Chirwere cheRufu Chisingatarisirwi (SAD)

Wakambonzwa nezvemumwe munhu akanga achiri mudiki uye akagwinya akafa kamwe kamwe here? Wakambozvibvunza here kuti izvozvo zvingaitika sei? Dzimwe nguva zvinogona kunge zvichikonzerwa nechirwere chatiri kutaura nezvacho nhasi chinonzi Sudden Arrhythmic Death Syndrome (SADS) . Ichi chinhu chakakomba zvikuru, asi zvakakosha kuziva nezvazvo.

Chii chinonzi Sudden Cardiac Death Syndrome (SADS)?

Zvichitaurwa zviri nyore, ichi chirwere chemwoyo. Kazhinji, chinhu chaunogara nhaka , zvichireva kuti chinogona kupfuudzwa kubva kuchizvarwa kuenda kune chimwe chizvarwa. Chinoitika apa ndechekuti pane dambudziko nehurongwa hwemagetsi mumoyo mako. Funga nezvazvo, moyo wedu unoshanda sejenareta diki. Masaini emagetsi anoita kuti moyo urove zvakanaka. Saka, kana paine dambudziko nehurongwa uhwu, rhythm yemoyo inova isina kujairika . Kana izvi zvikasabatwa zvakanaka, ungatofanira kusangana nerufu rwekamwe kamwe. Ndosaka zvine njodzi.

Ndeapi marudzi makuru eSADS?

Kune mhando dzakasiyana dzeSADS. Imwe neimwe ine misiyano midiki. Ngatitarisei dzimwe dzemhando huru:

• Brugada syndrome: Iyi inyaya iyo makamuri epasi emwoyo, anonzi atria, anotanga kurova kwemoyo nekukurumidza uye kusina kurongeka (polymorphic ventricular tachycardia).
• Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT): Ichi chirwere chinowanzo rova ​​masero emwoyo nekukurumidza uye zvisina kurongeka. Chirwere ichi chinogona kuitika kunyanya panguva yekurovedza muviri kana kushushikana kwepfungwa.
• Long QT syndrome (LQTS): Apa ndipo apo tsandanyama dzemwoyo wako dzinotora nguva yakareba kuti dzigadzirire kurova kunotevera, ndiko kuti, kuchajazve (kudzoreredza kana kuchajazve). Zvakafanana nebhatiri rinotora nguva yakareba kuti richaje. Kana ukatarisa EKG, musiyano uripo pakati pemafungu eQ neT unonzi QT interval. Kana nguva iyi yareba zvakanyanya, masero emwoyo anogona kutanga kurova nekukurumidza zvakanyanya (ventricular tachycardia) kana zvisina kurongeka (ventricular fibrillation).
• Short QT syndrome (SQTS): Izvi zvinopesana ne long QT. Zvinoreva kuti masero emwoyo anotora nguva shoma kugadzirira kurova kunotevera. Izvi zvinogona kukonzera kuti makamuri epamusoro emwoyo (atrial fibrillation) arove zvisina kurongeka, kana kuti makamuri epasi (ventricular tachycardia) arove nekukurumidza, kana kuti adedere zvisina kurongeka (ventricular fibrillation).
• Timothy syndrome: Ichi chirwere chisingawanzoitiki. Imhando yechirwere cheQT chisingaperi.
• Chirwere cheWolff-Parkinson-White (WPW):Apa ndipo pakagadzirwa nzira yekuwedzera, isina kujairika yekufambisa masaini emagetsi pakati pemakamuri epamusoro (atria) nemakamuri epasi (mitra). Izvi zvinowedzera kune nzira yakajairika, iyo inogona kukonzera kuti moyo urove nekukurumidza (tachycardia).

Zvirwere izvi zveSADS zvakajairika zvakadii?

