Ukuvivinya umzimba uma une-Atrial Fibrillation

-Delile

• Imiphumela emibi ye-atrial fibrillation
• Imiphumela emibi yokuzivocavoca nge-atrial fibrillation
• Ukuzivocavoca okuhle kwe-AFib
• Ukuzivocavoca ukugwema nge-AFib
• Khuluma nodokotela wakho
• Hlola izinga lokushaya kwenhliziyo yakho
• Cabanga ngokuvuselelwa kwenhliziyo
• Yazi ukuthi kufanele ume nini noma ufune usizo
• I-Outlook nezixwayiso
• Q:
• A:

Kuyini i-atrial fibrillation?

I-Atrial fibrillation, evame ukubizwa nge-AFib ngamafuphi, iyimbangela ejwayelekile yesigqi senhliziyo esingajwayelekile. Lapho inhliziyo yakho ishaya ngaphandle kwesigqi, lokhu kwaziwa njenge-heart arrhythmia. Inhliziyo yakho incike esigqini esijwayelekile esivela kuphethini kagesi emakamelweni aso. Nge-AFib, leli phethini alidlulisi ngendlela ehlelekile. Ngenxa yalokho, amakamelo aphezulu enhliziyo, aziwa ngokuthi i-atria, awavumelani ngokushaya okuvamile, okunesigqi.

Iziqephu zesikhashana ze-AFib zenzeka kulokho okubizwa nge-paroxysmal AFib. Nge-AFib engapheli, inhliziyo inayo le arrhythmia ngaso sonke isikhathi.

Ukwelashwa kuyatholakala nge-AFib, futhi usengaphila impilo esebenzayo ngalesi simo. Kubalulekile ukuthi unake izinto ezimbalwa lapho uhlala ne-AFib, kufaka phakathi ukuzivocavoca umzimba.

Imiphumela emibi ye-atrial fibrillation

I-AFib ingaba ukukhathazeka ngezizathu eziningana. Okokuqala, ukuntuleka kokuphambana kwenhliziyo okusebenzayo kwenza igazi ligijime futhi libhukule e-atria. Ngenxa yalokho, ungakha amahlule egazi angaya noma kuphi emzimbeni. Uma ihlwili lingena ebuchosheni, lingadala isifo sohlangothi. Uma ihlwili lingena emaphashini, lingadala ukubumbana kwamaphaphu.

Okwesibili, uma inhliziyo ishaya kakhulu, ukushaya kwenhliziyo okusheshayo kungaholela ekuhlulekeni kwenhliziyo. Ukwehluleka kwenhliziyo kusho ukuthi imisipha yenhliziyo yakho ayikwazi ukupompa kahle noma ukugcwalisa igazi elanele. Okwesithathu, i-AFib engalashwa ingaholela kwezinye izinkinga ezihlobene nenhliziyo e-arrhythmia, kufaka phakathi ukukhathala okungapheli nokudangala.

Imiphumela emibi yokuzivocavoca nge-atrial fibrillation

Esinye sezimpawu ezivame kakhulu ze-AFib sikhathala kalula uma usebenzisa umzimba. Ezinye izimpawu ze-AFib ezingenza ukuzivocavoca kube nzima kakhulu zifaka:

• ukushaya kwenhliziyo
• isiyezi
• ukujuluka
• ukukhathazeka
• ukuphelelwa umoya

I-AFib ingenza ukuzivocavoca kube nzima ngoba inhliziyo yakho ingaqala ukugijima. Inhliziyo egijimayo ingenza umfutho wegazi lakho wehle futhi ikwenze uzizwe uphela amandla. Kulokhu, ukuzivocavoca kanzima kungaba yingozi kakhulu kunokuba lusizo.

Ezimweni eziningi, ukuzivocavoca ne-AFib kungakusiza uphile impilo eqinile. Ukuzivocavoca umzimba kukusiza ukuthi ugcine isisindo esinempilo, esingavimbela ukwehluleka kwenhliziyo ekukhuleni. Kukhona futhi izinzuzo zomsebenzi owusizo ikakhulukazi uma une-AFib, kufaka phakathi ukwehlisa izinga lokushaya kwenhliziyo yakho nokunciphisa umfutho wegazi.

Ukuba nekhwalithi enhle yempilo kuwumgomo obalulekile uma une-AFib, nokuvivinya umzimba kungasiza ekunciphiseni ukukhathazeka nokucindezeleka.

