Izimpawu ze- fibrillation ye-atrial zikwazi ukuhluka kakhulu kumntu kumntu, kwaye nangomntu ofanayo ngamaxesha ahlukeneyo. Nangona i-fibrillation ye-atrial ngokwayo ayiyiyo ingozi yokuphila, ingakhokelela kwiinkathazo-ngokukodwa, isifo-esinokukhubaza okanye esibulalayo.
Abanye abantu abane-fibrillation ye-atrial abanalo iimpawu, kwaye i-arrhythmia ifunyenwe kuphela xa ugqirha okanye umongikazi ethatha i-pulse okanye enze i-electrocardiogram (ECG).
Noko ke, aba bantu bancinane. Kwiimeko ezininzi, ubuncinane ngaphambi kokuba uphathwe ngokwaneleyo, i-fibrillation ye-agrifu yinto ephazamisayo, ukuba ayikho into ephazamisayo kwaye ingenakuxolisa.
Iipilpitations
Iimpawu eziqhelekileyo ezinxulumene ne-fibrillation ye-acriot are palpitations . "Iipilpitations" kuthetha ukuqonda okungavamile nokungahambi kakuhle kwintliziyo. Kwi-fibrillation ye-atrial, i-palpitations ibangelwa ngokukhawuleza, ngesantya senhliziyo esivame ukubonwa nale nqubo ye-arrhythmia.
Abantu abafumana iipilpitations nge-fibrillation ye-atrial bavame ukukhalaza "kwintlambo" kwisifuba, esoloko ihamba kunye nevakalelo 'zokuqhawula', kunye namaxesha amancinci. Iipilpitations ezinxulumene ne-fibrillation ye-arrivine zinokuba zicasula nje, okanye zingase ziphazamise kakhulu, kwaye ubunzima babo bunokukrazula.
Kwezinye izigulane ubunzima beepilpitations bunokuxhomekeke kwiimeko zabo zengqondo, nokuba zihleli okanye zilele, iimeko zabo zokuzimela, nokuba ngaba balala bengabuthongo okanye ezinye izinto.
Uninzi lwexesha, nangona kunjalo, akukho mibutho ethile echongiweyo.
Iipilpitations zisoloko zinciphisa kakhulu, kwaye zihlala ziphelile, xa izinga lentliziyo ngexesha le-fibrillation ye-atrial liphuculwa ngamachiza-injongo enokuthi iyenze ngokukhawuleza.
Iimpawu ezibangelwa ukulahlekelwa koPhuhliso lweAriary
Kwakhona kufana ne-fibrillation ye-atrial kuncitshiswe ukunyamezela, ukukhathala, ukuphefumula okufutshane, kunye nokukhanya okulula kunye nantoni na.
Ezi ziqhelo zihlala zihambelana nokulahlekelwa yintliziyo yokusebenza kakuhle eyenzekayo xa amagumbi ase-arisari engasakwazi ukubetha ngempumelelo.
Xa ukuphazamiseka kweeranti kulahlekile, inani legazi i-ventricles iyakwazi ukukhishwa ngenhliziyo nganye ingancipha. Oku kunciphisa umzimba kwanciphisa ukunyamezela. Ukongezelela, xa amagumbi asemaphandleni ayeke ukubetha ngokufanelekileyo igazi le "libuyele" kwimiphunga, kuvelise ukuphefumula. Kwizigulane ezininzi ezinokuphefumula komzimba we-fibrillation ye-carriac zingaphumelela ngokuzeleyo, kodwa ngexesha lokuzikhandla, xa intliziyo igxothwa ukuba isebenze nzima, iimpawu ziba nzima kakhulu.
Iimpawu ezibangelwa ukulahlekelwa kweempawu zengxowankulu zengxowankulu zihlala zixakeke ngakumbi kubantu, ngaphandle kwe-fibrillation ye-atrial, baneemeko zomzimba apho i-ventricles "inzima". ukuze uzalise ngokupheleleyo. Xa iziphazamiso zomhlaba zilahleka kwezi zi gulane, ukusebenza kakuhle komzimba kungancipha kakhulu.
Iimeko ezivame ukuvelisa izakhi ezinzima zibandakanya i -cardiomyopathy hypertrophic , i- diastolic disys function , i- aortic stenosis , kunye ne- hypertension engapheliyo.
Kwizigulane ezinjalo, ukuqala kwe-fibrillation ye-atrial kuvelisa iimpawu ezinzima kakhulu.
U-Angina: Kubantu abanesifo se-artery disease , isivinini senhliziyo esiphuthumayo esibonwe ngefayibrillation ye-atrial sinokubangela ukuba i- angina ( inxungulo yesifuba).
Ukungaphumeleli kwentliziyo: Kwizigulane ezinokukhubazeka kwentliziyo , ukunciphisa okongezelelweyo kwindlela yokusebenza komzimba eyenziwe yi-fibrillation ye-atrial kunokunyamezela kakhulu iimpawu-ngokukodwa, ukuphefumula, ukuphefumula nokuvuvukala emilenzeni.
