Ngaba ngamanye amaxesha uziva ngathi intliziyo yakho ibetha ngokukhawuleza ngaphandle kwesizathu? Ngaba uziva ngathi usandul' ukubaleka? Ngaba uziva ngathi isifuba sakho siyabetha, uziva uphelelwa ngumoya, uziva unesizungu, kwaye amehlo akho ajika abe luhlaza okwesibhakabhaka? Ukuba ukhe waba namava anjalo, esinye sezizathu sinokuba yimeko esithetha ngayo namhlanje ebizwa ngokuba yiWolff-Parkinson-White Syndrome. Musa ukoyika ukuba igama livakala liyinkimbinkimbi kancinci. Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni kanye kanye iWolff-Parkinson-White (WPW) Syndrome?
Ngamafutshane, i-WPW Syndrome lutshintsho oluncinci kwindlela imiqondiso yombane ehamba ngayo entliziyweni yethu. Yimeko ekhoyo xa umntu ezalwa.
Cinga ngayo njengepompo encinci. Ukuze le mpompi isebenze ngesingqisho esifanelekileyo, kufuneka ifumane imiqondiso yombane. Ngokwesiqhelo, ezi miqondiso zihamba ngendlela enye kuphela entliziyweni. Kule ndlela kukho indawo encinci ebizwa ngokuba yi-AV node . Le ndawo inceda iindawo eziphezulu zentliziyo (atria) kunye neendawo ezisezantsi (amagumbi e-ventricular) ukuba zifinyeze ngokulandelelana okuchanekileyo.
Kodwa entliziyweni yomntu one-WPW Syndrome, kukho indlela encedisayo ukongeza kwindlela eqhelekileyo yombane. Oku kufana "nendlela emfutshane" enokusetyenziselwa ukudlula indlela enkulu kwisixeko.
Le ndlela eyongezelelweyo, edlula i-AV node elawula isantya, ivumela imiqondiso yombane ukuba ihambe ngokukhawuleza ukuya kumagumbi asezantsi entliziyo, ii-ventricles. Oku kubangela ukuba amagumbi entliziyo anciphe ngaphambi kwexesha eliqhelekileyo. Kwizonyango, sibiza oku ngokuba yi-preexcitation . Ezi miqondiso zikhawulezayo nezingaqhelekanga zibangela ukuba intliziyo ibethe ngokukhawuleza ngequbuliso. Sisebenzisa amagama anje nge-``supraventricular tachycardia - SVT'' okanye ``atrial fibrillation - AFib'' kwezi ntlobo zentliziyo ezikhawulezayo.
Khumbula, i-WPW Syndrome ayibobuthathaka entliziyweni yakho. Lutshintsho nje oluncinci kwinkqubo yombane yentliziyo olubakho xa uzalwa.
Le meko ayixhaphakanga kangako. Ichaphazela phakathi komntu omnye no-3 kwi-1,000 kwihlabathi liphela. Ixhaphake kakhulu kubantu abanezinye iziphene zentliziyo zokuzalwa, ezifana ne-Ebstein's anomaly.
Zithini iimpawu ze-WPW Syndrome?
Ayingabo bonke abantu abane-WPW Syndrome abaya kuba neempawu. Abanye abantu basenokungazi ukuba banale meko ubomi babo bonke. Kodwa ukuba iimpawu ziyenzeka, zihlala zisenzeka xa isantya sentliziyo sikhawuleza kakhulu.
Kutheni oku kusenzeka? Xa intliziyo ibetha ngokukhawuleza kakhulu, amagumbi ayo awanalo ixesha elaneleyo lokuzalisa igazi. Ngenxa yoko, intliziyo ayikwazi ukupompa igazi elaneleyo emzimbeni. Kulapho ke ezi mpawu ziqala khona.
