Ukusetyenziswa kweNtsholongwane yentliziyo kunye nokuTywala kotywala
Abaphandi abaninzi bayavuma ukuba ukusetyenziswa kotywala nokusela ngokweqile kwandisa umngcipheko we-friday fibrillation, intliziyo engavaliyo engakhokelela ekubethweni kwezinye izigulane. Kodwa izazinzulu azivumelani malunga nesiphumo sokuphuza ngokulinganayo kunesifo se-cardiac arrhythmia.
Uhlalutyo lwangoku uphando olwenziwa ngamalungu eSigqeba samaSayensi weSizwe ngoPhando lwezoLimo luthelekisa ukufunyaniswa kwezifundo ezili-14 ngokusetyenziswa kotywala kunye nemingcipheko yokuphuhlisa i-fibrillation ye-antiretroviral.
Yintoni I-Fibrillation?
I-fibrillation ye-Atrial yinto eqhelekileyo ye-cardiac arrhythmia efumaneka kwi-2.2 yezigidi zaseMerika. Xa i-fibrillation ye-atrial ivela, iintliziyo ezimbini zamagumbi aphezulu, ezibizwa ngokuba yi-atria, ziqala ukuqhuba ngaphandle kokubetha ngokuqhelekileyo. Ngenxa yoko, igazi aliphamputhe ngokupheleleyo kuwo, kuya kuma-ventricles, amagumbi amakhulu amabini entliziyo.
Njengokuba isigulane sichaza, endaweni yentliziyo iya "lub-dub, lub-dub" iya "lub-lub-lub-lub" ngokukhawuleza.
Ngenxa yokuba igazi aliqhubeki kakuhle, liyakwazi ukudibanisa kwi-atria kwaye iqalise ukuvala. Ukuba i-clot iphoswa kwi-ventricles ize ifike kwingqondo, ingabangela isifo. Uqikelelo lwama-15 ekhulwini lwazo zonke izibetho ezenzeka kubantu abane-fibrillation ye-atrial.
Ngaba i-Fibrillant ye-Arriver-Life-Threating?
Ngokuqhelekileyo, i-fibrillation ye-articular ngokwawo ayicatshangelwa ukuba isongela ubomi, kodwa xa ingashiywanga ingaphendulwanga, inokubangela iipilpitations, intlungu yesifuba, ukuphazamiseka, okanye ukuhluleka kwentliziyo.
Noko ke, umngcipheko omkhulu kunoko, ngenxa yengozi. Abantu abane-fibrillation ye-atrial bafumana umngcipheko omkhulu wokuba ne-stroke .
I-Heart Heart Syndrome
Kuye kwaziwa ixesha elide ukusela okanye ukusela utywala ngenxa yeziganeko ze-fibrillation ye-atrial. Kuye kwabizwa ngokuba yi " Holiday Heart Syndrome " kuba inokwenzeka ngeenxa zeeholide xa abantu abangaqhelekanga basebenzise ingaphumeleli.
Kwiminyaka engaphezu kwe-30, uphando luye lwaxinisa kakhulu kunye nokusela utywala ekwenzeni umngcipheko we-fibrillation ye-atrial, phakathi kwezinye iingozi zempilo. Cinga ukuba isifundo esikhulu kunazo zonke kwakuyiDanish Diet, I-Cancer kunye neFundo lezeMpilo yabantu abangama-22,528 kunye nabafazi abangama-25,421 ngaphezu kweminyaka engama-thandathu, okwakubonakele umngcipheko ophezulu kunabo bonke amadoda.
I-Fibrillation ye-Atrial Ininzi engakumbi kubantu
Kwabathathi-nxaxheba kwisifundo saseDanish, ama-556 aphuhlise i-fibrillation ye-atrial, kubandakanya amadoda angama-374 (i-1,7 ekhulwini) kunye nabasetyhini abangama-182 (iipesenti ze-0.7). Kwakukho ukwanda okuthobekileyo kwengozi yefayili ye-atrial ehambelana nokunyuka kokusetyenziswa kotywala kubantu, kodwa kungekhona phakathi kwabasetyhini.
Amadoda ekufundwayo aphuza ubuninzi beengxinwa zemihla ngemihla (ii-68.7 amagremu ngosuku) abe neengozi zokuphucula i-fibrillation ye-acriver ukuya kuma-46 ekhulwini ngaphezu kwamadoda atywala ubuncinane botywala. Abafazi abaphuza ubuninzi beentlwala (38.8 amagremu ngosuku) babengama-14 ekhulwini kuphela amathuba okuphuhlisa i-fibrillation ye-agriyo.
Njani ngokuKhanya ukuNxila okuThatywayo?
Nangona abaphandi bengavumelani, nangona kunjalo, kubudlelwane phakathi kokukhanya okanye ukusela okucokisekileyo kunye nomngcipheko we-fibrillation ye-atrial. Nangona kukho izifundo ezithile eziye zabonisa ukudibanisa phakathi komngcipheko nokusela ngisho neziphuzo ezimbini eziqhelekileyo, abaninzi abaphandi abafumananga ingozi enkulu kulabo baselayo ngaphakathi kwimiyalelo ecetyiswayo yokusetyenziswa kotywala ngokulinganayo.
Ngakolunye uhlangothi, kukho izifundo ezingafumananga ubudlelwane phakathi kwe-fibrillation ye-atrial kunye nayiphi na inqanaba lokusetyenziswa kotywala, kodwa ezo ziphumo zahlulwa yi-International Scientific forum kwi-Alcohol Research kuba ihamba ngokuchasene nezinye iinjongo.
Umyalezo ohambelanayo kukuba kukho umehluko phakathi kokusetyenziswa okunxilisayo kunye nokulinganisela kotywala, phakathi kokusela utywala kunye nomzekelo wokuphuza, kunye neengozi zempilo, "kubhala abalobi.
Imithombo:
Kodama, S. et. al. "Ukusetyenziswa kotywala kunye neengozi yeFibrillation ye-Atrial." Umbhalo we-American College of Cardiology . Jan. 2011
I-Heart Heart Lung ne-Blood Institute. "Ziyintoni I-Acry Fibrillation?" Oktobha 2009.
American Heart Association. Fibrillation yeArivri. Matshi 2011.