WPW kŰia: mea, lalau mai, symptoms,ʻike, a me ka lapaʻau

WPW maʻi pale ua kapaia pathology i loko o ke aʻalolo olona, o ka naau Muscle i ke kumu no ke kāʻili 'ana a me ka tachycardia aie a hiki i ka hooholo ana o ka excitation o ke aʻalolo impulse ma hou pōkole mau kuamoo i mea ole i loko o ke ola i ke naʻau.

Ka mua hai

I ka 1930, 'inikua epekema Wolff Parkinson White a me ka mea mua, e wehewehe i nā hōʻailona a me nā hoikeana o ka maʻi paleʻano papa hana, i hope i haawiia mai i ka inoa o ka SVC maʻi pale (WPW). Aia mea e like me ka mea i WPW-kŰia. Mākou i manao ia i loko o kēia 'atikala.

Maʻamau, na olona, i loko o ka naʻau, ua'emi lawelawe excitation ka lāʻau ikiʻai e hana i kekahi ala hele, i hoakakaʻaʻahu, a gradual hoi o ka makana o ka momentum. Neaiae hanauna hoʻomaka ma ka sinus'āina i loko o ka atrium akau hiki i ka od wahi (atrioventricular wahi) i loko o ka atrioventricular ciia, alaila, na wawae o kona pūʻolo ma Purkinje olona, excitation ua pū i hiki i nā mea a pau Muscle olona, o ka naau ventricles, a ua he lōʻihiʻaoʻao hoʻolako i ka wahi a me ka synchronous contraction ka holoʻokoʻa naau Muscle.

Kumu a me nā symptoms

Inā WPW maʻi pale nā aʻalolo impulse excitation mai na atria a hiki i ka ventricles kŰlń ao he pōkole ke ala a hiki i ka ai-kapaia mea nana i ulana Kent, piliwaiwai ka atrioventricular (af) wahi. Ia mea, i ka nalu o ka excitation mea nui māmā ma mua i loko o ka maʻamau pāpana o ke Kal, a no ke aha la he mau incoordination o ka ka ho'ēmiʻana o ka naʻau Muscle, a me acee? Iuo oeiia o arrhythmia.

Ia mea i ke ala o ka naau pepe lāʻau ikiʻai wale.

Similar anomalies i loko o ka 'ole o ka naʻau i congenital, a ua hanaʻia wale nō ke ma muli o ke hereditary ke kanana nei'ōewe paha ma lalo o ka aoao o nā aʻe, he kūlana mea e pono ai i ke kūpono' ana o ke kanaka embryo naau.

Fetus manawa e noho hou atrioventricular apo, a me ka olona,, i loko o 20-22-la pule o thinner a nalo loa. Inā na olona, i waihonakala, eia anatomical aku ana WPW maʻi pale. A hereditary ano o ka WPW-maʻi pale ua wehewehe aku ma ka helu nui o ka af pili 'o Randy, mā a me nā anomalies i loko o ka' ole o ka naʻau. Eia naʻe, wale ma ka adulthood kānāwai i loko naʻe o ka congenital anatomical abnormalities, ka mua symptoms o WPW-maʻi pale. O na hihia a pau, i ke alo o ka 70% o ka maʻi pale ua diagnosed i loko o nā kānaka.

na hoailona o ka pathology

Ka loa, he pono ole symptoms o ka hiki alo o WPW maʻi pale i ka penei:

1. E manao ana ikaika a me ka pinepine palpitations, i na keiki ke kapa aku ai "o Kepakailiula a kuʻi naau."
2. Koke pōniuniu.
3. Unexplainable syncope,ʻano nui i loko o kamalii mai a me ka adolescence.
4. Ua eʻeha ma ka naʻau, a me ka tinglingʻoki eha ia ana.
5. Aloha o ka suffocation, loa pokole o ka hanu i ka manawa'ōpio wale nō.
6. Nā pēpē i hiki ke hoole hanai ana oia i hiki profuse sweating, ikaika nawaliwali, mahuahua naau ana ma ke kamepiula i 200-300 kui iho oe a no minuke.

Pehea e hōʻike maʻi?

A hailona ana o kanaka, ka poe i nui'āno'ē olona, ma ka cardiac Muscle, ka WPW maʻi pale ua diagnosed wale ka wā hanaia cardiac echocardiography. Decipheringʻoiaʻiʻo, e hāʻawi aku i ka hopena.

