Ingabe inhliziyo yakho ishaya ngokushesha ngokuzumayo? Mhlawumbe lokhu kuyi-Wolff-Parkinson-White Syndrome!

Wake waphawula ukuthi inhliziyo yakho iqala ukushaya ngokungazelelwe ngaphandle kwesizathu? Ngaleso sikhathi, uzizwa wesaba kancane, akunjalo? Ngezinye izikhathi imbangela yalokhu kungaba yisimo esibizwa ngokuthi i-Wolff-Parkinson-White Syndrome, esizokhuluma ngaso namuhla. Nakuba igama lingase lizwakale njengento enkulu, ake sixoxe ngakho kalula.

Iyini i-Wolff-Parkinson-White Syndrome?

Kalula nje, i-Wolff-Parkinson-White syndrome (WPW) yisimo esibangelwa umgudu kagesi owengeziwe enhliziyweni okhona lapho kuzalwa . Izinhliziyo zethu ziyashaya ngoba izimpawu zikagesi zihamba enhliziyweni. Ngokuvamile, lezi zimpawu zinendlela ethile okufanele zihambe ngayo. Kodwa kubantu abane-WPW, kukhona "indlela enqamulelayo" encane enhliziyweni ngaphezu kwale ndlela ethile.

Cabanga nje, uma ushayela emgwaqweni, uma uthatha umgwaqo omncane oseceleni ngaphezu komgwaqo omkhulu, ungahamba ngokushesha. Ngenxa yale ndlela kagesi eyengeziwe, izimpawu eziya enhliziyweni zihamba ngokushesha kakhulu. Ngenxa yalokho, inhliziyo iqala ukushaya ngokushesha okukhulu. Odokotela bakubiza lokhu ngokuthi i-supraventricular tachycardia (SVT) , okusho ukushaya kwenhliziyo okusheshayo okuqala ezingxenyeni ezingaphezulu zenhliziyo.

Uma inhliziyo ishaya ngokushesha kangaka, amakamelo enhliziyo awabi nesikhathi esanele sokugcwala igazi ngaphambi kokushaya okulandelayo. Lokhu kusho ukuthi inhliziyo ayikwazi ukupompa igazi elanele emzimbeni.

Sivame kangakanani lesi simo se-WPW?

I-Wolff-Parkinson-White syndrome empeleni iyisimo esingavamile . Emhlabeni wonke, sithinta cishe umuntu oyedwa kuya kwabathathu kwabayi-1,000. Noma ubani angaba ne-WPW, futhi ngezinye izikhathi iyenzeka emindenini. Kuthiwa futhi ivame kakhulu kubantu bomdabu waseShayina.

Ziyini izimpawu?

Izimpawu ze-WPW zingahluka kumuntu nomuntu. Iningi labantu alinazo nhlobo izimpawu . Kodwa abanye abantu bangase babe nezimpawu nsuku zonke imizuzwana embalwa kuya emahoreni ambalwa. Abanye bangase babe nazo izikhathi eziningana ngonyaka.

Ungase uzizwe izinto ezinjengalezi:

• Ukuzizwa nje ungakhululekile futhi ukhathazekile .
• Ukuzwa ubuhlungu noma ukuqina esifubeni.
• Ukuzizwa sengathi unesizungu (isizungu somgogodla).
• Ukuquleka .
• Ukuzizwa ukhathele kakhulu.
• Ukushaya kwenhliziyo kuwumuzwa osheshayo wenhliziyo yakho ishaya ngokushesha. Lokhu kungahlala imizuzwana embalwa noma amahora ambalwa.
• Ukuzizwa uphelelwa umoya (ukuphelelwa umoya) .

Njalo ngonyaka, phakathi kuka-1% no-2% wabantu abane-WPW bahlakulela isigqi senhliziyo esingajwayelekile, noma i-arrhythmia .

Yini ebangela i-WPW?

Ngokuvamile, ngisho nodokotela banenkinga yokuthola imbangela ethile ye-WPW.Mhlawumbe othile emndenini wakho uke waba nalesi simo ngaphambili, noma singase senzeke ngaphandle kwesizathu esicacile.

Ingabe i-WPW iwufuzo?

Abacwaningi abakaqiniseki ukuthi idluliselwa kusuka kubazali iye ezinganeni. Iningi labantu abane-WPW abanabo abazali abanalesi simo. Kodwa-ke, ezinye izakhi zofuzo ezibangela i-WPW zingadluliselwa ezizukulwaneni ngezizukulwane. Lesi simo esizuzwe njengefa sibizwa nangokuthi i-familial Wolff-Parkinson-White syndrome .

Yiziphi izinkinga ezingaba khona ngenxa ye-WPW?

