Akuwona wonke ama -fibrillation e-inrial afanayo. Ngakho-ke, ngomzamo wokuhlela ukucabanga kwabo, odokotela eminyakeni edlule baye bahlela izinhlelo ezahlukene zokuhlukanisa ukuchaza "izinhlobo" ezihlukahlukene ze-fibrillation ye-atrial. Ngenxa yalokho, odokotela abasebenzisa amagama asetshenziselwa ukukhuluma nge-fibrillation ye-atrial sekuye kwaphazamiseka kakhulu.
Kodwa-ke, ngo-2014, uhlelo lokuhlukanisa uhlelo lwasungulwa yi-American Heart Association, i-American College of Cardiology, ne-Heart Rhythm Society manje okufanele ifake bonke abantu abadala.
Lolu hlelo lokuhlukanisa luyaqaphela ukuthi ukufabulisa kwe-atriyri ngokuvamile kuvame ukuqhubeka. Ekuqaleni, i-arrhythmia ivame ukuvela ngeziqephu eziphakathi futhi ezifushane. Njengoba isikhathi sihamba, lezi ziqephu zivame ukuba zivame futhi zihlale zihlala njalo. Ezigulini eziningi, ukufucula kwe-atrial ekugcineni kugxilisa isigqi senhliziyo evamile futhi sihlala unomphela.
"Uhlobo" lwe-fibrillation e-atrial umuntu analo angasiza udokotela enze izincomo mayelana nendlela efanele yokwelapha. Ngokuqhubekayo isiguli sesiguli siye sathuthuka ekubhebhethekiseni kwama-atrium okuhlala unomphela, isibonelo, kungenzeka ukuthi isigqi senhliziyo evamile singabuyiselwa futhi sigcinwe.
Isistimu Yokuhlukaniswa Kwezinhlanzi Zase-Atrial
Nasi isimiso esimisiwe samanje sokuhlukanisa i-fibrillation ye-atrial.
I-Paroxysmal Fibrillation ye-Atrial: I- fibrillation ye-Atrial kuthiwa yi-paroxysmal (igama elidokotela "eliphakathi") uma kwenzeka ezinkampanini ezidlula ngaphansi kwezinsuku eziyisikhombisa esikhathini eside.
Ezimweni eziningi, i-paroxysmal fibrillation ye-atrial ingase ihlale imizuzu embalwa kuphela. Iziqephu ze-paroxysmal fibrillation ye-atrial zingasetshenziswa njalo, noma zingavamile.
Ezinye iziguli ezine-paroxysmal fibrillation ye-atrial zizoba neziqephu ezimfushane ezingabonakali izimpawu futhi "ziyi-subclinical" ngokuphelele. Lokhu kusho ukuthi isiguli noma udokotela wabo akayazi ukuthi iziqephu ze-fibrillation ye-atrial ziyatholakala.
Kulezi zimo, i-arrhythmia ivame ukutholakala ngokungalindelekile ngesikhathi sokuqapha inhliziyo. Ukucubungula kwe-atrial subrial kubalulekile ngoba, njengamacala amabi kakhulu we-fibrillation e-atrial, kungaholela ekushayweni.
I-Fibrillation eqhubekayo ye-Atrial: Kulesi sigaba sesibili, ukufabulisa kwe-atrial kwenzeka ezinqabeni ezingasebenzi ekupheleni kwezinsuku eziyisikhombisa. Ukuze ubuyisele isigqi senhliziyo evamile, ukungenelela kwezokwelapha kuvame ukudingeka. Iziguli ezineziqephu ezilodwa noma ngaphezulu ze-fibrillation e-atrial ezingapheli zingase zinezinye iziqephu ze-paroxysmal fibrillation ye-atrial, kodwa manje zihlukaniswe ngokuthi zikhona "ukuphikelela" okujwayelekile.
I-Long-Stand Fist Fibrillation Eqhubekayo E-Atrial: Kulezi ziguli, isiqephu se-fibrillation e-atrial siyayaziwa ukuthi senze isikhathi esingaphezu kwezinyanga ezingu-12. Kuzo zonke izinhloso ezingokoqobo, i-fibrillation ye-atrial isuke ibe yinto entsha, "isisekelo" se-cardiac arrhythmia kulezi ziguli.
I-Fibrillation Yomhlaba Wase-Atrial: Umehluko kuphela phakathi "kokuqhubekayo okuqhubekayo" kanye nokuthi "okuhlala njalo" ekufubeni kwe-atriyria yilezi, ukuthi, nge-fibrillation engapheli e-atrial, udokotela nesiguli baye bavuma ukushiya imizamo eminye yokubuyisela isigqi senhliziyo evamile futhi baqhubekela phambili isu elihlukile lokuphatha .
Bamemezele ukuthi i-fibrillation ye-atrial ingapheli.
I-Valvular ne-Non-Valvular Fibrillation ye-Atrial
Uhlu oluhlukile lwe-fibrillation e-atrial okuyinto ozoyizwa ngalo ngokuvamile i-valvular fibrillation ye-atrial ngokubhekiselele ekungafini kwe-valvular fibrillation ye-inrial; okungukuthi, noma ngabe i-fibrillation ye-atrial ihlotshaniswa nesifo senhliziyo se-valvular, njenge- mitral yokuphindaphinda .
Ngokwezinhloso ezingokoqobo, lokhu kuhlukaniswa kuthathwa kuphela lapho kunquma ukuphathwa kwe-anticoagulation ukuvimbela isifo. Ngokuyinhloko, iziguli ezine-valvular fibrillation ye-atrial zihlale zidinga i-anticoagulation; iziguli ezingenayo i-valvular fibrillation ye-atrial kungenzeka.
Izwi elivela
Inzuzo eyinhloko yalesi simiso sokuhlukanisa ukuthi iwuphawu lwesimiso, ukuze kuthi uma odokotela bexoxa omunye nge-fibrillation ye-atrial, konke kusho into efanayo. Kukusiza nawe, ukuqonda isimo sakho.
Ngaphezu kwalokho, kunika odokotela umbono othile mayelana nokuthi izinga lokubhebhetheka kwesifo sengculaza liye lakhula kangakanani ekubeni yisigqi senhliziyo esihlala njalo, ngakho-ke, kungenzeka ukuthi isu elihloswe ukubuyisela isigqi esivamile singasebenza. Ekugcineni, kuzokusiza wena nodokotela wakho wenze isinqumo sokwelapha okungcono kuwe .
> Umthombo:
> 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.