Ingaba intliziyo yakho ibetha ngokukhawuleza ngequbuliso? Oku kungaba yi-CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia)!

Ngamanye amaxesha, xa udiniwe kakhulu, okanye xa uziva into enkulu entliziyweni yakho, njengolonwabo olukhulu, usizi, okanye uloyiko, ngaba intliziyo yakho ibetha ngokukhawuleza ngequbuliso kwaye isifuba sakho siva siqinile? Mhlawumbi amehlo akho ajika abe luhlaza okwesibhakabhaka kwaye uzive unesizungu? Ungamangaliswa, ezi zinto zinokwenzeka nakumntwana omncinci. Namhlanje siza kuthetha ngemeko ekhethekileyo eyenzeka kwisingqisho sentliziyo, engaqhelekanga kodwa ebaluleke kakhulu ukwazi ngayo.

Yintoni i-CPVT (i-Catecholaminergic Polymorphic Ventricular Tachycardia)?

Ngamafutshane, i-CPVT (i-Catecholaminergic Polymorphic Ventricular Tachycardia) yimeko eyenzeka kwisigqi sentliziyo. Kule meko, iindawo ezisezantsi zentliziyo yakho, oko kukuthi, amagumbi asezantsi entliziyo, okanye njengoko oogqirha bezibiza, ii-ventricles , ngequbuliso ziqala ukubetha ngokukhawuleza nangokungaqhelekanga xa uzilolonga, udlala, okanye uziva uxinzelelo olukhulu, njengolonwabo olukhulu, uloyiko, okanye uchulumanco.

Cinga ngale ndlela: intliziyo yethu ifana nempompo yamanzi. Yiyo epompa igazi emzimbeni wonke. Ngoko ke, xa le ntliziyo ibetha ngokukhawuleza kakhulu, oko kukuthi, ngesingqisho esingaqhelekanga, iba nexesha elinzima lokupompa igazi ngokufanelekileyo nokulithumela kuwo onke amalungu omzimba. Oku ngokusisiseko yiloo nto eyenzekayo kwi-CPVT.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-CPVT?

Enyanisweni, le meko ibizwa ngokuba yi-CPVT ayiqhelekanga . Ngokutsho kweengcali zonyango, kuqikelelwa ukuba ngumntu omnye kuphela kwishumi lamawaka (10,000) onale meko. Ngoko ke, kusenokwenzeka ukuba ayingabo bonke abantu abakhe beva ngayo.

Kutheni le nto i-CPVT isenzeka? Yintoni unobangela?

Abantu abaninzi banombuzo othi, "Kutheni oku kusenzeka?" Isizathu esiphambili se-CPVT kukutshintsha kwezakhi zofuzo zethu, utshintsho . Uyazi, yonke into emzimbeni wethu ilawulwa zezi zakhi zofuzo.

• Kwiimeko ezininzi, ungayifumana le nguqu yemfuza kumama wakho okanye kutata wakho, okanye zombini.
• Kodwa kunqabile kakhulu, oko kukuthi, kunqabile kakhulu, olu tshintsho lwemfuza lunokwenzeka emzimbeni womntu omtsha ngokungacwangciswanga , ngaphandle kwempembelelo yemfuza evela kubazali.

Ngoko ke, olu tshintsho lwemfuza lubangela ingxaki kwindlela i-calcium ions elawulwa ngayo ngaphakathi kwiiseli zentliziyo. Yiyo loo nto intliziyo ibetha ngokukhawuleza xa intliziyo ixinezelekile okanye ngexesha lokuzilolonga.

Zithini iimpawu ze-CPVT? Sizibona njani ?

Iimpawu ze-CPVT zihlala ziqala kwasebuntwaneni, zihlala ziphakathi kweminyaka esi-7 neli-12 ubudala. Iimpawu zihlala ziqala ukubonakala emva kokubaleka nokudlala ixesha elide , okanye xa umntu evakalelwa ziimvakalelo ezinamandla , ezinje ngovuyo, uloyiko, umsindo, okanye uchulumanco.

