Dzimwe nguva unonzwa dzungu here, chipfuva chako chiri kurova, kana kuti unonzwa sekunge uri kurasikirwa nepfungwa pasina chikonzero? Kunyangwe tichifunga kuti izvi zvinhu zvakajairika, dzimwe nguva panogona kunge paine chikonzero chakakomba chiri shure kwezviratidzo izvi chatisingazive. Nhasi tiri kutaura nezvechirwere chemwoyo chisingawanzoitiki, asi chinogona kunge chakakosha. Ichocho iShort QT Syndrome, kana kuti SQTS muchidimbu.
Zvichitaurwa zviri nyore, chii chinonzi Short QT Syndrome (SQTS)?
Short QT Syndrome (SQTS) chirwere chemwoyo chisingawanzoitiki, chinoberekwa nemajini. Apa ndipo apo rhythm yemwoyo yedu inova isina kurongeka. Zvichitaurwa zviri nyore, kana mwoyo wedu warova kamwe chete, zvinotora nguva pfupi yekugadzirira kurova kunotevera. Zvakafanana nebhandi rerabha rinodhonzwa rozoburitswa, robva radzokera panzvimbo yaro. Mumunhu ane SQTS, kuputika uku, kana kupora, kunoitika nekukurumidza kana kupfupi kupfuura mumunhuwo zvake.
Izvi ndizvo zvatinodaidza mukurapa kuti "kupfupika kwechikamu cheQT" chemwoyo. Kukurumidza uku kunogona kukonzera mamwe matambudziko muhurongwa hwemagetsi hwemoyo, zvichiita kuti rhythm yemoyo isashande zvakanaka. Tinodaidza kuti "arrhythmia". Izvi zvinogona kukonzera kuti unzwe dzungu, kupera simba, uye kurwadziwa pachipfuva. Mune zvimwe zviitiko zvakakomba, moyo unogona kutomira kurova kamwe kamwe (cardiac arrest). Saka, zvakakosha kuziva izvi.
Ngatinzwisisei chaizvo kuti chikamu cheQT chii?
Wakamboongororwa ECG here? Uchaona girafu yemutsara pamushumo inokwira nekudzika. Ndiyo nzira iyo vanachiremba vanoyera nayo mashandiro emagetsi emwoyo yedu. Funga nezveECG (Electrocardiogram) semuchina unorekodha zviratidzo zvemagetsi zvemwoyo yedu.
Mwoyo yedu inorova tichishandisa zviratidzo zvemagetsi. Makamuri epamusoro (atria) nemakamuri epasi (mitra) emwoyo anogumira uye anopomba ropa nekuda kwezviratidzo izvi zvemagetsi. Maitiro aya anomiririrwa nemafungu eP, Q, R, S, uye T paECG.
- P wave: Izvi zvinobuda kana makamuri epamusoro emoyo (atria) abatana.
- QRS complex: Izvi zvinoitika kana makamuri epasi (masero) emwoyo akabatana.
- T wave: Izvi zvinoitika kana maventricle ava kudzokera kune zvakajairika uye achigadzirira marwadzo anotevera.
"Nguva yeQT" inguva kubva pakutanga kweQRS complex kusvika kumagumo eT wave. Izvi zvinoyera kuti zvinotora nguva yakareba sei kuti makamuri epasi emoyo agwinhane uye ozorora zvakare kuti adzokere kune zvakajairika.
Kazhinji, nguva yeQT yemunhu ane hutano iri pakati pemasekondi 0.35 ne0.45. Zvisinei, kune munhu ane SQTS, nguva ino isingasviki masekondi 0.34. Izvi zvinoreva kuti moyo unogadzirira kurova kunotevera nekukurumidza kupfuura zvaitarisirwa.
Ndeupi musiyano uripo pakati peLong QT neShort QT?
Izvi zvakakoshawo kwauri. Pane chirwere chinonzi Short QT pamwe neLong QT Syndrome.