Makhe sibone ukuba zeziphi iimpawu eziphambili kwitheyibhile engezantsi.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukubetha Kwentliziyo | Ukuziva ngequbuliso uxinezelekile esifubeni, ngokungathi intliziyo yakho ibetha esifubeni sakho. Oku kungenzeka xa uhleli nje, uzilolonga, uphantsi koxinzelelo, okanye emva kokusela isivuseleli esifana nekofu. |
| Isiyezi | Ukuziva unesizungu. Le meko inokwenzeka xa ingqondo ingafumani gazi laneleyo. |
| Ukutyhafa okanye ukuziva utyhafile | Amehlo ajika abe luhlaza okwesibhakabhaka, azive etyhafile okanye elahlekelwa zingqondo. |
| Ukudinwa okanye ubuthathaka | Ukuziva ngathi umzimba wakho awunabomi, uzive udiniwe ngalo lonke ixesha. |
| Ukuqhawukelwa ngumphefumlo | Ukuziva ufuthanisekile okanye kunzima ukuphefumla. |
| Uxinzelelo lwesifuba okanye ukuqina | Ukuziva uxinezelekile okanye ubunzima esifubeni. |
Yintoni ebangela i-WPW Syndrome?
Kwabaninzi abantu, akukho sizathu sithile sifunyenweyo se-WPW Syndrome. Oku kuthetha ukuba yenzeka nje ngokungacwangciswanga. Kodwa kubantu abambalwa kakhulu, le meko inokubangelwa zizinto zemfuza. Esinye isizathu kukutshintsha kwemfuza ebizwa ngokuba yi -PRKAG2 . Olu tshintsho lwemfuza lunokudluliselwa kwizizukulwana ngezizukulwana.
Ziziphi iingxaki ezinokwenzeka ngenxa yale meko?
Uninzi lwabantu abane-WPW Syndrome baphila ubomi obuqhelekileyo. Nangona kunjalo, ukuba abanyangwa, iingxaki ngamanye amaxesha zinokubakho. Musa ukukhathazeka , ezi azixhaphakanga. Kwaye kukho unyango olusebenzayo olufumanekayo namhlanje olunokuthintela.
- Iingozi ezibangelwa kukulahlekelwa zingqondo: Ukuba ngequbuliso ulahlekelwa zingqondo, ungawa uze wenzekele.
- Ezinye iingxaki zesingqisho sentliziyo: Umngcipheko wokuba nezinye iingxaki zesingqisho sentliziyo, ezifana ne-atrial fibrillation, unokwanda.
- Ukungahambi kakuhle kwesantya sentliziyo: Kunqabile kakhulu ukuba kubekho imeko eyingozi ebizwa ngokuba yi-"Ventricular fibrillation".
- Ukufa ngesiquphe kwentliziyo: Le yeyona ngxaki inzima nengaqhelekanga ye-WPW syndrome. Enye yeenjongo eziphambili zonyango kukususa ngokupheleleyo le ngozi.
Oogqirha bayixilonga njani le sifo?
Ukuba uneempawu ezikhankanyiweyo apha ngasentla, into yokuqala ugqirha wakho aza kuyenza kukwenza i-ECG (i-electrocardiogram). Olu luvavanyo olulula kakhulu, olungenabuhlungu.
I-ECG inokurekhoda umsebenzi wombane wentliziyo. I-ECG yomntu onesifo se-WPW ibonisa ipateni ethile ebangelwa yindlela yombane eyongezelelweyo. Le pateni siyibiza ngokuba yi-"WPW pattern."
- Ipateni ye-WPW: Nokuba unayo le pateni ithile kwi-ECG yakho, ukuba awunazo iimpawu, ugqirha wakho uya kuthi kuphela ukuba unepatheni ye-WPW.
- I-WPW Syndrome: Ukuba ufumana iimpawu ezifana neentlungu zesifuba kunye nale patheni kwi-ECG yakho, ugqirha wakho uya kugqiba ukuba une-WPW Syndrome.
Ukongeza kwi-ECG, ugqirha wakho unokucebisa ezinye iimvavanyo ezininzi.
- I-Echocardiogram (Echo): Olu luvavanyo lwe-ultrasound lwentliziyo. Lunceda ukubona ukuba ulwakhiwo lwentliziyo, amagumbi, kunye neevalvu zisebenza kakuhle na.
