Uma utholakale ukuthi une-fibrillation ye-atrial ungase uzizwe ukhululekile manje. Cishe uye waziswa ngolwazi, okunye okuzwakalayo okwethusa kancane, kanye nokukhetha ukwelashwa okuzo zonke izandi ezingathandeki. Udokotela wakho angase akukhuthaze ukuba wenze izinqumo ozizwa uzilungele ukwenza. Futhi uma i-arrhythmia yakho ingakalawulwa okwamanje, ungase ube nomuzwa wokuthi uhlelekile futhi ungaphansi kwesimo esihle sokwenza izinqumo ezibalulekile.
Ngakho ake sithathe isinyathelo emuva futhi sibeke izinto ngendlela efanele.
Ukuqonda Ukuxilongwa Kwakho
I-fibrillation ye-atrial iyindlela ejwayelekile kakhulu, futhi abantu abaningi abanalesi sigamu bahola ukuphila okuvamile. Uma uhamba ngokuthenga ukudla ngoMgqibelo omatasa, ungazi ukuthi cishe uzothola abantu abayishumi nambili abanesifo se-atrial fibrillation. Uma ubukela ithimba lakho lebhola lezinyawo lezintandokazi ngeSonto ntambama amakhulu noma ngisho nezinkulungwane zalabo abajabulayo abalandeli bane-fibrillation ye-atrial. Wena, futhi, maduzane uzobuyela emuva ekugezeni okujwayelekile kokuphila.
Yiluhlelo.
Ngokuqondile, lolu hlelo luphindwe kabili: Okokuqala, ukuqinisekisa ukuthi iziphi izimpawu onayo nge-fibrillation ye-atrial ziqedwa noma zincishiswe ukuze ubuyele ekuphileni okuvamile. Okwesibili, ukunciphisa ingozi yokuba nesifo sohlangothi. Zombili lezi zinhloso zifinyeleleke ngokuphelele. Akufanele nje uqinisekise ukuthi bobabili bazuze, kufanele ulindele futhi uhlele kuso.
Ukuze ufike lapho, kuzodingeka ukuthi wenze izinqumo ezithile ezibalulekile , futhi kuzodingeka uqale ezinye izindlela zokwelashwa. Mhlawumbe kuzodingeka uqale ukuthatha imithi emisha, noma mhlawumbe ambalwa kubo. Kungadingeka ube nenqubo yezokwelapha noma ezimbili. Kungadingeka wenze izinguquko ezithile zokuphila ngenxa yempilo yakho.
Kodwa uzokwedlula lesi sikhathi sesinqumo esikhathini esincane kakhulu - izinyanga ezimbalwa, amasonto ambalwa, noma ngisho nezinsuku ezimbalwa.
Ngakho ukubhekana ne-fibrillation ye-atrial kuyindaba engathà sina futhi kuyodinga umzamo obalulekile ohlangothini lwakho. Kodwa maduze, uzobuya ukuze uphile impilo yakho evamile.
Indlela Yokufinyelela Izinqumo Zakho
Uyazi ukuthi unezinqumo ezithile zokwenza: Yimuphi ukwelashwa okufanele usebenzise ukuze unciphise ingozi yokushaywa yisifo? Ingabe kufanele ukhethe indlela yokulawula izinga, noma indlela yokulawula isigqi, nokuthi yikuphi okukhethwa kukho ukwelashwa ngaphakathi ngayinye yalezi zindlela okungcono kakhulu kuwe?
Izinqumo "ezilungile" zizoxhomeka ezinkambisweni zakho, ukuthambekela kwakho, isipiliyoni sakho sokuphila, okulindelweyo, nezinye izinto kuphela ongaziletha etafuleni. Zizobuye zithembele esimeni sezempilo yakho, umlando wakho wezokwelapha, nezinye izinto, ngezinye izikhathi ezicashile, izicabangela zezokwelapha okuzodingeka uzithembele kudokotela wakho. Ngamanye amazwi, indlela "efanele" yokwelapha i-fibrillation yakho ye-atrial akufanele ilandelwe kuphela nguwe noma udokotela wakho-kufanele kube yisinqumo esabiwe.
