Ukuboshwa kwe-Cardiac kwehlulwe isoftware? I-Brugada syndrome isisondele
Isifo i-Brugada syndrome ngukuphazamiseka kofuzo kwenhliziyo okubangela umsebenzi kagesi ongafanele. Ucwaningo lwase-Italy luseduze ukuthola ukuthi ungayimisa kanjani inqubo ye-trigger.
IBrugada Syndrome ithinta abesilisa nabesifazane emhlabeni jikelele. Kusuka ku-4% kuye ku-12% wakho konke ukuboshwa kwenhliziyo okungazelelwe kubangelwa yilesi sifo. Abantu abangu-5 kwabangu-10.000 basengozini ngale nkinga, abantu banoma yibuphi ubudala. Kepha selokhu kwatholakala i-Brugada syndrome ngo-1992, kunesixazululo esingahle silungele ukusetshenziswa ekwelashweni. Kusukela ku- Isikhungo sama-Irccs ePoliclinico di San Donato Milanese, ukuguqulwa okungenzeka ekutadisheni ukuboshwa kwenhliziyo emhlabeni sekuqalile.
Isifo se-Brugada siyindlela evamile yokuboshwa kwenhliziyo ngaphandle kwesibhedlela.
The I-JACC (Umagazini we-American College of Cardiology) ishicilela ucwaningo lwe-electaly kagesi olumele isimiso ukuboshwa kwenhliziyo ngoba i-fibrillation ye-ventricular. Kuyindlela ejwayelekile kakhulu yokuboshwa kwabantu abangaphandle kwesibhedlela, futhi kubhekiselwa kuyo ngokuthi I-Brugada syndrome. Ukwelapha ukuboshwa kwenhliziyo kuphela ngesikhathi massage yomzimba kanye nokusetshenziswa kwe i-defibrillator inganikeza iziguli elinye ithuba lokusinda. Iziguli zaseBrugada zingaphila uma zifika ngesikhathi esibhedlela. Sidinga ukusho ukuthi isinyathelo sokuqala ukwenza i-out-oh-hospital Ukusekelwa kokuSisekelo koMpilo okungcono kakhulu. I Imihlahlandlela ye-BlS ("uchungechunge lwempilo") kumele ihlonishwe. Ukuvuselela kusenesikhathi, ukukhubazeka kusenesikhathi, ukubiza i-112, ukungenelela kwe-ALS kanye nokungenisa esibhedlela, kumele kube yisibopho.
Ukusinda ekubanjweni kwenhliziyo kubonga ngokuvuselela i- “software”.
"Iphepha lethu - bhala iSikhungo Sokucwaninga saseNtaliyane - sikhombisa ukuthi, ngaphandle kwezimpawu, Isifo senhliziyo ubelokhu ekhona kusukela ebuntwaneni endaweni epicardial ye-ventricle efanele. Leli qiniso beligcizelela ukuthi ubungozi bokukhula kwama-ventricular arrhythmias angaba yingozi bukhona kuyo yonke indawo yokuphila ". I-Brugada Syndrome iziveza njenge- i-anomaly kagesi amangqamuzana abhekene nokwenza izicubu zenhliziyo zihambe. Imvamisa, lawa maseli mancane, amaqembu anqunyelwe, azungezwe izicubu ezinempilo. Ukuze usebenzise igama elicacile, kepha elincane lobuchwepheshe, amaseli "ahlukaniswe" inhliziyo ngokufanele.
Lezi zinhlobo zamaseli zikhona ezingxenyeni ezigxile, "njenge-anyanisi", kuchaza I-Carlo Pappone, umqondisi weyunithi le-Aritmology le-Ircid Policlinico San Donato. "Bfana nombuthano ophakathi nendawo oboniswe ngamaseli anolaka futhi acatshangelwe ukukhipha ukuboshwa kwenhliziyo".
Hlola kumaseli athule ukuze agxilise inqubo ye-Brugada Syndrome.
“Silwenzile ucwaningo ngo iziguli ezisinde ekubanjweni kwenhliziyo - Ungeza uDkt Pappone - neziguli ezinezimpawu ezifiphele. Kuwo womabili amaqembu, ubukhulu bezicubu ezingajwayelekile batholakala bufana kakhulu lapho beqondiswa ukuphathwa kwe-ajmaline. Lesi yisithunyeli se-antiarrhythmic esilingisa elabhoratri ukuthi kungenzeka yini phakathi nempilo yalezi ziguli. Amangqamuzana omile athi ngokuzumayo ngesikhathi somkhuhlane noma ngemuva kokudla, noma ngesikhathi sokulala, 'angaqhuma' akhiphe okuphelele ukukhubazeka kukagesi wenhliziyo. Ukuboshwa kwenhliziyo kungazelelwe ”.
Lolu cwaningo, ngokusho kukaDkt Pappone, lukhombisa ukuthi “izimpawu ne-ECG hhayi izinto ezanele ukukhomba iziguli ezisengozini, ngoba ngokuvamile uphawu lokuqala lungukufa okungazelelwe ”.
Amamephu we-3D enhliziyo ukwelula ukunakekelwa nezisombululo ukuvimbela ukuboshwa kwenhliziyo
Ososayensi bathuthukisa ubuchwepheshe obusha eMnyangweni we-Arrhythmology weSan Donato Policlinic Institute. Bangakwazi ukwenza imephu yenhliziyo enembe ngokwedlulele. "Isoftware - ichaza I-IRCCS - Ungabona ukwabiwa kwezindawo ezingejwayelekile kanye nezinqubo ezithile, ezikwazi ukukhipha i-radiofrequency pulses. Lokho kudonsa 'hlanza njengebhulashiindawo engavamile ye-ventricle efanele, okwenza kube ngokwejwayelekile ngogesi. Ngiyaziqhenya ngokuthi lobu buchwepheshe obusha buthathwe ngokukhethekile futhi batholakala e-Italy. Lobu buchwepheshe - kuchaza uPappone - buzotholakala kuwo wonke umhlaba wezesayensi ezinyangeni ezizayo. Isoftware izovumela bonke ongoti bezokwelapha ukuthi banikeze ukunakekela kubantu abakhula njalo ”.
NgokukaPappone “lolu cwaningo luqokomisa ukuthi kungenzeka ukuthi kuqedwe lezo ziqhingi zezicubu ezingekho emthethweni ngogesi. Singakwenza lokho ngamagagasi we-radiofrequency afushane, ukubuyisa lawo maseli ukuze kulungiswe ukusebenza kukagesi. Kuze kube manje, iziguli ze-350 sezenzile le nqubo. Zonke iziguli zikhombisa ukungafani ngokuphelele kwe-ECG, ngisho nangemva kokuphathwa kwe-ajmaline ”.