Kodi mtima wanu ukugunda mofulumira mwadzidzidzi? Mwina iyi ndi Wolff-Parkinson-White Syndrome!

Kodi mwaonapo kuti mtima wanu umayamba kugunda mopanda chifukwa? Panthawiyo, mumamva mantha pang'ono, sichoncho? Nthawi zina chifukwa cha izi chingakhale matenda otchedwa Wolff-Parkinson-White Syndrome, omwe tikambirane lero. Ngakhale dzinalo lingamveke ngati nkhani yaikulu, tiyeni tikambirane mwachidule.

Kodi Wolff-Parkinson-White Syndrome ndi chiyani?

Mwachidule, matenda a Wolff-Parkinson-White (WPW) ndi matenda omwe amayamba chifukwa cha njira yowonjezera yamagetsi mumtima yomwe imapezeka pobadwa . Mitima yathu ikugunda chifukwa zizindikiro zamagetsi zimadutsa mumtima. Nthawi zambiri, zizindikirozi zimakhala ndi njira inayake yoti zitsatire. Koma mwa anthu omwe ali ndi WPW, pali "njira yachidule" yaying'ono mumtima kuwonjezera pa njira yeniyeniyi.

Tangoganizirani, mukayendetsa galimoto pamsewu, ngati mutatenga msewu wawung'ono wopita kumbali kuwonjezera pa msewu waukulu, mutha kuyenda mwachangu. Chifukwa cha njira yowonjezera yamagetsi iyi, zizindikiro zopita kumtima zimayenda mwachangu kwambiri. Zotsatira zake, mtima umayamba kugunda mofulumira kwambiri. Madokotala amatcha izi supraventricular tachycardia (SVT) , zomwe zikutanthauza kugunda kwa mtima mwachangu komwe kumayamba kumtunda kwa mtima.

Mtima ukagunda mofulumira kwambiri, zipinda za mtima sizimakhala ndi nthawi yokwanira yodzaza ndi magazi asanafike kugunda kwina. Izi zikutanthauza kuti mtima sungapope magazi okwanira kupita m'thupi.

Kodi vuto la WPW limeneli ndi lofala bwanji?

Matenda a Wolff-Parkinson-White ndi matenda osowa kwambiri . Padziko lonse lapansi, amakhudza pafupifupi munthu m'modzi mpaka atatu mwa anthu 1,000. Aliyense akhoza kudwala WPW, ndipo nthawi zina amachitikira m'mabanja. Amanenedwanso kuti amapezeka kwambiri mwa anthu ochokera ku China.

Kodi zizindikiro zake ndi ziti?

Zizindikiro za WPW zimatha kusiyana malinga ndi munthu. Anthu ambiri alibe zizindikiro konse . Komabe, anthu ena amatha kukhala ndi zizindikiro kwa masekondi angapo mpaka maola angapo tsiku lililonse. Ena amatha kuziona kangapo pachaka.

Mungamve zinthu motere:

• Kungokhala chete komanso kuda nkhawa .
• Kumva kupweteka kapena kufinya pachifuwa.
• Kumva ngati chizungulire (vertigo ya msana).
• Kukomoka .
• Kumva kutopa kwambiri.
• Kugunda kwa mtima ndi kumva mwadzidzidzi mtima wanu ukugunda mofulumira. Izi zitha kukhala kwa masekondi angapo kapena maola angapo.
• Kumva kupuma movutikira (dyspnea) .

Chaka chilichonse, pakati pa 1% ndi 2% ya anthu omwe ali ndi WPW amakhala ndi vuto la mtima losakhazikika, kapena kuti arrhythmia .

Kodi chimayambitsa WPW ndi chiyani?

Kawirikawiri, ngakhale madokotala amavutika kupeza chomwe chimayambitsa WPW.Mwina wina m'banja mwanu adakhalapo ndi vutoli kale, kapena lingachitike popanda chifukwa chomveka.

Kodi WPW ndi cholowa?

Ofufuza sakudziwabe ngati matendawa amafalikira kuchokera kwa makolo kupita kwa ana. Anthu ambiri omwe ali ndi WPW alibe makolo omwe ali ndi vutoli. Komabe, majini ena omwe amayambitsa WPW amatha kufalikira kwa mibadwomibadwo. Matendawa amachitchedwanso kuti matenda a banja la Wolff-Parkinson-White .

Kodi ndi mavuto otani omwe angabwere chifukwa cha WPW?

Nthawi zina, anthu amatha kugwa ndi kuvulala akavala chogwirira. Anthu ena amatha kukhala ndi kuthamanga kwa magazi kochepa pamene mtima wawo ukugunda mofulumira kwambiri. Vuto losowa kwambiri koma loopsa la WPW ndi imfa yadzidzidzi ya mtima .

