Chii Chinonzi Long QT Syndrome? Zviratidzo, Zvinokonzera, & Kurapa

Long QT syndrome chirwere chekumhanya kwemoyo chinoita kuti sisitimu yemoyo wako ishande zvisina kunaka. Zvinonzi kudaro nekuda kwemaitiro chaiwo vanachiremba vanoona pakuongororwa kweECG, apo chikamu chimwe chekurova kwemoyo wako chinotora nguva yakareba kupfuura zvakajairwa.

Chirwere ichi chinogona kuita kuti moyo wako urove nekukurumidza, nenzira isina kurongeka inonzi torsades de pointes. Kunyange zvazvo izvi zvinganzwa zvichitya, vanhu vakawanda vane long QT syndrome vanorarama hupenyu hunowanzoita, hune hutano nekutarisirwa kwakakodzera uye kuziva.

Chii Chinonzi Long QT Syndrome?

Long QT syndrome inoitika kana moyo wako uchitora nguva yakareba kudzoka pakati pekurova. Funga nezvemoyo wako sechikamu chemagetsi chinoda kuchajwa mushure mekurova kwega kwega kuti chirambe chakarongwa.

"QT interval" inoreva kuyerwa pane kucherechedzwa kwemagetsi emoyo wako. Kana nguva iyi iri refu kupfuura zvakajairwa, inogona kugadzira mukana apo kurova kwemoyo kunogona kuitika. Chirwere ichi chinogona kuva chimwe chinhu chakazvarwa nacho kana kuti chaunowana nekuda kwemishonga kana zvimwe zvirwere.

Vanhu vakawanda vane long QT syndrome vane hunhu hwemoyo hunowanzoita. Dambudziko riri pakati pezviratidzo zvemagetsi zvinoronga kurova kwemoyo wako.

Ndeapi Zviratidzo zveLong QT Syndrome?

Vanhu vakawanda vane long QT syndrome havaoni chero zviratidzo. Kana zviratidzo zvikaitika, kazhinji zvinoitika nekuti moyo wako unorova nekukurumidza kwenguva pfupi.

Aya ndiwo zviratidzo zvikuru zvaunogona kuona:

• Kuora mwoyo (syncope), kunyanya panguva yekurovedza muviri, kufara, kana ruzha rukuru rwakasimba
• Zviitiko zvakaita sekuvhiringika zvinokonzerwa nekuderera kweropa kuenda kuuropi
• Kuorova kwemoyo kana kunzwa sekunge moyo wako uri kumhanya kana kuti uri kufamba
• Kusvotwa kana kushaya simba, kunyanya panguva yekurovedza muviri
• Kurwadziwa pabvudzi kana kusagadzikana
• Kushaya mweya panguva yemabasa akajairika

Kuora mwoyo kazhinji ndiwo mukurumbira. Kazhinji zvinoitika kana muviri wako uchitambura, kungava kwemuviri kana kuti kwepfungwa. Vamwe vanhu vanoona zviratidzo zvavo zvichiitika kunyanya nekurovedza muviri, kushambira, kana kunyange kutya neawa.

Ndeapi Marudzi eLong QT Syndrome?

Long QT syndrome ine mhando mbiri huru: congenital (yakawanikwa) uye acquired (yakawanikwa gare gare muhupenyu). Kunzwisisa rudzi rwaunaro kunobatsira kutungamira nzira yako yekurapa.

Congenital long QT syndrome inokonzerwa nekuchinja kwemajini aunowana kubva kuvabereki vako. Kune marudzi anopfuura gumi nematanhatu akasiyana ejini, matatu akanyanya kuzivikanwa ari:

• LQT1: Kazhinji inokonzerwa nekurovedza muviri, kunyanya kushambira
• LQT2: Kazhinji inokonzerwa nekushushikana kwepfungwa kana ruzha rukuru rwakasimba
• LQT3: Inogona kuita kuti zviratidzo zviitike panguva yekuzorora kana kurara

Acquired long QT syndrome inokura nekuda kwezvinhu zvekune dzimwe nzvimbo senge mishonga, zvirwere, kana kusawirirana kwema electrolytes. Rudzi urwu runowanzo shanduka kana chikonzero chiripo chagadziriswa.

Chii Chinokonzera Long QT Syndrome?

