Kodi mtima wanu ukugunda mofulumira mwadzidzidzi? - Tiyeni tiphunzire za Wolff-Parkinson-White (WPW) Syndrome mwachidule

Kodi nthawi zina mumamva ngati mtima wanu ukugunda mofulumira popanda chifukwa? Kodi mumamva ngati mwangothawa kumene? Kodi mumamva ngati chifuwa chanu chikugunda, mumamva kupuma movutikira, mukumva chizungulire, ndipo maso anu akusintha kukhala abuluu? Ngati mwakumanapo ndi izi, chimodzi mwa zifukwa zake chingakhale vuto lomwe tikukamba lero lotchedwa Wolff-Parkinson-White Syndrome. Musachite mantha ngati dzinalo likumveka lovuta pang'ono. Tiyeni tikambirane za izi mosavuta, mwanjira yomwe mungamvetse.

Kodi matenda a Wolff-Parkinson-White (WPW) ndi chiyani kwenikweni?

Mwachidule, WPW Syndrome ndi kusintha pang'ono kwa momwe zizindikiro zamagetsi zimayendera mumtima mwathu. Ndi vuto lomwe limapezeka pobadwa.

Taganizirani ngati kampompo kakang'ono. Kuti kampompo aka kagwire ntchito moyenera, kamafunika kulandira ma signal amagetsi. Nthawi zambiri, ma signal amenewa amangoyenda panjira imodzi yokha mumtima. Panjira iyi pali malo olumikizirana otchedwa AV node . Malo olumikiziranawa amathandiza kuti mbali zakumtunda za mtima (atria) ndi mbali zakumunsi (ventricular chambers) zigwirizane bwino.

Koma mumtima mwa munthu amene ali ndi vuto la WPW Syndrome, pali njira yowonjezera kuwonjezera pa njira yamagetsi yachizolowezi. Iyi ili ngati "njira yachidule" yomwe ingagwiritsidwe ntchito kudutsa msewu waukulu mumzinda.

Njira yowonjezera iyi, yodutsa AV node yomwe imalamulira liwiro, imalola ma signal amagetsi kuyenda mwachangu kwambiri kupita ku zipinda zapansi za mtima, ma ventricles. Izi zimapangitsa kuti zipinda za mtima zichepetse msanga kuposa masiku onse. Mu zamankhwala, timatcha izi preexcitation . Ma signal achangu komanso osazolowereka awa amachititsa kuti mtima ugwire mofulumira mwadzidzidzi. Timagwiritsa ntchito mayina monga ``supraventricular tachycardia - SVT'' kapena ``atrial fibrillation - AFib'' pa mitundu iyi ya kugunda kwa mtima mwachangu.

Matendawa si ofala kwambiri. Amakhudza munthu mmodzi kapena atatu pa anthu 1,000 padziko lonse lapansi. Amafala kwambiri mwa anthu omwe ali ndi vuto lina la mtima lobadwa nalo, monga matenda a Ebstein.

Kodi zizindikiro za WPW Syndrome ndi ziti?

Si aliyense amene ali ndi WPW Syndrome amene ali ndi zizindikiro. Anthu ena sangadziwe kuti ali ndi vutoli kwa moyo wawo wonse. Koma ngati zizindikirozo zachitika, nthawi zambiri zimachitika mtima ukamagunda mofulumira kwambiri.

N’chifukwa chiyani izi zimachitika? Mtima ukagunda mofulumira kwambiri, zipinda zake sizimakhala ndi nthawi yokwanira yodzaza ndi magazi. Chifukwa chake, mtima sungapope magazi okwanira kupita m’thupi. Apa ndi pamene zizindikirozi zimachitika.

Tiyeni tiwone zizindikiro zazikulu zomwe zili mu tebulo ili m'munsimu.

Kodi n’chiyani chimayambitsa matenda a WPW?

