Siyazi ixesha elide ukuba i-fibrillation yonyango ingabangela iingxaki ezininzi zezokwelapha, kuquka nesifo senhliziyo (njenge- coronary disease , i- mitral regurgitation , kunye ne- pericarditis ), isifo se-thyroid , umfutho wegazi , ukuguliswa kwe-apnea , iingxaki ezahlukeneyo zemiphunga, njenge- pneumonia okanye i- pulmonary embolism , kunye (kunye nabanye abantu) ukusela utywala. Nangona kunjalo, kwininzi yabantu abanobuqhophololo besifo se-agrifu, akukho nto ebangela ukuba ichaneke.
Oogqirha baye baxelela aba bantu ukuba "idiopathic" i-fibrillation ye-atrial, oko kukuthi, akukho sizathu esicacileyo sayo; Ngomnye walabo bomi be-curveballs abaphosa kuwe.
Kodwa uphando lwangoku luye lwabonisa ukuba kunenjongo ebangela ukuba abaninzi abantu abanesifo se-agrication-poor choices lifestyle, ngokukodwa, banokukhululeka kakhulu kwaye bahlala bodwa.
Indlela yokuphila kunye neFriday Fibrillation
Siyazi ixesha elide ukuba kukho ubudlelwane phakathi kokugqithisa nokuphuma kwimilo, nokuba ne-fibrillation ye-atrial. Kodwa kwiminyaka embalwa edlulileyo kubonakala ukuba kungaphezulu nje kwintlangano-kubangelwa ubudlelwane bangela kunye nentsingiselo.
Abaphandi eAdelaide, e-Australia baye bachitha iminyaka becwaninga lo mbuzo. Kuluhlu lweengcaphephe abaye babonisa ukuba indlela yokuphila engafanelekanga inefuthe elibi kwiinkamelo zonyango . Ngokukodwa, iiseli ezidlulileyo ngokweentliziyo (i-fatic pericardial) zivelisa utshintsho kwiiseli zangasese, ukunyuka kwengxondorha, ukuvutha, iipatheni ze-neural, kunye nokwandisa i-fibrosis ye -rial.
Zonke ezi tshintsho zikhuthaza i-fibrillation ye-atrial.
Ngaphezu koko, abaphandi ngoku babonisa izifundo ezimbini ezihlukeneyo, kwizigulane ezinefayili ye-atrial, inkqubo enobudlova ekhuthaza ukuguquka kwendlela yokuphila ngokunciphisa kakhulu-kwaye iyakunqumla-lo lungiso oluvuthayo nolunobungozi.
Kuvavanyo lwe-LEGACY, abaphandi babhalisa izigulane ezingama-335 ezine-fibrillation ze-arrivals eziphezulu kakhulu (i-BMI ngaphezulu kwe-27) kwinkqubo yokumodareyitha yokuphila, enenjongo yokulahleka kwepesenti ezili-10.
Emva konyaka omnye, abo balahlekelwa iipesenti ezili-10 zesisindo sabo sokuqala babencitshiswa kakhulu kwiimpawu ze-fibrillation ye-agriyo kwaye babesenokuba ngamathuba ayisithupha ukufumana ukupheliswa ngokupheleleyo kwe-arrhythmia, kunezigulane ezingazange zinciphise umzimba.
KWESIFUNDA-AF-AF, ukuguqulwa okufanayo kwendlela yokuphila kwenzelwa izigulane ezine-fibrillation ye-acrius ezenza unyango lwe-ablation . Olu pho nonongo lubonise ukuba iziphumo zokuphulukiswa kwamanzi zilunge ngakumbi kwizigulane ezenza ukulahleka kwesisindo. Ngoko, ukuguquka kwendlela yokuphila kubalulekile nangona ukuba "unyango" lwemithi ye-friday fibrillation luqeshwe.
Ukongezelela, ezi zifundo ziqinisekisile ukuba, kwizigulane ezinefayibrillation ye-atrial, ukulahleka kwesisindo kubakho utshintsho olulungileyo kwisakhiwo kunye nomsebenzi we-atria yabo, ichaza ukuba kutheni amanyathelo okuphila asebenza.
Ngaphantsi
Umguli oqhelekileyo onokuthi "idiopathic" i-fibrillation ye-agriyti isele ikhulile, ikhulu kakhulu, kwaye idlulile. Ngoku siyazi ukuba ubunzima obuninzi kunye nokungabikho kokuzivocavoca ngokuqhelekileyo kubangelwa imbangela ye-arrhythmia, kwaye ngokuqhubekayo, ukuba utshintsho olushukunyiswayo lunokunciphisa kakhulu-kwaye luze luphelise-i-fibrillation ye-atrial.
Ngenxa yokuba unyango lwe-fibrillation ye-atrial-nokuba sithetha ngezidakamizwa okanye ukuxhoma-nzima kunzima kwaye kusebenza ngendlela efanelekileyo, olu nolwazi olutsha kufuneka lufakwe kuyo nayiphi na isicwangciso sonyango kunoma yisiphi isigulane esine-arrhythmia, kwaye ifanelana neprogram yokuphila.
Ngelishwa, ukulawulwa kwezinto ezinobungozi-ngexesha elikhuselekileyo nangempumelelo-kunzima kwizigulana kunye nexesha elidlulileyo oogqirha babo. Kwaye ekubeni oogqirha bahlawulwa ngokwenza kwaye kungekhona ukuthetha, imali yabo iya kuthatha i-hit if they are to depend on therapy in therapy. Ngoko kusenokuba lixesha ngaphambi kokuba oogqirha baqiniseke ukuba bamkele le ndlela kwaye izigulane ziqinisekile ukuzama.
> Imithombo:
> Abed HS, uSamuel CS, Lau DH, et al. Ubutyebi bubangela ukulungiswa kwesifo se-agrifu kunye nokulungiswa kombane: Impembelelo yefayibrillation ye-atrial. I-Heart Rhythm . 2013; 10: 90-100.
> Pathak R, et al. Ixesha elide lomphumo wokulawulwa kwezinto ezijoliswe ekujoliseni ubunzima kwinqanaba le-fibrillation ye-atrial: Ukufunda okuqhubekayo kwexesha elide (ISIFUNDO SOMSEBENZI). J Am Coll Cardiol . 2015; INGXELO: 101016 / jacc.2015.03.002.
> Pathak RK, Middeldorp ME, Lau DH, et al. Ucwaningo lokunciphisa umngcipheko wokunciphisa i-fibrillation ye-atrial kunye nempembelelo yesiphumo sokukhutshwa kwezinto: I-ARREST-AF cohort study. J Am Coll Cardiol . 2014; 64: 2222-2231.