Zvinokonzera long QT syndrome zvinoenderana nerudzi rwayo, kana yakawanikwa kana kuti yakazvarwa nayo. Ngationgororei zvinotungamira kune imwe neimwe mhando.

Congenital long QT syndrome inobva pakuchinja kwemajini anokanganisa mapuroteni anonzi ion channels. Aya machaneri anotonga kufamba kwezviratidzo zvemagetsi mumasero emoyo wako. Kana asingashande zvakanaka, kudzoka kwemoyo wako kunotora nguva yakareba kupfuura zvakajairwa.

Acquired long QT syndrome inogona kukura kubva kune zvinhu zvakawanda:

• Mishonga senge mamwe marudzi eantibiotics, antidepressants, kana mishonga yekurova kwemoyo
• Kuwedzera kwepotassium, magnesium, kana calcium muropa rako
• Kurutsa kwakanyanya kana kuenda kuhombe kunotungamira pakusawirirana kwema electrolytes
• Zvirwere zvekudya zvinokanganisa kuenzana kwemineral mumuviri wako
• Matambudziko ethyroid kana mamwe mamiriro ehormonal
• Kuakuka kwemusoro kana kurohwa kwepfungwa kunokanganisa basa reuropi
• Mamwe mamiriro emoyo kana hutachiona

Dzimwe nguva vanhu vane genetic predisposition yakapfava iyo inongova dambudziko kana yakasanganiswa nemishonga kana zvimwe zvinokonzera. Izvi zvinotsanangura kuti sei vamwe vanhu vanowana zviratidzo gare gare muhupenyu kunyange nerudzi rwakawanikwa.

Rini Unofanira Kuona Chiremba neLong QT Syndrome?

Unofanira kutsvaga rubatsiro rwechiremba kana ukaona kuora mwoyo, kunyanya panguva yekurovedza muviri kana kushushikana kwepfungwa. Kunyange kuora mwoyo kusina tsananguro kunoda kuongororwa, kunyanya kana kuitika panguva yekurovedza muviri.

Taura nachiremba wako nekukurumidza kana ukaona kuorova kwemoyo kunonzwa kwakasiyana nekunetseka kwakajairwa, kuzvinzwa kwakasimba, kana ukaudzwa kuti une ECG isina kunaka. Nhoroondo yemhuri inokoshawo - kana hama dzako dzapedza long QT syndrome kana kuti dzakafa kamwe kamwe pazera duku, taura izvi kune wako wehutano.

Tsvaga rubatsiro rwekukurumidza kana ukaora mwoyo uye usingamuke nekukurumidza, une kurwadziwa pabvudzi nekuora mwoyo, kana kuti une zvinotaridzika sekuvhiringika. Izvi zvinogona kuratidza kurova kwemoyo kunotyisa kunoda kurapwa nekukurumidza.

Ndeapi Zvinokonzera Ngozi zveLong QT Syndrome?

Zvinhu zvakawanda zvinogona kuwedzera mukana wako wekuwana long QT syndrome kana kuti kuwana matambudziko kana uine. Kunzwisisa izvi kunokubatsira iwe nechikurapa chako kuti uite sarudzo dzakakodzera nezvehutano hwako.

Kune rudzi rwakawanikwa, chikonzero chako chikuru ndechekuva nehama dzine long QT syndrome, kuora mwoyo kusina tsananguro, kana kufa kwemoyo kamwe kamwe pazera duku. Vakadzi vane long QT syndrome inowanikwa vanogona kuva nenhamo yakawedzera panguva yekuchinja kwehomoni, kunyanya mushure mekubereka.

Zvinokonzera ngozi zve acquired long QT syndrome zvinosanganisira:

• Kuva mukadzi (vakadzi vanonyanya kukanganiswa nemishonga inokonzerwa nelong QT)
• Kutora mishonga yakawanda inogona kukanganisa kurova kwemoyo
• Kuva nematambudziko echiropa kana itsvo anokanganisa kuti muviri wako unogadzirisa sei mishonga
• Zvirwere zvekudya kana mamiriro anokonzera kurutsa kwakawanda
• Kuva nedenda kana matambudziko ethyroid
• Kuve nemakore anopfuura makumi matanhatu nemashanu, sezvo kunzwa kwemishonga kuchikwira
• Kuva nenhoroondo yechirwere chemwoyo kana arrhythmias yapfuura

Zera rinotambawo basa mumaitiro ezviratidzo. Vana nechidiki vane marudzi akawanikwa kazhinji vane zviratidzo zvavo zvekutanga panguva yepuberty, nepo vakuru vanogona kuwana marudzi akawanikwa nekuda kwemishonga kana kuchinja kwehutano.

