CLC kuti chirwere: unhu, zviratidzo, kurapwa

CLC urwere, anozivikanwa somunhu Lown-Ganong-Levine urwere, rinowanikwa muna anenge 0.5% yevanhu uye chinokonzera tachycardia muna 30% kubva kacho Naizvozvo zvakakodzera kuti kudzidza rokuongorora pamberi chirwere uye kuti ringakurirwa sei nawo.

tsananguro

Syndrome Zvipikiri Munzeve-Levy Cristescu ndiyo nyaya chaiyo iri urwere pakati vakurumidze excitation pakati ventricles zvomwoyo, iyo inozivikanwa nokuva kuita excitation kuti ventricles ari mamwe pakutengeserana. Mwoyo womunhu akaronga kuti ventricles mukati atria, zvakakodzera kuti yakakwana achizadza neropa. Nokushanda mashandiro uku kwakaitwa atrioventricular raiva pedyo nebundu, riri pakati ventricles uye atria, mairi pane zvikuru nomumugwagwa kwaitora nguva kupomba kuti inopa kumboverengera ventricular marwadzo. Zvisinei, vamwe vanhu vane vachiberekwa zvemamiriro nzira kuitisa chido chacho yokunzvenga atrioventricular raiva pedyo nebundu, nzira dzakadaro tsapo Jakobho, uye faibha mwanda Kent Maheyma. Kuburikidza makwara izvi apo kurova kwemwoyo ipfupi uye pane kutanga kuna CLC. mashandiro Izvi zvinogona kuonekwa vachiita ECG kuongorora. Chiitiko asingadi kukanganisa kushanda mwoyo uye kunoratidzwa chete pamusoro cardiogram. Asi dzimwe nguva pane zviitiko kana paine raundi nzira excitation. Izvi zvinoitika kana, achipfuura anomalous nzira, kurova kwemwoyo anodzoka kuburikidza atrioventricular raiva pedyo nebundu, kana vakutarisire - pashure kupfuura chikuru nzira, achidzoka anomalous. Izvi zvose kunokonzera kuchinja mune mutinhimira iri kurova kwehana, ndiko ichi muinonzi urwere CLC.

Fani uye CLC chirwere vari vachiberekwa, kwemhosva abnormalities izvi chokwadi harizivikanwi. Kune mazano kuti wakabatana zvokukura kusagadzikana azvarwa panguva padariro mwoyo. Uyewo, regai kutonga kuti chikonzero angava, uye masero zvirwere.

kuongorora ECG

ECG ongororo kuti azivikanwe urwere ichi. It kunoratidzwa zvinoderedza PR (PQ) penguva. penguva iyi inoratidza nguva panguva iyo excitation zvasvika ventricular myocardium pamusoro atria uye atrioventricular akakura. In vanhu vanopfuura makore 17 ndiye chakaipa penguva 0.2 mumasekonzi, asi rutapudzo pamusoro penguva, izvo zvinogona kukonzera tachyarrhythmias, zvinogona kuva chinodiwa kuti nechirwere yacho urwere CLC. Sezvo chirwere chikabviswa Klerk-Levy Cristescu eponymous chiri inozivikanwa nokufamba anomalous gwara zvairatidza - James danda unobatanidza atrium kune atrioventricular distal chikamu mukomboni iyo inouyisa rutapudzo pamusoro penguva PR (PQ).

Kuwedzera mukuderedza akati chinguva, kuvapo CLC chirwere ECG hapana zvimwe kuchinja. Ventricular kunzwisisa (dzakaoma QRS - chinokosha kutsauka pamusoro cardiogram unoratidza ndima excitation mukati ventricles) haataurwi zvisinganzwisisiki. CLC chirwere kazhinji inoitika muvanhu vane mwoyo haana zvarakasiya.

zviratidzo

Chiitiko of Zvipikiri Munzeve-Levy Cristescu haina kuratidzwa, vanhu vakawanda vane nzira James ndisingatombozive nezvazvo uye kurarama pasina kusanzwa.

Zviratidzo CLC ari chirwere ine kuchinja mwoyo unodiwa. Varwere vane pakarepo tichibatwa nokukurumidza kwemwoyo, izvo angaperekedzwa bloating, faintness, dzungu, ruzha iri musoro wangu. Dzimwe nguva zvinogona kuonekwa iratidzike seiri kubuda uye hune pamberi kana pashure kurwisa. Panogona kuva spasmodic wakakurumidza kurova kwehana.

mabatiro

Kazhinji, asi chirwere CLC haatarisiri unyanzvi kupindira. Panguva tichibatwa mwoyo murefu oga unogona kuvamisa chaiwo masaja, chiso kana kutonhora mvura natuzhivayas pamusoro femero, kureva, kuita Valsalva rinoshamisa. Kana nzira izvi regai kubatsira, uchashevedzera amburenzi.

Uyewo, kana kubata tichibatwa tachycardia chirwere anokonzerwa CLC, unogona kuzoripa basa rimwe cardiologist, uyo anofanira kugadza anokosha mishonga, akadai "Verapamil" kana "Amiodarone".

Kana apo pfari tachycardia zvakasimba kukanganisa upenyu murwere, oparesheni nevamwe kuparadza James matanda kuti kunotadzisa dzeraundi tikachirega sitiroko. kwacho havana ngozi, uye pashure murwere nokukurumidza anoenderera pamusoro kunatsiridza.