Kodi Syndrome ya Imfa Yadzidzidzi Ndi Chiyani, ndipo Kodi Kupewa Kotheka?

Zamkati

• Kodi imfa yamwadzidzidzi ndi chiyani?
• Ndani ali pachiwopsezo?
• Zimayambitsa chiyani?
• Zizindikiro zake ndi ziti?
• Kodi amapezeka bwanji?
• Amachizidwa bwanji?
• Kodi ndizotheka?
• Kutenga

Kodi imfa yamwadzidzidzi ndi chiyani?

Syndrome yaimfa mwadzidzidzi (SDS) ndi ambulera yotanthauziridwa mosiyanasiyana yama syndromes amtima omwe amachititsa kumangidwa kwamtima kwadzidzidzi komanso kufa.

Ena mwa ma syndromes awa ndi zotsatira za zovuta zamkati mumtima. Zina zitha kukhala zotsatira za kusakhazikika m'mayendedwe amagetsi. Zonsezi zimatha kubweretsa mtima wosayembekezeka komanso mwadzidzidzi, ngakhale mwa anthu omwe ali ndi thanzi labwino. Anthu ena amafa chifukwa cha izi.

Anthu ambiri sakudziwa kuti ali ndi matendawa mpaka kumangidwa kwamtima kumachitika.

Matenda ambiri a SDS sapezeka bwinobwino. Munthu yemwe ali ndi SDS atamwalira, imfayo imatha kulembedwa ngati zoyambitsa zachilengedwe kapena matenda amtima. Koma ngati coroner atenga njira kuti amvetsetse chifukwa chake, atha kuzindikira zizindikilo za imodzi mwa ma syndromes a SDS.

Ena akuti anthu omwe ali ndi SDS alibe zovuta zina, zomwe zingakhale zosavuta kuzizindikira pofufuza. Zovuta pamayendedwe amagetsi ndizovuta kuziwona.

SDS imakonda kwambiri achinyamata komanso achikulire. Mwa anthu azaka zino, imfa yosadziwika imadziwika kuti matenda okomoka mwadzidzidzi aimfa (SADS).

Zitha kuchitika kwa makanda nawonso. Ma syndromes awa akhoza kukhala amodzi mwazinthu zambiri zomwe zimachitika chifukwa chadzidzidzi chaimfa ya khanda (SIDS).

Vuto lina, matenda a Brugada, amathanso kuyambitsa matenda mwadzidzidzi aimfa usiku (SUNDS).

Chifukwa nthawi zambiri SDS imazindikira molakwika kapena sapezeka konse, sizikudziwika kuti ndi anthu angati omwe ali nayo.

Malingaliro akuti 5 mwa anthu 10,000 ali ndi matenda a Brugada. Vuto lina la SDS, QT syndrome yayitali, limatha kuchitika. Short QT ndiyosowa kwambiri. Ndi milandu 70 yokha yomwe yadziwika mzaka makumi awiri zapitazi.

Nthawi zina zimakhala zotheka kudziwa ngati muli pachiwopsezo. Mutha kuthana ndi zomwe zimayambitsa SDS ngati muli.

Tiyeni tiwone bwino zomwe tingachite kuti tipeze zina mwazomwe zimakhudzana ndi SDS ndipo mwina tipewe kumangidwa kwamtima.

Ndani ali pachiwopsezo?

Anthu omwe ali ndi SDS nthawi zambiri amawoneka athanzi asanamwalire pamtima kapena kufa. SDS nthawi zambiri siyimitsa zizindikilo. Komabe, pali zinthu zina zowopsa zomwe zimapangitsa kuti munthu akhale ndi mwayi wokhala ndi zina mwazomwe zimakhudzana ndi SDS.

Ochita kafukufuku apeza kuti majini enieni amatha kuonjezera chiwopsezo cha munthu pamitundu ina ya SDS. Ngati munthu ali ndi SADS, mwachitsanzo, achibale awo oyamba (abale, makolo, ndi ana) atha kukhala ndi matendawa, nawonso.