Ngezinye izikhathi, abantu bangawa futhi balimele uma befaka i-brace. Abanye abantu bangase babe nomfutho wegazi ophansi lapho inhliziyo yabo ishaya ngokushesha kakhulu. Inkinga engavamile kodwa eyingozi ye-WPW ukufa kwenhliziyo ngokuzumayo .

Uma unezimpawu ze-WPW, bona udokotela ngokushesha. Ukwelashwa kwalesi simo kusenesikhathi kungavimbela izinkinga.

Itholakala kanjani i-WPW?

Odokotela bavame ukuxilonga i-WPW nge -ECG (electrocardiogram) . Simane sithi "thatha isithombe senhliziyo," bese kuphelela lapho. Ngezinye izikhathi, udokotela wakho angabona izinguquko ekushayeni kwenhliziyo yakho ngesikhathi sokuhlolwa ngokomzimba. Uma izimpawu zakho ziba zimbi kakhulu lapho uzivocavoca, ungase ucelwe futhi ukuthi wenze isivivinyo sokucindezeleka kokuzivocavoca . Uma izinga lokushaya kwenhliziyo yakho lizwakala lihlukile, noma uma unezinye izimpawu ezihlobene ne-WPW, qiniseka ukuthi utshela udokotela wakho.

Yiziphi izivivinyo ezisetshenziswa ukuxilonga i-WPW?

Ukuhlola izinga lokushaya kwenhliziyo yakho, udokotela wakho angase akuncomele ukuhlolwa okufana nalokhu:

• I-Electrocardiogram (ECG): Lolu vivinyo olubaluleke kakhulu.
• Ucwaningo lwe-Electrophysiology: Lokhu ukuhlolwa okuningiliziwe komsebenzi kagesi wenhliziyo. Lokhu kwenziwa ngokufaka amadivayisi amancane afana nentambo enhliziyweni.
• I-Holter monitor: Lena idivayisi encane egqokwa emzimbeni wakho amahora angama-24 kuya kwangu-48. Iqopha umsebenzi wenhliziyo yakho phakathi naso sonke isikhathi.
• Ukuqapha isikhathi eside: Kufana nokuqapha kwe-Holter, kodwa izinga lokushaya kwenhliziyo liqashwa isikhathi eside (izinsuku noma amasonto ambalwa).

Lezi zivivinyo zinikeza udokotela wakho umbono ongcono ngesivinini senhliziyo yakho, isigqi sayo, nokuthi ngabe kukhona yini izinkinga ngendlela izimpawu zikagesi ezihamba ngayo. I-ECG yomuntu one-WPW ingabonisa izinguquko ezisobala kakhulu kune-ECG evamile.

I-WPW ivame ukutholakala nini?

Ngezinye izikhathi odokotela baxilonga i-WPW besebancane . Kodwa-ke, ivame ukuxilonga uma usemusha, uneminyaka ephakathi kwengu-15 no-25 , ngoba yilapho izimpawu ziqala ukubonakala khona kakhulu.

Ingabe zikhona ezinye izimo ezihlobene ne-WPW?

Abanye abantu abane-WPW bangase babe nezinye izinkinga zenhliziyo. Isibonelo:

• I-Atrial fibrillation: Isimo lapho amakamelo aphezulu enhliziyo eshaya khona ngokungajwayelekile nangokushesha.
• I-Ebstein anomaly: Iphutha lokuzalwa evalvini yenhliziyo.
• I-Ventricular fibrillation (V-fib): Isimo esingaba yingozi empilweni lapho amakamelo aphansi enhliziyo eshaya khona ngokushesha okukhulu nangokungalawuleki.

Uma unezinye zalezi zimo zenhliziyo, udokotela wakho uzokuchazela ukuthi ungayiphatha kanjani impilo yenhliziyo yakho.

Iphathwa kanjani i-WPW?

Ukwelashwa kwe-WPW kuyahlukahluka kuye ngomuntu nomuntu. Uma ungenazo izimpawu ezivamile, ungase ungadingi ukwelashwa . Izimpawu zakho zingase zinciphe noma zinyamalale ngokuhamba kwesikhathi.

Kodwa-ke, uma uvame ukushaya inhliziyo futhi ubhekene nezimpawu ezifana nokuzumeka nokuquleka, udokotela wakho angase ancome ukwelashwa okufana nalokhu:

• Ukususwa kwe-Radiofrequency: Lolu uhlobo lokwelashwa olubizwa ngokuthi i-catheter ablation . Kulokhu, kutholakala indlela kagesi eyengeziwe enhliziyweni bese ingxenye encane yayo yonakaliswa kusetshenziswa amandla e-radio wave. Isilinganiso senhliziyo sibe sesibuyela esimweni esijwayelekile. Lolu uhlobo lokwelashwa olusebenza kahle kakhulu.
• Ukuguqulwa kwenhliziyo: Le nqubo isetshenziselwa ukumisa ukushaya kwenhliziyo okusheshayo ngendlela engavamile (ikakhulukazi ezimweni ezifana ne-SVT) nokubuyisela isigqi senhliziyo esivamile. Lokhu kungenziwa ngokunikeza imithi (ukuguqulwa kwenhliziyo ngamakhemikhali) noma ngokunikeza ukushaqeka okuncane ngogesi esifubeni (ukuguqulwa kwenhliziyo ngogesi).
• Imithi: Imithi inganikezwa ukulawula ukushaya kwenhliziyo yakho okusheshayo noma ukugcina ukushaya kwenhliziyo yakho kujwayelekile isikhathi eside.