Ngokuqhelekileyo, i-fibrillation ye-atrial inokuvelisa ukuhluleka kwentliziyo. Nayiphi na i-arrhythmia ekwazi ukwenza intliziyo ibethe ngokukhawuleza iiveki okanye iinyanga ezimbalwa zingenza ukuba imisipha yenhliziyo ibuthathaka, kwaye inokukhokelela ekuphelelweni kwentliziyo.
Ngethamsanqa, le meko, ebizwa ngokuba yi-"tachycardia-induced incapable heart failure", ingumphumo ongaqhelekanga we-friday fibrillation.
I-syncope: i- Syncope , okanye isiqhelo sokulahlekelwa kwengqondo, ayiqhelekanga kwi-fibrillation ye-atrial. Xa i-syncope iyenzeka, yinkcazelo enamandla ukuba isiguli sinakho nesifo se- sinus syndrome (SSS) .
I-SSS yinkinga ebanzi yombane wentliziyo, ebonakaliswa yintliziyo yenqabile (ebizwa ngokuba yi-bradycardia) ukuba ivelise iimpawu zokukhanya kunye nobuthathaka.
I-fibrillation ye-Atrial iyaqhelekileyo kwizigulane ezineSSS. Ngendlela, i-fibrillation yamagciwane "ikhusela" izigulane ezine-SSS, kuba ngokubanzi ziphumo kwizinga lentliziyo elikhawuleza ngokwaneleyo ukuphepha iimpawu ze-bradycardia. Nangona kunjalo, ukuba i-fibrillation ye-agriyo i-paroxysmal (njengoko isoloko ikhona), xa iphelile kukho ukulibaziseka ixesha elide ngaphambi kokuba i-sinus node ibuye ibuye iphinde ibuye. Ikhefu elide ngaphambi kokuba intliziyo ivele yinto eyenza i syncope.
Ukuphathwa kweSSS kudinga ukusebenzisa i- pacemaker esigxina . Ukuba i-fibrillation yonyango ikhona, ngoko ukugwema ukubangela iingxaki ezininzi nge-bradycardia i-pacemaker idla ngokufakela ukuba ifakwe ngaphambi kokuba kwenziwe nayiphi na imizamo yokuphatha i-fibrillation ye-atrial.
Ngaphandle kokuba i-SSS ikhona, i-syncope ayinakuqhelana neengxaki nge-fibrillation ye-atrial.
Isibetho: Into encinane engabonakaliyo-kunye nesigqibo esisongelayo-frilling ye-atrial isifo. Umngcipheko ophezulu wokuba nesifo sisibangela sokuba kubalulekile ukuba uqwalasele ngononophelo unyango oluphezulu lwe-friday fibrillation-kwimeko apho i-fibrillation ye-atrial ibekezeleke kwaye ibonakala ingabangela ukuba kubekho iingxaki ezithile.
Ezinye izigulane ziza kuba neziqulatho eziphindaphindiweyo ze-fibrillation ye-atrial ngaphandle kwanoma yimaphi iimpawu, de, ekugqibeleni, ziba ne-stroke. Kuphela emva kokuba kuqhutywe i-stroke kufumanisa ukuba bane-fibrillation ye-atrial.
Ubungqina bwakubonayo bubonisa ukuba "i-subclinical" yefriday fibrillation ixhaphake kakhulu kunokuba ngubani na owaziwayo, kwaye ukungaqapheli i-fibrillation ye-atrial kungabangela imbangela ebalulekileyo ye " cryptogenic stroke " -okuthi, isifo esiyingozi esingabonakaliyo .
ILizwi
Kunokwenzeka ukuba ugqirha uya kuthetha nawe malunga neempawu ezingentla apha xa u tyelele. Nenjongo yokuba nobanzi ngokubanzi xa ubelana nomlando wakho wezonyango nodokotela wakho. Iipilpitations, ukunyaniseka okulula, ukuphefumula okufutshane, ukuphazamiseka kwesifuba, okanye iziqulatho zokukhanya okanye ukuphuma-ezi ziyimpawu ekufuneka udibanise nodokotela wakho, kunye neenkcukacha malunga noko kubangele ezi zinto.
I-akhawunti epheleleyo yento ojongene nayo iya kunceda ugqirha wakho ukuba ahlolisise imeko yakho kwaye ukhethe icebo lonyango olufanelekileyo. Iinjongo zombini ekuphatheni i-fibrillation ye-atrial ziyakuthintela ukuphazamiseka nokulawula iimpawu ukuze uhlale ubomi obuqhelekileyo.
> Umthombo:
> NgoJanuwari CT, Wann LS, Alpert JS, et al. 2014 I-AHA / ACC / i-HRS khokelo lolawulo lwezigulane ezinefayili ye-atrial: ingxelo ye-American College of Cardiology / American Heart Association Task Force kwizikhokelo zokusebenza kunye ne-Heart Rhythm Society. Ukuhamba ngo-2014; 130: e199.