Yonke into ekufuneka uyazi malunga neFibrillation yeAtrial

Umxholo

• Iimpawu ze-Atrial fibrillation
• Unyango lwe-Atrial fibrillation
• Iimbangela ze-fibrillation ye-atrial
• Imiba yomngcipheko wefibrillation ye-atrial
• Iingxaki ze-Atrial fibrillation
• Ukuxilongwa kwe-Atrial fibrillation
• Utyando lwe-Atrial fibrillation
• Ukutsalwa kwentliziyo ngombane
• Ukucinywa kwecatheter
• I-Atrioventricular (AV) yokunciphisa ixabiso
• Utyando lweMaze
• Uthintelo
• Ukutya kwe-Atrial fibrillation
• Unyango lwendalo lwe-Atrial fibrillation
• Izikhokelo ze-Atrial fibrillation
• I-fibrillation ye-Atrial vs.

Yintoni i-fibrillation ye-atrial?

I-Atrial fibrillation lolona hlobo luqhelekileyo lwe-arrhythmia yentliziyo (ukubetha kwentliziyo ngendlela engaqhelekanga) enokuphazamisa ukuhamba kwegazi okuqhelekileyo. Oku kuphazamiseka kuthetha ukuba iimeko zikubeka emngciphekweni wamahlwili egazi kunye nokubetha.

Phakathi kwe-fibrillation ye-atrial (AFib okanye i-AF).

Nge-AFib, amagumbi amabini aphezulu entliziyo yakho (atria) ayachaphazeleka. Oku kuphazamisa ukuhamba kwegazi ukuya kwii-ventricles okanye kumagumbi asezantsi, emva koko kuwo wonke umzimba wakho.

Ukuba ishiywe inganyangwa, i-AFib inokubulala.

I-fibrillation ye-Atrial inokuba yeyethutyana, inokuza ihambe, okanye ibe sisigxina. Kuqheleke kakhulu nakubantu abadala. Kodwa ngonyango olufanelekileyo, unokuphila ubomi obuqhelekileyo, obusebenzayo.

Iimpawu ze-Atrial fibrillation

Awunakufumana naziphi na iimpawu ukuba une-atrial fibrillation.

Abo banamava empawu banokuqaphela:

• ukubetha kwentliziyo (ukuziva ngathi intliziyo yakho itsiba ukubetha, ukubetha ngokukhawuleza okanye nzima, okanye ukubhabha)
• iintlungu zesifuba
• ukudinwa
• ukuqhawukelwa ngumphefumlo
• ubuthathaka
• intloko elula
• isiyezi
• isiqaqa
• ukudideka
• ukunganyamezelani kwimithambo

Ezi mpawu zinokuza zihambe zijolise kubuzima bemeko yakho.

Umzekelo, i-paroxysmal AFib luhlobo lwefibrillation ye-atrial esombulula yodwa ngaphandle kongenelelo lonyango.Kodwa kuya kufuneka uthathe amayeza ukuthintela iziqendu ezizayo kunye neengxaki ezinokubakho.

Ngokubanzi, unokufumana iimpawu ze-AFib imizuzu emininzi okanye iiyure ngexesha. Iimpawu eziqhubeka ngaphezulu kweentsuku ezininzi zinokubonisa i-AFib engapheliyo.

Tshela ugqirha wakho malunga naziphi na iimpawu ohlangabezana nazo, ngakumbi ukuba kukho utshintsho.

Unyango lwe-Atrial fibrillation

Usenokungafuni unyango ukuba awunazo iimpawu, ukuba awunazo ezinye iingxaki zentliziyo, okanye ukuba ifibrillation ye-atrial iyayeka yodwa.

Ukuba ufuna unyango, ugqirha unokucebisa ezi ndidi zilandelayo zamayeza:

• beta-blockers ukunciphisa izinga lokubetha kwentliziyo yakho
• i-calcium channel blockers yokuphumla kwezihlunu zomzimba kunye nokunciphisa ukubetha kwentliziyo ngokubanzi
• I-sodium okanye i-potassium block blockers ukulawula isigqi senhliziyo
• digitalis glycosides ukomeleza iintlungu zentliziyo yakho
• izicoci gazi ukuthintela amahlwili egazi ekubeni abumbe

I-non-vitamin K ye-anticoagulants yomlomo (i-NOACs) zezona zikhethiweyo zegazi ze-AFib. Babandakanya i-Rivaroxabanxaban (Xarelto) kunye ne-apixaban (Eliquis).

