Wolff-Parkinson-White urwere

Wolff-Parkinson-White chirwere anoonekwa kuva chirwere vakawanda rinowanzoberekera vechiduku. Varwere chirwere ichi akacherechedza palpitations, uye anozivikanwa kuti kusagadzikana mutinhimira inotungamirira ngozi kungoerekana cardiac kusungwa. Chokwadi ndechokuti Parkinson urwere, kuwedzera mureza nemagetsi nomunhu mumwoyo pane mamwe, kuitwa izvo chinokonzera tachycardia, kureva, kuwedzera myocardial kwemwoyo maitikiro.

Yeuka kuti chirwere ichi chinogona refu symptomatically Hazvizoitiki kana kuratidzwa inoverengeka pfupi tichibatwa tachycardia mutinhimira. Saka zvakanaka kuti kumisa chirwere kakawanda kunoitika nokukurumidza, akadai kana achipfuura zvokurapa kuongorora nezuva. The chikuru Zviratidzo zviri Parkinson nehosha anosanganisira kunzwa kutekenyedzwa ichipfuta ari mubhokisi, dzungu kusvikira syncope uye dyspnea. Panyaya iyi, mwoyo inofara zvakasimba kuti pane kupomba pahuro yake.

Kuti rokuongorora chirwere Parkinson tinoda kupfuura rimwe bvunzo inokosha. chirwere Izvi nyore kuziva tichitarisa kakawanda mumoyo tsandanyama, sezvo yava kupfuura dzose. Kazhinji, Wolff-Parkinson-White chirwere iri nechirwere chakakomba tachycardia mwero kwazvo 230 anorova paminiti. In ropa iri kumanikidzwa anofanira kunge ari pamwero yetsika, kana yekudyidzana pazasi zvimwe kuti utano munhu. Kazhinji Mazvikokota anogadza kwemutemo ECG uye Holter Monitor. Zvidzidzo izvi zvinogona kuratidza nzvimbo yakawedzerwa zvemagetsi nzira nzvimbo. ECG anoona vanokara nzvimbo, vanonzi "Delta", mumwe Holter tarisisa kunosanganisira kuitisa zvokuongorora kumativi wachi pasina dzongonyedzo basa myocardial tsandanyama.

Wolff-Parkinson-White chirwere inowanzopiwa kurapwa symptomatically, kunyanya ari kunwa mushonga zvainanga normalizing basa kumwoyo. Somuenzaniso, basa "Amiodarone" kana "adenosine". Kana zvokurapa matanho akaratidza kubudirira, asi nyanzvi yaiitisa magetsi cardioversion, kana inonzi kuvhunduka mishonga. Panguva iyoyowo, mushonga ano inozikanwa anoshandisa muitiro akadai anobudisa mushonga zvishoma nezvishoma ablation. Nokuti kwayo Implementation nyanzvi anoita duku incision ari muhudyu nharaunda iri pedyo napedyo kusvika yeropa. Ichiitwa kuburikidza huru tsinga anobudisa mushonga zvishoma nezvishoma zvakananga mwoyo, pakupera dzakaonda chubhu iri akatasva wokutepfenyurisa chaiyo iyo unoshanda kakawanda pamwero kuti anogona kuparadza okuwedzera kufamba kweropa. Kakawanda nzira kuita kuvhiya kushanda pakachena mwoyo, izvo unogona kukunda Wolff-Parkinson-White syndrome. Asi izvozvo chakakomba nzira anobvumirwa chete kana kudiwa kuvhiyiwa zvimwe zvikonzero.

Saka, nzira rakajairika rokurwisa Parkinson chirwere ndiye anobudisa mushonga zvishoma nezvishoma ablation, sezvo zvinoitwa 90% nyaya. Asi usakanganwa kuti uyewo upi, kunyange zviduku, oparesheni, nzira iyi inogona kukonzera chitarisiko yematambudziko zhinji. Somuenzaniso, mwoyo nokukundikana kana kungoerekana kumanikidzwa inodonha, kuti zvose kururamiswa mazhinji tachycardia. Uyezve, vamwe vanhu vane sema pavakanzwa chaiyo zvinoumba mishonga inoshandiswa mukurapa.

Asi inotyisa kuomesa kunogona kunzi sezvo ventricular fibrillation, sezvo inotungamirira kuvhundutsa. Maererano nokuongorora kwakaitwa uwandu varwere nechirwere ichi mhando yematambudziko, 4 chete% haagoni kubuda mamiriro ichi, izvo chinourayisa. Chinonyanya kukosha nguva kuona chiremba kuti vadzivise chirwere kunoita uye kukura yematambudziko.