Ukukhula ngokweqile manje kubhekwa njengengozi yezinkinga zezifo zenhliziyo , kuhlanganise nesifo se-coronary, ukuhluleka kwenhliziyo , kanye nokushaywa yisifo. Ucwaningo olusha lwezine luqinisekisile ubudlelwane obuqinile phakathi kokukhuluphala nenhliziyo engavamile ebizwa ngokuthi i-fibrillation ye-atrial.
Iyini Inhlanhla Ebandleni?
I-fibrillation e-atrial, eyaziwa nangokuthi i-AF noma "i-A-fib," iyisimo senhliziyo esingavamile esiyindlela ejwayelekile kakhulu ye-arrhythmia (igama lezokwelapha elisetshenziselwa noma iyiphi inkinga ngesigqi noma izinga lokushaya kwenhliziyo).
I-fibrillation ye-atrial yandisa ingozi yokushaya isifo .
Yini Eyandisa Ingozi Yokuthuthukisa I-Fibrillation Ebandleni?
Kunezici eziningana zobungozi eziye zatholakala ukuthi zandisa ingozi yokuthuthukisa i-fibrillation ye-atrial. Lokhu kufaka phakathi iminyaka yobudala, isifo senhliziyo esandulele (njengezifo ze-coronary noma i-cardiomyopathy), umfutho wegazi ophezulu , ukukhubazeka kwenhliziyo, i-hyperthyroidism, isifo sikashukela, isifo samaphaphu, ukuphuza kakhulu utshwala, nokukhuluphala. Kwamanye abantu, i-caffeine noma ukucindezeleka kwengqondo kungabangela i-A-fib.
Ukukhuluphala njengesisindo seengozini yeFibrillation ye-Atrial
Ucwaningo oluthe xaxa luye lwafakazela ukuthi ukukhuluphala kuyinkinga engozini yokuphefumula kwe-atrial, nokuthi ubungozi bubonakala bunyuke ngokwanda kwenani lomzimba (BMI).
Ucwaningo oluthile oluhlolisisile ukufundwa kwe-Women's Health Study, olubandakanya abesifazane abangaphezu kuka-34,000, bathola ukuthi ukukhuluphala kwakuyinkinga engozini yokuphefumula kwama-atrial okuqhubekayo (fibrillation ye-atrial engeke ihambe, kodwa ibe yinkinga ehlala njalo, engapheli).
Olunye isifundo, esekelwe ekufuneni kwe-Atherosclerosis Risk in Communities Study (ARIC), lithole ukuthi ukukhuluphala nokuzuza kwesisindo yizinto eziyingozi ekuthuthukiseni i-fibrillation ye-atrial emadodeni nakwabesifazane.
Ngaphandle kokucwaninga kwangaphambi kwesihloko, ukuhlaziywa kwe-meta ezine (ukuhlola leli gumbi nokuhlaziya idatha kusuka kwezinye izifundo eziningi eziningi esihlokweni esifanayo) manje sekuqinisekisile ukuthi ukukhuluphala kudla indima enkulu kokubili okwenzekayo kanye nobukhulu be-fibrillation ye-atrial .
Lezi zindlela zokuhlaziywa zihlanganisa ukulinganisa okulinganiselwe kwezilinganiso ezilawulwa ngu-51, futhi zathola ukuthi, ngokuphakama kwamaphuzu ama-5 ku-BMI, okwenzekayo (izigameko) ze-fibrillation ye-atrial kwenyuka ngo-10% kuya ku-29%.
Ukulahlekelwa Isisindo Nokusebenza Komzimba Kungasiza
Ezinye izifundo ziye zathola ukuthi ukulahlekelwa isisindo kunganciphisa umthwalo we-fibrillation ye-atrial, nokuthi lokhu kuthuthukiswa kuqhubeka uma nje ukulahlekelwa isisindo kugcinwa.
Ku-Initiative Health Initiative (WHI), okubandakanya abesifazane abangaphezu kuka-93 000 be-postmenopausal abalandelwa iminyaka engaba ngu-11.5, abaphenyi bathola ukuthi amazinga aphezulu okusebenza ngokomzimba ayenciphisa ingozi ye-fibrillation ye-atrial okungenzeka ibe khona ngenxa yokukhuluphala . Lokhu kutholakale ukuthi kuyiqiniso kubantu besifundo se-ARIC.
Uma ukhuluphele ngokweqile noma ukhuluphele ngokweqile, khuluma nodokotela wakho ngengozi yakho ye-fibrillation ye-atrial futhi yiziphi izinyathelo ongazithatha ukuze unciphise leyo ngozi.
Imithombo
I-Zoler ML. Ukuhlaziywa kwe-meta kuqinisa ukukhuluphala ngokweqile-isixhumanisi se-fibre inrial. Izindaba zezinhliziyo. Juni 2015.
I-National Heart, Lung, ne-Blood Institute. Hlola i-fibrillation ye-inrial. http://www.nhlbi.nih.gov/health/health-topics/topics/af/
Magnani JW, Hylek EM, i-Apovian CM. Ukukhuluphala kubangela ukufucula kwama-atrial: isifinyeto sesikhathi samanje. Ukujikeleza 2013; 128: 401-405.
Sandhu RK, Conen D, Tedrow UB, et al. Izici ezithintekayo ezihambisana nentuthuko yokuphikelela uma kuqhathaniswa ne-paroxysmal fibrillation ye-atrial. J Am Heart Assoc 2014; 3 (3).
Pathak RK, Middeldorp ME, uMeredith M, et al. Umphumela wesikhathi eside wokulawulwa kwesisindo esinqunyiwe emgomweni eqenjini le-fibrillation le-atrial: isifundo sokulandelela isikhathi eside (LEGACY). J Am Coll Cardiol 2015; 65: 2159-69.
Pathak RK, Mahajan R, Lau DH, Sanders P. Okushiwo ukukhuluphala kwendlela yokuziphatha ye-cardiac arrhythmia kanye nokuphathwa. Ingabe J Cardiol 2015; 31: 203-10.