Yintoni Ebangelwa Lo Mqathango?
I-fibrillation ye-Atrial yinto eqhelekileyo ye- cardiac arrhythmia ; ehlabathini lonke, ngenye yee-arhythmias eziqhelekileyo oogqirha abazibona kwizenzo zabo.
Ukuxhaphaka kwefayibrillation ye-atrial kuhambelana kakhulu nobudala. Ngoxa ngaphantsi kwe-1 ekhulwini yabantu abadala abangaphantsi kwe-50 banesibindi sokuphefumula, iipesenti ezili-9 zabantu abangama-80 okanye ngaphezulu banalo. Kwisifundo esilandelayo malunga nabangama-4000 oMbutho we-Air Force abasebenzela iminyaka engama-44, ama-7.5 ekhulwini avelise i-fibrillation ye-atrial njengoko bekhula.
Yintoni Ebangela Ukuba I-Fibrillation Emzimbeni?
I-fibrillation ye-Atrial ibonakala ihambelana nezinguqu ezinokuthi zenzeke ngaphakathi kwe-muscle ye-anrial, ngokutsha ukuvuvukala, i-fibrosis, kunye noxinzelelo olwandisiweyo kumagumbi ase-atrial. Ezi zinguqu zinokuphazamisa indlela izicubu ze-atrial ezisebenza ngayo iimpembelelo zombane zentliziyo, kwaye i-fibrillation ye-atrial ingabangela.
Enye imeko evelisa ukutshintshwa kweziphazamiso kwizicubu ze-atrial yi-fibrillation ye-atrial ngokwayo. Xa kufakwe i-fibrillation yonyango, kunokwenzeka ukuba ubuyele kwakhona-kwaye ibe nzima ngakumbi xa ixesha lihamba. Ezinye iingcali zivakalisa oku, "I-fibrillation ye-atrial ivelisa i-fibrillation ye-aricular." Le yeso sizathu sokuthi i-fibrillation ye-agrifi kucingelwa ukuba yinkinga eqhubekayo, kunye neepasodes ziba zihamba rhoqo kwaye zihlala ixesha elide njengoko ixesha lidlulayo.
Iimeko Zengqondo Ezihlanganiswa NeFibrillishing Atrial
Phantse nasiphi na isifo sengqondo sinokunyusa uxinzelelo kwiimpawu zepheryri, ukuvelisa iintlobo zokuvuvukala kunye ne-fibrosis ezinxulumene ne-fibrillation ye-atrial.
Iingxaki zeentliziyo ezinokuthi zihambisane ne-fibrillation ye-atrial zi:
- I-valvular isifo senhliziyo, ngokukhethekileyo isifo senhliziyo yesifo se-rheumatic
- I-Coronary artery disease
- Ukumelwa yintliziyo
- Hypertrophic cardiomyopathy
- Isifo sesifo senhliziyo
- Isifo sesifo se-Sinus (iSick Sinus Syndrome)
- Ezinye i-arrhythmias ze-cardiac, ngakumbi i -tachycardia (SVT)
- Ingozi ephezulu yengcinezelo
Imibandela engekho-Cardiac ehambisana neFibrillation ye-Atrial
Iimeko ezininzi zonyango ezingezizo zomzimba zandisa kakhulu umngcipheko wokuphuhlisa i-fibrillation ye-atrial. Ezi ziquka:
- I- Pulmonary embolus
- Pneumonia
- Isifo sikashukela
- I- apnea yokulala
- Isifo esingasigxina sesifo
- Hyperthyroidism
- Utyando lwe-cardiac
Abantu abanalo naluphi na kwezi zifo zonyango, ingaba zintliziyo okanye zingenayo i-cardiac, zinomngcipheko okhulayo wokuphuhlisa i-fibrillation ye-antiretroviral.
Ezinye izinto ezinobungozi kwiFibrillation ye-Atrial
Iimpawu ze-Genetic: Nangona i-fibrillation ye-atrial ibonakala iphakamileyo kwezinye iindwendwe, igalelo lomfuzo kulo mgaqo-mgangatho unzima kakhulu. Sekunjalo, imbali ye-fibrillation ye-atrial kwisondlo esondeleyo yandisa kakhulu umngcipheko wokuphuhlisa le-arrhythmia.
Isisindo sokuzala esiphambili : Iintsana ezinokukhula kwesisindo kubonakala ziba nobungozi obuphezulu bokuphila kwamafayili.