Kwa anthu ambiri, palibe chifukwa chenicheni chomwe chapezeka cha WPW Syndrome. Izi zikutanthauza kuti zimangochitika mwangozi. Koma kwa anthu ochepa kwambiri, vutoli likhoza kuchitika chifukwa cha majini. Chimodzi mwa zifukwa zake ndi kusintha kwa jini yotchedwa PRKAG2 . Kusintha kwa majini kumeneku kumathanso kuperekedwa kuchokera ku mibadwomibadwo.

Ndi mavuto ati omwe angachitike chifukwa cha vutoli?

Anthu ambiri omwe ali ndi WPW Syndrome amakhala moyo wabwinobwino. Komabe, ngati sanalandire chithandizo, nthawi zina mavuto amatha kuchitika. Musadandaule , izi ndizosowa kwambiri. Ndipo pali mankhwala othandiza omwe alipo masiku ano omwe angawateteze.

• Ngozi zomwe zimachitika chifukwa cha kutaya chidziwitso: Ngati mwadzidzidzi mwataya chidziwitso, mutha kugwa ndikuvulala.
• Kusakhazikika kwa kayendedwe ka mtima: Chiwopsezo cha kukhala ndi zovuta zina za kayendedwe ka mtima, monga atrial fibrillation, chingachuluke.
• Kusakhazikika kwa kayendedwe ka mtima koopsa: Nthawi zambiri, vuto loopsa lotchedwa ``Ventricular fibrillation'' limachitika.
• Imfa yadzidzidzi ya mtima: Iyi ndi vuto lalikulu komanso losowa kwambiri la matenda a WPW. Chimodzi mwa zolinga zazikulu za chithandizo ndi kuthetseratu chiopsezochi.

Kodi madokotala amazindikira bwanji matendawa?

Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, chinthu choyamba chomwe dokotala wanu angachite ndikumuyesa ECG (electrocardiogram). Iyi ndi njira yosavuta komanso yopanda ululu.

ECG imatha kulemba momwe magetsi a mtima amagwirira ntchito. ECG ya munthu amene ali ndi vuto la WPW imasonyeza njira inayake yomwe imayambitsidwa ndi njira yowonjezera yamagetsi. Timatcha njira imeneyi kuti "WPW pattern."

• Kachitidwe ka WPW: Ngakhale mutakhala ndi kachitidwe kameneka pa ECG yanu, ngati mulibe zizindikiro, dokotala wanu amangonena kuti muli ndi kachitidwe ka WPW.
• WPW Syndrome: Ngati mukumva zizindikiro monga kupweteka pachifuwa pamodzi ndi izi pa ECG yanu, ndiye kuti dokotala wanu adzatsimikiza kuti muli ndi WPW Syndrome.

Kuwonjezera pa ECG, dokotala wanu angakulangizeni mayeso ena angapo.

• Echocardiogram (Echo): Iyi ndi ultrasound scan ya mtima. Imathandiza kuona ngati kapangidwe ka mtima, zipinda, ndi ma valve zikugwira ntchito bwino.
• Kafukufuku wa Electrophysiology: Iyi ndi mayeso ovuta pang'ono. Mu izi, mawaya opyapyala (catheters) amalowetsedwa mumtima, njira zamagetsi za mtima zimajambulidwa, ndipo malo enieni a njira yowonjezera amadziwidwa.
• Mayeso a kupsinjika maganizo: Mumapangidwa kuti muzitha kuthamanga pa treadmill ndipo ECG imagwiritsidwa ntchito poyang'anira momwe mtima wanu umagwirira ntchito komanso momwe thupi lanu limasinthira mukamachita masewera olimbitsa thupi.
• Kuwunika kwa ambulatory (Holter monitor):Kachipangizo kakang'ono kamene kamalemba kugunda kwa mtima wanu kwa maola 24 kapena kuposerapo kamavalidwa m'thupi lanu. Izi zimathandiza kuzindikira kusintha kwa kamvekedwe ka mtima wanu pamene mukuchita ntchito zanu za tsiku ndi tsiku.

