Ese umutima wawe utera vuba mu buryo butunguranye? - Reka twige ku ndwara ya Wolff-Parkinson-White (WPW) mu magambo yoroheje

Ese hari igihe wumva umutima wawe utera cyane nta mpamvu? Ese wumva wahunze? Ese wumva igituza cyawe kirimo gutera, wumva uhumeka nabi, wumva uzuzuwe, kandi amaso yawe arimo guhinduka ubururu? Niba warigeze kugira ibi bintu, imwe mu mpamvu ishobora kuba indwara tuvuga uyu munsi yitwa Wolff-Parkinson-White Syndrome. Ntutinye niba izina ryumvikana nk'irigoye. Reka tubiganireho mu buryo bworoshye, mu buryo ushobora kumva.

Syndrome ya Wolff-Parkinson-White (WPW) ni iki mu by'ukuri?

Mu magambo make, WPW Syndrome ni impinduka nto mu buryo ibimenyetso by'amashanyarazi bigenda mu mitima yacu. Ni indwara ibaho igihe umuntu avuka.

Tekereza nk'agapira gato. Kugira ngo iyi pompe ikore neza, igomba kwakira ibimenyetso by'amashanyarazi. Ubusanzwe, ibi bimenyetso binyura mu nzira imwe gusa mu mutima. Muri iyi nzira hari aho bihurira hato hitwa node ya AV . Iyi ihuriro rifasha ibice byo hejuru by'umutima (atria) n'ibice byo hasi (ibyumba by'imitsi) kwifata neza.

Ariko mu mutima w'umuntu urwaye WPW Syndrome, hari inzira y'inyongera uretse inzira isanzwe y'amashanyarazi. Iyi ni nk' "inzira y'uburinzi" ishobora gukoreshwa mu kunyura mu muhanda munini mu mujyi.

Iyi nzira y'inyongera, inyura ku gice cya AV kigenzura umuvuduko, yemerera ibimenyetso by'amashanyarazi kugenda vuba cyane mu byumba byo hasi by'umutima, ari byo byitwa ventricles. Ibi bituma ibyumba by'umutima byiyongera mbere y'uko bisanzwe. Mu buvuzi, ibi tubyita preexcitation . Ibi bimenyetso byihuse kandi bidasanzwe bituma umutima utera vuba cyane. Dukoresha amazina nka ``supraventricular tachycardia - SVT'' cyangwa ``atrial fibrillation - AFib'' kuri ubwo bwoko bw'imivuduko y'umutima.

Iyi ndwara ntabwo ikunze kugaragara cyane. Ifata abantu bari hagati ya 1 na 3 ku bantu 1.000 ku isi. Ikunze kugaragara cyane ku bantu bafite ubundi bumuga bw'umutima bavukanye, nka Ebstein's anomaly.

Ni ibihe bimenyetso by'indwara ya WPW?

Si abantu bose bafite WPW Syndrome bazagira ibimenyetso. Hari abantu bashobora kutamenya ko bafite iyi ndwara ubuzima bwabo bwose. Ariko iyo ibimenyetso bigaragaye, akenshi bibaho iyo umutima utera cyane.

Kuki ibi bibaho? Iyo umutima utera cyane, ibice byawo ntibigira umwanya uhagije wo kuzuza amaraso. Ingaruka zabyo ni uko umutima udashobora kohereza amaraso ahagije mu mubiri. Iki ni cyo gihe ibi bimenyetso bibaho.

Reka turebe ibimenyetso by'ingenzi biri mu mbonerahamwe iri hepfo.

Ni iki gitera indwara ya WPW?

Ku bantu benshi, nta mpamvu yihariye yabonetse itera WPW Syndrome. Ibi bivuze ko bibaho ku buryo butunguranye. Ariko ku bantu bake cyane, iyi ndwara ishobora guterwa n'ibintu bigize gene. Imwe mu mpamvu ni impinduka muri gene yitwa PRKAG2 . Izi mpinduka mu gene zishobora no guhererekanywa kuva ku gisekuru kugera ku kindi.

Ni izihe ngorane zishobora guterwa n'iyi ndwara?

Abantu benshi barwaye WPW Syndrome babaho ubuzima busanzwe. Ariko, iyo batavuwe, hari igihe ibibazo bishobora kubaho. Ntugahangayike , ibi ni gake cyane. Kandi hari uburyo bwiza bwo kuvura bushobora kubyirinda muri iki gihe.

• Impanuka ziterwa no gutakaza ubwenge: Iyo utakaje ubwenge mu buryo butunguranye, ushobora kugwa ugakomereka.
• Izindi ndwara z’umutima: Ingaruka zo kugira izindi ndwara z’umutima, nko kurwara atrial fibrillation, zishobora kwiyongera.
• Uguhindagurika k'umutima mu buryo buteye akaga: Ni gake cyane, indwara iteye akaga yitwa "Ventricular fibrillation" ishobora kubaho.
• Urupfu rw'umutima rutunguranye: Iyi ni yo ngorane ikomeye kandi idasanzwe ya WPW syndrome. Imwe mu ntego z'ingenzi zo kuvura ni ukurandura burundu iyi ngaruka.

Ni gute abaganga basuzuma iyi ndwara?

Niba ufite ibimenyetso byavuzwe haruguru, ikintu cya mbere muganga wawe azakora ni ugupima umutima (electrocardiogram). Iki ni ikizamini cyoroshye cyane kandi kidatera ububabare.

