Chimasiyanitsa Kodi syndrome Brugada?

Akatswiri amanena syndrome Brugada ndi pachikhalidwe mu gulu la matenda chachikulu magetsi mtima ndi chiopsezo kwambiri otchedwa "imfa ya nthumbi aritimicheskoy". matenda zambiri limodzi ndi pafupipafupi mkulu wa fibrillation yamitsempha yamagazi, ndi cha ku Switzerland gawo okwera.

EPIDEMIOLOGY

Akukhulupirira kuti Brugada syndrome akapezeka ndi pafupipafupi 4 pafupifupi 12% milandu onse amene analipo a imfa yadzidzidzi kwa mitundu yosiyanasiyana ya matenda mtima. Malinga ndi akatswiri, matenda makamaka amapezeka nthawi 10 kawirikawiri mu theka wamwamuna wa anthu.

zimayambitsa Zichitike

Pa nthawi, zimayambitsa chomaliza cha matenda si bwino. Komabe, madokotala amakhulupirira kuti masinthidwe jini otchedwa "ndi sodium njira" pa SCN5A mwayi wa chitukuko zogwirizana matendawa.

Brugada syndrome: ECG zizindikiro

Choyamba tisaiwale kuti zizindikiro chachikulu zambiri zimachitika anthu patapita zaka makumi anai. Choncho, madokotala zinthu zotsatirazi zimene zimasonyeza pamaso pa matenda:

• akulimbana ndi matenda kupuma makamaka usiku;
• syncope;
• polymorphic yamitsempha yamagazi tachycardia;
• Makanema a fibrillation yamitsempha yamagazi.

chithandizo

Mu matenda monga matenda Brugada, ECG makamaka zikusonyeza kupatuka zotheka thanzi yachibadwa wodwala. Monga chithandizo choyamba akatswiri amakonda kulemba mankhwala "quinidine" ndi njira zina, kuphatikizapo mankhwala "Isoproterenol". Ponena za iwowa, amaona mankhwala othandiza kwambiri amene akhoza kwenikweni aphwanye "magetsi mkuntho" amenewa amapezeka odwala ndi matenda usiku. Monga njira yaikulu kuteteza otchedwa "imfa yadzidzidzi" wodwalayo, madokotala amavomereza khazikitsa cardioverter-Makina amenewa. Tikumbukenso kuti ngati anandipeza ndi matenda Brugada, pakalibe maonekedwe akunja a matenda akhale nthawi zonse akuoneni akatswiri. Komabe, pamwamba anafotokoza implantation cardioverter-Makina amenewa mu nkhani iyi si chofunika.

zodzitetezera

Pa nthawi, Brugada syndrome amawapeza ndi kawirikawiri. Monga zodzitetezera , madokotala mwamphamvu analangiza kukumana mosamala zonse. Kumatanthauza wozengereza diagnostics zonse zazikulu, kuphatikizapo electrocardiogram ndi mayesero magazi ndi mayesero mkodzo. Chinthu n'chakuti pa zigawo izi ndipo angathe kuweruza pamaso pa mavuto mu thupi. Onani kuti kukhalapo pafupi "abale" matenda ndi lamulo kugwira kuona kwambiri zambiri, zimene pamapeto, imasonyeza tanthauzo la otchedwa "chiopsezo m'munsi" komanso polojekiti wotsatira wa wodwalayo kwa nthawi yaitali, malingana ndi zizindikiro thanzi munthu . Mwa njira iyi, monga ikusonyezera, angathe kupewa imfa, zotheka mavuto wotsatira, ndi kuteteza matenda ngakhale kumayambiriro kwenikweni chitukuko. Khalani wathanzi!