Sikuti aliyense amene ali ndi SDS ali ndi amodzi amtunduwu. Pafupifupi 15 mpaka 30 peresenti ya milandu yotsimikizika ya matenda a Brugada ali ndi jini lomwe limalumikizidwa ndi vutoli.

Zina mwaziwopsezo ndizo:

• Kugonana. Amuna nthawi zambiri amakhala ndi SDS kuposa akazi.
• Mpikisano. Anthu ochokera ku Japan ndi Southeast Asia ali pachiwopsezo chachikulu cha matenda a Brugada.

Kuphatikiza pazowopsa izi, matenda ena atha kukulitsa chiwopsezo cha SDS, monga:

• Matenda osokoneza bongo. Lithium nthawi zina amagwiritsidwa ntchito pochiza matenda osokoneza bongo. Mankhwalawa amatha kuyambitsa matenda a Brugada.
• Matenda a mtima. Matenda a mitsempha ndi matenda omwe amapezeka kwambiri omwe amalumikizidwa ndi SDS. Pafupifupi chifukwa cha matenda amitsempha yamadzimadzi mwadzidzidzi. Chizindikiro choyamba cha matenda ndikumangidwa kwamtima.
• Khunyu. Chaka chilichonse, kumwalira mwadzidzidzi khunyu (SUDEP) kumachitika popezeka ndi khunyu. Imfa zambiri zimachitika atangodwala.
• Arrhythmias. Arrhythmia ndi kugunda kwamtima kosasinthasintha kapena mungoli. Mtima ukhoza kugunda pang'onopang'ono kapena mofulumira kwambiri. Ikhozanso kukhala ndi mawonekedwe osasinthasintha. Zingayambitse zizindikiro monga kukomoka kapena chizungulire. Imfa mwadzidzidzi ndiyothekanso.
• Hypertrophic cardiomyopathy. Matendawa amachititsa kuti makoma amtima akule. Ikhozanso kusokoneza magetsi. Zonsezi zingayambitse kugunda kwamtima mosasinthasintha kapena mwachangu (arrhythmia).

Ndikofunika kuzindikira kuti ngakhale zili ndi zoopsa izi, sizikutanthauza kuti muli ndi SDS. Aliyense wazaka zilizonse komanso aliwonse athanzi akhoza kukhala ndi SDS.

Zimayambitsa chiyani?

Sizikudziwika chomwe chimayambitsa SDS.

Kusintha kwa majini kumalumikizidwa ndi ma syndromes ambiri omwe amakhala pansi pa ambulera ya SDS, koma sikuti munthu aliyense yemwe ali ndi SDS ali ndi majini. Ndizotheka kuti majini ena amalumikizidwa ndi SDS, koma sanadziwikebe. Ndipo zina zomwe zimayambitsa SDS sizabadwa.

Mankhwala ena amatha kuyambitsa ma syndromes omwe angapangitse kuti afe mwadzidzidzi. Mwachitsanzo, matenda a QT atha kubwera chifukwa chogwiritsa ntchito:

• mankhwala oletsa
• othandizira
• maantibayotiki
• okodzetsa
• mankhwala opatsirana pogonana
• mankhwala opatsirana

Momwemonso, anthu ena omwe ali ndi SDS mwina sangawonetse zizindikiro mpaka atayamba kumwa mankhwalawa. Kenako, SDS yothandizidwa ndi mankhwala imatha kuwoneka.

Zizindikiro zake ndi ziti?

Tsoka ilo, chizindikiro choyamba kapena chizindikiro cha SDS chitha kukhala imfa yadzidzidzi komanso yosayembekezereka.

Komabe, SDS imatha kuyambitsa zizindikiro zotsatirazi:

• kupweteka pachifuwa, makamaka panthawi yochita masewera olimbitsa thupi
• kutaya chidziwitso
• kuvuta kupuma
• chizungulire
• kugunda kwamtima kapena kumvekera
• kukomoka mosadziwika, makamaka panthawi yochita masewera olimbitsa thupi

Ngati inu kapena mwana wanu mwakumana ndi izi, pitani kuchipatala msanga. Dokotala amatha kuyesa kuti adziwe chomwe chingayambitse zizindikiro zosayembekezereka.

