Konke Odinga Ukukwazi Nge-Atrial Fibrillation

-Delile

• Izimpawu ze-Atrial fibrillation
• Ukwelashwa kwe-Atrial fibrillation
• Izimbangela ze-fibrillation ye-atrial
• Izici zobungozi bokuqina kwe-atrial
• Izinkinga ze-Atrial fibrillation
• Ukuxilongwa kwe-Atrial fibrillation
• Ukuhlinzwa kwe-Atrial fibrillation
• Ukuphazamiseka komzimba kagesi
• Ukukhishwa kwepayipi
• Ukwehlukaniswa kwamanani we-Atrioventricular (AV)
• Ukuhlinzwa kweMaze
• Ukuvimbela
• Ukudla kwe-Atrial fibrillation
• Ukwelashwa kwemvelo kwe-Atrial fibrillation
• Imihlahlandlela ye-Atrial fibrillation
• I-Atrial fibrillation vs. flutter

Kuyini i-atrial fibrillation?

I-Atrial fibrillation uhlobo oluvame kakhulu lwe-arrhythmia yenhliziyo (ukushaya kwenhliziyo okungajwayelekile) okungaphazamisa ukugeleza kwegazi okujwayelekile. Lokhu kuphazamiseka kusho ukuthi izimo zikubeka engcupheni yamahlule egazi nokushaywa unhlangothi.

Phakathi kwe-fibrillation ye-atrial (i-AFib noma i-AF).

Nge-AFib, amakamelo amabili aphezulu enhliziyo yakho (i-atria) ayathinteka. Lokhu kuphazamisa ukugeleza kwegazi kuye kuma-ventricles noma emakamelweni aphansi, bese kuwo wonke umzimba wakho.

Uma ishiywe ingalashwa, i-AFib ingaba yingozi.

I-Atrial fibrillation ingaba yesikhashana, ingafika idlule, noma ingahlala unomphela. Kubuye kuvame kakhulu kubantu abadala. Kepha ngokunakekelwa okufanele kwezempilo, ungaphila impilo ejwayelekile, esebenzayo.

Izimpawu ze-Atrial fibrillation

Ungahle ungazitholi izimpawu uma une-fibrillation ye-atrial.

Labo abathola izimpawu bangabona:

• ukushaya kwenhliziyo (ukuzizwa sengathi inhliziyo yakho yeqa ukushaya, ukushaya ngokushesha okukhulu noma kanzima, noma ukushaya)
• ubuhlungu besifuba
• ukukhathala
• ukuphelelwa umoya
• ubuthakathaka
• ubumhlophe
• isiyezi
• ukuquleka
• ukudideka
• ukungabekezelelani kokuzivocavoca umzimba

Lezi zimpawu zingafika zidlule ngokuya ngobukhulu besimo sakho.

Isibonelo, i-paroxysmal AFib uhlobo lwe-fibrillation ye-atrial oluxazulula lodwa ngaphandle kokungenelela kwezokwelapha. Kepha kungadingeka ukuthi uthathe imishanguzo ukuvikela iziqephu zesikhathi esizayo kanye nezinkinga ezingaba khona.

Sekukonke, ungathola izimpawu ze-AFib imizuzu eminingana noma amahora amaningi ngasikhathi. Izimpawu eziqhubeka ezinsukwini ezimbalwa zingakhombisa i-AFib engapheli.

Tshela udokotela wakho nganoma yiziphi izimpawu obhekene nazo, ikakhulukazi uma kukhona ushintsho.

Ukwelashwa kwe-Atrial fibrillation

Ungahle ungadingi ukwelashwa uma ungenazo izimpawu, uma ungenazo ezinye izinkinga zenhliziyo, noma uma i-fibrillation ye-atrial iyema yodwa.

Uma udinga ukwelashwa, udokotela wakho angancoma izinhlobo ezilandelayo zemithi:

• beta-blockers ukunciphisa izinga lokushaya kwenhliziyo yakho
• ama-calcium channel blockers okuphumuza imisipha yegazi nokunciphisa izinga lokushaya kwenhliziyo jikelele
• Izivimbeli zesiteshi se-sodium noma i-potassium ukulawula isigqi senhliziyo
• digitalis glycosides ukuqinisa ukucindezela kwenhliziyo yakho
• izinciphisi zegazi ukuvimbela amahlule egazi ekwakhekeni

Ama-anticoagulants omlomo angenayo i-vitamin K (ama-NOAC) yizona zinciphisa igazi ezithandwayo ze-AFib. Kubandakanya i-Rivaroxaban powder (i-Xarelto) ne-apixaban (i-Eliquis).

Ngokuvamile, inhloso yokuphuza imishanguzo ye-AFib ukulinganisa izinga lokushaya kwenhliziyo yakho nokukhuthaza ukusebenza kangcono kwenhliziyo ngokuphelele.