- Uphononongo lwe-Electrophysiology: Olu luvavanyo oluntsonkothileyo kancinci. Kule nto, kufakwa iingcingo ezincinci (ii-catheters) entliziyweni, kudwetshwe iindlela zombane zentliziyo, kwaye indawo echanekileyo yendlela eyongezelelweyo iyachongwa.
- Uvavanyo loxinzelelo lokuzivocavoca: Wenzelwe ukubaleka kwi-treadmill kwaye i-ECG isetyenziselwa ukujonga indlela umsebenzi wentliziyo yakho kunye nesingqi esitshintsha ngayo njengoko uzilolonga.
- Ukubeka iliso kwi-ambulatory (i-monitor ye-Holter):Isixhobo esincinci sinxitywa emzimbeni wakho esirekhoda izinga lentliziyo yakho iiyure ezingama-24 nangaphezulu. Oku kunceda ekuchongeni utshintsho kwisingqisho sentliziyo yakho njengoko uqhubeka nemisebenzi yakho yemihla ngemihla.
Ziziphi iindlela zonyango lwe-WPW Syndrome?
Kukho unyango olusebenzayo kakhulu lwe-WPW Syndrome. Ugqirha wakho uya kumisela unyango olufanelekileyo kuwe ngokusekwe kuhlobo lweempawu zakho, ukuba zivela kangaphi, kunye neziphumo zovavanyo lwakho.
| Indlela Yonyango | Inkcazo |
|---|---|
| Amayeza okulwa nokubetha kwentliziyo | Amayeza alawula ukubetha kwentliziyo ngokukhawuleza anokunciphisa ukuphindaphindeka kweempawu. |
| Iindlela zokulawula iiVagal | Xa isantya sentliziyo yakho sikhawuleza, kukho izinto ezilula onokuzenza ekhaya ukuze uncede ibuyele esiqhelweni. Umzekelo, ukukhohlela kakhulu okanye ukusula ubuso bakho ngetawuli ebandayo. Ugqirha wakho uza kukufundisa indlela yokwenza ezi zinto. |
| Intliziyo eguquguqukayo | Kwimeko engxamisekileyo, oko kukuthi, ukuba ukubetha kwentliziyo kuyaqhubeka nokukhawulezisa, yindlela yokubuyisela ukubetha kwentliziyo kwimeko yesiqhelo ngokukhupha umothuko omncinci wombane esifubeni esibhedlele. |
| Ukususwa kweCatheter | Olu lolona nyango lubalaseleyo noluhlala luhleli lwe-WPW Syndrome. Kule meko, kufakwa ucingo oluncinci (i-catheter) entliziyweni ngomthambo wegazi osesinqeni, kufumaneke indlela yombane eyongezelelweyo, kwaye ivalwe ngamandla e-radiofrequency okanye i-cryoablation. Olu lunyango oluphumelele ngaphezu kwe-94%. Emva koku, isifo sinokunyangwa ngokupheleleyo. |
| Ukususwa kotyando | Indlela esetyenziswa kuphela xa indlela yokukhupha i-catheter ingaphumeleli okanye ukuba kufuneka olunye utyando lwentliziyo. |
Ndifanele ndimbone nini ugqirha?
Ukuba une-WPW Syndrome, kubaluleke kakhulu ukuba ubonane nogqirha wakho rhoqo ukuze ahlolwe rhoqo (ulandelelwano). Ugqirha wakho uza kukuxelela ukuba kufuneka ubuye kangaphi. Kwakhona, ukuba ubona naluphi na utshintsho kwiimpawu zakho okanye ubonakalise naziphi na iimpawu ezintsha, yazisa ugqirha wakho ngoko nangoko.
Xa uphila kwimeko efana nale, ngamanye amaxesha unokuziva usoyika kwaye uxhalabile. Yinto eqhelekileyo leyo. Ngamaxesha anje, endaweni yokuyigcina iyimfihlo, ukuthetha nomntu omthembayo, okanye nomcebisi, kunokuba luncedo kakhulu kwimpilo yakho yengqondo.
