Kuthekani ukuba umntwana wakho unesigxina esinamandla? Ngokuqhelekileyo, izikhalazo ezinjalo ziyakwenzeka emva kokwenyama (ukukhwela i-skiing okanye i-roller-skating, ukuqhuba, ukuzilolonga ngokomzimba) okanye ukugqithisa ngokomzwelo, ngenxa yokushisa okuphezulu, okunokwenzeka ukuhambelana nosulelo, ngenxa yokwesaba okukhulu, njl. Ukuchonga ukuba kukho ubukho umntwana unetachycardia, okanye, ngenye indlela, iipelpitations, kuyimfuneko ukwazi ukuba yiyiphi imilinganiselo yentlawulo yenhliziyo yinto evamile kwixesha elilodwa.
I-Tachycardia inganqunywa kumntwana ngokwexesha lakhe, ngokusekelwe kule data elandelayo:
- Kwiintsuku ezingama-2 - 122-158 u-udmin (beats ngomzuzu).
- Ukususela kwiintsuku ezintathu ukuya ezintandathu - 130-167 Udmin
- Ukususela ngeveki ukuya kwiiveki ezintathu-106-180 Udmin
- Ukususela kwinyanga ukuya kweyesibini - 120-180 Udmin
- Ukususela kwiinyanga ezintathu ukuya ezintlanu - 105-185 Udmin
- Iinyanga ezilishumi elinanye kwishumi elinanye - 110-170 Udmin
- Ukususela kunyaka omnye ukuya kwiibini, iiyunithi ezingama-90-150
- Ukususela kwiminyaka emithathu ukuya emine-70-140
- Kususela kwiminyaka emihlanu ukuya kwi sixhenxe - 65-135
- Ukususela kwiminyaka elinesibhozo ukuya kwishumi elinesibhozo - 60-130
- Kususela kwiminyaka elishumi elinambini kuya kweyishumi elinesihlanu - 60-120 Udmin
Pathophysiology
Ukunikezelwa kwemigudu entliziyweni kubakho ngokuncedisa isiqhekeza esinesihawu kunye nesigulane esiswini. Iimvakalelo zentlungu zithunyelwa ngeemfayili ezahlukileyo, ezidibaniswa ne-ganglia enovelwano. Njengomthetho, abaninzi abantu abaqapheli intliziyo eqhelekileyo. Izigulane ngabanye ebuntwaneni ziyakhala isikhalazo sokuvakala kwengxolo ezindlebeni, iintlungu zentliziyo kunye neentambo zeendlebe.
I-Tachycardia yimeko apho unokubona ukunyuka kwindleko yentliziyo, okanye, ngokulula, iintliziyo zentliziyo. Ngokuqhelekileyo, i-tachycardia ihambelana nokunyanya ngenxa yezizathu ezahlukahlukeneyo, ukuqhuba kweempawu zombane, ezibangela ukuba iindonga zomoya zenze isivumelwano. Kwezinye iimeko, i-tachycardia ingaba yintsholongwane, efunyaniswayo ngexesha lokukhulelwa.
Iintlobo ze-tachycardia kubantwana
Kukho iintlobo ezimbini ze-tachycardia. Kubantwana, i-tachycardia ephezulu isoloko ibonwa. Ngolu hlobo, ukuqhaqha ngokukhawuleza kweendlela ezincinci kunye neendawo eziphezulu zentliziyo ziyakubonwa. Njengomthetho, i-tachycardia engaphezulu ayinayo ingozi ebomini kwaye idlulela ngaphandle kokungenwa kweyeza.
Uhlobo lwesibini lwe-tachycardia lubizwa ngokuba yi-ventricular. Kufunyaniswa ukuba iindawo ezingezantsi zentliziyo, okanye i-ventricles, zikhawuleza ukupompa igazi. Le ntlobo ebantwini inqabile kakhulu, kodwa ingaba yingozi enkulu. Kule meko, ikhosi efunekayo yonyango imiselwe.
Iimpawu
Ukuqaphela i-tachycardia kubantwana kungabikho kwiimpawu ezifana neempawu ze-tachycardia kubantu abadala. Inokubakho iintliziyo zengqondo, ukuxakeka, ukuthuthumela, ubuthathaka, intlungu yesifuba, ukuphelelwa amandla, ukuphefumula, ukuphefumula, i-pallor, njl njll. Iintsana ezinama-tachycardia zihlala zihlaziye kwaye zizinzileyo, kwaye zibonisa ukulala okukhulu. Kwiintsana kunzima ukuyiqonda le ntlupheko, kuba abayikwazi ukuthetha malunga neempawu kwaye bachaze iimvakalelo. Ukongezelela, ezinye iimpawu ezingenakubhekisela kwi-tachycardia, kodwa ukuba zibonakalise ezinye izifo, umzekelo, njenge-asthma ye-bronchial, njl njl.
Unyango
Uluhlobo lwezokwelapha lwe-tachycardia lubekwe ngokuxhomekeka kobunzima besifo, ubudala bomntwana kunye nohlobo lwe-tachycardia. Ngokuqhelekileyo, i-tachycardia yesibini iphathwa ngamachiza, okanye, ukuba iminyaka yobudala ivumelekile, isenzo esicacileyo kwi-vagus nererve. Ukunyangwa kwe-ventricular tachycardia, ukungenelela kokuhlinzwa okanye ukunyanga okungekho ngaphezulu, njengokwenza i-radiofrequency ablation, kunokunyulwa, apho i-catheter ehambisa amaza omsakazo ifakwe entliziyweni eshenxisa iisisu zentliziyo ezenza izigwenxa kwisigqi. Kwiimeko ezininzi, emva kwenkqubo, i-tachycardia iyanyamalala, kodwa izigulane ngabanye, ukuba kuyimfuneko, ugqirha unokumiselwa unyango olongezelelweyo.