Utywala: Nangona ukusela ngokuthe ngxininiso akuqhelekanga ukukhupha i-fiber, ukusela utywala kudla ngokuqhelekileyo. Ininzi yexesha, i-fibrillation ye-atrial kubashushu ilandela ubusuku okanye iveki yokusela kakhulu, imeko eyaziwa ngokuthi " intliziyo yeholide ."
Ucoceko lomoya: Okwenziweyo ubuncinci bokufunda, ukuxutywa kobungcoliseko bomoya kuhlanganiswe nomngcipheko ophezulu we-fibrillation ye-atrial.
Ubutyebi obuninzi : Abantu abanesicingo somzimba womzimba (BMI) mkhulu kunama-30 kg / m2-oko kukuthi, abo bachazwa njengobulwelwe ngokugqithiseleyo-banomngcipheko ophezulu kakhulu wefayilifayili ye-atrial kunezo zabo i-BMI ingaphantsi kwe-25. ukuphakanyiswa kweengcipheko zangasese, kunye nokunyuka kwamafutha e-pericardial (amafutha atyunayo kwi-pericardium, eyona ngqongqo engaphandle). Zombini ezi zinto zicingelwa ukuba zibe negalelo ekutheni ukunyanyiswa kwe-fiber.
Indlela yokuphila yokuhlala ngokwexesha elidlulileyo : Izifundo eziliqela ngoku zibonise ukuba ubomi bokuhlala bodwa buya kubangela ukuba abantu bafumane i-fibrillation ye-atrial. Enyanisweni, ubuncinane izifundo ezimbini zibonise ukuba, ngokugqithiseleyo, abantu abahlala e-fibrillation ye-atrial, inkqubo yokuguqulwa kwendlela yokuphila eyenza ukulahlekelwa kwesisindo kunye nesimo somzimba sancitshiswa kakhulu, kwaye ngamanye amaxesha sichithwe, ingozi yokufayiliza kwe-agribri elandelayo.
I-caffeine: Nangona oogqirha bahlala bexelela izigulane ezine-acrytic fibrillation (kunye nezinye i-arrhythmias) ukuphepha i-caffeine, izifundo ziye zahluleka ukubonisa ukuba i-caffeine, ngobuninzi obudlayo, inayo nayiphi na impembelelo nayiphi na i-arrhythmias ye-cardiac.
Ukukhusela iFibrillation yeArivri
Nangona oogqirha abaninzi bebheka i-fibrillation ye-arrivri "njengenye yezinto" -into into eyenzekayo kubantu abathile ngaphandle kwesizathu esithile-konke okufuneka ukwenze kukhangele uluhlu lwemingcipheko echazwe kwicandelo lokugqibela ukuze ubone ukuba kukho iindlela zokunciphisa umngcipheko wakho wokuba nefayilifayili yegazi.
Kwaye, njengoko kuvela, ezininzi zezinto onokuzenza ukunciphisa umngcipheko wefayilifayili ye-agriyo yizinto ezifanayo ufanele uyenze nantoni na, ukunciphisa ingozi yakho ye-cardiovascular in general. Yaye ukuba uthatha amanyathelo okuphepha ukugula kwe-coronary disease, ukukhubazeka kwentliziyo, kunye nesifo senhliziyo esiphezulu, uya kunciphisa umngcipheko wesifo sikashukela, i-apnea yokulala, ukukhuluphala, i-pulmonary embolus, kunye nokuhlinzwa komzimba. Ukuphepha kuzo zonke iimeko kuya kuphelisa ezinye zezinto ezinobungozi kakhulu kwi-fibrillation ye-atrial.
Indlela Yokunciphisa Ubungozi Bakho Bokugula Ngeengqondo
Nazi izinto ngamnye umntu omele azenze ukunciphisa ingozi ye-cardiovascular disease-kwaye ngenxa yoko, i-fibrillation ye-atrial:
- Musa ukutshaya. Ukubhema iteksi mhlawumbi yindlela enamandla kakhulu kwaye inokwethenjelwa yokwandisa umngcipheko wesifo senhliziyo.
- Gcina ubunzima bakho.
- Yidla intliziyo yokutya okunempilo. Ngoxa ukutya "okusemgangathweni" ukukhusela isifo senhliziyo kuyisimo sokuqhubeka nokuphikisana, ezininzi iingcali ziyavuma ukuba ukutya okuseMedithera kukulungele inkqubo ye-cardiovascular system.
