Ukubanjwa kwentliziyo kohlulwe yi-software? Isifo seBrugada sisondele esiphelweni
Isifo seBrugada sisifo semfuza sentliziyo esenza into engaqhelekanga yombane. Uphando lwase-Itali lusondele ukufumana indlela yokumisa inkqubo ye-trigger.
I-Brugada Syndrome ichaphazela amadoda nabafazi kwihlabathi liphela. Ukusuka kwi-4% ukuya kwi-12% yabo bonke ukubanjwa kwentliziyo ngesiquphe kubangelwa sesi sifo. I-5 kubo bonke abantu be-10.000 isengozini yile ngxaki, abantu bayo nayiphi na iminyaka. Kodwa ukusukela oko kwafunyanwa isifo iBrugada ngo-1992, kukho isisombululo esinokubakho esilungele ukwenziwa kunyango. Ukuqala kwi Iziko lama-Irccs le-Policlinico di San Donato Milanese, ukuguqulwa kwamandla ekuhlaleni yokubanjwa kwenhliziyo emhlabeni sele uqalile.
Isifo seBrugada sisifo esiqhelekileyo esibanjwa ngaphandle kwentliziyo esibhedlele.
The JACC (Umbhalo we-American College of Cardiology) ishicilela isifundo somonakalo sombane esimele umgaqo yokubanjwa kwenhliziyo kuba fibrillation ye ventricular. Yeyona nto iphambili yezifo zengqondo ekubanjweni kwentliziyo ngaphandle kwesibhedlele, kwaye kubhekiswa kuzo njenge I-Brugada syndrome. Ukunyanga kuphela ukubanjwa kwentliziyo ngexesha ukucoca umzimba kunye nokusetyenziswa kwe defibrillator kunokunika izigulane ithuba elongezelelweyo lokusinda. Izigulane zaseBrugada zinokuphila ukuba zifike kwangethuba esibhedlele. Kufuneka sitsho ukuba inyathelo lokuqala kukwenza i-out-oh-hospital Inkxaso yoBomi yoBomi kangangoko. I Izikhokelo ze-BLS (“ubomi”) kufuneka uhlonishwe. Ukuvuselela kwangoko, ukukhubazeka kwangoko, ukubiza i-112, ukungenelela kwe-ALS kunye nokulaliswa esibhedlele, kunyanzelekile.
Ukusinda ekubanjweni kwentliziyo kubulela kuhlaziyo lwe "software".
"Iphepha lethu-bhala iZiko loPhando lwaseNtaliyane-libonisa ukuba, ngaphandle kweempawu, isifo sentliziyo ubekhona ukusukela ebuntwaneni kumhlaba we-epicardial we-ventricle elungileyo. Le nyani ibigxininisa ukuba umngcipheko wokukhula kwamalungu e-ventricular arrhythmias anokubakho kuyo yonke into ebomini ". Isifo seBrugada Syndrome sizibonakalisa njenge ukungasebenzi ngombane iiseli ezinoxanduva lokwenza ukuba umsipha wentliziyo ushukume. Ngokwesiqhelo, ezi seli zincinci, amaqela anqunyanyisiweyo, ajikelezwe zizicubu ezisempilweni. Ukuze usebenzise igama elicacileyo, kodwa elincinci lobuchwephesha, iiseli "zenziwe mnyama" ngokuchanekileyo entliziyweni.
La maqela eeseli akhoyo kwiindawo ezigxininisiweyo, "njengenanisi", uchaza Carlo PapponeUmlawuli weyunithi yeAritmology yeIrcid Policlinico San Donato. "Bfana nesangqa esiphakathi esibonakaliswa ziiseli ezinolunya ngakumbi kwaye zichazwe kwangaphambili ukuba zenze ukubanjwa kwentliziyo".
Vavanya iiseli ezomileyo ukuze ukrwele umatshini weBrugada Syndrome.
“Silwenzile uphando malunga abaguli abasindileyo ekubanjweni kwentliziyo -Wongeza uGqr Pappone- kunye nezigulana ezineempawu ezingalunganga. Kuwo omabini amaqela, ubukhulu bezicubu ezingaqhelekanga zafunyanwa ziyefana xa zishukunyiswa lulawulo lwe-ajmaline. Le yearhente ye-antiarrhythmic elingisa elebhu into enokwenzeka ngexesha lokuphila kwezi zigulana. Iiseli ezilelekileyo ezinokuthi ngequbuliso ngexesha lomkhuhlane okanye emva kokutya, okanye xa ulele, 'ziqhume' zikhuphe zonke Ukhubazeka kombane yentliziyo. Ukubanjwa kwentliziyo ngesiquphe ".
Olu phando, ngokukaGqr Pappone, lubonisa ukuba "iimpawu kunye neECG Akukho zinto zaneleyo Ukuchonga abaguli abasemngciphekweni, kuba iimpawu zokuqala zisenokuba kukufa ngequbuliso ”.
Imephu ze-3D zentliziyo yokwandisa ukhathalelo kunye nezisombululo ukuthintela ukubanjwa kwentliziyo
Oosonzululwazi baqulunqa itekhnoloji entsha kwiCandelo le-Arrhythmology leSan Donato Policlinic Institute. Banokwenza imephu yentliziyo echanekileyo ngokugqibeleleyo. "Isoftware- iyacacisa IRCCS -Nakho ukwamkela usasazo lweendawo ezingaqhelekanga kunye neeproses ezithile, ezikwaziyo ukukhupha i-radiofrequency pulses. Iyadubula 'coca njengebrashiumphezulu ongaqhelekanga we-ventricle elungileyo, uyenza ibe yinto yombane eqhelekileyo. Ndinebhongo ukuba obu buchwephesha bobuchwephesha bukhulelwe ngokukodwa kwaye bafunyanwa e-Itali. Obu buchwephesha-ucacisa uPappone- buza kufumaneka kwihlabathi liphela lezenzululwazi kwiinyanga ezizayo. Isoftware iya kuvumela zonke iingcali zonyango ukuba zandise ukhathalelo kuluntu oluhlala lukhula ”.
NgokukaPapponeOlu phononongo lubonisa ukubakho kokupheliswa kwezi ziqithi zezicubu ezingaqhelekanga zombane. Singayenza loo nto kunye namaza amafutshane e-radiofrequency, ukubuyisa ezo seli ukuze zilunge ukusebenza kombane. Ukuza kuthi ga ngoku, izigulana ze-350 ziye zayenza le nkqubo. Zonke izigulana zibonisa imeko yesiqhelo yeECG, nditsho nasemva kolawulo lwe-ajmaline ”.