Ingaba intliziyo yakho ibetha ngokukhawuleza ngequbuliso? Mhlawumbi le yiWolff-Parkinson-White Syndrome!

Ngaba wakha waphawula ukuba intliziyo yakho iqala ukubetha ngokungathi uyaphambana ngaphandle kwesizathu? Ngelo xesha, uziva usoyika kancinci, akunjalo? Ngamanye amaxesha unobangela woku unokuba yimeko ebizwa ngokuba yiWolff-Parkinson-White Syndrome, esiza kuthetha ngayo namhlanje. Nangona igama lisenokuvakala ngathi yinto enkulu, masithethe ngayo ngokulula.

Yintoni iWolff-Parkinson-White Syndrome?

Ngamafutshane, i-Wolff-Parkinson-White syndrome (WPW) yimeko ebangelwa yindlela eyongezelelweyo yombane entliziyweni ekhoyo ekuzalweni . Iintliziyo zethu ziyabetha kuba iimpawu zombane zihamba entliziyweni. Ngokwesiqhelo, ezi zibonakaliso zinendlela ethile ekufuneka zihambe ngayo. Kodwa kubantu abane-WPW, kukho "indlela emfutshane" encinci entliziyweni ukongeza kule ndlela ithile.

Khawuthelekelele, xa uqhuba imoto endleleni, ukuba uthatha indlela encinci esecaleni ukongeza kwindlela enkulu, ungahamba ngokukhawuleza. Ngenxa yale ndlela yombane eyongezelelweyo, imiqondiso eya entliziyweni ihamba ngokukhawuleza kakhulu. Ngenxa yoko, intliziyo iqala ukubetha ngokukhawuleza kakhulu. Oogqirha bayibiza le supraventricular tachycardia (SVT) , nto leyo ethetha ukubetha kwentliziyo okukhawulezayo okuqala kwiindawo eziphezulu zentliziyo.

Xa intliziyo ibetha ngokukhawuleza kangaka, amagumbi entliziyo awabi naxesha laneleyo lokuzalisa igazi ngaphambi kokubetha okulandelayo. Oku kuthetha ukuba intliziyo ayinakupompa igazi elaneleyo emzimbeni.

Ixhaphake kangakanani le meko ye-WPW?

Isifo sikaWolff-Parkinson-White sisifo esingaqhelekanga . Ehlabathini lonke, sichaphazela malunga nomntu omnye ukuya kwabathathu kwi-1,000. Nabani na unokuba ne-WPW, kwaye ngamanye amaxesha sivela kwiintsapho. Kuthiwa sixhaphake kancinci kubantu baseTshayina.

Zithini iimpawu?

Iimpawu ze-WPW zingahluka kumntu nomntu. Uninzi lwabantu alunazo kwaphela iimpawu . Nangona kunjalo, abanye abantu banokuba nazo iimpawu imizuzwana embalwa ukuya kwiiyure ezimbalwa yonke imihla. Abanye banokuba nazo izihlandlo ezininzi ngonyaka.

Usenokuziva izinto ezinje:

• Ndiziva ndingonwabanga kwaye ndixhalabile .
• Ukuva intlungu okanye ukuxinana esifubeni.
• Ukuziva ngathi unesizungu (isiyezi).
• Ukuquleka .
• Ndiziva ndidiniwe kakhulu.
• Ukubetha kwentliziyo ngokukhawuleza kukuziva ngequbuliso intliziyo yakho ibetha ngokukhawuleza. Oku kungathatha imizuzwana embalwa okanye iiyure ezimbalwa.
• Ukuziva uphelelwa ngumphefumlo (Dyspnea) .

Unyaka ngamnye, phakathi kwe-1% kunye ne-2% yabantu abane-WPW bahlakulela isigqi sentliziyo esingaqhelekanga, okanye i-arrhythmia .

Yintoni ebangela i-WPW?

Amaxesha amaninzi, noogqirha banengxaki yokufumana unobangela othile we-WPW.Mhlawumbi kukho umntu kusapho lwakho okhe waba nale meko ngaphambili, okanye ingenzeka ngaphandle kwesizathu esicacileyo.

Ngaba i-WPW idluliselwa kwilifa?

Abaphandi abakaqiniseki nokuba idluliselwa kubazali ukuya ebantwaneni. Uninzi lwabantu abane-WPW abanabo abazali abanale meko. Nangona kunjalo, ezinye ii-genes ezibangela i-WPW zinokudluliselwa kwizizukulwana ngezizukulwana. Le meko izuzwe njengelifa ikwabizwa ngokuba yi -familial Wolff-Parkinson-White syndrome .

Ziziphi iingxaki ezinokwenzeka ngenxa ye-WPW?

