Ingabe inhliziyo yakho ishaya ngokushesha ngokuzumayo? Lokhu kungaba yi-CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia)!

Ngezinye izikhathi, uma ukhathele kakhulu, noma uma uzwa into enkulu enhliziyweni yakho, njengenjabulo enkulu, ukudabuka, noma ukwesaba, ingabe inhliziyo yakho ishaya ngokushesha futhi isifuba sakho sizwa siqinile? Mhlawumbe amehlo akho aphenduka abe luhlaza okwesibhakabhaka bese uzizwa unesiyezi? Ungamangali, lezi zinto zingenzeka ngisho nasenganeni encane. Namuhla sizokhuluma ngesimo esikhethekile esenzeka emsindweni wenhliziyo, okuyinto engavamile kodwa ebaluleke kakhulu ukwazi ngayo.

Kuyini i-CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia)?

Kalula nje, i-CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia) yisimo esenzeka ngesigqi senhliziyo. Kulokhu, izingxenye ezingezansi zenhliziyo yakho, okungukuthi, amakamelo aphansi enhliziyo, noma njengoba odokotela bezibiza kanjalo, ama-ventricle , ngokuzumayo ziqala ukushaya ngokushesha okukhulu nangokungajwayelekile lapho uzivocavoca, udlala, noma uzizwa ucindezelekile kakhulu, njengenjabulo enkulu, ukwesaba, noma injabulo.

Cabanga ngale ndlela: inhliziyo yethu ifana nephampu yamanzi. Yiyo epompa igazi emzimbeni wonke. Ngakho-ke, uma le nhliziyo ishaya ngokushesha okukhulu, okungukuthi, ngesigqi esingajwayelekile, iba nesikhathi esinzima sokupompa igazi ngendlela efanele nokulithumela kuzo zonke izingxenye zomzimba. Yilokhu okwenzekayo ku-CPVT.

Sivame kangakanani lesi simo esibizwa ngokuthi i-CPVT?

Empeleni, lesi simo esibizwa ngokuthi i-CPVT singavamile . Ngokusho kochwepheshe bezokwelapha, kulinganiselwa ukuthi cishe umuntu oyedwa kwabayizinkulungwane eziyishumi (10,000) unalesi simo. Ngakho-ke, akuwona wonke umuntu oke wezwa ngaso.

Kungani lokhu kwenzeka nge-CPVT? Iyini imbangela?

Abantu abaningi banombuzo othi, "Kungani lokhu kwenzeka?" Isizathu esiyinhloko se-CPVT ushintsho ezakhiweni zethu zofuzo, ukuguquka kwezakhi zofuzo . Uyazi, konke emzimbeni wethu kulawulwa yilezi zakhi zofuzo.

• Ezimweni eziningi, ungazuza lolu hlobo lofuzo kumama wakho noma kuyihlo, noma kokubili.
• Kodwa akuvamile kakhulu, okungukuthi, akuvamile kakhulu, lokhu kushintshashintsha kwezakhi zofuzo kungenzeka emzimbeni womuntu omusha ngokungahleliwe , ngaphandle kwethonya lezakhi zofuzo elivela kubazali.

Ngakho-ke, lolu shintsho lwezakhi zofuzo lubangela inkinga endleleni ama-ion e-calcium alawulwa ngayo ngaphakathi kwamaseli enhliziyo. Yileso sizathu esiyinhloko esenza inhliziyo ishaye ngokushesha lapho inhliziyo icindezelekile noma ngesikhathi sokuzivocavoca.

Ziyini izimpawu ze-CPVT? Sizibona kanjani ?

Izimpawu ze-CPVT zivame ukuqala ebuntwaneni, ngokuvamile ziphakathi kweminyaka engu-7 nengu-12. Izimpawu zivame ukuvela okokuqala ngemva kokugijima nokudlala kakhulu , noma lapho umuntu eba nemizwa enamandla , njengenjabulo, ukwesaba, intukuthelo, noma injabulo.

