Mwoyo wako unorova nekukurumidza kamwe kamwe here? Pamwe iyi ndiyo Wolff-Parkinson-White Syndrome!

Wakamboona here kuti moyo wako unotanga kurova zvisina musoro pasina chikonzero? Panguva iyoyo, unonzwa kutya zvishoma, handiti? Dzimwe nguva chikonzero cheizvi chingave chirwere chinonzi Wolff-Parkinson-White Syndrome, chatiri kuzotaura nezvacho nhasi. Kunyange zvazvo zita racho ringanzwika sedambudziko guru, ngatitaurei nezvazvo zviri nyore.

Chii chinonzi Wolff-Parkinson-White Syndrome?

Zvichitaurwa zviri nyore, Wolff-Parkinson-White syndrome (WPW) chirwere chinokonzerwa nekuwedzera kwemagetsi mumoyo kunowanikwa pakuzvarwa . Mwoyo yedu inorova nekuti masaini emagetsi anofamba nepakati pemoyo. Kazhinji, masaini aya ane nzira chaiyo yekutevera. Asi kune vanhu vane WPW, kune "nzira pfupi" mumoyo pamusoro penzira iyi chaiyo.

Fungidzira, paunenge uchityaira mumugwagwa, kana ukatora mugwagwa mudiki wepadivi pamusoro pemugwagwa mukuru, unogona kukurumidza. Nekuda kwenzira iyi yemagetsi, zviratidzo zvinoenda kumoyo zvinofamba nekukurumidza. Nekuda kweizvozvo, moyo unotanga kurova nekukurumidza. Vanachiremba vanodana izvi kuti supraventricular tachycardia (SVT) , zvinoreva kurova kwemoyo nekukurumidza kunotanga muzvikamu zvepamusoro zvemoyo.

Kana moyo uchirova nekukurumidza kudaro, makamuri emoyo haawani nguva yakakwana yekuzara neropa risati rasvika. Izvi zvinoreva kuti moyo haugone kupomba ropa rakakwana mumuviri.

Dambudziko iri reWPW rakajairika zvakadii?

Chirwere cheWolff-Parkinson-White chirwere chisingawanzoitiki . Pasi rose, chinobata vanhu vanosvika 1 kusvika 3 pavanhu 1,000. Munhu wese anogona kubatwa neWPW, uye dzimwe nguva chinoitika mumhuri. Zvinonziwo chinowanzoitika kuvanhu vane dzinza rekuChina.

Zviratidzo zvacho ndezvipi?

Zviratidzo zveWPW zvinogona kusiyana kubva pamunhu kusvika pamunhu. Vanhu vazhinji havana zviratidzo zvachose . Zvisinei, vamwe vanhu vanogona kuona zviratidzo kwemasekonzi mashoma kusvika maawa mashoma pazuva. Vamwe vanogona kuzviona kakawanda pagore.

Unganzwa zvinhu zvakaita seizvi:

• Kungonzwa kusagadzikana uye kuzvidya mwoyo .
• Kunzwa kurwadziwa kana kuomarara muchipfuva.
• Kunzwa sechizunguzungu (vertigo yemusana).
• Kufenda .
• Kunzwa kuneta zvakanyanya.
• Kurova kwemoyo kamwe kamwe kunonzwa mwoyo wako uchirova nekukurumidza. Izvi zvinogona kutora masekondi mashoma kana maawa mashoma.
• Kunzwa kushaya mweya (dyspnea) .

Gore rega rega, pakati pe1% ne2% yevanhu vane WPW vanowana rhythm yemoyo isina kujairika, kana kuti arrhythmia .

Chii chinokonzera WPW?

Kazhinji, kunyange vanachiremba vanonetseka kuwana chikonzero chaicho cheWPW.Pamwe mumwe munhu mumhuri mako akambova nechirwere ichi, kana kuti chinogona kuitika pasina chikonzero chakajeka.

WPW inogarwa nhaka here?

Vaongorori havasati vava nechokwadi kana chirwere ichi chichipfuudzwa kubva kuvabereki kuenda kuvana. Vanhu vazhinji vane WPW havana vabereki vane chirwere ichi. Zvisinei, mamwe majini anokonzera WPW anogona kupfuudzwa nezvizvarwa. Chirwere ichi chinogara nhaka chinonziwo familial Wolff-Parkinson-White syndrome .

Ndezvipi zvinetso zvinogona kuitika nekuda kweWPW?

