Pathology of the heart rhythm, matenda a Bouveret amatanthauzidwa ngati kuchitika kwa kugunda kwamtima komwe kumatha kuyambitsa kusapeza bwino komanso nkhawa. Ndi chifukwa cha kuwonongeka kwa magetsi a mtima. Mafotokozedwe.

Matenda a Bouveret amadziwika ndi kukhalapo kwa palpitations komwe kumachitika pakapita nthawi kugunda kwamtundu wa paroxysmal mathamangitsidwe a kugunda kwa mtima. Kugunda kwa mtima kumatha kufika kugunda kwa 180 pamphindi komwe kumatha mphindi zingapo, ngakhale mphindi makumi angapo, kenako kukhazikika mokhazikika mpaka kugunda kwamtima kwanthawi zonse ndikumva bwino. Kugwidwa uku kungayambitsidwe ndi kutengeka maganizo kapena popanda chifukwa china. Akadali matenda ofatsa omwe samakhudza kugwira ntchito kwa mtima kupatula kukomoka kobwerezabwereza kofulumira (tachycardia). Sizipereka chiopsezo chachikulu. Timakamba za tachycardia pamene mtima umagunda kupitirira 100 pa mphindi imodzi. Matendawa ndi ofala kwambiri ndipo amakhudza oposa mmodzi mwa anthu 450, nthawi zambiri achinyamata.

Kupitirira zomverera pachifuwa palpitations, matendawa ndi gwero la chifuwa kusapeza mu mawonekedwe a maganizo kuponderezedwa ndi nkhawa kapena ngakhale mantha. 

Matenda a palpitations amayamba mwadzidzidzi ndi kutha, chifukwa cha kutengeka mtima, koma nthawi zambiri popanda chifukwa chodziwika. 

Kutulutsa mkodzo kumakhala kofala pambuyo pa kugwidwa ndikuchotsa chikhodzodzo. Chizungulire, mutu wopepuka kapena kukomoka kumatha kuchitika ndi chikomokere chachifupi. 

Nkhawa zimadalira mlingo wodwala kuti tachycardia izi. Electrocardiogram imasonyeza tachycardia nthawi zonse pa 180-200 kugunda pamphindi pamene kugunda kwa mtima kwachizolowezi kumachokera ku 60 mpaka 90. N'zotheka kuwerengera kugunda kwa mtima mwa kutenga kugunda pa dzanja, kumene mtsempha wamagazi umadutsa kapena kumvetsera mtima ndi ndi stethoscope.

Kuphatikiza pa electrocardiogram yomwe idzayesa kusiyanitsa matenda a Bouveret ndi matenda ena a mtima, kufufuza mozama nthawi zina kumafunika pamene kutsatizana kwa tachycardia kumalepheretsa tsiku ndi tsiku komanso / kapena nthawi zina kumayambitsa chizungulire, chizungulire kapena chizungulire. . kukomoka kwakanthawi. 

Katswiri wa zamtima ndiye amalemba mphamvu zamagetsi zomwe zimachitika pamtima pogwiritsa ntchito kafukufuku wolowetsedwa mwachindunji mu mtima. Kufufuza uku kudzayambitsa tachycardia yomwe idzalembedwe kuti iwonetsetse mitsempha ya mitsempha yomwe ili pakhoma la mtima lomwe limayambitsa tachycardia. 

Ngati sichimalephereka kwambiri komanso kulekerera bwino, matenda a Bouveret amatha kuthandizidwa ndi njira za vagal zomwe zimalimbikitsa mitsempha ya vagus yomwe imakhudzidwa ndi kugunda kwa mtima (kusisita kwa diso, mitsempha ya carotid pakhosi, kumwa kapu ya madzi ozizira, yambitsani gag reflex, etc.). Kukondoweza kwa mitsempha ya vagus kudzachepetsa kugunda kwa mtima.

Ngati kuwongolera uku sikukukwanira kuthetsa vutoli, mankhwala oletsa kutsekula m'mimba oti aperekedwe munthawi yake, m'malo apadera amtima, akhoza kubayidwa. Amafuna kutsekereza node ya intracardiac yomwe imayambitsa tachycardia. 

Matendawa akapanda kulekerera chifukwa champhamvu komanso kubwerezabwereza kwa kuukira, chithandizo choyambirira chimaperekedwa ndi mankhwala oletsa kutsekula m'mimba monga beta blockers kapena digitalis.

Pomaliza, ngati khunyu si olamuliridwa, akubwerezedwa ndi kulemala tsiku ndi tsiku moyo wa odwala, n`zotheka, pa kufufuza ndi kafukufuku yaing'ono umene umalowa mu mtima, kuchita ablation kuwombera. node yomwe imayambitsa ma radiofrequency tachycardia. Izi zimachitidwa ndi malo apadera omwe ali ndi zochitika zamtunduwu. Kuchita bwino kwa njirayi ndi 90% ndipo kumasonyezedwa kwa achinyamata kapena maphunziro omwe ali ndi contraindication kuti atenge mankhwala odana ndi arrhythmic monga digitalis.