- Syndrome yeQT pfupi (SQTS): Nguva yeQT ipfupi zvisingawanzoitiki (isingasviki masekondi 0.34). Mwoyo unopora nekukurumidza .
- Long QT Syndrome (LQTS): Nguva yeQT yakareba zvisingawanzoitiki (inopfuura masekondi 0.45). Mwoyo unotora nguva yakareba kuti upore.
Zvese izvi zvinogona kukonzera matambudziko emoyo.
Ndiani anowana chirwere ichi? Ndezvipi zvinokonzera?
SQTS chirwere chisingawanzoitiki . Hapana nhamba dzakanyatsojeka dzekuti vanhu vangani panyika vane chirwere ichi. Ichirwere chemajini. Izvi zvinoreva kuti chinogona kugarwa nhaka kubva kuvabereki kuenda kuvana. Kana kuti chinogona kuitika mumunhu asina nhoroondo yemhuri, sekuchinja kwemajini matsva.
Dzimwe ongororo dzakawana kuti zviratidzo izvi zvinowanzoonekwa mukati megore rekutanga rehupenyu hwemwana. Zvadaro, zviratidzo zvinogona kuoneka zvakare kana mwana akura, ari pakati pemakore makumi maviri nemakumi mana.
Ndezvipi zviratidzo zvikuru zveizvi?
Havasi vese vane SQTS vanozove nezviratidzo. Vamwe vanhu vanorarama hupenyu hwakajairika vasina zviratidzo. Asi kana zviratidzo zvikaitika, zvinogona kutaridzika seizvi.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kupera kweAtrial (AFib) | Ichi ndicho chiratidzo chinowanzoitika. Masaini emagetsi mumakamuri epamusoro emwoyo (atria) anokanganiswa, zvichiita kuti mwoyo urove nekukurumidza uye zvisina kurongeka. |
| Kurova Kwemwoyo | Kunzwa sekuti moyo wako uri kurova zvine ruzha uye nekukurumidza, kana kuti sekuti pane chiri kuvhiringika muchipfuva chako. |
| Dzungu uye Kufenda | Kana mwoyo uchikanganiswa, huwandu hweropa rinoyerera kuenda kuuropi hunogona kudzikira. Izvi zvinogona kukonzera dzungu, maziso ebhuruu, uye kurasikirwa nepfungwa (syncope). |
| Kusungwa Kwemwoyo Kamwe Kamwe | Ichi ndicho chirwere chakakomba uye chine njodzi. Mwoyo unomira kamwe kamwe nekuda kwekukanganisika kwerhythm mumakamuri epasi emwoyo (ventricular fibrillation kana ventricular tachycardia). Ichi chiitiko chekukurumidzira chinoda kurapwa nekukasika. |
Zvinosuwisa kuti vamwe vanhu (vanenge vaviri pavashanu) vanotanga kuonekwa vaine chirwere cheSQTS mushure mekurwara nemoyo kamwe kamwe.
Nzira yekuziva sei chirwere ichi?
Kana uine zviratidzo izvi, chiremba wako achatanga akubvunza nezvezviratidzo zvako uye achakuongorora. Kana vakafungidzira kuti une SQTS, vachakuraira bvunzo dzinotevera:
- ECG (Electrocardiogram): Iyi ndiyo bvunzo inonyanya kukosha. Inoyera nguva yako yeQT. Kana iri pasi pemasekondi 0.34, uye kana uine zvimwe zviratidzo, SQTS inogona kufungidzirwa.
- Kuongororwa kwemajini: Izvi zvinogona kusimbisa kana paine shanduko dzemajini dzinokonzera SQTS.
Chinhu chinonyanya kukosha ndechekuti nekuti nguva yeQT paECG yakapfupikiswa zvishoma, hazvigone kutaurwa kuti munhu wese ane SQTS. Hazvigone kutaurwawo kuti pane njodzi yekumira kwemwoyo kamwe kamwe. Kuongororwa kunofanirwa kuitwa nachiremba ane ruzivo panyaya iyi.
