Brugada Syndrome

Brugada syndrome is a rare heart problem that can be serious. It's sometimes passed down through families.

People with this syndrome have a higher chance of developing an irregular heartbeat that starts in the lower parts of their heart (ventricles). This irregular heartbeat can be dangerous.

Treating Brugada syndrome often involves steps to prevent problems. For example, keeping fevers under control and avoiding certain medicines that might trigger the irregular heartbeat are important. In some cases, a special device called an implantable cardioverter-defibrillator (ICD) is needed. This device helps regulate the heart's rhythm if necessary.

Brugada syndrome kazhinji haina zviratidzo zvinoonekwa. Vanhu vakawanda vane Brugada syndrome havazivi kuti vane.

Zviratidzo nezviratidzo zvinogona kuwirirana neBrugada syndrome zvinosanganisira:

• Kufenda
• Kuenda pasi
• Kufema kwakaoma uye kwakaoma, kunyanya usiku
• Kupuruzira kwemoyo kana kupuruzira
• Kupuruzira kwemoyo nekukurumidza uye kusagadzikana
• Kuita manyoka

Chiratidzo chikuru cheBrugada syndrome ndicho mugumisiro usingaenzaniswi pane electrocardiogram (ECG), bvunzo inoyeresa basa remagetsi remwoyo.

Zviratidzo nezvimwe zviratidzo zveBrugada syndrome zvakafanana nezvezvimwe zvirwere zvekuridza kwemoyo. Zvakakosha kuti uone chiremba kuti azive kana Brugada syndrome kana chimwe chirwere chekuridza kwemoyo chiri kukonzera zviratidzo. Kana wakazorora uye unofunga kuti zvinogona kunge zvichikonzerwa nechirwere chemwoyo, tsvaga rubatsiro rwekukurumidzira. Kana mubereki wako, munun'una wako kana mwana wako akaonekwa aine Brugada syndrome, unogona kubvunza chiremba wako kana uchifanira kuongororwa kuti uone kana uri panjodzi yeBrugada syndrome.

Brugada syndrome chirwere chekumhanya kwemoyo.Kurova kwemoyo kuri wose kunotangwa nesignal yemagetsi inoitwa nemasero chaiwo ari mukamuri yepamusoro yekurudyi yemoyo. Ma pores madiki, anonzi machaneri, ari paari ese aya masero anotungamira iyi activity yemagetsi, inita kuti moyo urove.

Mu Brugada syndrome, kuchinja mumachaneri aya kunokonzera kuti moyo urove nekukurumidza, zvichiita kuti pave nekurova kwemoyo kunotyisa (ventricular fibrillation).

Somugumisiro, moyo hausi kupomba ropa rakakwana kumuviri wose. Kumhanya kwemoyo kusina kururama kunogara kwenguva pfupi kunogona kukonzera kusuruvara. Kufa kwemoyo kamwe kamwe kunogona kuitika kana kurova kwemoyo kusina kururama kukasadzoka.

Brugada syndrome inogona kukonzerwa ne:

• Dambudziko rekuvakwa kwemoyo, izvo zvinogona kunge zvakaoma kuona
• Kusawirirana kwemakemikari anobatsira kutumira masignals emagetsi mumuviri (electrolytes)
• Kushandisa mishonga yakatarwa kana cocaine

Zvinokonzera Brugada syndrome zvinosanganisira:

• Nhoroondo yemhuri yeBrugada syndrome. Zvirwere izvi kazhinji zvinofamba mumhuri (zvinowanikwa). Kuva nemhuri ine Brugada syndrome kuwedzera mukana we munhu wekuwanawo.
• Kuva murume. Varume vanowanzowanikwa vane Brugada syndrome kupfuura vakadzi.
• Rudzi. Brugada syndrome inowanzoitika kuvanhu vekuAsia kupfuura kune vanhu vemimwe mitambo.
• Fivha. Fivha haikonzere Brugada syndrome, asi inogona kukuvadza mwoyo uye kukonzera kupera simba kana kufa kwemoyo kamwe kamwe kune vanhu vane Brugada syndrome, kunyanya vana.

Zvinetso zveBrugada syndrome zvinoda kurapwa nekukurumidza kwemishonga. Zvinetso zveBrugada syndrome zvinosanganisira:

• Kufa kwemoyo kamwe kamwe. Kana ikasabatwa nekukurumidza, kurasikirwa uku kwemoyo, kufema nekuziva, kunowanzoitika panguva yekurara, kunouraya. Nekurapwa nekukurumidza kwemishonga, kuchengetedzwa kunobvira.
• Kuora mwoyo. NeBrugada syndrome, kuora mwoyo kunoda kurapwa nekukurumidza kwemishonga.