Ngokubanzi, injongo yokuthatha amayeza e-AFib kukumisa ukubetha kwentliziyo yakho kunye nokukhuthaza ukusebenza ngcono kwentliziyo ngokubanzi.

La mayeza anokuthintela amahlwili egazi kwixesha elizayo, kunye neengxaki ezinxulumene nokuhlaselwa sisifo sentliziyo kunye nokufa icala. Ngokuxhomekeke kwimeko yakho, ugqirha wakho unokucebisa amayeza amaninzi e-AFib.

Iimbangela ze-fibrillation ye-atrial

Intliziyo iqulethe amagumbi amane: ii-atria ezimbini kunye nee-ventricles ezimbini.

I-fibrillation ye-Atrial yenzeka xa la magumbi engasebenzi kunye njengoko kufanelekile ngenxa yomqondiso wombane ongalunganga.

Ngokwesiqhelo, i-atria kunye ne-ventricles zesivumelwano ngesantya esifanayo. Kwi-fibrillation ye-atrial, i-atria kunye ne-ventricles azivumelani ngenxa yokuba isivumelwano se-atria ngokukhawuleza kwaye ngokungafaniyo.

Isizathu se-atrial fibrillation ayisoloko saziwa. Imiqathango enokubangela umonakalo entliziyweni kwaye iholele kwi-fibrillation ye-atrial ibandakanya:

• igazi elonyukayo
• ukusilela kwentliziyo
• isifo semithambo
• isifo sentliziyo
• hypertrophic cardiomyopathy, apho isihlunu sentliziyo siba sishwabene
• uqhaqho lwentliziyo
• ukukhubazeka kwentliziyo ozelwe nayo, okuthetha ukuba iziphene zentliziyo ozelwe nazo
• idlala lengqula eligqithisileyo
• I-pericarditis, kukudumba kwengubo efana nesigqubuthelo sentliziyo
• ukuthatha amayeza athile
• ukuzinkcinkca ngotywala
• isifo se-thyroid

Indlela yokuphila esempilweni iyonke inokunciphisa umngcipheko we-AFib. Kodwa ayizizo zonke izizathu ezinokuthintelwa.

Kubalulekile ukuxelela ugqirha wakho malunga nembali yakho yempilo epheleleyo ukuze bakwazi ukufumanisa ngcono oonobangela be-AFib yakho kwaye babe nakho ukuyinyanga.

Imiba yomngcipheko wefibrillation ye-atrial

Ngelixa eyona nto ibangela i-AFib ingahlali isaziwa, kukho izinto ezinokukubeka emngciphekweni omkhulu wale meko. Ezinye zazo zinokuthintelwa, ngelixa ezinye zizofuzo.

Thetha nogqirha wakho malunga nezi zinto zilandelayo:

• ukwanda kweminyaka (umdala, umngcipheko wakho uphezulu)
• ukuba mhlophe
• ukuba yindoda
• Imbali yosapho ye-fibrillation ye-atrial
• isifo sentliziyo
• ulwakhiwo lwentliziyo
• iziphene zentliziyo ozelwe nayo
• Ukudakumba
• Imbali yokuhlaselwa sisifo sentliziyo
• Imbali yotyando lwentliziyo
• iimeko ze-thyroid
• isifo metabolic
• ukutyeba kakhulu
• isifo semiphunga
• isifo seswekile
• ukusela utywala, ngakumbi ukuzinkcinkca ngotywala
• ubuthongo bokulala
• Unyango lwe-steroid yedosi ephezulu

Iingxaki ze-Atrial fibrillation

Unyango rhoqo kunye nokuhlolwa nogqirha wakho kunokukunceda uphephe iingxaki. Kodwa ukuba ishiywe inganyangwa, i-atrial fibrillation inokuba yingozi kwaye ibulale.