ECG ishobora kwandika imikorere y'amashanyarazi y'umutima. ECG y'umuntu urwaye WPW syndrome igaragaza imiterere runaka iterwa n'inzira y'amashanyarazi irenze iyo ukoresheje. Iyi shusho tuyita "imiterere ya WPW."

• Imiterere ya WPW: Nubwo waba ufite iyi miterere yihariye kuri ECG yawe, niba nta bimenyetso ufite, muganga wawe azakubwira gusa ko ufite imiterere ya WPW.
• WPW Syndrome: Niba ugize ibimenyetso nko kubabara mu gatuza hamwe n'iyi miterere kuri ECG yawe, muganga wawe azagusuzuma ko ufite WPW Syndrome.

Uretse ECG, muganga wawe ashobora kukugira inama yo gupima ibindi bipimo byinshi.

• Echocardiogram (Echo): Iyi ni scan ya ultrasound y'umutima. Ifasha kureba niba imiterere y'umutima, ibyumba, n'udupira bikora neza.
• Inyigo ya Electrophysiology: Iki ni ikizamini kigoye gato. Muri iki gikorwa, insinga nto (catheters) zishyirwa mu mutima, inzira z'amashanyarazi z'umutima zigashyirwa ku ikarita, kandi aho inzira y'inyongera izabera hakamenyekana neza.
• Ikizamini cy'umuvuduko w'imyitozo ngororamubiri: Ugomba kwiruka kuri treadmill kandi ECG ikoreshwa mu kugenzura uko imikorere y'umutima wawe n'imivuduko yawo bihinduka mu gihe ukora imyitozo ngororamubiri.
• Gukurikirana mu buryo butunguranye (Holter monitor):Agakoresho gato kambarwa ku mubiri wawe gafata amajwi y'umutima wawe mu gihe cy'amasaha 24 cyangwa arenga. Ibi bifasha kumenya impinduka mu mikorere y'umutima wawe mu gihe ukomeza imirimo yawe ya buri munsi.

Ni ubuhe buryo bwo kuvura indwara ya WPW?

Hari uburyo bwiza cyane bwo kuvura indwara ya WPW Syndrome. Muganga wawe azaguhitiramo uburyo bwiza bwo kuvura hashingiwe ku miterere y'ibimenyetso byawe, inshuro bikunze kugaragara, ndetse n'ibisubizo by'ibizamini byawe.

Ni ryari ngomba kubonana na muganga?

Niba ufite WPW Syndrome, ni ngombwa cyane ko ujya kwa muganga wawe kugira ngo agusuzume buri gihe (gukurikirana). Muganga wawe azakubwira inshuro ugomba kuza kwa muganga. Nanone, niba ubonye impinduka mu bimenyetso byawe cyangwa ukagira ibimenyetso bishya, bimenyeshe muganga wawe ako kanya.

Igihe cyo kujya muri ETU kugira ngo uhabwe ubuvuzi bwihutirwa

Niba ubonye ibimenyetso bikurikira, jya mu Ishami rishinzwe Ubuvuzi bwihutirwa (ETU) ry’ibitaro biri hafi yawe ako kanya .

• Niba ubabara cyane mu gituza .
• Kunanirwa.
• Niba umutima wawe utera cyane ugakomeza iminota irenga mike kandi ntugabanuke nubwo wamaze gukora Vagal Maneuvers muganga yagutegetse.

Iyo utaye ubwenge, ushobora kunanirwa kwifasha. Niyo mpamvu ari ngombwa kumenyesha umuryango wawe n'inshuti zawe mumarana umwanya amakuru y'uburwayi bwawe. Muri ubwo buryo, bazamenya icyo bakora mu gihe cy'impanuka.

Ese ahazaza hawe hazamera gute muri iki kibazo?

Abantu benshi barwaye indwara ya WPW Syndrome bahabwa ubuvuzi bwiza bashobora kubaho ubuzima busanzwe kandi bufite ubuzima bwiza . By’umwihariko, Catheter Ablation ishobora gukiza burundu iyo ndwara no kukurinda ibyago byo gupfa umutima mu buryo butunguranye.

Ushobora kuba ugomba kwitonda ku bintu bimwe na bimwe mu buzima bwawe bwa buri munsi. Urugero, ni byiza kwirinda ibintu bishobora gutuma umutima wawe utera cyane.

• Inzoga
• Kafeyine (ikawa, icyayi, ibinyobwa bidasembuye)
• Ibintu bitera imbaraga nka nikotine (kunywa itabi)
• Imyitozo ngororamubiri igoye kandi isaba imbaraga nyinshi (baza muganga wawe imyitozo ngororamubiri itekanye kuri wewe)

Niba umwana wawe afite WPW Syndrome...

Nk'umubyeyi, ushobora kugira ubwoba bwinshi iyo umenye ko umwana wawe afite iyi ndwara. Ibyo ni ibisanzwe. Ikintu cy'ingenzi ni ukuganira na muganga w'umwana wawe mu buryo bweruye no kubaza ibibazo byawe byose.

Urugero, shaka amabwiriza asobanutse neza niba ari byiza ko umwana wawe yakina siporo cyangwa icyo yakora mu gihe umutima we utera cyane ku ishuri. Muganga ashobora kandi kugufasha gusobanura ikibazo mu rurimi umwana wawe yumva.

Izina WPW Syndrome rishobora gutera ubwoba. Ariko ibuka ko ari indwara ishobora gukemurwa, kandi akenshi igakira burundu. Muganga wawe n'itsinda ry'abaganga bari hano kugufasha. Ntutinye rero kubaza ikibazo icyo ari cyo cyose ufite.