Yintoni iFibrillation engapheliyo yeAtrial?

Umxholo

• Iimpawu zokuqhubeka kwe-AFib
• Imiba yomngcipheko wokuqhubeka kwe-AFib
• Ukuchonga i-AFib engapheliyo
• Unyango oluqhubekayo lwe-AFib
• Amayeza okulawula ukubetha kwentliziyo
• Amayeza okulawula isingqisho sentliziyo
• Amayeza egazi
• Ezinye iindlela
• Imbonakalo ye-AFib engapheliyo

Ushwankathelo

I-Atrial fibrillation (AFib) luhlobo lwesifo sentliziyo esiphawulwe yintliziyo engaqhelekanga okanye ekhawulezayo. Ukuqhubeka kwe-AFib yenye yeendlela ezintathu eziphambili zeli meko. Kwi-AFib eqhubekayo, iimpawu zakho zihlala ngaphezu kweentsuku ezisixhenxe, kwaye isingqi senhliziyo yakho asikwazi ukuzilawula kwakhona.

Ezinye iintlobo ezimbini eziphambili ze-AFib zezi:

• paroxysmal AFib, apho iimpawu zakho ziza kwaye zihambe
• isigxina i-AFib, apho iimpawu zakho zihlala ngaphezulu konyaka

I-AFib sisifo esiqhubela phambili. Oku kuthetha ukuba abantu abaninzi baqala ukuphuhlisa i-paroxysmal AFib, eneempawu eziza kwaye zihambe. Ukuba ishiywe inganyangwa, imeko inokuqhubela phambili kwiindidi ezingapheliyo okanye ezisisigxina. I-AFib esisigxina ithetha ukuba imeko yakho ayinyangeki ngaphandle konyango nolawulo.

Isigaba esiqhubekayo se-AFib sinzulu, kodwa siyanyangeka. Funda into onokuyenza malunga nokuqhubeka kwe-AFib ukukunceda ukuthintela ezinye iingxaki.

Iimpawu zokuqhubeka kwe-AFib

Iimpawu ze-AFib zibandakanya:

• ukubetha kwentliziyo
• ukubetha kwentliziyo
• utywala okanye intloko
• ukudinwa
• ubuthathaka ngokubanzi
• ukuqhawukelwa ngumphefumlo

Njengoko imeko yakho iba yinto engapheliyo, unokuqala ukuqaphela iimpawu imihla ngemihla. Ukuqhubeka kwe-AFib kufunyaniswa kubantu abanazo naziphi na kwezi mpawu ubuncinci iintsuku ezisixhenxe ngqo. Kodwa i-AFib nayo ingangqinwa, oko kuthetha ukuba akukho zimpawu.

Kuya kufuneka ufune unyango olungxamisekileyo ukuba uva iintlungu esifubeni. Oku kunokuba ngumqondiso wesifo senhliziyo.

Imiba yomngcipheko wokuqhubeka kwe-AFib

Akusoloko kusaziwa ukuba yintoni ebangela i-AFib, kodwa umngcipheko oqhelekileyo ubandakanya:

• Imbali yosapho ye-AFib
• ukwaluphala
• uxinzelelo lwegazi oluphezulu, ekwabizwa ngokuba yi-hypertension
• imbali yokuhlaselwa sisifo sentliziyo
• ubuthongo bokulala
• ukusela utywala, ngakumbi ukuzinkcinkca ngotywala
• ukusetyenziswa gwenxa kwezivuseleli, ezinjenge-caffeine
• ukutyeba kakhulu
• iingxaki zedlala lengqula
• isifo seswekile
• isifo semiphunga
• izifo ezosulelayo
• uxinzelelo

Ukulawula izifo ezingapheliyo kunye neendlela zokuphila kunokunciphisa umngcipheko. I-Heart Rhythm Society inikezela nge-calculator evavanya umngcipheko wokuphuhlisa i-AFib.

Amathuba akho okuphuhlisa i-AFib eqhubekayo nawo makhulu ukuba une-valve yentliziyo esele ikho. Abantu abaye bahlinzwa ngentliziyo nabo banomngcipheko okhulayo wokufumana i-AFib njengengxaki ehambelanayo.

Ukuchonga i-AFib engapheliyo

Ukuqhubeka kwe-AFib kufunyaniswa ngokudityaniswa kovavanyo kunye novavanyo lomzimba. Ukuba sele ufumene ukuba une-paroxysmal AFib, ugqirha wakho unokubona ukuba imeko yakho iqhubeke njani.