Nazi ezinye izinto ezingaba izimpawu ze-CPVT:

• Ngaphezu komuntu ovamileUngase uquleke njalo, noma uzizwe unesizungu noma uphazamisekile. Ngezinye izikhathi ungase ulahlekelwe ingqondo ngokuzumayo ngaphandle kwesizathu esibonakalayo bese uwe.
• Ukushaya kwenhliziyo okusheshayo kuwumuzwa osheshayo, osheshayo, oshaya ngamandla ozwakala sengathi othile ugijima esifubeni sakho.
• Abanye abantu bangase babhekane nezimo ezifana nokuquleka . Lokhu kwenzeka ngoba inani legazi elifika ebuchosheni liyancipha uma inhliziyo ingapompi igazi ngendlela efanele.

Okubalulekile: Uma ingane yakho ivele ibe nesiyezi ngokuzumayo ngenkathi idlala, igijima, noma igxuma, noma uma ikhala ngobunzima bokuphefumula, ungamane nje ungayinaki. Kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.

Udokotela uyixilonga kanjani ngokunembile i-CPVT?

Uma wena noma ingane yakho ninalezi zimpawu, udokotela uzokwenza izivivinyo eziningana ukuqinisekisa ukuthi une-CPVT.

• I-Echocardiogram - ukuhlolwa kwe-echo: Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kusebenzisa amaza omsindo ukubona ngokucacile ukuma kwenhliziyo yakho, ukuthi izindonga zenhliziyo zisebenza kahle kangakanani, ukuthi ama-valve asebenza kahle yini, nokuthi igazi ligeleza kanjani.
• I-ECG (i-Electrocardiogram): Lokhu kuhlolwa kuthatha igrafu yezimpawu zikagesi zenhliziyo yakho, noma isigqi senhliziyo. Umuntu one-CPVT angase angakhombisi izinguquko ezibalulekile ku-ECG uma esesimeni esijwayelekile.
• Ukuhlolwa Kokucindezeleka Kokuzivocavoca: Lokhu ukuhlolwa okubaluleke kakhulu ukuthola i-CPVT. Ngesikhathi ugijima ku-treadmill noma ugibela ibhayisikili, izinga lokushaya kwenhliziyo yakho kanye ne-ECG kubhekwa njalo. Abantu abane-CPVT banamathuba amaningi okuba nokushaya kwenhliziyo okusheshayo ngendlela engavamile phakathi nalokhu kuzivocavoca.
• Ezinye izivivinyo zokuthatha izithombe: Kwezinye izimo, udokotela wakho angase ancome ukuthi kuhlolwe inhliziyo yakho ngokujulile, njenge-MRI (Magnetic Resonance Imaging ), i-cardiac catheterization , noma i-coronary angiography .
• Ukuhlolwa Kwezakhi Zofuzo: Lokhu kuhlolwa kubheka izinguquko ezithile zezakhi zofuzo (ukuguqulwa kwezakhi zofuzo) ezibangela i-CPVT kusampula yegazi. Lokhu kungaqinisekisa lesi sifo futhi kunqume ukuthi amanye amalungu omndeni asengozini yini.

Ngezinye izikhathi udokotela wakho angakunika umshini omncane ongawugqoka izinsuku ezimbalwa noma amasonto. Lokhu kubizwa ngokuthi i-ambulatory monitor noma i-Holter monitor.Iqopha umsebenzi kagesi wenhliziyo yakho usuku lonke (24, 48, noma ngaphezulu) ngenkathi wenza imisebenzi yakho yansuku zonke futhi wenza imisebenzi yakho yasekhaya evamile. Lokhu kunikeza udokotela wakho umbono omuhle wokuthi inhliziyo yakho ishaya kanjani, noma ngabe awunazo izimpawu.

Yiziphi izindlela zokwelapha i-CPVT?

Uma inhliziyo iqala ukushaya ngokushesha okukhulu, okungukuthi, uma ingena esimweni se- ventricular tachycardia (Ventricular Tachycardia) , ingaba yingozi empilweni. Ezimweni ezinjalo, kungadingeka ukushaqeka ngogesi (Cardioversion noma Defibrillation) ukuze kubuyiselwe isigqi senhliziyo esimweni esijwayelekile. Lokhu kuvame ukwenziwa njengokwelashwa okuphuthumayo.