Dzimwe nguva, vanhu vanogona kudonha vokuvara kana vakapfeka brace. Vamwe vanhu vanogona kunzwa BP yakaderera kana mwoyo yavo ichirova nekukurumidza. Dambudziko risingawanzoitiki asi rine njodzi reWPW kufa kamwe kamwe kwemoyo .

Kana uine zviratidzo zveWPW, enda kuna chiremba nekukasika. Kurapwa kwechirwere ichi nekukurumidza kunogona kudzivirira matambudziko.

WPW inoonekwa sei?

Vanachiremba vanowanzoongorora WPW neECG (electrocardiogram) . Tinongoti "tora mufananidzo wemoyo," uye ndizvozvo chete. Dzimwe nguva, chiremba wako anogona kuona shanduko mukurova kwemoyo wako panguva yekuongororwa kwemuviri. Kana zviratidzo zvako zvikawedzera paunenge uchirovedza muviri, unogona zvakare kukumbirwa kuti uite bvunzo yekushushikana kwemuviri . Kana kurova kwemoyo wako kuchinzwa kwakasiyana, kana kana uine zvimwe zviratidzo zvine chekuita neWPW, iva nechokwadi chekuudza chiremba wako.

Ndezvipi zviedzo zvinoshandiswa kuongorora WPW?

Kuti aongorore kurova kwemoyo wako, chiremba wako anogona kukurudzira bvunzo dzakadai sedzinotevera:

• Electrocardiogram (ECG): Iyi ndiyo bvunzo inonyanya kukosha.
• Chidzidzo cheElectrophysiology: Uku kuongorora kwakadzama kwemabasa emagetsi emwoyo. Izvi zvinoitwa nekuisa zvinhu zvidiki zvakaita sewaya mumoyo.
• Holter monitor: Ichi chishandiso chidiki chinopfekwa mumuviri wako kwemaawa makumi maviri nemana kusvika makumi mana nemasere. Chinonyora mashandiro emoyo wako mukati menguva yese.
• Kutarisa kwenguva refu: Zvakafanana nekutarisa kweHolter, asi kurova kwemoyo kunotariswa kwenguva yakareba (mazuva kana mavhiki akati wandei).

Kuongororwa uku kunopa chiremba wako ruzivo rwuri nani rwekurova kwemoyo wako, mutinhimira, uye kana paine matambudziko nemafambiro emagetsi. ECG yemunhu ane WPW inogona kuratidza shanduko dziri pachena kupfuura ECG yakajairika.

WPW inowanzoonekwa riini?

Dzimwe nguva vanachiremba vanoongorora chirwere cheWPW vachiri vacheche . Zvisinei, chinowanzoonekwa kana uri mudiki, uri pakati pemakore gumi nemashanu nemakumi maviri nemashanu , nekuti ndipo panotanga kuoneka zviratidzo zvakanyanya.

Pane zvimwe zvirwere zvine chekuita neWPW here?

Vamwe vanhu vane WPW vanogonawo kuva nezvimwe zvirwere zvemwoyo. Semuenzaniso:

• Atrial fibrillation: Chirwere chekuti makamuri epamusoro emoyo anorova zvisina kurongeka uye nekukurumidza.
• Ebstein anomaly: Kusakwana kwemuviri muvharobhu yemoyo.
• Kuputika kwetsinga dzeropa (V-fib): Chirwere chinogona kuisa upenyu panjodzi apo makamuri epasi emwoyo anorova nekukurumidza uye zvisingadzoreki.

Kana uine zvimwe zvezvirwere zvemwoyo izvi, chiremba wako achakutsanangurira maitiro ekutarisira hutano hwemwoyo wako.

WPW inorapwa sei?

Kurapwa kweWPW kunosiyana kubva pamunhu kusvika pamunhu. Kana usingawanzoone zviratidzo, ungasada kurapwa . Zviratidzo zvako zvinogona kudzikira kana kutopera nekufamba kwenguva.

Zvisinei, kana uchigara uchirova mwoyo uye uchiratidzawo zviratidzo zvakaita sedzungu uye kupera simba, chiremba wako anogona kukurudzira kurapwa kwakadai se:

• Kubviswa kwema radiofrequency: Iyi imhando yekurapa inonzi catheter ablation . Muizvi, nzira yemagetsi iri mumoyo inoonekwa uye chikamu chidiki chayo chinoparadzwa uchishandisa simba remafungu eredhiyo. Kurova kwemoyo kunodzoka pakuva kwakajairika. Uku kurapa kunoshanda zvikuru.
• Kuchinja kwemoyo: Maitiro aya anoshandiswa kumisa kurova kwemoyo kusingawanzoitiki (kunyanya muzviitiko zvakaita seSVT) uye kudzoreredza kurova kwemoyo kwakajairika. Izvi zvinogona kuitwa nekupa mushonga (chemical cardioversion) kana nekupa chipfuva shock diki yemagetsi (electrical cardioversion).
• Mishonga: Mishonga inogona kupihwa kudzora kurova kwemoyo nekukurumidza kana kuti kuchengetedza kurova kwemoyo wako kwakajairika kwenguva refu.

