I-Atrial Fibrillation vs. iVentricular Fibrillation

Umxholo

• Yintoni i-atria kunye nee-ventricles?
• I-AFib ichaphazela njani umzimba?
• I-VFib ichaphazela njani umzimba?
• Ukuthintela i-AFib kunye neVFib
• Iingcebiso zokuthintela
  

Ushwankathelo

Isivumelwano seentliziyo ezisempilweni ngendlela ehambelanayo. Imiqondiso yombane entliziyweni ibangela ukuba ilungu ngalinye lisebenze kunye. Kuzo zombini i-atrial fibrillation (AFib) kunye ne-ventricular fibrillation (VFib), imiqondiso yombane kwintliziyo yemisipha iyaxakaniseka. Oku kubangela ukungakwazi kwentliziyo ukwenza isivumelwano.

Kwi-AFib, isantya sentliziyo kunye nesingqisho ziya kuba gwenxa. Nangona inzulu, i-AFib asihlali sisisongelo sobomi kwangoko. Kwi-VFib, intliziyo ayisayi kuphinda ipompe igazi. I-VFib yimeko engxamisekileyo yezonyango eya kuthi ikhokelele ekufeni ukuba ayinyangwa kwangoko.

Yintoni i-atria kunye nee-ventricles?

Intliziyo lilungu elinye elikhulu elinamagumbi amane. Iindawo zentliziyo apho kwenzeka khona i-fibrillation zichonga igama lesimo. I-Atrial fibrillation yenzeka kumagumbi aphezulu entliziyo, ekwabizwa ngokuba yi-atria. I-Ventricular fibrillation yenzeka kumagumbi asezantsi amabini entliziyo, aziwa njengee-ventricles.

Ukuba ukubetha kwentliziyo okungaqhelekanga (arrhythmia) kwenzeka kwi-atria, igama elithi "atrial" liya kwandulela uhlobo lwe-arrhythmia. Ukuba i-arrhythmia ivela kwii-ventricles, igama elithi "ventricular" liya kwandulela uhlobo lwe-arrhythmia.

Nangona benamagama afanayo kwaye zombini zivela entliziyweni, i-AFib kunye ne-VFib zichaphazela umzimba ngeendlela ezahlukeneyo. Funda ngakumbi kula macandelo alandelayo malunga nokuba imeko nganye iyichaphazela njani intliziyo.

I-AFib ichaphazela njani umzimba?

Kwintliziyo esempilweni, igazi lifakwa kwigumbi eliphezulu kwigumbi elingaphantsi (okanye ukusuka kwi-atria ukuya kwii-ventricles) kwintliziyo enye. Ngethuba lokubetha okufanayo, igazi lichithwa ukusuka kwii-ventricles ukuya emzimbeni. Nangona kunjalo, xa i-AFib ichaphazela intliziyo, amagumbi aphezulu akasampompi igazi kumagumbi asezantsi kwaye kufuneka ahambe ngokungakhathali. Nge-AFib, igazi kwi-atria alinako ukungabinanto ngokupheleleyo.

I-AFib ayisongeli ubomi. Nangona kunjalo, imeko enzulu yezonyango enokubangela iingxaki ezisongela ubomi ukuba ayinyangwa. Ezona ngxaki zinzima kukuhlaselwa sistroke, isifo sentliziyo, kunye nokuvaleka kwemithambo yegazi ekhokelela kwizitho okanye kumalungu. Xa igazi lingabinanto ngokupheleleyo kwi-atria, inokuqala ukudada. Igazi elidityanisiweyo linokujiya, kwaye la mahluleyo ngawona abangela imivumbo kunye nomlenze okanye ukonakala komzimba xa zikhutshwa kwii-ventricles zisiya kujikelezo.

I-VFib ichaphazela njani umzimba?

I-Ventricular fibrillation ayiphazamiseki kwaye ayifani nomsebenzi wombane kwii-ventricles zentliziyo. Ii-ventricles, zona, azidibanisi kwaye zimpompe igazi liphume entliziyweni lingene emzimbeni.

I-VFib yimeko engxamisekileyo. Ukuba uphuhlisa i-VFib, umzimba wakho awuyi kulifumana igazi elifunekayo kuba intliziyo yakho ayisampompo. Ukungafunyanwa kwe-VFib kukhokelela ekufeni ngesiquphe.

Olona hlobo kuphela lwendlela yokulungisa intliziyo ehlangabezana neVFib kukukwenzela ukothuka ngombane ngesixhobo esichaza isibulali. Ukuba umothuko ulawulwa ngexesha, i-defibrillator inokuyibuyisela intliziyo kwisingqisho esiqhelekileyo, esisempilweni.

Ukuba unayo i-VFib ngaphezu kweyodwa okanye ukuba unesimo senhliziyo esikubeka emngciphekweni omkhulu wokuphuhlisa i-VFib, ugqirha wakho unokucebisa ukuba ufumane i-cardioverter defibrillator (ICD). I-ICD efakwe kudonga lwesifuba sakho kwaye ineendlela zombane ezihambelana nentliziyo yakho. Ukusuka apho, ihlala ibeka iliso kwimisebenzi yombane wentliziyo yakho. Ukuba ibona ukubetha kwentliziyo okungaqhelekanga okanye isingqisho, ithumela umothuko okhawulezileyo ukuze ibuyisele intliziyo kwipateni eqhelekileyo.

Ukunganyangi i-VFib ayisiyiyo inketho. Ukusuka ku-2000 uxele inqanaba lokusinda kwinyanga enye kwizigulana ezine-VFib ezenzeke ngaphandle kwesibhedlele ukuba zibe ziipesenti ze-9.5. Uluhlu lokusinda lwaluphakathi kweepesenti ezingama-50 ngonyango olukhawulezileyo kwiipesenti ezi-5 ngokulibaziseka kwemizuzu eli-15. Ukuba ayinyangwa ngokufanelekileyo kwaye kwangoko, abantu abasindayo kwi-VFib banokuba nomonakalo wexesha elide okanye bangene kwi-coma.

Ukuthintela i-AFib kunye neVFib

Indlela yokuphila esempilweni isenokukunceda ukunciphisa amathuba okuba zombini i-AFib kunye neVFib. Ukusebenza rhoqo komzimba kunye nokutya okunotyebileyo kumafutha asempilweni kwaye kuthintelwe kumafutha agcweleyo kunye nokuhambisa kubalulekile ukuze ugcine intliziyo yakho yomelele ubomi bakho bonke.

Iingcebiso zokuthintela

• Yeka ukutshaya.
• Gwema utywala kunye ne-caffeine egqithisileyo.
• Fikelela kwaye ugcine ubunzima obusempilweni.
• Lawula i-cholesterol yakho.
• Jonga kwaye ulawule uxinzelelo lwegazi.
• Phatha iimeko ezinokukhokelela kwimicimbi yentliziyo, kubandakanya ukutyeba kakhulu, i-apnea yokulala, kunye neswekile.

Ukuba ufumene ukuba unayo i-AFib okanye i-VFib, sebenza ngokusondeleyo nogqirha wakho ukuphuhlisa unyango kunye nenkqubo yokuphila ejongene nemingcipheko yakho, imbali ye-arrhythmia, kunye nembali yezempilo. Ngokudibeneyo, ungazinyanga zombini ezi meko ngaphambi kokuba zibe yingozi.