Ukuzivocavoca okuhle kwe-AFib

Ngaphambi kokubamba iqhaza kunoma yiluphi uhlobo lokuzivocavoca, qiniseka ukuthi welula imisipha yakho noma wenze ukuhamba okuncane okunomthelela ophansi cishe imizuzu eyi-10 ukuvumela inhliziyo yakho ukuthi ijwayele lo msebenzi. Qiniseka ukuthi unamanzi ngaphambi kokuqala ukukhuphula izinga lomsebenzi wakho, futhi.

Uma usufudumele, zama ukuzivocavoca okufana nokuhamba ngamandla, ukugijima, noma ukuhamba izintaba ukuze uthole ukuzivocavoca okuhle ngaphandle kokulayisha ngokweqile inhliziyo yakho. Ukuhamba ngebhayisikili lokuzivocavoca noma ukusebenzisa umshini we-elliptical noma umshini wokunyathela nakho kuyindlela ephephile yokusebenza kwabantu abane-AFib.

Ukuphakamisa izinsimbi ezikhanyayo nakho kungaba ukuzivocavoca okuhle. Kungakusiza ukwakha ithoni yemisipha namandla ngaphandle kokulayisha ngokweqile imisipha yakho noma ukucindezela inhliziyo yakho.

Ekuqaleni, zama izinkathi zokuzivocavoca ezimfushane zemizuzu engu-5-10 ukuze uqiniseke ukuthi ukuvivinya umzimba ngeke kukwenze uzizwe unekhanda elincane noma uqulekile. Njengoba ukhululeka ngezikhathi zokuvivinya umzimba, kancane kancane engeza imizuzu engu-5-10 yesikhathi sokuzivocavoca uze ube nomuzwa wokuthi usufinyelele umgomo owanelisayo womuntu siqu.

Ukuzivocavoca ukugwema nge-AFib

Uma ungazange uzivocavoca isikhashana, awufuni ukuqala ngokuzivocavoca okukhulu, okunomthelela omkhulu. Uma uzivocavoca ne-AFib, ungahle uthande ukuqala ngezikhawu ezimfushane zokuvivinya umzimba okunomthelela ophansi. Ngemuva kwalokho ungangeza kancane ubude nobukhulu bokuzivocavoca kwakho.

Zama ukugwema imisebenzi enobungozi obukhulu bokubangela ukulimala, njengokushushuluza noma ukuhamba ngebhayisikili ngaphandle. Imithi eminingi emincane yegazi esetshenziselwa ukwelapha i-AFib ingakwenza wophe kakhulu uma ulimele.

Uma uhlela ukuphakamisa izinsimbi, khuluma nodokotela wakho noma owelapha ngokomzimba ngokuthi kungakanani isisindo esiphephile ongasiphakamisa. Ukuphakamisa kakhulu kungabeka ubunzima enhliziyweni yakho.

Khuluma nodokotela wakho

Khuluma nodokotela wakho ngalokho okufanele ukwenze nokungafanele ukwenze uma kuziwa ekusebenzeni. Uma i-AFib yakho ibangela noma yiziphi izimpawu, udokotela wakho angakutusa ukuthi uthole isimo ngaphansi kolawulo olungcono ngaphambi kokuthi uqale usebenzise. Bangakunikeza imithi yokuzama ukugcina inhliziyo yakho isesigqi noma ukuvimba inhliziyo yakho ingashayi kakhulu.

Hlola izinga lokushaya kwenhliziyo yakho

Akudingeki ukuthi uzibandakanye nomsebenzi onamandla ngokweqile ukuze ujabulele izinzuzo zokuvivinya umzimba. Nge-AFib, kungaba umqondo ongcono ukugcina ukuzivocavoca umzimba kwakho kusezingeni elilinganisiwe ekuqaleni. Ukugcina izinga lokushaya kwenhliziyo yakho kungakusiza nokuthi ugcine ijubane eliphephile ngesikhathi sokuzivocavoca kwakho.

Ama-tracker amaningi wokuqina nokuzivocavoca ayatholakala ukukusiza ukuqapha izinga lokushaya kwenhliziyo yakho. Laba balandeli bomzimba bavame ukugqokwa esihlakaleni sakho njengewashi (futhi imvamisa kubukeka njengamawashi). Eziningi zazo zirekhoda imininingwane yezibalo zokushaya kwenhliziyo ongayibuka ngohlelo lokusebenza ku-smartphone yakho, ithebhulethi, noma ikhompyutha yasekhaya.