Le mithi ingavimbela nokuqubuka kwegazi esikhathini esizayo, kanye nezinkinga ezihlobene nokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi. Ngokuya ngesimo sakho, udokotela wakho angancoma imishanguzo eminingi ye-AFib.

Izimbangela ze-fibrillation ye-atrial

Inhliziyo iqukethe amakamelo amane: ama-atria amabili nama-ventricle amabili.

I-atrial fibrillation yenzeka lapho la magumbi engasebenzi ndawonye njengoba kufanele ngenxa yokubonisa okungahambi kahle kukagesi.

Imvamisa, i-atria ne-ventricles zisebenza ngesivinini esifanayo. Ku-fibrillation ye-atrial, i-atria nama-ventricles avumelani ngoba isivumelwano se-atria ngokushesha okukhulu nangokungajwayelekile.

Imbangela ye-atrial fibrillation ayaziwa njalo. Izimo ezingadala ukulimala enhliziyweni futhi ziholele ku-fibrillation ye-atrial zifaka:

• umfutho wegazi ophakeme
• ukuhluleka kwenhliziyo
• isifo semithambo yegazi
• isifo senhliziyo senhliziyo
• i-hypertrophic cardiomyopathy, lapho imisipha yenhliziyo iba bukhulu khona
• ukuhlinzwa kwenhliziyo
• ukukhubazeka kwenhliziyo okuzalwa, okusho ukukhubazeka kwenhliziyo ozalwa nakho
• indlala yegilo esebenza ngokweqile
• i-pericarditis, okuwukuvuvukala kwesembozo esifana nesenhliziyo
• ukuthatha imithi ethile
• ukuphuza ngokweqile
• isifo segilo

Indlela yokuphila enempilo jikelele inganciphisa ubungozi be-AFib. Kepha akuzona zonke izimbangela ezingavikeleka.

Kubalulekile ukutshela udokotela wakho ngomlando wakho wezempilo ogcwele ukuze bakwazi ukukhomba kangcono izimbangela ze-AFib yakho futhi bakwazi ukuyelapha kangcono.

Izici zobungozi bokuqina kwe-atrial

Yize imbangela ngqo ye-AFib ingaziwa njalo, kunezici ezithile ezingakubeka engcupheni ephezulu yalesi simo. Ezinye zalezi zingavinjelwa, kanti ezinye zinofuzo.

Khuluma nodokotela wakho ngalezi zinto eziyingozi ezilandelayo:

• ukukhula kweminyaka (uma usumdala, kukhuphuka ubungozi bakho)
• ukuba mhlophe
• ukuba ngowesilisa
• umlando womndeni we-fibrillation ye-atrial
• Isifo senhliziyo
• ukukhubazeka kwenhliziyo kwesakhiwo
• ukukhubazeka kwenhliziyo okuzelwe
• i-pericarditis
• umlando wokuhlaselwa yisifo senhliziyo
• umlando wokuhlinzwa kwenhliziyo
• izimo ze-thyroid
• isifo se-metabolic syndrome
• ukukhuluphala ngokweqile
• isifo samaphaphu
• isifo sikashukela
• ukuphuza utshwala, ikakhulukazi ukuphuza ngokweqile
• ukulala ubuthongo
• ukwelashwa kwe-steroid ephezulu

Izinkinga ze-Atrial fibrillation

Ukwelashwa njalo nokuhlolwa nodokotela wakho kungakusiza ugweme izinkinga. Kodwa uma iyekwa ingelashwa, i-atrial fibrillation ingaba yimbi futhi ibulale nokufa.

Izinkinga ezinkulu zibandakanya ukwehluleka kwenhliziyo nokushaya uhlangothi. Imithi kanye nemikhuba yokuphila kungasiza ekuvimbeleni lokhu kubantu abane-AFib.

Isifo sohlangothi senzeka ngenxa yegazi egazini ebuchosheni. Lokhu kuncisha ubuchopho bakho umoya-mpilo, ongaholela ekulimaleni unomphela. Ukushaywa unhlangothi nakho kungabulala.

Ukwehluleka kwenhliziyo kwenzeka lapho inhliziyo yakho ingasakwazi ukusebenza kahle. I-AFib ingadambisa imisipha yenhliziyo, njengoba ama-ventricles asezingxenyeni ezingezansi ezama ukusebenza kanzima ukwenza ukungabi khona kokugeleza kwegazi emakamelweni aphezulu.

Kubantu abane-AFib, ukwehluleka kwenhliziyo kukhula ngokuhamba kwesikhathi - akuyona into engazelelwe efana nokuhlaselwa yinhliziyo noma isifo sohlangothi.

Ukulandela uhlelo lwakho lokwelashwa kunganciphisa amathuba akho okuba nezinkinga ngenxa ye-AFib.

