Umutima wawe utera cyane mu buryo butunguranye? Wenda iyi ni indwara ya Wolff-Parkinson-White Syndrome!

Ese wigeze ubona ko umutima wawe utangira gutera nk'umusazi nta mpamvu? Muri icyo gihe, wumva ufite ubwoba gato, si byo se? Hari igihe impamvu y'ibi ishobora kuba indwara yitwa Wolff-Parkinson-White Syndrome, tugiye kuvugaho uyu munsi. Nubwo izina rishobora kumvikana nk'ikintu gikomeye, reka tubiganireho mu buryo bworoshye.

Indwara ya Wolff-Parkinson-White Syndrome ni iki?

Mu magambo make, indwara ya Wolff-Parkinson-White syndrome (WPW) ni indwara iterwa n'inzira y'amashanyarazi mu mutima iba iriho igihe umuntu avuka . Imitima yacu iratera kuko ibimenyetso by'amashanyarazi binyura mu mutima. Ubusanzwe, ibyo bimenyetso bifite inzira runaka bigomba kunyuramo. Ariko ku bantu bafite WPW, hari "inzira y'uburinzi" nto mu mutima yiyongera kuri iyi nzira yihariye.

Tekereza, iyo utwaye imodoka mu muhanda, niba ufashe umuhanda muto wo ku ruhande usibye umuhanda munini, ushobora kugenda vuba. Kubera iyi nzira y'amashanyarazi yinyongera, ibimenyetso bijya ku mutima bihita binyura vuba cyane. Kubera iyo mpamvu, umutima utangira gutera cyane. Abaganga babyita supraventricular tachycardia (SVT) , bivuze umutima utera vuba utangirira mu bice byo hejuru by'umutima.

Iyo umutima utera cyane, ibyumba by'umutima ntibiba bifite umwanya uhagije wo kuzuza amaraso mbere yo gutera ukundi. Ibi bivuze ko umutima udashobora kohereza amaraso ahagije mu mubiri.

Iyi ndwara ya WPW ikunze kugaragara gute?

Indwara ya Wolff-Parkinson-White mu by’ukuri ni indwara idakunze kugaragara . Ku isi yose, ifata abantu bagera kuri 1 kugeza kuri 3 mu 1000. Umuntu wese ashobora kurwara WPW, kandi rimwe na rimwe ikwirakwira mu miryango. Bivugwa kandi ko ikunze kugaragara cyane mu bantu bakomoka mu Bushinwa.

Ibimenyetso ni ibihe?

Ibimenyetso bya WPW bishobora gutandukana bitewe n'umuntu ku giti cye. Abantu benshi nta bimenyetso bagira na gato . Ariko, hari abantu bashobora kubibona mu masegonda make cyangwa amasaha make buri munsi. Abandi bashobora kubibona inshuro nyinshi mu mwaka.

Ushobora kumva ibintu nk'ibi:

• Numva ntamerewe neza kandi mfite impungenge .
• Kumva ububabare cyangwa gufungana mu gituza.
• Kumva nk'ufite vertigo (vertigo yo mu mugongo).
• Kunanirwa .
• Kumva unaniwe cyane.
• Gutera cyane ni ukumva umutima wawe utera cyane. Ibi bishobora kumara amasegonda make cyangwa amasaha make.
• Kumva ufite ikibazo cyo guhumeka nabi (dyspnea) .

Buri mwaka, hagati ya 1% na 2% by'abantu bafite WPW bagira umutima utari mwiza, cyangwa arrhythmia .

Ni iki gitera WPW?

Akenshi, ndetse n'abaganga bagira ingorane zo kubona impamvu yihariye itera WPW.Wenda hari umuntu wo mu muryango wawe wigeze kugira iyi ndwara mbere, cyangwa ishobora kubaho nta mpamvu igaragara.

Ese WPW ni iy'umurava?

Abashakashatsi ntibaramenya neza niba yandurira ku babyeyi ijya ku bana. Abantu benshi bafite WPW ntabwo bafite ababyeyi barwaye. Ariko, hari uturemangingo dutera WPW dushobora guhererekanywa mu bisekuruza bitandukanye. Iyi ndwara yarazwe yitwa kandi familie Wolff-Parkinson-White syndrome .

Ni izihe ngorane zishobora guterwa na WPW?

Hari igihe abantu bashobora kugwa bagakomereka iyo bambaye ikamba. Hari abantu bashobora kugira umuvuduko w'amaraso muke iyo umutima wabo utera cyane. Ingorane idasanzwe ariko iteje akaga iterwa na WPW ni urupfu rutunguranye rw'umutima .

