Ingqwalaselo yeeNkcazo ezimbini zoLwahlulo
I-fibrillation ye-Atrial yi-cardiac arrhythmia evame ukuvelisa ukuphazamiseka okukhulu, ukukhathala, kunye nokuphefumula okufutshane. Okubi kakhulu, i-fibrillation ye-atrial inokunyusa kakhulu umngcipheko we- stroke . Ukuba unesibindi se-agrifi akukho mbuzo omncinci wokuba ufuna unyango. Uyenza. Umbuzo uwukuthi: Yiyiphi indlela yokonyango okulungileyo kuwe?
Isizathu sokuba lo mbuzo uvame ukuba nzima ukuphendula kukuba akukho nonyango yefayibrillation ye-agriyo leyo, ininzi yezigulane, ikhuselekile kwaye isebenzayo ekupheliseni i-arrhythmia nokubuyisela isigqi esivamile. Ukuthatha isigqibo malunga "nokunene" unyango kunoma yimuphi umntu one-fibrillation ye-atrial ngokuqhelekileyo ukuxhatshazwa.
Iindlela ezimbini zokuPhathwa
Ukuba kwakulula kwaye kukhuselekile ukubuyisela nokugcina intliziyo yesigqirha yesigqibo , okokuba injongo yokuphatha i-fibrillation ye-orrial yayiya kukwenza oko-ukufumana intliziyo yakho isisu kwisimo esiqhelekileyo kwaye uyigcine apho. Le ndlela yokwelapha ibizwa ngokuba yindlela yokulawula isigqi. Kwaye ngeli xesha le nto iya kuba yindlela efanelekileyo yezigulane ezininzi, kwezinye iinjongo zonyango ezingenakufikeleleka kwinqanaba elimkelekileyo lomngcipheko.
Kubantu abaninzi abane-fibrillation ye-arrivals, enye indlela yokwenza unyango-enye inokusebenza ngakumbi kwaye iphephile-kukuvumela i-fibrillation ye-atrial ukuba iqhubeke, ngelixa ithatha amanyathelo okuqeda iimpawu kunye nokunciphisa umngcipheko wesifo .
Le ndlela yesibini kwonyango, edlalwa ngokuba yindlela yokulawula izinga, ithetha ukuvuma ukuba i-fibrillation ye-atrial "yinto evamile" kwaye isebenza ekulawuleni izinga lentliziyo (ukunciphisa impawu) kunye nokusebenzisa unyango lwe- antiticoagulation ( abagcini begazi ) ukunciphisa umngcipheko ukubetha. Nangona le ndlela yokulawula isantya ingakhange ibonakale ingathandeki ngaphezu kokulawula isigqi, kukho izizathu ezinyanzelisayo zokuyisebenzisa kwizigulane ezininzi ezine-fibrillation ye-atrial.
Xa Ulawulo lweRhythm luyindlela efanelekileyo
Kukho iimeko ezininzi eziqhelekileyo ezibhekiselele ekulawuleni isigqi njengolu unyango olufanelekileyo. Ukuba i-fibrillation yakho ye-agrifu ibangelwa yinto enokuthi iguqulwe, ngoko ke, ngokubanzi, injongo yonyango kufuneka ilawule imeko esezantsi kwaye ubuyisele intliziyo yesiqhelo. Ezi zizathu ezibuyiselwayo ziqhelekileyo okanye ziza kutshatyalaliswa kunye nezimo zonyango eziphathekayo ezifana ne- hyperthyroidism , i-pneumonia, i- pulmary embolus ( igazi elimhlophe kwimpumphu), okanye ukungena kotywala okanye izidakamizwa ezikhuthazayo.
I-fibrillation ye-Atrial nayo ibangelwa yimeko ye-cardiovascular disease, njenge- coronary disease , isifo senhliziyo, i- pericarditis , okanye i- heart failure . Ukuba unenye yeemeko zengqondo, ukuzama ukubuyisela nokugcina isandi sesiqhelo senhliziyo nayo yindlela enengqiqo kakhulu, xa ingxaki yakho yepilisi iyaphathwa kakuhle.
Ukulawula isigqi ngokuqhelekileyo kuyindlela ekhethiweyo kubantu abanokuphefumula kwe-atrial kutshanje okanye i-paroxysmal-oko kukuthi, kwenzeka ngokukhawuleza kwaye ngokukhawuleza. Kukho ubungqina bokuba umntu esele ehlala kwi-fibrillation ye-atrial, kunzima ngakumbi ukugcina isigqi esivamile.
Kubantu abanesifo se-fridays e-paroxysm, kwaye ngubani oqhelekileyo kwisigqi esivamile, indlela yokulawula isigqi ihlala iphumelele kakhulu kunabantu abaphethwe yi-fridaying inrial or persistence.
