Ukuzilolonga xa uneFibrillation yeAtrial

Umxholo

• Iziphumo ebezingalindelekanga ze-fibrillation ye-atrial
• Iziphumo ebezingalindelekanga zokuzilolonga ne-atrial fibrillation
• Ukuzivocavoca okuhle kwe-AFib
• Ukuzivocavoca ukuthintela i-AFib
• Thetha nogqirha wakho
• Jonga ukubetha kwentliziyo yakho
• Cinga ngokuvuselelwa kwentliziyo
• Lazi ixesha lokumisa okanye lokufuna uncedo
• Imbonakalo nezilumkiso
• Q:
• A:

Yintoni i-fibrillation ye-atrial?

I-Atrial fibrillation, edla ngokubizwa ngokuba yi-AFib ngokufutshane, sisizathu esiqhelekileyo sesingqisho sentliziyo esingaqhelekanga. Xa intliziyo yakho ibetha ngaphandle kwesingqisho, oku kwaziwa njenge-arrhythmia yentliziyo. Intliziyo yakho ixhomekeke kwisingqisho esiqhelekileyo esivela kwipatheni yombane kumagumbi ayo. Nge-AFib, le pateni ayihambisi ngendlela ehleliweyo. Ngenxa yoko, amagumbi aphezulu entliziyo, aziwa njenge-atria, awungeni kwisivumelwano sokubetha rhoqo, kwesingqi.

Iziqendu zexeshana ze-AFib zenzeka kwinto ebizwa ngokuba yi-paroxysmal AFib. Nge-AFib engapheliyo, intliziyo inayo le arrhythmia ngamaxesha onke.

Unyango luyafumaneka kwi-AFib, kwaye usenokuphila ubomi obusebenzayo ngale meko. Kubalulekile ukuthatha izinto ezimbalwa ekuqwalaseleni xa uhlala ne-AFib, kubandakanya ukwenza umthambo.

Iziphumo ebezingalindelekanga ze-fibrillation ye-atrial

I-AFib inokuba yinkxalabo ngezizathu ezininzi. Okokuqala, ukunqongophala kokuchasana kwentliziyo okusebenzayo kwenza ukuba igazi lijikeleze kunye nephuli kwi-atria. Ngenxa yoko, unokukhulisa amahlwili egazi anokuhamba naphi na emzimbeni. Ukuba ihlwili lingena kwingqondo, linokubangela ukubetha. Ukuba ihlwili lingena emiphungeni, linokubangela ukubola kwemiphunga.

Okwesibini, ukuba intliziyo ibetha ngokukhawuleza okukhulu, ukubetha kwentliziyo okukhawulezayo kunokukhokelela kukusilela kwentliziyo. Ukusilela kwentliziyo kuthetha ukuba izihlunu zentliziyo yakho azikwazi ukumpompa ngokufanelekileyo okanye ukugcwalisa igazi elaneleyo. Okwesithathu, i-AFib enganyangekiyo inokukhokelela kwezinye iingxaki ezinxulumene nentliziyo, kubandakanya ukudinwa okungapheliyo kunye noxinzelelo.

Iziphumo ebezingalindelekanga zokuzilolonga ne-atrial fibrillation

Olunye lweempawu eziqhelekileyo ze-AFib kukudinwa ngokulula xa usenza umthambo. Ezinye iimpawu ze-AFib ezinokwenza ukuba kube nzima ngakumbi ukuzivocavoca zibandakanya:

• ukubetha kwentliziyo
• isiyezi
• ukubila
• ixhala
• ukuqhawukelwa ngumphefumlo

I-AFib inokwenza umthambo ube nzima kuba intliziyo yakho ingaqala ukubaleka. Intliziyo ebalekayo inokwenza ukuba uxinzelelo lwegazi lwakho lwehle kwaye kukwenze uzive utyhafile. Kule meko, ukwenza umthambo onzima kunokuba yingozi kunokuba luncedo.

Kwiimeko ezininzi, ukuzilolonga ne-AFib kunokukunceda uphile ubomi obomeleleyo. Ukuzivocavoca umzimba kukunceda ugcine ubunzima obusempilweni, obunokuthintela ukusilela kwentliziyo ekubeni mandundu. Kukho izibonelelo kwimisebenzi yomzimba eluncedo ngakumbi ukuba une-AFib, kubandakanya ukunciphisa isantya sentliziyo yakho kunye nokunciphisa uxinzelelo lwegazi.

