I-Brugada syndrome: iyini, izimpawu nokuthi ukwelashwa kwenziwa kanjani

-Delile

• Izimpawu nezimpawu
• Ungayibona kanjani
• Yelashwa kanjani

I-Brugada syndrome yisifo senhliziyo esingajwayelekile futhi esizalwa njengefa esivezwa izinguquko ekusebenzeni kwenhliziyo ezingadala izimpawu ezinjengokuzondwa ikhanda, ukuquleka nokuphefumula kanzima, ngaphezu kokubangela ukufa okungazelelwe ezimweni ezinzima kakhulu. Lesi sifo sivame kakhulu emadodeni futhi singenzeka nganoma yisiphi isikhathi empilweni.

I-Brugada syndrome ayinalo ikhambi, noma kunjalo ingelashwa ngokuqina futhi imvamisa ifaka ukufakwa kwe-cardiodefibrillator, okuyidivayisi ebhekele ukuqapha nokulungisa ukushaya kwenhliziyo lapho kunokufa okungazelelwe, ngokwesibonelo. I-Brugada syndrome ikhonjwa ngudokotela wezinhliziyo ngokusebenzisa i-electrocardiogram, kepha ukuhlolwa kofuzo kungenziwa futhi ukubheka ukuthi ngabe umuntu unoshintsho olubhekene nalesi sifo.

Izimpawu nezimpawu

I-Brugada syndrome imvamisa ayinazo izimpawu, kodwa-ke, kujwayelekile ukuthi umuntu onalesi sifo abone iziqephu zesiyezi, ukuquleka noma ukuphefumula kanzima. Ngaphezu kwalokho, kuyisici salesi sifo ukuthi kwenzeka isimo esibi se-arrhythmia, lapho inhliziyo ingashaya kancane, ngaphandle kwesigqi noma ngokushesha, okuvame ukwenzeka. Uma lesi simo singelashwa, singaholela ekufeni okungazelelwe, okuyisimo esivezwa ukungabi khona kokumpompela igazi emzimbeni, okuholele ekuqulekeni nasekungabikho kwethambo nokuphefumula. Bona ukuthi yiziphi izimbangela ezine zokufa okungazelelwe.

Ungayibona kanjani

I-Brugada syndrome ivame kakhulu emadodeni amadala, kepha kungenzeka nganoma yisiphi isikhathi empilweni futhi ingabonakala nge:

• I-Electrocardiogram (ECG), lapho udokotela ezohlola khona umsebenzi kagesi wenhliziyo ngokuchazwa kwamagrafu akhiqizwe yidivayisi, akwazi ukuqinisekisa isigqi nenani lokushaya kwenhliziyo. I-Brugada syndrome inamaphrofayli amathathu ku-ECG, kepha kunephrofayili ejwayelekile engavala ukuxilongwa kwalesi sifo. Qonda ukuthi yenzelwe ini nokuthi yenziwa kanjani i-electrocardiogram.
• Ukugqugquzela izidakamizwa, lapho kukhona ukusetshenziswa kwesiguli umuthi okwazi ukuguqula umsebenzi wenhliziyo, ongabonakala nge-electrocardiogram. Imvamisa umuthi osetshenziswa udokotela wenhliziyo ngu-Ajmalina.
• Ukuhlolwa kofuzo noma ukwelulekwa, ngoba yisifo esizuzwe ngofuzo, kungenzeka kakhulu ukuthi ukuguquka kwesifo okubhekene nalesi sifo kube khona ku-DNA, futhi kungabonakala ngokuhlolwa okuthile kwamangqamuzana. Ngaphezu kwalokho, ukwelulekwa ngezakhi zofuzo kungenziwa, lapho kuqinisekiswa khona ithuba lokuthuthukisa lesi sifo. Bona ukuthi ukwelulekwa ngezofuzo kwenzelwe ini.

I-Brugada syndrome ayinalo ikhambi, iyisimo sezakhi zofuzo, kepha kunezindlela zokuvimbela ukuqala, njengokugwema ukusetshenziswa kotshwala nemithi engaholela ku-arrhythmia, ngokwesibonelo.

Yelashwa kanjani

Lapho umuntu esengozini enkulu yokufa ngokuzumayo, imvamisa kunconywa udokotela ukuthi abeke i-cardioverter defibrillator (ICD) egxilile, okuyithuluzi elifakwe ngaphansi kwesikhumba elibhekele ukuqapha isigqi senhliziyo nokukhuthaza ukusebenza kwenhliziyo lapho kuthikamezeka.

Ezimweni ezimnene kakhulu, lapho ithuba lokufa okungazelelwe liphansi, udokotela angancoma ukusetshenziswa kwemithi, njenge-quinidine, ngokwesibonelo, enomsebenzi wokuvimba ezinye izitsha zenhliziyo nokunciphisa inani lokuphambana, ngokuba iwusizo ekwelapheni ama-arrhythmias, ngokwesibonelo.