Kana mumwe munhu wemhuri yako ane Brugada syndrome, bvunzo yemajini inogona kuitwa kuti uone kana une, kana uri pangozi yacho, chirwere ichocho.

Brugada syndrome kazhinji inoonekwa muvakuru, uye dzimwe nguva, mune vechidiki. Inowanzoonekwa zvishoma kuvana vaduku nekuti zviratidzo kazhinji hazvizivikanwi.

Kuti vaone Brugada syndrome, mushandi wehutano achaita bvunzo yemuviri uye anoteerera mwoyo ne stethoscope. Kuongororwa kunoitirwa kuongorora kurova kwemwoyo uye kuona kana kusimbisa Brugada syndrome.

Electrocardiogram (ECG) ine kana isina mushonga. Electrocardiogram (ECG) ibvunzo inokurumidza, isina kurwadza inotora masaini emagetsi mumwoyo. Panguva yebvunzo, zvishandiso (electrodes) zvinobatwa pachipfuva uye dzimwe nguva pazvikamu zvemuviri. Bvunzo inogona kubatsira kuona matambudziko nekumhanya kwemwoyo nechimiro chayo.

Kana kurova kwemwoyo kuri kwakajairwa panguva yebvunzo, nhanho inotevera ingave kupfeka chishandiso chinofambiswa kwezuva neusiku. Rudzi urwu rwebvunzo runonzi bvunzo ye24-hour Holter monitor.

Vamwe vanhu vane zviratidzo zveBrugada syndrome asi mhinduro dze electrocardiograms (ECGs) yavo yekutanga uye bvunzo dze24-hour Holter dziri mukati merange yakajairwa. Vanhu ava vangave neECG dzimwe dzine mishonga inopiwa kuburikidza neIV inogona kutungamira pakurova kwemwoyo kusina kujairika.

Kuongororwa kweElectrophysiological (EP) nekugadzirisa. Bvunzo iyi, inonziwo chidzidzo che electrophysiologic (EP), inogona kuitwa kune vamwe vanhu vane Brugada syndrome inofungidzirwa.

Mukubvunza uku, mushandi wehutano anopinda matubu akapfava, akapfava (catheters) ane magumo e electrodes kuburikidza nemidziyo yeropa kuenda kunzvimbo dzakasiyana-siyana mumwoyo. Kana zvabatanidzwa, electrodes inogona kuratidza kupararira kwemasaini emagetsi mumwoyo.

• Electrocardiogram (ECG) ine kana isina mushonga. Electrocardiogram (ECG) ibvunzo inokurumidza, isina kurwadza inotora masaini emagetsi mumwoyo. Panguva yebvunzo, zvishandiso (electrodes) zvinobatwa pachipfuva uye dzimwe nguva pazvikamu zvemuviri. Bvunzo inogona kubatsira kuona matambudziko nekumhanya kwemwoyo nechimiro chayo.

  Kana kurova kwemwoyo kuri kwakajairwa panguva yebvunzo, nhanho inotevera ingave kupfeka chishandiso chinofambiswa kwezuva neusiku. Rudzi urwu rwebvunzo runonzi bvunzo ye24-hour Holter monitor.

  Vamwe vanhu vane zviratidzo zveBrugada syndrome asi mhinduro dze electrocardiograms (ECGs) yavo yekutanga uye bvunzo dze24-hour Holter dziri mukati merange yakajairwa. Vanhu ava vangave neECG dzimwe dzine mishonga inopiwa kuburikidza neIV inogona kutungamira pakurova kwemwoyo kusina kujairika.

• Echocardiogram. Echocardiogram inoshandisa mafungu ekuita mifananidzo yemwoyo. Bvunzo iyi haigone kuona Brugada syndrome pachayo, asi inogona kubatsira kuona matambudziko echimiro nemwoyo.

• Kuongororwa kweElectrophysiological (EP) nekugadzirisa. Bvunzo iyi, inonziwo chidzidzo che electrophysiologic (EP), inogona kuitwa kune vamwe vanhu vane Brugada syndrome inofungidzirwa.

  Mukubvunza uku, mushandi wehutano anopinda matubu akapfava, akapfava (catheters) ane magumo e electrodes kuburikidza nemidziyo yeropa kuenda kunzvimbo dzakasiyana-siyana mumwoyo. Kana zvabatanidzwa, electrodes inogona kuratidza kupararira kwemasaini emagetsi mumwoyo.

Kurapa chirwere cheBrugada kunogona kusanganisira mishonga, nzira dze catheter kana kuvhiya kuisa mudziyo unodzora kurova kwemoyo. Kurapa chirwere cheBrugada kunoenderana nenjodzi yekurova kwemoyo kwakashata (arrhythmia).

