Wolff-Parkinson-White syndrome

Wolff-Parkinson-White syndrome waxaa loo arkaa inay cudur badanaa ka dhacdaa dadka dhalinyarada ah. Bukaanka qaba cudurka this arkay wadno, oo la og yahay in ay deganayn laxanka keenaysaa in halista wadnaha lama filaan ah. Xaqiiqdu waxay tahay in Parkinson ee syndrome, marka lagu daro caadiga ah ee dhaqdhaqaaqa korontada wadnaha ka jira oo dheeraad ah, tallaabada ah kaas oo keena tachycardia, ie, in la kordhiyo inta jeer wadnaha myocardial.

Xusuusnow in cudurkan la dheer symptomatically ma dhici karto ama lagu muujiyay in dhowr roonaadaan gaaban laxanka tachycardia. Sidaas awgeed waa in la dhiso faa'iido ogaanshaha kiisaska intooda badan waxay dhacdaa si lama filaan ah, sida marka la kaadinayo baaritaan caafimaad oo joogto ah. Calaamadaha ugu weyn ee cudurka Parkinson ka mid ah dareen dareen gubasho xabadka, wareer ilaa syncope iyo dyspnea. Xaaladdan oo kale, wadnaha si xoog leh u sheegay in uu jiro garaaca wadnaha ah in uu cunaha.

Si loo ogaado baahida loo qabo cudurka Parkinson si ay u gudubto imtixaanka gaar ah. Cudurkaan waa u fududahay in la ogaado in marka la eego inta jeer ee muruqa wadnaha, sida waxa uu noqonayaa mid ka badan sida caadiga ah. Sida caadiga ah, Wolff-Parkinson-White syndrome waxaa lagu gartaa heerka tachycardia daran aad iyo aad 230 garaac daqiiqaddiiba. In cadaadiska dhiigga, waa inay noqoto mid heer heerarka, ama aad uga hooseeya xadka u go'an qof caafimaad qaba. ku takhasusay sida caadiga ah u magacaabay marinka ee ECG iyo Holter monitor. Cilmi-baarisyadaasi waxay muujinayaan kartaa meesha ee goobta dheeraad ah Jidka korontada. ECG ogaadaa meesha aan caadi ahayn ah, waxa loogu yeero "Delta", monitor a Holter ku lug leedahay qabashada ilaalo saacad kasta oo aan la dhexgelin oo shaqo ee muruqa myocardial.

Wolff-Parkinson-White syndrome waxaa badanaa lagu daaweeyaa symptomatically, inta badan waxaa loo qaataa daawo loogu talagalay caadi waxqabadka nidaamka wadnaha. Tusaale ahaan, loo qoondeeyey "Amiodarone" ama "Adenosine". Haddii tallaabooyin caafimaad diraha, takhasuska sameeyay artafiishal korontada, ama wax-u therapy lama filaan ah. Isla mar ahaantaana, daawo casri ah si sii kordhaysa u shaqeeya nidaam sida ablation kateetarka. Waayo, hirgelintiisa takhasus dhigaysa qalay yar aagga miskaha ee u dhaw quseyo ah. Sameeyay iyada oo tuubo galaysa xidid dhiig ugu muhiimsan ee si toos ah wadnaha, dhamaadka tuubada dhuuban ayaa la Jaha gudbiye gaar ah oo ka shaqeeya on heerka inta jeer in burburin kara garaaca wadnaha oo dheeraad ah. habka wax caadi ah fulinta hawlgal qalliin on wadnaha furan, oo idinka Adkaan oo ku Wolff-Parkinson-White syndrome. Laakiin sida nidaamka halis ah loo ogol yahay oo kaliya in ay dhacdo baahida qaliinka sababo kala duwan.

Sidaas daraaddeed, habka ugu badan ee la dagaalanka Parkinson ee syndrome waa ablation kateetarka, sida waxaa loo sameeyaa in 90% ka mid ah xaaladaha. Laakiin ha iloobin in sidoo kale wixii, xataa yar, qaliinka, nidaamka this keeni kartaa muuqaalka kore ee dhibaatooyin badan. Tusaale ahaan, wadnaha oo shaqadiisa gaba, ama dhibic cadaadis lama filaan ah, waxa oo dhan tachycardia xaq sii dheeraaday. Intaa waxaa dheer, dadka qaar ayaa xasaasiyad in qaybaha gaarka ah ee daawooyinka loo isticmaalo in lagu daaweeyo.

Laakiin dhibaato ugu cabsi leh la oran karo waa sida aamba ventricular, sida ay keenaysaa in ay ka nixin. Sida laga soo xigtay tirakoob of tirada guud ee bukaanka ka cabanaya dhibaatooyin noocan ah, oo keliya 4% ma heli karo baxay gobolka this, taas oo horseedaysa in la dilaa. The time ugu muhiimsan in aad aragto dhakhtar si looga fogaado faafidda cudurka iyo horumarinta dhibaatooyin.