Luthini ukhetho lwam kunyango lwe-AFib?

Umxholo

• Iinjongo zonyango
• Iziyobisi zokuthintela amahlwili egazi
• Iziyobisi zokubuyisa ukubetha kwentliziyo yakho yesiqhelo
• Iziyobisi zokubuyisela isigqi sentliziyo esiqhelekileyo
• Ukutsalwa kwentliziyo ngombane
• Ukucinywa kwecatheter
• Umenzi wePacemaker
• Inkqubo yeMaze
• Utshintsho kwindlela yokuphila

I-fibrillation ye-Atriya

I-Atrial fibrillation (AFib) lolona hlobo luqhelekileyo lwe-arrhythmia yentliziyo. Kubangelwa ziimpawu zombane ezingaqhelekanga entliziyweni yakho. Le miqondiso ibangela ukuba i-atria yakho, amagumbi aphezulu entliziyo yakho, enze i-fibrillate okanye i-quiver. Le fibrillation ikhokelela kwintliziyo ekhawulezayo, engaqhelekanga.

Ukuba unayo i-AFib, ngekhe ube neempawu. Ngakolunye uhlangothi, unokuba neengxaki ezinzulu zempilo. Ukubetha kwentliziyo yakho ngokungaqhelekanga kunokubangela ukuba igazi lidibane kwi-atria yakho. Oku kunokubangela amahlwili ahamba aye kwingqondo yakho kwaye abangele ukubetha.

Ngokwe-American Heart Association, abantu abane-AFib engaphendulwanga banamaxesha aphindwe kahlanu okuba sesichengeni sokuhlaselwa ngabantu abangenale meko. I-AFib inokuba mandundu ngakumbi iimeko ezithile zentliziyo, ezinje ngokusilela kwentliziyo.

Kodwa ungoyiki. Unokukhetha iindlela ezininzi zonyango, kubandakanya amayeza, utyando kunye nezinye iinkqubo. Olunye utshintsho kwindlela yokuphila lunokunceda, nalo.

Iinjongo zonyango

Ugqirha wakho uya kubeka isicwangciso sonyango sokulawula i-AFib yakho. Isicwangciso sakho sonyango sinokujongana neenjongo ezintathu:

• thintela amahlwili egazi
• buyisela ukubetha kwentliziyo yakho kwesiqhelo
• buyisela isingqi sentliziyo esiqhelekileyo

Amayeza anokunceda ukufezekisa zontathu ezi njongo. Ukuba amayeza awasebenzi ukubuyisela isingqi sentliziyo yakho, ezinye iindlela ziyafumaneka, ezinje ngeenkqubo zonyango okanye uqhaqho.

Iziyobisi zokuthintela amahlwili egazi

Umngcipheko owandisiweyo wokubetha sisifo esibuhlungu. Ngomnye woonobangela abakhulu bokufa ngaphambi kwexesha kubantu abane-AFib. Ukunciphisa umngcipheko wehlwili elenzayo kwaye libangele ukubetha, ugqirha wakho uya kuthi amisele amayeza okucoca igazi. Oku kunokubandakanya ezi zilandelayo zingezizo ivithamin K zomlomo ii-anticoagulants (NOACs):

• Rivaroxabanxabisa (Xarelto)
• dabigatran (iPradaxa)
• apixaban (uEliquis)
• edoxaban (Savaysa)

Ezi NOACs ngoku ziyacetyiswa ngaphezulu kwe-warfarin yesiqhelo emiselweyo (i-Coumadin) kuba abanalo unxibelelwano lokutya olwaziwayo kwaye abafuni kubeka esweni rhoqo.

Abantu abathatha i-warfarin bafuna uvavanyo lwegazi rhoqo kwaye kufuneka babeke iliso kukutya kwabo okunotyebileyo ku-vitamin K.

Ugqirha wakho uza kujonga igazi lakho rhoqo ukuqinisekisa ukuba amayeza ayasebenza.