Nazi ezinye izinto ezinokuba ziimpawu ze-CPVT:

• Ngaphezu komntu oqhelekileyoUsenokuquleka rhoqo, okanye uzive unesizungu okanye unesizungu. Ngamanye amaxesha ungalahlekelwa zingqondo ngequbuliso ngaphandle kwesizathu esicacileyo uze uwe.
• Ukubetha kwentliziyo yimvakalelo eyenzeka ngequbuliso, ngokukhawuleza kakhulu, evakala ngathi kukho umntu obaleka esifubeni sakho.
• Abanye abantu banokuba neemeko ezifana nokuxhuzula . Oku kwenzeka kuba ubungakanani begazi elifikelela engqondweni buyancipha xa intliziyo ingapompi igazi ngokufanelekileyo.

Kubalulekile: Ukuba umntwana wakho ngequbuliso uba nesiyezi ngelixa edlala, ebaleka, okanye etsiba, okanye ukuba ukhalaza ngobunzima bokuphefumla, musa ukungayinaki loo nto. Kubalulekile ukufuna ingcebiso kagqirha ngoko nangoko.

Ugqirha uyifumana njani ngokuchanekileyo i-CPVT?

Ukuba wena okanye umntwana wakho ninezi mpawu, ugqirha uza kwenza iimvavanyo ezininzi ukuqinisekisa ukuba unayo na i-CPVT.

• I-Echocardiogram - uvavanyo lwe-echo: Oku kufana ne-ultrasound scan yentliziyo. Isebenzisa amaza esandi ukubona ngokucacileyo ukuma kwentliziyo yakho, indlela ezisebenza kakuhle ngayo iindonga zentliziyo, nokuba iivalvu zisebenza kakuhle na, kunye nendlela igazi elihamba ngayo.
• I-ECG (i-Electrocardiogram): Olu vavanyo luthatha igrafu yemiqondiso yombane yentliziyo yakho, okanye isigqi sentliziyo. Umntu one-CPVT usenokungabonakalisi naluphi na utshintsho olubalulekileyo kwi-ECG xa ekwimeko eqhelekileyo.
• Uvavanyo loxinzelelo lomzimba: Olu luvavanyo olubaluleke kakhulu lokufumanisa i-CPVT. Ngelixa ubaleka kwi-treadmill okanye ukhwele ibhayisekile, izinga lentliziyo yakho kunye ne-ECG zijongwa rhoqo. Abantu abane-CPVT banamathuba amaninzi okuba nentliziyo ebetha ngokukhawuleza kakhulu ngeli xesha loqeqesho.
• Ezinye iimvavanyo zokujonga intliziyo: Kwezinye iimeko, ugqirha wakho unokucebisa ukuba ujonge intliziyo yakho ngokunzulu, njenge-MRI (Magnetic Resonance Imaging ), i-cardiac catheterization , okanye i-coronary angiography .
• Uvavanyo lweMfuzo: Olu vavanyo lukhangela utshintsho oluthile lwemfuza (iinguqu) ezibangela i-CPVT kwisampulu yegazi. Oku kunokuqinisekisa isifo kwaye kuqinisekise ukuba amanye amalungu osapho asemngciphekweni.

Ngamanye amaxesha ugqirha wakho angakunika umatshini omncinci onokuwunxiba iintsuku okanye iiveki ezimbalwa. Oku kubizwa ngokuba yi-ambulatory monitor okanye i-Holter monitor.Irekhoda umsebenzi wombane wentliziyo yakho imini yonke (24, 48, okanye nangaphezulu) ngelixa usenza imisebenzi yakho yemihla ngemihla kwaye usenza imisebenzi yakho yesiqhelo yasekhaya. Oku kunika ugqirha wakho umbono olungileyo wendlela intliziyo yakho ebetha ngayo, nokuba awunazo iimpawu.

Ziziphi iindlela zonyango lwe-CPVT?

Ukuba intliziyo iqala ukubetha ngokukhawuleza kakhulu ngequbuliso, oko kukuthi, ukuba ingena kwimeko ye -ventricular tachycardia (Ventricular Tachycardia) , inokuba yingozi ebomini. Kwiimeko ezinjalo, kunokufuneka ukuba kubekho i-electric shock (Cardioversion okanye i-Defibrillation) ukubuyisela isigqi sentliziyo kwisimo esiqhelekileyo. Oku kudla ngokwenziwa njengonyango olungxamisekileyo.