Ndeapi Matambudziko Anogona Kuitika eLong QT Syndrome?

Chinonyanya kunetseka nelong QT syndrome ndicho mukana wekuwana kurova kwemoyo kunotyisa kunonzi torsades de pointes. Kurova uku kunogona kuita kuti uore mwoyo uye, mumamiriro ezvinhu mashoma, kunogona kuenda kukuguma kwemoyo.

Zviitiko zvizhinji zve torsades de pointes zvinopfupika uye zvinomira zvega, ndosaka vanhu vakawanda vachiona kuora mwoyo asi zvino vanodzoka zvakakwana. Nekudaro, kunzwisisa matambudziko anogona kuitika kunokubatsira kuti uite matanho akakodzera.

Matambudziko anogona kuitika anosanganisira:

• Kuora mwoyo kunodzokororwa kunogona kutungamira kukuvara kubva pakwama
• Torsades de pointes isingagoneki pachayo
• Ventricular fibrillation, dambudziko rekurova kwemoyo rinotapura upenyu
• Kufa kwemoyo kamwe kamwe mumamiriro ezvinhu akakomba, asina kurapwa
• Kusagadzikana kana kuora mwoyo kunobatanidzwa nemiganho yebasa
• Miganho yeshamwari nekuda kwekutya zviratidzo

Mashoko akanaka ndeakuti nekurapwa kwakakodzera uye kuziva, mukana wezvinhu zvakakomba zvinoderedzwa zvakanyanya. Vanhu vakawanda vane long QT syndrome yakatariswa zvakanaka vanogona kubatanidzwa mumabasa akawanda akajairika zvakachengeteka.

Long QT Syndrome Inozwivikanwa Sei?

Kuziva long QT syndrome kunotanga ne electrocardiogram (ECG), iyo inoyerwa basa remagetsi emoyo wako. Chiremba wako acharamba achiita QT interval yakareba, kunyange zvazvo dzimwe nguva izvi hazvisi pachena pakuongororwa kwemwe chete.

Chiremba wako anogona kukurudzira bvunzo dzakawanda kuti uwane mufananidzo wakakwana:

• ECG dzakawanda panguva dzakasiyana, sezvo QT interval inogona kuchinja
• Kurovedza muviri bvunzo yekutarisa kuti moyo wako unopindura sei kubasa
• Holter monitor kana rekodha yechikamu chekuwana kurova kwemoyo kwenguva yakareba
• Kuongororwa kweropa kuti uone mazinga ema electrolytes uye ubvise zvimwe zvinokonzera
• Kuongororwa kwemajini kana long QT syndrome yakawanikwa ichifungidzirwa
• Kuongororwa kwemhuri kana ukaudzwa kuti une rudzi rwemajini

Dzimwe nguva kuzivikanwa hakuna kujeka. Chiremba wako angada kuongorora zviratidzo zvako, nhoroondo yemhuri, uye runyorwa rwemishonga pamwe chete nemhedzisiro yebvunzo. Vanogonawo kuita bvunzo dzakasarudzika dzinoedza sisitimu yemagetsi yemoyo wako zvakachengeteka.

Kurapa kweLong QT Syndrome Ndeapi?

Kurapa kwe long QT syndrome kunotarisa pakudzivirira kurova kwemoyo kunotyisa uye kutarisira zviratidzo zvako. Nzira yacho inotsamira pane rudzi rwako, kuomarara kwezviratidzo, uye zvinokonzera ngozi zvemunhu.

Kune acquired long QT syndrome, kurapa kazhinji kunosanganisira kugadzirisa chikonzero chiripo. Izvi zvinogona kureva kumisa kana kuchinja mishonga, kugadzirisa kusawirirana kwema electrolytes, kana kurapa mamiriro senge matambudziko ethyroid.