Ukuthola uDokotela Ofanele
Uma ususwe isisu sobuchopho , ukuthola udokotela ohlinzayo ngendlela enhle kakhulu yokulala kombhede kungumnandi nje.
Okufunayo ngempela udokotela ohlinzayo ongathola isidumbu ngaphandle, noma ngabe imbongolo. Akusilo iqiniso nge-fibrillation ye-atrial.
Udinga udokotela owenza lokho (ngokungezelela ukuqonda ngempela ukuphefumula kwe-atrial) ucatshangelwa, uzwela futhi uxhumana kahle . Lokhu kungenxa yokuthi bobabili, nonke, nidinga ukunquma ngezinqubo zokwelashwa ezifanele. Uma ungakwazi ukuxhumana, awukwazi ukubambisana ngendlela oyodinga ngayo.
Uma lokhu kungachazi udokotela wakho, khona-ke udinga ukuthola enye.
Uhlobo Luni LukaDokotela Ngiludinga?
Yiliphi izinga lobuchwepheshe okufanele udokotela wakho abe nalo? Uma ucabanga ukuthi unesithakazelo ekucabangeni indlela yokulawula isigqi, kufanele ubone isazi somculo wenhliziyo-i-electrophysiologist yomzimba.
Laba odokotela abakwazi ukulawula zonke izinketho zokwelapha nokubheja izingozi nezinzuzo zezidakamizwa ezihlukahlukene zokulwa, izinqubo, namadivaysi angase asebenze ekubuyiseleni nokugcina isigqi senhliziyo evamile.
Akudingeki ukuthi uqale nge-electrophysiologist, noma kunjalo. I- cardiologist ejwayelekile kanye nomchwepheshe omuhle wezokwelapha wangaphakathi (i-internist) kufanele akwazi ukukuqondisa ngengxoxo yezinketho ezinkulu kanye nokusiza ukunquma indlela yokwelashwa. Kufanele futhi bakwazi ukusingatha ukwelashwa kwe-anticoagulant, ukuphatha ukwelashwa okudingekayo ukulawula isilinganiso se-fibrillation yakho ye-atrial futhi wenze ukuphefumula uma kudingeka. Kulezi ziguli eziningi ezine-fibrillation e-atrial, yilokho okudingekayo.
Kodwa uma ucabangela indlela yokulawula isigqi sonke, okungenzeka ukuthi ihlanganise izidakamizwa ezingapheliyo kanye / noma ukuphumula, udinga ukudluliselwa ku-electrophysiologist.
Ukuvakasha Kwakho Udokotela
I-fibrillation yakho ye-atrial ingadinga ukwelashwa okusheshayo lapho kuqala ukutholwa . Lokhu kuhle kakhulu, futhi kubalulekile nakakhulu ezimweni eziningi. Uma i-fibrillation ye-atrial iyashesha kakhulu, noma iveza izimpawu eziphawulekayo, noma ibangela izinkinga zenhliziyo, izinyathelo ezisheshayo zizodingeka ukuze zilawule izinga lenhliziyo noma zibuyisele isigqi esivamile (okungukuthi, i-cardioversion). Akukho okuningi ongakwenza ukuze ulungiselele ukuvakasha kukadokotela onjalo. Unenkinga enzima futhi idinga ukubhekana nayo.
Kodwa uma izinto zizinzile kuba yisikhathi sokwenza izinqumo zesikhathi eside mayelana nokuphatha i-fibrillation yakho ye-atrial. Ukuze wenze lokhu, kuzodingeka ulungiselele ingxoxo enkulu nodokotela wakho.
Ukulungiselela Ukuvakasha Kwakho Udokotela
Ngaphambi kokuba "nengxoxo," lungiselela. Funda konke ongakwenza mayelana ne-fibrillation ye-atrial kanye nezinketho zokwelapha.
