Kurwara sinus syndrome

Kazhinji, kurova kwemoyo kunotanga mune imwe nzvimbo mumakamuri epamusoro emoyo (atria). Iyi nharaunda ndiyo yemoyo pacemaker. Inodaidzwa kuti iyo sinoatrial node, sinus node kana SA node. Basa rayo nderekuchengetedza moyo kurova wakadzikama uye wenguva dzose.

Sick sinus syndrome iboka remoyo mutinhimira matambudziko nekuda kwematambudziko neiyo sinus node, senge:

• Iko kurova kwemoyo kunononoka, kunonzi sinus bradycardia
• Hana yemoyo inomira kana kumira, inonzi sinus inomira kana sinus kusungwa
• Zvikamu zvekutsanya kwemoyo
• Inononoka moyo mutinhimira uyo unoshanduka nekukurumidza moyo mutinhimira, unonzi bradycardia-tachycardia kana "tachy-brady syndrome"

Sick sinus syndrome inowanzoitika muvanhu vakura kupfuura makore makumi mashanu. Inowanzoitika nekuda kwekukuvara-kunge kukuvara munzira dzemagetsi mukati memhasuru yemhasuru yemwoyo.

Muvana, kuvhiyiwa kwemoyo pamakamuri epamusoro ndicho chikonzero chinowanzoitika chechirwere sinus syndrome.

Coronary chirwere chemoyo, kuwedzerwa kweropa, uye aortic uye mitral vharuvhu zvirwere zvinogona kuitika nechirwere sinus syndrome. Zvisinei, izvi zvirwere zvinogona kunge zvisina chokuita nehutachiona.

Kurwara sinus syndrome hakuna kujairika, asi hazviwanzo. Ndicho chikonzero chakajairika vanhu vanofanirwa kuve neyakagadzirirwa pacemaker yekuisira. Sinus bradycardia inoitika kazhinji kupfuura mamwe marudzi emamiriro acho.

Tachycardias (inokurumidza pamoyo mutinhimira) iyo inotangira mumakamuri ekumusoro emoyo inogona kuve chikamu cheiyo syndrome. Izvi zvinosanganisira atrial fibrillation, atrial flutter, atrial tachycardia. Iyo nguva yekutsanya kwemoyo yemitero inowanzo teverwa neinononoka moyo moyo. Kana paine nguva dzese dzinononoka uye nekukurumidza moyo mitengo (mutinhimira) mamiriro acho kazhinji anozodaidzwa kunzi tachy-brady syndrome.

Mimwe mishonga inogona kuita kuti moyo wemhando yepamusoro uwedzere, kunyanya kana madhizaini akakwira. Izvi zvinosanganisira digitalis, calcium chiteshi blockers, beta-blockers, uye antiarrhythmics.

Kazhinji yenguva, hapana zviratidzo.

Zviratidzo zvinoitika zvinogona kutevedzera izvo zveamwe matambudziko.

Zviratidzo zvinogona kusanganisira:

• Kurwadziwa pachifuva kana angina
• Kuvhiringidzika kana zvimwe shanduko muhutano hwepfungwa
• Kufenda kana pedyo-kufenda
• Kuneta
• Dzungu kana hurema
• Kunzwa kwekunzwa moyo kurova (palpitations)
• Kufema kwekufema, pamwe chete nebasa rekuita sekufamba

Hana yemoyo inogona kunge ichinonoka chero nguva. Kuwedzera kweropa kunogona kuve kwakajairika kana kushoma.

Kurwara sinus syndrome kunogona kukonzera zviratidzo zvekutadza kwemoyo kutanga kana kuwedzera. Sick sinus syndrome inoonekwa apo zviratidzo zvinoitika chete panguva dzezvikamu zve arrhythmia. Nekudaro, iyi yekubatanidza inowanzo kuve yakaoma kuratidza.

Iyo ECG inogona kuratidza isina kujairika moyo zvimiro zvine hukama neichi chirwere.

Holter kana yakareba izwi rhythm monitors zvishandiso zvinobudirira zvekuongorora chirwere sinus syndrome. Vanogona kutora moyo unononoka kwazvo uye kumbomira kwenguva refu, pamwe nezvikamu zveatrial tachycardias. Mhando dzevatariri dzinosanganisira zviitiko zvevatariri, zvinyorwa zvemashure, uye nharembozha.

Iyo intracardiac electrophysiology kudzidza (EPS) bvunzo chaiyo yechirwere ichi. Zvisinei, hazviwanzo kudiwa uye zvingasasimbisa kuongororwa.

Mune zvimwe zviitiko, kurova kwemoyo wemunhu kunoonekwa kana uchifamba kana kurovedza muviri kuti uone kana ichiwedzera zvakakwana.

Iwe unogona kusada kurapwa kana iwe usina chero zviratidzo. Anokuchengetedza hutano anozoongorora mishonga yaunotora kuti ave nechokwadi chekuti haisi kuita kuti mamiriro ako anyanye. Usarege kutora chero chemimwe mishonga yako kunze kwekunge mupi wako akakuudza kuti uite.

Iwe ungangoda anogara akaiswa pacemaker kana zviratidzo zvako zvakabatana bradycardia (inononoka kurova kwemoyo).

Kurova kwemoyo nekukurumidza (tachycardia) kunogona kurapwa nemushonga. Dzimwe nguva, maitiro anonzi radiofrequency ablation anoshandiswa kurapa tachycardia.

Mune zvimwe zviitiko, mishonga inoshandiswa kudzora nguva yekumhanyisa kwemoyo inosanganiswa nekushandisa pacemaker, iyo inochengetedza nguva dzekunonoka kwemoyo.

Iyo syndrome inowanzo kuve inofambira mberi. Izvi zvinoreva kuti zvinowedzera kuwedzera nekufamba kwenguva muzviitiko zvakawanda.

Maonero kwenguva refu akanakira vanhu vane pacemaker yekusingaperi.

Zvinetso zvinogona kusanganisira:

• Angina
• Kuderedza kugona kwekushandisa
• Kufenda (syncope)
• Kuwa kana kukuvara kunokonzerwa nekufenda
• Kutadza kwemoyo
• Kusimba kwemoyo kupomba

Fonera mupiki wako kana iwe uine:

• Musoro wakareruka
• Kufenda
• Palpitations
• Zvimwe zviratidzo zvemamiriro acho

Kuchengeta moyo wako uine hutano nekudya chikafu chakaringana uye kurovedza muviri kunogona kudzivirira mhando zhinji dzechirwere chemwoyo.

Ungangoda kudzivirira mamwe marudzi emishonga. Nguva zhinji, mamiriro acho haadziviririke.

Bradycardia-tachycardia chirwere; Sinus node kusagadzikana; Inononoka kurova kwemoyo - sinus inorwara; Tachy-brady chirwere; Sinus imbomira - inorwara sinus; Sinus kusunga - sinus inorwara

• Mwoyo pacemaker - kubuda

• Pacemaker

Olgin JE, Zipes DP. Bradyarrhythmias uye atrioventricular block. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 40.

Zimetbaum P. Supraventricular yemoyo arrhythmias. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 58.