Ubukhulu bobuninzi buyabonwa njengengozi yengozi yezifo ze-cardiovascular disease , eziquka isifo somzimba we-coronary, ukuhluleka kwentliziyo , kunye nesifo. Izifundo ezine ezitsha ziqinisekisile ubudlelwane obuqili phakathi kokukhuluphala kunye nesantya senhliziyo esingaqhelekanga esibizwa ngokuba yi-fibrillation ye-atrial.
Yintoni I-Fibrillation?
I-fibrillation ye-Atrial, eyaziwa ngokuba yi-AF okanye "A-fib," yintliziyo engavamile yesiqhelo esona siqhelekileyo se-arrhythmia (igama elizonyango elisetyenziselwa nayiphi na ingxaki ngesantya okanye izinga lokubetha kwentliziyo).
I-fibrillation ye-Atrial yandisa umngcipheko wesifo .
Yintoni eyandisa ingozi yokuphuhlisa i-Fibrillation ye-Atrial?
Kukho izinto ezinobungozi eziye zafumanisa ukuba zandisa ingozi yokuphuhlisa i-fibrillation ye-antiretroviral. Ezi zibandakanya ubudala, isifo senhliziyo esele sisekhona (ezifana nesifo se-coronary okanye i-cardiomyopathy), uxinzelelo lwegazi oluphezulu , ukukhubazeka kwentliziyo, i-hyperthyroidism, isifo sikashukela, isifo seemiphunga, ukusela utywala obuninzi, kunye nokukhuluphala. Kwamanye abantu, i-caffeine okanye uxinzelelo lweengqondo kunokubangela i-A-fib.
Ukunyanyisa njengeyona nkalo yobungozi kwiFibrillation ye-Atrial
Uluhlu oluphandeleleyo lophando luye lwaqinisekisa ukuba ukukhuluphala kunomngcipheko we-fibrillation ye-atrial, kwaye ukuba umngcipheko ubonakala unyuke ngokunyuka kwe-mass mass index (BMI).
Olunye uphando oluhlolisise iziphumo ezivela kwi-Women's Health Study, olubandakanya amabhinqa angama-34 000, lwafumanisa ukuba ukunyamezela kwakuyinqobo yobungozi be-fibrillation ye-atrial (i-fibrillation ye-atrial engasuki, kodwa ibe yinto engapheliyo, ingxaki engapheliyo).
Olunye uhlolisiso, olusekelwe kwiziphumo ezivela kwi-Atherosclerosis Risk in Study Communities (ARIC), zifumene ukuba ukukhuluphala kunye nokuzuza ubunzima kuyimingcipheko yokuphuhlisa i-fibrillation yamagciwane kumadoda kunye nakwabesetyhini.
Ukongezelela kokuphanda kwangaphambili kwesihloko, ukuhlaziywa kweemitha ezine (ukuphonononga i-pool kunye nokuhlalutya idatha ukusuka kwezinye iinjongo ezininzi kwizihloko ezifanayo) ngoku sele kuqinisekisile ukuba ukunyanya kuninzi kudlala indima enkulu ekubanjeni kokubakho kunye nokubandezeleka kwefayili .
Ezi zi-meta-analysis zibandakanya ubuninzi bezilingo ezilawulwayo ezi-51, kwaye zifumanise ukuba, kuzo zonke iindawo ezi-5 eziphakama kwi-BMI, ukuvela (iziganeko) ze-fibrillation ye-atrial kwenyuka ngo-10% ukuya ku-29%.
Ukulahlekelwa kwesisindo kunye nomsebenzi wezobuNyama kunokunceda
Ezinye iziphumo ziye zafumanisa ukuba ukulahleka kwesisindo kunokunciphisa umthwalo we-fibrillation ye-atrial, kwaye ukuba lo phuculo luhlala ixesha elide ukulahlekelwa kwesisindo.
Kwi-Women's Health Initiative (i-WHI) I-Observational Study, eyayibandakanya abafazi abangama-93,000 abangama-postmenopausal awalandelwe ukulinganisa iminyaka eyi-11.5, abaphandi bafumene ukuba amanqanaba aphezulu okwenziwa komzimba ayanciphisa umngcipheko we-fibrillation ye-atrial eyayingenakho ngenxa yokunyanya . Oku kwafunyanwa kuyinyaniso kubantu besifundo se-ARIC ngokunjalo.
Ukuba ukhuluphele okanye ukhuluphele, xela ugqirha wakho malunga nomngcipheko wefayibrillation ye-atrial kunye nawaphi amanyathelo onokuyithatha ukunciphisa umngcipheko.
Imithombo
Zoler ML. Ukuhlaziywa kweemeta kuqinisa ukukhuluphala-inxube ye-fiber. Iindaba zeCardiology. Juni 2015.
I-Heart Heart, i-Lung, ne-Blood Institute. Hlola i-fibrillation yaseburhulumenteni. http://www.nhlbi.nih.gov/health/health-topics/topics/af/
Magnani JW, Hylek EM, i-Apovian CM. Ubutyebi buzalisa i-fibrillation ye-malaria: isishwankathelo sangoku. Ukuhamba ngo-2013; 128: 401-405.
Sandhu RK, Conen D, Tedrow UB, et al. Izinto ezidityanisiweyo kunye nokuphuhliswa kokuqhubekayo xa kuthelekiswa nefayibrillation ye-atrial paroxysmal. J Am Heart Assoc 2014; 3 (3).
Pathak RK, Middeldorp ME, Meredith M, et al. Ukusebenza kwexesha elide lokulawulwa kwezinto ezijoliswe kuzinjongo kwiqela le-fibrillation ye-arrivals: uphando olulandelayo lokulandelela (LEGACY). J Am Coll Cardiol 2015; 65: 2159-69.
I-Pathak RK, uMahajan R, uLau DH, uSanders P. Iimpembelelo zokunyamekela kwindlela yokuziphatha kwimizimba kunye nokuphathwa. Ngaba uJardiol 2015; 31: 203-10.