Wolff-Parkinson-White syndrome

whakaaro Wolff-Parkinson-White syndrome te ki te waiho i te mate e tino maha puta i roto i te iwi taitamariki. Tūroro ki tenei tātaritanga kitea palpitations, ka kua mohiotia ki kia iu arata'i te manawataki ki te riri o te hopu cardiac ohorere. Ko te meka ko e i roto i te syndrome o Parkinson, i roto i te tua ki te paerewa o ponana hiko i roto i te ngakau i reira e atu, te mahi o nei ai tachycardia, arā, he hua i roto i te auau mokowhiti myocardial.

Kia mahara e tenei mate e taea te roa symptomatically kore e puta e whakahuatia i roto i te maha pāngia poto o te tachycardia manawataki ranei. Ko reira reira pai ki te whakatū i te tātaritanga i roto i nuinga o te wā puta ohorere, pērā i ka haere whakamātautau ngā hauora. Ko te tohu matua o te mate o Parkinson ngā ongo'i he sensation tahu i roto i te pouaka, whanoke noa syncope me dyspnea. I roto i tenei take, patu te ngakau kia kaha e reira ko te ngātere i tona korokoro.

I roto i te tikanga ki te tātari hiahia o te mate Parkinson ki te tika i te whakamātautau motuhake. He ngāwari ki te tāutu i roto i ngā o te auau o te uaua ngakau tenei mate, rite ki ta te teitei ake i noa. Tikanga, Wolff-Parkinson-White syndrome pāngia te ki auau tachycardia nui rawa 230 kapakapa ki te meneti. I roto i tenei pēhanga toto me kia rānei i te taumata o paerewa, ranei tino i raro etahi rohe mo te tangata hauora. te tikanga e whakaturia ana te mātanga te wahi o ECG me Holter aroturuki. Ka taea e ēnei rangahau tohu te wāhi o atu wāhi ara hiko. ECG kitea te wahi rerekē, te pera-ka karanga "raorao", he aroturuki Holter tā whakahaere tirotiro huri noa i te karaka, kahore arumanga o te mahi o te uaua myocardial.

Kei te nuinga o te wā ka atawhai symptomatically Wolff-Parkinson-White syndrome, te nuinga kei te tango rongoā e hāngai ana Whakapūnoa te mahi o te pūnaha Cardiovascular. Hei tauira, te faataahia "Amiodarone" ranei "Adenosine". Ki te whakamatauria tutuki mehua hauora, te mātanga whakahaere cardioversion hiko, pera-ka karanga ranei therapy ru. I te wa ano, rongoā hou piki kaimahi he tukanga pērā i pū tōngāmimi ablation. Hoki tona whakatinanatanga mātanga hanga he kokoti iti i roto i te rohe kopu i roto i tata ki te haoraora. Whakahaeretia i roto i te pū tōngāmimi rua matua tika ki te ngakau, i te mutunga o te ngongo kikokore eke te he tuku motuhake e whakahaere ana i runga i te taumata auau e taea te whakangaro i te pini atu. tikanga tino noa o te raveraa i te mahi hāparapara i runga i te ngakau tuwhera, me e taea e koe hinga i te syndrome Wolff-Parkinson-White. Otiia whakaaetia he taua tukanga nui te anake i roto i te take o te hiahia mo te pokanga mō ētahi atu take.

Na, ko te tikanga nui rawa mō o tohe syndrome o Parkinson he pū tōngāmimi ablation, i rite ki ta te i roto i te 90% o te wā. Otiia e kore e wareware e rite te pai tetahi, ara iti, mahi rite, tenei tukanga taea meinga te ahua o pōauautanga maha. Hei tauira, kore ngakau te maturuturunga iho pēhanga ohorere ranei, te reira tachycardia tika katoa roa. I tua atu, i te tahi mau iwi i te tauhohenga pāwera ki te wāhanga ngā o rongoā e whakamahia ana i roto i te maimoatanga.

Ko taea te whakaaro te pōauautanga tino ri'ari'a rite ventricular fibrillation, rite arata'i te reira ki te paorooro. E ai ki nga tatauranga o te katoa maha o tūroro mate i tenei momo o pōauautanga, e kore e taea e 4 anake% tiki atu o tenei ahua, e tika ana ki te mate. Ko te wa tino nui ki te kite i te tākuta i roto i te tikanga ki te karo mate ahunga me te whanaketanga o pōauautanga.