Ingabe i-WPW idinga ukuhlinzwa?

Iningi labantu abane-WPW alidingi ukuhlinzwa. Kodwa-ke, akuvamile kakhulu, odokotela bangenza ukuhlinzwa kwenhliziyo okuvulekile ukuze bavimbe indlela kagesi eyengeziwe enhliziyweni. Lolu hlobo lokuhlinzwa luvame ukwenziwa ngesikhathi esifanayo nenye inkinga yenhliziyo ngaphezu kwe-WPW.

Ungazilawula kanjani izimpawu ze-WPW ekhaya?

Uma uzwa ukushaya kwenhliziyo okusheshayo ngokuzumayo ngenkathi usekhaya, udokotela wakho angakutshela ukuthi wenze izinto ezinjengalezi:

• Indlela ye-Valsalva: Lokhu kuhilela ukuncinza ikhala lakho nokufutha umoya emlonyeni wakho, njengokuzama ukufutha ibhaluni. Ngaphandle kwalokho, ungathatha umoya ojulile uwubambe ngenkathi ucindezela isisu sakho ngaphakathi.
• Ukukhwehlela.
• Ukuhlikihla i-carotid sinus: Hlikihla kancane uhlangothi olulodwa lwentamo (lapho i-carotid sinus itholakala khona). Yenza lokhu kuphela uma udokotela wakho ekuyala.

Lokhu ngezinye izikhathi kungasiza ekulawuleni ukushaya kwenhliziyo okusheshayo.

Ingabe kukhona imiphumela emibi/izinkinga zokwelashwa?

Noma yimuphi umuthi ungaba nemiphumela emibi. Khuluma nodokotela wakho ngawo.

Nakuba ukususwa kwe-radiofrequency kuyinqubo ephephile nephumelelayo, okulandelayo akuvamile ukwenzeka:

• Amahlule egazi.
• Ukutheleleka.
• Isifo sohlangothi.
• Ukopha.

Izinkinga ezibangelwa yi-cardioversion nazo azivamile. Abanye abantu bangase babe namahlule egazi, basikeke kancane esikhumbeni lapho kwashaywa khona ugesi, noma ukushaya kwenhliziyo kube kubi kakhulu. Lokhu akuvamile kakhulu.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Izinto ongazenza ekhaya, njenge-Valsalva maneuver kanye nokukhwehlela, zingasiza ekunciphiseni ukushaya kwenhliziyo yakho kancane ngaleso sikhathi. Uma uthatha imithi ye-WPW, buza udokotela wakho ukuthi hlobo luni lwemiphumela ongayilindela kubo.

Ngemva kokuhlinzwa noma ukususwa kwezimpawu, udokotela wakho uzokutshela ukuthi kuzothatha isikhathi esingakanani ukuthi izimpawu zakho zithuthuke, ukuthi yini ongayilindela ngesikhathi sokululama kwakho, nokuthi ungabuyela nini emisebenzini evamile.

Ingabe i-WPW ingavinjelwa?

Cha. I-Wolff-Parkinson-White syndrome yisimo ozalwa naso . Akukho ongakwenza ukusivimbela.

Kwenzekani uma ngine-WPW?

Uma une-WPW, udinga ukusebenzisana nodokotela wakho ukuze ulawule izimpawu zakho. Udinga ukubona udokotela wakho ngezikhathi ezijwayelekile ukuze uqiniseke ukuthi izimpawu zakho azibi zimbi kakhulu. Landela imiyalelo kadokotela wakho ngqo. Tshela udokotela wakho ngokushesha uma unezimpawu ezintsha noma uma izimpawu zakho ziba zimbi kakhulu.

Iyini ikusasa elilindelekile kubantu abane-WPW?

Isikhathi sokuphila sabantu abane-WPW abathola ukwelashwa sivamile . Abantu abaningi bangelapheka ngokuphelele ngokususwa kwe-radiofrequency noma ukuhlinzwa.

Ngokuvamile, abantu abangenazo izimpawu basengozini encane yokufa ngenxa yokufa kwenhliziyo ngokuzumayo. Abantu abanezimpawu ze-tachycardia basengozini enkulu kancane. Kodwa-ke, ukufa kwenhliziyo ngokuzumayo akuvamile kakhulu kubantu abane-WPW.