Kuve pangozi yakanyanya kunosanganisira kuva ne:

Kana uine chirwere cheBrugada asi usina zviratidzo, ungasafanira kurapwa kwakakosha nekuti njodzi yekurova kwemoyo kwakashata inogona kunge iri shoma. Zvisinei, mushandi wehutano angakurudzira kutora matanho ekuderedza njodzi yekurova kwemoyo kwakashata.

Dzivisa mishonga inogona kutanga kurova kwemoyo kwakashata. Mishonga yakawanda inogona kuwedzera njodzi yekurova kwemoyo kwakashata, kusanganisira mishonga yemoyo ne antidepressants. Doro rakawanda rinogona zvakare kuwedzera njodzi.

Uudze mushandi wehutano nezvemishonga yaunotora, kusanganisira mishonga ne zvinowedzerwa zvinotengwa pasina chinyorwa.

Vamwe vanhu vane chirwere cheBrugada vanorayirwa mishonga, senge quinidine, kudzivirira kurova kwemoyo kunogona kunge kune ngozi. Mishonga iyi inogona kunyorwa chete kana nemidziyo yezvokurapa — inonzi implantable cardioverter-defibrillator (ICD) — inodzora kurova kwemoyo.

Vanhu vane chirwere cheBrugada vakamboita cardiac arrest kana kupera simba kunotyisa vangada kuvhiya kana nzira ye catheter.

Implantable cardioverter-defibrillator (ICD). Iyi mudziyo mudiki, unoshanda nebhatiri unoiswa muchidzitiro kuti uongorore nguva dzose kurova kwemoyo. Inopa magetsi shocks kana zvichidiwa kudzora kurova kwemoyo kwakashata. Kuisa implantable cardioverter-defibrillator (ICD) kazhinji kunoda kugara usiku hwese muchipatara.

Implantable cardioverter-defibrillators (ICDs) inogona kupa shocks kana zvisingadiwi, saka zvakakosha kukurukura zvakanakira nezvinokuvadza zvemidziyo iyi nemupi wehutano.

Kana uine chirwere cheBrugada, unoda kuongororwa kwehutano nguva dzose kuve nechokwadi chekuti chirwere chekurova kwemoyo chinotarisirwa zvakanaka uye chinodzorwa. Kuongororwa nguva dzose kunogona kubatsira mupi wako kuona matambudziko pakutanga uye kuona kana kuchinja kurapwa kuchidiwa.

• Nhoroondo yemunhu we arrhythmias yakakomba

• Kupera simba

• Wakapona sudden cardiac arrest

• Kurapa fivha zvine simba. Fivha inozivikanwa sechinhu chinotanga kurova kwemoyo kwakashata muvanhu vane chirwere cheBrugada. Shandisa mishonga inoderedza fivha pakutanga kwekutanga kwefivha.

• Dzivisa mishonga inogona kutanga kurova kwemoyo kwakashata. Mishonga yakawanda inogona kuwedzera njodzi yekurova kwemoyo kwakashata, kusanganisira mishonga yemoyo ne antidepressants. Doro rakawanda rinogona zvakare kuwedzera njodzi.

  Uudze mushandi wehutano nezvemishonga yaunotora, kusanganisira mishonga ne zvinowedzerwa zvinotengwa pasina chinyorwa.

• Dzivisa kutamba mitambo yekukwikwidzana. Izvi zvinogona kushanda kune vanhu vane njodzi yakanyanya yekurova kwemoyo kwakashata. Bvunza mushandi wehutano kana uchifanira kudzivisa mabasa akadaro emitambo.

• Implantable cardioverter-defibrillator (ICD). Iyi mudziyo mudiki, unoshanda nebhatiri unoiswa muchidzitiro kuti uongorore nguva dzose kurova kwemoyo. Inopa magetsi shocks kana zvichidiwa kudzora kurova kwemoyo kwakashata. Kuisa implantable cardioverter-defibrillator (ICD) kazhinji kunoda kugara usiku hwese muchipatara.

  Implantable cardioverter-defibrillators (ICDs) inogona kupa shocks kana zvisingadiwi, saka zvakakosha kukurukura zvakanakira nezvinokuvadza zvemidziyo iyi nemupi wehutano.

• Catheter ablation. Kana ICD isingadziviriri zvakanaka uye zvakachengeteka zviratidzo zveBrugada syndrome, nzira inonzi radiofrequency catheter ablation inogona kuva sarudzo. Tube refu, inotsvedza (catheter) inoiswa kuburikidza nemidziyo yeropa uye inosungirirwa kumoyo. Catheter inopa simba rakakura rinopisa kana kunyangadza tishu yemoyo inokonzera kurova kwemoyo kwakashata.