Clinic syndrome, Frederick

Frederick lefu a lebitso la eona e le ho hlompha ba physiologist Belgian, ea ileng a hlalosoa e le motsoako oa ya ho parola e tletseng (atrioventikulyarnoy) thibela likepe le atrial fibrillation, maemong a mang - atrial flutter. Sehlooho sena se tšohla Frederick lefu: makgetheng tlelenike, phumano le kalafo ea lefu.

mochine syndrome,

syndrome, Frederick latelang mekgwa: ho tswa ho atria ho ventricles ho feletseng khaotsa ho conduction la litakatso; mokhoa o sa laoleheng, pherekano motseng, hangata a pheta tlhotlheletso le phokotso ea lihlopha tse itseng tsa likhoele mesifa ea atria ena. ventricles a thabile ke sethusapelo e, teng ka atrioventricular mabapi kapa conduction tsamaiso.

Mabaka a Frederick syndrome,

Lefu lena le ka etsahala ka mor'a diso haholo manyolo ea pelo, e leng ba atisa ho tsamaea le e hlophisitsweng, a hlabang, sclerotome kapa degeneration ka myocardium ena. dithulaganyo joalo kenyeletsa, ho etsa mohlala, ischemic lefu la pelo, hangata ka sebōpeho sa foleng, a hlobaetsang le myocardial infarction, myocarditis, cardiomyopathy, angina pectoris le ba bang. Ka mafu tsena le mesifa pelo hlahisa dithulaganyo sclerotic, ho fellang ka ho sa hlokahale atolosa e dinama tse nyenyane tse connective, eo nka sebaka e tloaelehileng, e tloaelehileng 'mele lisele ka tsamaisa litakatso tsa motlakase. Ka lebaka leo, conductance e sitisa, 'me ho na le se thibela likepe.

Seo etsang cardiogram

Ho netefatsa mokuli a syndrome, Frederick, e le busa, boitšoaro electrocardiograms tsamaisoa. Ho feta moo, ho ithuta ka etsoa ka matsatsi a molemo ho hlahloba ho otla ha pelo ka linako tse fapaneng le ho bokella boitsebiso bo eketsehileng.

Ka ho ba teng ha lefu lena ka maqhubu ECG tlalehiloe fibrillation kapa atrial flutter, ha motho a ka bophelo bo botle lokela ho ba le meno. Ventricular morethetho fetoha setsi kapa idioventricular, 'me ka kakaretso - nesinusovym ectopic. RR tšoaneng ba kamehla le na le morethetho le letona. Palo ea sekhahla ventricular tlalehiloeng ka chelete eo ha feteng makhetlo a 50-60 ka motsotso. mehahong Ventricular hangata e atolositsoeng le a holofala.

matšoao Clinical le matšoao a

Feela ka thuso ea electrocardiogram e ka nepo a tiisetsa mamello Frederick lefu. Clinic, tsamaea le eena ka bophelo ba letsatsi le letsatsi, e leng ho atamela tlhokomelo ea motho e - e le ka seoelo, empa ka tekanyo e nepahetseng pelo le ho otla ha pelo ea bonyane 30 'me a sa makhetlo a fetang 60 ka motsotso. sekhahla pulse length marotholi ka lebaka la fokotswa pompa mosebetsi oa pelo. Ka lehlakoreng le leng, tse ka holimo e etsa hore oksijene tlala ea boko.

Bakuli ba boholo ba tletleba la bofokoli, molikoalikoane, ho bokhutšoanyane phefumoloho, a ntseng a mpefala ea bophelo bo botle esita le ka mor'a ho ikoetlisa hanyane. Haeba motho a sa lefa a lebisa tlhokomelo ho lefu Frederick e, matšoao a a feteletsoang, ka 'na ea hlaha cardiac tšoaroe hlolang ka nako e metsotsoana 5-7. Ho phaella moo, ho na le ka 'na ba tahlehelo ea kelo-hloko ka lebaka la ho tachycardia ventricular.

kalafo

Ka ho eketsehileng, lingaka lumela hore feela nepahetse tharollo bakeng sa kalafo ya lefu Frederick ke implantation ya sethusapelo maiketsetso. E kenngoa ka ea ventricle eleketrode, e fana ka linaoa le artificially causes khutsufatso ea myocardium ena. The maqhubu a ya khutsufatso e behiloe ka pele ho itšetlehile ka boemo ba mokuli le mosebetsi oa hae oa nama.

Ho phaella ho potlako le ho sebedisa holinoblokatory. Sena se lintho tse bonahalang e khethehileng, tse kang atropine. Haufinyane tjena, ha ho le jwalo, kopo tsa bona ba ile ba hana ka lebaka la litla ngata lehlakoreng, ho akarelletsa le tšusumetso e mpe ho e tlameletswe dikelellong tsa mamello, ho etsa mohlala, ho hōla ha psychosis atropinovogo.

Ka kakaretso, kalafo e itšetlehile ka botsitso ba hemodynamics le lisosa tsa atrioventikulyarnoy thibela likepe.

Kahoo, Frederick syndrome, e matla ka ho lekaneng ho hlōla le mesifa cardiac, tšoauoa palo yohle ho parola thibela likepe hammoho le fibrillation atrial.

Hona joale, ha ho le jwalo, le ka tsela e loketseng le e nakong phumano ya ketsahalo ena ka phekoloa, ka mor'a moo mokuli ka khutlela ho tloaelehileng le ho boloka tsela ea bona e tloaelehileng ea bophelo.