Akuyiyo yonke ifayili yefayili efanayo. Ngoko, ngomgudu wokuhlelwa kwengcamango yabo, oogqirha bexesha leminyaka baye baqulunqa iinkqubo ezahlukeneyo zokuhlaziya ukuchaza "iintlobo" ezahlukeneyo zefayibrillation ye-atrial. Ngenxa yoko, isigama soogqirha abasoloko besisebenzisa ukuthetha nge-fibrillation ye-agriythi sele sisenokudideka.
Nangona kunjalo, ngo-2014, inkqubo yokuhlengahlengiswa yasungulwa yi-American Heart Association, i-American College of Cardiology, kunye ne-Heart Rhythm Society ekufuneka ihluthe bonke abadala.
Le nkqubo yokuhlukanisa iyaqaphela ukuba i-fibrillation yaseburhulumenteni isoloko iimeko eziqhubekayo. Ekuqaleni, i-arrhythmia ngokuqhelekileyo ivela kwiziqendu eziphakathi kwaye zifutshane. Njengoko ixesha lihamba, iziqwenga zivame ukuhlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala. Kwizigulane ezininzi, i-fibrillation ye-agrifu ekugqibeleni idlulisa isisu sesiqhelo kunye nesigxina.
"Udidi" lwe-fibrillation ye-atrial umntu unokunceda ugqirha enze iingcebiso malunga nendlela efanelekileyo kakhulu yokwelapha. Okuqhubekayo isigulane sesigulane siphumelele kwi-fibrillation ye-atrial engapheliyo, umzekelo, kungenakwenzeka ukuba intliziyo yesiqhelo ingavunyelwa kwaye igcinwe.
Inkqubo yoHlelo lweFibrillation System
Nantsi inkqubo ekhoyo yangoku yokubeka i-fibrillation ye-atrial.
I-Paroxysmal I-Fibrillation ye-Atrial: I-fibrillation ye-atrial kuthiwa yi-paroxysmal (igama lonyango "eliphakathi") ukuba lenzeke kwiiphampasi ezingekho ngaphantsi kweentsuku ezisixhenxe ngexesha.
Kwiimeko ezininzi, i-paroxysmal fibrillation ye-atrial ingapheli imizuzu nje kuphela kwieyure. Iziqwenga ze-paroxysmal fibrillation ye-atrial zihlala ziqhelekileyo, okanye ziqabile.
Ezinye izigulane ezine-paroxysmal fibrillation ye-atrial ziza kuba neepisodes ezimfutshane ezingavelanga iimpawu kwaye "ngokupheleleyo". Oko kuthetha ukuba akukho isigulane okanye ugqirha wabo uyazi ukuba iziqulatho ze-fibrillation ye-atrial ziyaqhubeka.
Kule meko, i-arrhythmia ivame ukufunyanwa ngokungalindelekanga ngexesha lokubeka esweni. I-subclinical fibrillation yonyango ibalulekile kuba, njengamacala amaninzi e-fibrillation ye-atrial, ingakhokelela ekubetheni.
I-Fibrillation engapheliyo ye-Atrial: Kuloluhlu lwesibini, i-fibrillation ye-agriyo ivela kwiziqwenga ezihluleka ukuphelisa kwiintsuku ezisixhenxe. Ukuze ukubuyisela isigqithiso senhliziyo esivamile, ukungenelelo lwezonyango kudla ngokufunekayo. Izigulane ezineziqulatho okanye ezinye iziqwenga ze-fibrillation ye-arrivri eqhubekayo zingathi ngamanye amaxesha zinamaqabunga e-fridayysmal fibrillation ye-arrivals, kodwa ngoku ihlelwe njengento "eqhubekayo".
Ixesha elide eliqhubekayo I-Fibrillation ye-Atrial: Kwizi gulane, isiqephu se-fibrillation ye-atrial saziwa ukuba siye sahlala ngaphezu kweenyanga ezili-12. Kuzo zonke iinjongo ezibonakalayo, i-fibrillation ye-atrial ibe yinto entsha, "isiseko" senhliziyo yesigulane kulezi zi gulane.
I-Fibrillation engapheliyo ye-Atrial: Umehluko kuphela phakathi "kokuqhubekayo kwexesha elide" kunye "nokusisigxina" i-fibrillation ye-agriyo yukuthi, kunye ne-fibrillation yonyango engapheliyo, ugqirha nesigulana baye bavuma ukuyeka ezinye iinzame zokubuyisela isigqi senhliziyo esivamile kwaye baye bahamba cwangciso so kunyango .
Baye bavakalisa ukuba i-fibrillation ye-atrial isigxina.
I-Valvular ne-Non-Valvular Fibrillation ye-Atrial
Udidi oluhlukileyo lwefayilifayili ye-atrial oya kuvakala ngokubanzi malunga ne-valvular fibrillation ye-arriver ngokubhekiselele kwi-fibrillation ye-arrivali ye-non-valvular; oko kukuthi, nokuba kungenjalo i-fibrillation ye-agrithi inxulumene nesifo senhliziyo senhliziyo, njengemitration yokubuyiswa .
Ngeenjongo ezibonakalayo, olu luhlu luqwalaselwa kuphela xa kuthathwa isigqibo malunga ne-antiticoagulation yonyango ukukhusela isifo. Okubalulekileyo, izigulane ezine-valvular fibrillation zonyango zihlala zifuna i-antiticoagulation; izigulane ezingenayo i-valvular fibrillation yeli
ILizwi
Inzuzo eyintloko yale nkqubo yohlengahlengiso kukuba imisa i-nomenclature, ukwenzela ukuba xa oogqirha bexubana malunga ne-fibrillation ye-atrial, bonke bathetha into efanayo. Kukunceda nawe, ukuqonda imeko yakho.
Ukongezelela, kunika oogqirha ingcamango malunga nokuba i-fibrillation yegulane yesigulane isondele kangakanani ekubeni yinto yesigxina senhliziyo, kwaye ngoko ke, kwenzeka ukuba isicwangciso esijolise ekubuyiseni isigqi sesigqirha sinokusebenza. Ekugqibeleni, kuya kukunceda wena nodokotela wakho wenze isigqibo sokonyango okulungileyo kuwe .
> Umthombo:
> 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.