Iingxaki ezinzima zibandakanya ukusilela kwentliziyo kunye nokubetha. Amayeza kunye neendlela zokuphila zinokukunceda ukuthintela oku kubantu abane-AFib.

Ukubetha kwenzeka ngenxa yegazi elixineneyo kwingqondo. Oku kuthintela ingqondo yakho ioksijini, enokukhokelela kumonakalo osisigxina. Izitrowuku zinokubulala.

Ukusilela kwentliziyo kwenzeka xa intliziyo yakho ingasakwazi ukusebenza ngokufanelekileyo. I-AFib inokuyinxiba imisipha yentliziyo, njengoko ii-ventricles kumagumbi asezantsi zizama ukusebenza nzima ukwenza ukungabikho kokuhamba kwegazi kumagumbi aphezulu.

Kubantu abane-AFib, ukusilela kwentliziyo kuyakhula ngokuhamba kwexesha - ayisiyonto yenzekileyo ngesiquphe efana nokuhlaselwa sisifo sentliziyo okanye ukubetha.

Ukulandela isicwangciso sakho sonyango kunokunciphisa onke amathuba akho okubakho ngenxa ye-AFib.

Thatha onke amayeza akho njengoko kumiselwe ngugqirha wakho. Kwaye ufunde malunga neengxaki ze-AFib kunye neempawu zazo.

Ukuxilongwa kwe-Atrial fibrillation

Kukho iimvavanyo ezahlukeneyo ezinokwenziwa ukufumana umbono ongcono wento eyenzekayo ngentliziyo yakho.

Ugqirha wakho unokusebenzisa enye okanye nangaphezulu kwezi mvavanyo zilandelayo ukufumanisa i-atrial fibrillation:

• uvavanyo lomzimba ukujonga ukubetha kwentliziyo, uxinzelelo lwegazi kunye nemiphunga
• i-electrocardiogram (EKG), uvavanyo olurekhoda iimpembelelo zombane zentliziyo yakho imizuzwana embalwa

Ukuba i-fibrillation ye-atrial ayenzeki ngexesha le-EKG, ugqirha wakho unokunxiba esweni i-EKG ephathekayo okanye uzame olunye uhlobo lovavanyo.

Olu vavanyo lubandakanya:

• Ukubeka iliso kwiHolter, isixhobo esincinci esiphathwayo onxiba iiyure ezingama-24 ukuya kweziyi-48 ukubeka esweni intliziyo yakho.
• ukujonga umcimbi, isixhobo esirekhoda intliziyo yakho ngamaxesha athile okanye xa uneempawu ze-AFib
• i-echocardiogram, uvavanyo olungafunekiyo olusebenzisa amaza esandi ukuvelisa umfanekiso oshukumayo wentliziyo yakho.
• i-echoescardiogram ye-transesophageal, inguqulelo engafunekiyo ye-echocardiogram eyenziwa ngokubeka iprobe kwi-esophagus
• Uvavanyo loxinzelelo, olujonga intliziyo yakho ngexesha lokuzilolonga
• X-ray esifubeni ukujonga intliziyo nemiphunga yakho
• Uvavanyo lwegazi ukukhangela imeko ye-thyroid kunye ne-metabolic

Utyando lwe-Atrial fibrillation

Kwi-AFib engapheliyo okanye enzima, utyando lunokuba lukhetho olunconywayo.

Kukho iintlobo ezahlukeneyo zotyando olujolise kwimisipha yentliziyo kumzamo wokulinceda ukuba lipompe igazi ngokufanelekileyo. Utyando lunokunceda ukunqanda ukonakala kwentliziyo.

Iindidi zotyando ezinokusetyenziselwa ukunyanga i-AFib zibandakanya:

Ukutsalwa kwentliziyo ngombane

Kule nkqubo, umothuko omfutshane wombane useta kwakhona isingqisho sentliziyo yakho.

Ukucinywa kwecatheter

Kwi-catheter ablation, i-catheter ihambisa amaza erediyo entliziyweni ukutshabalalisa izicwili ezingaqhelekanga ezithumela iimpembelelo ezingaqhelekanga.

I-Atrioventricular (AV) yokunciphisa ixabiso

Amaza erediyo atshabalalisa i-AV node, edibanisa i-atria kunye ne-ventricles kule nkqubo. Emva koko i-atria ayisakwazi ukuthumela imiqondiso kwii-ventricles.