Iziyobisi zokubuyisa ukubetha kwentliziyo yakho yesiqhelo

Ukunciphisa isantya senhliziyo yakho lelinye inyathelo elibalulekileyo kunyango. Ugqirha wakho unokukunika amayeza ukulungiselela le njongo. Iindidi ezintathu zamayeza zinokusetyenziselwa ukubuyisela izinga lentliziyo eliqhelekileyo:

• I-Beta-blockers ezinje nge-atenolol (Tenormin), icarvedilol (Coreg), kunye nepropranolol (Inderal)
• Iibhlokhi zesitayile seCalcium ezinje nge diltiazem (Cardizem) kunye neverapamil (Verelan)
• I-Digoxin (Lanoxin)

Iziyobisi zokubuyisela isigqi sentliziyo esiqhelekileyo

Elinye inyathelo kunyango lwe-AFib lubuyisela isingqisho esiqhelekileyo sentliziyo yakho, esibizwa ngokuba sisingqisho sesono. Iindidi ezimbini zamayeza zinokukunceda oku. Basebenza ngokunciphisa isantya sombane entliziyweni yakho. La mayeza a:

• Iibhlokhi zesodium blocker ezinjenge flecainide (Tambocor) kunye nequinidine
• Iibhloko zePotassium ezinje nge-amiodarone (Cordarone, Nexterone, Pacerone)

Ukutsalwa kwentliziyo ngombane

Ngamanye amaxesha amayeza akakwazi ukubuyisela isingqisho sesono, okanye avelise iziphumo ebezingalindelekanga ezininzi. Kule meko, unokuba ne-cardioversion yombane. Ngale nkqubo ingenabuhlungu, ingcali yakho yokhathalelo lwempilo inika intliziyo yakho ukothuka ukuyiseta kwakhona kwaye ibuyise ukubetha okuqhelekileyo.

Ukuphefumula kombane kuhlala kusebenza, kodwa akuhlali kusisigxina. Emva koko, kuya kufuneka uthathe amayeza ukuze ugcine ukubetha kwentliziyo yakho rhoqo, rhoqo.

Ukucinywa kwecatheter

Enye indlela yokubuyisela isingqisho sesono xa iyeza lisilela libizwa ngokuba yi-catheter ablation. I-catheter emxinwa ifakwa kwisitya segazi entliziyweni yakho.

I-catheter isebenzisa amandla e-radiofrequency ukutshabalalisa inani elincinci leeseli zentliziyo entliziyweni yakho ezithumela imiqondiso ebangela isigqi sentliziyo esingaqhelekanga. Ngaphandle kwemiqondiso engaqhelekanga, uphawu oluqhelekileyo lwentliziyo yakho lungathatha indawo kwaye lwenze isingqisho sesono.

Umenzi wePacemaker

Ukuba isingqi sentliziyo yakho asiphenduli kumayeza, unokufuna i-pacemaker. Esi sisixhobo se-elektroniki esibekwe esifubeni sakho ngexesha lotyando. Ilawula ukubetha kwentliziyo yakho kwisingqisho sesono.

zisetyenziswa kuphela kwizigulana ezithile njengendawo yokugqibela emva kokuba amayeza engasebenzi. Nangona ukufakwa kwe-pacemaker kuthathwa njengotyando oluncinci, kusekho umngcipheko.

Inkqubo yeMaze

Unyango lokugqibela olubizwa ngokuba yinkqubo yeMaze lunokusetyenziselwa ukunyanga i-AFib xa amayeza kunye nezinye iinkqubo zisilele. Kubandakanya utyando lwentliziyo evulekileyo. Inkqubo yeMaze kunokwenzeka ukuba isetyenziswe ukuba unenye imeko yentliziyo efuna utyando.

Ugqirha wenza utyando kwi-atria yakho ethintela imiqondiso engaqhelekanga yombane kwindawo ethile yentliziyo yakho.

Ithintela imiqondiso ukuba ingafiki kwi-atria ukuze ibangele i-fibrillation. Uninzi lwabantu abanayo le nkqubo abasenayo i-AFib kwaye akusafuneki ukuba bathathe iziyobisi ezichaseneyo.

Utshintsho kwindlela yokuphila

Utshintsho kwindlela yokuphila nayo ibalulekile. Olu tshintsho lunokunceda ukunciphisa umngcipheko weengxaki ezivela kwi-AFib.

Kuya kufuneka uyeke ukutshaya kwaye unciphise ukutya kwakho utywala kunye necaffeine. Kwakhona, kuya kufuneka uphephe ukukhohlela kunye namayeza abandayo aqukethe izinto ezikhuthazayo. Ukuba awuqinisekanga ukuba yeyiphi onokuyiphepha, buza usokhemesti wakho.

Kwakhona, qaphela nayiphi na imisebenzi evelisa okanye eyenze mandundu iimpawu zakho ze-AFib kwaye uthethe nogqirha wakho ngazo.

Ukwehla kwesisindo kuyacetyiswa kubantu abane-AFib abatyebe kakhulu.

Ukufumana ezinye iingcebiso, jonga eli nqaku malunga notshintsho kwindlela yokuphila ukunceda ukulawula i-AFib.