Chii Chinonzi Kungoerekana Kufa Syndrome, uye Kunodzivirira Kunogoneka?

Zvemukati

• Chii chinonzi pakarepo kufa chirwere?
• Ndiani ari panjodzi?
• Chii chinokonzera?
• Ndezvipi zviratidzo?
• Inoonekwa sei?
• Inorapwa sei?
• Zvinodzivirirwa here?
• Kutora

Chii chinonzi pakarepo kufa chirwere?

Kungoerekana kufa syndrome (SDS) izwi rakasununguka remamburaira renhevedzano yemoyo syndromes inokonzeresa kusungwa kwemoyo nekukurumidza uye pamwe kufa.

Mamwe ema syndromes aya imhedzisiro yematambudziko ehurongwa mumoyo. Zvimwe zvinogona kunge zviri mhedzisiro yezvisina kufanira mukati memakoto emagetsi. Zvese zvinogona kukonzera kusatarisirwa uye nekukurumidza kusungwa kwemoyo, kunyangwe mune vanhu vane hutano hwakanaka. Vamwe vanhu vanofa nekuda kwayo.

Vanhu vazhinji havazive kuti vane chirwere kusvikira kusungwa kwemoyo kwaitika.

Zviitiko zvakawanda zveSDS hazvina kuongororwa nemazvo, futi. Kana munhu ane SDS akafa, kufa kwacho kunogona kunyorwa sechikonzero chechisikigo kana chirwere chemwoyo. Asi kana coroner ikatora matanho ekuti unzwisise chikonzero chaicho, ivo vanogona kugona kuona zviratidzo zveimwe yema syndromes eSDS.

Dzimwe fungidziro dzinoshuma vanhu vangangoita vasina SDS vasina hunhu, izvo zvingave zviri nyore kuona mukutarisa. Zvakasarudzika munzira dzemagetsi zvakanyanya kuoma kuona.

SDS inowanzoitika kune vechidiki uye vepakati-vakuru vakuru. Muvanhu vezera rino, kufa kusingatsanangurike kunozivikanwa sekukurumidza kufa kwevanhu syndrome (SADS).

Izvo zvinogona kuitika muvacheche zvakare. Aya syndromes anogona kunge ari mamwe emamiriro mazhinji anowira pasi pechimbichimbi vacheche kufa chirwere (SIDS).

Imwe mamiriro ezvinhu, Brugada syndrome, inogona zvakare kukonzera kamwe kamwe kusatarisika husiku hwekufa chirwere (SUNDS).

Nekuti SDS inowanzo kuongororwa zvisirizvo kana kusaonekwa zvachose, hazvizivikanwe kuti vanhu vangani vanayo.

Inofungidzira inoratidza vashanu muvanhu zviuru gumi vane Brugada syndrome. Imwe mamiriro eSDS, yakareba QT syndrome, inogona kuitika mu. Ipfupi QT inotonyanya kushomeka. Zviitiko makumi manomwe chete zvacho zvakawanikwa mumakumi maviri emakore apfuura.

Dzimwe nguva zvinokwanisika kuziva kana iwe uri panjodzi. Iwe unogona kukwanisa kubata chiri kukonzera chikonzero cheinogona kuita SDS kana uri.

Ngatitarisei zvakanyanya pamatanho anogona kutorwa kuti uongorore mamwe mamiriro akasangana ne SDS uye pamwe kudzivirira moyo wekusungwa.

Ndiani ari panjodzi?

Vanhu vane SDS vanowanzooneka vane hutano hwakakwana pamberi pechiitiko chavo chekutanga chemoyo kana kufa. SDS inowanzo kukonzera pasina inooneka zviratidzo kana zviratidzo. Nekudaro, kune zvimwe zvinenjodzi zvinowedzera mukana wemunhu wekuve nemimwe mamiriro ane hukama ne SDS.

Vatsvagiri vawana chaiwo majini anogona kuwedzera njodzi yemunhu kune mamwe marudzi eSDS. Kana munhu aine SADS, semuenzaniso, yehama yavo yekutanga-degree (hama, vabereki, uye vana) vanogona kunge vaine chirwere, zvakare.