Inorapwa sei?
SQTS inorapwa nachiremba wemwoyo. Kune nzira dzakasiyana siyana dzekurapa. Chiremba wako ndiye achasarudza mushonga wakakodzera chirwere chako.
1. Implantable Cardioverter Defibrillator (ICD): Ichi chishandiso chidiki. Chinoiswa pasi peganda rechipfuva pedyo nemoyo. Chinoita sechinodzivirira mwoyo. Muchina uyu unogara uchitarisa mutinhimira wemoyo. Kana mutinhimira une njodzi, usina kurongeka, unouona wobva waita kuti mwoyo urove nemagetsi, zvichidzoreredza mutinhimira. Uyu ndiwo mushonga wakavimbika kune vakuru.
2. Mishonga: Kune mishonga yekurwisa arrhythmia inopiwa kudzora rhythm yemoyo. Semuenzaniso, mushonga unonzi quinidine unobatsira kugadzirisa nguva yeQT. Chiremba wako anogonawo kunyora mimwe mishonga, yakadai se beta-blockers.
Mamiriro ezvinhu aya anokanganisa sei hupenyu hwako?
Iyi inyaya inonetsa. Vamwe vanhu vane SQTS vari panjodzi yekufa kamwe kamwe nemwoyo. Njodzi iyi inonzi yakanyanya pakati pemakore 0-1 ne20-40. Kana mwana achangoberekwa akabatwa nechirwere ichi, dzimwe nguva chinonzi Sudden Infant Death Syndrome (SIDS).
Zvisinei, izvi hazvirevi kuti munhu wese ane SQTS ane njodzi iyi.
Vanhu vazhinji vanorarama hupenyu hwakanaka uye hwakajairika nekurapwa kwakakodzera (kunyanya kuiswa kweICD) uye vachitevera mirairo yachiremba wavo. Vamwe vanhu vangasamboona zviratidzo. Sezvo ichi chiri chirwere chisingawanzoitiki, tsvakiridzo ichiri kuenderera mberi. Saka chinhu chakanakisa chaungaita kutaura nachiremba wemwoyo wako uye kuronga hupenyu hwako nenzira inoenderana nechirwere chako.
Tinogona here kudzivirira njodzi iyi?
Nekuti SQTS chirwere chinokonzerwa nemajini, hapana nzira yekuti tidzivise kuti chisaitike. Chinhu chatisingagoni kudzora.
Asi kana ukaonekwa uine chirwere cheSQTS, chinhu chakanakisa chaungaita ndechekuona chiremba wemwoyo wako nguva dzose uye kuongororwa nguva dzose. Iye achagara achitarisa hutano hwemwoyo wako uye kukupa mazano anodiwa uye kurapwa kuti uderedze njodzi yematambudziko akakomba, akadai sekumira kwemwoyo kamwe kamwe.
Mharidzo Yekuenda Nayo Kumba
- Syndrome yeShort QT (SQTS) chirwere chisingawanzoitika mumajini chinoita kuti moyo ushande nekukurumidza zvisingawanzoitiki.
- Zviratidzo zvakaita sedzungu, kufenda, uye kurwadziwa pachipfuva zvinogona kuitika. Mune zvimwe zviitiko zvakakomba, mwoyo unomira kamwe kamwe.
- Chiremba anogona kuongorora chirwere ichi kuburikidza neECG test uye genetic testing.
- Dambudziko iri rinogona kugadziriswa zvinobudirira nekuisa mudziyo weICD uye kushandisa mishonga.
- Kana uine chirwere ichi kana uine zviratidzo izvi, usatya kuona chiremba wemwoyo kuti uwane mazano. Kana ukabatwa zvakanaka, unogona kurarama hupenyu hwakajairika.
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