Ukuba nomgangatho olungileyo wobomi yinjongo ebalulekileyo ukuba unayo i-AFib, kwaye umthambo unokunceda ekunciphiseni uxinzelelo noxinzelelo.

Ukuzivocavoca okuhle kwe-AFib

Ngaphambi kokuthatha inxaxheba kulo naluphi na uhlobo lokuzilolonga, qiniseka ukuba wolule izihlunu zakho okanye wenze impembelelo encinci yokuhamba malunga nemizuzu eli-10 ukuvumela intliziyo yakho ukuba ihlengahlengise umsebenzi. Qinisekisa ukuba unamanzi ngaphambi kokuba uqale ukwandisa inqanaba lomsebenzi wakho, nawo.

Nje ukuba ushushu, zama ukuzilolonga njengokuhamba kwamandla, ukubaleka, okanye ukunyuka intaba ukuze ufumane ukuzilolonga ngaphandle kokulayisha ngaphezulu kwentliziyo yakho. Ukuhamba ngebhayisikili yokuzivocavoca okanye ukusebenzisa umshini we-elliptical okanye i-treadmill nayo ikhuselekile ekusebenzeni kubantu abane-AFib.

Ukuphakamisa ubunzima bokukhanya kunokuba ngumsebenzi olungileyo. Inokukunceda ukuba wakhe ithoni yemisipha kunye namandla ngaphandle kokulayisha kakhulu izihlunu zakho okanye uxinzelele intliziyo yakho.

Ekuqaleni, zama ixesha elifutshane lokuzilolonga kangangemizuzu emi-5 ukuya ku-10 ukuze uqiniseke ukuba umthambo awuzukukwenza uzive ulula okanye utyhafile. Njengokuba ukhululeka ngamaxesha amafutshane omthambo, kancinci kancinci yongeza imizuzu emi-5 ukuya kweli-10 yexesha lokuzilolonga ude uzive ukuba ufikelele kwinjongo yokoneliseka komzimba wakho.

Ukuzivocavoca ukuthintela i-AFib

Ukuba awukwenzi umthambo okwethutyana, awufuni ukuqala ngomthambo onamandla, onefuthe eliphezulu. Xa usenza umthambo ne-AFib, unokufuna ukuqala ngamakhefu amafutshane okuzivocavoca okunempembelelo esezantsi. Emva koko unokunyusa kancinci ubude kunye nokuqina koqeqesho lwakho.

Zama ukuthintela imisebenzi enobungozi obuphezulu bokubangela ukwenzakala, njengokuskiya okanye ukukhwela ibhayisikile ngaphandle. Amayeza amaninzi amancinci egazi asetyenziselwa ukunyanga i-AFib anokukwenza ukuba wophe kakhulu xa wenzakele.

Ukuba ucwangcisa ukuphakamisa iintsimbi, thetha nogqirha wakho okanye ugqirha ngokwasemzimbeni malunga nokuba kukhuseleke kangakanani ukuba ungaphakamisa. Ukuphakamisa kakhulu kunokubeka uxinzelelo entliziyweni yakho.

Thetha nogqirha wakho

Thetha nogqirha wakho malunga noko kufanele kwaye ungafanele ukwenze xa kuziwa ekusebenzeni. Ukuba i-AFib yakho ibangela naziphi na iimpawu, ugqirha wakho unokucebisa ukuba ufumane imeko phantsi kolawulo olungcono ngaphambi kokuba uqale usebenzise. Banokukuyalela amayeza ukuzama ukugcina intliziyo yakho inesingqi okanye ukugcina intliziyo yakho ingabethi ngokukhawuleza.

Jonga ukubetha kwentliziyo yakho

Akunyanzelekanga ukuba ubandakanyeke kwimisebenzi eyomeleleyo ukuze uzonwabele izibonelelo zomthambo. Nge-AFib, kunokuba ngumbono ongcono ukugcina umthambo wakho ukwinqanaba eliphakathi ekuqaleni. Ukugcina iso kwinqanaba lentliziyo yakho kunokukunceda ugcine isantya esikhuselekileyo ngexesha lokuzilolonga kwakho.

