I-Atrial fibrillation: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili kunye neempawu
• Izizathu ezinokubangela
• Unyango lwenziwa njani
• Zeziphi iingxaki ezinokuvela

I-fibrillation ye-Atrial ibonakaliswa kukungalungelelani kokusebenza kombane kwi-atria yentliziyo, ebangela utshintsho kwintliziyo, eya iba gwenxa kwaye ikhawuleze, ifike kwi-175 beats ngomzuzu, enokonyusa umngcipheko wokubetha, ukusilela kwentliziyo okanye ezinye iingxaki zentliziyo. .

I-fibrillation ye-Atrial inokuthi i-asymptomatic, ifumaneke kuphela ngexesha leemviwo eziqhelekileyo, okanye ibangele iimpawu ezinjenge-palpitations, ukuphefumula okufutshane, ukuzondla kunye nokuziva ubuthathaka.

Unyango luyahluka kakhulu kwaye luya kuxhomekeka emntwini, iimpawu kunye neempawu azibonakalisayo kunye noonobangela abangumthombo we-atrial fibrillation.

Iimpawu eziphambili kunye neempawu

Abanye abantu, i-fibrillation ayinakubonakalisa naziphi na iimpawu, nangona kunjalo, kwezinye iimeko, zinokwenzeka:

• Ubambo:
• Ukubetha kwentliziyo ngokungaqhelekanga;
• Ubuthathaka kunye nokudinwa ngokukhawuleza;
• Isiyezi;
• Ukuphefumla okufutshane;
• Iintlungu zesifuba.

Ngokubanzi, ukuxilongwa kwenziwa nge-electrocardiogram, kodwa kwezinye iimeko, ugqirha angabonisa i-echocardiogram, ukuvavanywa kwegazi ukubona ukuba kukho iingxaki kwi-thyroid, okanye i-X-ray esifubeni, ukuvavanya ubungakanani bendawo yentliziyo. .

Izizathu ezinokubangela

I-fibrillation ye-Atrial ngamanye amaxesha ayinasizathu saziwayo, nangona kunjalo, kwiimeko ezininzi kwenzeka ngenxa yesiphene sentliziyo okanye ukonzakala.

Ukongeza, abanye oonobangela abanokuthi bakuthande ukufakelwa kwe-atrial fibrillation ngoxinzelelo lwegazi, isifo sentliziyo esidlulileyo, isifo sentliziyo, izifo zangaphambi kokuzalwa, hyperthyroidism, ukusetyenziswa kwamayeza athile, ukutya ikhafeyini, utywala okanye icuba, ukubandezeleka ziingxaki zemiphunga, ukusebenza emva kokusebenza utyando lwentliziyo lwamva nje, ukusuleleka kwintsholongwane, uxinzelelo okanye ubunzima bokuphefumla, umzekelo.

Kwezinye iimeko, umngcipheko wokubandezeleka kwe-atrial fibrillation unokunyuka, njengabantu abadala kunye nabantu abasela kakhulu utywala kunye nezinto ezithile ezikhuthazayo.

Unyango lwenziwa njani

Unyango luya kuxhomekeka kwimeko ye-hemodynamic yomntu kwaye xa i-arrhythmia iqalile, nangona kunjalo, akusoloko kulula ukucacisa ixesha lokuqalisa, elenza indlela kunye nonyango lube nzima.

Iinjongo zonyango kukuqhelanisa ukubetha kwentliziyo kunye nokuthintela amahlwili egazi ekwenzeni ukuze kuncitshiswe umngcipheko wokuhlaselwa sisifo. Kuxhomekeka kwixesha lokufika kwe-arrhythmia kunye nemeko yeklinikhi yomntu, ukulungiswa kwesifo kunokubakho, apho kukho umothuko owenziweyo ukubuyisela isantya sentliziyo kwaye usibuyisele kwisingqi esiqhelekileyo, phantsi kokuthomalalisa.

Ukongeza, ugqirha unokuyalela amachiza e-antiarrhythmic, aguqula ukubola kwe-atrial kwizigulana ezizinzileyo kwaye inokusetyenziswa emva kokubuyela umva ukuthintela eminye imicimbi. Imizekelo yeearhente ezichasayo zi-amiodarone kunye nepropagandone, umzekelo. I-Beta blockers kunye ne-calcium block blockers zinokusetyenziselwa ukulawula ukubetha kwentliziyo kunye nokuthintela i-fibrillation ye-atrial. Ukuthintela ukwakheka kwehlwili, ugqirha unokumisela i-anticoagulants kunye ne-platelet inhibitors.

Kukwabalulekile ukuzilolonga rhoqo, ukulawula uxinzelelo lwegazi, ukunqanda utywala obuninzi, icaffeine okanye icuba, ukulawula icholesterol, ukunciphisa ukusetyenziswa kweswekile kunye nokugcina ubunzima obunempilo.

Zeziphi iingxaki ezinokuvela

Ngokubanzi, i-fibrillation ye-atrial ayisongeli ubomi, kodwa kwezinye iimeko, inokukhokelela kwiingxaki okanye kunyango olungxamisekileyo luyafuneka.

I-fibrillation ye-Atrial inokukhokelela ekwakhiweni kwamahlwili egazi ngaphakathi kwentliziyo, ajikeleza kwamanye amalungu, anokubangela ukuvalwa kokuhamba kwegazi, kubangele ischemia. Ukuba baya kwingqondo, banokuphazamisa umthambo we-cerebral kwaye babangele ukubetha, umngcipheko okwenzekayo malunga namaxesha ama-5 amakhulu kubantu abaphethwe yi-atrial fibrillation.

Ukongeza, xa i-fibrillation ye-atrial ixhaphake kakhulu, inokubangela ukusilela kwentliziyo. Njengokuba ezi ngxaki zinzima, kubalulekile ukuba unyango lwenziwe ngokukhawuleza.