Izvi hazviwanzoitika kakawanda, asi hazvisipowo. Semuenzaniso, chirwere chenguva refu cheQT (LQTS) chataurwa kare chinofungidzirwa kuti chinobata mwana mumwe chete pavana 2,000 vachangoberekwa. Chirwere cheBrugada hachina kunyanya kuitika, chinokanganisa vanhu vari pasi pe1% yevanhu. Chirwere chinonzi CPVT chinobata munhu mumwe chete pavanhu 1000.

Asi, zvese izvi, vanhu vanosvika 200,000 vanofa nechirwere chemwoyo chisingatarisirwi (SCA) gore rega rega muUnited States chete. Zvinonziwo vana nevechidiki vanosvika 4,000 vanofa nechirwere ichi cheSADS gore rega rega. Saka, ichocho hachisi chinhu chidiki, handiti?

Ndezvipi zviratidzo zveSADS?

Kunyangwe paine mhando dzakasiyana dzeSADS, kune zvimwe zviratidzo zvakajairika. Zvisinei, vamwe vanhu vanogona kusaona zviratidzo zvachose.

Zviratidzo zvakajairika:

• Kufenda kana pfari zvinogona kuitika panguva yekurovedza muviri, kana kana uchifara zvikuru kana kutya.
• Kurwadziwa kwechipfuva kunogona kuitika panguva yekurovedza muviri.
• Unogona kunzwa kushaya mweya panguva yekurovedza muviri.

Iye zvino ngatitarisei zviratidzo zvakasiyana-siyana zvine chekuita nerudzi rumwe nerumwe rweSADS.

Zviratidzo zveBrugada syndrome

Kunyange hazvo vanhu vazhinji vasina zviratidzo, vamwe vanogona kusangana ne:

• Kumira kwemwoyo kunogona kuitika, kunyanya panguva yekurara.
• Kufenda.
• Kuzvimba.
• Maitiro ekufema asina kujairika.

Zviratidzo zve catecholaminergic polymorphic ventricular tachycardia (CPVT)

Panogona kunge pasina zviratidzo kusvika paitika chirwere chemwoyo, asi vamwe vanhu vanogona kunzwa kupera simba panguva yekurovedza muviri.

Zviratidzo zveLong QT Syndrome (LQTS)

Vanhu vanosvika hafu yeLQTS havana zviratidzo. Asi vamwe vanhu:

• Kusagadzikana kwemoyo kunonzi Torsades de Pointes kunogona kukonzera chirwere chemwoyo.
• Kufenda.
• Kuzvimba.

Zviratidzo zveShort QT Syndrome (SQTS)

Vanhu vanosvika 40% vane chirwere ichi havana zviratidzo. Asi vamwe:

• Kurova kwemoyo zvakanyanya .
• Kufenda.
• Kumira kurova kwemoyo.

Zviratidzo zveTimothy syndrome

Zvinhu zvinogona kuonekwa mune izvi ndezvi:

• Kufenda.
• Kumira kurova kwemoyo.
• Dzimwe nguva pane minwe kana zvigunwe zvine dandemutande.
• Matambudziko ekukura.

Zviratidzo zveWolff-Parkinson-White syndrome (WPW)

Zviratidzo zveWPW zvinosanganisira:

• Kurova kwemoyo zvakanyanya.
• Kunzwa dzungu (musoro wakapfava).
• Kutadza kufema zvakanaka.
• Kufenda.
• Kuzvimba.

Zvakakosha: Kana iwe kana mumwe munhu waunoziva aine chimwe chezviratidzo izvi kana kupfuura, unofanira kutsvaga rubatsiro rwechiremba.

Ndezvipi zvinokonzera SADS?

Kazhinji, kana munhu wechidiki akafa kamwe kamwe, uye chimiro chemwoyo wake chikaita sechakanaka kana akaongororwa, vanachiremba vanofungidzira kuti aive nechirwere chemwoyo chisina kujeka, kurova kwemoyo kusina kurongeka. Matambudziko eSADS anokonzera chirwere ichi, atakataura nezvacho kare, anowanzo pfuudzwa kubva kumubereki kuenda kumwana . Kureva kuti, anobva kumajini. Mikana yekuti zvirwere izvi zvipfuurirwe kuvana inogona kusiyana zvichienderana nejini rinobatanidzwa uye chikamu chemoyo chakanganiswa.