Sarudzo dzekurapa dze inherited long QT syndrome dzinosanganisira:

• Mishonga yebeta-blocker kuderedza kumhanya kwemoyo uye kusagadzikana kwekurova kwemoyo
• Kuchinja mararamiro kudzivirira zvinokonzera zvinozivikanwa
• Zviwedzerwa zvema electrolytes kana mazinga eropa ari pasi
• Implantable cardioverter defibrillator (ICD) kune varwere vane njodzi yakakwira
• Left cardiac sympathetic denervation mumamiriro ezvinhu akasarudzika

Beta-blockers kazhinji ndiwo kurapwa kwekutanga nekuti vanobatsira kugadzirisa kurova kwemoyo kwako. Chiremba wako acashanda newe kuti uwane mushonga wakakodzera nechiyero chinodzora zviratidzo zvako uchideredza zvipingamupinyi.

Nzira Yekutarisira Long QT Syndrome Pamba?

Kutarisira long QT syndrome pamba kunosanganisira kuziva zvinokonzera zvako uye kutora matanho ekudzvidzivirira. Izvi hazvirevi kuti haugone kurarama hupenyu hunoshanda, asi kuti uchave uchitevedza sarudzo dzakakodzera nezvemabasa.

Aya ndiwo maitiro ekutarisira pamba:

• Tora mishonga sezvakanyorwa, kunyange kana uchinzwa zvakanaka
• Dzivisa mishonga inozivikanwa nekurebesa QT interval pasina mvumo yechiremba
• Ramba uchinwa mvura uye chengetedza kuenzana kwakanaka kwema electrolytes
• Dzidza kuziva zvinokonzera zviratidzo zvako
• Tora zvinhu zvinoratidza mamiriro ako ezvinhu
• Chengetedza ruzivo rwekutaurirana nekukurumidza

Cherechedza kuti unonzwa sei panguva yemabasa akasiyana. Kana ukaona zviratidzo nemabasa chaiwo kana mamiriro ezvinhu, kurukura kuchinja nachiremba wako panzvimbo pekudzivisa basa rese.

Hama dzemhuri dzinofanira kudzidza CPR yakapusa uye kuziva kuti ungaziva sei kana uri kuita chiitiko chakakomba. Kuva neronga kunobatsira munhu wese kunzwa akavimbika uye akagadzirira.

Ungagadzirira Sei Kune Chiremba Wako?

Kuagadzirira kuenda kuchiremba kwako kunobatsira kuve nechokwadi chekuti unowana zvakawanda kubva pakushanya kwako. Uya nerunyorwa rwakakwana remishonga yese, zviwedzerwa, uye mishonga yekutengesa yaunotora, sezvo dzimwe dzinogona kukanganisa kurova kwemoyo kwako.

Nyora zviratidzo zvako, kusanganisira kana zvichiitika, zvawaiita, uye kwenguva yakareba sei zvakagara. Cherechedza chero maitiro auona, senge zviratidzo zvichiitika panguva yekurovedza muviri, kushushikana, kana panguva dzakatarwa dzezuva.

Unganidza nhoroondo yemhuri yako yekurapa, kunyanya chero ruzivo nezvematambudziko emoyo, kufa kwakapotsa, kana kuora mwoyo muhama. Ruzivo urwu runokosha pakunzwisisa njodzi yako nezvinodiwa pakurapa.

Gadzira mibvunzo nezvemabasa ako ezuva nezuva, mishonga, uye chero zvinokunetsa. Bvunza nezvemiganho yebasa, kuronga kwemamiriro ekukurumidza, uye rini unofanira kutsvaga rubatsiro rwekukurumidza.

Long QT Syndrome Inogona Kudzivirirwa Sei?

Haukwanisi kudzivirira inherited long QT syndrome sezvo ichisarudzwa nemajini ako. Nekudaro, unogona kutora matanho ekudzivirira acquired long QT syndrome uye kuderedza matambudziko kana uine imwe mhando.

Nzira dzekudzivirira dzinosanganisira kungwarira nezvemishonga inogona kukura QT interval. Gara uchizivisa vanachiremba nezvemamiriro ako ezvinhu usati watanga mishonga mitsva, kusanganisira antibiotics kana antidepressants.

Chengetedza hutano hwakanaka hwese nekudya kudya kwakakwana kwakapfuma mu potassium uye magnesium, kuchengetedza mvura yakakwana, uye kutarisira mamwe mamiriro ehutano senge chirwere cheshuga kana matambudziko ethyroid. Dzivisa kunwa doro kwakanyanya uye zvinodhaka zvisiri pamutemo, izvo zvinogona kukanganisa kurova kwemoyo kwako.