Niba ufite ibimenyetso bya WPW, jya kwa muganga ako kanya. Kuvura iyi ndwara hakiri kare bishobora gukumira ingorane.

Ni gute WPW ipimwa?

Ubusanzwe abaganga bapima indwara ya WPW bakoresheje ECG (electrocardiogram) . Tuvuga gusa ngo "fata ifoto y'umutima," kandi ni byo gusa. Hari igihe, muganga wawe ashobora kubona impinduka mu gutera k'umutima wawe mu gihe cyo gusuzumwa. Iyo ibimenyetso byawe birushijeho gukomera iyo ukora imyitozo ngororamubiri, ushobora no gusabwa gukora ikizamini cyo gupima umuvuduko w'imyitozo ngororamubiri . Niba umuvuduko w'umutima wawe wumva utandukanye, cyangwa niba ufite ibindi bimenyetso bifitanye isano na WPW, menya neza ko wabibwiye muganga wawe.

Ni ibihe bipimo bikoreshwa mu gusuzuma WPW?

Kugira ngo arebe uko umutima wawe utera, muganga ashobora kukugira inama yo gupima ibi bikurikira:

• Electrocardiogram (ECG): Iki ni cyo kizamini cy'ingenzi cyane.
• Inyigo ya Electrophysiology: Iki ni isuzuma ryimbitse ry’imikorere y’amashanyarazi y’umutima. Ibi bikorwa hifashishijwe uburyo buto bumeze nk’insinga mu mutima.
• Holter monitor: Iki ni agakoresho gato kambarwa ku mubiri wawe mu gihe cy'amasaha 24 kugeza kuri 48. Kandika ibikorwa by'umutima wawe mu gihe cyose.
• Gukurikirana igihe kirekire: Kimwe na moniteur ya Holter, ariko umuvuduko w'umutima ukurikiranwa igihe kirekire (iminsi cyangwa ibyumweru byinshi).

Ibi bizamini biha muganga wawe igitekerezo cyiza cy’uko umutima wawe utera, umuvuduko w’umutima wawe, ndetse niba hari ibibazo mu buryo ibimenyetso by’amashanyarazi bigenda. ECG y’umuntu urwaye WPW ishobora kugaragaza impinduka zigaragara kurusha ECG isanzwe.

Ni ryari WPW ikunze gupimwa?

Hari igihe abaganga basuzuma indwara ya WPW bakiri bato . Ariko, akenshi ivumburwa ukiri muto, uri hagati y'imyaka 15 na 25 , kuko ari bwo ibimenyetso bitangira kugaragara cyane.

Ese hari izindi mpamvu zifitanye isano na WPW?

Bamwe mu bantu bafite WPW bashobora no kugira izindi ndwara z'umutima. Urugero:

• Gutera imitsi mu mutima: Indwara aho icyumba cyo hejuru cy'umutima gitera ku buryo butunguranye kandi bwihuse.
• Ebstein anomaly: Ubusembwa bw'umutima buvukana mu muyoboro w'amaraso.
• Gutera imitsi mu mitsi (V-fib): Indwara ishobora gushyira ubuzima mu kaga aho icyumba cyo hasi cy'umutima gitera cyane kandi mu buryo budasubirwaho.

Niba ufite zimwe muri izi ndwara z'umutima, muganga wawe azagusobanurira uburyo bwo gucunga ubuzima bw'umutima wawe.

WPW ivurwa ite?

Uburyo bwo kuvura indwara ya WPW buratandukanye bitewe n'umuntu ku giti cye. Niba udafite ibimenyetso bikunze kugaragara, ushobora kudakenera ubuvuzi ubwo aribwo bwose . Ibimenyetso byawe bishobora kugabanuka cyangwa bigashira uko igihe kigenda gihita.

Ariko, niba ukunze kugira umutima utera cyane kandi ukaba ufite ibimenyetso nko kuzungera no gucika intege, muganga wawe ashobora kukugira inama yo kuvura indwara nk'izi:

• Gutera amaraso ku marangamutima: Ubu ni ubwoko bw'ubuvuzi bwitwa catheter ablation . Muri ubu buryo, inzira y'amashanyarazi yiyongera mu mutima iramenyekana maze igice gito cyayo kikangirika hakoreshejwe ingufu z'imirasire ya radiyo. Umuvuduko w'umutima usubira ku murongo. Ubu ni uburyo bwiza cyane bwo kuvura.
• Guhindura umutima: Ubu buryo bukoreshwa mu guhagarika umuvuduko w'umutima udasanzwe (cyane cyane mu bihe nka SVT) no gusubiza umutima mu buryo busanzwe. Ibi bishobora gukorwa ukoresheje imiti (guhindura umutima hakoreshejwe imiti) cyangwa ugatera amashanyarazi mu gituza (guhindura umutima hakoreshejwe amashanyarazi).
• Imiti: Imiti ishobora gutangwa kugira ngo igenzure uko umutima wawe utera cyane cyangwa kugira ngo umutima wawe utere nk'uko bisanzwe mu gihe kirekire.

