Syndrome elongate kagawo QT: kufotokoza, zomwe zingayambitse ndi makhalidwe chithandizo

Anthu Health - waukulu chigawo chimodzi cha wabwinobwino ndi khalidwe moyo. Koma ife si nthawi zonse bwino. Angakumane ndi mavuto otani pa zifukwa zosiyanasiyana, ndiponso kufunika akhoza kukhala osiyana. Mwachitsanzo, chimfine sayambitsa mavuto a anthu, izo mwamsanga mankhwala ndipo alibe kuwononga kwambiri wonse thanzi. Koma ngati mavuto ndi ziwalo mkati, ndi woopsa kwambiri kwa moyo ndipo sadzadwalanso impairs wathu.

Posachedwapa, anthu ambiri akudandaula za mavuto mtima ndipo nthawi zambiri ndi matenda wamba amene savuta kuchiza ndi matenda. Koma pali zina pamene wodwala wapezeka yaitali QT syndrome. Mu mankhwala, mawu ndi mawu kapena kugula mkhalidwe wa munthu, limodzi ndi kuwonjezeka mu nthawi ya ECG imeneyi gawo. Ndipo syndrome izi zimachitika elongation yekha oposa 55 MS kwa mfundo ndi zabwinobwino. M'menemo pamene matenda akufotokozera, akalozera wa kupatuka a imeneyi mwina oposa 440 MS.

mawonetseredwe

Nthawi zambiri, matenda wodwalayo ali asymptomatic ndi kudzikonda kupeza kuli kovuta. Ambiri, anthu ndi matenda izi linaphwanya repolarization ndi depolarization chifukwa kusintha symmetrical innervation za mtima. Zindikirani n'chotheka mu njira ya zofufuza, pa maziko a zida zamitundu yosiyanasiyana. Chinthu chachikulu zimathandiza kuti chikhalidwe ichi ndi magetsi Kusakhazikika kwa minofu mtima.

Anthu amene ali ndi elongate kagawo QT syndrome mankhwala osathandiza, kapena sanamwe angathe yamitsempha yamagazi fibrillation kapena yamitsempha yamagazi tachycardia. mavuto awa ndi zoopsa kwambiri miyoyo ya odwala ndi kunyamula ndalama za boma ambiri. Choncho ngati mukukayikira pamaso pa matenda ayenera yomweyo kusamalira thanzi lanu, mukatero mwina mavuto. Komanso, mavuto a matenda ndi lalikulu kwambiri. Iwo sangakhoze amadzachita wonongeka ndi kuwonongeka kwa boma ambiri wodwalayo wathanzi, komanso amapha.

mitundu

Mankhwala kuyambira kalekale anaphunzira kupatuka zimenezi, ndipo kwa zaka zambiri asayansi kutsindikiza kuphunzira za zimenezi. matenda agawidwa mitundu iwiri, ndicho nazo ndiponso kobadwa nako yaitali QT syndrome imeneyi. Kudziwa zimene mtundu wa mtima, angakhoze kokha njira kafukufuku. Pamene matenda kobadwa nako vuto kulephera kwa malamulo chibadwa. Pamene kugula pa chitukuko cha matenda akhoza kukhudzidwa ndi zinthu zosiyanasiyana.

mawonekedwe

Komanso secrete mitundu ina ya matenda:

• Zobisika mawonekedwe. Iwo amakhala ndi wabwinobwino imeneyi zizindikiro pa kumupima, ndi kuukira loyamba syncope ndi imfa yadzidzidzi.
• mwauchidakwa ananena za syncope, koma QT imeneyi ndi kutalikitsa nthawi loyang'anira.
• Elongation olekanitsidwa imeneyi ndipo si umaonekera m'mbiri.
• Syncope zimachitika ndi elongation index QT, mlingo wa 440 MS ndi pamwamba kwakukulukulu.

zifukwa

Pali zinthu zambiri zimene zimakhudza kakulidwe ka matenda. Mwachitsanzo, iwo amayamba kukhala chifukwa matenda otengera kuphatikizapo matenda P-U. Pankhaniyi nthawi imfa ya khunyu chikumbumtima zimenezo zingachititse kuti chitukuko cha matenda. Komanso, E-P-A syndrome, ngati wodwalayo ali ndi ugonthi kobadwa nako. Chifukwa chake ndi chiyani ngati osakaniza zizindikiro ndi mmene akapsa chitukuko cha matenda, asayansi apeza kunja mpaka analephera. Komanso, mbewu kusintha angachititse chitukuko cha matenda. Ichi ndi chinthu chachikulu chomwe matenda obadwa nawo, koma nthawi zina si nthawi yomweyo, ndipo ngati munthu wamkulu, pambuyo kuvutika maganizo. Kawirikawiri ndi vuto ndi kaphatikizidwe mapulotini sodium na potassium ngalande ndi zinthu zimene imfayo elongate QT imeneyi syndrome. chifukwa angagone mu mavuto a mankhwala ena. Ambiri kuopseza ndi mankhwala amphamvu kuti wodwala kuti kuchiza matenda ena.