Ngamanye amaxesha, abantu banokuwa baze balimele xa befaka i-brace. Abanye abantu banokuba noxinzelelo lwegazi oluphantsi xa intliziyo yabo ibetha ngokukhawuleza kakhulu. Ingxaki engaqhelekanga kodwa eyingozi ye-WPW kukufa ngequbuliso kwentliziyo .

Ukuba uneempawu ze-WPW, bonana nogqirha ngokukhawuleza. Unyango lwale meko kwangoko lunokuthintela iingxaki.

Ifunyaniswa njani i-WPW?

Oogqirha badla ngokuxilonga i-WPW nge -ECG (i-electrocardiogram) . Sithi nje "thatha umfanekiso wentliziyo," kwaye yiyo loo nto. Ngamanye amaxesha, ugqirha wakho unokubona utshintsho kwisantya sentliziyo yakho ngexesha lovavanyo lomzimba. Ukuba iimpawu zakho ziba mandundu xa uzilolonga, unokucelwa ukuba wenze uvavanyo loxinzelelo lomthambo . Ukuba izinga lentliziyo yakho livakala lahlukile, okanye ukuba unezinye iimpawu ezinxulumene ne-WPW, qiniseka ukuba uxelele ugqirha wakho.

Zeziphi iimvavanyo ezisetyenziselwa ukufumanisa i-WPW?

Ukujonga izinga lokubetha kwentliziyo yakho, ugqirha wakho unokucebisa iimvavanyo ezifana nezi:

• I-Electrocardiogram (ECG): Olu lolona vavanyo lubalulekileyo.
• Uphononongo lwe-Electrophysiology: Olu luvavanyo oluneenkcukacha kakhulu lomsebenzi wombane wentliziyo. Oku kwenziwa ngokufaka izixhobo ezincinci ezifana neengcingo entliziyweni.
• Isixhobo sokubona unyawo seHolter: Esi sisixhobo esincinci esinxitywa emzimbeni wakho iiyure ezingama-24 ukuya kuma-48. Sirekhoda ukusebenza kwentliziyo yakho kulo lonke ixesha.
• Ukujonga ixesha elide: Kufana ne-monitor ye-Holter, kodwa izinga lokubetha kwentliziyo lijongwa ixesha elide (iintsuku okanye iiveki ezininzi).

Olu vavanyo lunika ugqirha wakho umbono ongcono ngesantya sentliziyo yakho, isigqi sayo, kunye nokuba kukho naziphi na iingxaki kwindlela ezihamba ngayo iimpawu zombane. I-ECG yomntu one-WPW inokubonisa utshintsho olucacileyo ngakumbi kune-ECG eqhelekileyo.

Ihlala ifunyaniswa nini i-WPW?

Ngamanye amaxesha oogqirha bafumanisa i-WPW besebancinci . Nangona kunjalo, ixhaphake kakhulu xa usemncinci, phakathi kweminyaka eli-15 nengama-25 ubudala , kuba kulapho iimpawu ziqala ukubonakala khona kakhulu.

Ngaba kukho ezinye iimeko ezinxulumene ne-WPW?

Abanye abantu abane-WPW banokuba nezinye iingxaki zentliziyo. Umzekelo:

• I-Atrial fibrillation: Imeko apho amagumbi aphezulu entliziyo ebetha ngokungacwangciswanga nangokukhawuleza.
• I-Ebstein anomaly: Isiphene sokuzalwa kwivalvu yentliziyo.
• I-Ventricular fibrillation (V-fib): Imeko enokuba yingozi ebomini apho amagumbi asezantsi entliziyo abetha ngokukhawuleza nangokungalawulekiyo.

Ukuba unezinye zezi ngxaki zentliziyo, ugqirha wakho uza kukuchazela indlela yokulawula impilo yentliziyo yakho.

Iphathwa njani i-WPW?

Unyango lwe-WPW luyahluka kumntu nomntu. Ukuba awunazo iimpawu ezixhaphakileyo, usenokungadingi naluphi na unyango . Iimpawu zakho zinokuncipha okanye ziphele ngokuhamba kwexesha.

Nangona kunjalo, ukuba usoloko ubetha intliziyo yakho kwaye ufumana iimpawu ezifana nesiyezi kunye nokuquleka, ugqirha wakho unokucebisa unyango olufana nolu:

• Ukususwa kwe-Radiofrequency: Olu luhlobo lonyango olubizwa ngokuba yi -catheter ablation . Kule ndlela, indlela yombane engaphezulu entliziyweni iyachongwa kwaye inxalenye encinci yayo iyatshatyalaliswa kusetyenziswa amandla e-radio wave. Isantya sentliziyo sibuyela kwisiqhelo. Olu lonyango olusebenzayo kakhulu.
• I-Cardioversion: Le nkqubo isetyenziselwa ukumisa isantya sentliziyo esingaqhelekanga (ingakumbi kwiimeko ezifana ne-SVT) nokubuyisela isigqi sentliziyo esiqhelekileyo. Oku kungenziwa ngokunika amayeza (i-chemical cardioversion) okanye ngokunika umothuko omncinci wombane esifubeni (i-electrical cardioversion).
• Amayeza: Amayeza anokunikwa ukulawula ukubetha kwentliziyo yakho ngokukhawuleza okanye ukugcina ukubetha kwentliziyo yakho kusemgangathweni kwixesha elide.