Havasi vese vane SDS vane imwe yemageneti aya, zvakadaro. Ingori 15 kusvika makumi matatu muzana ezviitiko zvakasimbiswa zveBrugada syndrome vane jini iro rinosanganisirwa neicho chakatarwa mamiriro.

Zvimwe zvinhu zvine njodzi zvinosanganisira:

• Zvepabonde. Vanhurume vane mukana wekuve ne SDS kupfuura vakadzi.
• Race. Ivo vanhu vanobva kuJapan nekuSoutheast Asia vane njodzi yakakwira yeBrugada syndrome.

Pamusoro pezviitiko zvengozi izvi, mamwe marapirwo anogona kuwedzera njodzi ye SDS, senge:

• Bipolar kusagadzikana. Lithium dzimwe nguva inoshandiswa kurapa bipolar kusagadzikana. Mushonga uyu unogona kukonzera Brugada syndrome.
• Chirwere chemoyo. Coronary arteri chirwere ndicho chinonyanya kuitika chirwere chakabatana ne SDS. Inenge inokonzerwa nekoronary arteri chirwere zvinongoerekana zvaitika. Chiratidzo chekutanga chechirwere kusungwa kwemoyo.
• Pfari. Gore rega rega, kamwe kamwe kufa kusingatarisirwi kwekufa (SUDEP) kunoitika mune zvekuonekwa uine pfari. Kufa kwakawanda kunoitika nekukurumidza mushure mekubatwa.
• Arrhythmias. Iyo arrhythmia ndeye isina kujairika kurova kwemoyo kana mutinhimira. Mwoyo unogona kurova kunonoka kana kukurumidza zvikuru. Inogona zvakare kuve neyakajairika maitiro. Zvinogona kutungamira kuzviratidzo sekufenda kana dzungu. Kamwe kamwe kufa zvakare mukana.
• Hypertrophic cardiomyopathy. Mamiriro aya anoita kuti madziro emoyo awande. Inogona zvakare kukanganisa iyo yemagetsi system. Ose ari maviri anogona kutungamira kune isina kujairika kana nekukurumidza kurova kwemoyo (arrhythmia).

Izvo zvakakosha kuti uzive kuti kunyangwe izvi zvakazivikanwa zvine njodzi, hazvireve kuti une SDS. Chero ani pazera chero ripi zvaro uye mune chero mamiriro ehutano anogona kunge aine SDS.

Chii chinokonzera?

Hazvizivikanwe kuti chii chinokonzera SDS.

Gene shanduko dzakabatanidzwa kune mazhinji ma syndromes anowira pasi pemaambura eSDS, asi havazi vese munhu ane SDS ane magene. Zvinogoneka mamwe majeni akabatana neDS, asi haasati azivikanwa. Uye zvimwe SDS zvinokonzeresa hazvisi zvekuberekwa.

Mimwe mishonga inogona kukonzera ma syndromes ayo anogona kutungamira mukufa kamwe kamwe. Semuenzaniso, yakareba QT syndrome inogona kukonzerwa nekushandisa:

• antihistamines
• decongestants
• mishonga inorwisa mabhakitiriya
• diuretics
• mishonga inodzvinyirira
• antipsychotic

Saizvozvo, vamwe vanhu vane SDS vanogona kusaratidza zviratidzo kudzamara vatanga kutora iyi mimwe mishonga. Ipapo, iyo-inokonzerwa nemushonga SDS inogona kuoneka.

Ndezvipi zviratidzo?

Nehurombo, chiratidzo chekutanga kana chiratidzo cheSDS chinogona kunge chiri kamwe kamwe uye kusatarisika kufa.

Nekudaro, SDS inogona kukonzera inotevera red-mureza zviratidzo:

• kurwadziwa muchipfuva, kunyanya panguva yekurovedza muviri
• kurasikirwa kwekuziva
• kunetseka kufema
• dzungu
• kurova kwemoyo kana kunzwa kupenga
• kusanzwisisika kufenda, kunyanya panguva yekurovedza muviri

Kana iwe kana mwana wako muchiwana chero cheizvi zviratidzo, tsvaga kurapwa nekukurumidza. Chiremba anogona kuitisa bvunzo kuti aone kuti chii chingangodaro chiri chikonzero cheaya asingatarisirwe zviratidzo.

