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Kas ir sirds kūleņi un kāpēc tie rodas? (1)

publicēts: 24.08.2017
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| autors: Gunārs Grabinskis
Ziņot par neatbilstošu saturu

Par to, kas ir sirds kūleņi un ko ar tiem iesākt, pastāstīs P.Stradiņa Klīniskās universitātes slimnīcas kardioloģe Kristīne Jubile.

Kāds ir normāls pulss?
Esot mierā, ptotams, labāk, ja pulss būtu no 60 līdz 90 sitieniem minūtē – deviņdesmit ir pieļaujamā robeža. Taču, ja cilvēkam ir vēl kādas blakus saslimšanas, it īpaši sirds slimības, tad drošāks būtu lēnāks pulss – ap 60. Tad viens darbības cikls atbilst vienai sekundei, kuras laikā sirds piepildās ar asinīm. Šajā laikā tā it kā atpūšas, sirds muskulis ar asinīm saņem skābekli, lai no jauna sarautos un asinis izsviestu asinsritē. Un, jo pilnvērtīgāk sirds saraujas, jo labāk pilda sava sūkņa funkciju – nodrošina organismu ar skābekli. Savukārt, ja sirds pukst 120 reižu minūtē, sirdsdarbības vienam ciklam atliek tikai pussekunde laika un sirds muskulim rodas pārāk liela slodze, tas pietiekami neatpūšas, nogurst, nolietojas. Pārmērīgi noslogotais muskulis kļūst biezāks, taču savu darbu ar pilnu jaudu jaudas dēļ nespēj pildīt.
Kāpēc rodas “sirds kūleņi” jeb pārsitieni?
Sirds sevi regulē pati. Vienā no tās priekškambariem atrodas šūnu grupa ko sauc par sinusu mezglu un kas izstrādā elektrību – dod impulsu. Vispirms saraujas abi sirds priekškambari, pēc tam caur sprciālām šūnām šis speciālais impulss izplatās uz abiem kambariem, un, tiem saraujoties, rodas pulss. Tas ir normāls sirds ritms. Taču reizēm impulsi, kas liek sirdij sarauties, nāk nevis tikai no sinusa mezgla, bet vēl no kādas nepareizas vietas, kas var atrasties gan priekškambaros, gan kambaros. Tā rodas pārsitieni.
Atsevišķi pārsitieni jeb ekstrasistoles ir katram cilvēkam ik dienu – sirds darbojas ritmiski, bet viena saraušanās notiek ārpus kārtas – mazliet vai krietni ātrāk, pēc tam noteikti seko garāka pauzīte nekā parasti. Cilvēks to var pat nejust, ja nu vienīgi pārguruma vai uztraukuma brīžos. Taču dažreiz šīs dažas nepareizās impulsu došanas vietas kļūst pārāk aktīvas un sāk izstrādāt pārāk daudz šo pārsitienus - vairāk par desmit stundā. Vai tas ir bīstami? Būtiskais rādītājs te ir sirds veselība. Ja cilvēkam ehokardiogrāfijā konstatēts, ka sirds dobumi izskatās normāli, vārstuļi strādā labi, pat biežas ekstrasistoles no sirds veselības viedokļa nav bīstamas. Taču, ja viņam jau ir slima sirds, biežas ekstrasistoles ir tiešām bīstamas. Paši par sevi pārsitieni neko ļaunu sirdij neizdarīs, taču tie var uzsākt smagus, pat dzīvībai bīstamus sirds ritma traucējumus.
Aritmija nozīmē, ka kaut kas nav kārtībā ar sirds ritmu. Cilvēks pats mirdzarimiju nejūt, bet, ja viņam ir vēl citi riska faktori, sirdī var izveidoties trombs, un pirmais tās simptoms var būt insults.
Kas izprovocē aritmiju?
• Novest sevi līdz aritmijai var tad, ja ir augsts asinsspiediens, kuru ilgstoši neārstē, jo tas rada izmaiņas sirdī.
• Aritmija var būt sekas jau kādām sirds problēmām. Piemēram, infarktam.
• Ja sirds sāk skriet bez redzama iemesla – nav bijusi fiziskas slodzes, tā jau varētu būt diezgan nopietna pazīme, ka nepieciešama nopietna sirds izmeklēšana un, iespējams, pat jāārstē aritmija.
• Ja sirdsklauves beidzas ar samaņas zudumu – tas ir ļoti bīstams simptoms. Tā var būt dzīvību apdraudoša aritmija. It sevišķi, ja cilvēks noģībis bez iemesla sēdus vai guļus.
• Ir vērts pārbaudīt sirdi, ja zināms, ka ģimenē kādam pirmās pakāpes asinsradiniekiem bijušas sirds problēmas – ja kāds jauns gados pēkšņi nomiris.
• Sportistiem jāpievērš īpaša uzmanība savam sirds ritmam. Ehokardiogrāfija un kardiogramma noteikti jāveic ikvienam, kas uzsāk pastiprinātu fizisko aktivitāti. Un pārbaudes jāatkārto vismaz reizi gadā!
Kā ārstē aritmiju?
Tiek piedāvātas divas iespējas. Pirmā – medikamenti (antiaritmiķi). Otrā – procedūra, ko sauc par radiofrekvences ablāciju, ko veic tikai Stradiņa slimnīcā un Austrumu slimnīcā. Caur cirkšņa asinsvadiem ievieto elektrodus un mēģina atrast, kur ir tās nepareizās vietiņas, kuru dēļ rodas aritmija, tad caur elektrodiem, ar radiofrekvences viļņiem uzkarsējot audus līdz noteitai trmperatūrai, iznicina šīs šūnas.

