Yini Ebangela Lesi simo?
I-fibrillation ye-atrial iyinhlangano ejwayelekile kakhulu ye- cardiac arrhythmia ; emhlabeni wonke, kungenye ye-arrhythmias evamile ukuthi odokotela babona emisebenzini yabo.
Ukusabalala kwe-fibrillation ye-atrial kuhlotshaniswa kakhulu nobudala. Ngesikhathi amaphesenti angaphansi kwe-1 abantu abadala abangaphansi kweminyaka engu-50 benesifo se-atrial fibrillation, amaphesenti angu-9 abantu abangu-80 noma ngaphezulu analo. Esicwaningweni esilandela cishe u-4000 Air Force abaqashiwe iminyaka engu-44, amaphesenti angu-7.5 athuthukiswe ekufubeni kwe-atrial njengoba bekhula.
Yini Ebangela Ukufiphala Kwemvelo?
I-fibrillation ye-atrial ibonakala ihlotshaniswa nezinguquko ezingenzeka ngaphakathi kwemisipha ye-atrial, ikakhulukazi ukuvuvukala, i-fibrosis, nokucindezela okwandayo emakamelweni ase-atrial. Lezi zinguquko zingaphazamisa indlela izicubu ze-atrial eziphatha ngayo amandla kagesi enhliziyo, futhi ukuphefumula kwe-atrial kungabangela.
Isimo esisodwa esikhiqiza lezi zinguquko eziphazamisayo emathangeni ase-atrial yi-fibrillation ye-atrial ngokwayo. Uma ukufabulisa kwe-atriyria kwenzeka, kungenzeka ukuthi ubuyele futhi-futhi kube nzima njengoba isikhathi sihamba. Ezinye izazi ziveza lokhu ngokuthi, "I-fibrillation ye-Atrial iqala ukufucula kwama-atrial." Lesi esinye isizathu sokuthi i-fibrillation ye-inrial icatshangwa ukuthi iyinkinga eqhubekayo, ngeziqephu kancane kancane ziba njalo futhi zihlala isikhathi eside njengoba isikhathi sidlula.
Izimo Zezinhliziyo Ezihambisana Ne-Fridaying Atrial
Cishe noma yisiphi isifo senhliziyo singakhuphula ukucindezeleka emathisheni e-atrial, okhiqiza izinhlobo zokuvuvukala kanye ne-fibrosis ehlobene nokufibhala kwe-atrial.
Izinkinga zenhliziyo okungenzeka zihambisane ne-fibrification ye-atrial yilezi:
- I-valvular isifo senhliziyo, ikakhulukazi isifo senhliziyo esisodwa
- Isifo se-coronary artery
- Ukuhluleka kwenhliziyo
- I-cardiomyopathy ye-Hypertrophic
- Isifo senhliziyo esibangelwa yi-Congenital
- Isifo se-sinus node (Sick Sinus Syndrome)
- Amanye ama-arrhythmias enhliziyo, ikakhulukazi ama -tachycardia ase-supravenricular (SVT)
- Isifo somfutho wegazi ophezulu
Izimo ezingezona-Cardiac ezihambisana ne-Atrial Fibrillation
Izimo eziningi zezokwelapha ezingekho komzimba nazo zandisa kakhulu ingozi yokuthuthukisa i-fibrillation ye-atrial. Lokhu kufaka:
- I-Pneumonia
- Isifo sikashukela
- I- apnea yokulala
- Isifo esiphelele sezinso
- Hyperthyroidism
- Ukuhlinzwa kwe-cardiac
Abantu abanoma yikuphi kwezimo zezokwelapha, kungakhathaliseki ukuthi benesifo senhliziyo noma abangenayo inhliziyo, banengozi eyengeziwe yokuthuthukisa i-fibrillation ye-atrial.
Ezinye izimbangela zeengozi zeFibrillation ye-Atrial
Izakhi zofuzo: Nakuba ukubonakala kwe-fibrillation ye-atrial kubonakala sengathi kuphakeme eminye imindeni, i-genetic contribution to this arrhythmia iyinkimbinkimbi kakhulu. Noma kunjalo, umlando we-fibrillation ye-atrial esihlotsheni esiseduze kakhulu ukwandisa ingozi yakho yokuthuthukisa le-arrhythmia.
Isisindo sokubeletha esiphakeme: Izinsana ezinesisindo sokuzalwa ezikhulayo zibonakala zinengozi ephakeme yokuphila kwe-fibrillation ye-atrial.
