I-atrial fibrillation: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu nezimpawu eziyinhloko
• Izimbangela ezingaba khona
• Yelashwa kanjani
• Yiziphi izinkinga ezingavela

I-Atrial fibrillation ibonakala ngokungahleleki kahle kwezinto ezisebenza ngogesi e-atria yenhliziyo, edala izinguquko ekushayeni kwenhliziyo, okuba ngokungajwayelekile futhi kusheshe, kufinyelele ekushayweni okungu-175 ngomzuzu, okungakhuphula ubungozi bokushaywa unhlangothi, ukwehluleka kwenhliziyo noma ezinye izinkinga zenhliziyo .

I-Atrial fibrillation ingaba nge-asymptomatic, itholakale kuphela ngesikhathi sokuhlolwa okujwayelekile, noma ibangele izimpawu ezinjengokushaya ngamandla, ukuphefumula, isiyezi nokuzizwa ubuthakathaka.

Ukwelashwa kuyahlukahluka kakhulu futhi kuzoya ngomuntu, izimpawu nezimpawu azivezayo nezimbangela ezisuselwa ku-fibrillation ye-atrial.

Izimpawu nezimpawu eziyinhloko

Kwabanye abantu, i-fibrillation ingahle ingazivezi izimpawu, noma kunjalo, kwezinye izimo, kungenzeka:

• Ukushaya kancane;
• Ukushaya kwenhliziyo okungajwayelekile;
• Ubuthakathaka nokukhathala okusheshayo;
• Isiyezi;
• Ukuphefumula okufishane;
• Ubuhlungu besifuba.

Ngokuvamile, ukuxilongwa kwenziwa nge-electrocardiogram, kepha kwezinye izimo, udokotela angakhombisa i-echocardiogram, ukuhlolwa kwegazi ukubona ukuthi kunezinkinga yini ngendlala yegilo, noma i-X-ray esifubeni, ukuhlola ubukhulu bendawo yenhliziyo .

Izimbangela ezingaba khona

I-Atrial fibrillation kwesinye isikhathi ayinasizathu esaziwayo, noma kunjalo, ezimweni eziningi kwenzeka ngenxa yokukhubazeka kwenhliziyo noma ukulimala.

Ngaphezu kwalokho, ezinye izimbangela ezingavumela ukufakwa kwe-atrial fibrillation yi-hypertension, umlando wokuhlaselwa yinhliziyo kwangaphambilini, isifo senhliziyo, izifo zokuzalwa, i-hyperthyroidism, ukusetshenziswa kwemithi ethile, ukudla i-caffeine, utshwala noma ugwayi, ukuhlushwa izinkinga zamaphaphu, ukusebenza ngemuva kokuhlinzwa ukuhlinzwa kwenhliziyo kwakamuva, ukutheleleka ngegciwane, ingcindezi noma ukuhlushwa ukuphefumula kokulala, isibonelo.

Kwezinye izimo, ingozi yokuhlushwa i-atrial fibrillation ingakhuphuka, njengasebekhulile kanye nabantu abasebenzisa ngokweqile utshwala nezinye izikhuthazi.

Yelashwa kanjani

Ukwelashwa kuzoya ngezimo zomuntu ze-hemodynamic futhi lapho i-arrhythmia iqala, noma kunjalo, akulula ngaso sonke isikhathi ukucacisa isikhathi sokuqala, okwenza indlela nokwelashwa kube nzima.

Izinhloso zokwelashwa ukulinganisa ukushaya kwenhliziyo nokuvimbela amahlule egazi ukuthi enziwe ukunciphisa ingozi yokuhlaselwa yisifo sohlangothi. Ngokuya ngesikhathi sokuqala kwe-arrhythmia kanye nesimo somtholampilo womuntu, kungadingeka ukudambisa amandla, lapho kwenziwa khona ukushaqeka ukuze kusethwe kabusha izinga lokushaya kwenhliziyo futhi kulibuyisele esigqini esijwayelekile, ngaphansi kokuthamba.

Ngaphezu kwalokho, udokotela angahle anikeze imishanguzo yokuthambisa, ehlehlisa i-fibrillation ye-atrial ezigulini ezizinzile futhi ingasetshenziswa ngemuva kokubuyiselwa emuva ukuvimbela eminye imicimbi. Izibonelo zama-antiarrhythmic agents yi-amiodarone ne-propagandone, isibonelo. Ama-beta blockers kanye ne-calcium channel blockers nawo angasetshenziswa ukulawula izinga lokushaya kwenhliziyo nokuvimbela i-fibrillation ye-atrial. Ngokuvikela ukwakheka kwamahlwili, udokotela angahle anikeze ama-anticoagulants kanye ne-platelet inhibitors.

Kubalulekile futhi ukuzivocavoca umzimba njalo, ulawule umfutho wegazi, ugweme utshwala obuningi, i-caffeine noma ugwayi, ulawule i-cholesterol, unciphise ukusetshenziswa koshukela futhi ugcine isisindo esinempilo.

Yiziphi izinkinga ezingavela

Ngokuvamile, i-atrial fibrillation ayisongeli impilo, kepha kwezinye izimo, ingaholela ezinkingeni noma ngisho nokwelashwa okuphuthumayo kuyadingeka.

I-atrial fibrillation ingaholela ekwakhekeni kwamahlule egazi ngaphakathi kwenhliziyo, ajikeleza kwezinye izitho, ezingadala ukuvalwa kokugeleza kwegazi, kubangele ischemia. Uma beya ebuchosheni, bangaphazamisa umthambo we-cerebral futhi babangele isifo sohlangothi, ubungozi obenzeka cishe izikhathi eziphindwe ka-5 kubantu abahlushwa i-atrial fibrillation.

Ngaphezu kwalokho, lapho i-fibrillation ye-atrial ivame kakhulu, ingadala ukwehluleka kwenhliziyo. Njengoba lezi zinkinga zibucayi, kubalulekile ukuthi ukwelashwa kwenziwe ngokushesha okukhulu.