WPW inoda kuvhiyiwa here?

Vanhu vazhinji vane WPW havadi kuvhiyiwa. Zvisinei, kashoma, vanachiremba vanogona kuvhiya mwoyo kuti vavhare nzira yemagetsi iri mumoyo. Kuvhiya uku kunowanzoitwa panguva imwe chete nedambudziko remwoyo pamusoro peWPW.

Maitiro ekurapa zviratidzo zveWPW kumba?

Kana ukanzwa kurova kwemoyo kuchikurumidza kamwe kamwe uri kumba, chiremba wako anogona kukuudza kuti uite zvinhu zvakaita se:

• Maitiro eValsalva: Izvi zvinosanganisira kudzvanya mhino yako nekuburitsa mweya mumuromo mako, sekuedza kufemera bharumu. Kana, tora mweya wakadzika woubata mukati uku uchisundira dumbu rako mukati.
• Kukosora.
• Kukwiza sinus yemudumbu: Kwiza zvinyoro nyoro rimwe divi remutsipa (pane carotid sinus). Ita izvi chete kana chiremba wako akakuudza kuti uite saizvozvo.

Izvi dzimwe nguva zvinogona kubatsira kudzora kurova kwemoyo nekukurumidza.

Pane migumisiro/zvinetso zvekurapa here?

Chero mushonga unogona kuva nemigumisiro yakaipa. Taura nachiremba wako nezvazvo.

Kunyangwe kubvisa radiofrequency kuri nzira yakachengeteka uye inoshanda, zvinotevera hazviwanzoitika:

• Kugwamba kweropa.
• Utachiona.
• Kurohwa nechirwere.
• Kubuda ropa.

Matambudziko anokonzerwa nemwoyo anowawo mashoma. Vamwe vanhu vanogona kukanda ropa, kuchekwa ganda payakabatwa nemagetsi, kana kuti kurova kwemoyo kunowedzera kuipa. Izvi hazviwanzoitiki.

Ndichanzwa zviri nani kwenguva yakareba sei mushure mekurapwa?

Zvinhu zvaunogona kuita kumba, zvakaita seValsalva maneuver nekukosora, zvinogona kubatsira kuderedza kurova kwemoyo wako panguva iyoyo. Kana uri kutora mushonga weWPW, bvunza chiremba wako kuti ungatarisira mhedzisiro yerudzii kubva kwavari.

Mushure mekuvhiyiwa kana kubviswa kweropa, chiremba wako achakuudza kuti zvinotora nguva yakareba sei kuti zviratidzo zvako zvivandudzike, zvaunotarisira paunenge uchipora, uye kuti ungadzokera riini kumabasa ako enguva dzose.

WPW inogona kudzivirirwa here?

Kwete. Wolff-Parkinson-White syndrome chirwere chaunozvarwa nacho . Hapana chaunogona kuita kudzivirira chirwere ichi.

Chii chinoitika kana ndiine WPW?

Kana uine WPW, unofanirwa kushanda nachiremba wako kuti ugadzirise zviratidzo zvako. Unofanira kuona chiremba wako nguva nenguva kuti uve nechokwadi chekuti zviratidzo zvako hazvinyanyi kuipa. Tevedzera mirairo yachiremba wako nemazvo. Udza chiremba wako nekukasika kana uine zviratidzo zvitsva kana kana zviratidzo zvako zvikawedzera kuipa.

Ndeipi tarisiro yeramangwana yevanhu vane WPW?

Nguva yekurarama kwevanhu vane WPW vanorapwa yakajairika . Vanhu vazhinji vanogona kurapwa zvizere nekushandiswa kwe radiofrequency ablation kana kuvhiyiwa.

Kazhinji, vanhu vasina zviratidzo zvechirwere vane mukana mudiki wekufa nerufu rwemwoyo kamwe kamwe. Vanhu vane zviratidzo zvetachycardia vane mukana wakakura zvishoma. Zvisinei, kufa kwemwoyo kamwe kamwe hakuwanzoitiki pakati pevanhu vane WPW.

Ndingachengetedza sei hutano hwangu?

