CLC ka maʻi pale: ano, symptoms, lapaʻau

CLC maʻi pale, i ike i ka Lown-Ganong-Levine maʻi pale, ia lŘlŘ ma ka hola 0.5% o ka heluna kanaka a me ka ka mea o ka tachycardia i loko o 30% o ka hoopii, ia ka mea pono e aʻo pehea e diagnose i ke alo o ka maʻi pale, a pehea e hana me ia.

hōʻikeʻano

Maʻi pale Kakauolelo-auhau Cristescu mea he kūikawā hihia o ka maʻi pale o premature excitation o ventricles o ka naau, a ua wehewehe aku ma ka lawe ana i ka excitation i na ventricles ma aiiieieoaeuiuo iiauo? Ooia. Ka naʻau o ke kanaka, ua hoonohonoho ai i na ventricles loko o ka atria, ia mea e pono ai lawa hoʻopiha ia me ke koko. Hana o kēiaʻano papa hana ua hoakaka ia e ka atrioventricular wahi, i ua aia ma waena o nā ventricles a me atria, i loko o ka mea, he mea he nui ke kua'āina o ka lāʻau ikiʻai e hoʻolako i kali hou aku; e ventricular contraction. Eia naʻe, i kekahi kanaka i ka congenital'āno'ē ala o alakaʻi i ka impulse e holo alaʻokoʻa ka atrioventricular wahi, e like me kēlā alahele mau laulau o Iakobo, a me ka puluniu pua Kent Maheyma. Ma kēia mau alahele hele ana i ka lāʻau ikiʻai wale ua hoemi a he mea he kŰia o CLC. Kēiaʻano papa hana hiki e ike hana ECG Ka Ikepili. Ke kŰia aʻole e pili mai ka functioning o ka naau, a ua hoikeia wale ma luna o ka cardiogram. Akā, i kekahi manawa, ua hihia ia he mea he hoʻopoepoe papa o ka excitation. Kēia ia lŘlŘ ka wā, maalo ae la oia ma anomalous ala, i ka lāʻau ikiʻai wale huli ma ka atrioventricular wahi, a me ka hope versa - ma hope o hele o ka iniiaiie ala, e huli hou i ka anomalous. A pau keia ke kumu o ka loli ma ka pāpana o ke Kal, ia mea i kēia kaʻina kapa maʻi pale CLC.

KŰia a CLC maʻi pale i congenital, no ka mea i ike oleʻoiaʻiʻo kumu o kēia mau abnormalities. Aia nā manaʻo kōkua i ka mea, ua pili i ka developmental kāna hana o ka fetus ma ke kahua o ka naau. Nō hoʻi, mai noho aliʻi mai i ke kumu i e, a me ka aaiaoe kāna hana.

Ka Ikepili o ECG

ECG Ka Ikepili kōkua e kuhikuhi i kēia maʻi pale. Ua Ua wehewehe aku ma ka ho'ēmiʻana i loko o HA (PQ) wā mawaena. Kēia wā mawaena Hōʻike ka manawa manawa a ka excitation kīnā ka ventricular myocardium o ka atria, a me ka atrioventricular hui. I kanaka mua ma mua o 17 makahiki o ka maʻamau wā mawaena o 0.2 kekona, akā, i ka ka ho'ēmiʻana o ka wā mawaena, a hiki i tachyarrhythmias, i kekahi e ka elue no kaʻike, o ka maʻi pale CLC. Mai ka maʻi pale hiʻona Klerk-auhau Cristescu eponymous kŰia ua wehewehe aku ma ka hooholo ia ana o anomalous Kanal impulse - James mea nana i ulana ai pili aku atrium i ka atrioventricular distal hapa o ka hui i ke kumu o ka ka ho'ēmiʻana o ka wā mawaena HA (PQ).

Ma waho aʻeo ia hoemi i ka olelo mai wā mawaena, i ke alo o CLC maʻi pale ECGʻaʻohe'ē aʻe loli. Ventricular eiiieaena (luna 'QRS - loa nui haiahū kūmau ma cardiogram e hoike ana i ka hooholo ana o ka excitation i loko o ka ventricles)' aʻole i hōʻike abnormally. CLC maʻi pale loa pinepine ia lŘlŘ i loko o kanaka nona ka naau i ole deviations.

symptoms

Ke kŰia o ke Kakauolelo-ʻauhau CristescuʻAʻohe hoikeana, ka hapanui kanaka me ke ala James i ole e ike e pili ana ia, a ola ole discomfort.

Na hoailona o CLC like me ka maʻi pale komo i loko o hoʻololi i ka naʻau kōmi. Nā mea maʻi i māmā bouts o kokololio naau ana, a hiki e ukali ma ka bloating, maule ana, pōniuniu, halulu i loko o koʻu poo. I kekahi manawa ka mea, hiki ke ike sweating a copious mua ma hope o ka hoouka paha. He hiki no hoi e spasmodic hōʻeleu i Kal.

lapaʻau

Ma ka hapanui o na hihia, ka maʻi pale CLC aʻole i koi hana kūikawā 'uao. Ma bouts o ka naau hoomanawanui wale hiki ana ia me ka kūikawā lomilomi, lehalehu t a anuanu maila ka wai natuzhivayas ma ka hoʻoulu manaʻo, i ka mea, ae hana i ka Valsalvaʻoihana kaʻa. Inā mau kiʻina hana e ole ke kōkua, oe e kapa aku i ambulance.

No hoi, Hana me bouts o ka tachycardia maʻi pale, kena ae la ia e ka CLC ia, oe ke hoolimalima i nā lawelawe o ka cardiologist, ka mea pono koho i ka kūikawā lapaʻauʻia, e like me "Verapamil" a me "Amiodarone".

Ma ka hihia ma ke kāʻili 'tachycardia ikaika pili i ke ola o ka hoomanawanui, hana me ka mākaʻi, e luku James kapili i ua ālai' hoʻopoepoe a holo hahau ana. Oia hana mau i pilikia, a ma hope o ka hoʻomanawanui koke hele ma ke hoʻololi 'ia.