Kodwa ekuhambeni kwexesha, injongo ephambili yokunyanga i-CPVT kukuthintela isigqi sentliziyo ukuba singakhawulezi ngendlela engaqhelekanga kunye nokugcina isigqi esiqhelekileyo. Isicwangciso sakho sonyango singabandakanya enye okanye ezingaphezulu kwezi zilandelayo:

• Amayeza:
• Ii-Beta-blockers: (umz. iLopressor®, iCorgard®) La mayeza asebenza ngokunciphisa imiphumo yeehomoni ezifana ne-adrenaline entliziyweni. Oku kunceda ukulawula izinga lentliziyo elinyukayo ngexesha lokuzilolonga okanye xa uxinezelekile. Olu lolona hlobo luphambili lwamayeza anikwa i-CPVT.
• IiCalcium Channel Blockers: (umz. iCardizem®, iProcardia®) Ngamanye amaxesha eli yeza linokunikwa kunye nee-beta-blockers.
• Amanye amayeza okulawula isingqisho sentliziyo: Abanye abantu banokunikwa amanye amayeza, anjenge-flecainide.
• I-ICD (ICD) efakelwa kwi-ICD: Esi sisixhobo esincinci, esisebenza ngebhetri esifakwa ngotyando phantsi kwesikhumba sesifuba. Sihlala sijonga isingqi sentliziyo. Ukuba isingqi sentliziyo ngequbuliso siba singaqhelekanga ngendlela eyingozi, esi sixhobo ngokuzenzekelayo senza umbane ukuze sibuyiselwe kwimeko yaso. Oogqirha badla ngokucebisa i-ICD kubantu abasengozini enkulu kwaye kunzima ukulawula isingqi sentliziyo yabo ngamayeza kuphela.
• Unyango lwentliziyo olusekhohlo olubizwa ngokuba yi-Left Cardiac Sympathetic Denervation (LCSD): Olu lutyando olususa ezinye zemithambo-luvo eziya entliziyweni. Oku kunokunciphisa ukukhuthazwa kwentliziyo nokunciphisa umngcipheko we-rhythms eyingozi. Olu tyando lunokuqwalaselwa kubantu abane-ICD abasoloko bothuka okanye abangaphenduli kakuhle kumayeza.

Ukongeza, kuya kufuneka wenze utshintsho olubalulekileyo kwindlela yakho yokuphila .

• Ukuzilolonga okunzima , njengokubaleka ngokukhawuleza okanye ukuphakamisa iintsimbi, kufuneka kuncitshiswe.
• Kumntwana omncinci one-CPVT, kungcono ukungabandakanyeki kwimidlalo yokhuphiswano , njengoko uchulumanco kunye noxinzelelo lokuphumelela kukhuphiswano kunokubangela ukuba intliziyo ibethe ngokukhawuleza.
• Kukwabaluleke kakhulu ukuziqhelanisa neendlela zokunciphisa uxinzelelo.

Ngaba singayithintela le CPVT ukuba ingenzeki?

Ekubeni i-CPVT ibangelwa kukuguquka kwezakhi zofuzo, akukho ndlela yokuyithintela ngokupheleleyo ukuba ingenzeki . Kuba asinto esinokuyilawula.

Nangona kunjalo, xa i-CPVT iqatshelwe, ukuba ilawulwa ngokufanelekileyo, oko kukuthi, ukuba amayeza anikwe ngugqirha asetyenziswa ngokuchanekileyo, utshintsho kwindlela yokuphila lwenziwa njengoko kumiselwe, kwaye utyelelo oluqhelekileyo kugqirha lwenziwa, nomntu one-CPVT unokuphila ubomi obuqhelekileyo nobuphezulu.

Ukuba kukho umntu kusapho lwakho oye wafunyaniswa ukuba une-CPVT, kubalulekile ukuqwalasela uvavanyo lwemfuza kunye neengcebiso zemfuza kwamanye amalungu osapho, ingakumbi abantwana. Umcebisi wemfuza angakunceda uyiqonde ngcono le meko, athethe ngamathuba okuba abantwana bakho bayifumane njengelifa, kwaye axoxe ngemiba ebalulekileyo efana nento onokuyenza ngayo.

Yintoni enokwenziwa ukuze kuthintelwe iingxaki ezinokubakho ngenxa ye-CPVT?