Ngaba i-WPW ifuna utyando?

Uninzi lwabantu abane-WPW aludingi kutyando. Nangona kunjalo, kunqabile kakhulu ukuba oogqirha benze utyando lwentliziyo oluvulekileyo ukuvala indlela yombane engaphezulu entliziyweni. Olu hlobo lotyando ludla ngokwenziwa ngaxeshanye nenye ingxaki yentliziyo ukongeza kwi-WPW.

Ungazilawula njani iimpawu ze-WPW ekhaya?

Ukuba ngequbuliso uva ukubetha kwentliziyo ngokukhawuleza ngelixa usekhaya, ugqirha wakho angakuxelela ukuba wenze izinto ezifana nezi:

• Indlela yokusebenzisa iValsalva: Oku kuquka ukucinezela impumlo yakho nokuvuthela umoya emlonyeni wakho, njengokuzama ukuvuthela ibhaluni. Okanye, thatha umoya onzulu uwubambe ngelixa utyhala isisu sakho ngaphakathi.
• Ukukhwehlela.
• Ukuphulula i-carotid sinus: Hlikihla kancinci elinye icala lentamo (apho i-carotid sinus ikhoyo). Yenza oku kuphela ukuba ugqirha wakho ukuxelele ukuba wenze njalo.

Ezi ngamanye amaxesha zinokunceda ukulawula ukubetha kwentliziyo ngokukhawuleza.

Ngaba kukho naziphi na iziphumo/iingxaki zonyango?

Naliphi na iyeza linokuba nemiphumo emibi. Thetha nogqirha wakho ngalo.

Nangona ukususwa kwe-radiofrequency kuyinkqubo ekhuselekileyo nesebenzayo, oku kulandelayo akunakwenzeka rhoqo:

• Amahlwili egazi.
• Usulelo.
• Istroke.
• Ukopha.

Iingxaki ezibangelwa yi-cardioversion nazo aziqhelekanga. Abanye abantu banokuba namahlwili egazi, ukusikeka okuncinci eluswini apho kuthe kwavela khona umbane, okanye ukuba mandundu kwentliziyo. Ezi aziqhelekanga kakhulu.

Ndiza kuziva bhetele nini emva konyango?

Izinto onokuzenza ekhaya, ezifana neValsalva maneuver kunye nokukhwehlela, zinokukunceda ukunciphisa isantya sentliziyo yakho kancinci ngelo xesha. Ukuba usela amayeza e-WPW, buza ugqirha wakho ukuba loluphi uhlobo lweziphumo onokuzilindela kuye.

Emva kokususwa okanye utyando, ugqirha wakho uza kukuxelela ukuba kuza kuthatha ixesha elingakanani ukuba iimpawu zakho ziphucuke, into omawuyilindele ngexesha lokuchacha kwakho, kunye nexesha onokubuyela ngalo kwimisebenzi yakho yesiqhelo.

Ngaba i-WPW ingathintelwa?

Hayi. Isifo sikaWolff-Parkinson-White sisifo ozalwa unaso . Akukho nto unokuyenza ukuthintela esi sifo.

Kuza kwenzeka ntoni ukuba ndine-WPW?

Ukuba une-WPW, kufuneka usebenzisane nogqirha wakho ukulawula iimpawu zakho. Kufuneka ubone ugqirha wakho rhoqo ngamaxesha okudibana ukuqinisekisa ukuba iimpawu zakho azibi mbi. Landela imiyalelo kagqirha wakho ngokuchanekileyo. Xelela ugqirha wakho ngoko nangoko ukuba uneempawu ezintsha okanye ukuba iimpawu zakho ziba mbi.

Iyintoni ikamva labantu abane-WPW?

Ubomi babantu abane-WPW abafumana unyango buqhelekile . Abantu abaninzi banokuphiliswa ngokupheleleyo ngokususwa kwe-radiofrequency okanye utyando.

Ngokubanzi, abantu abangenazo iimpawu banomngcipheko omncinci wokufa ngenxa yokufa ngesiquphe kwentliziyo. Abantu abaneempawu ze-tachycardia banomngcipheko ophezulu kancinci. Nangona kunjalo, ukufa ngesiquphe kwentliziyo kunqabile kakhulu kubantu abane-WPW.