Ngingayinakekela kanjani impilo yami?

Bona udokotela wakho njalo. Landela imiyalelo kadokotela wakho njalo. Nakekela impilo yakho ngale ndlela:

• Yidla ukudla okunempilo .
• Lawula umfutho wegazi lakho.
• Ungasebenzisi imikhiqizo kagwayi.
• Gwema noma unciphise ukudla kwakho izinto ezivuselelayo (i-caffeine, eminye imithi). Khuluma nodokotela wakho ngalokhu.
• Gcina isisindo esinempilo esikufanele.

Yiziphi izinto ezinhle kakhulu ongazidla futhi uziphuze uma une-WPW?

Ezinye izinto zingenza inhliziyo yakho ishaye ngokushesha. Buza udokotela wakho ngalezi zinto:

• Utshwala.
• I-caffeine ( etholakala ekhofini, etiyeni, nakwezinye iziphuzo).
• Izinto ezivuselela ingqondo ezifana nama-amphetamine noma i-nicotine.

Ungakwazi yini ukuzivocavoca uma une-WPW?

Ukuzilolonga ngokomzimba kuhle emzimbeni nasengqondweni yakho. Buza udokotela wakho mayelana nokuzivocavoca nge-WPW. Khuluma naye nganoma yiziphi izingozi ezikhethekile okufanele uziqaphele kanye nanoma yimiphi imisebenzi ongenakuyenza.

Kufanele ngimbone nini udokotela?

Uma ngokuzumayo uzwa ukushaya kwenhliziyo okusheshayo ongakwazi ukukulawula ngemithi yasekhaya, ikakhulukazi uma kuhambisana nezimpawu ze-WPW, njengesiyezi, ukuquleka, noma ubuhlungu besifuba, shayela udokotela wakho ngokushesha .

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Umuntu angadinga ukwelashwa okuphuthumayo esimweni esifana nalesi:

• Uma ubuhlungu esifubeni budlula imizuzu eyi-15.
• Uma unezinhlungu esifubeni , ubunzima bokuphefumula, noma ukungakhululeki esiswini .
• Uma ukhathele futhi ungavuki .
• Uma ukushaya kwenhliziyo kuhlala kungajwayelekile ngemva kwemizuzu embalwa.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma wena noma ingane yakho ine-WPW, buza udokotela wakho le mibuzo:

• Ingabe kuphephile ukuthatha imithi ye-WPW kanye neminye imithi engiyithathayo?
• Uma ngine-WPW, ingabe nezingane zami nazo zizoba nayo?
• Ngingazi kanjani ukuthi ukushaya kwenhliziyo okusheshayo kuyisimo esiphuthumayo?
• Ingabe ingane yami izophepha uma ihlaselwa yisifo senhliziyo esikoleni?
• Ingabe kuphephile ukudlala imidlalo nge-Wolff-Parkinson-White syndrome?
• Ingabe ngidinga ukwelashwa okungavamile njengokuhlanza izicubu?

Abazali abaningi abalindeli ukuthi ingane yabo ibe nesifo senhliziyo. Kungaba yinto eyesabekayo uma ingane yakho ishaya ngokushesha ngenxa yesifo iWolff-Parkinson-White. Kodwa-ke, ukwelashwa kwalesi simo kungasiza futhi kwelaphe abantu abaningi. Buza udokotela wakho ukuthi ungazilawula kanjani izimpawu zakho nokuthi yiziphi izixazululo zesikhathi eside ezingcono kakhulu kuwe nakumntanakho.

Umlayezo Wokuya Nawe Ekhaya

I-Wolff-Parkinson-White syndrome (WPW) yisimo esibangelwa umgudu kagesi owengeziwe enhliziyweni ongabangela inhliziyo ukuba ishaye ngokushesha kakhulu. Akuwona wonke umuntu onezimpawu, kodwa abanye abantu bangase babe nezinto ezifana nobuhlungu besifuba, isiyezi, kanye nokuquleka. Ungakhathazeki, kunezindlela ezinhle zokwelapha lokhu.Ngezinye izikhathi, ingelapheka ngokuphelele ngokwelashwa okufana nokususwa kwe-radiofrequency. Into ebaluleke kakhulu ukubona udokotela ngokushesha okukhulu uma unalezi zimpawu. Kubaluleke kakhulu nokuphila impilo enempilo. Khuluma nodokotela wakho ukuze wakhe uhlelo lokwelashwa olukufanele.

Isifo sikaWolff-Parkinson-White, Ukushaya kwenhliziyo okusheshayo, ukushaya kwenhliziyo okusheshayo, i-SVT, i-ECG, isifo senhliziyo, i-Ablation, i-Cardioversion, i-Sri Lanka Health