tachycardia honohono pumau: He momo tachycardia reentrant tēnei e mau tonu ana, e huri haere ana i te pūngao AV.
• Te tachycardia atrium arotahi: He mate manawataki tere, koretake hoki tēnei e ahu mai ana i tētahi wāhi motuhake o te atrium.
• Te tachycardia atrial maha-focal, te manawataki atrial chaotic rānei: He manawataki tere, kāore i te ōrite tēnei e ahu mai ana i ngā arotahi maha i roto i te atrium.
• Te tachycardia atrial macroreentrant: He momo tachycardia tēnei e hanga ana i tētahi koropiko nui e hoki mai ana ki roto i te atrium.
- Te rere o te atrium e whakawhirinaki ana ki te isthmus cavo-tricuspid: He mate manawataki tēnei e hanga ana i tētahi koropiko i waenganui i te takirere tricuspid me te vena cava o raro i te atrium matau.
-Te rere o te atrium motuhake o te Cavo-tricuspid isthmus: He tachycardia atrial macroreentrant tēnei e puta ana i waho o te rohe cavo-tricuspid isthmus.
• Te whakapūpū o te atrium: He mate manawataki tēnei e whakaohokia pōturitia ai ngā ventricles nā te tere me te kore pōturi o te atria.
Ngā Arrhythmias Ventricular
He mate manawataki ngakau koretake, tere rānei ēnei e ahu mai ana i ngā ventricles, ka noho te tere o te ngakau ia meneti i raro iho, i roto atu rānei, i runga ake rānei i ngā awhe tohutoro e rerekē ana i runga i te momo, te ira tangata, me te tau.
CardioNetworks: Giniger, CC BY-SA 3.0 https://creativecommons.org/licenses/by-sa/3.0, ma te Wikimedia Commons
• Te manawataki idioventricular: Ko te tere o te ngakau ia meneti e ahu mai ana i ngā ventricles. i raro i ngā awhe tohutoro e rerekē ana i runga i te momo, te ira tangata, me te tau He auau noa tēnei, ā, ka kitea i ngā wā kāore e mahi tika ana te pūngao AV.
• Te tere o te manawataki idioventricular: He mate manawataki rangitahi tēnei, he pai hoki, e piki haere ana te tere o te manawataki idioventricular, ā, ka taka ki roto, ki runga ake rānei i ngā awhe tohutoro e rerekē ana i runga i te momo, te ira tangata, me te tau.
• Te tachycardia ventricular monomorphic: He auau auau, tere hoki tēnei e ahu mai ana i ngā ventricles, ā, e kitea ana he āhua QRS pumau. Te tere o te manawa ia meneti. Kei runga ake i ngā awhe tohutoro e rerekē ana i runga i te momo, te ira tangata, me te tau..
-Kāore e taea te pupuri: He tachycardia ventricular monomorphic tēnei e roa ana i raro i te 30 hēkona, ā, ka mutu aunoa.
-Auautanga: Ko te tachycardia ventricular tēnei e hoki mai ana i roto i ngā wā poto.
-Haere tonu: He tachycardia ventricular monomorphic tēnei e roa ake ana i te 30 hēkona, e hiahia ana rānei ki te wawaotanga.
-Tonu tonu: He momo tachycardia tēnei e mau tonu ana, ā, he maha ngā wā ka puta he raruraru hemodynamic.
• Te wiri o te ventricle: He auau auau engari he morearea te ora, ka hanumi ngā ngaru QRS hei hanga i te āhua sinusoidal nā te tere o ngā nekehanga ventricular. Ko te tere o te manawa ia meneti he... Kei runga noa atu i ngā awhe tohutoro e rerekē ana i runga i te momo, te ira tangata, me te tau..
• Te tachycardia ventricular polymorphic: He tere, he auau koretake tēnei e ahu mai ana i ngā ventricles, he rerekē te āhua me te kaha o ngā matatini QRS. Ko te tere o te manawa ia meneti he... Kei runga ake i ngā awhe tohutoro e rerekē ana i runga i te momo, te ira tangata, me te tau..
