Dzimwe nguva unonzwa sekuti moyo wako uri kurova nekukurumidza pasina chikonzero here? Unonzwa sekuti wangotiza here? Unonzwa sekuti chipfuva chako chiri kurova here, unonzwa kushaya mweya, unonzwa dzungu, uye maziso ako ari kuita bhuruu here? Kana wakambosangana nezviitiko izvi, chimwe chezvikonzero chingave chirwere chatiri kutaura nezvacho nhasi chinonzi Wolff-Parkinson-White Syndrome. Usatya kana zita racho richinzwika serakaoma. Ngatitaurei nezveizvi zviri nyore, nenzira yaunogona kunzwisisa.
Chii chinonzi Wolff-Parkinson-White (WPW) Syndrome?
Zvichitaurwa zviri nyore, WPW Syndrome inyaya diki diki inoitika pakufamba kunoita masaini emagetsi mumoyo medu. Idambudziko rinowanikwa pakuzvarwa.
Funga nezvazvo sepombi diki. Kuti pombi iyi ishande zvakanaka, inoda kugamuchira masaini emagetsi. Kazhinji, masaini aya anofamba nenzira imwe chete mumoyo. Panzira iyi pane mubatanidzwa mudiki unonzi AV node . Mubatanidzwa uyu unobatsira kuti zvikamu zvepamusoro zvemoyo (atria) nezvikamu zvepasi (ventricular chambers) zvibatane nenzira chaiyo.
Asi mumoyo memunhu ane WPW Syndrome, kune imwe nzira yekuwedzera pamusoro penzira yemagetsi yakajairika. Izvi zvakafanana ne "nzira pfupi" inogona kushandiswa kuyambuka mugwagwa mukuru muguta.
Nzira iyi yekuwedzera, ichipfuura neAV node inodzora kumhanya, inobvumira masaini emagetsi kufamba nekukurumidza kuenda kumakamuri epasi emwoyo, maventricles. Izvi zvinoita kuti makamuri emoyo azvimbike nekukurumidza kupfuura zvakajairika. Mukurapa, tinodana izvi kuti preexcitation . Masaini aya anokurumidza uye asina kujairika anoita kuti moyo urove nekukurumidza. Tinoshandisa mazita akadai sekuti ``supraventricular tachycardia - SVT'' kana ``atrial fibrillation - AFib'' kune aya marudzi ekurova kwemwoyo nekukurumidza.
Yeuka kuti WPW Syndrome haisi utera huri mumoyo mako, asi ingori shanduko diki mumagetsi emoyo aripo pakuzvarwa.
Dambudziko iri hariwanzoitiki. Rinobata vanhu vari pakati pe1 ne3 pavanhu chiuru pasi rose. Rinonyanya kuitika kuvanhu vane zvimwe zvirwere zvemwoyo zvekuzvarwa nazvo, zvakaita seEbstein's anomaly.
Ndezvipi zviratidzo zveWPW Syndrome?
Havasi vese vane WPW Syndrome vane zviratidzo. Vamwe vanhu vangasaziva kuti vane chirwere ichi kweupenyu hwavo hwese. Asi kana zviratidzo zvikaitika, zvinowanzoitika kana kurova kwemoyo kwava kukurumidza.
Sei izvi zvichiitika? Kana mwoyo uchirova nekukurumidza, makamuri awo haawani nguva yakakwana yekuzara neropa. Nekuda kweizvozvo, moyo haugone kupomba ropa rakakwana mumuviri. Apa ndipo panoitika zviratidzo izvi.
Ngationei zviratidzo zvikuru zviri patafura iri pazasi.
| Chiratidzo | Tsananguro Iri Nyore |
|---|---|
| Kurova Kwemwoyo | Kunzwa kamwe kamwe kwekubatwa kwechipfuva, sekunge moyo wako uri kurova kubva muchipfuva chako. Izvi zvinogona kuitika wakangogara, uchirovedza muviri, uri mukushushikana, kana mushure mekunwa chinomutsa simba senge kofi. |
| Dzungu | Kunzwa dzungu. Dambudziko iri rinogona kuitika kana uropi husiri kuwana ropa rakakwana. |
| Kufenda kana kunzwa kupera simba | Maziso anoshanduka kuita bhuruu, kunzwa kupera simba kana kurasikirwa nepfungwa. |
| Kuneta kana Kushaya Simba | Kunzwa sekuti muviri wako hauna hupenyu, uchinzwa wakaneta nguva dzese. |
| Kushaya mweya | Kunzwa kudzipwa kana kunetseka kufema. |
| Kumanikidzwa kwechipfuva kana kuoma | Kunzwa kubatwa kana kurema muchipfuva. |
Chii chinokonzera chirwere cheWPW?
Kune vanhu vazhinji, hapana chikonzero chaicho chakawanikwa cheWPW Syndrome. Izvi zvinoreva kuti zvinongoitika zvisina tsarukano. Asi kune vanhu vashoma, chirwere ichi chinogona kukonzerwa nezvinhu zvemajini. Chimwe chikonzero kuchinja kwejini kunonzi PRKAG2 . Kuchinja kwemajini uku kunogonawo kupfuudzwa kubva kuchizvarwa kuenda kune chimwe.
Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere ichi?
Vanhu vazhinji vane WPW Syndrome vanorarama hupenyu hwakajairika. Zvisinei, kana vakasarapwa, dzimwe nguva matambudziko anogona kuitika. Musazvidya mwoyo , aya haawanzoitiki. Uye kune mishonga inoshanda iripo nhasi inogona kudzivirira matambudziko aya.
- Njodzi dzinokonzerwa nekurasikirwa nepfungwa: Kana ukangoerekana warasikirwa nepfungwa, unogona kudonha wokuvara.
- Zvimwe zvirwere zvemoyo: Njodzi yekuve nezvimwe zvirwere zvemoyo, zvakaita seatrial fibrillation, inogona kuwedzera.
- Kusashanda zvakanaka kwemoyo: Kashoma, chirwere chine njodzi chinonzi ``Ventricular fibrillation'' chinogona kuitika.
- Kufa nemwoyo kamwe kamwe: Iri ndiro dambudziko guru uye risingawanzoitiki reWPW syndrome. Chimwe chezvinangwa zvikuru zvekurapa ndechekubvisa njodzi iyi zvachose.
Vanachiremba vanoongorora sei chirwere ichi?
Kana uine zviratidzo zvataurwa pamusoro apa, chinhu chekutanga chichaita chiremba wako ndechekuita ECG (electrocardiogram). Iyi bvunzo iri nyore kwazvo, isingarwadzi.
ECG inogona kunyora mashandiro emagetsi emwoyo. ECG yemunhu ane WPW syndrome inoratidza maitiro chaiwo anokonzerwa nenzira yemagetsi yakawedzerwa. Tinodana maitiro aya kuti "WPW pattern."
- Maitiro eWPW: Kunyangwe kana uine maitiro aya paECG yako, kana usina zviratidzo, chiremba wako anongotaura chete kuti une maitiro eWPW.
- WPW Syndrome: Kana ukaona zviratidzo zvakaita sekurwadziwa pachipfuva pamwe chete nemaitiro aya paECG yako, chiremba wako achaona kuti une WPW Syndrome.
Pamusoro peECG, chiremba wako anogona kukurudzira mimwe miedzo yakati wandei.
- Echocardiogram (Echo): Uku kuongorora kwemoyo ne ultrasound. Kunobatsira kuona kana chimiro chemoyo, makamuri, nemavharuvhu zvichishanda zvakanaka.
- Chidzidzo cheElectrophysiology: Iyi bvunzo yakaoma zvishoma. Muizvi, waya dzakatetepa (catheters) dzinoiswa mumoyo, nzira dzemagetsi dzemoyo dzinonyorwa, uye nzvimbo chaiyo yenzira yekuwedzera inoonekwa.
- Kuongororwa kwekumanikidzwa kwekurovedza muviri: Unofanirwa kumhanya uri patreadmill uye ECG inoshandiswa kutarisa kuti moyo wako unochinja sei uye kuti mutinhimira wemoyo wako unochinja sei paunenge uchirovedza muviri.
- Kutarisa kweambulatory (Holter monitor):Mudziyo mudiki unopfekwa mumuviri wako unorekodha kurova kwemoyo wako kwemaawa makumi maviri nemana kana kupfuura. Izvi zvinobatsira kuona shanduko mukurova kwemoyo wako sezvaunoita mabasa ako ezuva nezuva.
Ndeipi mishonga yekurapa WPW Syndrome?
Kune mishonga inoshanda zvikuru yeWPW Syndrome. Chiremba wako ndiye achasarudza mushonga wakakodzera iwe zvichienderana nerudzi rwezviratidzo zvako, kuti zvinoitika kangani, uye mhedzisiro yekuongororwa kwako.
| Nzira yekurapa | Tsananguro |
|---|---|
| Mishonga inorwisa arrhythmia | Mishonga inodzora kurova kwemoyo nekukurumidza inogona kuderedza kuwanda kwezviratidzo. |
| Vagal Maneuvers | Kana kurova kwemoyo wako kuchikurumidza, pane zvinhu zviri nyore zvaunogona kuita kumba kuti zvikubatsire kudzokera pakuva zvakajairika. Semuenzaniso, kukosora zvakanyanya kana kupukuta kumeso kwako netauro rinotonhora. Chiremba wako achakudzidzisa maitiro ekuita izvi. |
| Kuchinja kwemwoyo | Mumamiriro enjodzi, kureva kuti, kana kurova kwemoyo kukaramba kuchikurumidza, inzira yekudzoreredza kurova kwemoyo kuti kuenderane nemamiriro ezvinhu nekupa kurohwa kwemoyo nemagetsi pachipfuva muchipatara. |
| Kubviswa kweCatheter | Uku ndiko kurapa kwakanakisisa uye kwekusingaperi kweWPW Syndrome. Mukuita izvi, waya yakatetepa (catheter) inopinzwa mumoyo kuburikidza netsinga yeropa iri mudumbu, nzira yemagetsi inowanikwa, uye inodzimwa nesimba reradiofrequency kana cryoablation. Uku kurapa kunobudirira ne94%. Mushure meizvi, chirwere chinogona kurapwa zvachose. |
| Kubviswa kweropa pakuvhiyiwa | Nzira inoshandiswa chete kana nzira yekubvisa catheter ikakundikana kana kana paine imwe nzira yekuvhiyiwa kwemoyo. |
Ndinofanira kuona chiremba rini?
