Wolff-Parkinson-White ciwo (WPW)

Ciwon Wolff-Parkinson-White (WPW) wani yanayi ne wanda a cikin sa akwai ƙarin hanyar lantarki a cikin zuciya wanda ke haifar da lokutan saurin bugun zuciya (tachycardia).

Cutar cututtukan WPW na ɗaya daga cikin abubuwan da ke haifar da saurin bugun zuciya a cikin jarirai da yara.

A ka'ida, siginonin lantarki suna bin wata hanya ta cikin zuciya. Wannan yana taimakawa zuciya ta bugu a kai a kai. Wannan yana hana zuciya samun ƙarin bugawa ko bugawa da wuri.

A cikin mutanen da ke da ciwo na WPW, wasu siginonin lantarki na zuciya suna sauka ƙasa da ƙari. Wannan na iya haifar da saurin bugun zuciya da ake kira supraventricular tachycardia.

Yawancin mutane da ke fama da cutar WPW ba su da wasu matsalolin zuciya. Koyaya, wannan yanayin yana da alaƙa da wasu yanayin zuciya, irin su Ebstein anomaly. Wani nau'i na yanayin yana gudana a cikin iyalai.

Sau nawa saurin bugun zuciya ke faruwa ya bambanta dangane da mutum. Wasu mutanen da ke fama da cutar WPW suna da 'yan aukuwa kawai na saurin bugun zuciya. Wasu na iya samun saurin bugun zuciya sau ɗaya ko sau biyu a mako ko fiye. Hakanan, babu alamun alamun kwata-kwata, don haka ana samun wannan yanayin lokacin da aka yi gwajin zuciya don wani dalili.

Mutumin da ke da wannan ciwo na iya samun:

• Ciwon kirji ko matsewar kirji
• Dizziness
• Haskewar kai
• Sumewa
• Palpitations (abin jin daɗin jin zuciyar ku ta buga, yawanci da sauri ko ba bisa ka'ida ba)
• Rashin numfashi

Gwajin jiki da aka yi yayin yanayin tachycardia zai nuna bugun zuciya da sauri fiye da bugun 100 a minti daya. Bugun zuciya na yau da kullun shine 60 zuwa 100 a kowane minti a cikin manya, kuma a ƙasa da 150 a kowane minti a cikin jarirai, jarirai, da ƙananan yara. Ruwan jini zai zama na al'ada ko ƙasa a mafi yawan lokuta.

Idan mutum baya samun tachycardia a lokacin jarabawar, sakamakon na iya zama na al'ada. Ana iya bincikar yanayin tare da ECG ko tare da kulawa da ECG na gaggawa, kamar mai saka idanu Holter.

Gwajin da ake kira binciken ilimin lantarki (EPS) ana yin sa ne ta amfani da catheters da ake sanyawa a cikin zuciya. Wannan gwajin na iya taimakawa wajen gano wurin da ƙarin hanyar lantarki yake.

Magunguna, musamman magungunan antiarrhythmic kamar procainamide ko amiodarone, ana iya amfani dasu don sarrafawa ko hana saurin bugun zuciya.

Idan bugun zuciya bai koma yadda yake ba tare da magani, likitoci na iya amfani da wani nau'in magani da ake kira cardioversion na lantarki (shock).

Jiyya na dogon lokaci don cutar WPW shine sau da yawa zubar da catheter. Wannan aikin ya hada da saka bututu (catheter) a cikin jijiya ta wani karamin abin yanka kusa da makwancin gwaiwa har zuwa yankin zuciya. Lokacin da tip ya isa cikin zuciya, ana lalata ƙaramin yankin da ke haifar da saurin bugun zuciya ta amfani da wani nau'in kuzari na musamman da ake kira da rediyo sau da yawa ko kuma sanya shi a cikin sanyi (cryoablation). Ana yin wannan a matsayin ɓangare na nazarin ilimin lantarki (EPS).

Bude tiyatar zuciya don ƙonawa ko daskare ƙarin hanyar na iya samar da dawwamammen magani don cutar WPW. A mafi yawan lokuta, ana yin wannan aikin ne kawai idan kuna buƙatar tiyata ta zuciya don wasu dalilai.

Cire katsewar ciki yana warkar da wannan cuta a cikin yawancin mutane. Matsakaicin nasarar aikin ya kasance tsakanin 85% zuwa 95%. Adadin nasara zai bambanta dangane da wuri da lambar ƙarin hanyoyin.

Matsaloli na iya haɗawa da:

• Matsalolin tiyata
• Ajiyar zuciya
• Rage karfin jini (sanadiyyar saurin bugun zuciya)
• Sakamakon sakamako na magunguna

Hanya mafi tsanani na saurin bugun zuciya shine ventricular fibrillation (VF), wanda zai iya haifar da hanzari zuwa gigicewa ko mutuwa. Zai iya faruwa wasu lokuta ga mutanen da ke da WPW, musamman idan suma suna da fibrillation na atrial (AF), wanda shine wani nau'in mummunan yanayin zuciya. Irin wannan saurin bugun zuciya yana buƙatar magani na gaggawa da kuma hanyar da ake kira cardioversion.

Kira mai ba da sabis na kiwon lafiya idan:

• Kuna da alamun cutar WPW.
• Kuna da wannan matsalar da alamun cutar suna daɗa muni ko kuma basa inganta da magani.

Yi magana da mai baka game da ko ya kamata a duba dangin ka dan ganin yanayin wannan yanayin.

Ciwon rashin lafiya; WPW; Tachycardia - Wolff-Parkinson-White ciwo; Arrhythmia - WPW; Heartwayar zuciya mara kyau - WPW; Saurin bugun zuciya - WPW

• Halin Ebstein
• Mai kulawa da zuciya Holter
• Gudanar da tsarin zuciya

Dalal AS, Van Hare GF. Rarrabawar ƙima da saurin zuciya. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 462.

Tomaselli GF, Zipes DP. Gabatarwa ga mai haƙuri tare da cututtukan zuciya na zuciya. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 32.

Zimetbaum P. raarfin ƙwaƙwalwar zuciya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 58.