Ukuze uhlele imicabango yakho kufanele ucabange ukwenza ishadi, elilodwa ngamakholomu amane. Ikholomu yokuqala ibala amagama okukhethwa kukho ukwelashwa ocabanga ukuthi ungaba nesithakazelo kuwo, noma ukuthi ufuna ukwazi okwengeziwe. Le kholomu ingaqukatha izinto ezinjengokuthi "ukuvimbela isifo socansi neCoumadin," "ukuvimbela isifo ngesisindo se-NOAC," "ukulawula izinga ngezidakamizwa," "ukulawula isigqi ngezidakamizwa," "ukulawula isigqi nokuphumula," noma ezinye izinketho zokwelapha wena kungenzeka ikakhulukazi bafune ukuhlola.
Ikholomu yesibili libala izinzuzo zonyango ngayinye ebaluleke kakhulu kuwe; ikholomu lesithathu libala "u-cons" wezokwelapha ngalunye; ikholomu lesine libala imibuzo onayo mayelana nanye.
Ikholomu ebaluleke kunazo zonke mhlawumbe yimibuzo yakho. Umgomo wakho wokuvakasha kwakho udokotela uzoba nombuzo ngamunye ngokubhekwa ngqo nodokotela wakho. Imibuzo emibili okufanele ubuze inketho ngayinye yokwelapha yilezi, "Kungani lokhu kungenzeke kimi?" Futhi "Kungani lokhu kungeke kube yindlela engcono kakhulu kimi?" Omunye kungenzeka ukuthi, "Ubani, uma ukhona, ungangibheka ukuze ulawule le mithi? "
Uma usuwenzile lonke ucwaningo lwakho lokulungiselela, ungathola ukuthi uncike ngokuqinile endleleni eyodwa yokwelapha noma enye. Noma ungathola ukuthi usuphelile emoyeni. Noma iyiphi indlela, kulungile. Kulesi sigaba sokulungiselela, awukwenzi isinqumo; uvele uzilungiselele ukuzwa incazelo yodokotela wakho wezinketho (futhi ukuqonda kangcono i-lengqondo angayisebenzisa) futhi ukwazi ukucabangela izincomo zakhe ezivela kwisisekelo esihle solwazi.
Ukuvakasha kukaDokotela
Kufanele ube nemigomo ecacile yokuthi udokotela uvakashele uqobo. Phakathi kwalezi kufanele kube:
- Ufuna ukuzwa incazelo yodokotela wezinketho zokwelapha ezitholakalayo kuwe.
- Ufuna ukuzwa udokotela wakho uchaze ukuthi kungani, ngokwezifiso zakho , izinketho ezithile kufanele zibekwe eceleni noma kucatshangelwe kakhulu.
- Ufuna ukuba yonke imibuzo yakho iphendulwe.
Naphezu kwakho konke ukulungiselela kwakho kulula ukucindezeleka uma empeleni ubona udokotela wakho. Kungenzeka ukuthi ulindele ukucindezeleka.
Ukuphatha "ukucindezeleka" kufanele wenze okukodwa noma kokubili izinto: Kufanele uthathe i-pair of izindlebe nawe-othandekayo omthandayo noma owaziwayo ongakwazi ukulalela ngokucophelela nangokuzenzekelayo izincazelo kadokotela kanye nawe, futhi akusize gcina konke kamuva; futhi / noma kufanele urekhode umsindo wokuvakasha. (Uzodinga imvume kadokotela wakho ukwenza lokhu, kodwa uma enqaba, lokho kuyisibonakaliso esihle sokuthi ungenalo udokotela ofanele.)
Ngemuva kokuvakashelwa
Ekupheleni kokuvakashelwa, ungase ucacile ngokuphelele engqondweni yakho ukuthi iyiphi indlela yokwelashwa ofuna ukuyisebenzisa. Kuhle lokho. Kodwa cishe uzofuna ukuthatha isikhathi sokucabanga ngakho. Lokhu kuhle kakhulu, futhi.
