Ingqwalasela yeFibrillation ye-Atrial
I-fibrillation ye-Atrial enye yeyona ndlela iqhelekileyo ye- cardiac arrhythmias , kwaye ingaba yenye yezona zinto ziphazamisayo ukuhlangabezana nazo. Nangona i-fibrillation ye-agriyiti ingeyiyo ingozi yokuphila, ihlala ibangela iimpawu ezibalulekileyo. Okubi ngakumbi, kunokukhokelela kwiingxaki ezinzulu ngakumbi, ngokugqithiseleyo, kunye (nakubantu abanesifo senhliziyo), okwenyukayo kwintliziyo . Ukongezelela, ngelixa iinketho ezininzi zonyango zifumaneka kwi-fibrillation ye-atrial, ngokuqhelekileyo ayinakucaca ngokupheleleyo-kwintliziyo yeengcali zengqungquthela-eyona ndlela yonyango efanelekileyo kwiimeko apho.
Ukuba une-fibrillation yonyango, kufuneka uzame ukufunda yonke into enokuyenza malunga ne-arrhythmia-iimpawu zayo, izizathu zayo, kunye nezokwelapha ezikhoyo-ukuze usebenze nogqirha wakho ukuba anqume indlela oyenzayo yokwelapha.
> Jonga indlela intliziyo eneentlobo ze-fib efaniswa nentliziyo evamile.
Yintoni I-Fibrillation Yesiqhelo, kwaye Kutheni Kubaluleke Kangako?
I-fibrillation ye-Atrial yinto engavamile kwaye idla ngokukhawuleza yintliziyo, ebangelwa yimpembelelo yombane ngokukhawuleza kunye nefuthe ngaphakathi kwintliziyo ye-atria (iindidi zombini zentliziyo ).
Olu hlobo lomsebenzi wombane okhawulezayo, okhuselekileyo entliziyweni ubizwa ngokuba yi "fibrillation."
Xa i-atria iqalisa ukucubungula, izinto ezintathu zenzeka:
Okokuqala , intliziyo yesantya ihamba ngokukhawuleza kwaye ingaqhelekanga. I- AV node ibhobhozwa rhoqo, iinjongo zombane ezingavumelekanga ezivela kwi-atria, kwaye imiphefumlo engama-200 ngomzuzu idluliselwa kwi-ventricles, ekhokelela ekubetheni kwentliziyo ngokukhawuleza nangokungaqhelekanga. Intliziyo ekhawulezayo, engavumelekiyo rhoqo ivelisa iimpawu eziphazamisayo.
Okwesibini , xa i-atria igubungela, ayisekho isivumelwano ngokuphumelelayo. Ngoko ulungelelaniso oluqhelekileyo phakathi kwe-atria kunye neepriricric ziyalahleka.
Ngenxa yoko, intliziyo isebenzise kakuhle kwaye ingaqala ukuhluleka.
Okwesithathu , ngenxa yokuba i-atria ayisekho isivumelwano ngokuthe ngempumelelo, emva kwexesha (ngokuqhelekileyo emva kweeyure ezingama-24 okanye njalo) i-blood clots ingaqala ukwenza kwifayili. Amacwecwe egazi anokugqitywa ekugqibeleni aze ahambe kwiindawo ezahlukahlukeneyo zomzimba, ezifana nengqondo.
Ngoko ke, ngelixa i-fridaying fibrillation ngokwayo ivelisa iimpawu ezibalulekileyo, ukubaluleka kwayo kukuba kukubeka engozini kwiimeko zonyango ezingakhubaza okanye zibulale.
Yintoni Ebangela Ukuba I-Fibrillation Emzimbeni?
I-fibrillation ye-Atrial ingaveliswa ngeemeko ezininzi zentliziyo, kuquka ne- coronary artery disease (CAD) , ukubuyiswa kwe-mitral , ingozi engapheliyo, i- pericarditis , ukungaphumeleli kwentliziyo, okanye nayiphi nayiphi na ingxaki yentliziyo. Le nqubo ye-arrhythmia iqheleke ngokuqhelekileyo ne- hyperthyroidism , i- pneumonia , okanye i- pulmonary embolus .
Ukungena kwama-amphetamines okanye ezinye izikhuthazo (ezifana nezindlela ezibandayo ezine- pseudoephedrin ) zingabangela ukufubha kwe-acrivity kwabanye abantu, kunye nokusela emva kokunciphisa njengobuninzi okanye ezimbini ezinxilisayo-imeko eyaziwa ngokuthi "intliziyo yeholide." Nangona oogqirha besithethe ngokuqhelekileyo ukuba i-caffeine nayo ibangela i-fibrillation ye-atrial, ubungqina bwakutshanje obuvela kwizifundo zonyango lubonisa ukuba, kubantu abaninzi, akunjalo.