Kana uine nhoroondo yemhuri ye long QT syndrome kana kufa kwakapotsa, funga nezvekurairwa kwemajini uye kuongororwa. Kuziva kare kunobvumira kutarisirwa kwakakodzera uye kudzivirira matambudziko.

Chii Chinonyanya Kukosha Nezve Long QT Syndrome?

Long QT syndrome chirwere chinogona kutarisirwa chinoita kuti sisitimu yemagetsi yemoyo wako ishande zvisina kunaka. Kunyange zvazvo ichida kutarisirwa kwenguva refu nekutarisirwa, vanhu vakawanda vane chirwere ichi vanogona kurarama hupenyu hwazvo, hunoshanda nekurapwa kwakakodzera uye kuziva.

Chinonyanya kukosha ndechekushanda pedyo nechikwata chako chehutano kuti unzwisise rudzi rwako rwakakosha nezvinokonzera ngozi. Nerubatsiro rwakakodzera rwemishonga, kuziva mararamiro, uye kutarisirwa kazhinji, unogona kuderedza mukana wezvinhu zvakakomba.

Yeuka kuti kuva ne long QT syndrome hakusi kusimbisa miganho yako - zvinoreva kuti uchave uchitevedza sarudzo dzakakodzera nezvemabasa ako nehutano hwako. Ramba uchibatanidzwa neronga rako rekurapa, taura zvakasununguka nachiremba vako, uye usambofa wakashamisika kubvunza mibvunzo nezvemamiriro ako ezvinhu.

Mibvunzo Inonyanya Kubvunzwa Nezve Long QT Syndrome

Vanhu vane long QT syndrome vanogona kurovedza muviri here?

Vanhu vakawanda vane long QT syndrome vanogona kurovedza muviri zvakachengeteka, asi rudzi uye simba zvinogona kunge zvichida kuchinjwa zvichienderana nemamiriro ako chaiwo. Chiremba wako achakubatsira kuona kuti mabasa api akakodzera kwauri. Kushambira kunogona kudzivirirwa kune mamwe marudzi e inherited long QT syndrome, nepo mamwe kurovedza muviri angakurudzirwa nekuchengetedzwa kwakakodzera.

Long QT syndrome inogona kuwanikwa here?

Mamwe marudzi e long QT syndrome anowanikwa, anopfuudzwa kuburikidza nemhuri kuburikidza nekuchinja kwemajini. Kana uine inherited long QT syndrome, mumwe nemumwe wevana vako ane mukana we50% wekuwana chirwere ichi. Nekudaro, kuva nekuchinja kwemajini hakugone kuvimbiswa kuti zviratidzo zvichaitika, uye marudzi akawanikwa haapfuudzirwe kuvana.

Ndeapi mishonga yandinofanira kudzivisa ne long QT syndrome?

Mishonga yakawanda inogona kuipa long QT syndrome, kusanganisira mamwe marudzi eantibiotics, antidepressants, antihistamines, uye mishonga yemoyo. Gara uchizivisa vanachiremba nezvemamiriro ako ezvinhu usati watanga mishonga mitsva. Chengetedza runyorwa rwakagadziridzwa rwemishonga yekudzivisa, uye funga nezvekupfeka zvishongo zvinoratidza mamiriro ako ezvinhu.

Long QT syndrome inogona kupora here?

Inherited long QT syndrome haigone kupora sezvo ichikonzerwa nekuchinja kwemajini, asi inogona kutarisirwa zvakanaka nekurapa. Acquired long QT syndrome inogona kudzoka kana chikonzero chiripo (senge mushonga kana kusawirirana kwema electrolytes) chingagadziriswa. Kunyange nemarudzi akawanikwa, kurapwa kwakakodzera kunobvumira vanhu vakawanda kurarama hupenyu hunowanzoita.

Long QT syndrome yakakomba sei?

Long QT syndrome inogona kuva yakakomba kana isina kurapwa, inogona kutungamira pakurova kwemoyo kunotyisa. Nekudaro, nekuongororwa kwakakodzera nekurapa, vanhu vakawanda vane chirwere ichi vane mhedzisiro yakanaka. Chinonyanya kukosha ndechekushanda nechikwata chako chehutano kuti utarise zvinokonzera ngozi dzako uye utevedzere ronga rako rekurapa nguva dzose.