I-pacemaker ifakwa ukugcina isingqisho esiqhelekileyo.

Utyando lweMaze

Olu luqhaqho olungenayo inokuba luvule intliziyo okanye lusike izinto ezincinci esifubeni, ngexa utyando lwenza utyando oluncinci okanye lutshise kwi-atria yentliziyo ukwenza i "maze" yezikrelemnqa eziya kuthintela iimpembelelo zombane ezingaqhelekanga ukuba zifikelele kwezinye iindawo zentliziyo.

Olu tyando lusetyenziswa kuphela kwiimeko xa olunye unyango lungaphumelelanga.

Ugqirha wakho unokuphinda acebise ezinye iinkqubo zokunyanga iimeko zempilo ezingaphantsi, ezinje nge-thyroid okanye isifo sentliziyo, esinokubangela i-AFib yakho.

Ugqirha yindlela enye yonyango ye-AFib. Okwangoku, amayeza kunye notshintsho kwindlela yokuphila zicetyiswa njengemigca yokuqala yonyango. Ugqirha wakho unokucebisa utyando njengendawo yokugqibela ukuba imeko yakho inzima.

Uthintelo

Uninzi lwamatyala e-atrial fibrillation anokulawulwa okanye anyangwe. Kodwa i-fibrillation ye-atrial ihlala iphinda iphindaphindwe kwaye iba mandundu ngokuhamba kwexesha.

Ungawunciphisa umngcipheko we-atrial fibrillation ngokwenza oku kulandelayo:

• yitya ukutya okutyebileyo kwiziqhamo nemifuno kunye namafutha athambileyo kunye namafutha
• umthambo rhoqo
• gcina ubunzima obusempilweni
• kuphephe ukutshaya
• kuphephe ukusela utywala okanye ukusela intwana yotywala ngamanye amaxesha
• landela ingcebiso kagqirha wakho ekunyangeni naziphi na iimeko zempilo onazo

Iingxaki eziqhelekileyo ze-AFib yimivimbo kunye nokusilela kwentliziyo.

Ukuba unayo i-AFib kwaye awuthathi amayeza afanelekileyo, kunokwenzeka ukuba ubenestroke kunabantu abangenayo i-AFib.

Ukutya kwe-Atrial fibrillation

Ngelixa kungekho kutya kubekiweyo kwe-atrial fibrillation, iinkxalabo zokutya ze-AFib zijolise kukutya okusempilweni ngentliziyo endaweni yoko.

Ukutya kwe-AFib kuya kubandakanya ukutya okusekwe kwizityalo, njenge-oats, iziqhamo kunye nemifuno.

Intlanzi ikwangumthombo olungileyo weprotein, kwaye umxholo wayo we-omega-3 fatty acid uyenza ilunge ngakumbi entliziyweni.

Kukho ukutya kunye nezinto ezinokwenza i-AFib ibe mandundu. Oku kubandakanya:

• utywala (ngakumbi xa utywala kakhulu)
• I-caffeine- ikofu, isoda, iti, kunye neminye imithombo kunokwenza intliziyo yakho isebenze nangakumbi
• iidiliya, ezinokuthi ziphazamise amayeza e-AFib
• gluten, enokunyusa ukuvuvukala ukuba une allergies okanye uvakalelo
• ityuwa kunye namafutha agcweleyo
• Ukutya okunevithamini K, okunje ngemifuno enamagqabi amnyama, njengoko oku kungaphazamisa iyeza lokucheba igazi i-warfarin (Coumadin)

Ukutya kwe-AFib kufana nokutya okusempilweni kwentliziyo. Ijolise kukutya okunezondlo, ngelixa kuthintelwa izinto ezinokucaphukisa kunye nokutya okuxineneyo.

Thetha nogqirha wakho malunga nesicwangciso sokutya kwimeko yakho.

Unyango lwendalo lwe-Atrial fibrillation

Ngaphandle kwezindululo malunga nokutya, ugqirha wakho usenokucebisa ngezongezo ezithile ukuba usezantsi kwizakhamzimba ezibalulekileyo kwimpilo yentliziyo.

