Izimpawu ze -fibrillation ye-atrial zingashintsha kakhulu kumuntu nomuntu, futhi ngisho nangomuntu ofanayo ngezikhathi ezahlukene. Nakuba i-fibrillation ye-atrial ngokwayo ayiyona isisindo esongela impilo, ingabangela izinkinga-ikakhulukazi, ukushaya-okungavimbela noma okubulalayo.
Abanye abantu abane-fibrillation ye-atrial abanalo izimpawu nhlobo, futhi i-arrhythmia itholakala kuphela uma udokotela noma umhlengikazi ethatha isisindo noma enza i-electrocardiogram (ECG).
Nokho, laba bantu bangabambalwa. Ezikhathini eziningi, okungenani ngaphambi kokuphathwa ngendlela efanele, ukufabulisa kwe-atriyali kuyicasula kakhulu, uma kungenjalo kuphazamisekile futhi kungenakubekezelelwa.
Amapulpitations
Izimpawu ezivame kakhulu ezihambisana ne-fibrillation ye-atrial ziyi- palpitations . "Amapulpitations" kusho ukuqwashisa okungavamile nokungahambi kahle kwenhliziyo. E-fibrillation ye-atrial, i-palpitations ibangelwa isilinganiso esisheshayo senhliziyo, esivame ukubonwa ngalesi sigamu.
Abantu abanama-palpitations ane-fibriation e-atrial ngokuvamile bakhononda ngokuzwa "ukuqhuma" esifubeni, ngokuvamile kuhambisane nomzwa wokuthi "ukuphuza", futhi ngezikhathi ezithile ngezigcawu ezincane zokuphefumula. Amapulpitations ahlobene ne-fibrillation ye-atrial ingase icasule ngomusa kuphela, noma ingase iphazamise kakhulu, futhi ukuqina kwabo kungabeka futhi kuphele.
Kwezinye iziguli ubukhulu bezintambo zingase buxhomeke esimweni sabo sengqondo, kungakhathaliseki ukuthi bahlezi noma balele phansi, isimo sabo se-hydration, kungakhathaliseki ukuthi balala yini noma ezinye izici eziningana.
Esikhathini esiningi, noma kunjalo, akukho izinhlangano ezithile ezingaziwa.
Izimpande ziningi kakhulu, futhi zivame ukuqedwa, lapho izinga lokushaya kwenhliziyo ngesikhathi se-atrial fibrillation linciphisa imithi-umgomo ongase ufezeke kalula.
Izimpawu Ezibangelwa Ukulahlekelwa Kokuhlukana Kwe-Atrial Okuphumelelayo
Okunye okuvame ukubhebhetheka kwe-atrial kuncishiswe ukunciphisa ukuvivinya umzimba, ukukhathala, ukuphefumula, ngisho nokukhanya okungapheli cishe noma yiliphi izinga lokuzikhandla.
Lezi zimpawu ngokuvamile zihlobene nokulahlekelwa ukusebenza komzimba okwenzeka lapho amakamelo ase-atrial engasakwazi ukushaya ngempumelelo.
Lapho ukuvinjelwa kwe-atrial kulahlekile, inani legazi ama-ventricles akwazi ukukhipha ngenhliziyo ngayinye ingancipha. Lokhu kukhishwa komzimba okulinganiselwe kunciphisa ukubekezela kokuzivocavoca. Ngaphezu kwalokho, lapho amakamelo ase-atrial ayeka ukushaya ngokuphumelelayo igazi livame "ukubuyela emuva" emaphashini, okwenza ukuphefumula. Ezikhathini eziningi iziguli ezinokusebenza kahle komzimba we-fibrification fibrillation zingase zanele ngokwanele ekuphumuleni, kepha ngenkathi zisebenza, lapho inhliziyo ishukunyiselwa ukusebenza kanzima, izimpawu zingase zibe nzima kakhulu.
Izimpawu ezibangelwa ukulahlekelwa kwemithwalo ye-atrial esebenza kahle zivame ukuba nzima nakakhulu kubantu, ngaphandle kwe-fibrillation ye-atrial, izimo zenhliziyo lapho ama-ventricles "anzima khona." Ama-ventricles agxilile avame ukuxhomeke kakhulu ekuqandeni okukhulu kwegazi ukuze ugcwalise ngokuphelele. Uma iziphazamiso ze-atrial zilahlekile kulezi ziguli, ukusebenza kahle komzimba kungancipha kakhulu.
Izimo ezivame ukhiqiza izakhi ezinzima zihlanganisa i- hypertrophic cardiomyopathy , ukungasebenzi kwe-diastolic , i- aortic stenosis , ngisho nokucindezeleka okungapheli.
Kulezi ziguli, ukuqala kwe-fibrillation ye-atrial ngokuvamile kuveza izimpawu ezimbi kakhulu.
U-Angina: Kubantu abanesifo somzimba we-coronary artery , izinga lokushaya kwenhliziyo elisheshe libonwe nge-fibrillation ye-atrial kungabangela i- angina (ukunganaki kwesifuba).
Ukuhluleka kwenhliziyo: Kulezi ziguli ezinesifo senhliziyo , ukunciphisa okungeziwe ekusebenzeni kwenhliziyo okulethwe yi-fibrillation ye-atrial kungase kube nzima kakhulu-ikakhulukazi, ukuphefumula, ubuthakathaka nokuvuvukala emilenzeni.