Portāls apollo.tvnet.


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20.0002125208require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0016273024Sitecontroller->show( )../index.php:43
40.06052711516require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
50.06872941600Sitecontroller->sitecontent( )../public.php:105
60.06872941636Controller->show( )../CSitecontroller.php:67
70.06882960460require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
80.12974551320Sitecontroller->sitemenu( )../newsItem.php:101
90.12994567980modSitemenusCommentsSmall->load( )../CSitecontroller.php:77
100.13914685852modSitemenusCommentsSmall->getComments( )../commentsSmall.php:124
110.13914685852S( )../commentsSmall.php:143
120.13914685880mysql_escape_string ( )../functions.php:12

( ! ) Deprecated: mysql_escape_string(): This function is deprecated; use mysql_real_escape_string() instead. in /home/sniedzroku/public_html/kernel/functions.php on line 12
Call Stack
#TimeMemoryFunctionLocation
10.0001120000{main}( )../index.php:0
20.0002125208require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0016273024Sitecontroller->show( )../index.php:43
40.06052711516require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
50.06872941600Sitecontroller->sitecontent( )../public.php:105
60.06872941636Controller->show( )../CSitecontroller.php:67
70.06882960460require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
80.12974551320Sitecontroller->sitemenu( )../newsItem.php:101
90.12994567980modSitemenusCommentsSmall->load( )../CSitecontroller.php:77
100.13914685852modSitemenusCommentsSmall->getComments( )../commentsSmall.php:124
110.13924686148S( )../commentsSmall.php:145
120.13924686176mysql_escape_string ( )../functions.php:12

( ! ) Deprecated: mysql_escape_string(): This function is deprecated; use mysql_real_escape_string() instead. in /home/sniedzroku/public_html/kernel/functions.php on line 12
Call Stack
#TimeMemoryFunctionLocation
10.0001120000{main}( )../index.php:0
20.0002125208require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0016273024Sitecontroller->show( )../index.php:43
40.06052711516require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
50.06872941600Sitecontroller->sitecontent( )../public.php:105
60.06872941636Controller->show( )../CSitecontroller.php:67
70.06882960460require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
80.12974551320Sitecontroller->sitemenu( )../newsItem.php:101
90.12994567980modSitemenusCommentsSmall->load( )../CSitecontroller.php:77
100.13914685852modSitemenusCommentsSmall->getComments( )../commentsSmall.php:124
110.13944686136S( )../commentsSmall.php:147
120.13944686164mysql_escape_string ( )../functions.php:12
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( ! ) Warning: file_get_contents(http://twitter.com/statuses/user_timeline/apeirons.rss): failed to open stream: HTTP request failed! HTTP/1.0 404 Not Found in /home/sniedzroku/public_html/kernel/functions.php on line 625
Call Stack
#TimeMemoryFunctionLocation
10.0001120000{main}( )../index.php:0
20.0002125208require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0016273024Sitecontroller->show( )../index.php:43
40.06052711516require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
50.06872941600Sitecontroller->sitecontent( )../public.php:105
60.06872941636Controller->show( )../CSitecontroller.php:67
70.06882960460require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
80.14164716684Sitecontroller->sitemenu( )../newsItem.php:108
90.14174721900modSitemenusTwitter->load( )../CSitecontroller.php:77
100.14174722404fetch_tweets( )../twitter.php:5
110.14184722984file_get_contents ( )../functions.php:625