Ona chiremba wako nguva dzose. Gara uchitevera mirairo yachiremba wako. Chengetedza hutano hwako nenzira iyi:

• Idya chikafu chine hutano .
• Dzora BP yako.
• Usashandise zvigadzirwa zvefodya.
• Dzivisa kana kuderedza kudya kwako zvinhu zvinokurudzira muviri (caffeine, mimwe mishonga). Taura nachiremba wako nezvenyaya iyi.
• Ramba uine huremu hwakanaka hunokunakira.

Ndezvipi zvinhu zvakanakisisa zvekudya nekunwa kana uine WPW?

Zvimwe zvinhu zvinogona kuita kuti mwoyo wako urove nekukurumidza. Bvunza chiremba wako nezveizvi:

• Doro.
• Caffeine ( inowanikwa mukofi, tii, nezvimwe zvinwiwa).
• Zvinokurudzira zvakaita seamphetamines kana nicotine.

Unogona here kurovedza muviri kana uine WPW?

Kushanda nesimba kwakanakira muviri wako nepfungwa dzako. Bvunza chiremba wako nezvekuita maekisesaizi neWPW. Taura naye nezvenjodzi dzaunofanira kuziva nezvadzo uye chero mabasa ausingakwanise kuita.

Ndinofanira kuona chiremba rini?

Kana ukangoerekana wanzwa kurova kwemoyo nekukurumidza kwausingakwanise kudzora nemishonga yekumba, kunyanya kana kuchiperekedzwa nezviratidzo zveWPW, zvakaita sedzungu, kufenda, kana kurwadziwa pachipfuva, fonera chiremba wako nekukasika .

Ndinofanira kuenda kuDhipatimendi reEmergency (ETU) riini?

Munhu angada kurapwa nekukurumidza mumamiriro ezvinhu akadai:

• Kana uchirwadziwa pachipfuva kwenguva inopfuura maminetsi gumi nemashanu.
• Kana uchirwadziwa pachipfuva , uchinetseka kufema, kana kuti mudumbu musinganzwe zvakanaka .
• Kana wakaneta uye usingasimuke .
• Kana kurova kwemoyo kukaramba kusina kujairika mushure memaminitsi mashoma.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Kana iwe kana mwana wako aine WPW, bvunza chiremba wako mibvunzo iyi:

• Zvakachengeteka here kutora mishonga yeWPW pamwe chete nemimwe mishonga yandinoshandisa?
• Kana ndine WPW, vana vangu vachava nayowo here?
• Ndingaziva sei kana kurova kwemoyo nekukurumidza kuri dambudziko re emergency?
• Mwana wangu achave akachengeteka here kana akabatwa nechirwere chemwoyo kuchikoro?
• Zvakachengeteka here kutamba mitambo neWolff-Parkinson-White syndrome?
• Ndinofanira here kurapwa kwakafanana nekubvisa kenza?

Vabereki vazhinji havatarisiri kuti mwana wavo achava nechirwere chemwoyo. Zvinogona kutyisa kana mwana wako aine kurova kwemoyo nekukurumidza nekuda kwechirwere cheWolff-Parkinson-White. Zvisinei, kurapwa kwechirwere ichi kunogona kubatsira nekurapa vanhu vazhinji. Bvunza chiremba wako kuti ungagadzirisa sei zviratidzo zvako uye kuti ndeapi mhinduro dzakanakisa dzenguva refu kwauri nemwana wako.

Mharidzo Yekuenda Nayo Kumba

Wolff-Parkinson-White syndrome (WPW) chirwere chinokonzerwa nemagetsi akawandisa mumoyo izvo zvinogona kukonzera kuti mwoyo urove nekukurumidza. Havasi vese vane zviratidzo, asi vamwe vanhu vanogona kusangana nezvinhu zvakaita sekurwadziwa muchipfuva, dzungu, uye kupera simba. Usanetseke, kune mishonga yakanaka yeizvi.Dzimwe nguva, inogona kurapwa zvachose nekurapwa kwakadai sekubvisa ma radiofrequency. Chinhu chakakosha ndechekuona chiremba nekukurumidza kana uine zviratidzo izvi. Zvakakoshawo kurarama hupenyu hune hutano. Taura nachiremba wako kuti ugadzire hurongwa hwekurapa hwakakunakira.

` Wolff-Parkinson-White Syndrome, Kurova kwemoyo, Kurova kwemoyo nekukurumidza, SVT, ECG, Chirwere chemoyo, Ablation, Cardioversion, Sri Lanka Hutano