Oia nā moku halihali mokulele maʻi pale mai i hana eha iaʻi mai bouts o tachycardia a fibrillation, a i hiki e me ka ike ole o ka alo ana o abnormalities i loko o ka naʻau.

Kēia asymptomatic mālama i loko o 35-40% o nā hōʻike 'nā moku halihali mokulele o ka maʻi pale. Mehana pele o WPW maʻi pale ua wehewehe aku ma recurrent pōkole-makahiki tachycardia paha fibrillation, i koke hele me ke kōkua. E hoʻopau hopu i loko o ka hihia o ka meakino umekaumaha WPW maʻi pale kauoha antiarrhythmic ai 'ole kekahi' ano o ka blockers o cardiac excitation.

I Ina o ka hoʻolōʻihiʻia ke kāʻili 'ana i kūpono kou e wehe' ia i medically huikau a me kāna hana contractions o ka naau a me ka Muscle atrial kolili diagnosed loa degere o ka maʻi pale, a paipaiʻoki kino.

maʻi paleʻAno

WPW maʻi pale a me ka naau e hoʻolaha e like me ke alapine (frequency), a oi loa aku hoi ka muli o kela lapaʻau na hoailona, a ua māheleʻia i loko o ka kēia mau 'ano:

• Hoike mai ka wā o ka electrocardiogram mea mau keia aaeuoa nalu, a me ATS-tachycardia a me ka sinus pāpana hōʻike sporadically.
• Ao pau - ua wehewehe aku ma transient ventricular mālama '-excitation.
• Hūnāʻia - wehewehe episodic AVR-tachycardia, a ma ka moku'āina o ke koena ua ole diagnosed.

Pehea'ē aʻe hiki diagnose i ka maʻi pale?

Me ka electrocardiogram e diagnose hiki WPW-maʻi pale mea hiki ma ka hoʻolohe i ka naau kani, a e lilo 'ana o ka' aoʻao o arrhythmic ma ke ano maoli, e like me ka ole Kal.

Ma waho aʻeo ia ECGʻike, o WPW maʻi pale i ua hoʻonānā hoʻohana i ka hana lawe manaʻo me nā uila aʻa lolo, ma ka ultrasound a me ka echocardiography, me ka hoʻokomo 'ia' o ka haumāna kahi nā uila aʻa lolo i loko o ka esophagus me mahope omńkalakala i nā hualoaʻa ma ka pou impulses, e like me luna 'electrophysiological ninaninau, a haawi mai i ka loa pololei ho i loaʻa i loko o ka cardiac Muscle Kent kaola a apono 'mai, e waiho aku i ka makeʻe kulana aʻoki lāʻau lapaʻau lapaau.

WPW-kŰia

I ka wā o nā ana no ke alo o WPW maʻi pale i oi aku mamua o 30% o ka hōʻike 'nā moku halihali mokulele maʻi pale i kekahi hoopii ma ka naau ola i ole ua poe Setoiko. Aie i ka helu nui o ia asymptomatic, i ka makahiki 1980, I paʻi koi i hookaawale WPW maʻi pale me ka kekahi lapaʻau kiʻi, a me WPW-kŰia.

About keia kŰia, ka mea, ua manao ia ma luna o electrocardiogram naʻau sinus pāpana i na hoailona o ka premature ventricular excitation, akā, na kanaka e ole pathological Hawaii a me atrioventricular tachycardia i malama.

I loko nō o kēia, i ka wa a ka kŰia WPW i ka pilikia o ka complications ka loa kiʻekiʻe, e hoʻonāukiuki i kekahi hopena - kino ai 'ole mea naʻau stress, ka waiʻona, hele i ka malihini Leeuwerikplein cii - hiki i ka hoike ana mai o adverse symptoms o WPW maʻi pale. Ma ka makua heluna i loko o 0,3% o ka hihia o WPW-kŰia mea ona, ua hookolokolo keiki hōʻike lapaʻau make i loko o 2% o ka hihia.