Kana uine WPW Syndrome, zvakakosha kuti uone chiremba wako kuti ugare uchiongororwa (kutevera). Chiremba wako achakuudza kuti unofanira kuuya kangani. Zvakare, kana ukaona shanduko muzviratidzo zvako kana kuti ukatanga zviratidzo zvitsva, zivisa chiremba wako nekukasika.
Paunenge uchirarama nemamiriro ezvinhu akadai, dzimwe nguva unganzwa kutya uye kunetseka. Izvozvo zvakajairika. Dzimwe nguva dzakadai, pane kungozvivharira mukati, kutaura nemumwe munhu waunovimba naye, kana kunyange mupi wezano, kunogona kubatsira zvikuru pahutano hwepfungwa dzako.
Nguva yekuenda kuETU kunorapwa nekukurumidza
Kana ukaona zviratidzo zvinotevera, enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo nekukasika .
- Kana uchinzwa kurwadziwa kwakanyanya pachipfuva .
- Kufenda.
- Kana kurova kwemoyo wako nekukurumidza kukaramba kuripo kwemaminitsi anopfuura mashoma uye kusingaderere kunyangwe mushure mekuita Vagal Maneuvers, chiremba wako akakurayira.
Kana ukatanga kufenda, ungasakwanisa kuzvibatsira. Ndosaka zvichikosha kuzivisa mhuri yako neshamwari dzaunopedza nguva nadzo nezvechirwere chako. Nenzira iyi, vachaziva zvekuita kana paine dambudziko.
Ramangwana rangu richave rakaita sei nemamiriro ezvinhu aya?
Vanhu vazhinji vane WPW Syndrome vanowana kurapwa kwakakodzera vanogona kurarama hupenyu hwakanaka uye hwakajairika . Kubvisa Catheter, kunyanya, kunogona kurapa chirwere chacho zvizere uye kukudzivirira kubva panjodzi yekufa kamwe kamwe kwemwoyo.
Ungangofanira kungwarira pane zvimwe zvinhu muhupenyu hwako hwezuva nezuva. Semuenzaniso, zvakanaka kudzivisa zvinhu zvinogona kuita kuti mwoyo wako urove nekukurumidza.
- Doro
- Caffeine (kofi, tii, zvinwiwa zvisina doro)
- Zvinokurudzira senge nicotine (kusvuta)
- Kurovedza muviri kunorema uye kunorema (bvunza chiremba wako kuti maekisesaizi api akachengeteka kwauri)
Kana mwana wako aine WPW Syndrome...
Semubereki, unganzwa kutya zvikuru paunoziva kuti mwana wako ane chirwere ichi. Izvozvo zvakajairika. Chinhu chakakosha kutaura pachena nachiremba wemwana wako uye kubvunza mibvunzo yako yese.
Semuenzaniso, tsvagai mirairo yakajeka yekuti zvakachengeteka here kuti mwana wenyu atambe mitambo kana kuti zvekuita kana kurova kwemoyo wake kukakwira kuchikoro. Chiremba anogonawo kukubatsirai kutsanangura mamiriro acho ezvinhu mumutauro unonzwisisa mwana wenyu.
Zita rekuti WPW Syndrome rinogona kutyisa. Asi yeuka, chirwere chinogona kurapwa, uye kazhinji, chinorapwa zvachose. Chiremba wako nechikwata chekurapa varipo kuti vakubatsire. Saka usazeza kubvunza chero mibvunzo yaunayo.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheWolff-Parkinson-White (WPW) chirwere chekuzvarwa nacho chinokonzerwa nekuvapo kwenzira yemagetsi mumoyo.
- Zviratidzo zvakaita sekurova kwemoyo nekukurumidza, dzungu, uye kurasikirwa nepfungwa zvinogona kungoerekana zvaonekwa. Zvisinei, havasi vese vanowana zviratidzo.
- Muedzo mukuru wekuongorora chirwere ichi iECG.
- Musazvinetse! Kune mishonga inoshanda zvikuru yekurapa izvi. Mushonga unonzi Catheter Ablation unogona kurapa chirwere ichi zvachose muzviitiko zvinopfuura 94%.
- Kana uchinzwa kurwadziwa pachipfuva, kupera simba, kana kurova kwemoyo kusingapere, enda kuchipatara cheETU nekukasika.
- Taura pachena nachiremba wako nezvezviratidzo zvako uye kurapwa kwako. Nekurapwa kwakakodzera uye shanduko dzemararamiro, unogona kurarama hupenyu hune hutano hwakakwana.
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