Kodwa ngokuhamba kwesikhathi, umgomo oyinhloko wokwelapha i-CPVT ukuvimbela isigqi senhliziyo ukuthi singasheshi ngendlela engavamile nokugcina isigqi esijwayelekile. Uhlelo lwakho lokwelashwa lungafaka okukodwa noma ngaphezulu kwalokhu okulandelayo:

• Imithi:
• Ama-Beta-blocker: (isib. i-Lopressor®, i-Corgard®) Le mithi isebenza ngokunciphisa imiphumela yama-hormone afana ne-adrenaline enhliziyweni. Lokhu kusiza ukulawula izinga lokushaya kwenhliziyo elikhuphukayo ngesikhathi sokuzivocavoca noma lapho ucindezelekile. Lolu uhlobo oluyinhloko lomuthi olunikezwa i-CPVT.
• Ama-Calcium Channel Blockers: (isib. i-Cardizem®, i-Procardia®) Ngezinye izikhathi lo muthi unganikezwa kanye nama-beta-blockers.
• Eminye imithi yokulawula isigqi senhliziyo: Abanye abantu banganikwa eminye imithi, njenge-flecainide.
• I-ICD (ICD) Engatshalwa Engatshalwa: Lena idivayisi encane, eqhutshwa yibhethri efakwa ngokuhlinzwa ngaphansi kwesikhumba sesifuba. Ihlala iqapha isigqi senhliziyo. Uma isigqi senhliziyo singasasebenzi ngendlela eyingozi, idivayisi ivele ibangele ukushaqeka ngokuzenzakalelayo ukuze ibuyiselwe esimweni sayo. Odokotela bavame ukuncoma i-ICD kubantu abasengozini enkulu futhi okunzima ukulawula isigqi senhliziyo yabo ngemithi yodwa.
• Ukuhlinzwa Kwenhliziyo Yesobunxele Okubangela Ubuhlungu (LCSD): Lena inqubo yokuhlinzwa esusa ezinye zezinzwa eziya enhliziyweni. Lokhu kunganciphisa ukukhuthazwa kwenhliziyo futhi kunciphise ingozi yemijikelezo eyingozi. Lokhu kuhlinzwa kungacatshangelwa abantu abane-ICD abavame ukushaqeka noma abangaphenduli kahle emithini.

Ngaphezu kwalokho, kuzodingeka wenze izinguquko ezibalulekile endleleni yakho yokuphila .

• Ukuvivinya umzimba okunzima , njengokugijima ngokushesha noma ukuphakamisa izinsimbi, kufanele kuncishiswe.
• Kumntwana omncane one-CPVT, kungcono ukuyeka imidlalo yokuncintisana , njengoba injabulo kanye nengcindezi yokuwina umncintiswano kungabangela inhliziyo ukuba ishaye ngokushesha.
• Kubaluleke kakhulu futhi ukuzijwayeza izindlela zokunciphisa ukucindezeleka.

Singakwazi yini ukuvimbela lokhu kungenzeki kwe-CPVT?

Njengoba i-CPVT ibangelwa ukuguquka kwezakhi zofuzo, ayikho indlela yokuyivimbela ngokuphelele ukuthi ingenzeki . Ngoba akuyona into esingayilawula.

Kodwa-ke, uma i-CPVT isiqashelwe, uma iphathwa kahle, okungukuthi, uma imithi enqunywe udokotela isetshenziswa kahle, kwenziwa izinguquko endleleni yokuphila njengoba kuyalelwe, futhi kwenziwa ukuvakashelwa njalo kudokotela, ngisho nomuntu one-CPVT angaphila impilo ejwayelekile nesezingeni eliphezulu.

Uma othile emndenini wakho etholakale ene-CPVT, kubalulekile ukucabangela ukuhlolwa kwezakhi zofuzo kanye nokwelulekwa kwezakhi zofuzo kwamanye amalungu omndeni, ikakhulukazi izingane. Umeluleki wezakhi zofuzo angakusiza ukuthi uqonde lesi simo kangcono, ukhulume ngamathuba okuthi izingane zakho zizosizuza njengefa, futhi uxoxe ngezindaba ezibalulekile njengokuthi yini ongayenza ngakho.

Yini engenziwa ukuze kugwenywe izinkinga ezingase zivele ngenxa ye-CPVT?

