WPW Syndrome

Odwala omwe ali ndi matenda a ERW ali ndi tachycardia ndi arrhythmia chifukwa cha
Njira yopanda mphamvu ya magetsi imadutsa pakati pa zinyama ndi
Atria. Dzina lina la matendawa ndikumangirira msanga. Matenda a WPW ndi chinthu chosavuta, ndipo odwala ambiri alibe matenda a mtima. Chizindikiro chachikulu cha matenda ndi arrhythmia. Theka la odwala ali ndi tachyarrhymimias. Matendawa nthawi zambiri amabisika, choncho, kuphunzira kwa electrophysiological ndi electrostimulation ya ventricles ya mtima n'kofunika.

Matenda a WPW ali a mitundu iwiri-A ndi B. Mu mtundu woyamba, yoperewera
Njirayi ili pakati pa ventricle ya kumanzere ndi atrium. Mwa mtundu B, njira ina yowonjezera ili pakati pa ventricle yoyenera ndi atrium, zomwe zimabweretsa chisangalalo cha msanga.

Matenda a WPW amavutitsidwa ndi masewera omwe amapezeka ndi apamwamba
Kuthamanga ndi kutha kwadzidzidzi. Kukumenyana kungayambitsidwe ndi kuwonjezera thupi, kumwa mowa, nkhawa, kusuta, hypothermia, ndi zina zotero. Ndikofunika kupeŵa kumwa mankhwala omwe amalepheretsa zochitika zapakati pamtima mwa odwala omwe ali ndi matenda a WPW. Chithandizo nthawi zambiri sichifunika.

Vuto lalikulu ndi kuphatikiza mawonetseredwe a matenda omwe ali ndi acythmias, omwe amafunika opaleshoni. Pachifukwa ichi, kuperewera kwa phokoso kwadzidzidzi kumachitika , ndiko kuti, kuwonongedwa kwa njira zopatsira matenda. Kuperewera kwa madzi, kupyolera mwa kulembedwa kwa magetsi a catheter pa intracardiac electrophoresis, kwakhala kufalikira m'zaka zaposachedwa. Kuwonongeka ndi njira yothandiza komanso yotetezera kuchiza matenda a ERW. Zotsatira zopindulitsa zingapezeke mwa 96 peresenti ya odwala.

Chizindikiro cha kugwiritsiridwa ntchito kwa pulogalamu yowonjezereka kwa njira zowonjezereka zapachilombo kumapitirizira ULT, kusagwirizana ndi mankhwala osokoneza bongo komanso chiopsezo chowopsa cha matenda a atrial fibrillation. Odwala achichepere, njira iyi ya chithandizo imaphatikizapo njira yothetsera mankhwala osatha.

Mu njira yowonongeka ya matenda monga matenda a ERW, mankhwala samapatsidwa kwa odwala onse. Tiyenera kukumbukira kuti chithandizo cha matendawa chingakhale choopsa kuposa matenda omwewo. Ganizirani za chiopsezo cha moyo wa arrhythmias kulola zitsanzo pogwira ntchito.

Matenda a WPW amachiritsidwa ndi mankhwala omwe akuwongolera kwambiri AV kupanga mapulaneti (digoxin, adenosine, verapamil), kapena kuchita
Pa njira ina (lidocaine, procainamide). Nthawi zambiri
Supraventricular tachcarcardia ikhoza kusandulika kukhala mafinya,
Choncho, dokotala ayenera kukhala ndi defibrillator kuti achite mwamsanga
Kutsegula mtima ngati kuli kofunikira. Ndikofunika kwambiri makamaka
Kugwiritsira ntchito ndalama kutseka kugwira ntchito mu mfundo.

Pothandizidwa ndi mankhwala ophera tizilombo toyambitsa matenda, tizilombo toyambitsa matenda, procainamide imayambitsidwa, zomwe zimachepetsanso mpweya woipa. Kupewa
Kodi kugwiritsiridwa ntchito kwa mankhwala ena a 1c kapena 1a. Nthawi zina amaikidwa
Propronolol ndi zonse zodzitetezera.

Nthawi zina, HTT ikhoza kusokonezedwa mothandizidwa ndi ECS yocheperapo kapena yofulumira. Mankhwala osokoneza bongo amatha kusankhidwa pansi pa ulamuliro wa EFI. Izi ndizofunikira makamaka nthawi
Zilonda zam'mbuyomo zinkayenda ndi matenda osokoneza bongo komanso a hemodynamic, komanso ndi mapulaneti ofooketsa tizilombo toyambitsa matenda.