Ese WPW isaba kubagwa?

Abantu benshi bafite WPW ntibakeneye kubagwa. Ariko, ni gake cyane abaganga bashobora kubaga umutima kugira ngo bahagarike inzira y'amashanyarazi mu mutima. Ubu bwoko bw'ububaji bukunze gukorwa icyarimwe n'ikindi kibazo cy'umutima usibye WPW.

Ni gute wakwita ku bimenyetso bya WPW mu rugo?

Niba ugize ikibazo cy’umutima gitunguranye uri mu rugo, muganga wawe ashobora kukubwira gukora ibintu nk'ibi:

• Uburyo bwa Valsalva: Ibi bikubiyemo kwipfuna izuru no gusohora umwuka mu kanwa, nko kugerageza gusohora umupira. Cyangwa, fata umwuka mwinshi uwushyiremo mu mwanya urimo gusunika inda yawe.
• Inkorora.
• Massage ya Carotid sinus: Koza witonze uruhande rumwe rw'ijosi (aho carotid sinus iherereye). Bikore gusa ari uko muganga akubwiye.

Ibi rimwe na rimwe bishobora gufasha kugenzura umutima utera vuba cyane.

Ese hari ingaruka/ingorane zishobora guterwa n'ubuvuzi?

Umuti uwo ari wo wose ushobora kugira ingaruka mbi. Vugana na muganga wawe ku bijyanye na zo.

Nubwo gukoresha radiofrequency ablation ari uburyo bwizewe kandi bufite akamaro, ibi bikurikira ntibikunze kubaho:

• Amaraso apfutse.
• Kwandura indwara.
• Indwara yo mu bwonko (stroke).
• Kuva amaraso.

Ingorane ziterwa no kuvura indwara z'umutima na zo ni gake cyane. Hari abantu bashobora kugira amaraso afunganye, gukomereka gato ku ruhu aho batewe n'amashanyarazi, cyangwa se umutima ugakomeza gutera imbere. Ibi ni gake cyane.

Nzumva meze neza nyuma y'igihe kingana iki?

Ibintu ushobora gukora mu rugo, nko gukoresha uburyo bwa Valsalva no gukorora, bishobora kugufasha kugabanya umuvuduko w'umutima wawe muri ako kanya. Niba ufata imiti ya WPW, baza muganga wawe ibisubizo ushobora kwitega kuri yo.

Nyuma yo gukurwa mu mubiri cyangwa kubagwa, muganga wawe azakubwira igihe bizatwara kugira ngo ibimenyetso byawe birusheho kuba byiza, icyo wakwitega mu gihe cyo gukira, n'igihe ushobora gusubira mu mirimo isanzwe.

Ese WPW ishobora kwirindwa?

Oya. Indwara ya Wolff-Parkinson-White ni indwara uvukana . Nta kintu na kimwe wakora ngo uyirinde.

Bigenda bite iyo mfite WPW?

Niba ufite WPW, ugomba gukorana na muganga wawe kugira ngo umenye ibimenyetso byawe. Ugomba kujya kwa muganga wawe mu gihe cyagenwe kugira ngo umenye neza ko ibimenyetso byawe bitarushaho kwiyongera. Kurikiza amabwiriza ya muganga wawe neza. Bibwire muganga wawe ako kanya niba ufite ibimenyetso bishya cyangwa niba ibimenyetso byawe birushijeho kwiyongera.

Ni iki icyerekezo cy'ejo hazaza ku bantu bafite WPW?

Imyaka yo kubaho y'abantu bafite WPW bavurwa ni ibisanzwe . Abantu benshi bashobora gukira burundu bakoresheje uburyo bwa radiofrequency cyangwa kubagwa.

Muri rusange, abantu badafite ibimenyetso bafite ibyago bike byo gupfa bazize impfu zitunguranye z'umutima. Abantu bafite ibimenyetso bya tachycardia bafite ibyago byinshi. Ariko, impfu zitunguranye z'umutima ni gake cyane mu bantu bafite WPW.

