WPW urwere

Varwere vane chirwere pamusoro ERW, pane tachycardia uye arrhythmia yakafanira
abnormality zvemagetsi kupomba nzira anomuitira pakati ventricles uye
atria. Chimwe zita nokuti chirwere ane vakurumidze ventricular excitation. WPW chirwere - isingawanzowanikwi chakajairika, uye varwere vakawanda vasiri nechirwere chipi mwoyo chirwere. The chikuru chepfungwa chirwere ndiye arrhythmia. Hafu varwere vakachengeta tachyarrhythmia. The chirwere kazhinji kunoitika rwakavanzwa, saka unofanira electrophysiological kudzidza zvemagetsi kweiyi mwoyo ventricles.

WPW chirwere ari maviri vidov- A uye B. In wokutanga mhando conductive anomalous
nzira iri pakati ventricle kuruboshwe uye atrium. In mhando B imwe nzira dzokuwedzera conductive riri pakati kurudyi ventricle uye atrium, zvichiita kuti vakurumidze ventricular excitation.

WPW chirwere kunoratidzwa yokurwiswa arrhythmia yokuvamba dzakakwirira
maitikiro uye inoguma nomuzvarirwo. Kurwisa anogona kukonzerwa nokutaurisa kurovedza muviri, doro yaunodya, kushushikana, kusvuta, supercooling simba, etc. Havafaniri kutora zvinodhaka izvo inoodza mwoyo kunowanzoitika nzira pulses mwoyo vari varwere WPW syndrome. Treatment kazhinji kacho haasi zvakakodzera.

ngozi kukuru wemishonga zvinoratidza chirwere pamwe atrial arrhythmias, sezvamakaropafadzwa zvakakodzera kuvhiyiwa. Muchiitiko chino, mumwe radiofrequency ablation, kureva kuparadzwa pathological anotenderera. Radiofrequency ablation rinoitwa nokusuma ari anobudisa mushonga zvishoma nezvishoma electrodes panguva intracardiac electrophysiologic zvidzidzo, aakapiwa achangopfuura makore nevakawanda kupararira. Kuparadza ndiyo inobudirira uye njodzi pakurapa KWD syndrome. Kumadzimai zvabuda zviri kuwanikwa muna 96 muzana varwere.

Zvairatidza kuti vashandise dzimwe RF ablation pathological SVT turakiti akatsiga, idiosyncrasy antiarrhythmic zvinodhaka uye mukana cardiac fibrillation. Muvarwere vaduku nzira iyi yokurapa chinhu pane hwose zvokurapa.

In asymptomatic chirwere akadai KWD urwere, kurapwa hauna basa varwere vose. Zvinofanira kucherechedzwa kuti pakurapa chirwere anogona kutakura ngozi kupfuura chirwere choga. Kuongorora ngozi arrhythmias zvinouraya kubvumira muviri bvunzo.

WPW chirwere aibata mishonga kuti kunonoka conduction pamusoro nomunhu AB (digoxin, adenosine, verapamil), kana kuti
mune dzimwe nzira (lidocaine, procainamide). Mune zvisingawanzoitiki Muzviitiko,
supraventricular tachycardia inogona kuva atrial fibrillation,
saka chiremba anofanira kuva defibrillator amburenzi
cardioversion, kana zvichidikanwa. Izvi zvinonyanya kukosha kune imwe
kushandisa mari yaiitirwa nokukiya peungano.

Nokuti kurapa paroxysmal kana atrial fibrillation chinotarisirwa procainamide retard kupomba nokuomerera anomalous nzira. dziviriro
ndiko kushandiswa zvimwe zvinodhaka uye 1c kana 1a kirasi. dzimwe nguva basa
propronolol zvaidiwa zvokungwarira zvose.

Mune zvimwe zviitiko, SVT anogona kwaizombomiswa pachishandiswa DZEMUNHU DZINODZORA kana unoraramisa kuti pacemaker. Mishonga refu chokudzivirira zviito kusarudzwa kudzorwa subotnji. Izvi zvinonyanya kukosha zviitiko apo
yapfuura paroxysms achiperekedzwa faintness uye hemodynamic zvinetso, uye paroxysms vane atrial fibrillation nomwoyo zvazvingava wakawedzera.