Zvisizvo mukufambisa kwemagetsi emagetsi: Wolff Parkinson White Syndrome

By Cristiano Antonino On Aug 29, 2023

Wolff Parkinson White syndrome ichirwere chemoyo nekuda kwekutapurirana kusingaite kwesimba remagetsi pakati peatria nemaventricles izvo zvinogona kukonzera tachyarrhythmias uye palpitations.

Wolff-Parkinson-White syndrome inozviratidza ne tachyarrhythmias umo murwere anonzwa zvakanyanya kurova kwemwoyo, mune dzimwe nguva kunobatanidza nekufenda, dzungu, kurwadziwa kwechipfuva, kunetseka kufema.

Mune iyi syndrome, pachava nekuvapo kwechikwama chekuwedzera, Kent's bundle, iyo inobatanidza atrium uye ventricle; nenzira iyi apo simba remagetsi rinobva ku sinus node rinoparadzirwa mumadziro eatrial risati rasvika paatrioventricular node, Kent's bundle inotora zviratidzo zvemagetsi zvichiita kuti ventricle iite mamilliseconds mashomanana kare kupfuura nguva dzose, zvichiita kuti ventricular pre-excitation.

Iyo tachycardia muWolf-Parkinson-White syndrome inogona kunge iri atrioventricular reentrant, kana ichiratidzwa nemoyo unokurumidza rhythm uye tachycardia inorondedzerwa se supraventicular.

Atrial fibrillation chirwere chinoratidzwa nekukasira uye kusarongeka kwekubatana kweatria, kunokonzerwa nemagetsi emagetsi kubva mumyocardial muscle cells iyo, pasi pemamiriro ezvinhu, nekuda kwekuvapo kweatrioventricular node, "inosefa" uye inotumirwa muhuwandu hudiki kune maventricles anoita kuti aya asabatane nekukurumidza seatria.

Kuvapo kwebundle reKent pachinzvimbo kunobvumira mafungiro eatrial kuti atore pasina sefa nekutumira masaini emagetsi ekumanikana kune maventricles, zvichiwedzera kuwanda kunobva tachyarrhythmia inogona kuuraya.

Vanonyanya kukanganiswa vechidiki vane hutano, avo saka vane mwoyo usingadi kurwara, vanonyunyuta nezvezvikamu zvenguva nenguva tachycardia, asi mune vamwe havanyevereri pamusoro pekusagadzikana.

Wolff Parkinson White syndrome kuongororwa

Wolff Parkinson White akaonekwa aine electrocardiogram.

Avo vanobatwa nechirwere ichi vanogona kusangana nekukasira kufa kwemoyo, nekuda kwekumhanya-mhanya kweiyo atrial arrhythmia yakananga kuma ventricles.

Wolff-Parkinson-White syndrome inorapwa sei?

Wolff Parkinson White varwere vane tachyarrhythmias vanofanira kurapwa ne:

Vagal manoeuvres, kuitira kuderedza kurova kwemwoyo, kana murwere akarayirirwa zvakarurama anogona kuita iyi nzira akazvimirira.
Kutungamirirwa kwemishonga inovhara conduction kuburikidza neatrioventricular node nekuvhiringidza imwe yearrhythmia maoko. Mishonga inofanira kudziviswa munyaya yeatrial fibrillation nokuti mune dzimwe nguva inogona kuwedzera kuwanda kwekufambisa kune ventricles kuburikidza nenzira yekuwedzera inokonzera ventricular fibrillation.
Electrical cardioversion, nzira iyo magetsi ekufambisa kwemoyo "inogadziriswa" ne defibrillator, kuitira kudzorera kurova kwemwoyo kwakajairika.

Ablation inoonekwa seyakagadziriswa mhinduro kana ichidzokororwa kakawanda.

Iyo ishoma invasive maitiro ayo anobvumidza iwe kudzima nzira dzinoshamisa dzemagetsi, mune iyi kesi iwo masumbu eKent.

Inoona kuparadzwa kwechikamu chenzira yekuwedzera, nekubviswa kwekatheta, kureva kuendeswa kwesimba pane imwe frequency kuburikidza necatheter yakaiswa mumoyo; inobudirira mune zvinopfuura 95% zvezviitiko.

Ablation inonyanya kubatsira muvarwere vechidiki vangangomanikidzwa kutora antiarrhythmic mishonga kweupenyu hwose.