Ngati muli ndi zizindikiro za WPW, pitani kwa dokotala nthawi yomweyo. Kuchiza matendawa msanga kungathandize kupewa mavuto.

Kodi matenda a WPW amapezedwa bwanji?

Madokotala nthawi zambiri amazindikira WPW ndi ECG (electrocardiogram) . Timangonena kuti "jambulani chithunzi cha mtima," ndipo ndizo zonse. Nthawi zina, dokotala wanu amatha kuwona kusintha kwa kugunda kwa mtima wanu panthawi yowunika thupi. Ngati zizindikiro zanu zikuipiraipira mukamachita masewera olimbitsa thupi, mungapemphedwenso kuti muyesere kupsinjika maganizo . Ngati kugunda kwa mtima wanu kumamveka mosiyana, kapena ngati muli ndi zizindikiro zina zokhudzana ndi WPW, onetsetsani kuti mwauza dokotala wanu.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira WPW?

Kuti muwone kugunda kwa mtima wanu, dokotala wanu angakulangizeni mayeso monga awa:

• Electrocardiogram (ECG): Iyi ndiye mayeso ofunikira kwambiri.
• Kafukufuku wa Electrophysiology: Uku ndi kufufuza mwatsatanetsatane momwe magetsi amagwirira ntchito mumtima. Izi zimachitika polowetsa zida zazing'ono ngati waya mumtima.
• Chowunikira cha Holter: Ichi ndi chipangizo chaching'ono chomwe chimavalidwa m'thupi lanu kwa maola 24 mpaka 48. Chimalemba zomwe mtima wanu ukuchita nthawi yonseyi.
• Kuyang'anira nthawi yayitali: Mofanana ndi kuyang'anira Holter, koma kugunda kwa mtima kumayang'aniridwa kwa nthawi yayitali (masiku angapo kapena milungu ingapo).

Mayeso awa amapatsa dokotala wanu lingaliro labwino la kugunda kwa mtima wanu, kamvekedwe kake, komanso ngati pali mavuto aliwonse ndi momwe zizindikiro zamagetsi zimayendera. ECG ya munthu yemwe ali ndi WPW imatha kuwonetsa kusintha koonekeratu kuposa ECG yachibadwa.

Kodi nthawi zambiri WPW imapezeka liti?

Nthawi zina madokotala amazindikira WPW ali aang'ono . Komabe, nthawi zambiri amapezeka ali aang'ono, pakati pa zaka 15 ndi 25 , chifukwa nthawi imeneyi ndi pamene zizindikiro zimayamba kuonekera kwambiri.

Kodi pali zinthu zina zomwe zimagwirizana ndi WPW?

Anthu ena omwe ali ndi WPW angakhalenso ndi matenda ena a mtima. Mwachitsanzo:

• Kugunda kwa mtima m'malo olumikizirana mafupa: Matenda omwe zipinda zapamwamba za mtima zimagunda molakwika komanso mwachangu.
• Ebstein anomaly: Vuto lobadwa nalo mu valavu ya mtima.
• Kugwedezeka kwa mitsempha ya m'magazi (V-fib): Matenda omwe angawononge moyo pomwe zipinda zapansi za mtima zimagunda mofulumira kwambiri komanso mosalamulirika.

Ngati muli ndi matenda ena a mtima, dokotala wanu adzakufotokozerani momwe mungasamalire thanzi la mtima wanu.

Kodi WPW imachiritsidwa bwanji?

Chithandizo cha WPW chimasiyana malinga ndi munthu. Ngati mulibe zizindikiro zobwerezabwereza, simungafunike chithandizo chilichonse . Zizindikiro zanu zimatha kuchepa kapena kutha pakapita nthawi.

Komabe, ngati mumakhala ndi vuto la mtima pafupipafupi ndipo mukukumana ndi zizindikiro monga chizungulire ndi kukomoka, dokotala wanu angakulangizeni mankhwala monga:

• Kuchotsa ma radiofrequency: Uwu ndi mtundu wa chithandizo chotchedwa catheter ablation . Mu izi, njira yowonjezera yamagetsi mumtima imadziwika ndipo gawo laling'ono la iyo limawonongeka pogwiritsa ntchito mphamvu ya wailesi. Kugunda kwa mtima kumabwerera mwakale. Uwu ndi mankhwala othandiza kwambiri.
• Kusinthasintha kwa Mtima: Njirayi imagwiritsidwa ntchito poletsa kugunda kwa mtima mofulumira kwambiri (makamaka pazochitika monga SVT) ndikubwezeretsa kugunda kwa mtima kwabwinobwino. Izi zitha kuchitika popereka mankhwala (mankhwala a mtima) kapena popereka mphamvu yamagetsi pachifuwa (magetsi a mtima).
• Mankhwala: Mankhwala angaperekedwe kuti achepetse kugunda kwa mtima kwanu mofulumira kapena kuti kugunda kwa mtima wanu kukhale kwabwinobwino kwa nthawi yayitali.