Vanachiremba vanowana sei SADS?

Kana wechidiki aine zviratidzo zvataurwa pamusoro apa, uye kana mumwe munhu mumhuri make akafa kamwe kamwe asina kutsanangurwa asati asvitsa makore makumi mana, chiremba anogona kufungidzira kuti ane SADS. Nzira dzekuongorora dzinosiyana zvichienderana nerudzi rweSADS.

Nzira dzekuongorora dzinonyanya kushandiswa:

• Electrocardiogram (EKG): Izvi zvinoedza mashandiro emagetsi emwoyo.
• Kuongororwa kwemajini: Iyi ndiyo bvunzo dzekuchinja kwemajini kwakabatana neSADS.
• Kuyedzwa kwekumanikidzwa kweTreadmill: Izvi zvinoedza kuti mwoyo unopindura sei pakurovedza muviri.
• Kuongororwa kweCatecholamine provocation: Mushonga chaiwo unopihwa uye mhinduro yemoyo inoonekwa.
• Holter monitor: Mudziyo unogara uchirekodha kurova kwemoyo kwenguva inosvika maawa makumi maviri nemana.
• Echocardiogram: Iyi iultrasound scan inotarisa chimiro uye mashandiro emwoyo.
• Kuongororwa kwemwana ari mudumbu: Izvi zvinogona kuitwa mwana achiri mudumbu.
• Kuongororwa kwemoyo ne catheterization diagnostic test: Kuongororwa uko chubhu yakatetepa inopinzwa mumoyo.
• Chidzidzo cheElectrophysiologic: Muchidzidzo ichi, waya dzakapfava dzinopinzwa mumoyo kuti dziongorore zvakadzama mashandiro emagetsi emoyo.

Ndeapi marapirwo eSADS?

Kurapwa kunosiyana zvichienderana nerudzi rweSADS, saka zvakakosha kuziva kuti une rudzii chairwo.

Kurapa kweBrugada syndrome

• Muchina wekudzikisa kurova kwemoyo unoiswa pasi peganda (ICD): Uyu muchina mudiki unoiswa pasi peganda. Kana kurova kwemoyo kukasagadzikana zvine njodzi, unoburitsa kurohwa kwemagetsi kudiki kuti udzorere kurova kwemoyo.
• Mishonga yakaita seQuinidine .
• Dzivisa kushandisa mishonga inovhara nzira dze sodium mumoyo.

Kurapa kweCatecholaminergic Polymorphic Ventricular Tachycardia (CPVT)

• Vanhu ava vanopiwa mhando yemushonga unonzi beta-blockers .
• Kana zvichidikanwa, ICD ichaiswa.

Kurapa kweLong QT Syndrome (LQTS)

Izvi zvinogona kuitwa nezvinhu zvakaita semushonga kana kuvhiyiwa:

• Beta-blockers.
• ICD .
• Kuvhiyiwa kwemoyo wekuruboshwe: Uku kuvhiyiwa kusinganyanyi kupindira kunocheka nekubvisa dzimwe tsinga dzinoenda kumoyo.
• Dzivisa kushandisa mimwe mishonga inowedzera nguva yeQT paEKG yako.

Kurapa kweSQTS pfupi (QT Syndrome)

Kune mushonga uye chishandiso cheizvi:

• ICD .
• Quinidine.

Kurapa kweTimothy syndrome

Izvi zvinoshandisawo mushonga uye mudziyo:

• Beta-blockers.
• ICD .
• Dzivisa kushandisa mishonga inowedzera nguva yeQT paEKG yako.

