Uhlobo Oluvame kakhulu lwe-Cardiac Arrhythmia
Izingxube ze-atrial zangaphambi kwesikhathi, noma ama-PAC, "izinhliziyo" ezengeziwe ezivela ngaphakathi kwe-atria yenhliziyo. Ama-PAC yizona ezihlukahlukene kakhulu ezivamile ze- arrhythmia yenhliziyo . Eqinisweni, ama-PAC ajwayelekile kangangokuthi abantu abaningi bazoba nazo ngezikhathi ezithile.
I-Normal Heart Rhythm
Isigqi senhliziyo evamile silawulwa isakhiwo esincane okuthiwa i-sinus node, eseduze nendawo ephezulu ye-atrium yenhliziyo.
I-node ye-sinus idala isignali kagesi eqala ukushaya kwenhliziyo futhi ilawula izinga lenhliziyo.
Ngokuvamile, i-node ye-sinus "ikhulula" le migomo kagesi phakathi kwama-50 no-90 ngomzuzu ngomzuzu. Uma isigqi senhliziyo yomuntu silawulwa yi-node ye-sinus kule ndlela evamile, odokotela bavame ukuyibiza ngokuthi "ishythm ejwayelekile yesimiso."
Yini eyenza ama-PAC?
Ama-PAC asekuqaleni (okungukuthi, ngaphambi kwesikhathi) izimpembelelo zikagesi ezikhiqizwa ngaphakathi kwe-atria yenhliziyo, kodwa hhayi kwi-node yesusus. Ama-PAC aphazamisa okwesikhashana isigqi sesine esivamile ngokufaka inhliziyo "eyengeziwe". Ngenxa yokuthi i-PAC ingakwazi "ukusetha kabusha" i-node yesusus, ngokuvamile ikhefu elifushane ngaphambi kwenhliziyo evamile evamile. Ngakho ama-PAC avame ukubonwa ngokuthi "ukweqa" enhliziyweni.
Uma utshelwe ukuthi unama-PAC, ungaqiniseka ukuthi uningi. Cishe wonke umuntu unabo.
Kwesinye isifundo sabantu abadala abangaphezu kuka-1700 abanempilo, 99% babene-PAC eyodwa emahora angu-24 wokuqapha inhliziyo.
Kubaluleke kangakanani ama-PAC?
Ama-PAC ngokuvamile anenani elibalulekile kakhulu kwezokwelapha, futhi libhekwa (ngokufanele) odokotela abaningi njengendlela ehlukile "evamile."
Kodwa-ke, eminyakeni yamuva, odokotela baye bafunda ukuthi ama-PAC angabalulekile kubantu abaneziqephu ze -fibrillation ye-atrial .
Kwamanye abantu abane-fibrillation ye-atrial, ama-PAC acatshangwa ukuthi aqalise iziqephu ze-arrhythmia. Ngenxa yalesi sizathu, ezinye izinqubo zokuqeda ukusetshenziswa ezisetshenziselwa ukwelapha i-fibrillation ye-atrial zihloswe ekuqedeni i-PACs.
Kodwa-ke, kuhlale kuyiqiniso ukuthi kuningi labantu abanalo, ama-PAC awanalo ukuvezwa kwezokwelapha ezaziwayo futhi angafaka ingozi eyaziwayo.
Izimpawu Nge-PACs
Ngenhlanhla (ngokucabangela ukuthi ijwayelekile), kubantu abaningi abantu aba-PAC ababangeli noma yiziphi izimpawu.
Noma kunjalo, abanye abantu bazokwazi ukuthola izikhalazo , lapho bevame ukuchaza ukuzwa "ukweqa", noma ukushaya kwenhliziyo eqondile. Ukuthola ama-palpitations nama-PAC cishe ngemva kokuphuza utshwala, ugwayi, i-caffeine, noma imithi equkethe ukuvuselela.
Ukuphatha ama-PAC
Ngaphandle kokuthi ama-PAC omuntu acatshangwa ukuthi adala iziqephu ze-fibrillation ye-atrial, cishe cishe "akudingeki" ukuwaphatha.
Kodwa-ke, ngezikhathi ezithile umuntu uzothola amapulpitations angenakugwenywa kusukela kuma-PAC awo, futhi ukwelashwa kuzoba okufiselekayo. Indlela engcono kakhulu yokwelapha i-PAC ukugwema izinto (utshwala, i-caffeine, ugwayi, njll) obonakala sengathi yenza izimpawu zibe zimbi nakakhulu.
Ngokuvamile, ama-PAC ayaphazamisa ukuphila komuntu ukuthi kungase kudingeke ukuzama ukuwavimbela.
Abavimbela i-Beta bangasiza ukunciphisa izimpawu ze-PAC kwabanye abantu, futhi ngokuvamile banconywa njengesinyathelo sokuqala lapho ukwelashwa kuthathwa njengadingekile. Izidakamizwa zokulwa ne-antiarrhythm zingase zisebenze ekunciphiseni ama-PAC, kepha lezi zidakamizwa zivuthiwe futhi azikhuthazwa kuma-PAC ngaphandle uma zidala izimpawu ezinzima futhi ezingenakubekezelelwa.
Ukuqeda izindawo ze-atria ezikhiqiza i-PAC manje sekufezeka, kepha le ndlela yokwelapha iyingozi futhi ibeka ingozi yezinkinga ezinkulu.
I-Ablating PACs ihlale igcinwe kulabo abagulayo ama-PACs abangela ukuhlelwa kwe-arrhythmiya engathà sina, njenge-fibrillation ye-atrial.
Izwi elivela
Ama-PAC ajwayelekile kakhulu, futhi cishe ahlale ehle kakhulu - ngakho-ke ngaphandle uma kukhona isizathu esihle kakhulu sokwenza okunye, ukwelashwa okuwukuhlakanipha kakhulu ukuwashiya wedwa.
Ngakho-ke uma unama-PAC akhiqiza izidakamizwa, uzodinga ukuba nenkulumo ende nodokotela wakho ngaphambi kokuba uvumelane nanoma yikuphi ukwelashwa okunamandla kunezinguquko zendlela yokuphila.
> Imithombo:
> Brooks AG, Rangnekar G, Ganesan AN, et al. Izici zezinkinga ze-Ectopic ezihambisana ne-Paroxysmal ne-Persistent Fibrillation e-Atrial: Ubufakazi bendima eguqukayo. I-Heart Rhythm 2012; 9: 1367.
> Chong BH, Pong V, Lam KF, et al. Izinkimbinkimbi Zase-Atrial Zangaphambi Kokuqagela Ukubikezela Isikhathi Esisha se-Fibrillation Yase-Atrial Nezimo Ezimbi Ze-Cardiovascular. I-Europace 2012; 14: 942.
> Conen D, Adam M, Roche F, et al. Izingqinamba ze-Atrial zangasese ku-General Population: Izivameko kanye Nezici Zengozi. Ukujikeleza ngo-2012; 126: 2302.