Uma i-CPVT ingalawulwa kahle, kungase kube nezinkinga eziyingozi. Ungenza lezi zinto ukuze unciphise ingozi yakho:

• Khuluma nodokotela wakho bese udala uhlelo lokuzivocavoca oluphephile oluzokusebenzela . Akudingeki uyeke ngokuphelele ukuzivocavoca, kodwa kufanele wazi ukuthi yikuphi ukuzivocavoca okuhle nokungalungile.
• Nciphisa iziphuzo ezine -caffeine njengekhofi, itiye, ushokoledi othile, kanye neziphuzo ezibandayo ngangokunokwenzeka, njengoba i-caffeine iyisikhuthazo futhi ingakhuphula izinga lokushaya kwenhliziyo yakho.
• Njalo qaphela izimpawu zakho . Uma uzizwa unesiyezi, uqinile esifubeni, noma unenkinga yokuphefumula, ungazinaki lezi zimpawu. Shayela udokotela wakho ngokushesha.
• Ungalokothi uphuthelwe usuku lomuthi onikezwe udokotela wakho, thatha ngesikhathi esifanele nangesilinganiso esifanele .
• Kubaluleke kakhulu ukubona udokotela ngesikhathi bese uthola izivivinyo ezidingekayo. Lokhu kuyinto okufanele uyenze impilo yakho yonke.

Hlobo luni lwekusasa umuntu one-CPVT angalulindela?

Uma ingelashwa, i-CPVT ingaholela ezinkingeni zempilo kanye nezinkinga. Ezinye izinkinga, njengokuma kwenhliziyo ngokuzumayo , zingaba yingozi empilweni.

Kodwa, izindaba ezinhle ukuthi ngokwelashwa okufanele kanye nendlela yokuphila enempilo, abantu abaningi abane-CPVT bangagcina isigqi senhliziyo esijwayelekile, banciphise kakhulu ingozi yalezi zinkinga, futhi baphile impilo ejabulisayo neyanelisayo.

Uma une-CPVT, uzodinga ukunakekelwa kokulandela impilo yakho yonke ukuqinisekisa ukuthi isigqi senhliziyo yakho sijwayelekile.Kuyadingeka. Lokho kusho ukuthi kufanele ubonane nodokotela njalo futhi uthole izivivinyo ezidingekayo. Uma izimpawu ze-CPVT zibuya futhi, njengokuzizwa unesizungu ngemva kokuzivocavoca umzimba, xhumana nodokotela wakho ngokushesha ngaphandle kokulibala.

Izinto okufanele uzibuze udokotela wakho

Uma wena noma ingane yakho ninalezi zimpawu, noma uma usuvele utholakale une-CPVT, kungaba usizo kakhulu ukubuza udokotela wakho ngokucacile ngalokhu okulandelayo:

• Yini okungenzeka ukuthi iyimbangela yalezi zimpawu? Ingabe lokhu kuyi-CPVT?
• Yiziphi ezinye izivivinyo okufanele mina noma ingane yami sibe nazo ukuze ngiqinisekise ukuthi ngine-CPVT?
• Yiziphi izindlela zokwelapha ezingcono kakhulu ze-CPVT? Yikuphi ukwelashwa okungcono kakhulu kimi/enganeni yami?
• Yiziphi izinzuzo nemiphumela emibi yalezi zindlela zokwelapha?
• Yini okufanele uyenze phakathi kokuvakashela udokotela, ukuphatha izimpawu ekhaya, noma esimweni esiphuthumayo?
• Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila (ukudla, ukuzivocavoca umzimba)?
• Ingabe amanye amalungu omndeni asengozini? Ingabe nawo kufanele ahlolwe?

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, yize lesi simo esikhulume ngaso kabanzi, i-CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia), singase sibonakale sesabeka kancane, into ebaluleke kakhulu ukuyibona kusenesikhathi bese uyithola ukwelashwa ngendlela efanele.

Ngokuthola ukuxilongwa okufanele, ukwelashwa njengoba kunqunywe udokotela wakho, kanye nezinguquko ezilula zendlela yokuphila, ngisho nomuntu one-CPVT angaphila impilo evamile, esebenzayo, neyanelisayo. Khumbula, uma unezimpawu, kubalulekile ukubona udokotela ngokushesha ngangokunokwenzeka ngaphandle kokuzishaya indiva. Awuwedwa kulolu hambo, futhi kunodokotela abanekhono kanye nochwepheshe bezempilo abangakusiza futhi bakunakekele. Ngakho ungesabi, bhekana nalokhu ngesibindi.

I- CPVT, isigqi senhliziyo, ukushaya kwenhliziyo, i-ventricular tachycardia, izinguquko zofuzo, isifo sohlangothi, ukuminyana kwenhliziyo okungazelelwe, impilo yengane