Syndrome a PQ mfushane: izimbangela, izimpawu, ukwelashwa

Syndrome incishisiwe PQ ingenye i umlaza lonke kuphazamiseka isigqi inhliziyo. He is kuyaqabukela self-egunjini lokuhlolwa kwezifo. Ikakhulu kunjalo imilando selivela kwetintfo lesi sifo umsuka ingenye ezivame kakhulu ngokufa okuzumayo.

Umlando kanye ngezigaba

Syndrome a PQ mfushane ziye zachaza odokotela Kudala Maphakathi nekhulu le-lamashumi amabili. Lolu cwaningo ihlaziya walala amacala amabili namashumi kuphela yesifo ezikhethiwe kusuka lonke mass iziguli inhliziyo. Khona-ke akukho izinguquko organic inhliziyo, okungasenza sifo aye atholakala.

Kubantu abadala, ukuncipha kwe PQ isikhawu kusho ukuthi isikhathi kuyehla esingaphansi 0.12 imizuzwana. Ososayensi bathi lokhu kubangwa indawo okungavamile we izinzwa we conductive uhlelo umzimba. Ngo umkhuba emtholampilo ukwaba syndromes ezimbili:

1. Wolff-Parkinson-White syndrome. Ubizwa zilawulwe khona esivimba amanzi sokugembula Kent ugongolo lebhokisi ATRIUM futhi ventricle ngaphandle kokuya engeyokuqala atrioventricular.
2. Mabhalane-Levy Cristescu (CLC). Ibangelwa indawo okungavamile James uvumelanise. Itholakala phakathi engeyokuqala sinoatrial futhi atrioventricular.

Izimbangela pathogenesis

Ongaqondile conduction indlela kungenzeka "imodi yokulala" iminyaka eminingi. Ngakho-ke syndrome a PQ mfushane livela, ngokuvamile phezu zasemuva zezinye izinhlelo egunjini lokuhlolwa kwezifo. Futhi ngenxa yokuntuleka kwezinhlelo ezibanzi izimpawu ungakhululekile ngezinye izikhathi kubonakale njengendlela okufana kuyinsakavukela.

amaza kagesi e ukuguquka kwenhliziyo ngesikhathi esifanayo pass futhi ohlelweni main, futhi imizila eyengeziwe. Ngalesi septum ezingeni phakathi Atria kanye ventricles kwenzeka conduction okwehlisa, okuyinto ayitholakali izinyanda normal imicu. Lokhu kubangela nokuncipha ventricular ingxenye ehlukile phambi ishayela is zasakazekela myocardium. Ngakho kukhona arrhythmias ventricular.

izimpawu

Uma lesi sifo i-PQ mfushane kubhekwa sokugembula ke isiguli neziqubu palpitations, okuyinto usuku eziyishumi amasekhondi amabili. Ziyakwazi bebodwa futhi asidingi kokungenela wezokwelapha. Eziningi zalezi paroxysms ezihlobene nokucindezeleka, ukukhathala, umsebenzi ngokweqile ngokomzimba. Kodwa njengoba umthetho, imbangela ayikaziwa.

ukusheshisa ngokuzumayo ukushaya kwenhliziyo kungabangela uvalo ezigulini ukungakhululeki ku retrosternal ndawo, pallor nomjuluko kunethonya elisezingeni elifanele. Kodwa ngezinye izikhathi iziguli ngisho nokuwabona banesibopho angahlangani zenhliziyo. PQ kweminyaka ECG kukalwa kusukela ekuqaleni wave P ekuqaleni izinyo Q. Ngokuvamile, lokhu zokhahlamba kusuka eziyikhulu namashumi amabili kuya millisecond anamakhulu mabini.

ukwelashwa

Mfushane PQ isikhawu, okuyinto itholakala isizinda evamile inhliziyo isigqi, akakubangeli isiguli noma yiziphi izikhalazo ezinkulu, ukuphathwa ayidingi futhi kubhekwa njengendlela okufana ngabanye kuyinsakavukela bokuphila. Doctor kungenziwa uxwayiswe khona paroxysmal tachycardia (noma ezinye arrhythmia), yisihlungu noma awe isilethikusebenza, edinga ukusihlola nokulungisa yezokwelapha esibanzi.

izindlela Instrumental wokuphila emkhakheni wamuva wezokwelapha inganikeza omsakazo ipayipi ablation noma cryoablation. Lokhu kukuvumela ukuba bahlukanise izindawo ukukhiqiza olwengeziwe isinyathelo nekhono, lokho kukunciphisa ngokuphawulekayo ukudleka nethonya lazo kwenhliziyo. Kukhethwa indlela incike imbangela nokufinyezwa kohlelo PQ. Ngaphandle ekuqedeni izimpawu wenhliziyo ukwelashwa ezibekiwe futhi lesi sifo ecashile. Lokhu kuzokwenza ligweme izinkinga ezingase zivele esizayo nokulondoloza umphumela ablation.

zokuvimbela

Iziguli sifo we CLC, njengoba umthetho, akudingi izinyathelo eziqondile izifo. Ikakhulukazi uma ngaphambi wokuthi akabe ukuzibonakalisa. Kodwa endabeni ka-emizweni ungakhululekile, ezifana ubuhlungu, iphika, isiyezi noma ekuqulekeni, kumelwe ujike kudokotela wesifunda. Kukhona izindlela ezivamile nokuvinjelwa kwezifo of the system senhliziyo:

• izinguquko yokuphila abangaphezu esebenzayo;
• kwesisindo;
• ukudla okunempilo;
• ukwenqaba imikhuba emibi: ukubhema nokuphuza utshwala;
• ukunciphisa ukusetshenziswa kusawoti;
• Lala okungenani amahora ayisishiyagalombili ngosuku.

Akubalulekile, mhlawumbe, ukukukhumbuza ukuthi udinga unciphise ukucindezeleka futhi kwandisa izizinda emoyeni opholile.

ukuba nombono ongafani ngeke

Onalesi sifo yalesi sifo ngokuvamile evumayo, ikakhulukazi asymptomatic. Nokho, abantu abanomlando umndeni kungabangela ukufa. Okuhlukile umsubathi test pilot. Eza uchwepheshe ingozi isigaba.

Uma iziguli, yo- sibi Izibikezelo izikhalazo ngokusuka enhliziyweni. Kodwa izindlela zesimanje yokwelashwa kunganciphisa ingozi yezinkinga ebulalayo. Kunoma ikuphi, ningatatazeli. Kungcono ubheke onguchwepheshe abanekhono, abazokwazi ukwenza uphethwe yini futhi ukwelashwa okuphumelelayo.