Umtholampilo Frederick syndrome

Frederick syndrome lethiwa yokudumisa physiologist Belgian, ngubani kuchazwe ke njengoba inhlanganisela transverse egcwele (atrioventikulyarnoy) ukuvinjelwa kanye fibrillation atrial, kwezinye izimo - flutter atrial. Lesi sihloko sixoxa Frederick syndrome: izici yomtholampilo, ukuxilongwa kanye nokwelashwa kwezifo kungakephuzi.

syndrome indlela

Frederick syndrome elandelayo izindlela: kusukela Atria kuya ventricles eyeka ngokuphelele conduction inkanuko; ngokungafanele, senhlekelele, ukushukuma wakuphindaphinda nokwehlisa amaqembu athile kwemisipha Imicu yotshani Atria. I ventricles kuthiwa ezazivuswa pacemaker, ise atrioventricular uxhumano noma conduction uhlelo.

Izizathu Frederick syndrome

Lesi sifo, zingaba khona ngemva izilonda ezinzima eziphilayo inhliziyo, okuyinto zivame ukuhambisana izinqubo ukuvuvukala, sclerotome noma ukonakala e myocardium. izinqubo ezinjalo zihlanganisa, isibonelo, ischemic isifo senhliziyo, ikakhulukazi ngesimo okungamahlalakhona, acute isilethikusebenza, myocarditis, zenhliziyo, angina pectoris nabanye. Kulezi izifo imisipha yenhliziyo ukuthuthukisa ikambiso sclerotic, okuholela ngokungadingekile wenabisa ezicutshini, okuyinto ubuyisela evamile, evamile umzimba amaseli ukuraga amaza kagesi. Ngakho-ke, conductance iphazamisekile, futhi kukhona ukuvinjelwa.

Lisho ukuthini cardiogram

Ukuqinisekisa lesiguli syndrome Frederick, njengoba umthetho, ukuziphatha electrocardiograms iqondiswa. Ngaphezu kwalokho, ucwaningo olwenziwe izinsuku esingcono sokuhlola ukushaya kwenhliziyo ngezikhathi ezihlukene futhi ukuqoqa ulwazi oluthe xaxa.

Ephambi kwezinduna isifo phezu amagagasi ECG elotshiwe fibrillation noma flutter atrial, kuyilapho umuntu enempilo kumele babe namazinyo. isigqi Ventricular iba labaculi noma idioventricular, futhi bebonke - nesinusovym ethunjini. RR ngezikhawu kukhona njalo futhi ube isigqi esifanele. Isibalo ventricular izinga ezilotshwe lemali esingeqile izikhathi 50-60 ngomzuzu. ngokuvamile izakhiwo Ventricular kukhona lakhulisiwe futhi sikhubazekile.

izimpawu Clinical kanye nezimpawu

Kuphela ngosizo i electrocardiogram ingaqinisekisa ngokunembile nesineke Frederick syndrome. Umtholampilo, ehambisana naye ekuphileni kwansuku zonke, okuyinto nokufanelekile ukudonsela ukunakekela lomuntu - kuyinto engavamile, kodwa ilungelo kwenhliziyo nge rate inhliziyo okungenani 30 hhayi izikhathi ezingaphezu kuka-60 ngomzuzu. Ukushayela phansi kwenhliziyo lehla ngenxa encishisiwe ukudonsa umsebenzi inhliziyo. Ngakwelinye ihlangothi, okungenhla kuholela-mpilo yokulamba zobuchopho.

Iziguli ikakhulukazi akhononde lobuthakathaka, isiyezi, iphika, eziya ziba zimbi zempilo ngisho emva umsebenzi kancane. Uma umuntu angenakho banake Frederick Syndrome, izimpawu zenziwa nzima, kungase kubonakale ukuboshwa inhliziyo okuthatha imizuzwana 5-7. Ngaphezu kwalokho, kungase kube nokulahlekelwa ukwazi ngenxa ventricular tachycardia.

ukwelashwa

Bayanda odokotela uyavuma ukuthi okuwukuphela kwekhambi eliphelele lesifanele ekwelapheni Frederick syndrome zokwakha i pacemaker yokufakelwa. Lokho ufakwa electrode ventricle, eletha pulses futhi eyayenziwe kubangela ukusikwa myocardium. Imvamisa ukusikwa isethwe kusengaphambili kuncike ngezimo zesiguli futhi umsebenzi wakhe wenyama.

Ngaphezu sivinini zisebenzisa holinoblokatory. Lokhu kwaziswa ekhethekile, njengemishado atropine. Nokho, muva nje, isicelo sabo wenqaba ngenxa eminingi engemihle, kuhlanganise nomthelela ongemuhle psyche isiguli, isibonelo, ukuthuthukiswa atropinovogo sengqondo.

Ngokuvamile, ukwelashwa incike ukuzinza hemodynamics izimbangela atrioventikulyarnoy ukuvinjelwa.

Ngakho, uFrederick syndrome okukhulu okungaholela ukunqoba imisipha inhliziyo, libhekene Imininingwane transverse ukuvinjelwa lihambisana fibrillation atrial.

Okwamanje Nokho, izifo efanele futhi okufika ngesikhathi kwabo lesi simo ingelashwa, ngemva kwalokho isiguli ukubuyela esimweni esivamile nokugcina indlela yabo yokuphila evamile.