Uninzi lweempawu zokuqina komzimba kunye nokuzivocavoca ziyafumaneka ukukunceda ujonge ukubetha kwentliziyo yakho. Ezi trackers zomzimba zihlala zinxitywa esihlahleni sakho njengewotshi (kwaye zihlala zikhangeleka njengeewotshi, nazo). Uninzi lwazo lurekhoda iinkcukacha zamanani ezentliziyo onokuzijonga ngokusebenzisa usetyenziso kwi-smartphone yakho, ithebhulethi, okanye ikhompyuter yasekhaya.

Phakathi kweyona nto aziwa kakhulu, eyaziwa njengeempawu zokomelela komzimba yiFitbit, ethengisa iimodeli ezininzi zokulandela umkhondo wokuqina komzimba ezakhelwe ngaphakathi. Iinkampani ezinje ngeApple, Garmin, kunye ne-Samsung nazo zithengisa aba tracker bokomelela komzimba.

Ngokwe-CDC), ngokomzimba umsebenzi omninzi kufuneka ube ngama-50 ukuya kuma-70 epesenti yenqanaba lentliziyo yakho. Ukulinganisa ukubetha kwentliziyo yakho ngelixa usenza umthambo, beka isalathiso sakho kunye neminwe ephakathi kwicala lobhontsi wesandla sakho esichaseneyo, ngaphantsi kwesithupha sakho, okanye kwicala lentamo yakho. Ungabala ukubetha kwentliziyo yakho okomzuzu ogcweleyo okanye ubale imizuzwana engama-30 kwaye uphinda-phinde ngo-2.

Nazi izinto ezimbalwa ekufuneka uzigcine engqondweni xa ujonga ukubetha kwentliziyo yakho:

• Isantya sentliziyo yakho iphezulu sigqitywa ngokususa iminyaka yakho ukusuka kuma-220. Umzekelo, ukuba uneminyaka engama-50 ubudala, isantya sentliziyo yakho esiya kuba sikhulu singangama-170 ukubetha ngomzuzu (bpm).
• Ukuzivocavoca kwinqanaba elilinganiselweyo, izinga lokubetha kwentliziyo yakho kufuneka libe phakathi kwama-85 (ukusuka ekuphindaphindeni nge-170 x 0.5) kunye ne-119 (ukusuka ekuphindaphindeni kwe-170 x 0.7) bpm.

Ukuba uthatha iyeza elaziwa njenge-beta-blocker, ungabona ukuba izinga lokubetha kwentliziyo yakho alibonakali ngathi lonyuka kangangoko uza kucinga. Kungenxa yokuba i-beta-blocker isebenza kwinqanaba lentliziyo elicothayo, ukongeza ekunciphiseni uxinzelelo lwegazi. Ngenxa yoko, intliziyo yakho ayinakubetha ngokukhawuleza, nokuba wenza umthambo ngesantya esilinganiselweyo.

Cinga ngokuvuselelwa kwentliziyo

Kuqhelekile ukuba ube novalo malunga nokuzilolonga xa une-AFib. Kodwa akusoloko kufuneka ujonge ukubetha kwentliziyo yakho ngexesha lokuzilolonga wedwa. Thetha nogqirha wakho malunga nokuvuselelwa kwentliziyo.

Ukuvuselelwa kwentliziyo kuthetha nje ukwenza imithambo kwindawo yezempilo apho intliziyo yakho inokujongwa khona. Izinketho zibandakanya isibhedlele, isikhungo sokugula, okanye iklinikhi yonyango. Abasebenzi kwiziko banokukulumkisa ukuba isantya sentliziyo yakho sikhawuleza kakhulu okanye unengxaki yoxinzelelo lwegazi. Abasebenzi baqeqeshwe ngokukodwa ukunceda abantu abaneemeko zentliziyo ezifana ne-AFib kunye nokusilela kwentliziyo. Banokunika iingcebiso kwimithambo emitsha yokuqwalaselwa kunye neengcebiso kukhuseleko lomthambo.

Unokucelwa ukuba wenze uvavanyo loxinzelelo lomzimba ngelixa ukwimo yesiqhelo yentliziyo. Kolu vavanyo, uya kuhamba kwi-treadmill ehlengahlengiswe isantya kunye nokuthambeka ngelixa uqhagamshele kwizixhobo ezijonga ukubetha kwentliziyo yakho.