Kubonakala ukuba inxalenye enkulu yabantu abane-fibrillation ye-atrial ayinaso isizathu esicacileyo sayo. Kuthiwa kuthiwa "ne-idiopathic" i-fibrillation ye-atrial. Idiopathic fibrillation ye-atrial isoloko iimeko ezinxulumene nokuguga. Umzekelo, ngelixa i-fibrillation ye-atrial ingabonakali kwizigulane ezingaphantsi kwe-50, kuyaqhelekile kubantu abaneminyaka engama-80 okanye engama-90 ubudala.
Uphando olutsha luye lwabonisa ukuba kwiimeko ezininzi, i-fibrillation ye-atrial ihambelana nendlela yokuphila . Ngokomzekelo, abantu abagqithise ngokweqile kunye nabadlulileyo banomngcipheko omkhulu kakhulu wefayibrillation ye-atrial. Ngaphezu koko, kubantu abanobuqhophololo be-agriyo ezihlobene nokukhetha kwendlela yokuphila, inkqubo ejulileyo yokuguqulwa kwendlela yokuphila iboniswe ukunceda ekupheliseni i-arrhythmia.
Izibonakaliso Nge-Fibrillation ye-Atrial
Uninzi lwabantu abane-fibrillation ye-atrial bafumana iimpawu ezibalulekileyo. I-arrhythmia ivame ukubonakala kwaye iphazamise. Iimpawu eziqhelekileyo ziyi- palpitations , eziqhelekileyo zibonakala zivakalelwa ngokukhawuleza, iintliziyo ezingenasiphelo, okanye mhlawumbi njenge-"skipped" beats.
Abantu abane-frilling atrial nabo bafumana ukunyaniseka okulula, ukuphefumula okufutshane, kunye (kunye nezihlandlo). Ezi zimpawu, ezihambelana ngqo ne-frillfish ye-agriyo ngokwazo, zihlala ziphazamisa ngokukhethekileyo abantu abane- diastolic disys function , okanye i- hypertrophic cardiomyopathy .
Nangona kunjalo, kuya kubonakala ngokucacileyo ukuba i-fibrillation ye-acrial ingenzeka ngaphandle kokuvelisa nayiphi na impawu. Nangona ungekho impawu ngokuqhelekileyo into enhle, ukuba "ucebile" i-fibrillation yonyango ingabungozi-kuba ivelisa iingxaki zezokwelapha nokuba ingaba i-arrhythmia ngokwayo ibangela iimpawu ezibalulekileyo.
Ngokomzekelo, i-fibrillation ye-atrial ingakhokelela kwi- angina ephindaphindiweyo okanye ngaphezulu kakhulu kubantu abane-CAD. I-fibrillation ye-Atrial ingaphinda ibonakalise ukubola okukhulu kwintliziyo yomntu kubantu abanesifo senhliziyo.
Enyanisweni, ukuba isantya senhliziyo esiphuthumayo esibangelwa yi-fiber fibrillation iqhubeka ixesha elide (ubuncinane ubuncinane beenyanga), intliziyo yesifo iqala ukusilela, kunye nokuhluleka kwentliziyo kungenzeka-nakubantu abaneentliziyo eziqhelekileyo.
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Funda iIziphumo zobungozi bokuphuhlisa i-A-Fib
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4 Iimpawu ezibangelwa ukulahlekelwa koPhuhliso lweAriary
Eyona nto ibangelwa yi-fibrillation ye-atrial, nangona kunjalo, unokwenzeka ukuba uhlangothi lwe-stroke. Ukungabonakali kwe-fibrillation ye-atrial kwandisa kakhulu umngcipheko wesifo. Amaphesenti angama-15 ayo yonke imivimbo ecinga ukuba ibangelwa yi-fibrillation ye-atrial. Ukongezelela, abantu abaninzi abaye babandezeleka ngenxa yezizathu zokuba zichazwe (ezibizwa ngokuba yi- cryptogenic strokes ) ziya kuba neziganeko zokuthi "zithe cwaka" ze-friday fibrillation.
