ضربان نامنظم بطنی قلب و درمان آن


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فیبریلاسیون بطنی (ضربان نامنظم بطنی قلب) خطرناک‌ترین نوع آریتمی است که نیاز به مراقبت‌های اورژانسی و فوری دارد. در این نوع از آریتمی (ضربان نامنظم)، پیام‌‌های الکتریکی متعددی از نقاط مختلف قلب ارسال می‌شوند و انقباضات قلب نامنظم می‌گردند. گرچه سرعت تپش قلب ممکن است به ۳۰۰ ضربان در دقیقه برسد، اما تپش‌های قلب به طورکامل ناموثر می‌باشند و خون بسیار کمی از قلب خارج می‌شود.

درمان ضربان نامنظم بطنی قلب

از آنجایی که مغز اندامی است که بیشترین حساسیت را به کمبود خون حاوی اکسیژن دارد، ‌لذا فیبریلاسیون بطنی منجر به بی‌هوشی می‌گردد. در این شرایط افراد حاضر در محل، باید بلافاصله با اورژانس (۱۱۵) تماس بگیرند یا اگر فرد به خوبی نفس نمی‌کشد، بلافاصله احیای قلبی ریوی (CPR) انجام دهند. معمولا استفاده از دستگاه شوک الکتریکی (دفیبریلاتور) برای بازگرداندن ریتم طبیعی قلب به منظور پیشگیری از آسیب شدید به مغز و سایر اندام‌ها ضروری است. سالانه افراد زیادی در اثر فیبریلاسیون بطنی دچار مرگ ناگهانی می‌شوند.
دفیبریلاتور (یا دفیبریلاتور خارجی خودکار یا AED) دستگاهی الکترونیکی است که پرسنل اورژانس یا سایر افراد آموزش دیده از آن برای شوک دادن به فردی استفاده می‌کنند که قلبش دچار فیبریلاسیون شده است. امروزه دفیبریلاتورها در بسیاری از اماکن عمومی مثل فرودگاه‌ها نصب شده‌اند.

منبع: بیمارستان شهید رجایی

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