Syndrome CLC akuti: makhalidwe, zizindikiro, chithandizo

CLC syndrome linkadziwika syndrome Lown-Ganong-Levine, amapezeka pafupifupi 0.5% ya anthu ndi chifukwa cha tachycardia 30% milandu, choncho m'pofunika kuphunzira mmene matenda pamaso pa matenda ndi mmene kuthana nazo.

mafotokozedwe

Syndrome kalaliki-Levy Cristescu ndi nkhani yapadera ya matenda a malemeredwe msanga wa ventricles mtima, amene amakhala mwa kutsatira malemeredwe kwa ventricles pa maulendo zina. Mtima wa munthu anakonza kuti ventricles mkati atria, ndi zofunika zokwanira kuwadzaza ndi magazi. Ntchito njira imeneyi amaperekedwa ndi mfundo atrioventricular, limene lili pakati pa ventricles ndi atria, mmenemo ndi kugunda kwambiri pang'onopang'ono amene amapereka kuchedwa kuti chidule yamitsempha yamagazi. Komabe, anthu ena ndi kobadwa nako nthenda njira wochita kugunda kwa kumachilambalala mfundo atrioventricular, njira amenewa ndi mitolo ya Yakobo ndi CHIKWANGWANI mitolo Kent Maheyma. Kudzera m'njira izi pamene zimachitika pa yafupika ndipo pali chodabwitsa CLC. limagwirira Tikhoza kuona kuchita kusanthula ECG. Chodabwitsa sikumangotikhudza kugwira ntchito kwa mtima ndi akuwonekera yekha cardiogram lapansi. Koma nthawi zina pali milandu pamene pali zozungulira njira ya malemeredwe. Izi zimachitika pamene, kudutsa njira anomalous, adzionere akubwerera mwa mfundo atrioventricular, kapena mosinthanitsa - pambuyo kudutsa njira yaikulu, abwerera kumka ku anomalous. Zonsezi zimayambitsa kusintha kayendedwe ka kugunda kwa mtima, ndi ndondomeko otchedwa syndrome CLC.

Chodabwitsa ndi matenda CLC ali obadwa nawo, motsimikiza chifukwa cha kuvutika izi sakudziwika. Pali mfundo kuti zokhudzana ndi matenda kakulidwe wa mwana wosabadwayo pa siteji ya mtima. Komanso, si kulamulira kuti chifukwa mwina ndi matenda chibadwa.

kusanthula ECG

ECG kusanthula Zimathandizanso kudziwa syndrome izi. Iwo amakhala ndi kuchepetsa kulima (PQ) imeneyi. imeneyi Izi zikusonyeza nthawi imene malemeredwe umalandira myocardium yamitsempha yamagazi wa atria ndi pawiri atrioventricular. Mu anthu zaka zoposa 17 ndi imeneyi yachibadwa masekondi 0.2, koma kuchepetsa imeneyi, zimene zingachititse tachyarrhythmias, angakhalenso chofunika matenda a vuto CLC. Popeza syndrome Mbali Klerk-Levy Cristescu eponymous chodabwitsa amakhala ndi ndime ya anomalous njira kugula - James mtengo polumikiza atrium kwa atrioventricular wapotalikira gawo la pawiri kamene kamayambitsa kuchepetsa wa imeneyi kulima (PQ).

Kuwonjezera kuchepetsa imeneyi anati, pamaso pa CLC syndrome ECG palibe kusintha zina. Yamitsempha yamagazi zovuta (zovuta QRS - kwambiri kupatuka pa cardiogram kusonyeza Ndime ya malemeredwe mwa ventricles a) sizimawoneka abnormally. CLC syndrome nthawi zambiri amapezeka mu anthu amene mtima alibe zolakwika.

zizindikiro

Chodabwitsa Kalalikiyu-Levy Cristescu alibe mawonetseredwe, anthu ambiri ndi njira James sanadziwe za iwo ndi moyo wopanda nkhawa.

Zizindikiro za CLC matenda ndi MUKACHULUKIDWE kusintha mlingo mtima. Odwala ndi chifundo cha kugunda kwambiri kwa mtima, kumene limodzi ndi bloating, faintness, chizungulire, phokoso mu mutu wanga mwadzidzidzi. Nthawi zina Tingaone thukuta ndi mvula isanayambe kapena itatha nkhondo. Pakhoza kukhala spasmodic mofulumira kugunda.

chithandizo

Nthawi zambiri, vuto CLC sikutanthauza alowererepo apadera. Pa ayi mtima wa wodwalayo yekha akhoza kuzithetsa ndi kutikita wapadera, nkhope kapena yozizira madzi natuzhivayas pa kudzoza, ndiye akuchita Valsalva kuzemba. Ngati njira izi sititenga, muyenera itanani ambulansi.

Komanso, pochita zinthu ndi chifundo cha matenda tachycardia chifukwa CLC, mukhoza ganyu misonkhano ya cardiologist, amene ayenera kusankha mankhwala apadera, monga "Verapamil" kapena "Amiodarone".

Ngati kumene khunyu tachycardia mwamphamvu bwanji moyo wa wodwala, ntchito imachitika kuwononga James matabwa zoletsa kuti zozungulira pagalimoto sitiroko. ntchito zimenezi si owopsa, ndipo pambuyo mtima msanga akupitiriza Kusintha kwa.