Yini ehlukanisa Brugada syndrome?

Ngokusho kochwepheshe, Brugada syndrome esibalwa esigabeni eyinhloko kagesi isifo senhliziyo kanye ingozi eliphezulu kakhulu okuthiwa "okungazelelwe ukufa aritimicheskoy". Lesi sifo ngokuvamile uhambisana imvamisa eliphezulu ventricular fibrillation, futhi ST ingxenye ephakeme.

lwezifo

Kukholakala ukuthi Brugada sifo sitholakale nge imvamisa 4 kuya cishe 12% azo zonke izimo akhona ngokufa okuzumayo kusukela izinhlobo ezahlukene izifo zenhliziyo. Ngokusho kochwepheshe, lesi sifo ikakhulukazi njengoba evela izikhathi ezingu-10 kaningi engxenyeni besilisa sabantu.

izimbangela ezisheshayo

Okwamanje, i-izimbangela yokugcina yalesi sifo kungukuthi ngokugcwele. Nokho, odokotela bakholelwa ukuthi lapho zofuzo okuthiwa "i-sodium isiteshi" amathuba SCN5A yentuthuko uhambisane lesi sifo.

Brugada syndrome: izimpawu ECG

Okokuqala kufanele kuphawulwe ukuthi izimpawu eziyinhloko zivamise ukwenzeka kubantu ngemva iminyaka engamashumi amane. Ngakho, odokotela lezi zinto ezilandelayo ukuthi kubonisa ukuba khona lesi sifo:

• neziqubu iziyaluyalu zokuphefumula ikakhulukazi ebusuku;
• nakwisyncope;
• polymorphic ventricular tachycardia;
• iziqephu ventricular fibrillation.

ukwelashwa

Ngo uphethwe ezifana Brugada syndrome, ECG ngokuyinhloko ubonisa ukuphambuka kwenzeke impilo evamile isiguli. Kuqala lapho kwelashwa Ochwepheshe ngokuvamile linqume izidakamizwa "quinidine" futhi ngezinye izindlela, kuhlanganise izidakamizwa "Isoproterenol". Ngokuphathelene nalokhu kwesibili, kubhekwa imithi ngempumelelo kakhulu ukuthi uyakwazi ngokoqobo akuqede "isiphepho kagesi" ezenzeka iziguli ukubhekana nokugula ebusuku. Njengoba indlela eyinhloko ekuvimbeleni okuthiwa "ukufa okuzumayo" esiguli, odokotela batusa kokufaka cardioverter-ovuselela. Kufanele kuqashelwe ukuthi uma ethola ukuthi unesifo Brugada syndrome, ngokungabi bikho ukubonakaliswa kwangaphandle isifo kusafanele njalo okuphawulwe Ochwepheshe. Nokho, oluchazwe ngenhla yenzeka cardioverter-ovuselela kulokhu ayidingekile.

izinyathelo

Okwamanje, Brugada sifo sitholakale kuqhathaniswa akuvamile. Njengoba izinyathelo zokuvimbela , odokotela kakhulu belulekwa ukuba ibhekane Ukuhlolwa njalo. Kusho ekufezeni konke ukuhlola okukhulu okuningi, kuhlanganise i-electrocardiogram, ukuhlolwa kwegazi ne ukuhlolwa umchamo. Into wukuthi kulezi izingxenye futhi onganquma okufanele ukwenze khona izinkinga emzimbeni. Qaphela ukuthi khona eduze "izihlobo" kwesifo ke kuba isibopho ukufeza ukucwaningwa okuningiliziwe kakhulu, okuyinto yena, kusho kwencazelo okuthiwa "isizinda ingozi" kanye zokuqapha okwalandela isiguli isikhathi eside, kuye izinkomba zezempilo ngabanye . Kuphela ngale ndlela, njengoba nje okuhlangenwe nakho kubonisa, ungagwema nokufa, kungenzeka yezinkinga okwalandela, futhi ukuvimbela isifo ngisho emabangeni nasekuqaleni impela kokukhula kwayo. Hlala uphilile!