CLC Syndrome: izici, izimpawu, ukwelashwa

syndrome CLC, eyaziwa ngokuthi i-Lown-Ganong-Levine syndrome, kwenzeka cishe 0.5% labantu futhi imbangela tachycardia e-30% amacala, ngakho-ke kudingeka ukuba ufunde indlela ukuxilonga khona lesi sifo nendlela yokubhekana naso.

incazelo

Syndrome Mabhalane-Levy Cristescu icala ekhethekile yalesi sifo ka excitation kwanoma ventricles wenhliziyo, esibonakala ngokufeza excitation kuya ventricles emizileni ezengeziwe. Inhliziyo yomuntu kuhlelwe ukuze ventricles ngaphakathi Atria, kubalulekile ukuba eyanele ayigcwalisa igazi. Ukusebenza kwalesi indlela bunikezwa engeyokuqala atrioventricular, esemgwaqweni phakathi ventricles futhi Atria, kuwo kukhona ishayela kancane kakhulu ukuthi ihlinzeka kokuchitha ventricular ukusikwa. Nokho, abanye abantu bangase babe ngendlela azalwa naso okungavamile oqhuba ngiyibona ukundlula engeyokuqala atrioventricular, izindlela ezinjalo ziyathandeka izinyanda kaJakobe, fiber enqwabelanisa Kent Maheyma. Ngalezi izindlela kuyilapho ishayela sinciphile kukhona mkhuba CLC. Le ndlela yokwenza kungabonwa kokwenza ECG ukuhlaziywa. Lo mkhuba akuphazamisi ukusebenza inhliziyo futhi kubonakala kuphela cardiogram. Kodwa ngezinye izikhathi zikhona izimo lapho kukhona Yiqiniso oyisiyingi esingamakhilomitha excitation. Lokhu kwenzeka uma, edabula indlela ezingasadingeki, ishayela ibuyisela ngokusebenzisa engeyokuqala atrioventricular, noma okuphambene nalokho - ngemuva kokuphumelela indlela eyinhloko, ibuyisela ezingasadingeki. Konke lokhu kubangela ushintsho isigqi ukushaya kwenhliziyo, kuba le nqubo ngokuthi syndrome CLC.

Phenomenon futhi CLC syndrome azalwa naso, ngokuba imbangela uqinisekile yalezi kwezinso alwaziwa. Kukhona iziphakamiso ukuthi ezihlobene iziyaluyalu zentuthuko umbungu at the stage of inhliziyo. Futhi, cha vakaza ukuthi isizathu kungaba njalo, futhi izifo ezibangelwa ufuzo.

ukuhlaziya ECG

ECG ukuhlaziywa kuyabaveza yilesi sifo. It libhekene nokuncipha PR (PQ) isikhawu. Lokhu isikhawu likhombisa ngesikhathi lapho excitation ifinyelela myocardium ventricular we Atria kanye kwakwakhe atrioventricular. Ngo abantu abaneminyaka engaphezu kuka-17 yiyona isikhawu ejwayelekile 0.2 imizuzwana, kodwa wokwehla isikhawu, okungase kubangele tachyarrhythmias, futhi kungase kube imfuneko ukuze kuhlonzwe we CLC syndrome. Njengoba isici syndrome Klerk-Levy Cristescu mkhuba eponymous libhekene ukudlula ezingasadingeki isiteshi ngiyibona - Jakobe ugongolo yokuxhuma ATRIUM kungxenye atrioventricular distal we kwakwakhe elibangela wokwehla PR isikhawu (PQ).

Ngaphezu ukunciphisa isikhawu wathi, khona CLC syndrome ECG kungekho ezinye izinguquko. Ventricular eziyinkimbinkimbi (QRS eziyinkimbinkimbi - ukuphambuka esibaluleke kakhulu cardiogram ekuboniseni ukudlula excitation ngaphakathi ventricles) akubonakali ngokungavamile. CLC syndrome ngokuvamile iningi kwenzeka kubantu abanhliziyo ayinakho ngeziphambeko.

izimpawu

Lo mkhuba Lembhali-Levy Cristescu ayinakho ukubonakaliswa, abantu abaningi ngendlela James abaphefumulelwe babengayazi ngazo futhi siphile ngaphandle kabi.

Izimpawu CLC njengoba syndrome aqukethe ekushintsheni izinga inhliziyo. Iziguli zinamathuba neziqubu ngokuzumayo okusheshayo kwenhliziyo, okuyinto kungase kuhambisane ukuvuvukala, faintness, isiyezi, umsindo ekhanda lami. Ngezinye izikhathi kungabonakala ngijuluka futhi ezinkulu ngaphambi noma ngemva kokuhlaselwa yinhliziyo. Kungaphindze kube netikhatsi spasmodic ukushaya kwenhliziyo esasizosheshisa.

ukwelashwa

Ezimweni eziningi, lesi sifo CLC akudingi kokungenela ezikhethekile. Phakathi neziqubu nesineke inhliziyo kuphela ongamisa nabo massage ekhethekile, ebusweni noma ukupholisa amanzi natuzhivayas ogqozini, okungukuthi, ekwenzeni Valsalva iqhinga. Uma lezi zindlela musa asize, kufanele ushayele i-ambulense.

Futhi, lapho esebenzelana nesizwe neziqubu tachycardia syndrome okubangelwa CLC, ungakwazi ukuqasha izinkonzo wenhliziyo, ubani kumele liqoke imithi ekhethekile, njengokuthi "Verapamil" noma "Amiodarone".

Esimweni lapho nokuquleka tachycardia kuthinte kakhulu impilo isiguli, msebenzi olwenziwa ukubhubhisa James imishayo evimbela isiyingi drive unhlangothi. imisebenzi enjalo awayona ingozi, futhi ngemva kokuba isiguli ngokushesha uqhubeka isichibiyelo.