Ukusela Utywala Xa Unayo-Fib
Ngokukodwa ngexesha leeholide, okanye ngexesha lemitshato, iziqu okanye ezinye izihlandlo zokubhiyozela apho utsaliso lugqitywa khona, akuqhelekanga ukuba abantu abancinci bezempilo bavelise iziqulatho ze- fibrillation ye-atrial . Ukuqala kwe-fibrillation ye-atrial emva kwemibhiyozo enjalo yimeko eyaziwa ngokuba yi "intliziyo yeholide."
I-Fibrillation ye-Atrial & Intliziyo yeHlolide
I-fibrillation ye-Atrial yinto eqhelekileyo yokuphazamiseka kwesisu esivame ukuvelisa iimpawu eziphawulekayo, ngokukodwa ukunyaniseka okulula kunye neengxaki .
Okubaluleke kakhulu kwi-fibrillation ye-atrial, nangona kunjalo, oko kukukhokelela ekubetheni . Ngokukodwa, i-fibrillation ye-agriyo yintsholongwane ekhawulezileyo kunye engavumelekiyo eyenziwa yimiphumo yamandla kagesi kwi- atria yentliziyo (amacandelo aphezulu angaphezulu).
Kwiimeko ezininzi, i-fibrillation ye-agriyo eyenzeka ngentliziyo yeholide i-paroxysmal, oku kuthetha ukuba i-arrhythmia iqalisa ngokukhawuleza kwaye, emva kwexesha elithile, liyeka ngokufanayo ngokukhawuleza. Abantu abajongene nale meko baya kuba neempawu zokuqala ngokukhawuleza. Ba nga qaphela:
- Isantya sentliziyo esheshayo, engaqhelekanga
- Dyspnea (ukuphefumula okufutshane), ngakumbi nangayiphi na intshukumo
- Utywala
Xa oogqirha babhala i- ECG ngenye yezi ziqendu, baya kubona ukuba i-fibrillation ye-agrifu yimbangela yeempawu.
Kubantu abaninzi abahlakulela i-fibrillation ye-atrial ngokubanzi, i-arrhythmia ibangelwa zizifo zentliziyo, ukuguga, uxinzelelo lwegazi, ukukhuluphala, okanye ukuhlala kwindlela yokuphila.
Nangona kunjalo, kwabanye abantu abaninzi abanalesi sigqeba, akukho nto iyakwazi ukuchongwa. Kodwa, ngentliziyo yeholide ngokukodwa, i-fibrillation ye-atrial ibangelwa kukusetyenziswa kotywala.
Ukusetyenziswa kotywala
Siyazi ukuba ukungapheliyo, ukusela kakhulu kunxulumene nomngcipheko okhulayo wokuphuhlisa i-fibrillation ye-atrial.
Ikwadibaniswa nefom ye- cardiomyopathy ne- heart failure .
Ngoko, akukho mbuzo ukuba kunzima, ukusela ixesha elide kukubi entliziyweni. Nangona kunjalo, izifundo ziye zahluleka ukuchaza ubungqina obunobangela-nesebenzayo phakathi kokusetyenziswa kancinci kwexesha elide nokusetyenziswa kotywala kunye nomngcipheko ophezulu we-fibrillation ye-atrial.
Intsapho yeholide, ngakwelinye icala, ayinxulumene nokusetyenziswa kakubi kotywala kwanaluphi na uhlobo. Endaweni yoko, idibaniswa nokusela utywala-uhlobo oluqhelekileyo abantu ababandakanyekayo ngexesha leeholide okanye ngexesha lokubhiyozela. Ngokuqhelekileyo utywala luyinyani, "utywala obunzima kakhulu udla ixesha elifutshane kunye ne-frill fibrification eqhubekayo ihambelana nazo zonke ezinye iziphumo ezingathandekiyo ezivame ukuhamba nezi ziqendu.
Ezinye iintlobo ze-overindulgences zihlala zihamba ezi binges, kubandakanya ukutya ukutya okuninzi kakubi okanye ukuthatha iziyobisi. Nangona le miba ingadlala indima ekuphuhliseni intliziyo yeeholide, yodwa into ehlala ikhona yilapho itywala. Enyanisweni, kuqikelelwa ukuba ukuya kuma-60 ekhulwini abantu ababandakanyeka ekuxileni ukuxiliswa ngokugqithiseleyo ekugqibeleni baya kuvelisa iziqulatho ze-fibrillation ye-atrial ngenxa yoko.
