Ngokuphambene nepapa ye-diagnostic eyenziwa yiimeko ezininzi zonyango, akukho nto imfihlelo yokufumanisa i-fibrillation ye-atrial. Ukwenza ukuxilongwa ngokucacileyo yinto nje yokubona i-arrhythmia kwi- electrocardiogram (ECG) .
Iimvavanyo zoLwazi lwe-A-Fib
Ukuba une-fibrillation ye-agrication xa uqala ukufumana uncedo lwezokwelapha, ukuxilongwa kuya kubonakala ngokukhawuleza nje xa i-ECG isenziwa.
Ngakolunye uhlangothi, unokuba ne- paroxysmal (i-intermittent) i-fibrillation ye-atrial , eneempawu eziza kwaye zihamba, kwaye i-ECG kwi-ofisi yogqirha inokuqhelekileyo. Apha, ukubeka iliso ngokugqithiseleyo (ukugqoka i-ECG irekhodi yeentsuku ezimbalwa okanye iiveki ezimbalwa) ekugqibeleni kuza kubonakalisa ingxaki. Ubuqhetseba kukuqinisekisa ukuba ukujongwa kwezigulane kuyaqhubeka kuze kube yilapho ubuncinane isiqendu esisodwa seempawu sibanjwe.
Kunokwenzeka ukuba ungenayo impawu ebonakalayo, kwaye i-arrhythmia ingasetyenziswa njengento engalindelekanga "yokufumana," kwi-ECG ye-ofisi, okanye ngexesha lovavanyo loxinzelelo okanye isifundo sokuhlola esilungelelaniso esenziwa kwezinye izizathu.
Kodwa enye indlela, ukufumanisa i-fibrillation ye-atrial yinto yokubamba i-arrhythmia kwi-ECG.
Ukuphonononga iFibrillation ye-Atrial
Emva kokuba i-fibrillation ye-atrial ifunyenwe, umsebenzi wangempela uqala.
Njengesinyathelo esilandelayo, ugqirha wakho uya kwenza uvavanyo olupheleleyo lwezokwelapha ukubonisa indlela yakho ye-arrhythmia kunye nezizathu zayo ezinokubakho ngokubanzi.
Uya kufuneka uqiniseke ngokuxelela ugqirha wakho malunga nembali yakho yonyango. Qinisekisa ukumxelela malunga nayiphi na impawu oye wayenayo ezinxulumene ne-frilling -rial-palpitations, ukunyaniseka okulula, ukuphefumula okufutshane, ukuphazamiseka kwesifuba, okanye iziqulatho zokukhanya okanye ukuphuma.
Zama ukukhumbula iziganeko okanye iimpawu ezibonakala zizisa iimpawu zakho-njengokuzivocavoca, ukukhathazeka ngokomzimba, ukulala kakuhle okanye ukusela utywala.
Ugqirha wakho uza kukubuza malunga naziphi na iimpawu ezingasiphakamisa isifo se-cardiovascular or lungs, kwaye uza kwenza uvavanyo olusisigxina ngokufuna ezinye izikhokelo ezongezelelweyo (umzekelo, ubukho be-hypertension). Ugqirha wakho kufuneka athatyathele ngokukhethekileyo ukuba ahlole iimeko eziguquguqukayo zefayibrillation ye-atrial, ekubeni ukuphatha le miqathango kunokwenzeka ukugcina i-arrhythmia iphindaphinda. Izizathu ezibuyiselwayo ziquka i- hyperthyroidism , i-pulmonary embolus, i- pericarditis , kunye neenkqubo zokutyanda kwangoku.
Futhi musa ukucaphukisa xa ugqirha wakho ekucela ngaphezu kweyodwa malunga notywala. I-fibrillation ye-Atrial ingabangela ukutywala kotywala-kwabanye abantu, nokuba nexabiso elincinci lotywala lingazenza. Ngenxa yokuba utywala ngenye yezinto ezimbalwa ezibangelwa ukuguqulwa kwamathambo, kubalulekile ukuba ugqirha wakho ahlole le nkalo yomlando wakho ngokucophelela.
Olunye uvavanyo
Ukuvavanywa kwegazi: Ukongeza kokuhlolwa kwegazi ngokuqhelekileyo (kubandakanywa iswekile yegazi ukujonga iimpawu zesifo sikashukela), kubalulekile ukuba ugqirha wakho athole iimvavanyo zomsebenzi we -roid.
Ngokukodwa kubantu abadala, iingxaki ze-thyroid zikhona ngaphandle kwempawu zeklasi.
ECG: Ukongezelela ekunikezeni ukuxilongwa kwe-fibrillation ye-atrial, i-ECG inokunika ingqiqo ebalulekileyo malunga nokuba khona okanye ukungabikho kwesifo senhliziyo.
I-Echocardiogram: Kufuneka kwenziwe i- echocardiogram ukuvavanya iigrav cardiac kunye namakamelo, iphinda iphinda iphinde ibuke iimpawu zesifo senhliziyo. Kwakhona kufuneka ukuba wenze i- echocardiogram (i-TEE) ye- transchoopidogram (i-TEE), apho i-transducer ye-echo idluliselwa kwisigxina (ukuginya ityhubhu) ngqo emva kwentliziyo. I-TEE inokuba luncedo ekujongeni iimbophu zegazi kwi-atrium ekhohlo ngaphambi kokuba wenze i-cardioversion.
(Siza kuthetha nge-cardioversion kamva.)
Uvavanyo loxinzelelo: Ukuhlolwa koxinzelelo akusoloko kuyimfuneko yokuvavanya i-fibrillation ye-atrial, kodwa kunokuba luncedo ukuba imbali yakho yezobugqirha okanye iimpawu zakho zibonisa ukuba ubukho be-coronary disease.
Xa yonke le ngcaciso iqokelelwe, lixesha lokuba wena nodokotela wakho uqale ukuxoxa ngezokwelapha kwi-fibrillation ye-atrial .
> Imithombo:
> NgoJanuwari CT, Wann LS, Alpert JS, et al. 2014 I-AHA / ACC / i-HRS khokelo lolawulo lwezigulane ezinefayili ye-atrial: ingxelo ye-American College of Cardiology / American Heart Association Task Force kwizikhokelo zokusebenza kunye ne-Heart Rhythm Society. Ukuhamba ngo-2014; 130: e199.