- Yenza umthamo omkhulu. Ukuphila ngokuhlala kwimeko embi kuyingozi kwimpilo yakho ngeendlela ezininzi. Ngoku siyakongeza i-fibrillation yecala kuluhlu.
- Hlola uxinzelelo lwegazi rhoqo, kwaye ukuba uhlakulele ingozi yokhuseleko lwegazi, qinisekisa ukuba uphathwe ngokwaneleyo.
- Qinisekisa ukuba ugqirha wakho uhlola iinqwelo ze-cholesterol yakho, kwaye ucinga malunga nokuba ufuna ukuthatha isenzo ukuphucula loo mazinga.
- Ukuba usela utywala, yenza njalo ngokumodareyitha-kwaye ungalokothi utywala.
Akukho nanye kweli cebiso kufuneka livakala ngokungavamile. Uvile ngako konke ubomi bakho. Yintoni enokubakho entsha ukuba le ngcebiso injalo isebenza ekuthinteleni i-fibrillation ye-atrial.
Amanye amanyathelo anganceda ukunciphisa umngcipheko we-fibrillation ye-atrial kubandakanya ukuphepha ngaphandle ngaphandle kweentsuku zokungcoliseka komoya, kunye nokutya ukutya okuphezulu kwi-omega-3 fatty acids (ezifana neentlanzi).
I-Fibrillation ye-Atrial: Isifo seMpilo?
Oogqirha baqala ukuqonda ukuba umthamo we-fridaying wearriyard isifo siphila. Umguli oqhelekileyo ugqirha obona nge-fibrillation ye-atrial mhlawumbi ayinaso isizathu esichazayo (oko kukuthi, akukho sisifo senhliziyo, isifo sikashukela, i-apnea yokulala okanye nayiphi na enye iimeko ezibhalwe apha). Kodwa bahlala bekhulile, baninzi kakhulu, kwaye bahlala behlala. Kubonakala ngokugqithiseleyo ukuba ukugqithisa ngokweqile kwaye kungabikho ukusetyenziswa ngokubanzi kunxulumene kakhulu ne-fibrillation ye-atrial.
Ukongezelela, abaphandi ngoku babonisa ukuba, kwizigulane ezithe zagqithisa kwaye zihlala zikhona, kunokwenzeka ukunciphisa okanye ukuphelisa i-fibrillation ye-agriyo ngokumisela inkqubo echanekileyo yokuguqula indlela yokuphila ukuze kuphuculwe ubunzima nokuphucula isimo somzimba. Ukuphuculwa kweendlela zokuphila kwindlela yokuphefumula kwe-atrial kuhambisane nokuphuculwa okwenziwe kwintliziyo ngokwayo-ukunciphisa ama-deposit e-pericardial, kunye ne-atrial fibrosis kunye nokuvuvukala. Ezi ziphumo zibonisa ukuba ukutyeba kunye nokudlulayo kunempembelelo ngqo kwiimfucu zamathambo ngendlela eyenza i-fibrillation ye-atrial ibe yinto engakumbi-nangaphezulu, ukuba le miphumo yomzimba ingaguquleka ngokulahlekelwa ubunzima nokusebenzisa.
Akukho namnye kuthi unokuphepha ukukhula. Kodwa ukuba sisebenza kuyo, mhlawumbi sinokugwema ukugqithisa kakhulu kunye nokuhlala. Ngokuqinisekileyo oku akuthethi ukugcina ubunzima obunempilo kwaye ukufumana umthambo omkhulu kunzima. Kwabaninzi, abantu abaninzi kunzima kakhulu, mhlawumbi kunzima kunabo bonke baya kuyenza.
> Imithombo:
> Abed HS, uWittert GA, Leong DP, et al. Impembelelo yokunciphisa ubunzima kunye nokulawulwa kweengcambu ze-cardiometabolic kwimithwalo yempawu kunye nobunzima kwizigulane ezine-fibrillation ye-atrial: isilingo se-clinical rand. JAMA 2013; 310: 2050.
> 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.
> Pathak RK, Middeldorp ME, Lau DH, et al. Ucwaningo lokunciphisa umngcipheko wokunciphisa i-fibrillation ye-atrial kunye nempembelelo yesiphumo sokuphulukiswa kwezinto: i-ARREST-AF cohort study. J Am Coll Cardiol 2014; 64: 2222.