Ukuba i-CPVT ayilawulwa kakuhle, kukho iingxaki ezinobungozi ezinokubakho. Ungenza ezi zinto ukunciphisa umngcipheko wakho:

• Thetha nogqirha wakho uze wenze isicwangciso sokuzilolonga esikhuselekileyo esikusebenzelayo . Akunyanzelekanga ukuba uyeke ngokupheleleyo ukuzilolonga, kodwa kufuneka wazi ukuba zeziphi imithambo ezilungileyo nezingalunganga.
• Nciphisa iziselo ezine -caffeine ezifana nekofu, iti, itshokolethi, kunye nezinye iziselo ezibandayo kangangoko unako, kuba i-caffeine iyakhuthaza kwaye inokunyusa izinga lentliziyo yakho.
• Soloko uqaphela iimpawu zakho . Ukuba uziva unesiyezi, uxinezelekile esifubeni, okanye unengxaki yokuphefumla, musa ukuyityeshela nayiphi na kwezi mpawu. Fowunela ugqirha wakho ngoko nangoko.
• Ungaze uphoswe lusuku lokusebenzisa amayeza owanikwe ngugqirha wakho, thatha ngexesha elifanelekileyo nangedosi efanelekileyo .
• Kubaluleke kakhulu ukubona ugqirha ngexesha kwaye ufumane uvavanyo olufunekayo. Le yinto omele uyenze ubomi bakho bonke.

Luhlobo luni lwekamva umntu one-CPVT anokulilindela?

Ukuba ayinyangwa, i-CPVT inokukhokelela kwiingxaki zempilo kunye neengxaki. Ezinye iingxaki, ezinje ngokuma kwentliziyo ngesiquphe , zinokuba yingozi ebomini.

Kodwa, iindaba ezimnandi zezokuba ngonyango olufanelekileyo kunye nendlela yokuphila enempilo, uninzi lwabantu abane-CPVT lunokugcina isigqi sentliziyo esiqhelekileyo, lunciphise kakhulu umngcipheko wezi ngxaki, kwaye luphile ubomi obonwabisayo nobanelisayo.

Ukuba une-CPVT, kuya kufuneka unyamekelwe ubomi bakho bonke ukuqinisekisa ukuba isigqi sentliziyo yakho siqhelekile.Kuyimfuneko. Oko kuthetha ukuba kufuneka ubone ugqirha rhoqo kwaye ufumane uvavanyo olufunekayo. Ukuba iimpawu ze-CPVT ziyabuya, njengokuziva unesizungu emva kokuzilolonga, qhagamshelana nogqirha wakho ngoko nangoko ngaphandle kokulibazisa.

Izinto onokuzibuza ugqirha wakho

Ukuba wena okanye umntwana wakho unezi mpawu, okanye ukuba sele ufunyenwe une-CPVT, kuya kuba luncedo kakhulu ukuba ubuze ugqirha wakho ngokucacileyo ngale nto ilandelayo:

• Yintoni enokubangela ezi mpawu? Ingaba yi-CPVT le?
• Zeziphi ezinye iimvavanyo ekufuneka mna okanye umntwana wam ndiziqinisekise ngokuqinisekileyo ukuba ndine-CPVT?
• Zeziphi iindlela zonyango ezilungileyo ze-CPVT? Loluphi unyango olulungele mna/umntwana wam?
• Zithini iingenelo kunye neziphumo ebezingalindelekanga zezi ndlela zonyango?
• Yintoni omele uyenze phakathi kokutyelela ugqirha, ukulawula iimpawu ekhaya, okanye xa kukho imeko engxamisekileyo?
• Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo (ukutya, ukuzilolonga)?
• Ngaba amanye amalungu osapho asemngciphekweni? Ngaba nawo kufuneka avavanywe?

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, nangona imeko esele sithethe ngayo ngokubanzi, i-CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia), isenokubonakala isoyikisa kancinci, eyona nto ibalulekileyo kukuyibona kwangethuba kwaye uyifumane inyango efanelekileyo.

Ngokuxilongwa ngokuchanekileyo, unyango njengoko luchazwe ngugqirha wakho, kunye notshintsho olulula lwendlela yokuphila, nomntu one-CPVT unokuphila ubomi obuqhelekileyo, obusebenzayo, nobanelisayo. Khumbula, ukuba uneempawu, kubalulekile ukubona ugqirha ngokukhawuleza ngaphandle kokuzityeshela. Awuwedwa kolu hambo, kwaye kukho oogqirha abanezakhono kunye neengcali zempilo abanokukunceda kwaye bakukhathalele. Ngoko ungoyiki, jongana nale nto ngenkalipho.

I- CPVT, isingqisho sentliziyo, ukubetha kwentliziyo, i-ventricular tachycardia, utshintsho lwemfuza, istroke, ukuminyana kwentliziyo ngesiquphe, impilo yomntwana