Phakathi kwezimpawu ezaziwa kakhulu, ezaziwa kakhulu nge-fitness tracker yiFitbit, ethengisa amamodeli amaningana ama-tracker wokuqina komzimba anabaqaphi bezinhliziyo ezakhelwe ngaphakathi. Izinkampani ezifana ne-Apple, Garmin, ne-Samsung nazo zidayisa ama-tracker wokuzivocavoca umzimba.

Ngokuya nge-CDC, ukuvivinya umzimba ngokulingene kufanele kube ngamaphesenti angama-50 kuye kwangama-70 wesilinganiso senhliziyo yakho esiphezulu. Ukukala izinga lokushaya kwenhliziyo yakho ngenkathi uzivoxavoxa, beka inkomba yakho neminwe emaphakathi ohlangothini lwesithupha sesihlaka sakho esiphambene, ngezansi kwesithupha sakho, noma ohlangothini lwentamo yakho. Ungabala ukushaya kwenhliziyo yakho ngomzuzu ogcwele noma ubale imizuzwana engama-30 bese uphinda ngo-2.

Nazi izinto ezimbalwa okufanele uzikhumbule lapho ubheka isilinganiso senhliziyo yakho:

• Ukushaya kwenhliziyo yakho okuphezulu kunqunywa ngokususa iminyaka yakho kokungu-220. Isibonelo, uma uneminyaka engama-50 ubudala, isilinganiso sakho senhliziyo esiphezulu kungaba ukushaya okungu-170 ngomzuzu (bpm).
• Ukuzivocavoca ezingeni elilinganisiwe, izinga lokushaya kwenhliziyo yakho kufanele libe phakathi kwama-85 (kusuka ekuphindaphindeni kwe-170 x 0.5) ne-119 (kusuka ekuphindaphindeni kwe-170 x 0.7) bpm.

Uma uthatha umuthi owaziwa njenge-beta-blocker, ungaqaphela ukuthi isilinganiso senhliziyo yakho asibonakali sikhula kakhulu njengoba ubungacabanga. Lokhu kungenxa yokuthi ama-beta-blocker asebenza ekunciphiseni kwenhliziyo yakho, ngaphezu kokwehla kwengcindezi yegazi. Ngenxa yalokho, inhliziyo yakho kungenzeka ingashayi ngokushesha okukhulu, noma ngabe uzivocavoca ngejubane elilinganiselayo.

Cabanga ngokuvuselelwa kwenhliziyo

Kuyinto evamile ukuzizwa uvalo ngokuzivocavoca umzimba uma une-AFib. Kodwa akudingeki ngaso sonke isikhathi ukuthi ubheke ukushaya kwenhliziyo yakho ngesikhathi sokuzilolonga wedwa. Khuluma nodokotela wakho mayelana nokuvuselelwa kwenhliziyo.

Ukuvuselelwa kwenhliziyo kusho nje ukuzivocavoca esikhungweni sezempilo lapho inhliziyo yakho ingabhekwa khona. Izinketho zifaka isibhedlela, isikhungo sokugula, noma umtholampilo kadokotela wakho. Abasebenzi bakulesi sikhungo bangakuxwayisa uma izinga lokushaya kwenhliziyo yakho lishesha kakhulu noma uma unegazi elingajwayelekile. Abasebenzi baphinde baqeqeshwa ngokukhethekile ukusiza abantu abanezimo zenhliziyo ezifana ne-AFib nokuhluleka kwenhliziyo. Bangakunikeza ngamathiphu ngokuzivocavoca okusha okufanele bakucabangele nezeluleko ngokuphepha kokuzivocavoca.

Ungacelwa ukuthi wenze isivivinyo sokuxineka kokuzivocavoca umzimba ngenkathi usesimweni sokuvuselela inhliziyo. Kulesi sivivinyo, uzohamba kumshini wokunyathela olungiselelwe ijubane nokuthambeka ngenkathi uxhumeke ezintweni ezihlola ukushaya kwenhliziyo yakho.

Ukuhlolwa kwengcindezi yokuzivocavoca kuvumela udokotela wakho ukuthi abone ukuthi inhliziyo yakho isabela kahle kangakanani ekuzivocavoca umzimba, nokuthi iphampa igazi kahle kangakanani nangokungaguquguquki emzimbeni wakho. Lokhu kuhlolwa kungalinganisa ukuthi inhliziyo yakho ingathatha umzimba ongakanani ngaphambi kokuba kuvele izimpawu ze-AFib. Ukwazi ukuthi yiliphi izinga lokuzivocavoca okuhle enhliziyweni yakho kungakusiza ukuthi wakhe inqubo yokuzivocavoca ephephile kwi-AFib yakho.