Kodi WPW imafuna opaleshoni?

Anthu ambiri omwe ali ndi WPW safunika opaleshoni. Komabe, nthawi zambiri madokotala amatha kuchita opaleshoni ya mtima kuti atseke njira yowonjezera yamagetsi mumtima. Opaleshoni yamtunduwu nthawi zambiri imachitika nthawi imodzi ndi vuto lina la mtima kuwonjezera pa WPW.

Kodi mungatani kuti muchepetse zizindikiro za WPW kunyumba?

Ngati mwadzidzidzi kugunda kwa mtima kwanu kukugunda mofulumira muli kunyumba, dokotala wanu angakuuzeni kuti muchite zinthu monga:

• Njira ya Valsalva: Izi zimaphatikizapo kukanikiza mphuno yanu ndikutulutsa mpweya mkamwa mwanu, monga kuyesa kupumira buluni. Kapena, pumirani mpweya wakuya ndikuugwira pamene mukukankhira mimba yanu mkati.
• Chifuwa.
• Kusisita kwa sinus ya carotid: Pakani pang'onopang'ono mbali imodzi ya khosi (komwe kuli sinus ya carotid). Chitani izi pokhapokha ngati dokotala wanu wakuuzani.

Izi nthawi zina zimathandiza kulamulira kugunda kwa mtima mofulumira.

Kodi pali zotsatirapo/zovuta zilizonse za chithandizochi?

Mankhwala aliwonse akhoza kukhala ndi zotsatirapo zake. Lankhulani ndi dokotala wanu za izo.

Ngakhale kuti kuchotsa ma radiofrequency ndi njira yotetezeka komanso yothandiza, zotsatirazi sizimachitika kawirikawiri:

• Magazi amaundana.
• Matenda.
• Stroke.
• Kutuluka magazi.

Mavuto omwe amabwera chifukwa cha matenda a mtima nawonso ndi osowa kwambiri. Anthu ena amatha kutseka magazi, kudula pang'ono pakhungu pomwe adagwidwa ndi magetsi, kapena kuipira kwa kugunda kwa mtima. Izi sizichitika kawirikawiri.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Zinthu zomwe mungachite kunyumba, monga Valsalva maneuver ndi chifuwa, zingathandize kuchepetsa kugunda kwa mtima wanu pang'ono panthawiyi. Ngati mukumwa mankhwala a WPW, funsani dokotala wanu zotsatira zomwe mungayembekezere kuchokera kwa iwo.

Pambuyo pa opaleshoni yochotsa ziwalo kapena opaleshoni, dokotala wanu adzakuuzani nthawi yomwe zizindikiro zanu zidzatha, zomwe mungayembekezere mukadzachira, komanso nthawi yomwe mungabwerere ku zochita zanu zachizolowezi.

Kodi WPW ingapewedwe?

Ayi. Matenda a Wolff-Parkinson-White ndi matenda omwe mumabadwa nawo . Palibe chomwe mungachite kuti mupewe matendawa.

Kodi chimachitika ndi chiyani ndikakhala ndi WPW?

Ngati muli ndi WPW, muyenera kugwira ntchito ndi dokotala wanu kuti muchepetse zizindikiro zanu. Muyenera kuonana ndi dokotala nthawi zonse kuti muwonetsetse kuti zizindikiro zanu sizikuipiraipira. Tsatirani malangizo a dokotala wanu molondola. Uzani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro zatsopano kapena ngati zizindikiro zanu zikuipiraipira.

Kodi tsogolo la anthu omwe ali ndi WPW ndi lotani?

Anthu omwe ali ndi WPW omwe amalandira chithandizo amakhala ndi moyo wabwinobwino . Anthu ambiri amatha kuchiritsidwa kwathunthu pogwiritsa ntchito radiofrequency ablation kapena opaleshoni.

Kawirikawiri, anthu opanda zizindikiro ali ndi chiopsezo chochepa cha kufa chifukwa cha imfa yadzidzidzi ya mtima. Anthu omwe ali ndi zizindikiro za tachycardia ali ndi chiopsezo chachikulu pang'ono. Komabe, imfa yadzidzidzi ya mtima ndi yosowa kwambiri pakati pa anthu omwe ali ndi WPW.

Kodi ndingasamalire bwanji thanzi langa?

