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ARITMIYAI DIL

aritmii-serdcaARITMIYAI DIL (az a – hissachai inkori va yun. rhythmos – nizom), nomurattab kashish khurdan (tapidan)-i dil, ki dar natijai ikhtiloli faoliyati judogonai on ba amal meoyad. Odam, odatan, zadani dilashro his namekunad, binobar in az surati on bekhabar ast. A. d. dar nomurattabi, bozistodan va tappishi betartibi on zohir megardad. Bisyor shaklhoi A. d. baroi kori dil va hayoti odam chandon khatarnok nestand. Bo vujudi in dar mavridi paydoishi nishonahoi avvalini on ba dukhtur murojiat kardan zarur ast, zero muoinai tibbi bo istifodai elektrokardiografiya imkon medihad, ki bemori tashkhis shavad.
A. d. beshtar ba vazi silsilai noqili impuls yo asabhoi tanzimi kori dil vobasta ast. A. d. dar tez yo sust shudani kashishkhuri va khurujhoi tapishi dil, alomati kashishkhurihoi ilovagi va g. zohir megardad. A. d. beshtar oqibati bemorihoi dil (miokardit, kardioskleroz va g.) meboshad. A. bazan tagyiroti tabiii kori dil buda, javoban ba tasiri omilhoi mukhtalif, mas., hangomi varzish, davidan, ijroi kori vaznini jismoni va g. ba amal meoyad.
Dar holati oromi va faoliyati mutadil nabzi odam dar 1 daq. 60 – 80 marotiba mezanad. Tez zadani dilro takhikardiya menomand. Sust gashtani kori dil bradikardiya nom dorad. Dar fosilai nobarobari vaqt paydo shudani impulsho alomati aritmiyai sinusi ast. CHunin shakli A. d. beshtar ba amali nafaskashi vobastagi dorad: dar mavridi nafas giriftan, nabz tez va hangomi nafas barovardan, sust meshavad. In navi A. d. muolijai makhsus talab namekunad.
Ekstrasistoliya ikhtiloli nizom (ritm)-i dil ast, ki binobar dar mushaki on ba vujud omadani manbahoi ilovagii angezish (impulsi onho boisi barmahal kashish khurdani dil – ekstrasistola meshavad) sar mezanad. Vobasta ba joygirii manbai angezish ekstrasistoliya du khel – favqimedachavi (peshdili, atrioventrikuli) va medachavi meshavad. Eksrasistoliya dar mavridi serhayajoni, bemorihoi dil va uzvhoi digar, hamchunin dar odamoni solim ba mushohida merasad. Bemoroni giriftori ekstrasistoliya boyad az kashidani tamoku, istemoli choi talkh, kofe, mashruboti spirtdor khuddori namoyand.
Takhikardiyai paroksizmi – nogahon va tez shudani kori dil (dar 1 daq. to 180 – 220 marotiba). Huruji bemori az chand soniya to chand ruz davom karda, sipas nogahon hamon tavr khotima meyobad. Dar natijai tul kashidani khuruji bemori bisyor vaqt illati shadidi dilu ragho sar mezanad.
Aritmiyai larzon ikhtiloli ritmi dil buda, hangomi on peshdil purra kashish namekhurad, impulsho ba medachaho betartib intiqol meyoband. Bemori dar mavridi kardioskleroz, tireotoksikoz, miokardit rukh menamoyad. Aritmiyai larzon metavonad doimi boshad yo faqat dar shakli khurujho ba vujud oyad. Bemori ba gardishi khun (khususan dar vaqti behad tez shudani ritmi dil yo osebi vaznini mushaki medachaho) tasiri nomusoid merasonad.
Inhisor (blokada)-i dil – ikhtiloli ritm, ki sababi on khalal yoftani intiqoli impulsho az peshdil ba medachaho ast. Dar mavridi tarbod, miokardit, kardiomiopatiya, kardioskleroz, zahroludi az doruvor va g. mushohida meshavad. Hini inhisori juzi fosilai intiqoli impulsho az peshdil ba medachaho daroz ast. Dar surati inhisori purra impulsho az girehi sinusi ba medachaho rafta namerasand (onho faqat boisi kashish khurdani peshdil meshavand). Binobar in dar medachaho impulshoi khudi (dar 1 daq. 20 – 40 zarba) ba vujud meoyand (nabzi chunin bemoron kanda-kanda ast).
H. Vohidov.

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