Wolff-Parkinson-White ọrịa (WPW)

Ọrịa Wolff-Parkinson-White (WPW) bụ ọnọdụ nke enwere ụzọ eletriki ọzọ n'ime obi nke na-eduga n'oge oge ngwangwa obi (tachycardia).

Ọrịa WPW bụ otu n'ime ihe kachasị akpata nsogbu obi ngwa ngwa na ụmụ ọhụrụ na ụmụaka.

Dị ka ọ dị, akara eletrik na-agbaso ụzọ ụfọdụ site na obi. Nke a na-enyere obi aka iti kwa mgbe. Nke a na - egbochi obi inwe ụma ma ọ bụ ihe egwu na - eme ngwa ngwa.

N'ime ndị nwere ọrịa WPW, ụfọdụ akara eletriki nke obi na-agbada n'okporo ụzọ ọzọ. Nke a nwere ike ibute oke ọsọ ọsọ ana - akpọ supraventricular tachycardia.

Imirikiti ndị nwere ọrịa WPW enweghị nsogbu obi ọ bụla. Kaosinadị, ọnọdụ a ejirila ọnọdụ obi obi ndị ọzọ, dịka Ebstein anomaly. Dị ọnọdụ ahụ na-agbasakwa n'ezinụlọ.

Ugboro ole obi dị ngwa na-apụta site na onye ahụ. Fọdụ ndị nwere ọrịa WPW nwere sọọsọ ugboro ole na ole ngwa ngwa obi. Ndị ọzọ nwere ike ịnwe mmetụ obi dị ngwa otu ugboro ma ọ bụ ugboro abụọ n’izu ma ọ bụ karịa. Ọzọkwa, enwere ike enweghi mgbaàmà ma ọlị, ya mere enwere ọnọdụ ahụ mgbe emere nyocha obi maka ihe ọzọ.

Onye nwere ọrịa a nwere ike inwe:

• Obi mgbu ma ọ bụ tightness obi
• Dizzziness
• Igwe ọkụ
• Da mba
• Palpitations (ihe mmetụta nke inwe mmetụta obi gị na-akụ, na-emekarị ngwa ngwa ma ọ bụ na-ezighi ezi)
• Iku ume ọkụ ọkụ

Nnyocha anụ ahụ emere n'oge ihe omume tachycardia ga-egosi na obi na-agba ọsọ karịa 100 kwaa kwa nkeji. Obi dị mma bụ 60 ka 100 na-akụ kwa nkeji na ndị okenye, na n'okpuru 150 na-eti kwa nkeji na ụmụ amụrụ ọhụrụ, ụmụ ọhụrụ, na obere ụmụaka. Ọbara mgbali elu ga-abụ ihe nkịtị ma ọ bụ dị obere n'ọtụtụ ọnọdụ.

Ọ bụrụ na onye ahụ enweghị tachycardia n'oge ule ahụ, nsonaazụ ya nwere ike ịdị nkịtị. Enwere ike chọpụta ọnọdụ ahụ site na ECG ma ọ bụ site na iji nlezianya ECG nlekota, dịka Holter Monitor.

A na-eme nyocha a na-akpọ ọmụmụ electrophysiologic (EPS) site na iji catheter na-etinye n'ime obi. Ule a nwere ike inyere aka chọpụta ọnọdụ nke ụzọ eletriki ọzọ.

Enwere ike iji ọgwụ, ọkachasị ọgwụ antiarrhythmic dịka procainamide ma ọ bụ amiodarone, iji chịkwaa ma ọ bụ gbochie oke obi otiti.

Ọ bụrụ na ọnụọgụ obi anaghị alaghachi na ọgwụgwọ ahụike, ndị dọkịta nwere ike iji ụdị ọgwụgwọ akpọrọ cardioversion eletriki (ujo).

Ọgwụgwọ ogologo oge maka ọrịa WPW na-abụkarị nsị catheter. Usoro a gụnyere ịtinye ọkpọkọ (catheter) n'ime akwara site na obere ịkpụ n'akụkụ eriri ya ruo mpaghara obi. Mgbe ọnụ ruru n'obi, a na-ebibi obere mpaghara na-akpata oke ọsọ ọsọ site na iji ụdị ike pụrụ iche akpọrọ rediofrequency ma ọ bụ site na oyi ya (cryoablation). Emere nke a dika akuku nke ihe omumu electrophysiologic (EPS).

Imepee obi ịwa ahụ iji gbaa ma ọ bụ dichaa ụzọ ahụ nwekwara ike inye ọgwụgwọ WPW na-adịgide adịgide. N'ọtụtụ ọnọdụ, a na-eme usoro a naanị ma ọ bụrụ na ịchọrọ ịwa ahụ obi maka ihe ndị ọzọ.

Mwepu nke Catheter na-agwọ nsogbu a n'ọtụtụ mmadụ. Ọnụ ọgụgụ na-aga nke ọma maka usoro a sitere na 85% gaa 95%. Ọnụọgụ ndị ịga nke ọma ga-adịgasị iche dabere na ọnọdụ na ọnụọgụ nke ụzọ ndị ọzọ.

Nsogbu nwere ike ịgụnye:

• Nsogbu nke ịwa ahụ
• Obi mgbawa
• Mbelata ọbara mgbali (kpatara site na ngwa ngwa obi)
• Mmetụta nke ọgwụ

Mostdị kachasị njọ nke obi ngwangwa bụ ventricular fibrillation (VF), nke nwere ike ibute ngwa ngwa ma ọ bụ ọnwụ ngwa ngwa. Mgbe ụfọdụ, ọ nwere ike ịpụta na ndị nwere WPW, ọkachasị ma ọ bụrụ na ha nwekwara fibrillation nke atrial (AF), nke bụ ụdị ọzọ nke ụda obi na-adịghị mma. Typedị obi a ọsịsọ chọrọ ọgwụgwọ mberede na usoro a na-akpọ cardioversion.

Kpọọ onye nlekọta ahụike gị ma ọ bụrụ:

• Have nwere ihe mgbaàmà nke ọrịa WPW.
• Have nwere nsogbu a na mgbaàmà na-akawanye njọ ma ọ bụ na ị gaghị emeziwanye na ọgwụgwọ.

Gwa onye na-enye gị ọrụ gbasara ma a ga-enyocha ndị ezinụlọ gị maka ụdị ọrịa a ketara eketa.

Ọrịa Preexcitation; WPW; Tachycardia - Wolff-Parkinson-White ọrịa; Arrhythmia - WPW; Ọdịiche obi na - adịghị mma - WPW; Otutu obi - WPW

• Ebumnuche Ebstein
• Holter obi nyochaa
• Conduction nke obi

Dalal AS, Van Hare GF. Disturbances nke ọnụego na n'afọ iri na ụma nke obi. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 462.

Tomaselli GF, Zipes DP. Ọbịakwute onye ọrịa nwere arrhythmias gbasara obi. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 32.

Zimetbaum P. Supraventricular gbasara obi arrhythmias. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 58.