Kodi mankhwala a WPW Syndrome ndi ati?

Pali mankhwala othandiza kwambiri a WPW Syndrome. Dokotala wanu adzakukonzerani chithandizo choyenera kwambiri kutengera mtundu wa zizindikiro zanu, kuchuluka kwa zomwe zimachitika, komanso zotsatira za mayeso anu.

Ndiyenera kupita kwa dokotala liti?

Ngati muli ndi WPW Syndrome, ndikofunikira kwambiri kuti mukaonane ndi dokotala wanu kuti akakuwoneni nthawi zonse (kutsatiridwa). Dokotala wanu adzakuuzani kangati komwe muyenera kubwera. Komanso, ngati muwona kusintha kulikonse kwa zizindikiro zanu kapena mutakhala ndi zizindikiro zatsopano, dziwitsani dokotala wanu nthawi yomweyo.

Nthawi yoti mupite ku ETU kuti mukalandire chithandizo chadzidzidzi

Ngati mukukumana ndi zizindikiro zotsatirazi, pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) nthawi yomweyo .

• Ngati mukumva kupweteka kwambiri pachifuwa .
• Kukomoka.
• Ngati kugunda kwa mtima kwanu mofulumira kukupitirira kwa mphindi zoposa zingapo ndipo sikuchepa ngakhale mutachita Vagal Maneuvers, dokotala wanu wakupatsani malangizo.

Ngati mwakomoka, simungathe kudzithandiza nokha. Ndicho chifukwa chake ndikofunikira kuuza achibale anu ndi anzanu omwe mumakhala nawo za matenda anu. Mwanjira imeneyi, adzadziwa chochita pakagwa ngozi.

Kodi tsogolo langa lidzakhala bwanji ndi vutoli?

Anthu ambiri omwe ali ndi WPW Syndrome omwe amalandira chithandizo choyenera amatha kukhala ndi moyo wabwinobwino komanso wathanzi . Kuchotsa Catheter, makamaka, kumatha kuchiritsa matendawa kwathunthu ndikukutetezani ku chiopsezo cha kulephera kwa mtima mwadzidzidzi.

Mungafunike kusamala ndi zinthu zina pa moyo wanu watsiku ndi tsiku. Mwachitsanzo, ndi bwino kupewa zinthu zomwe zingakupangitseni kugunda mofulumira.

• Mowa
• Kafeini (khofi, tiyi, zakumwa zoziziritsa kukhosi)
• Zinthu zolimbikitsa monga nikotini (kusuta)
• Kuchita masewera olimbitsa thupi otopetsa komanso otopetsa (funsani dokotala wanu kuti ndi masewera olimbitsa thupi ati omwe ndi otetezeka kwa inu)

Ngati mwana wanu ali ndi WPW Syndrome...

Monga kholo, mungamve mantha kwambiri mukazindikira kuti mwana wanu ali ndi vutoli. Zimenezo n’zachibadwa. Chofunika kwambiri ndikulankhula momasuka ndi dokotala wa mwana wanu ndikufunsa mafunso anu onse.

Mwachitsanzo, funsani malangizo omveka bwino ngati mwana wanu angathe kusewera masewera kapena choti achite ngati kugunda kwa mtima wake kukukwera kusukulu. Dokotala angakuthandizeninso kufotokoza vutoli m'chinenero chomwe mwana wanu amamvetsetsa.

Dzina lakuti WPW Syndrome lingakhale loopsa. Koma kumbukirani, ndi vuto lomwe lingathe kuthandizidwa, ndipo nthawi zambiri, limachira kwathunthu. Dokotala wanu ndi gulu lachipatala ali pano kuti akuthandizeni. Choncho musazengereze kufunsa mafunso aliwonse omwe muli nawo.