UFrederick syndrome: unyango nokukhusela

U-Frederick's syndrome yinto ephosakeleyo kakhulu ekusebenzeni kwentliziyo, okokuqala efunyaniswa ngumfoliyo waseBelgium uLeon Frederic ngo-1904. Yaye nangona abantu abambalwa bevelele kwesi sifo, kwenzeka rhoqo.

Ekuqaleni kwonyango likaFrederik wayetyenziselwa ukusetyenziswa kwe-anticholinergics, kodwa ekubeni ingabangela ukungaqhelekanga kwengqondo, iyeza zanamhlanje zishiya.

Inkcazo yesifo

Isifo sikaFrederic sidibanisa iimpawu ezibonakalisa ukukhusela okuphelileyo kunye ne-fibrillation ye-atrial.

Kule mpukelo, izibonakaliso zombane ziyeka ngokupheleleyo ukungena kwii-ventricle ezivela kwi-atria, ezilahlekelwa yikhono lokuhlala rhoqo kwaye zihlale zikhontrakthi.

Ukungabikho kwamagxobhozo okuthabathayo kubangelwa iindonga kwiindonga okanye kwingxenyana engezantsi ye-atrioventricode node ye-ventricles, eqala ngokuzimela ukuvelisa iimpawu zombane. Oku kuba ngumvuzo wembuyekezo, kodwa ayigcinanga imeko, kuba ukuvama kwentsholongwane ayinelanga (iimpawu ezingamashumi amane ukuya kwamashumi mathandathu).

Ngenxa yoko, i-ventricles yentliziyo yintsebenziswano ngokuthe ngcembe kunomntu onempilo, oko kuthetha ukuba igalelo legazi liyehla, elidala i-oksijini yindlala kwaye yingozi enkulu yesifo esibizwa ngokuba ngu "Frederick's syndrome."

Izimpawu eziphambili

Phakathi kweempawu eziphambili zesifo (okanye iimeko) uFrederic ahlule:

• Ulingana, kodwa wanciphisa i-pulse.
• Utywala.
• Ubuthathaka.
• Ukuphefumula okufutshane.
• Ukukhathala okukhawulezayo.
• Ukulala.
• Ukutyhafa.

Yonke le mpawu yombuso apho ingqondo ingamkeli oksijini okwaneleyo.

Izizathu zesifo

Isifo sikaFrederic asivuki ekuqaleni, ukuba intliziyo iphilile. Kungumphumo, umphumo wecala lwezifo ezinzulu njenge:

• I-Myocardial infarction.
• Iintsilelo zeentliziyo.
• Postinfarction cardiosclerosis.
• Myocarditis.
• Cardiomyopathy.
• Angina pectoris.

Ezi zifo zenza iinkqubo ezibuhlungu, apho izicubu ezixhulayo zikhula entliziyweni. Ezi zilandelayo zihamba kwaye zithatha indawo iiseli, ezijongene nesizukulwana kunye nokutshintshwa kweempembelelo zombane.

Ukuxilongwa kwezinto eziqhelekileyo zikaFrederick

Ekubeni iimpawu zesi sifo zifana nokubonakalisa ezinye izifo ezininzi, kunokwenzeka ukuxilonga i-Frederick's syndrome kuphela ngoncedo lwe-electrocardiogram.

Kwaye ukugcina ukuziphatha kwentliziyo kuyinqweneleka ngexesha lobusuku ukuba sibone isigqi siphi na amaxesha ahlukeneyo emini nasebusuku, ukubona indlela intliziyo ye-muscle iphendukela ngayo umthwalo, njalo njalo.

Ngokuqhelekileyo, ukuxilongwa kwe "Frederick's syndrome" ECG yile ndlela ilandelayo:

• Azikho amazinyo P, zatshintshwa ngamagagasi okuqhaqhazelayo okanye umthungo wokuthuthumela (f no-F).
• Ingqungquthela yesigxina iqhelekileyo, kodwa inani lokucutha ngomzuzu alidluli kuma-40-60 amaxesha.
• Xa isingqimba sakhiwe kwingxenyana ephantsi ye-atrioventricular junction, izakhiwo ze-ventricle zincinci kwaye zinomzimba oqhelekileyo ngaphandle kokuphambuka.
• Ukuba isakhiwo senziwe kwiindonga, izakhiwo zengxowankulu zibukeka zixubile kwaye ziphosakele.

Isifo sikaFrederic: unyango nokukhusela

Ukuba ufumanisa iimpawu ezichazwe ngasentla, kufuneka uqhagamshelane nodokotela kwaye uthathe uphando. Indlala ye-oksijeni yimeko eyingozi engabangela ukungaqhelekanga kwimeko yengqondo. Kwaye kunye nesifo sikaFrederick, sinokuhlala kwisigqitha ukuya ezintlanu ukuya kweyisixhenxe, xa intliziyo imisa (oku kwenzeka kwiimeko xa kungekho mbuyekezo yeempembelelo ngendlela yesiginci se-ventricular).

Ukuxilongwa ngokukhawuleza kuya kunciphisa ingozi, kwaye unyango luya kususa eso sifo size siphile ubomi obupheleleyo. Ukugxekwa kwesi sifo kulungile.

Okwangoku, u-Frederick syndrome uyasuswa, ngokuqhelekileyo ngokufakelwa kwisisu se-cardiac of the implant, evelisa iimpembe endaweni ye-atria. I-electrode efakwe kwi-ventricle, kwaye isingqisho sayo senziwa kwangaphambili kwaye kuxhomekeke kwiminyaka kunye nesimo esiqhelekileyo sesigulane.

Uthintelo olunjalo alukho. Iqulethe ukukhusela kunye nokunyanga okufanelekileyo kwezifo ezibangele le nto.