Uvavanyo loxinzelelo lokuzivocavoca luvumela ugqirha wakho ukuba abone ukuba isabela njani intliziyo yakho ekuzilolongeni, kunye nendlela eyiyo nepompo yegazi emzimbeni wakho. Olu vavanyo lunokulinganisa ukuba ingakanani na intliziyo yakho enokuyithatha ngaphambi kokuba kwenzeke iimpawu ze-AFib. Ukwazi ukuba leliphi inqanaba lokuzilolonga elilungile entliziyweni yakho kunokukunceda ukuba uhlakulele isiqhelo somthambo esikhuselekileyo kwi-AFib yakho.

Lazi ixesha lokumisa okanye lokufuna uncedo

Ngelixa usenokukwazi ukwenza umthambo ngaphandle kobunzima obuvela kwi-AFib, kusabalulekile ukuba uyazi ukuba zeziphi iimpawu ezithetha ukuthoba isantya okanye ukuyeka ngokupheleleyo. I-AFib inokubangela ukuba uve iintlungu zesifuba xa usenza umthambo. Ukuba iintlungu zesifuba sakho azipheli xa uthatha ikhefu elifutshane okanye uphumle, tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo yakho. Unokucinga ukuba kukho umntu okuqhubela kwigumbi lexakeka.

Ezinye iimpawu kufuneka ufune unyango olungxamisekileyo kubandakanya:

• ukuphefumla okufutshane ongenako ukubuyela kuko
• ukudubula iintlungu zengalo
• ukudideka okanye ukudideka
• ukulahleka kwengqondo
• ubuthathaka ngequbuliso kwelinye icala lomzimba wakho
• intetho engacacanga
• ubunzima bokucinga ngokucacileyo

Biza ugqirha wakho ukuba unazo naziphi na ezinye iimpawu ezibangela ukuba uzive ungonwabanga okanye ungaphilanga.

Ukuba une-pacemaker, thetha nogqirha wakho malunga nendlela efanelekileyo yokulawula umthambo wakho. Ugqirha wakho unokufuna ukudibanisa ezinye iindlela zonyango lwe-AFib kunye ne-pacemaker, enje ngamayeza okanye nge-ablation (ukudala izicwili ezibomvu ukunceda ukulawula isingqi sentliziyo yakho). Olu nyango lunokuphucula amandla akho okuphatha ukusebenza ixesha elide okanye okunzima ngakumbi. Buza ugqirha wakho ukuba ezi ndlela zonyango ziya kuyichaphazela njani intliziyo yakho ngaphambi kokuba uqalise ukwenza umthambo.

Amanye amayeza e-AFib, afana ne-warfarin (Coumadin), enza ukuba ulungele ukopha ngakumbi xa wenzakele. Ukuba uthatha le okanye elinye igazi elincinci, buza ugqirha wakho ukuba kukhuselekile na ukuthatha inxaxheba kwimithambo eyandisa umngcipheko wokuwa okanye ukwenzakala emzimbeni.

Imbonakalo nezilumkiso

Buza ugqirha wakho ukuba aqinisekise ukuba ungathatha inxaxheba naxa usenza umthambo. Ngokufanelekileyo, ezi ziya kuba kwinqanaba lokuzivocavoca. Ukwazi iimpawu ezinokubonisa ukuba kufuneka ucothise okanye ufune unyango olungxamisekileyo kunokuqinisekisa ukuba uhlala usempilweni xa usenza umthambo ne-AFib.

Q:

Ndine-A-fib kunye nehlwili entliziyweni yam. Ndikho eCardizem nase-Eliquis. Ngaba oku kuya kulinciphisa ihlwili?

Umntu ongaziwayo weHealthline

A:

U-Eliquis sisifo esitsha segazi esinciphisayo esinciphisa umngcipheko wobume begazi kunye neengxaki ezinxulumene nazo. Ukuba une-clot yegazi entliziyweni yakho, u-Eliquis uya kunceda ukuzinzisa ihlwili ukuze umzimba wakho ulophule ngokwendalo ngokuhamba kwexesha. ICardizem sisiyobisi esichasene noxinzelelo lwegazi esinezinga lentliziyo - kodwa hayi ulawulo lwesingqisho- iipropathi. Ayinafuthe, nokuba lilungile okanye alilunganga, kwigazi eligazi ngokwalo.

UGraham Rogers, iimpendulo ze-MDA zimele izimvo zeengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.