Kurapa kweWolff-Parkinson-White syndrome (WPW)

Mishonga inogona kubatsira kudzivirira zviratidzo zveWPW. Kunewo nzira inonzi ablation therapy . Izvi zvinoparadza nzira yemagetsi. Dzimwe nguva izvi zvinogona kurapa WPW zvachose. Vanachiremba vanonyorawo mishonga inonzi antiarrhythmics kuderedza njodzi yekurohwa kwemwoyo kusina kujairika.

Pane migumisiro yakaipa here pakurapa uku?

Ehe, mamwe marapirwo anogona kuva nemigumisiro midiki.

• Vamwe vanhu vanogona kuomerwa nekushivirira mishonga ye beta-blockers yavakanyorerwa nachiremba wavo.
• Mushure mekuvhiyiwa kwemwoyo kwekuruboshwe kwechikamu chekuruboshwe :
• Kudikitira kusingawanzoitiki.
• Maoko akaoma.
• Kuchinja kwetembiricha kana ruvara mune dzimwe nzvimbo dzechiso.
• Asi kuvhiyiwa uku kunogona kuvandudza hupenyu hwemunhu zvakanyanya.
• Nekuti mudziyo weICD unoburitsa kurohwa nemagetsi kuti udzorere rhythm yemoyo, zvinogona kushungurudza zvishoma. Zvakare:
• Utachiona hunogona kuitika.
• Chishandiso ichi chingasashanda zvakanaka.

Ndingaderedza sei njodzi yangu? SADS inogona kudzivirirwa here?

Kana mumwe munhu mumhuri mako aine SADS, vamwe vemumhuri vanofanira kuita CPR.Kana uchiziva maitiro ekuzviita, uye kana uine Automatic External Defibrillator (AED) kumba, zvinogona kunyaradza munhu ane SADS. Nekuti zvakanaka kuziva kuti pane mumwe munhu aripo kuti abatsire kana paine emergency.

Kunyange hazvo SADS isingadzivirirwe zvachose, kana mumwe munhu mumhuri yako akaonekwa aine chirwere ichi, zvakakosha kuti aongororwe kuti aone kana ainewo majini akachinjwa. Unogona kutaura nachiremba wako kuti usarudze kuti ndiani anofanira kuongororwa. Kana munhu aonekwa aine chirwere ichi, matanho anogona kutorwa kuti adzivirirwe, kungave nemishonga kana mamwe marapirwo.

Remangwana remunhu ane SADS rakamira sei?

Zvinoenderana nekuti une chirwere cheSADS cherudzii, kuti chinowanikwa nekukurumidza sei, uye kuti kurapwa kunotanga nekukurumidza sei. Idambudziko rehupenyu hwese , uye dzimwe nguva rinogona kuuraya .

Zvisinei, vanhu vane Wolff-Parkinson-White syndrome (WPW) vane maonero ari nani nekuti kurapwa ne ablation kunogona kugadzirisa dambudziko iri. Vanhu vanorapwa kwenguva refu QT syndrome (LQTS) vane njodzi shoma yekufa kamwe kamwe. Zvisinei, vanhu vazhinji vanogona kubatsirwa ne left ventricular ablation havabatsirwi. Hapana tsvakurudzo yakawanda yakaitwa pamusoro pezvirwere zvakaita se short QT syndrome (SQTS) , nekuti kune varwere vashoma (vanenge mazana maviri) vane chirwere ichi.

Saka, tsvakiridzo yakawanda inodiwa kuti pawane mishonga yakanakisisa kune wese ane SADS.

Kuisa ICD kunogona kudzivirira kufa kamwe kamwe kwemwoyo nekuti kunorapa mafambiro emwoyo asina kujairika. Kunyangwe zvisingarapi chirwere ichi, inzira inoshanda yekuderedza njodzi yekufa nekuda kwezvirwere izvi.

Kana uine SADS, unozvitarisira sei?

