Kumangidwa kwamtima kugonjetsedwa ndi pulogalamu? Brugada syndrome yayandikira kumapeto
Brugada syndrome ndimatenda amtundu wamtima omwe amachititsa ntchito yamagetsi. Kafukufuku waku Italy wayandikira kuti apeze momwe angaimitsire matendawa.
Brugada Syndrome imakhudza abambo ndi amai padziko lonse lapansi. Kuchokera pa 4% mpaka 12% yakumangidwa kwamtima kwadzidzidzi kumayambitsidwa ndi matendawa. 5 mwa anthu aliwonse a 10.000 ali pachiwopsezo cha vutoli, anthu azaka zilizonse. Koma popeza matenda a Brugada adapezeka mu 1992, pali yankho lomwe lingakhale lokonzeka kuthandizira pazachipatala. Kuyambira pa Irccs malo oyang'anira Policlinico di San Donato Milanese, kusintha kwakukulu pakuphunzira kumangidwa kwa mtima mdziko lapansi zayamba.
Matenda a Brugada ndi njira yodziwika kwambiri yomangidwa mu chipatala.
The JACC (Journal ya American College of Cardiology) imafalitsa maphunziro osokoneza magetsi omwe amaimira mfundo ya kumangidwa kwa mtima chifukwa utitiri wa fibrication. Ndizovuta kwambiri kumangidwa kwa mtima ndi zipatala, ndipo amatchedwa Matenda a Brugada. Kuchiritsa kokha mtima kumangidwa nthawi kupaka minofu ndi kugwiritsa ntchito defibrillator angapereke kwa odwalawo mwayi wowonjezereka woti apulumuke. Odwala a Brugada amatha kupulumuka ngati afika m'chipatala nthawi yake. Tiyenera kunena kuti sitepe yoyamba ndikuchita out-oh-chipatala Thandizo loyamba pa moyo bwino kwambiri. The Malangizo a BLS ("unyolo wa moyo") uyenera kulemekezedwa. Kuyambitsanso koyambirira, kupunduka koyambirira, kuyimbira 112, kulowererapo kwa ALS ndi kuchipatala, kuyenera kuvomerezedwa.
Kupulumuka mtima kumangidwa chifukwa chotsitsimutsa “pulogalamu”.
"Pepala lathu - lolemba ku Italy Research Institute - akuwonetsa kuti, mosasamala kanthu za zizindikiro, matenda a mtima akhalapo kuyambira ali mwana pa epicardial pamwamba pa ventricle yoyenera. Izi zidalongosola momwe chiwopsezo chokhala ndi ma ventricular arrhythmias omwe atha kupezekapo nthawi zonse zamoyo ". Brugada Syndrome imadziwonetsera ngati magetsi amagetsi Maselo omwe amayendetsa minofu ya mtima. Nthawi zambiri, maselo amenewa amakhala ang'onoang'ono, ochepa magulu, ozunguliridwa ndi minofu yathanzi. Kuti mugwiritse ntchito liwu lomveka bwino, koma laukadaulo, maselo "opangika" moyenera mtima.
Magulu awa a maselo ali mmagulu akuluakulu, "monga anyezi", akufotokoza Carlo Pappone, director of Aritmology unit of Ircid Policlinico San Donato. "Ali ngati bwalo wapakati wodziwika ndi maselo ankhanza kwambiri ndipo amalinganizika kuti apangitse mtima kumangidwa".
Yesani mayeso am'magazi kuti musindikize njira ya Brugada Syndrome.
“Tidachita kafukufukuyo pa odwala omwe adapulumuka mtima wamangidwa - akuwonjezera Dr Pappone - ndi odwala omwe ali ndi zizindikiro zopanda pake. M'magulu onse awiriwa, kukula kwa minyewa yonyansa kunapezeka kuti ndi yofanana kwambiri chifukwa cha kuyendetsa. Awa ndi othandizira antiarrhythmic omwe amayeserera mu labotore zomwe zingachitike pamoyo wa odwala. Maselo otuwa omwe amadzidzimuka mwadzidzidzi kutentha thupi kapena kudya, kapena kugona, 'amatha kuphulika' kwathunthu ziwalo zamagetsi wamtima. Kugwidwa mwadzidzidzi kwamtima ”.
Kafukufukuyu, malinga ndi a Dr Pappone, akuwonetsa kuti "zizindikiro ndi ECG ndizo zosakwanira kuzindikira odwala omwe ali pachiwopsezo, chifukwa nthawi zambiri chizindikiro choyamba chimatha kukhala mwadzidzidzi ”.
Mamapu a 3D a mtima kuti awonjezere chisamaliro ndi zothetsera kupewa mtima womangidwa
Asayansi apanga matekinoloje opanga maofesi ku Arrhythmology department of San Donato Policlinic Institute. Amatha kupanga mapu olondola a mtima. "Pulogalamuyo - ifotokoza IRCCS - imatha kuzindikira kugawa kwa malo achilendo ndi ma probes ena, omwe amatha kutulutsa ma radiofrequency pulows. Izi zimakoka 'yeretsani ngati burashimawonekedwe osazolowereka a mpweya wabwino, ndikupangitsa kuti ukhale wamagetsi wabwinobwino. Ndine wonyadira kuti luso lamatekinoli lapangidwa mwapadera ku Italy. Tekinoloje iyi - akufotokoza Pappone - ipezeka ndi akatswiri padziko lonse lapansi m'miyezi ikubwerayi. Pulogalamuyi ipatsa mwayi akatswiri onse azachipatala kuti athandize anthu omwe akuchulukirachulukira ”.
Malinga ndi Pappone “Kafukufukuyu akuwonetsa kuthekera kochotsa zisumbuzi zamisempha yamagetsi yamagetsi. Titha kuchita izi yokhala ndi mafunde ochepa okhala ndi radiofrequency, kuti abwezeretse maselo amenewo kuti akonze magetsi. Mpaka pano, odwala 350 adachitapo izi. Odwala onse amawonetsa kutulutsa kwathunthu kwa ECG, ngakhale pambuyo pa utsogoleri wa ajarmine ”.