I-Wolff Parkinson White syndrome iyisifo senhliziyo ngenxa yokudluliselwa okungavamile komfutho kagesi phakathi kwe-atria nama-ventricles okungabangela i-tachyarrhythmias kanye nokushaya kwenhliziyo.

I-Wolf-Parkinson-White syndrome izibonakalisa nge-tachyarrhythmias lapho isiguli sizwa ukushaya kwenhliziyo ngokweqile, kwezinye izimo kuhlotshaniswa nokuquleka, isiyezi, ubuhlungu besifuba, ukuphefumula kanzima.

Kule syndrome, kuzoba khona inqwaba ye-accessory, i-Kent's bundle, ehlanganisa i-atrium ne-ventricle; ngale ndlela lapho umfutho kagesi ovela endaweni ye-sinus uhlakazeka odongeni lwe-atrial ngaphambi kokufinyelela endaweni ye-atrioventricular, inqwaba ye-Kent izothatha amasignali kagesi okwenza isivumelwano se-ventricle sibe ngama-millisecond ambalwa ngaphambi kokujwayelekile, okwenza i-ventricular pre-excitation.

I-tachycardia ku-Wolf-Parkinson-White syndrome ingase ibuyele e-atrioventricular, lapho ibonakala ngesigqi senhliziyo esisheshayo ngendlela engavamile futhi i-tachycardia ihlukaniswa njenge-supraventicular.

I-Atrial fibrillation iyi-pathology ebonakala ngokufinyela okusheshayo nokungahlelekile kwe-atria, okubangelwa amandla kagesi avela kumaseli emisipha ye-myocardial okuthi, ngaphansi kwezimo ezijwayelekile, ngenxa yokuba khona kwe-atrioventricular node, "yahlungwa" futhi ithunyelwe ngamanani amancane ekuqondeni. ama-ventricles abangela ukuthi lawa angafinyeleli ngokushesha njenge-atria.

Ukuba khona kwenqwaba ye-Kent esikhundleni salokho kuvumela ama-atrial impulses ukuthi athathwe ngaphandle kwesihlungi ngokuthumela amasignali kagesi wokufinyela kuma-ventricles, okwandisa imvamisa edala i-tachyarrhythmia engase ibe yingozi.

Abathinteka kakhulu abantu abasha abanempilo, ngakho-ke banenhliziyo engaguli ngempela, ekhononda ngeziqephu ze-tachycardia ngezikhathi ezithile, kanti kwabanye abaxwayisi nganoma yikuphi ukungakhululeki.

Ukuxilongwa kwe-Wolf Parkinson White syndrome

UWolf Parkinson White utholakala ne-electrocardiogram.

Labo abathintekayo yile pathology bangathola ukufa okuzumayo kwenhliziyo, ngenxa yokusabalala kwesivinini esikhulu se-atrial arrhythmia kuma-ventricles.

Selashwa kanjani i-Wolf-Parkinson-White syndrome?

Iziguli ezimhlophe zikaWolf Parkinson ezine-tachyarrhythmias kufanele zelashwe ngalezi:

• I-Vagal maneuvres, ukuze kuncishiswe izinga lokushaya kwenhliziyo, uma isiguli siyalwe kahle singakwazi ukwenza lokhu ngokuzenzakalelayo.
• Ukuphathwa kwezidakamizwa ezivimba ukuqhutshwa kwe-atrioventricular node ngokuphazamisa ingalo eyodwa ye-arrhythmia. Izidakamizwa okufanele zigwenywe uma kwenzeka i-fibrillation ye-atrial ngoba kwezinye izimo zingase zikhulise imvamisa yokuqhuba kuma-ventricles ngokusebenzisa indlela yokufinyelela okuholela ku-fibrillation ye-ventricular.
• I-cardioversion kagesi, inqubo lapho ukuqhutshwa kukagesi kwenhliziyo "kusethwa kabusha" yi- i-defibrillator, ukuze ubuyisele ukushaya kwenhliziyo okuvamile.

I-Ablation ibhekwa njengesixazululo esiqondile uma kwenzeka ukuphindaphinda njalo.

Kuyinqubo ehlasela kancane ekuvumela ukuthi ukhansele izindlela zikagesi ezingaqondakali, kulokhu ziyinqwaba ye-Kent.

Ibona ukucekelwa phansi kwengxenye yendlela yesisekeli, ngokukhishwa kwe-catheter, okungukuthi ukulethwa kwamandla ngefrikhwensi ethile nge-catheter efakwe enhliziyweni; iphumelela emacaleni angaphezu kwama-95%.

I-Ablation iwusizo ikakhulukazi ezigulini ezisencane okungenzeka ziphoqeleke ukuthi ziphuze imishanguzo ye-antiarrhythmic impilo yakhe yonke.

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Umthombo

Isitolo se-Defibrillatori