Iintlobo ze-Fibrillation ye-Atrial
Oogqirha bahlala bebeka i-fibrillation ye-atrial kwiintlobo ezininzi ezahlukeneyo, kwaye ngokwenene iinkqubo ezininzi zokudibanisa i-fibrillation ye-atrial zisetyenzisiwe. Kodwa kukukunceda ukuba wenze isigqibo sokuba yeyiphi indlela yokwelapha ilungile kuwe, kuyakunceda ukuhlenga iintlobo zefayilifayili ye-atri kwiintlobo ezimbini kuphela:
- Ukuqala kwintsha okanye i-fibrillation ye-atrial . Apha, i-fibrillation ye-agriyiti ingaba yinkinga entsha entsha, okanye ingxaki eyenzekayo kuphela. I-fibrillation ye-atrial engapheliyo ibizwa ngokuthi "i-paroxysmal frillment fibrillation." Abantu abakweli candelo banentliziyo evamile kwisigxina sobuninzi bexesha, kwaye iziqulatho zabo ze-fibrillation ze-atrial ziba zifutshane kwaye zivame ukuqhubeka.
- I-fibrillation engapheliyo okanye engapheliyo . Apha, i-fibrillation ye-agriyo ikhona ngexesha lonke, okanye ivela rhoqo kakhulu-njengokuba amaxesha okuvama kwentliziyo aqhelekanga okanye aphilileyo.
Ukuchonga i-Fibrillation ye-Atrial
Ukuxilongwa kwe-fibrillation ye-atrial kudla ngokuthe ngqo. Ifuna nje ukurekhoda i- electrocardiogram (ECG) ngexesha leqhekeza le-fibrillation ye-atrial. Le mfuneko ayibonakali ingxaki kubantu abanokuphefumula okungapheliyo okanye okuqhubekayo kwinqanaba le-arrivals, apho i-arrhythmia ingabonwa naliphi na ixesha i-ECG ithathwa.
Nangona kunjalo, kubantu abane-fibrillation ye-atrial eyenzeka ngokukhawuleza, i- monitor ye-ECG yexesha elide inokufuneka ihlolwe. Ulwalathiso lwexesha elide lwe-ECG lunokubaluleka ngakumbi kubantu ababenokubethelwa kwe-cryptogenic, kuba unyango lwe-fibrillation ye-atrial (ukuba lukho) lunokukunceda ukukhusela i-stroke ephindaphindiweyo.
Ukuphathwa kweFibrillation yeArivri
Ukuba kwakulula kakhulu kwaye kukhuselekile kakhulu ukwenza njalo, kubonakala kucacile ukuba unyango olungcono lwefayibrillation ye-atrial luya kubakho ukubuyisela nokugcina intsingiselo yesiqhelo yentliziyo. Ngelishwa, kwiimeko ezininzi azikhuseli ngokukodwa okanye ngokulula.
Kwiimeko ezininzi, ngakumbi ukuba i-fibrillation ye-agriyo ikhona kwiiveki okanye kwiinyanga, kunzima kakhulu ukugcina isigqi sesigqirha ngaphezu kweeyure ezimbalwa okanye iintsuku. Iqiniso elibi liye lafuna iindlela ezimbini eziqhelekileyo zonyango zokwenza i-fibrillation ye-atrial. Eyokuqala "indlela yokulawula isigqi", kwaye yesibini "indlela yokulawula izinga".
Indlela "yokulawula isigqi" izama ukubuyisela nokugcina intliziyo yesiqhelo. Ngeli xesha ekugqibeleni oko kuya kubonakala ngathi yiphumo elihle kakhulu, kukho iingxaki ezininzi. Indlela yokulawula isigqi ivame ukuba nzima, ingonakalisi, ingasebenzi kakuhle kwaye ihlala iquka ingozi ephezulu yemiphumo emibi. Kungenzeka ukuba usebenze kubantu abane-fridaying-in-out or intermittent frillment inrial, kunye nokuncinci kangako ukuphumelela kubantu abanokuthi i-arrhythmia ayigugu okanye iphikelela. Sekunjalo, kubantu abaninzi abane-fibrillation ye-atrial yindlela yokuhamba.
Indlela yokulawula isigqi ngokuqhelekileyo idinga ukuba kusetyenziswe izidakamizwa ezichanekileyo , unyango oluchithwayo , okanye zombini.