Kodi amapezeka bwanji?

SDS imapezeka kokha mukamangidwa mwadzidzidzi mtima. Electrococardiogram (ECG kapena EKG) imatha kuzindikira ma syndromes ambiri omwe amatha kupha mwadzidzidzi. Kuyesaku kumalemba zochitika zamagetsi pamtima panu.

Akatswiri a cardiologist ophunzitsidwa bwino atha kuyang'ana zotsatira za ECG ndikuzindikira zovuta zomwe zingachitike, monga QT syndrome, short QT syndrome, arrhythmia, cardiomyopathy, ndi zina zambiri.

Ngati ECG siyikudziwika bwino kapena katswiri wa matenda a mtima angafune kutsimikiziridwa kowonjezera, amathanso kufunsa echocardiogram. Uku ndikuwunika kwamtima kwa ultrasound. Ndi mayeso awa, adotolo amatha kuwona kugunda kwa mtima wanu munthawi yeniyeni. Izi zitha kuwathandiza kuzindikira zovuta zina zakuthupi.

Aliyense amene akukumana ndi zisonyezo zokhudzana ndi SDS atha kuyesedwa. Momwemonso, anthu omwe ali ndi mbiri yazachipatala kapena yamabanja omwe akuwonetsa kuti SDS ndiyotheka atha kufuna kuyesedwa.

Kuzindikira chiopsezo msanga kungakuthandizeni kuphunzira njira zopewera kumangidwa kwamtima.

Amachizidwa bwanji?

Mtima wanu ukaima chifukwa cha SDS, omwe akuyankha mwadzidzidzi atha kukutsitsimutsani ndi njira zopulumutsa moyo. Izi zikuphatikiza CPR ndi defibrillation.

Pambuyo pobwezeretsanso, adokotala amatha kuchita opareshoni kuti ayike cholozera cha mtima wamafuta (ICD) ngati kuli koyenera. Chida ichi chimatha kukutumizirani magetsi m'mitima mwanu ngati chidzaimiranso mtsogolo.

Mutha kukhalabe ndi chizungulire ndikudutsa chifukwa cha zochitikazo, koma chipangizocho chitha kuyambiranso mtima wanu.

Palibe mankhwala apano pazifukwa zambiri za SDS. Ngati mungapeze kuti muli ndi imodzi mwazi syndromes, mutha kuchitapo kanthu popewa zomwe zingachitike. Izi zingaphatikizepo kugwiritsa ntchito ICD.

Komabe, madokotala amathedwa nzeru kugwiritsa ntchito chithandizo cha SDS mwa munthu yemwe sanasonyezepo chilichonse.

Kodi ndizotheka?

Kuzindikira msanga ndi gawo lofunikira popewa chochitika chakupha.

Ngati muli ndi mbiri ya banja la SDS, adokotala amatha kudziwa ngati muli ndi matenda omwe angapangitse kufa mosayembekezereka. Ngati mutero, mutha kuchitapo kanthu popewa kufa mwadzidzidzi. Izi zingaphatikizepo:

• kupewa mankhwala omwe amachititsa zizindikiro, monga mankhwala opatsirana pogonana komanso mankhwala oletsa sodium
• kuchiza msanga malungo
• kuchita zinthu mosamala
• kuchita zolimbitsa thupi, kuphatikizapo kudya chakudya choyenera
• kusunga nthawi zonse ndi dokotala kapena katswiri wamtima

Kutenga

Ngakhale SDS nthawi zambiri ilibe mankhwala, mutha kuchitapo kanthu popewa kufa mwadzidzidzi ngati mutapezeka ndi matenda asanafike pangozi.

Kuzindikira matenda kumatha kusintha moyo ndikupanga malingaliro osiyanasiyana. Kuphatikiza pa kugwira ntchito ndi dokotala, mungafune kuyankhulana ndi katswiri wazamisala za vutoli komanso thanzi lanu lamisala. Amatha kukuthandizani kukonza nkhani ndikuthana ndi kusintha kwazachipatala.