'Ikepili helu WPW kŰia i loko o na keiki

WPW-maʻi pale ninoaaeyao i alakai wahi i waena o nā kumumea e kauoha ana i ka tachycardia a me ka arrhythmia i loko o nā keiki. He ka maopopo iki iloko no hou hoʻohuikau o ka naau pāpana, a hiki i ka wa e kaawale aku o ka hoopii, aole e emi i ka pilikia ana o ia kāna hana. Kekahi physical overload,, pili hoounauna, manaʻoʻike aʻe ke kāhea i ka holo pono o ka mana hauʻoli naau, a hiki e alakai i ka make, mai ka naau hoouka.

Lōʻihi-ʻia ka mālamaʻana no aneane 20 eao no kekahi pūʻulu nui o na keiki i i diagnosed naau WPW maʻi pale, makahiki keiki i ka makahiki 18, hoike mai ka i kēia hopena.

• 8% o nā keiki ua hoano e ulia hookahi o ABP-tachycardia;
• 8,2% o na kanaka ua hoano e ka transient kŰia hoʻololi WPW maʻi pale;
• 8.5% o transient lilo o ka ike paka i ana;
• 2% o na keiki i ka manawa o ka anamanaʻo mua i mua, waiho wale aku lapaʻau make;
• 1,2% - wale keikikane - make koke ana manaʻo au;
• wale 9% o na keiki me ka WPW kŰia hoike nalowale ana o na hoailona aeaiiuo.

Pehea mea pepehi kŰia WPW?

Mai kēia mau oeeo? Ia mea hoike ana i ke alo, a hiki unsafe o WPW kŰia. Kēia kiʻekiʻe pakeneka o adverse symptoms a me pathologies i noho 'ana kamaliʻi, oia ke kumu e kuhi ia me ka minamina kino ai a me ka mea naʻau stress, me ke ano o ka mālamaʻana a me ka pākōlea ana me ka elemakule a me keia pakeneka mea i hoʻoweliweli' ia ola, e wale hoʻonui.

Children me ka WPW kŰia e ole komo i loko o ka 'oihana haʻuki, a malalo i mau stress kumumea. E e lawe kaiapuni i abrupt aniau hoʻololi ai paha hanana, e hookomo ana loa mea naʻau outbursts. A pau o kēia mau kumumea i e loa paha, e alakai i ka mea maʻi a me ka make. Mea i hoʻokumu i ka alo o ka WPW maʻi pale paha kŰia, i hea mai no ka oihana koa hana.

Lapaau a me ke ola ana o ka maʻi pale

Symptoms a me nā nohoʻana i pinepine interrelated. He nui lapaʻauʻia e höʻike aku ka naau ho'āhewa wale , kena ae la ia e ka WPW maʻi pale, a me ka nui loa emi i ka hoike ana o kona symptoms.

blocker ai 'pūʻulu normalizes ke alapine (frequency) o contractions o ka naau Muscle. Eia naʻe, ma ka laulā o ia mau mea ua hoike mai i ka pae ana o 50-60% wale, aʻaʻole hiki ke hoʻohana i mau hypotension a me ka asthma.

Antiarrhythmics muli o kona kulana i ka pilina paʻa paʻapū ho'āhewa wale AVR-tachycardia, normalize naau ana i ka 80% o nā mea maʻi, akā, no hoi i ka helu ana o contraindications i loko o ka hihia o ka hypotension, naau pepehi, a me ka naau maʻi, kamalii a me ka adolescence. Kekahi kalipuna blockers loa contraindicated i loko o ka WPW maʻi pale, e like me ke kiʻi ma ka hope o ka hoʻoponopono hou 'EYI o ke aʻalolo impulse, ka mea e nele i loko o ka atria, a he kaumaha, a irreversible hopena.

Nō hoʻi, ma kekahi hihia, no ka hoʻohanaʻana i ai 'ATP pae malama i ka hopena maikaʻi ia ma luna o ka atrial contraction. Aia nō i 'ole-lāʻau' ano o ke ola ana o symptoms.

Ke Muscle nā aʻalolo impulses kekahi, ma ke aloha o a me ka parasympathetic olona. Ka muaʻano o olona, haʻalele no ka naau, i ka lua o kaʻano o nā 'aʻole hoʻi i ka naʻau ana, e like me keʻano o ka vagus nā aʻalolo nervus vagus, a me kekahi kapa vagal reflex. ʻo ia hoʻi, ke ho'ā hope o kaʻoi loa kēiaʻano o ka reflexes, e haawi aku i ka hopena o ka noaaeeecaoee o ka naau. Ke easiest ala e haʻalele vagal impulses o ka ai-kapaia reflex Aschner i hoʻonāukiuki 20-30-kekona he akahai hoʻopā aku i ka'ōnohi a poʻopoʻo ka a pinepine kōkua e hooki tachycardia.

