Zolakwika pakupatsirana kwamphamvu zamagetsi: Wolff Parkinson White Syndrome

By Cristiano Antonino On Aug 29, 2023

Wolff Parkinson White syndrome ndi matenda amtima chifukwa cha kufalikira kwamphamvu kwamagetsi pakati pa atria ndi ma ventricles omwe angayambitse tachyarrhythmias ndi palpitations.

Matenda a Wolff-Parkinson-White amadziwonetsera okha ndi tachyarrhythmias pamene wodwalayo amamva kupweteka kwambiri kwa mtima, nthawi zina kukomoka, chizungulire, kupweteka pachifuwa, kupuma movutikira.

Mu matendawa, padzakhala kukhalapo kwa mtolo wowonjezera, mtolo wa Kent, womwe umagwirizanitsa atrium ndi ventricle; mwa njira iyi pamene mphamvu yamagetsi yochokera ku sinus node imabalalitsidwa mu khoma la atrioventricular isanafike pa node ya atrioventricular, mtolo wa Kent udzanyamula zizindikiro zamagetsi zomwe zimapangitsa kuti mgwirizano wa ventricle ukhale ndi ma milliseconds angapo kale kuposa momwe zimakhalira, ndikupanga ventricular pre-excitation.

The tachycardia mu Wolff-Parkinson-White syndrome akhoza kukhala atrioventricular reentrant, pamene yodziwika ndi abnormally kufulumira mtima mungoli ndi tachycardia waikidwa ngati supraventicular.

Atrial fibrillation ndi matenda omwe amadziwika ndi kugunda kwachangu komanso kosalongosoka kwa atria, komwe kumayambitsidwa ndi mphamvu zamagetsi kuchokera ku maselo a minofu ya myocardial omwe, pansi pazikhalidwe zabwino, chifukwa cha kupezeka kwa node ya atrioventricular, "amasefedwa" ndikutumizidwa pang'ono pang'ono kupita ku maventricles omwe amachititsa kuti izi zisagwirizane mofulumira monga atria.

Kukhalapo kwa mtolo wa Kent m'malo mwake kumalola kuti zilakolako za atria zinyamulidwe popanda zosefera potumiza ma sign amagetsi a kugunda kwa ma ventricles, ndikuwonjezera kuchuluka komwe kumayambitsa tachyarrhythmia yomwe imatha kupha.

Okhudzidwa kwambiri ndi achinyamata omwe ali ndi thanzi labwino, omwe motero amakhala ndi mtima wosadwala, omwe amadandaula za zochitika za tachycardia nthawi zina, pamene ena samachenjeza za kusapeza kulikonse.

Wolff Parkinson White syndrome matenda

Wolff Parkinson White adapezeka ndi electrocardiogram.

Anthu omwe amakhudzidwa ndi matendawa amatha kufa mwadzidzidzi chifukwa cha kufalikira kwamphamvu kwa atrial arrhythmia kupita ku ma ventricles.

Kodi matenda a Wolff-Parkinson-White amachiritsidwa bwanji?

Wolff Parkinson White odwala omwe ali ndi tachyarrhythmias ayenera kuthandizidwa ndi:

Mayendedwe a Vagal, pofuna kuchepetsa kugunda kwa mtima, ngati wodwalayo akulangizidwa bwino akhoza kuchita izi mopanda pake.
Ulamuliro wa mankhwala amene kutsekereza conduction kudzera atrioventricular mfundo ndi kusokoneza mmodzi wa arrhythmia mikono. Mankhwala omwe amayenera kupewedwa ngati atrial fibrillation chifukwa nthawi zina amatha kuwonjezera kuchuluka kwa ma ventricles kudzera munjira yolumikizira zomwe zimapangitsa kuti minyewa yamitsempha yamagazi ichuluke.
Electrical cardioversion, njira yomwe kuyendetsa magetsi kwa mtima "kuyambiranso" ndi defibrillator, kuti abwezeretse kugunda kwamtima kwabwinobwino.

Ablation imatengedwa ngati yankho lotsimikizika ngati kubwereza pafupipafupi.

Ndi njira yocheperako yomwe imakulolani kuti muyimitse njira zamagetsi zosasangalatsa, pamenepa ndi mitolo ya Kent.

Imawona kuwonongeka kwapang'onopang'ono kwa njira yowonjezera, ndi catheter ablation, mwachitsanzo, kupereka mphamvu pafupipafupi mwapadera kudzera mu catheter yomwe imayikidwa mu mtima; imapambana pamilandu yopitilira 95%.

Ablation ndi yothandiza makamaka kwa odwala achichepere omwe mwina angakakamizidwe kumwa mankhwala oletsa kukomoka kwa moyo wawo wonse.