Ngelixa i-electrocardiogram inokusetyenziswa njengesixhobo sokuqala sokuqonda isifo kumanqanaba angaphambili e-AFib, ezinye iimvavanyo zisetyenziselwa i-AFib eqhubela phambili okanye eqhubekayo. Ugqirha wakho unokucebisa oku kulandelayo:

• Uvavanyo lwegazi ukujonga izizathu ezingunobangela wokuqhubela phambili kwe-AFib, njengesifo se-thyroid
• X-reyi yesifuba ukujonga amagumbi kunye nezivalo ngaphakathi kwentliziyo yakho, kunye nokujonga imeko yayo yonke
• i-echocardiogram ukufumana umonakalo wentliziyo ngokusebenzisa amaza omsindo
• ukusetyenziswa kwesishicileli somsitho, isixhobo esiphathwayo esifana nokubekwa kweliso kwiHolter oyithatha ekhaya ukulinganisa iimpawu zakho kwithuba elithile
• usebenzise uvavanyo loxinzelelo ukulinganisa ukubetha kwentliziyo yakho kunye nesingqi emva kokuzivocavoca umzimba

Unyango oluqhubekayo lwe-AFib

Nge-AFib eqhubekayo, isingqi senhliziyo yakho siphazamisekile kangangokuba intliziyo yakho ayikwazi ukuyimisa ngaphandle kongenelelo lonyango. Kukwakho nomngcipheko wamahlwili egazi anokukhokelela kwisifo sentliziyo okanye ukubetha.

Unyango lunokubandakanya amayeza okulawula ukubetha kwentliziyo yakho kunye nesingqisho okanye ukujiya kwegazi lakho, kunye neendlela ezingabandakanyi amayeza.

Amayeza okulawula ukubetha kwentliziyo

Injongo enye kunyango oluqhubekayo lwe-AFib kukucothisa isantya sentliziyo esikhawulezayo. Ugqirha wakho unokukunika amayeza anje:

• beta-iibhlokhi
• iicalcium block blockers
• idigoxin (Lanoxin)

Oku kusebenza ngokunciphisa imisebenzi yombane ngaphakathi kwigumbi eliphezulu lentliziyo yakho kwigumbi elisezantsi.

Imeko yakho iya kujongwa ngononophelo ukujonga iziphumo ebezingalindelekanga, ezinje ngoxinzelelo lwegazi kunye nokuqaqamba kwentliziyo.

Amayeza okulawula isingqisho sentliziyo

Amanye amayeza anokusetyenziswa ecaleni kwentliziyo ukubetha ukuzisa isingqi sentliziyo yakho. Oku kuza ngohlobo lweziyobisi ezichaseneyo, ezinje:

• amiodarone (Cordarone, iPacerone)
• Ndiphiwe (Tikosyn)
• imvelaphi
• ipropafenone
• I-sotalol (iBetapace)

Iziphumo zala mayeza zingabandakanya:

• isiyezi
• ukudinwa
• isisu esimoshakele

Amayeza egazi

Ukunciphisa umngcipheko wokubetha kwentliziyo kunye nokuhlaselwa sisifo sentliziyo, ugqirha wakho unokumisela amayeza okuvala igazi. Abacoci begazi, abaziwa ngokuba ziianticoagulants, banokunceda. I-Anticoagulants ugqirha unokuyalela ukuba ubandakanye i-rivaroxaban powder (Xarelto) okanye warfarin (Coumadin). Ungadinga ukubekwa esweni ngelixa uthatha la mayeza.

Ezinye iindlela

Iinkqubo zotyando, ezinje nge-catheter ablation, nazo zinokunceda ukuzinzisa isingqisho sentliziyo kwi-AFib eqhubekayo. Oku kubandakanya ukusikeka entliziyweni yakho ukujolisa kwiindawo ezingasasebenziyo.

Ugqirha wakho uya kuthi mhlawumbi acebise utshintsho kwindlela yokuphila ukuncedisa amayeza akho okanye naziphi na iinkqubo zotyando. Oku kunokubandakanya:

• utshintsho kwindlela otya ngayo
• ulawulo loxinzelelo
• ulawulo lwezifo ezinganyangekiyo
• umthambo

Imbonakalo ye-AFib engapheliyo

Ukuqhubeka kwe-AFib kuhamba ngaphandle kokufumanisa, kunzima kunokuba unyango. Ukunganyangekiyo kwe-AFib kungakhokelela kwi-AFib esisigxina. Ukuba naluphi na uhlobo lwe-AFib, kubandakanya i-AFib eqhubekayo, yonyusa umngcipheko wokuhlaselwa sisifo, isifo sentliziyo kunye nokufa.

Eyona ndlela yokuthintela iingxaki kwi-AFib kukulawula ngononophelo nokunyanga. Ukuba ufunyaniswe une-AFib eqhubekayo, thetha nogqirha wakho malunga nazo zonke iindlela onokukhetha kuzo. Iziphumo eziphambili zeli nqanaba kukuqinisekisa ukuba ayiqhubeli phambili ukuya kwinqanaba elide okanye elisisigxina.