Utshwala: Nakuba ukuphuza ngokweqile akuvame ukubangela ukufiphaza ngokweqile, ukuphuza ngokweqile akuvamile. Esikhathini esiningi, i-fibrillation ye-atrial abaphuzayo ilandela ubusuku noma impelasonto yokuphuza ngokweqile, isimo esaziwa ngokuthi " inhliziyo yeholide ."
Ukungcola komoya : Okungenani okutadisha okulodwa okuzokwenza, ukuhlunga ukungcola komoya kuhlanganiswe nomngcipheko ophezulu we-fibrillation e-atrial.
Ukukhuluphala ngokweqile: Abantu abane-index ye-mass mass (BMI) engaphezu kuka-30 kg / m2-okungukuthi, labo abahlukaniswa njengokwelapha ngokweqile-banengozi enkulu kakhulu ye-fibrillation ye-atrial kunelabo abakwa-BMI abangaphansi kuka-25. Ukukhuluphala kuhlobene ukuphakama kwengcindezi ye-atrial ephakeme, kanye nokwanda kwamafutha e-pericardial (amafutha anikezwa ku-pericardium, okuyisigcawu sangaphandle senhliziyo). Zombili lezi zici zicatshangelwa ukuthi zifaka ekukhusheni okuhambisana nokukhuluphala-okuhambisana ne-fridaying fibrillation.
Ukuphila ngokwemvelo: Ucwaningo oluthile seluvele lwabonisa ukuthi ukuphila ngokweqile kakhulu kungabangela abantu ukuba babhekane ne-fibrification ye-atrial. Ngempela, izifundo ezimbili okungenani zibonise ukuthi, ngokukhululeka, abantu abahlala emadolobheni abanesifo se-atrial fibrillation, uhlelo olulinganiselwe lokuguqula indlela yokuphila oluthola ukulahlekelwa kwesisindo kanye nesimo somzimba esinciphile kakhulu, futhi ngezinye izikhathi ususwe, ingozi yokufabulisa i-atrial.
I-Caffeine: Naphezu kokuthi odokotela bavame ukutshela iziguli ezine-fibrillation ye-atrial (nezinye izi-arrhythmias) ukugwema i-caffeine, izifundo ziye zahluleka ukubonisa ukuthi i-caffeine, ngobuningi obuvame ukudla, inomthelela noma yikuphi kunoma iyiphi i-arrhythmias ye-cardiac.
Ukuvimbela I-Fibrillation Ye-Atrial
Ngenkathi odokotela abaningi bebheka ukucubungula kwe-atrial "njengenye yalezi zinto" -ukuthile okwenzeka kubantu abathile ngaphandle kwesizathu esithile-konke okudingeka ukwenze kubheka uhlu lwezinto ezingozi ezichazwe esigabeni sokugcina ukuze ubone ukuthi kukhona ngokuqinisekile izindlela zokunciphisa ingozi yokuba ne-fibrillation ye-atrial.
Futhi, njengoba kuvela, izinto eziningi ongayenza ukuze unciphise ingozi yakho ye-fibrillation ye-atrial yizinto ezifanayo okufanele uyenze noma kunjalo, ukunciphisa ingozi yakho ye-cardiovascular in general. Futhi uma uthatha izinyathelo zokugwema isifo somzimba we-coronary, ukwehluleka kwenhliziyo, nesifo senhliziyo ephezulu, uzobe usinciphisa ingozi yesifo sikashukela, i-apnea yokulala, ukukhuluphala, i-pulmonary embolus, nokuhlinzwa komzimba. Ukugwema zonke lezi zimo kuzoqeda ezinye zezinto ezinobungozi kunazo zonke zokuphefumula kwe-atrial.
Indlela Yokunciphisa Ingozi Yakho Yezifo Zezinhliziyo
Nazi izinto wonke umuntu okufanele ayenze ukuze anciphise ingozi yesifo senhliziyo-futhi ngenxa yalokho, i-fibrillation ye-atrial:
- Ungabhemi. Ukubhema ugwayi cishe kuyindlela enamandla kakhulu futhi enokwethenjelwa yokwandisa ingozi yesifo senhliziyo.
- Gcina isisindo sakho phansi.
- Yidla inhliziyo ukudla okunempilo. Nakuba ukudla okungcono kakhulu ukuvimbela isifo senhliziyo kuyisici sokuqhubeka nokuphikisana, ochwepheshe abaningi manje bayavuma ukuthi ukudla okuyisidlo saseMedithera kuhle kumzimba wezinhliziyo.