Inoonekwa sei?

SDS inongowanikwa chete paunopinda mukusungwa kamwe kamwe kwemoyo. Electrococardiogram (ECG kana EKG) inogona kuongorora akawanda ema syndromes anogona kukonzera kufa kamwe kamwe. Uyu muedzo unonyora chiitiko chemagetsi chemoyo wako.

Nyanzvi dzakadzidziswa cardiologist dzinogona kutarisa mhedzisiro yeECG uye nekuona matambudziko anogona kunge, akadai serefu QT syndrome, pfupi QT syndrome, arrhythmia, cardiomyopathy, nezvimwe.

Kana iyo ECG isina kujeka kana chiremba wezvemwoyo achida kuwedzera kusimbiswa, vanogona zvakare kukumbira echocardiogram. Uku kuongorora kweiyo ultrasound kwemoyo. Nemuedzo uyu, chiremba anogona kuona moyo wako uchirova munguva chaiyo. Izvi zvinogona kuvabatsira kuti vaone kusagadzikana kwemuviri.

Chero ani zvake anowana zviratidzo zvine hukama ne SDS anogona kuwana imwe yeiyi bvunzo. Saizvozvo, vanhu vane nhoroondo yekurapa kana yemhuri inoratidza iyo SDS mukana ungangoda kuve neimwe yeiyi bvunzo.

Kuziva iyo njodzi pakutanga kunogona kukubatsira iwe kudzidza nzira dzekudzivirira zvinogona kuitika kusungwa kwemoyo.

Inorapwa sei?

Kana moyo wako ukamira semhedzisiro ye SDS, vanopindura zvechimbichimbi vanogona kukumutsiridza nezviyero zvinoponesa hupenyu. Izvi zvinosanganisira CPR uye defibrillation.

Mushure mekumutsazve, chiremba anogona kuita oparesheni kuti aise inoisirwa cardioverter defibrillator (ICD) kana zvakakodzera. Ichi chishandiso chinogona kutumira kushamisika kwemagetsi mumoyo mako kana ikamira zvakare mune ramangwana.

Unogona kuramba uchinzwa dzungu wopfuura semhedzisiro yechiitiko, asi chishandiso chakaiswa chinogona kuzotangazve moyo wako.

Iko hakuna ikozvino kurapa kwezvikonzero zvakawanda zveSDS. Kana iwe ukatambira kuongororwa neimwe yeaya syndromes, iwe unogona kutora matanho ekubatsira kudzivirira chiitiko chinouraya. Izvi zvinogona kusanganisira kushandiswa kweICD.

Zvisinei, vanachiremba vanobvaruka nezvekushandisa kurapwa kweSDS mumunhu asina kuratidza chero zviratidzo.

Zvinodzivirirwa here?

Kuongororwa kwekutanga idanho rakakosha mukudzivirira chiitiko chinouraya.

Kana iwe uine nhoroondo yemhuri yeSDS, chiremba anogona kugona kuona kana iwe uine chirwere chinogona kutungamira kurufu rusina kutarisirwa. Kana ukadaro, unogona kutora matanho ekudzivirira kufa kamwe kamwe. Izvi zvinogona kusanganisira:

• kudzivirira mishonga inokonzeresa zviratidzo, senge antidipressants uye sodium-inodzivirira zvinodhaka
• nekukurumidza kurapa fivhiri
• kurovedza muviri nekuchenjerera
• kudzidzira nhanho-hutano matanho, kusanganisira kudya chikafu chakaringana
• kuchengetedza kugara uchiongorora nachiremba wako kana nyanzvi yemwoyo

Kutora

Nepo SDS kazhinji isina mushonga, iwe unogona kutora matanho ekudzivirira kufa kamwe kamwe kana iwe ukatambira kuongororwa pamberi pechiitiko chinouraya.

Kugamuchira kuongororwa kunogona kushandura hupenyu uye kuchikonzera manzwiro akasiyana. Pamusoro pekushanda nachiremba wako, ungangoda kutaura nachiremba wepfungwa nezve mamiriro uye hutano hwepfungwa. Ivo vanogona kukubatsira iwe kugadzirisa nhau uye kubata neshanduko mune yako mamiriro ekurapa.