Indlela "yokulawula izinga" kwi-fibrillation ye-atriyhiya yashiya umzamo wokubuyisela nokugcina intliziyo yesiqhelo. I-fibrillation ye-Atrial iyamkelwa njengengqungquthela entsha ye "intliziyo", kwaye unyango lujoliswe ekulawuleni izinga lentliziyo ukwenzela ukunciphisa naziphi na iimpawu ezibangelwa yi-fibrillation ye-atrial. Inzuzo yendlela yokulawula isantya kukuba ihlale isingakwazi ukulawula ngempumelelo izinga lentliziyo kubantu abane-fibrillation ye-atrial, kwaye ukwenza njalo kunciphisa kakhulu naziphi na izimpawu ezibangelwa yi-arrhythmia ngokwayo. Kwakhona, unyango olusetyenziswa ekulawuleni izinga ludla ngokukhuselekileyo kunye nokunyamezeleka. Ngaphezu koko, uphando lwexesha elide lubonise ukuba iziphumo zeklinikhi kunye nendlela yokulawula izinga kufuneka ubuncinane njengokuba (kwaye mhlawumbi efanelekileyo kuneendlela) zokulawula isigqi.
Naluphi na indlela yokwelapha ekhethiweyo, inkalo ebalulekileyo yokwelapha i-fibrillation ye-atrial kukuba kuthathe amanyathelo afanelekileyo ukunciphisa umngcipheko wesifo. Oku kudla ngokufuna ukuthatha izidakamizwa ze-antiticoagulant , kodwa kukho ezinye iindlela zokunyanga.
Ukuba uye wafunyanwa ngokutsha ngefibrillation ye-Atrial
Kukho izinto ezininzi ofuna ukuzenza engqondweni njengoko wena kunye nodokotela wakho unquma ngendlela efanelekileyo kuwe. Ezi ziquka:
- Kutheni unayo i-fibrillation ye-atrial? Ngaba kukho into okanye ugqirha wakho onokuyenza (njengokuphatha unyango ophezulu, ukuphepha utywala okanye ukwenza izinto ezibalulekileyo zokutshintsha ubomi) ezinokukunceda ukukrazula ingxaki?
- Ukuba i-fibrillation yakho ye-agribri ayigcinanga okanye iphikelela, iziganeko zakho zenzeka kangangoko, zihlala ixesha elingakanani, kwaye ziziphi iimpawu ezizenzayo?
- Ingaba unesifo sengqondo esiphezulu esenza ukuba i-fibrillation ye-agriyo ikwazi ukuphindaphinda, okanye yenza i-fibrillation ye-atrial ibe nempumelelo yokuvelisa ezinye iingxaki, ezifana ne-angina okanye ukuhluleka kwentliziyo?
- Unzima kangakanani iimpawu eziveliswa yi-fibrillation yakho?
- Ingaba unobunzima bokunyamezela ukusetyenziswa kweziyobisi?
- Uvakalelwa njani malunga neenkqubo ezingenayo ezijoliswe ekuphatheni i-arrhythmia?
Ukukhetha enye yeendlela ezimbini eziqhelekileyo zokwelapha- "ulawulo lwesigqi" okanye "ukulawula ulawulo" -nokulungele ukuba uya kuxhomekeka kuzo zonke ezi zinto.
Ukuthatha isigqibo malunga nokunyanga okufanelekileyo yimbambano ebaluleke kakhulu kwi-fibrillation ye-atrial. Ingaba lukhetho olunzima, kwaye luyinto emele ifakwe kumntu ngamnye. Xa uqonda ngakumbi malunga nayo, ngakumbi uya kuba nako ukunceda ugqirha wakho enze izigqibo zonyango ezilungele wena.
ILizwi
Gcina ukhumbule ukuba izigidi zabantu ziphila ubomi obuqhelekileyo naphezu kokuphefumula kwegazi. Oku kufanele kube yinjongo yakho, nayo. Xa ufika kwisinqumo esifanelekileyo sokwenza unyango kunokuba ngumngeni, kwaye ngelixa ukuphatha unyango kunokuthatha ixesha kunye nomgudu, xa unyango lwakho lulungiswa kuwe kufuneka uphinde ubuye uphila ubomi bakho ngokuqhelekileyo (mhlawumbi ngeenguqu ezintle zokuphila). Oku kufanele kube lindele. Kwaye njengoko uxoxa ngeendlela zakho zokonyango kunye nogqirha wakho, qiniseka ukuba unalindelo efanayo nawe.
Imithombo:
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UWann LS, Curtis AB, uJanuwari CT, et al. Ingxelo ye-ACCF / AHA / HRS ejoliswe ngokugqithiseleyo kulawulo lwezigulane ezine-fibrillation ye-agriyoti (Ukuhlaziya i-Guideline ka-2006): ingxelo ye-American College of Cardiology Foundation / i-American Heart Association Task Force kwiZikhokelo zokuSebenza. J Am Coll Cardiol . 2011; 57: 223.