- Thola ukuzivocavoca okuningi. Indlela yokuphila yangasese iyingozi empilweni yakho ngezindlela eziningi. Manje singakwazi ukwengeza i-fibrillation ye-atrial ohlwini.
- Hlola ukucindezeleka kwegazi njalo, futhi uma uhlakulela umfutho wegazi ophezulu qinisekisa ukuthi uphathwa kahle.
- Qinisekisa ukuthi udokotela wakho uhlola amazinga akho e- cholesterol , futhi ucabanga ukuthi udinga ukuthatha isinyathelo ukuthuthukisa lawo mazinga.
- Uma uphuza utshwala, yenza lokho kuphela ngokulinganisela-futhi ungalokothi ugobe.
Akekho kulezi zeluleko okufanele zizwakale zingavamile. Uzwile ngakho impilo yakho yonke. Kungaba yini okusha ukuthi lesi seluleko sisebenza futhi ekuvimbeleni i-fibrillation ye-atrial.
Ezinye izinyathelo ezingasiza ekunciphiseni ingozi ye-fibrillation ye-atrial zihlanganisa ukugwema ngaphandle ngaphandle kwezinsuku zokungcola komoya okuphezulu, nokudla ukudla okuphezulu omega-3 fatty acids (njengezinhlanzi).
I-Fibrillation ye-Atrial: Isifo Sokuphila?
Odokotela sebevele sebeqaphela ukuthi izinga lokuphilisa i-atrial isifo sokuphila. Isiguli esivame ukubonwa udokotela nge-fibrillation ye-atrial kungenzeka ukuthi asikho isizathu esibonakalayo (okungukuthi, akukho isifo senhliziyo, isifo sikashukela, i-apnea yokulala noma yimuphi omunye imibandela evele ohlwini). Kodwa ngokuvamile zikhulile, zikhulu ngokweqile, futhi zihlala phansi. Kubonakala ngokucacile ukuthi ukugqithisa ngokweqile nokungazivocavoca kakhulu kuhlotshaniswa kakhulu ne-fibrillation ye-atrial.
Ngaphezu kwalokho, abacwaningi sebebonise ukuthi, ezigulini ezithwala kakhulu futhi ezihlala phansi, kungenzeka ukunciphisa ngisho nokuqeda imfucuza ye-atrial ngokusungula uhlelo oluqinile kakhulu lokushintsha ukuguqula umzimba nokuthuthukisa isimo somzimba. Lezi zindlela zokuphila ezenzelwe ukuthuthukiswa kwe-fibrification ye-atrial zihambisana nokuthuthukiswa okulinganiselwe enhliziyweni ngokwayo-ukunciphisa ama-deposit e-pericardial, kanye ne-atrial fibrosis nokuvuvukala. Lokhu kutholakala kubonisa ukuthi ukugula nokuhlala phansi kunomthelela oqondile emathisini e-atrial ngendlela eyenza ukufucula kwe-atrial ngokweqile-futhi ngokuqhubekayo, ukuthi le miphumela yezinhliziyo ingahle iguqulwe ngokulahlekelwa isisindo nokuzivocavoca.
Akekho kithi ongagwema ukukhula. Kodwa uma sisebenzela, mhlawumbe singagwema ukukhuluphala ngokweqile nokuhlala phansi. Yiqiniso lokhu akusho ukuthi ukulondoloza isisindo esinempilo nokuthola umzimba omningi kulula. Kwabaningi, abantu abaningi kunzima kakhulu, mhlawumbe into eyinkimbinkimbi abazoyenza.
> Imithombo:
> Abed HS, Wittert GA, Leong DP, et al. Umthelela wokunciphisa isisindo kanye nokulawulwa kwezinto ezinobungozi be-cardiometabolic phezu kwesimiso somthwalo nokucindezela kweziguli ezine-fibrillation ye-atrial: isivivinyo somtholampilo esihleliwe. I-JAMA 2013; 310: 2050.
> 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.
> Pathak RK, Middeldorp ME, Lau DH, et al. Ucwaningo lokunciphisa izinyathelo ezinobungozi bokucutshungulwa kwezinto ezibangelwa i-atrial fibrillation kanye nomphumela wokuphumela kokuphumula: isifundo se-ARREST-AF. J Am Coll Cardiol 2014; 64: 2222.