Nō hoʻi, i ka vagus nā aʻalolo ua pono ka ho'ā 'ia paha e ka hanu-ana a me ka anakahi uila abdominal nāʻiʻo, no laila, i ka kŰia o WPW maʻi pale a pono e hana Yoga, a ha kino.

E hoʻomaka hana poi pu neaiaea ma ka'ūholo uila hookomoia i loko o ka esophagus, loa ka pono aɃe kaumaha hooloihi ae i tachycardia, akā, i kekahi manawa, e alakai ana ia i ka fibrillation o ka naʻau, no laila, hana ma kūikawā cabinets i hoʻolako pono me ka defibrillator.

Defibrillation ua hana wale i loko o ua hanahana loa hoopii, ka wā loa hoʻoweliweli 'ana i ke ola, akā, ka mea pinepine kōkua e hoʻopau pilikia hotbeds o ka haole impulses ma cardiac'aʻaʻa a normalize naau pāpana hana.

Operative lapaau WPW maʻi pale a me kā lākou mau mea

Inā ia akulla kŰia WPW ECG hana ana iaoia o ka hoʻopau ua pili wale nō i loko o loaʻa kekahi wahi, i hiki, me ka pinepine, a hooloihi ae i tachycardia, i hiki ole ke hoonee aku i ka lapaʻauʻia, e like me ka pono me ka hoʻokumu hihia o ka ulia cardiac make, hoahanau o ke ahonui a me ka 'oihana kumu.

ʻoki lāʻau lapaʻau lapaʻau ua waiho wale ma luna o ka muli o ka hulina a me ka piha ninaninau, a haawi mai i ka loa pololei kiʻi o ka pathological'aʻaʻa nā hale o ka naau. No laila, 'oe e noʻonoʻo e pili i ka e hoohana ia ana me ka kŰia WPW.

Ke hana ua hana ka hoʻohana 'ana i ka kūikawā'ūholo uila, a ua hookomoia ma ka femoral artery i ka naau Muscle ma ka X-Ray kilo, a ma kekahi mau wahi produces radioprizhiganie a ablation, nā aʻalolo olona.

Ua hiki ke kriorazrushenie i pathological nā aʻalolo olona. A me ka mea, i loko o nā hihia a pau o ka hana ka hoʻokōʻana ihoiho 95%. Relapses i hoʻomaka ai ma muli o ke kāpili luku e paa foci, a ma ke alo o nä unuhi nāʻoihana'ē aʻe neural nā'aʻaʻa. Ma ona iho, i ka hana hiki e hana ma lalo o kaiakū anesthesia, kokoke e koko ole, 'aʻole e i complications, i ka loa pōkole ke ola au, a no ia mea, hiki ke lawe mai i kekahi mau makahiki.

Cardiac-oaio? A ma Moscow

Institute o keʻoki kino. A. V. Vishnevskogo - i ka haaheo o ko wahi lulu lapaau, he laekahi iauaeoia no ka lapaau a me kaʻike,, e lawelawe ai noiʻi, mahi 'kiʻekiʻe-ʻenehana lapaʻau' ana a me nā hanana cardiacʻoki kino. FGBU "aeiaioaoneiai Center o mea'ōnaehana mānowai kokoʻoki kino ia. A. N. Bakuleva "hanaʻia 'inikua, iao? A me ka papa hana hoʻonaʻauao o ka polokalamu" mea'ōnaehana mānowai kokoʻoki kino. "

Russian Cardiology Research a? Iecaianoaaiiie Complex e lawelawe ai ana a me ka hana o ka naau maʻi i loko o kiʻekiʻe-ʻenehana honua pae. Ma "cardoid" oaio oe ke undergo i ka piha cardiac loiloi, loaa i kekahi mea e like ai pākōlea lapaʻau ma ka outpatient manawa. Cardiological Center ma Moscow hana pono, no laila, inā 'oe i ka pono no kaʻoki lāʻau lapaʻau' uao i ka hana, e hiki ole kānalua.