I-Atrial Fibrillation vs. Villricular Fibrillation

-Delile

• Ayini ama-atria nama-ventricles?
• I-AFib iwuthinta kanjani umzimba?
• I-VFib iwuthinta kanjani umzimba?
• Ukuvimbela i-AFib ne-VFib
• Amathiphu okuvimbela
  

Ukubuka konke

Izinkontileka ezinempilo ziphilile ngendlela evumelanisiwe. Izimpawu zikagesi ezisenhliziyweni zibangela ukuthi ingxenye ngayinye yengxenye yayo isebenze ndawonye. Kuzo zombili i-atrial fibrillation (AFib) ne-ventricular fibrillation (VFib), amasiginali kagesi emisipha yenhliziyo aba nesiyaluyalu. Lokhu kubangela ukungakwazi kwenhliziyo ukwenza isivumelwano.

Ku-AFib, isilinganiso senhliziyo nesigqi kuzoba okungajwayelekile. Yize kubucayi, i-AFib akuyona imicimbi esongela impilo ngokushesha. Ku-VFib, inhliziyo ngeke isapompa igazi. I-VFib yisimo esiphuthumayo sezokwelapha esizoholela ekufeni uma singelashwa ngokushesha.

Ayini ama-atria nama-ventricles?

Inhliziyo iyisitho esisodwa esikhulu esinezigumbi ezine. Izingxenye zenhliziyo lapho kwenzeka khona i-fibrillation zinquma igama lesimo. I-atrial fibrillation yenzeka emakamelweni amabili aphezulu enhliziyo, eyaziwa nangokuthi i-atria. I-ventricular fibrillation yenzeka emakamelweni amabili aphansi enhliziyo, aziwa ngokuthi ama-ventricles.

Uma ukushaya kwenhliziyo okungajwayelekile (arrhythmia) kwenzeka e-atria, igama elithi "atrial" lizokwandulela uhlobo lwe-arrhythmia. Uma i-arrhythmia ivela kuma-ventricles, igama elithi "ventricular" lizokwandulela uhlobo lwe-arrhythmia.

Yize zinamagama afanayo futhi zombili zenzeka enhliziyweni, i-AFib ne-VFib zithinta umzimba ngezindlela ezihlukile. Funda kabanzi ezigabeni ezilandelayo ngokuthi isimo ngasinye siyithinta kanjani inhliziyo.

I-AFib iwuthinta kanjani umzimba?

Enhliziyweni enempilo, igazi lifakwa egumbini eliphezulu lingene egumbini eliphansi (noma lisuka e-atria liye kuma-ventricles) ngokushaya kwenhliziyo okukodwa. Ngaleso sishaya esifanayo, igazi limpompwa lisuka kuma-ventricle lingene emzimbeni. Kodwa-ke, lapho i-AFib ithinta inhliziyo, amakamelo aphezulu awasampompi igazi angene emakamelweni aphansi futhi kufanele ageleze ngokunganaki. Nge-AFib, igazi e-atria kungenzeka lingabi nalutho ngokuphelele.

I-AFib ngokuvamile ayisongeli impilo. Kodwa-ke, yisimo esibi sezempilo esingaholela ezinkingeni ezisongela impilo uma singalashwa. Izinkinga ezibucayi kakhulu ukushaywa unhlangothi, isifo senhliziyo, nokuvaleka kwemithambo yegazi okuholela ezithweni noma emalungeni. Lapho igazi lingenalutho ngokuphelele kusuka e-atria, lingaqala ukubhukuda. Igazi elihlanganisiwe liyakwazi ukuminyana, futhi lawa mahlule abangela ukushaywa unhlangothi nokulimala kwezitho noma izitho zomzimba lapho kukhishwa kuma-ventricles kuya ekusakazeni kwegazi.

I-VFib iwuthinta kanjani umzimba?

I-Ventricular fibrillation ayihlelekile futhi ayisebenzi ngendlela kagesi kuma-ventricles enhliziyo. Ama-ventricles wona-ke awangeneki futhi akhiphe igazi lisuke enhliziyweni lingene emzimbeni.

I-VFib yisimo esiphuthumayo. Uma uthuthukisa i-VFib, umzimba wakho ngeke ulithole igazi olidingayo ngoba inhliziyo yakho ayisampompozi. I-VFib engalashwa iholela ekufeni okungazelelwe.

Ukuphela kwendlela yokulungisa inhliziyo ebhekene ne-VFib ukuyinika ukushaqeka kukagesi nge-defibrillator. Uma ukwethuka kwenziwa ngesikhathi, i-defibrillator ingabuyisela inhliziyo emuva esigqi esijwayelekile, esinempilo.

Uma ngabe uke waba ne-VFib ngaphezu kokukodwa noma uma unesimo senhliziyo esikubeka engcupheni enkulu yokuthuthukisa i-VFib, udokotela wakho angasikisela ukuthi uthole i-cardioverter defibrillator (ICD) engafakelwa. I-ICD ifakwe odongeni lwesifuba sakho futhi inemikhombandlela kagesi exhumeke enhliziyweni yakho. Ukusuka lapho, ihlala iqaphe imisebenzi kagesi yenhliziyo yakho. Uma ithola ukushaya kwenhliziyo okungajwayelekile noma isigqi, ithumela ukushaqeka okusheshayo ukuze ibuyisele inhliziyo kuphethini ejwayelekile.

Ukungayiphathi i-VFib akuyona inketho. Ukusuka ngo-2000 kubike inani lokusinda lenyanga eyodwa kweziguli ezine-VFib ezenzeke ngaphandle kwesibhedlela ukuthi libe ngamaphesenti ayi-9.5. Ububanzi bokusinda babuphakathi kwamaphesenti ama-50 ngokwelashwa ngokushesha kuya kumaphesenti ama-5 ngokubambezeleka kwemizuzu engu-15. Uma ingalashwa kahle futhi ngokushesha, abantu abasinda ku-VFib bangalimala isikhathi eside noma bangene ku-coma.

Ukuvimbela i-AFib ne-VFib

Indlela yokuphila enempilo ingasiza ekunciphiseni amathuba akho we-AFib ne-VFib. Ukuvivinya umzimba njalo nokudla okunothe ngamafutha anempilo yenhliziyo futhi kukhawulwe emafutheni agcwele futhi adluliswayo kuyisihluthulelo sokugcina inhliziyo yakho iqinile impilo yonke.

Amathiphu okuvimbela

• Yeka ukubhema.
• Gwema utshwala ne-caffeine eyeqile.
• Finyelela futhi ugcine isisindo esinempilo.
• Lawula i-cholesterol yakho.
• Bheka futhi uphathe umfutho wegazi lakho.
• Phatha izimo ezingaholela ezinkingeni zenhliziyo, kufaka phakathi ukukhuluphala, i-apnea yokulala, nesifo sikashukela.

Uma utholwe ukuthi une-AFib noma i-VFib, sebenzisana kakhulu nodokotela wakho ukwenza uhlelo lokwelashwa kanye nendlela yokuphila ebhekana nezici zakho zobungozi, umlando we-arrhythmia, nomlando wezempilo. Ngokubambisana, ningalapha zombili lezi zimo ngaphambi kokuba zibe yingozi.