Olu hlobo lweentliziyo zeholide-apho i-fibrillation ye-atrial eyenzeka emva kwesiganeko esicacileyo sokusela utywala-yindlela eqhelekileyo yale mqathango. Oogqirha bayazi kakuhle le ndlela ebonakalayo ebonakalayo kwaye kaninzi abanenkinga ekwenzeni ukuxilongwa ngokuchanekileyo. Baya kufumana unyango olungileyo-oku, ukucebisa isigulane ukuba ugweme ukusela ngokwexesha elizayo.
Ifomu eNgcinileyo
Kubonakala ngathi kukho indlela efihlakeleyo yentliziyo yeeholide, enye into ekufunyanwa ngayo i-frilling fieryrial, kodwa imbali yokwenene yokunxila. Kubonakala ukuba abanye abantu baxakeke kakhulu kutywala.
Kula bantu, ixabiso elincinci (ngokuqhelekileyo ezimbini okanye iziphuzo ezintathu) kunye ngamanye amaxesha isiselo esisinye sinokubangela iziqwenga ze-fibrillation ye-atrial.
Okumangalisayo kukuba, le ntliziyo ekhuselekileyo yeholide inokuphelisa ukubuza ingxaki enkulu kwisigulane ngaphezu kohlobo oluqhelekileyo, olubi kakhulu. Ingxaki kukuba le ndlela efihlakeleyo yobutywala obutywala i-acrible canary can easily be overlooked by ugqirha.
Ukuba umbutho phakathi kwefayibilitri ye-agribri kunye nokutywala kotywala kuphelelwe (ngenxa yokuba kukho ukungenwa kakhulu kotywala kwaye akukho nto ibhalwa ngayo), ugqirha unokukhokelwa ukukhuthaza unyango olungapheliyo kwi-fibrillation ye-atrial . Unyango olunjalo lunokuba lubi okanye luyingozi. Enyanisweni, unyango olufanelekileyo kula bantu, ngokuqinisekileyo, luphephe ukusela utywala.
Kumntu oye waba nesiganeko senhliziyo yeholide emva kwesiselo esincinci sotywala, loo nto intle ithetha ukuphepha naluphi na utywala esikhathini esizayo. Ifom enesibindi ingaba yinto eqhelekileyo kunokuba iyabonwa ngoku. Ngoko, abantu abaneziqulatho ze-paroxysmal fibrillation ye-atrial kufuneka baqwalasele ngenyameko imeko apho le nqubo yenzeke ngayo, ukubona ukuba ibonakala idibene naliphi na indlela yokusela utywala.
Oogqirha abagulisa izigulane ngefayilysmal fibrillation ye-atrial kufuneka baqiniseke ukuba babuze malunga nokutyalwa kancinci kotywala. Enyanisweni, oogqirha kufuneka bahlolisise nezinye iinkalo zesigulane sokuphila, kuba i-fibrillation ye-atrial "isifo sobomi" kaninzi kunokuba oogqirha baqonda.
> Imithombo:
> UConstantini, O. kunye noStambler, B. Indlela eya kuMgulane ngeFibrillation ye-Atrial. Ku: Ulawulo lwe-Cardiac Arrhythmias, iGanz LI noBraunwald E. Eds. I-Humana Press, iTotowa, NJ.
> Djoussé L, Levy D, uBenjamin EJ, et al. Ukusetyenziswa kotywala kwexesha elide kunye neengozi yeFibrillation ye-Atrial kwi-Study Framingham. Am J Cardiol; 93: 710.
> I-Frost L, iVestergaard P. Utywala kunye neRRsk yeFibrillation ye-Atrial okanye i-Flutter: isifundo seqela. Arch Intern Med; 164: 1993.
> Mukamal KJ, Psaty BM, uRautaharju PM, et al. Ukusetyenziswa kotywala kunye neengozi kunye nokuxhamla kwe-Fibrillation ye-Atrial phakathi kwabantu abadala abadala Inhliziyo J 2007; 153: 260.