Ndingayinyamekela njani impilo yam?

Bona ugqirha wakho rhoqo. Landela imiyalelo kagqirha wakho rhoqo. Nyamekela impilo yakho ngale ndlela:

• Yitya ukutya okunempilo .
• Lawula uxinzelelo lwakho lwegazi .
• Musa ukusebenzisa iimveliso zecuba.
• Ziphephe okanye unciphise ukutya kwakho izinto ezivuselelayo (i-caffeine, amanye amayeza). Thetha nogqirha wakho ngale nto.
• Gcina ubunzima obusempilweni obukufaneleyo.

Zeziphi izinto ezilungileyo zokutya nokusela xa une-WPW?

Ezinye izinto zingenza intliziyo yakho ibethe ngokukhawuleza. Buza ugqirha wakho ngezi zinto:

• Utywala.
• I-caffeine ( efumaneka kwikofu, iti, nakwezinye iziselo).
• Izinto ezivuselela ingqondo ezifana nee-amphetamines okanye i-nicotine.

Ngaba ungazilolonga ukuba une-WPW?

Ukuzilolonga kulungele umzimba nengqondo yakho. Buza ugqirha wakho malunga nokuzilolonga nge-WPW. Thetha naye ngayo nayiphi na ingozi ekhethekileyo ekufuneka uyazi kunye nayo nayiphi na imisebenzi ongenakuyenza.

Ndifanele ndimbone nini ugqirha?

Ukuba ngequbuliso ufumana ukubetha kwentliziyo okukhawulezayo ongenakukwazi ukukulawula ngamayeza asekhaya, ingakumbi ukuba kuhamba neempawu ze-WPW, ezinje ngesiyezi, ukuquleka, okanye iintlungu zesifuba, tsalela umnxeba ugqirha wakho ngoko nangoko .

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Umntu unokufuna unyango olungxamisekileyo kwimeko efana nale:

• Ukuba unentlungu esifubeni ngaphezu kwemizuzu eli-15.
• Ukuba uneentlungu esifubeni , ubunzima bokuphefumla, okanye isisu sakho singakhululeki .
• Ukuba udiniwe kwaye ungavuki .
• Ukuba ukubetha kwentliziyo kuhlala kungaqhelekanga emva kwemizuzu embalwa.

Ndingayibuza yiphi imibuzo ugqirha?

Ukuba wena okanye umntwana wakho une-WPW, buza ugqirha wakho le mibuzo:

• Ingaba kukhuselekile ukuthatha amayeza e-WPW kunye namanye amayeza endiwasebenzisayo?
• Ukuba ndine-WPW, ngaba nabantwana bam baya kuba nayo?
• Ndingazi njani ukuba ukubetha kwentliziyo ngokukhawuleza kuyinto engxamisekileyo?
• Ngaba umntwana wam uza kukhuseleka xa enesifo sentliziyo esikolweni?
• Ngaba kukhuselekile ukudlala imidlalo ene-Wolff-Parkinson-White syndrome?
• Ngaba kufuneka ndifumane unyango olungenalusini olufana nokukhupha isisu?

Abazali abaninzi abalindeli ukuba umntwana wabo abe nesifo sentliziyo. Kunokuba yinto eyoyikisayo xa umntwana wakho ebetha ngamandla ngenxa yesifo sikaWolff-Parkinson-White. Nangona kunjalo, unyango lwale meko lunokunceda kwaye lunyange abantu abaninzi. Buza ugqirha wakho malunga nendlela onokuyilawula ngayo iimpawu zakho kunye nezisombululo ezilungileyo zexesha elide kuwe nakumntwana wakho.

Umyalezo Wokuya Ekhaya

Isifo iWolff-Parkinson-White syndrome (WPW) sisifo esibangelwa yindlela yombane engaphezulu entliziyweni enokubangela ukuba intliziyo ibethe ngokukhawuleza. Asinguye wonke umntu oneempawu, kodwa abanye abantu banokufumana izinto ezifana neentlungu zesifuba, isiyezi, kunye nokuquleka. Ungakhathazeki, kukho unyango olufanelekileyo loku.Ngamanye amaxesha, inokunyangeka ngokupheleleyo ngonyango olufana nokususwa kwe-radiofrequency. Eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza ukuba unale mpawu. Kukwabaluleke kakhulu nokuphila ubomi obusempilweni. Thetha nogqirha wakho ukuze uyile isicwangciso sonyango esifanelekileyo kuwe.

Isifo sikaWolff -Parkinson-White, Ukubetha kwentliziyo ngokukhawuleza, ukubetha kwentliziyo ngokukhawuleza, i-SVT, i-ECG, isifo sentliziyo, ukukhupha isisu, ukuguguleka kwentliziyo, impilo yaseSri Lanka