Ekugqibeleni, ukulawula isigqi kuyindlela engcono kubantu abanesimo esithile senhliziyo apho ukulahlekelwa kweendlela eziphambili ze-antiretric (okuqhubekayo kunye ne-fibrillation ye-atrial) kungavelisa ukuphazamiseka okukhulu kwintliziyo yomzimba. Le miqathango iquka ukuxinzelela kwengozi engapheliyo, i- aortic stenosis , i- hypertrophic cardiomyopathy , kunye ne- diastolic ukungasebenzi . Kwimiqathango nganye, i-ventricle yekhohlo ihlala "inzima," ukwenzela ukuba ukuzaliswa ngokugqithiseleyo kwe-ventricle ekhohlo kuxhomekeka kakhulu kwi-contraction yonyango.
Ukuba kukho enye yezo zonyango okanye iimeko zengqondo, ziqhelekile ukuba zisebenzise indlela yokulawula isigqi-oko kukuthi, ukubuyisela nokugcina intliziyo yesiqhelo-xa imeko ephantsi iphathwa kakuhle. Apha, "ulaka" kusenokuthetha ukuzama ukusetyenziswa kwezidakamizwa ezahlukeneyo zokulwa nezidakamizwa ukugcina isigqi sesigqirha. Kusenokuthetha ngokugqithiseleyo inkqubo yokuqhekeza ukuphelisa i-fibrillation ye-agriyo. Ngamanye amanyathelo afaka ingozi. Abanye abantu abangenayo nayiphi na le miqathango baya kukhetha ukulawula isigqi. Esi sinqumo esilungileyo, xa nje beqonda ngokupheleleyo ingozi.
Xa ukuLawula koLwabiwo kuLungileyo
Kubantu abanobuchopho obungapheliyo okanye obungapheliyo (i-fibrillation ye-atrial), ixesha elithile ubuncinane kwiiveki okanye kwiinyanga eziliqela), ingakumbi ukuba i-fibrillation ye-acridiy i-idiopathic (okokuthi, akukho nto ingabonakaliyo kunye neyokwelapha imbangela), zimbini izizathu ezilungileyo zokuba ulawulo lokulinganisa lusetyenziswa ngendlela engcono.
Okokuqala, kulaba bantu, iingxaki zokubuyiselwa nokubuyisa ngempumelelo isigqi senhliziyo kwixesha elide liphantsi. Okwesibini, uphando lweklinikhi lubonisa ukuba umphumo wexesha elide kulaba bantu awulona luhle-kwaye unokuba lubi kakhulu-kunye neyeza ezichithwe ngonyango ezijoliswe ekulawuleni isigqi, kunokuba kube nendlela yokulawula isantya. Kule bantu, ingozi yokulawula isigqi iqhele ngaphezu kweyiphi na inzuzo.
Oogqirha abaninzi baya kwenza omnye umzamo wokubuyisela isingqimba esivamile nakwizi gulane. Oku kudla ngoku kwenziwa ngokushukumisa izigulane ukubuyela kwisigqi esivamile size sibone indlela abazenza ngayo ngaphandle kwonyango lokusetyenziswa kweziyobisi. Kodwa ukuba loo nzame enye ingaphumeleli (oko kukuthi, ukuba i-frilling recurring recurs), abaninzi oogqirha banokukhawuleza ukufumana ukulawulwa kwezinga njengendlela ekhuselekileyo kunye neyona ndlela efanelekileyo yokonyango.
Ngaphantsi
Kucacile ukuba, ukuba une-fibrillation ye-atrial kuninzi ekufuneka uyiqwalasele ekukhetheni indlela yokunyanga eyiyo-ubunzima beempawu zakho; zakho iingxaki zonyango kunye neengqondo, ukuba zikhona; ubude kunye nobude beziqephu zakho ze-fibrillation ye-atrial; zakho iinketho; kunye nezimvo zoogqirha bakho. Esi sigqibo esoloko sifanele sibe ngabanye.
> Umthombo:
Fuster V, Ryden LE, Cannom DS, et al. I-ACC / AHA / ESC 2006 Izikhokelo zokuLawula izigulane ezine-Fibrillation ye-Atrial Ingxelo ye-American College of Cardiology / American Heart Association Umsebenzi wamaKhokelo kunye ne-European Society yeKomiti yeCardiology yokuSebenza ngeziKhokelo (iKomiti yokuBhala ukuHlola izikhokelo zika-2001 ukuLawula izigulane ezine-Fibrillation ze-Atrial). J Am Coll Cardiol . 2006; 48: e149.