• Ngā Torsades de pointes: Ko te roa o te QT he āhuatanga e tohuhia ana e ngā rerekētanga o te kaha me te ahunga o ngā matatini QRS, e puta ana i te nuinga o te wā i runga i te roa o te QT. i runga ake i ngā awhe tohutoro e rerekē ana i runga i te momo, te ira tangata, me te tau He tachycardia ventricular tēnei.
• Te tachycardia ventricular rua-aronga: He manawataki tēnei e ahu mai ana i ngā ventricles e huri ai te ahunga o ngā matatini QRS i ngā tuaka rerekē. Te tere o te manawa ia meneti. Kei runga ake i ngā awhe tohutoro e rerekē ana i runga i te momo, te ira tangata, me te tau..
• Te whakapūtanga o te uaua o te ngākau: He manawataki whakamate tēnei e tere ai te kōpeketanga o ngā ventricles, kāore i te ōrite, kāore hoki e tukutahi, ā, kāore e puta he putanga manawa whai hua. Te tere o te manawa ia meneti. Kei runga noa atu i ngā awhe tohutoro e rerekē ana i runga i te momo, te ira tangata, me te tau..
Te Bradycardia me ngā Mate Puku
Koinei ngā raruraru manawataki me te ara iahiko e tohuhia ana e te puhoi, te motumotu, te koretake rānei o te whakaputanga, te tuku rānei i ngā hikohiko e te ngākau.
Ewingdo, CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0, ma te Wikimedia Commons
• Te pākarukaru o te sinus: I ahu mai i te pūnga sinus, me te tere o te manawa ia meneti i raro i ngā awhe tohutoro e rerekē ana i runga i te momo, te ira tangata, me te tau He manawataki auau.
• Te hopukanga o te sinus: He mate manawataki o te ngākau tēnei e mutu ai te pao o te ngākau mō tētahi wā nā te mutunga o ngā mahi a te pūngao sinus mō tētahi wā poto.
• Te hopukanga o te sinus: He mate kino tēnei mō te tukunga o te manawa, ā, ka mutu te patu a te ngākau nā te kore e taea e te pūnga sinus te whakaputa i ngā hiko.
• Te hopukanga o te atria: He mate tēnei e pāorooro ai te ngākau nā te mea kua mutu te whakaputa hiko o te atrium.
• Te manawataki sinoventricular: He manawataki onge tēnei e kore ai ngā tohu mai i te pūnga sinus e tukuna ki te atrium engari ka tukuna tika atu ki ngā ventricles.
• Te aukati o te manawa, te aukati rānei o te ngakau: He āhuatanga whakamate tēnei e mutu katoa ai ngā mahi hiko me ngā mahi ā-mīhini a ngā ventricle o te manawa.
• Te ngohe hiko kore-pulse (PEA) te wehenga hiko-ā-ringa rānei: He āhuatanga tēnei e kitea ai te ngohe hiko i te ECG, engari kāore e taea te kite i te pā o te manawa, ā, kāore he putanga whai hua o te manawa.
• Te whakaroa, te aukati rānei i te ara o te toto i roto i te atrium: He mate kawe hiko tēnei e puhoi ai, e motuhia katoatia rānei te kawe hiko i roto i te atrium.
• Te aukati sino-atrial: He mate ara iahiko tēnei e kore ai e taea te tuku i ngā tohu hiko mai i te pūnga sinus ki te atrium.
• Te aukati atrioventricular: Koinei ngā mate ara iahiko e puta mai ana i te whakaroa, te motumotu rānei o te ara iahiko mai i te atria ki ngā ventricle.
-Tohu tuatahi: Ko te AV he aukati i roto i te tuku karere i te pūnga e whakaroahia ana te karere engari kāore i motuhia katoatia.
-Te tohu tuarua: He ārai tēnei e kore ai e taea te tuku i ētahi o ngā nekehanga o te atrium ki ngā ventricles.
-Wenckebach (Momo Mobitz 1): He āhuatanga tēnei e roa haere ai te wā PR, ā, ka mutu, kāore he patu o te ventricular.
- Tohutohu Mobitz 2: He aukati kino rawa atu tēnei ina kore e taea te tuku i ētahi o ngā nekehanga atrium mā roto i ngā wā PR pumau.
