Nei varwere vanotambura neAdams-Stokes-Morgagni syndrome?

IAdams-Stokes-Morgagni syndrome inofungidzirwa isiri nyore. Icho chinoreva chimiro chechi syopopal, kufambira mberi pamusoro penzvimbo yekare yakagadzirirwa asystole. Panguva imwecheteyo, zvirwere zvepanyama uye zvirwere zvinoshandiswa zvinoshanda zvakazvimiririra, zvisinei pasinei. Kazhinji kacho, kurwara kwakadaro kunowanikwa neatrioventricular kudzivirirwa kwegadziriro II-III uye kushaya simba syndrome ye node ye sinus ne ventricular contraction rate yeasingasviki 70-60 paminiti muvana vaduku uye 45-50 muvana vakwegura. Muchikamu chino, tichakurukura zvakanyanya kuti nei vanhu vachitambura neAdams-Stokes-Morgagni syndrome, uye kuti vangagadzirisa sei.

Zvinokonzera

Panguva ino, nyanzvi dzinotaura zvikonzero zvinoverengeka zvinonyanya kukonzera dambudziko iri. Aya ndiwo matumire munharaunda ye carotid sinus, uye congenital myocardial zilonda. Chinhu chacho ndechokuti zvose izvi zvinoderedza izvo zvinonzi vagus nerve, nokudaro kuwedzera inzwi rayo. Nenzira iyi, varwere vane Adams-Stokes-Morgagni syndrome vachadzidza pamusoro penhamo iripo.

Zviratidzo

Nekuongororwa uku, chirwere chengwaru chinotanga kuonekwa kusvikira kurasika kwekuziva. Ichi chiratidzo, sekutonga, ine chimiro chekurwisa. Munguva iyi, kazhinji kuputika kwemitsipa kunonyatsooneka. Iko kusvitsa kunoderedzwa kusvika kunenge makumi matatu nematatu paminiti, kazhinji kwete. Izvozvo zvinokonzerwa nechisimba zvinonyatsoderedzwa. Mune zvimwe zviitiko, kuvhara kana kusazvidzivirira kunokwanisika kune varwere vane Adams-Stokes-Morgani syndrome. Kurwiswa kworudzi urwu kwezuva rimwe chete kunogona kudzokororwa kusvika kune dzimwe nguva, izvo zvinoratidza kutadza kusati kwaitika.

Kurapa

Sezvambotaurwa pamusoro apa, Morgagni-Adams-Stokes syndrome yakaoma kurapa. Chokutanga pane zvose, murwere anofanira kupa rugare. Nezvemishonga inodhaka, inoreva kushandiswa kwemhinduro dze caffeine kana atropine. Kuvandudza vascular tone yakatemwa mezatone solution. Mune zviitiko zvakakomba zvakanyanya, epinephrine inoshandiswa mumatare maduku kuitira kuti isasakisa ventricular fibrillation. Mukushaikwa kwekubudirira kwehutachiona hwepamusoro, izvo zvinonzi maitiro epammonic ventilation, pamwe nekuvharwa kwepfungwa yakakosha yemwoyo, inoshandiswa mune izvi kuongororwa.

Kudzivirira

Kuti udzivirire kudzokorora kwekugumburwa, kurapwa kwechirwere chikuru, somuenzaniso, ne myocarditis - corticosteroid therapy, uyewo nzira yekurapa kuburikidza nekushandiswa kwe calcium uye maatropine, kugadziriswa muchinetso chakadai. Muzhinji, maitiro ekudzivirira mumamiriro ezvinhu akadaro anosanganisira kurapa vanachiremba nenzira yakarurama yehupenyu, kusanganisira munguva yekugumira, kudya kunovaka muviri uye nguva yekuongorora kuongororwa nenyanzvi. Kana zviri zvekupedzisira, zviri nani kuti uite izvi kamwechete pagore. Kana ukawana zvirwere zvinosangana nebasa remwoyo, zviri nani kuti upedze nguva yekurapa uye uchitevera zvakajeka zvose zvinorayirwa navanachiremba.

Mhedziso

Muchikamu chino, isu takatsanangura zvakadzama zvikonzero zvikuru uye mazuva ano maitiro ekurapwa kwevarwere vane Adams-Stokes-Morgagni syndrome. Cherechedza kuti kana zviratidzo zvekutanga zvikaitika, iwe unofanira kubva uchinge wataurira unyanzvi kune mazano. Vanachiremba mushure mekuongorora kwakakwana pasina kukanganisa vanoronga kurapwa kwomumwe munhu. Iva noutano!