Ixesha lokuya kwi-ETU ukuze ufumane unyango olungxamisekileyo
Ukuba ufumana ezi mpawu zilandelayo, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane ngoko nangoko .
- Ukuba ufumana iintlungu eziqatha esifubeni .
- Ukuquleka.
- Ukuba ukubetha kwentliziyo yakho ngokukhawuleza kuqhubeka ixesha elingaphezu kwemizuzu embalwa kwaye akupheli nasemva kokwenza iVagal Maneuvers ugqirha wakho akunike yona.
Ukuba uphelelwa zingqondo, usenokungakwazi ukuzinceda. Yiyo loo nto kubalulekile ukwazisa usapho lwakho nabahlobo ochitha ixesha nabo ngemeko yakho. Ngale ndlela, baya kwazi ukuba benze ntoni xa kukho imeko engxamisekileyo.
Liza kuba njani ikamva lam kule meko?
Uninzi lwabantu abane-WPW Syndrome abafumana unyango olufanelekileyo banokuphila ubomi obuqhelekileyo nobusempilweni . I-Catheter Ablation, ngakumbi, inokunyanga ngokupheleleyo imeko kwaye ikukhusele kwingozi yokufa ngesiquphe kwentliziyo.
Kusenokufuneka ulumke ngezinto ezithile ebomini bakho bemihla ngemihla. Umzekelo, kungcono ukuziphepha izinto ezinokwenza intliziyo yakho ibethe ngokukhawuleza.
- Utywala
- I-Caffeine (ikofu, iti, iziselo ezibandayo)
- Izinto ezivuselelayo ezifana ne-nicotine (ukutshaya)
- Ukuzilolonga okunzima nokunzima (buza ugqirha wakho ukuba zeziphi iziyolo ezikhuselekileyo kuwe)
Ukuba umntwana wakho une-WPW Syndrome...
Njengomzali, unokoyika kakhulu xa ufumanisa ukuba umntwana wakho unale meko. Yinto eqhelekileyo leyo. Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha womntwana wakho kwaye ubuze yonke imibuzo yakho.
Umzekelo, fumana imiyalelo ecacileyo malunga nokuba kukhuselekile na ukuba umntwana wakho adlale imidlalo okanye into anokuyenza xa isantya sentliziyo yakhe sinyuka esikolweni. Ugqirha angakunceda uchaze imeko ngolwimi umntwana wakho aluqondayo.
Igama elithi WPW Syndrome linokuba loyikeka. Kodwa khumbula, yimeko enokulawulwa, kwaye kwiimeko ezininzi, inyangeke ngokupheleleyo. Ugqirha wakho kunye neqela lezonyango balapha ukukunceda. Ngoko ungathandabuzi ukubuza nayiphi na imibuzo onayo.
Umyalezo Wokuya Ekhaya
- Isifo sikaWolff-Parkinson-White (WPW) yimeko yokuzalwa ebangelwa bubukho bendlela eyongezelelweyo yombane entliziyweni.
- Iimpawu ezifana nokubetha kwentliziyo ngokukhawuleza, isiyezi, kunye nokulahlekelwa zingqondo zinokuvela ngequbuliso. Nangona kunjalo, ayinguye wonke umntu ofumana iimpawu.
- Uvavanyo oluphambili lokufumanisa esi sifo yi-ECG.
- Ungakhathazeki! Kukho unyango olusebenzayo kakhulu koku. Unyango olubizwa ngokuba yiCatheter Ablation lunokunyanga ngokupheleleyo esi sifo kwiimeko ezingaphezu kwama-94%.
- Ukuba ufumana iintlungu esifubeni, ukuphelelwa ngamandla, okanye ukubetha kwentliziyo okukhawulezayo okuqhubekayo, yiya kwi -ETU yesibhedlele ngoko nangoko.
- Thetha ngokukhululekileyo nogqirha wakho malunga neempawu zakho kunye nonyango. Ngonyango olufanelekileyo kunye notshintsho kwindlela ophila ngayo, ungaphila ubomi obusempilweni ngokupheleleyo.
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