Cardiac kusungwa yakundwa ne software? Brugada syndrome yave pedyo nemagumo
Chirwere cheBrugada chirwere chemukati chemoyo chinokonzeresa chiitiko chemagetsi. Tsvagiridzo yekuItaly yave pedyo nekutsvaga maitiro ekumisa iyo trigger mechanism.
Brugada Syndrome inobata varume nevakadzi pasirese. Kubva pa4% kusvika pa12% yekusungwa kamwe kamwe kwemoyo kunokonzerwa nechirwere ichi. 5 kubva pavanhu vese zviuru gumi vari munjodzi nedambudziko iri, vanhu vezera ripi zvaro. Asi kubvira iyo Brugada syndrome yakawanikwa muna 10.000, pane mhinduro inogona kugadzirirwa kurapwa. Kutanga kubva pa Irccs masangano ePoliclinico di San Donato Milanese, iro rinogona kuchinja mukudzidza mwoyo kusungwa munyika yatotanga.
Brugada syndrome inzira yakajairika yekubuda muchipatara nemwoyo kusungwa.
The JACC (Zvinyorwa zveAmerican College of Cardiology) inoparidzira imwe magetsi anomaly yekuongorora iyo inomiririra chirevo che mwoyo kusungwa nokuti ventricular fibrillation. Iyo ndiyo inonyanya kuzivikanwa nzira yekubuda-muchipatara nemwoyo kusungwa, uye zvinonzi Brugada syndrome. Kungobata mwoyo wemusungwa munguva ne cardiac massage uye kushandiswa kwe defibrillator zvaigona kupa kuvarwere mumwe mukana wekupona. Varwere veBrugada vanogona kurarama kana vakasvika nenguva muchipatara. Tinofanira kutaura kuti danho rekutanga nderekuita out-oh-chipatara Basic Life Support zvakanakisa. The BLS nhungamiro ("ketani yehupenyu") inofanira kuremekedzwa. Kutanga kumutsiridza, kutanga defibrillation, kudana 112, ALS kupindira uye kuchipatara, inofanira kuve inofanirwa.
Kupukunyuka kwemwoyo inosungwa nekuda kwe "software" yekuzorodza.
"Pepa redu - nyora Italian Tsvagiridzo Institute - inoratidza kuti, zvisinei nezviratidzo, chirwere chemoyo anga aripo kubva paudiki pane epicardial pamusoro peiyo kurudyi ventricle. Izvi zvaisimbisa kuti njodzi yekukudziridza inogona kuuraya ventricular arrhythmias iripo mune arc yehupenyu hwese ”. Iyo Brugada Syndrome inozviratidza seye yemagetsi yemagetsi yemaseru anotungamira kuita kuti tsandanyama yemoyo ifambe. Kazhinji, aya masero mashoma, mapoka akadzivirirwa, akakomberedzwa nehupfu hutano. Kuti ushandise izwi rakajeka, asi zvishoma zvehunyanzvi, masero "anopararira" nemoyo wakanaka.
Aya mapoka emasero aripo muzvikamu zvakanyanyisa, "sai anii", anotsanangura Carlo Pappone, director weAritmology unit yeIrcid Policlinico San Donato. "Vakafanana sedenderedzwa rakakura rinoratidzwa nemaseru ane hutsinye uye vanofungidzira kuti vasunge mwoyo inosungwa".
Kwayedza pamasero ari kutenderera kutsikisa maitiro eBrugada Syndrome.
“Takaita tsvakiridzo pamusoro varwere vakapukunyuka kusungwa kwemwoyo - inowedzera Dr Pappone - uye varwere vane zviratidzo zvisina kujeka. Mumapoka ese ari maviri, hupamhi hwehutu hwehutachiona hwakawanikwa hwakafanana kana hwakamiswa nekutungamira kweiyo ajmaline. Iyi ndeye antiarrhythmic mumiririri inofungidzira murabhoritari zvinogona kuitika mukati mehupenyu hwevarwere ava. Masisitoni akasvinura ayo kamwe kamwe panguva yekutya kana mushure mekudya, kana panguva yekurara, anogona 'kuputika' achigadzira iyo yakakwana mitezo yemagetsi yemoyo. Kuerekana kwangoitika mwoyo ”.
Ichi chidzidzo, maererano naDr Pappone, chinoratidza kuti “zviratidzo uye ECG ndizvo zvisina kukwana zvinhu kuziva varwere vari panjodzi, nekuti kazhinji chiratidzo chekutanga chingave kufa nekukurumidza ".
Mamepu e3 emoyo wekuwedzera kuchengetedza uye mhinduro yekudzivirira kusungwa kwemwoyo
Masayendisiti akagadzira tekinoroji nyowani kuArhythmology Dhipatimendi reSan Donato Policlinic Institute. Ivo vanogona kuita maratidziro echokwadi emoyo. "Iyo software - inotsanangura iyo IRCCS - inogona kuziva kugoverwa kwenzvimbo dzisina kujairika uye chaiyo maesques, anokwanisa kuburitsa radiofrequency pulses. Izvo zvinodhonza 'suka senge brashiiyo isina kujairika pamusoro peiyo kurudyi ventricle, ichiita kuti ive yemagetsi zvakajairwa. Ini ndinodada kuti hunyanzvi hwehunyanzvi uhu hwakagadzirwa zvega uye hwakaonekwa muItaly. Iyi tekinoroji - anotsanangura Pappone - ichave ichiwanikwa kune rese resainzi nyika mumwedzi iri kuuya. Iyo software inobvumidza vese nyanzvi dzezvekurapa kuti vawedzere kuchengetedza kune anogara achikura ”.
Sekureva kwaPapponeichi chidzidzo chinoburitsa mukana wekubvisa zviya zviwi zvemagetsi zvisungo zvemagetsi. Tinogona kuzviita nemafururu ehupenyu-mashoma e-radiofrequency, kudzosa iwo maseru kudzorera mashandiro emagetsi. Kusvika parizvino, varwere ve350 vafamba nenzira iyi. Varwere vese vanoratidza kurongeka kwakakwana kweECG, kunyangwe mushure mekutarisira ajarmine ”.