Inqubo 'yokucabanga ngakho' kufanele ihlanganise ukuhamba ohlwini lwakho olulungisiwe lwemibuzo ngemuva kokubona udokotela, futhi uqiniseke ukuthi uqonde ngokuphelele kuzo zonke izimpendulo. Kuyoba usizo ukulalela ukuqoshwa okwenzile noma ukuxoxa ngale ndaba nomngani ohambisane nawe kudokotela wakho ukuvakashela. Uma uthola ukuthi kukhona namanje evulekile imibuzo, shayela ucingo noma uthumele i-imeyili udokotela wakho ukucacisa (mhlawumbe phakathi nosuku noma ngaphezulu, ngakho ingxoxo isacacile engqondweni yakhe).
Ngemuva kokuthi uthathe lezi zinyathelo, uzobe usulungele ukwenza izinqumo zakho ngendlela enhle yokuphatha ukufabulisa kwakho kwe-atrial.
Ukufuna Umbono Wesibili
Ukuthola umbono wesibili kwenye udokotela kungasiza-noma kungadingekile. Ngokuyincike kuncike ekutheni ukhululekile kangakanani ngobuhlobo bakho nodokotela wakho, nasesinqumweni osenzile mayelana nokuphathwa kwe-arrhythmia yakho. Ungakhathazeki ngokulimaza imizwa yakho, kodwa-odokotela kufanele balindzele (futhi baze bakhuthaze) iziguli zabo ukuthola imibono yesibili ngezinqumo zezokwelapha ezinzima.
Isibonelo esisodwa lapho umbono wesibili kufanele ube yimbuso kunokuba kungenjalo uma usuqedile ukuba nenqubo evumayo yokwelapha ukwelashwa kwe-fibrillation yakho-ablation, noma ukufakwa kwedivaysi yokuvala i-appliance yokuvala i-atrial. Umbuso wezobuciko kulezi zimo uhamba, ngisho nama-electrophysiologists awavumelani lapho lezi zinqubo kufanele zisetshenziswe.
Uzofuna ukuqinisekisa ukuthi inqubo yakho empeleni ingumqondo ozwakalayo, nokuthi awuhambisani nomshumayeli. Uma ama-electrophysiologists amabili ehlukile avumelana ukuthi le nqubo inengqondo, ngakho-ke kungenzeka ukuthi kungenzeka ngempela.
Ngemuva kwesinqumo sakho
Uma usuhlole zonke izinketho zakho futhi wenza izinqumo zokwelashwa kwakho, futhi empeleni ukwelashwa kuqala, gcina engqondweni ukuthi awuzange uvale iminyango.
Abantu bavame ukushintsha indlela yokulawula isigqi endleleni yokulawula izinga uma omunye noma ababili ezama ukulwa nezidakamizwa, noma uma umzamo wokuphumula ungaphumeleli. Futhi kungenzeka ukuthi isu lokulawula izinga angeke sinciphise ngokuphelele izimpawu zakho, lapho kungenzeka khona ngokuphelele ukushintshela endleleni yokulawula isigqi. Ngakho isinqumo sakho sokuqala akudingeki sibe yisinqumo sakho sokugcina.
Nokho, kubantu abaningi, ukwelashwa kwe-fibrillation ye-atrial kuhamba kahle uma indlela yokwelashwa inqunywa, futhi maduzane bayabuya bezwa kahle. Ngisho noma ukwelashwa akuhambisani kahle, futhi kudinga imizamo embalwa ehlukene, wena nodokotela wakho kufanele uqhubeke kuze kube yilapho umgomo-kanye nezilindelo zakho-zihlangene.
Ukuzama izindlela zokwelashwa ezahlukeneyo kanye nezindlela ezahlukene zokwelashwa ngezinye izikhathi kuyadingeka nge-fibrillation ye-atrial. Kodwa akufanele ushintshe ukulindela kwakho okukhulu, okumele kube ukuhola impilo evamile ngezimpawu ezincane.