Ngokuvamile, i-fibrillation ye-atrial ingabangela ukwehluleka kwenhliziyo konke ngokwayo. Noma iyiphi i-arrhythmia ekwazi ukwenza inhliziyo ishaye ngokushesha kakhulu amasonto ambalwa noma izinyanga ingabangela ukuba imisipha yenhliziyo ibuthakathaka, futhi ingabangela ukuhluleka kwenhliziyo.
Ngenhlanhla, lesi simo, esibizwa ngokuthi "ukwehluleka kwenhliziyo ekhishwa yi-tachycardia," kungumphumela ongavamile we-fibrillation ye-atrial.
I-syncope: i- Syncope , noma isiqephu sokulahlekelwa kwesazi, akuvamile ku-fibrillation ye-atrial. Uma i-syncope iyenzeka, kuyisici esinamandla ukuthi isiguli singase sibe nesifo se-sinus, noma isifo se-sinus syndrome (SSS) .
I-SSS yinkinga ejwayelekile yomshini kagesi wenhliziyo, ebonakaliswa ngesilinganiso senhliziyo esincane kakhulu (okuthiwa yi-bradycardia) ukuthi sikhiqiza izimpawu zobukhulu nokuqina.
I-fibrillation ye-atrial ivame kakhulu kwiziguli ezine-SSS. Ngandlela-thile, i-fibrillation ye-atrial "ivikela" iziguli ezine-SSS, ngoba ngokuvamile ziholela ngesilinganiso senhliziyo esheshayo ngokwanele ukugwema izimpawu ze-bradycardia. Kodwa-ke, uma i-fibrillation ye-atrial ingukuthi i-paroxysmal (njengoba ivame ukuyilapho), uma ivama ngokuvamile kuphuza isikhathi eside ngaphambi kokuba i-sinus node igula iphinde iphinde iphinde ibuye. Lekhefu elide ngaphambi kokushaya kwenhliziyo yilokho okwenza i-syncope.
Ukwelapha i-SSS kudinga ukusebenzisa i- pacemaker ehlala njalo . Uma i-fibrillation ye-atrial ikhona, ngakho-ke ukugwema ukubangela izinkinga eziningi ne-bradycardia i-pacemaker ivame ukufakwa ngaphambi kokuba kwenziwe imizamo yokwelapha i-fibrillation ye-atrial.
Ngaphandle kokuthi i-SSS ikhona, i-syncope ayikho neze inkinga nge-fibrillation ye-atrial.
Ukushaywa yisisu : Okungavamile kakhulu-futhi imiphumela esabekayo kakhulu ye-fibrillation ye-atrial iyingozi. Ingozi eyengeziwe yokushaywa yisifo yisisusa sangempela sokuthi kubalulekile ngaso sonke isikhathi ukucabangela ngokucophelela ukwelashwa okuphelele kwe-fibrification ye-atrial-ngisho nalapho kwenzeka khona ukubhebhetheka kwe-atrial futhi kubonakala kungabangeli izinkinga ezithile.
Ezinye iziguli ziyoba neziqephu eziphindaphindiwe ze-fibrillation ye-atrial ngaphandle kwanoma yiziphi izimpawu, kuze kube yilapho, ekugcineni, zihlushwa isifo. Kuphela emva kokushaya kwesifo kutholakala ukuthi bane-fibrillation ye-atrial.
Ubufakazi bamuva bubonisa ukuthi lezi "subclinical" frill fibrillation zivame kakhulu kunanoma ubani owaziwayo, futhi ukungaqapheli kwe-fibrillation ye-atrial kungase kubangele imbangela ebalulekile ye " crysttogenic stroke " -ukuthi, isifo esibuhlungu esingabonakali.
Izwi elivela
Kungenzeka ukuthi udokotela wakho uzokhuluma nawe ngezimpawu ezingenhla ngesikhathi uvakashele. Hlela ukuba ophelele ngangokunokwenzeka lapho wabelana ngomlando wakho wezokwelapha nodokotela wakho. Ukuphazamiseka, ukuphelelwa amandla okulula, ukuphefumula, ukuhlukumeza esifubeni, noma iziqephu zokuphefumula noma ukuphuma-lezi yizimpawu okufanele uzihlobanise nodokotela wakho, kanye nemininingwane yalokho okwaholela kulezi zimpawu.
I-akhawunti ephelele yalokho okuhlangenwe nakho kuyosiza udokotela wakho ukuhlonza kangcono isimo sakho bese ukhetha uhlelo lokunakekelwa okufanele. Imigomo emibili yokwelapha i-fibrillation ye-atrial ukuvimbela ukushaywa isisu nokulawula izimpawu ukuze uphile impilo evamile.
> Umthombo:
> January CT, Wann LS, Alpert JS, et al. Umhlahlandlela we-AHA / ACC / HRS wokuphatha iziguli ezine-fibrillation e-atrial: umbiko we-American College of Cardiology / American Heart Association Task Force emithethweni yokuziphatha kanye ne-Heart Rhythm Society. Ukujikeleza 2014; 130: e199.