Yazi ukuthi kufanele ume nini noma ufune usizo

Ngenkathi ukwazi ukuzivocavoca ngaphandle kwezinkinga ezivela ku-AFib, kusabalulekile ukuthi wazi ukuthi yiziphi izimpawu ezisho ukwehlisa ijubane noma ukuyeka ngokuphelele. I-AFib ingadala ukuthi uzwe ubuhlungu besifuba lapho uzivocavoca. Uma ubuhlungu besifuba sakho bungapheli lapho uthatha ikhefu elifushane noma uphumula, shayela ku-911 noma inombolo yakho ephuthumayo yasendaweni. Ungase futhi ucabangele ukuthi othile akuhambise egumbini labezimo eziphuthumayo.

Ezinye izimpawu okufanele ufune ukwelashwa okuphuthumayo zifaka:

• ukuphefumula okuncane ongakwazi ukululama kukho
• ukudubula ubuhlungu bengalo
• ukudideka noma ukudideka
• ukulahlekelwa ukwazi
• ubuthakathaka obungazelelwe ohlangothini olulodwa lomzimba wakho
• inkulumo engahambi kahle
• kunzima ukucabanga kahle

Shayela udokotela wakho uma unezinye izimpawu ezikwenza uzizwe ungakhululekile noma ungaphilile.

Uma une-pacemaker, khuluma nodokotela wakho ngokuthi ungayiphatha kanjani indlela yakho yokuzivocavoca. Udokotela wakho angafuna ukuhlanganisa ezinye izindlela zokwelapha ze-AFib ne-pacemaker, njengemithi noma i-ablation (ukudala izicubu ezibomvu ukusiza ukulawula isigqi senhliziyo yakho). Lezi zindlela zokwelapha zingathuthukisa ikhono lakho lokusingatha ukusebenza okude noma okukhulu kakhulu. Buza udokotela wakho ukuthi lezi zindlela zokwelapha zizoyithinta kanjani inhliziyo yakho ngaphambi kokuba uqale inqubo yokuzivocavoca.

Imithi ethile ye-AFib, efana ne-warfarin (i-Coumadin), ikwenza ujwayele ukuphuma kakhulu igazi uma ulimala. Uma uthatha lokhu noma elinye igazi elincanyana, cela udokotela wakho ukuthi kuphephile yini ukubamba iqhaza ekuzivocavoca umzimba okwandisa ingozi yokuwa noma ukulimala emzimbeni.

I-Outlook nezixwayiso

Buza udokotela wakho ukuthi aqinisekise ukuthi ungabamba iqhaza emihlanganweni ejwayelekile yokuzivocavoca umzimba. Ngokufanelekile, lokhu kungaba sezingeni lokuvivinya umzimba ngokulingene. Ukwazi izimpawu ezingakhombisa ukuthi udinga ukwehlisa ijubane noma ukufuna usizo lwezimo eziphuthumayo kungaqinisekisa ukuthi uhlala uphilile lapho uzivocavoca ne-AFib.

Q:

Ngine-A-fib neqhwa enhliziyweni yami. NgikuCardizem no-Eliquis. Ngabe lokhu kuzokwehlisa ihlwili?

Umfundi we-Healthline ongaziwa

A:

I-Eliquis iyisizukulwane esisha segazi esinciphisa igazi elinciphisa ubungozi bokubumbana kwegazi nezinkinga ezihambisana nakho. Uma usuvele unegazi egazini enhliziyweni yakho, u-Eliquis uzosiza ekuqiniseni ihlwili ukuze umzimba wakho ulibhidlize ngokwemvelo ngokuhamba kwesikhathi. ICardizem yisidakamizwa esilwa nomfutho wegazi ophakeme futhi esinezinga lenhliziyo - kepha hhayi ukulawula isigqi - izakhiwo. Awunawo umthelela, noma omuhle noma omubi, egazini elizimele ngokwalo.

UGraham Rogers, izimpendulo ze-MDA zimele imibono yochwepheshe bethu bezokwelapha. Konke okuqukethwe kunolwazi oluqinile futhi akufanele kuthathwe njengezeluleko zezokwelapha.