Pitani kwa dokotala wanu nthawi zonse. Nthawi zonse tsatirani malangizo a dokotala wanu. Samalirani thanzi lanu motere:

• Idyani zakudya zopatsa thanzi .
• Lamulirani kuthamanga kwa magazi anu.
• Musagwiritse ntchito zinthu zopangidwa ndi fodya.
• Pewani kapena chepetsani kumwa mankhwala opatsa mphamvu (caffeine, mankhwala ena). Lankhulani ndi dokotala wanu za izi.
• Khalani ndi kulemera koyenera komwe kungakuyenerereni.

Ndi zakudya ziti zabwino kwambiri zomwe mungadye ndi kumwa mukakhala ndi WPW?

Zinthu zina zingapangitse mtima wanu kugunda mofulumira. Funsani dokotala wanu za izi:

• Mowa.
• Kafeini ( yomwe imapezeka mu khofi, tiyi, ndi zakumwa zina).
• Zinthu zolimbikitsa monga amphetamines kapena nikotini.

Kodi mungathe kuchita masewera olimbitsa thupi ngati muli ndi WPW?

Kuchita masewera olimbitsa thupi n'kothandiza thupi lanu ndi malingaliro anu. Funsani dokotala wanu za kuchita masewera olimbitsa thupi ndi WPW. Muuzeni za zoopsa zilizonse zomwe muyenera kudziwa komanso zochita zilizonse zomwe simungathe kuchita.

Ndiyenera kupita kwa dokotala liti?

Ngati mwadzidzidzi mukumva kugunda kwa mtima mofulumira komwe simungathe kulamulira pogwiritsa ntchito mankhwala apakhomo, makamaka ngati kukugwirizana ndi zizindikiro za WPW, monga chizungulire, kukomoka, kapena kupweteka pachifuwa, imbani dokotala nthawi yomweyo .

Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) liti?

Munthu angafunike chithandizo chadzidzidzi pa vuto ngati ili:

• Ngati muli ndi ululu pachifuwa kwa mphindi zoposa 15.
• Ngati muli ndi kupweteka pachifuwa , kupuma movutikira, kapena kusapeza bwino m'mimba .
• Ngati mwatopa ndipo simudzuka .
• Ngati kugunda kwa mtima kukupitirira kukhala kosazolowereka pakatha mphindi zochepa.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Ngati inu kapena mwana wanu ali ndi WPW, funsani dokotala mafunso awa:

• Kodi kumwa mankhwala a WPW ndi kotetezeka pamodzi ndi mankhwala ena omwe ndimamwa?
• Ngati ndili ndi WPW, kodi ana anga nawonso adzakhala nayo?
• Ndingadziwe bwanji ngati kugunda kwa mtima mwachangu ndi vuto ladzidzidzi?
• Kodi mwana wanga adzakhala bwino ngati agwidwa ndi matenda a mtima kusukulu?
• Kodi ndi bwino kusewera masewera ndi Wolff-Parkinson-White syndrome?
• Kodi ndikufunika chithandizo cholowa m'malo mwa mankhwala monga ablation?

Makolo ambiri sayembekezera kuti mwana wawo akhale ndi matenda a mtima. Zingakhale zoopsa mwana wanu akamagunda mofulumira chifukwa cha matenda a Wolff-Parkinson-White. Komabe, mankhwala a vutoli angathandize ndikuchiritsa anthu ambiri. Funsani dokotala wanu za momwe mungathanirane ndi zizindikiro zanu komanso njira zabwino kwambiri zothetsera vuto lanu ndi mwana wanu.

Uthenga Wopita Nawo Kunyumba

Matenda a Wolff-Parkinson-White (WPW) ndi matenda omwe amayamba chifukwa cha njira yowonjezereka yamagetsi mumtima yomwe ingayambitse mtima kugunda mofulumira kwambiri. Si aliyense amene ali ndi zizindikiro, koma anthu ena amatha kumva kupweteka pachifuwa, chizungulire, komanso kukomoka. Musadandaule, pali mankhwala abwino a izi.Nthawi zina, imatha kuchiritsidwa kwathunthu ndi mankhwala monga radiofrequency ablation. Chofunika kwambiri ndikuonana ndi dokotala mwamsanga ngati muli ndi zizindikirozi. Ndikofunikanso kukhala ndi moyo wathanzi. Lankhulani ndi dokotala wanu kuti mupange dongosolo la chithandizo lomwe likugwirizana ndi inu.

Matenda a Wolff -Parkinson-White, Kugunda kwa mtima, Kugunda kwa mtima mwachangu, SVT, ECG, Matenda a mtima, Kupuma pang'ono, Kutsekeka kwa mtima, Sri Lanka Zaumoyo