• Kana chiremba wako akakunyorera mushonga, inwa sezvawakanyorerwa, usingapotse kana zuva rimwe chete. Ndizvo zvakafanana nemwana ane SADS. Anofanira kupihwa mushonga wake nenguva, uye hazvina kunaka kupotsa mushonga mumwe chete.
• Gara uchibvunza chiremba wako kana wemishonga usati watanga mushonga mutsva. Mishonga yakawanda, kusanganisira mishonga inorwisa mabhakitiriya uye mishonga yekudzivirira kuda kurutsa, inogona kukanganisa mishonga yemwoyo wako. Inogonawo kukanganisa nguva yeQT, izvo zvinowedzera njodzi yekufa kamwe kamwe kune munhu ane chirwere cheQT kwenguva refu.
• Nzwisisa mashandiro anoita ICD yako (kana yemwana wako). Zvakare, ita kuti iongororwe nguva nenguva nachiremba wako. Mamwe maitiro ekurapa uye zvishandiso zvemagetsi zvemazuva ese zvinogona kukanganisa mashandiro eICD yako. Saka, ziva zvekudzivisa.
• Kana mwana wako aine SADS, bvunza chiremba kana achigona kutamba mitambo ine dambudziko rake.

Unofanira kuona chiremba riini? Unofanira kuenda kuchipatara riini?

Kana uine SADS, kuongororwa nguva nenguva kwakakosha zvikuru. Izvi ndezvekuona kuti uri kutora mishonga yakakwana. Kana mwana wako aine SADS, mushonga ungangoda kuwedzerwa sezvaanokura uye achiwedzera uremu. Ndosaka zvichikosha kuti vana vaongororwe nguva nenguva. Kana uine ICD, ona chiremba wako kanenge kaviri pagore.

Kana paine emergency:

• Kana mumwe munhu ari muchirwere chemwoyo chakamira , fonera 911 (kana nhamba yekukurumidzira yenyika yako) nekukasika woita CPR.
• Kana ukaona chimwe chezviratidzo izvi, enda kuchipatara kana kufonera 911 nekukasika:
• Kana uchinzwa kupera simba, dzungu, kana kuti kurova kwemoyo zvakanyanya.
• Kana ukanzwa kurwadziwa kwechipfuva kamwe kamwe kana kuti uchinetseka kufema.

Ndeipi mibvunzo inokosha yekubvunza chiremba wako?

Kana iwe kana mumwe munhu mumhuri yako aine SADS, zvakakosha kubvunza chiremba wako mibvunzo iyi:

• Ndine rudzii rweSADS?
• Munokurudzira kurapwa kupi padambudziko rangu chairo?
• Mungandibatsira here kuziva kuti ndiani mumhuri mangu anofanira kuongororwa izvi?
• Ndinoda defibrillator here?
• Pane mishonga yandinofanira kurega here kana ndine chirwere changu?

Pakupedzisira, yeuka zvinhu izvi!

Kunyange zvazvo SADS iri chirwere chakakomba, kuchiziva uye kutora matanho akakodzera kunogona kukudzivirira iwe nevadikanwi vako. Kuziva nezvekuongororwa kwako kunogona kukubatsira kunzwisisa sarudzo dzako. Shanda nachiremba wako kuti usarudze kuti ndeipi kurapwa kwakanakira iwe kana mudiwa wako. Kuongororwa nguva dzose, kunyanya kana uine ICD, kwakakosha. Kuva neAED kumba uye kuve nechokwadi chekuti munhu wese anoziva mashandisirwo ayo uye kuita CPR kunogona kukubatsira iwe nemhuri yako. Usatya, kuziva ndiyo nzira yakanakisisa yekudzivirira.

` Sudden Arrhythmic Death Syndrome, SADS, chirwere chemwoyo, kurova kwemoyo kusina kujairika, zvirwere zvemajini, rufu rwekamwe kamwe, hurongwa hwemagetsi hwemwoyo