Thetha nogqirha wakho ngaphambi kokuba uthathe naziphi na izongezo ezongezelelweyo kuba ezi zinokuba neziphumo ebezingalindelekanga okanye zinxibelelane namayeza.

Ezinye zezibonelelo ezisetyenziselwa i-AFib zibandakanya:

• nemagniziyam
• oyile yentlanzi
• coenzyme Q10
• wenxin keli
• taurine
• I-hawthorn berry

Olunye unyango lwendalo lwe-AFib lubandakanya imikhwa yokuphila esempilweni, njengokuzilolonga kunye nokunciphisa uxinzelelo. Ukuzilolonga kubalulekile kwimpilo yentliziyo yakho, kodwa uya kufuna ukuyithatha kancinci, ngakumbi ukuba umtsha ekusebenzeni.

Ukuzivocavoca okuphezulu, njengokusebenza, kunokuba nzima kakhulu kubantu abane-AFib. Kodwa imisebenzi yokumodareyitha ukuya kwezantsi, njengokuhamba, ukuqubha, kunye nebhayisikile, isenokutshisa iikhalori, yomeleze intliziyo yakho, kunye nokunciphisa uxinzelelo.

Kuba uxinzelelo lunokuchaphazela impilo yentliziyo yakho, kubalulekile ukugcina imeko yengqondo isempilweni. Ukuzivocavoca ngokunzulu kunokunciphisa uxinzelelo lwemihla ngemihla, ngelixa iklasi yeyoga inokukunceda ufezekise imeko yokucamngca nzulu (kunye nebhonasi eyongeziweyo yemisipha kunye nokuguquguquka).

Nokuba wenza ixesha lokonwabela into oyithandayo uyokunceda ukufezekisa ukuphumla ngakumbi kunye nokuphucula impilo yentliziyo.

Unyango lwendalo lunokunceda i-AFib xa isetyenziswa kunye nonyango oluqhelekileyo.

Olunye uphando luyafuneka ukumisela ukuba ngaba olunye unyango lunokunceda lodwa, ke namathela kwisicwangciso sakho sonyango. Buza ugqirha wakho ukuba ungabandakanya njani ngokufanelekileyo unyango lwendalo kwisicwangciso sakho sangoku sonyango lwe-AFib.

Izikhokelo ze-Atrial fibrillation

Izikhokelo ezisemthethweni ze-AFib, ngokwe-American Heart Association, cacisa ukhetho lwezonyango olusekwe kwimeko yakho esele ikho kunye nembali yezonyango.

Ugqirha wakho uya kusebenzisa oku xa ecebisa isicwangciso sonyango.

Ngokubanzi, indibaniselwano yeendlela zokuphila kunye namayeza anokukunceda uthintele ukusilela kwentliziyo kunye nokubetha.

Ugqirha wakho uya kuhlela i-AFib yakho ukuba anqume ukuba ngaba inzima (ixesha elifutshane) okanye ingapheliyo (ixesha elide). Ubudala, isini, kunye nempilo iyonke iya kuthi ichonge umngcipheko womntu ngamnye.

Ngokubanzi, unyango lwakho luya kugxila:

• ukulawula ukubetha kwentliziyo kunye nesingqisho
• ukuvavanya umngcipheko wesifo
• ukuvavanya umngcipheko wokopha

I-fibrillation ye-Atrial vs.

Ngamanye amaxesha i-AFib inokubhideka neeflitha. Iimpawu ziyafana, kubandakanya ukubetha kwentliziyo ngokukhawuleza kunye nokubetha okungaqhelekanga.

Ngelixa zombini zichaphazela amagumbi entliziyo afanayo kwaye zikhokelela kwi-arrhythmias, le yimeko emibini eyahlukeneyo.

I-atrial flutters yenzeka xa imiqondiso yombane entliziyweni ikhawuleza. Iimpawu kunye nemingcipheko ifana ne-AFib.

Indlela yokuphila esempilweni kunye namayeza anokunceda zombini ezi meko. Ugqirha wakho uya kukunceda uhlukanise phakathi kwe-AFib kunye ne-atrial flutters ukuze uphathe ngamnye ngokufanelekileyo.