- Kua Whakatikahia 2:1: He āhuatanga tēnei e kotahi anake te nekehanga o ia atrium ka tukuna ki ngā ventricles.
-Taumata matatau: He āhuatanga tēnei e kore ai e taea e ētahi nekehanga atrial karapīpiti te tae ki ngā ventricles.
-Te tohu tuatoru (Poraka katoa): He mate whakawhiti manawa tēnei e tino wehea ai ngā mahi a te atrium me te ventricular.
-Paroksismal: He aukati AV rangitahi tēnei e puta ana i ngā whakaekenga.
• Ngā aukati ā-roto o te puku: He poraka ēnei e āraia ana te ara hiko i waenga i ngā ventricles, ā, he ārai katoa, he ārai wāhanga rānei.
-Monofascicular: Ka kitea tētahi poraka peka paihere kotahi (te poraka peka paihere matau, te poraka peka paihere maui rānei).
-Ngā taha rua: He poraka tēnei e pāngia ai ngā peka e rua (te peka matau me te peka maui o mua, o muri rānei).
-Ngā Āhuatanga Toru-ā-ringa: He mate whakawhitiwhiti kōrero nui tēnei e pā ana ki ngā peka e toru.
Ngā Patu me ngā Rīwai Ectopic
He ngā nekehanga hiko rerekē ēnei me ngā manawataki koretake e ahu mai ana i ngā arotahi ectopic i waho o te ara kawe hiko noa o te ngākau, pērā i te atrium, te ventricle, te pūngao AV rānei.
YitzhakNat, CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0, ma te Wikimedia Commons
• Ngā pātaki me ngā manawataki ectopic supraventricular: He manawataki me he pao ohorere ēnei, he rerekē rānei, e ahu mai ana i tētahi arotahi ehara i te pūnga sinus noa, engari mai i ngā wāhi supraventricular pērā i te atrium, te pūnga atrioventricular rānei.
-Ngā whiu ectopic o te atrium: He pāorooro ngakau wawe ēnei, he koretake hoki, e ahu mai ana i tētahi arotahi ehara i te pūnga sinus noa o te atrium.
-Te manawataki ectopic o te atrium: He manawataki auau engari he rerekē tēnei e ahu mai ana i tētahi arotahi i roto i te atrium ehara i te pūnga sinus.
-Ngā whiu ectopic honohono: Koinei ngā pā o te ngakau o te tangata e puta wawe ana, e kore e tika ana, e ahu mai ana i te rohe o te pūnga AV.
-Te manawataki ectopic honohono: He manawataki auau engari he rerekē tēnei e ahu mai ana i tētahi arotahi e karapoti ana i te pūnga AV.
-Te parasystole o te atrium: He pāorooro tonu, kāore i te auau ēnei e puta mai ana i tētahi arotahi i roto i te atrium, motuhake mai i te pūnga sinus.
-Te wehenga, te manawataki atrial kotahi rānei: He manawataki koretake tēnei e ahu mai ana i tētahi wāhanga o te atrium, ā, ka ahu whakamua motuhake mai i ētahi atu wāhi.
• Ngā pātaki me ngā manawataki o te puku ectopic o te ventricle: He manawataki me he pao wawe ēnei, he koretake, he motuhake rānei, e ahu mai ana i tētahi arotahi i waho o te ara kawe noa o ngā ventricles.
-Ngā whiu ectopic o te ventricle: He momo ngakau koretake ēnei e tohuhia ana e ngā matatini QRS wawe, ā, he whānui hoki, e ahu mai ana i ngā ventricles.
-Te manawataki idioventricular: He manawataki puhoi, auau hoki tēnei e puta mai ana i ngā ventricles ina kore e mahi tika te pūngao sinus, te pūngao AV rānei.
-Te parasystole o te ventricle: He pātaki pūmau, koretake ēnei e ahu mai ana i tētahi arotahi i roto i te ventricle, e puta motuhake ana i te manawataki ventricle noa.
Ētahi atu Tuhinga ka hiahia pea koe
"Kāore he rerekētanga o te hangarau matatau i te mahi makutu."
Arthur C. Clarke