Ni gute nakwita ku buzima bwanjye?

Jyana na muganga wawe buri gihe. Buri gihe kurikiza amabwiriza ya muganga wawe. Wite ku buzima bwawe muri ubu buryo:

• Kurya ibiryo bizima .
• Genzura umuvuduko w'amaraso yawe.
• Ntugakoreshe ibikomoka ku itabi.
• Irinde cyangwa ugabanye gufata ibintu bitera imbaraga (kafeyine, imiti imwe n'imwe). Vugana na muganga wawe kuri ibi.
• Komeza kugira ibiro bizima bikubereye.

Ni ibihe bintu byiza byo kurya no kunywa iyo ufite WPW?

Hari ibintu bishobora gutuma umutima wawe utera vuba. Baza muganga wawe ibi bikurikira:

• Inzoga.
• Kafeyine ( iboneka mu ikawa, icyayi, n'ibindi binyobwa).
• Ibitera imbaraga nka amfetamine cyangwa nikotine.

Ese ushobora gukora imyitozo ngororamubiri niba ufite WPW?

Gukora siporo ni byiza ku mubiri wawe no mu bwonko bwawe. Baza muganga wawe ibijyanye no gukora siporo hamwe na WPW. Muganire ku ngaruka zidasanzwe ugomba kumenya ndetse n'ibikorwa udashobora gukora.

Ni ryari ngomba kubonana na muganga?

Niba ugize ikibazo cy’umutima gitunguranye udashobora kugenzura ukoresheje imiti yo mu rugo, cyane cyane iyo kijyana n’ibimenyetso bya WPW, nko kuzungera, gucika intege, cyangwa kubabara mu gatuza, hamagara muganga wawe vuba .

Ni ryari nkwiye kujya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ?

Umuntu ashobora gukenera ubuvuzi bwihutirwa mu bihe nk'ibi:

• Niba ubabara mu gatuza iminota irenga 15.
• Niba ubabara mu gatuza , uhumeka nabi, cyangwa urwaye mu nda .
• Niba unaniwe ntubyuke .
• Iyo umutima ukomeje kumera nabi nyuma y'iminota mike.

Ni ibihe bibazo ngomba kubaza muganga?

Niba wowe cyangwa umwana wawe afite WPW, baza muganga wawe ibi bibazo:

• Ese ni byiza gufata imiti ya WPW hamwe n'indi miti mfata?
• Ese niba mfite WPW, abana banjye nabo bazayigira?
• Namenya nte ko umutima wihuta ari ikibazo cyihutirwa?
• Ese umwana wanjye azaba afite ikibazo cy'umutima ku ishuri?
• Ese ni byiza gukina siporo urwaye indwara ya Wolff-Parkinson-White?
• Ese ngomba kuvurwa mu buryo bunyuranye nka "ablation"?

Ababyeyi benshi ntibatekereza ko umwana wabo azarwara indwara y'umutima. Bishobora gutera ubwoba iyo umwana wawe afite umutima utera cyane bitewe na Wolff-Parkinson-White syndrome. Ariko, uburyo bwo kuvura iyi ndwara bushobora gufasha no gukiza abantu benshi. Baza muganga wawe uburyo ushobora kwitwara mu bihe bikomeye by'indwara zawe n'uburyo bwiza bwo kuzivura igihe kirekire kuri wowe n'umwana wawe.

Ubutumwa bwo kujyana mu rugo

Indwara ya Wolff-Parkinson-White syndrome (WPW) ni indwara iterwa n'inzira y'amashanyarazi mu mutima ishobora gutuma umutima utera cyane. Si buri wese ufite ibimenyetso, ariko hari abantu bashobora kugira ibintu nko kubabara mu gatuza, kuzungera no gucika intege. Ntugahangayike, hari uburyo bwiza bwo kuvura ibi.Hari igihe ishobora gukira burundu hakoreshejwe uburyo bwo kuvura nko gukoresha radiofrequency ablation. Ikintu cy'ingenzi ni ukubonana na muganga vuba bishoboka niba ufite ibi bimenyetso. Ni ngombwa kandi kugira ubuzima bwiza. Vugana na muganga wawe kugira ngo agufashe gutegura gahunda y'ubuvuzi ikubereye.

` Wolff-Parkinson-White Syndrome, Umutima utera cyane, Umutima utera vuba, SVT, ECG, Indwara z'umutima, Ablation, Indwara z'umutima, Ubuzima bwa Sri Lanka