Sekuyisikhathi eside sazi ukuthi ukubhebhetheka kwe-atrial kungabangelwa izinkinga eziningi zezokwelapha, kuhlanganise nesifo senhliziyo (njenge- coronary artery disease , i- mitral regurgitation , ne- pericarditis ), isifo se-thyroid , i- hypertension , i- apnea yokulala , izinkinga ezihlukahlukene zamaphaphu, njenge- pneumonia noma ukumbumbana kwamapulmoni , futhi (kwabanye abantu) ukuphuza utshwala. Noma kunjalo, kuningi labantu abane-fibrillation ye-atrial, akukho isizathu esithile esiye sabonakala.
Odokotela baye baxoxela laba bantu ukuthi "idiopathic" i-fibrillation ye-atrial, okusho ukuthi, ayikho isizathu esicacile sayo; kungomunye walabo bomi be-curveballs ophonsa kuwe.
Kodwa ucwaningo lwamuva luye lwaveza ukuthi kunesisusa esiyinhloko kubantu abaningi abanokukhetha kokuphila okungekho emfashini, ikakhulukazi, ukukhuluphala ngokweqile nokuhlala phansi.
I-Lifestyle ne-Atrial Fibrillation
Siyazi isikhathi eside ukuthi kukhona ubudlelwane obuphakathi kokuqhathanisa ngokweqile nokuphuma kobunjwa, nokuba ne-fibrillation ye-atrial. Kodwa eminyakeni embalwa edlule sekuye kwacaca ukuthi kungaphezu nje kobudlelwane-kungukuthi ubuhlobo obangela imbangela.
Abacwaningi e-Adelaide, e-Australia bachithe iminyaka becwaninga lo mbuzo. Esikhathini uchungechunge lwezifundo baye babonisa ukuthi indlela yokuphila engenampilo inegalelo elijulile ekamelweni le-atrial yenhliziyo . Ngokuyinhloko, ukweqa ngokweqile kwamangqamuzana e-fat nxazonke zenhliziyo (amafutha e-pericardial) akhiqiza izinguquko kumaseli ase-atrial, ukucindezela odongeni okwandisa, ukuvuvukala, amaphethini we-neural, nokwandisa i-atrial fibrosis.
Zonke lezi zinguquko zithuthukisa i-fibrillation ye-atrial.
Ngaphezu kwalokho, laba cwaningi baye baboniswa ngezifundo ezimbili ezihlukene, ukuthi ngeziguli ezine-fibrillation ye-atrial, uhlelo oluhlukumeza ukuguqula indlela yokuphila luyancipha kakhulu-futhi lungase luqede-lokhu kuvinjelwe futhi kuyingozi.
Esivivinyweni se-LEGACY, abacwaningi babhalisa iziguli ezingama-335 ezine-fibrillation e-atrial eyayinamandla kakhulu (i-BMI engaphezu kuka-27) ohlelweni olujulile lokuphila lokulinganisela, ngenhloso yokulahleka kwesilinganiso se-10%.
Ngemuva konyaka owodwa, labo abalahlekelwe ngamaphesenti angu-10 esisindo sabo sokuqala babe nokunciphisa okukhulu kwezimpawu ze-fibrillation ye-atrial futhi babe nethuba izikhathi eziyisithupha zokuqedwa ngokuphelele kwe-arrhythmia, kuneziguli ezingazange zinciphise isisindo.
Esivivinyweni se-ARREST-AF, ukuguqulwa okufanayo kokuphila kwasetshenziselwa iziguli ezine-fibrillation e-atrial eyayinezokwelapha ezithathelanayo. Lolu cwaningo lubonise ukuthi imiphumela ye-ablation yayingcono nakakhulu kumaguli aphumelele ukulahlekelwa isisindo. Ngakho-ke, izinguquko zendlela yokuphila zibalulekile ngisho noma izindlela zokwelashwa "zendabuko" ze-friction fibrillation zisetshenziswa.
Ngaphezu kwalokho, lezi zifundo ziqinisekisile ukuthi, ezigulini ezine-fibrillation ye-atrial, ukulahlekelwa kwesisindo kwakha izinguquko ezinhle esimweni sangempela kanye nomsebenzi we-atria yabo, kuchaza ukuthi kungani izindlela zokuphila zisebenza.
Okubalulekile
Isiguli esivame ukubizwa ngokuthi "idiopathic" i-fibrillation ye-atrial isidala, ngokweqile, nokuhlala phansi. Manje sisazi ukuthi isisindo esiningi ngokweqile nokuntuleka kokuzivocavoca kuvame ukuba imbangela ebalulekile ye-arrhythmia, futhi ngokuqhubekayo, lokho kuguqulwa kokuphila okunomthethelo kunganciphisa kakhulu-ngisho nokuqeda-ukukhwabanisa kwabo kwe-atrial.
Ngenxa yokuthi ukwelashwa kwe-atrial fibrillation-kungakhathaliseki ukuthi sikhuluma ngezidakamizwa noma ukuphumula-kunzima futhi kuphumelele ngokulinganayo, lolu lwazi olusha kufanele lufakwe kunoma yiluphi uhlelo lwezokwelapha kunoma yisiphi isiguli esine-arrhythmia, futhi ehambisana nendlela yokuphila.
Ngeshwa, ukuphathwa ngendlela enonya yokuphila-kuyilapho kuphephile futhi kusebenza-kunzima iziguli kanye nesikhathi esidla odokotela babo. Futhi njengoba odokotela bekhokhwa ukwenza futhi hhayi ukukhuluma, imali yabo yokuthola imali iyobe isithinte uma kufanele bathembele kakhulu endleleni yokwelapha. Ngakho kungase kube yisikhathi ngaphambi kokuba odokotela baqiniseke ukuthi bayamukele le ndlela futhi iziguli ziyakuzama ukuzama.
> Imithombo:
> Abed HS, uSamuel CS, Lau DH, et al. Ukukhuluphala kunomphumela wokulungiswa kwe-atrial okuqhubekayo nokulungiswa kagesi: Imiphumela ye-fibrillation ye-atrial. I-Heart Rhythm . 2013; 10: 90-100.
> Pathak R, et al. Umphumela wesikhathi eside womgomo wokuqondiswa kwesisindo oqondiswe kwisisindo se-friday frillment: Ucwaningo olulandelayo lokulandela (LEGACY Study). J Am Coll Cardiol . 2015; I-DOI: 101016 / jacc.2015.03.002.
> Pathak RK, Middeldorp ME, Lau DH, et al. Ucwaningo lokunciphisa izinkinga ezikhungethe izinyathelo zokunciphisa i-atrial kanye nemiphumela yomphumela we-ablation: Ucwaningo lwe-ARREST-AF. J Am Coll Cardiol . 2014; 64: 2222-2231.