Ukuphuza Utshwala Uma Unayo A-Fib
Ikakhulukazi phakathi nenkathi yeholide, noma emishadweni, iziqu, noma ezinye izikhathi zokugubha lapho utshwala khona, akuyona into engavamile ukuba abantu abasha abanempilo bahlakulele iziqephu ze -fibrillation ye-atrial . Ukuqala kwe-fibrillation ye-atrial emva kwemikhosi enjalo yisimo esivame ukubizwa ngokuthi "inhliziyo yeholide."
I-Fridayation ye-Atrial & Heart Heart
I-fibrillation ye-atrial iyinhlangano evamile ye-rhythm disturbance evame ukuveza izimpawu eziphawulekayo, ukuphelelwa amandla okulula nokulula.
Ukubaluleka okuyinhloko kwe-fibrillation ye-atrial, Nokho, ukuthi kungabangela ukushaywa yisifo . Ngokuqondile, i-fibrillation ye-atriyy is a arrhythmia esheshayo futhi engavamile yomzimba eyabangelwa izifiso zamandla kagesi ezikhungweni zenhliziyo (amacumbi amabili angaphezulu).
Ezimweni eziningi, i-fibrillation ye-atrial eyenzeka nge-holiday heart i-paroxysmal, okusho ukuthi i-arrhythmia iqala ngokuzumayo futhi, ngemva kwesikhathi esithile, iyeka ngokulinganayo ngokuzumayo. Abantu ababhekana nalesi simo bazoba nokuqala okusheshayo kwezimpawu. Bangase baqaphele:
- Isilinganiso senhliziyo esisheshayo, esingajwayelekile
- I-Dyspnea (ukuphefumula), ikakhulukazi nganoma yikuphi ukuzama
- Isizungu
Uma odokotela babo beqopha i- ECG ngenye yalezi ziqephu, bazobona ukuthi i-fibrillation ye-atrial iyimbangela yezimpawu.
Kubantu abaningi abahlakulela i-fibrillation ye-atrial ngokuvamile, i-arrhythmia ibangelwa isifo senhliziyo, ukuguga, umfutho wegazi ophakeme, ukukhuluphala ngokweqile, noma indlela yokuphila yangasese.
Kodwa-ke, kwabanye abantu abaningi abanalesi sigamu, asikho isizathu esibonakalayo. Kodwa, enhliziyweni yeholide ngokuqondile, i-fibrillation ye-atrial ibangelwa ukuphuza utshwala.
Ukusetshenziswa kotshwala
Siyazi ukuthi ukuphuza okungapheli, ukuphuza ngokweqile kuhlotshaniswa nengozi eyengeziwe yokuthuthukisa i-fibrillation ye-atrial.
Iphinde ihlotshaniswe nesimo senhliziyo ehlanjululwe kanye nokuhluleka kwenhliziyo .
Ngakho-ke, akukho mbuzo wokuthi ukuphuza ngokweqile, ukuphuza isikhathi eside kuyingozi enhliziyweni. Kodwa-ke, izifundo ziyehluleka ukuchaza ubuhlobo obuqondile obubangela imbangela phakathi kokusetshenziswa kotshwala kwesikhathi eside kanye nengozi eyengeziwe yokufibhaza kwe-atrial.
Ngakolunye uhlangothi, inhliziyo yeholide ayihlotshaniswa nanoma yiluphi uhlobo oludakayo lokuphuza utshwala. Esikhundleni salokho, kuhlotshaniswa nokuphuza ngokweqile-uhlobo oluthinta abantu phakathi namaholidi noma ngesikhathi sokugubha. Ngokuvamile ukuzitika ngokweqile kungukuthi "ukugoba," ngokweqile kakhulu utshwala kudla isikhathi esincane kakhulu futhi ukucubungula kwama-atrial okuhambisana nakho kuhambisane nazo zonke ezinye izimo ezimbi ezingathandeki ezivame ukuhambisana nalezi ziqephu.
Ezinye izinhlobo ze-overindulgences zivame ukuhambisana nalezi zinyosi, kuhlanganise nokudla ukudla okuningi okungalungile noma ukuthatha izidakamizwa. Yize lezi zici zingase zenze indima ekuthuthukiseni inhliziyo yeholide, okuwukuphela kwesici esivela kuso sonke isiphuzo. Eqinisweni, kulinganiselwa ukuthi amaphesenti angaba ngu-60 abantu abathwala ukuphuza ngokweqile ekugcineni bazoba neziqephu ze-fibrillation ye-atrial ngenxa yalokho.