Kodi matenda kapena zakudya kagayidwe kachakudya kuchepetsa zopatsa mphamvu mu chakudya. Zikutha m'mayiko thupi zinthu izi ungasonyezedwere osati mu mtima. Choncho, ngati zakudya ndi bwino kukambirana ndi dokotala ndipo anali kuiyang'anira. Attrition kungachititse kuti mavuto a matenda ena mtima monga matenda a mitima kapena mitral vavu prolapse. Syndrome zina akufotokozera chifukwa CNS pathologies ndi mtima dystonia ndi matenda ena a mantha dongosolo autonomic.

zizindikiro

Pali zizindikiro zapadera zimene zikusonyeza kuti wodwalayo alipo yaitali QT syndrome. Zizindikiro za matenda monga:

• Kuchepa kwa chikumbumtima wosatha ku mphindi zochepa kuti kotala la ola. Nthawi zina, nkhondo ukhoza kwa mphindi makumi awiri.
• Zopweteka mu zikhalidwe Zofanana monga khunyu maonekedwe, koma njira zimene zimachititsa kuti iwo ndi osiyana kwambiri.
• Mwadzidzidzi kufooka m'thupi, limodzi ndi kunachita mdima wa maso.
• Palpitations ngakhale sitili zolimbitsa thupi kapena maganizo.
• Chifuwa ululu wa chikhalidwe chosiyana, anapitiriza pa kudya kugunda, komanso nawo limodzi kukomoka kapena chizungulire ndi dzanzi mu manja ndi mapazi.

diagnostics

Nthawi zambiri, nthawi QT syndrome, ana makamaka, alibe zizindikiro. Imeneyi, wodwalayo angaganize wathanzi kwathunthu ndi kufa mwadzidzidzi. Choncho, ngati munthu ali pa chiopsezo cha matenda, ayenera nthawi zonse kuyezedwa ndi dokotala kuti akatsimikizire kuti n'zotheka kukhala matenda. Matenda ndi, mankhwala amakono amagwiritsa ntchito njira zingapo.

Ngati pali kukayikirana kuti wodwalayo ndi QT mavuto yaitali syndrome thanzi zikuonetseratu poyera izi, electrocardiogram - ndi phunziro lofunika kwambiri limene limasonyeza matenda. Kupyolera mwa iye pamene kumuukira, unit adzakhala zizindikiro za tachycardia yamitsempha yamagazi, kudutsa mu fibrillation yamitsempha yamagazi. Njira imeneyi ndi mawonekedwe yoyamba ya matenda mtima.

Palinso phunziro lina lomwe zimasonyeza elongated imeneyi syndrome QT. Iwo ikuchitika masana. Choncho, umatchedwa ECG polojekiti. phunziro amalola kuti akonze wodwalayo mtima ntchito nthawi imeneyi. Chipangizo thupi lake Mamatirani yaing'ono kuti nkhani umboni wa mtima, ndipo pambuyo kuchotsa ake, katswiri chinkhoswe mu chinawathandiza kumvetsa n'chakuti deta olembedwa chipangizo. Iwo amakulolani kudziwa ngati wodwala ali bradycardia aakulu osasinthika ngati kusintha kafukufuku wakapangidwe kazachilengedwe wa yoweyula T, komanso ngati pali kuphwanya njira ya repolarization m'mnyewa wamtima ndi yamitsempha yamagazi kumenyedwa msanga.

chithandizo

Ngati wodwala wakhala kuzindikiridwa yaitali QT matenda, mankhwala ayenera kukhala wopambana ndi zoyenera, chifukwa njira yokha kuteteza chitukuko cha mavuto amene ndi oopsa thanzi ndipo akhoza kunyamula zotsatira woopsa.

mankhwala

matenda kudzachiritsidwa ntchito mankhwala antiarrhythmic. Bwino anasankha zachipatala Inde adzawononga zizindikiro za matenda, komanso kwa nthawi yaitali ziziyenda dongosolo mtima. Ichi ndi chimodzi mwa njira zochiritsa ndi matenda obadwa nawo a elongated imeneyi QT LQTS.

chithandizo opaleshoni

Ngati wodwala ali pangozi pachiswe moyo chifukwa arrhythmias matenda, akatswiri amavomereza kuphunzitsa ndi pacemaker. Ntchito yake ndi matenda pafupipafupi contractions wa minofu mtima. mankhwala amakono anayamba chipangizo wapadera, zomwe kudziwa kupatuka pathological za mtima. matenda bwino zimayamba kuchokera kunja. Pa thupi, mwachitsanzo, chipangizo sadzakhala kuyankha. Koma ngati nyemba adzakhala adzanyamula khalidwe pathological, izo normalizes ntchito thupi.

Opaleshoni pa matenda monga elongated QT imeneyi syndrome, losavuta komanso otetezeka zokwanira. Pacemaker chili kumanzere kwa minofu pectoralis lalikulu. Kuyambira muli maelekitirodi kuti madokotala wotetezedwa pamalo anakhumba, powatsogolera kudzera m'mitsempha subclavian. zida akhoza kusintha ndi mapulogalamu a. Ndi inu mukhoza kusintha magawo a kukondoweza kwa mtima, malinga ndi khalidwe la wodwalayo. Powering zidzachitika nthawi iliyonse pamene ntchito ya minofu mtima kupitirira magawo mwachindunji.

Pomaliza

Matendawa Sizotheka matenda chifukwa kawirikawiri owonetseredwa mawu. Koma nthawi yomweyo kuopseza thanzi wodwala ndi waukulu kwambiri. Choncho, ngati pali ngakhale chiopsezo pang'ono pakuwonekera kwake, ayenera kuonedwa zonse kafukufuku ndi kukaonana ndi akatswiri. Ngati matenda zikutsimikiziridwa, izo ziyenera kukhala wopambana ndi wathunthu chithandizo cha matenda, chifukwa kungachititse kuti imfa.