Lezi zinhlobonhlobo zenhliziyo yeholide-lapho i-fibrillation ye-atrial kwenzeka ngemva kwesicaciso esicacile sokuphuza ngokweqile-kuyindlela ejwayelekile kakhulu yalesi simo. Odokotela bayazi kahle lezi ezihlukahlukene ezicacile futhi ngokuvamile abanenkinga ekwenzeni i-diagnosis efanele. Bayophinde bathole ilungelo lokwelashwa-okungukuthi, beluleke isiguli ukuba sigweme ukuphuza ngokweqile esikhathini esizayo.
Ifomu elithobekile kakhulu
Kubonakala sengathi kunesimo esiyinkimbinkimbi kakhulu senhliziyo yeholide, enye lapho kutholakala khona i-fibrillation ye-atrial, kodwa umlando wokuphuza ngokweqile akuyona. Kubonakala sengathi abanye abantu bamane bezwela kakhulu utshwala.
Kulaba bantu ngabanye, isilinganiso esilinganiselwe (ngokuvamile iziphuzo ezimbili noma ezintathu) futhi ngezinye izikhathi ngisho nesiphuzo esisodwa singabangela iziqephu ze-fibrillation ye-atrial.
Kuyathakazelisa ukuthi lolu hlobo olubi kakhulu lwezinsuku zeholide lungase luphelelwe ukuveza inkinga enkulu kunesiguli kunomusa ojwayelekile, onamandla kakhulu. Inkinga ukuthi lolu hlobo olucashile kakhulu lwe-friday-fibrillation olwenziwe utshwala lunganakwa kalula udokotela.
Uma ukuhlangana phakathi kwe-fridayymal fibrillation e-atrial kanye nokungenisa utshwala kungaphuthelwa (ngoba kakade akuzange kube khona ukungenisa utshwala okwedlulele futhi kungabikho ukubheja), udokotela angase aholele ukuncoma ukwelashwa okungapheliyo ukuze kusetshenziswe i-atrial fibrillation . Ukwelashwa okunjalo kungaba okungajabulisi noma okuyingozi. Eqinisweni, ukwelashwa okufanelekile kulaba bantu kuwukugwema ukuphuza utshwala.
Kumuntu oye waba nesiqephu senhliziyo yeholide ngemuva kokunciphisa utshwala encane, lokho kusho okuningi ukugwema noma yikuphi utshwala esikhathini esizayo. Leli fomu elinamandla lingase livame kakhulu kunalokho okwamanje liyaziwa. Ngakho-ke, abantu abaneziqephu ze-paroxysmal fibrillation ye-atrial kufanele bacabangele ngokucophelela izimo lapho lesi sigameko senzeke khona, ukubona ukuthi kubonakala sengathi kuhlobene nanoma iyiphi indlela yokuphuza utshwala.
Odokotela abaphatha iziguli ezine-paroxysmal fibrillation ye-atrial kumele baqiniseke ukuthi babuze mayelana nokuvezwa kancane kotshwala. Eqinisweni, odokotela kufanele bahlole nezinye izici zokuphila kwesiguli, ngoba i- atrial fibrillation isifo "sokuphila" kaningi kunokuba odokotela baqaphele. Ngokuzihlolisisa kahle, bangasindisa isiguli sabo ekunakekeleni okungalungile.
> Imithombo:
> UConstantini, O. noStambler, B. Indlela eya kuMgulane ngeFibrill Fibrillation. Ku: Ukuphathwa kwe-Cardiac Arrhythmias, i-Ganz LI no-Braunwald E. Eds. I-Humana Press, Totowa, NJ.
> Djoussé L, Levy D, uBenjamin EJ, et al. Ukusetshenziswa Kokudakwa Kosuku Olude kanye Nengozi YeFibrillation Yase-Atrial Esifundweni Se-Framingham. Am J Cardiol; 93: 710.
> Frost L, Vestergaard P. Utshwala kanye neRRsk yeFibrillation Atrial noma Flutter: Isifundo Seqoqo. I-Arch Intern Med; 164: 1993.
> Mukamal KJ, Psaty BM, uRautaharju PM, et al. Ukusetshenziswa Kokusetshenziswa Kokuphuza Utshwala Nokuguqulwa Kwefibrillation Yase-Atrial Kubantu Abadala: Isifundo Sempilo Yezinhliziyo. Am Heart J 2007; 153: 260.