Thatha yonke imithi yakho njengoba kushiwo ngudokotela wakho. Futhi funda ngezinkinga ze-AFib nezimpawu zazo.

Ukuxilongwa kwe-Atrial fibrillation

Kunezivivinyo eziningi ezahlukahlukene ezingenziwa ukuthola umbono ongcono wokuthi kwenzekani ngokusebenza kwenhliziyo yakho.

Udokotela wakho angasebenzisa isivivinyo esisodwa noma eziningi ezilandelayo ukuthola i-fibrillation ye-atrial:

• ukuhlolwa komzimba ukuhlola ukushaya kwenhliziyo, umfutho wegazi, namaphaphu
• i-electrocardiogram (EKG), isivivinyo esiqopha imizwa kagesi yenhliziyo yakho imizuzwana embalwa

Uma i-fibrillation ye-atrial ingenzeki ngesikhathi se-EKG, udokotela wakho angahle ukuthi ugqoke i-EKG ephathekayo noma uzame olunye uhlobo lokuhlola.

Lezi zivivinyo zifaka:

• Ukuqapha kweHolter, idivaysi encane ephathekayo oyigqoka amahora angama-24 kuye kwangama-48 ukuqapha inhliziyo yakho.
• ukuqapha umcimbi, idivayisi eqopha inhliziyo yakho ngezikhathi ezithile kuphela noma lapho unezimpawu ze-AFib
• i-echocardiogram, isivivinyo esingahlaseli esisebenzisa amagagasi omsindo ukukhiqiza isithombe esinyakazayo senhliziyo yakho.
• i-echoescardiogram ye-transesophageal, inguqulo ehlaselayo ye-echocardiogram eyenziwa ngokubeka iphenyo endaweni yomlomo
• ukuhlolwa kwengcindezi, okuhlola inhliziyo yakho ngesikhathi sokuzivocavoca umzimba
• i-X-ray yesifuba ukubuka inhliziyo yakho namaphaphu
• ukuhlolwa kwegazi ukuhlola izimo ze-thyroid nezomzimba

Ukuhlinzwa kwe-Atrial fibrillation

Nge-AFib engapheli noma enzima, ukuhlinzeka kungaba yindlela enconywayo.

Kunezinhlobo ezahlukene zokuhlinzwa ezihlose imisipha yenhliziyo ngomzamo wokuyisiza ukuthi ipompe igazi kahle. Ukuhlinzwa kungasiza futhi ekuvimbeleni ukulimala kwenhliziyo.

Izinhlobo zokuhlinzwa ezingasetshenziswa ukwelapha i-AFib zifaka:

Ukuphazamiseka komzimba kagesi

Kule nqubo, ukushaqeka kagesi okufishane kusetha kabusha isigqi sezingcindezi zenhliziyo yakho.

Ukukhishwa kwepayipi

Ekususeni i-catheter, i-catheter ihambisa amagagasi omsakazo enhliziyweni ukuqeda izicubu ezingavamile ezithumela imizwa engajwayelekile.

Ukwehlukaniswa kwamanani we-Atrioventricular (AV)

Amagagasi omsakazo abhubhisa i-AV node, exhuma i-atria nama-ventricles kule nqubo. Ngemuva kwalokho i-atria ayisakwazi ukuthumela amasiginali kuma-ventricles.

I-pacemaker ifakwa ukugcina isigqi esijwayelekile.

Ukuhlinzwa kweMaze

Lokhu ukuhlinza okungaba yinhliziyo evulekile noma kube nokusikeka okuncane esifubeni, lapho udokotela ohlinzayo enza ukusikeka okuncane noma ukushisa e-atria yenhliziyo ukudala "isibhaxu" sezibazi ezizovimbela izifiso zikagesi ezingavamile ukuthi zifinyelele kwezinye izindawo zenhliziyo.

Lokhu kuhlinzwa kusetshenziswa kuphela ezimweni lapho ezinye izindlela zokwelashwa zingaphumelelanga.

Udokotela wakho futhi angancoma ezinye izinqubo zokwelapha izimo zempilo ezingaphansi, ezinjengezifo zegilo noma zenhliziyo, ezingadala i-AFib yakho.

Ukuhlinzwa kuyindlela eyodwa yokwelashwa ye-AFib. Noma kunjalo, kunconywa imithi nezinguquko zendlela yokuphila njengemigqa yokuqala yokwelashwa. Udokotela wakho angancoma ukuhlinzwa njengesinyathelo sokugcina uma isimo sakho sinzima.

Ukuvimbela

Izimo eziningi ze-atrial fibrillation zingaphathwa noma zelashwe. Kepha i-fibrillation ye-atrial ivame ukuphinda yenzeke futhi ibe yimbi ngokuhamba kwesikhathi.

Unganciphisa ubungozi be-atrial fibrillation ngokwenza okulandelayo:

• yidla ukudla okunothe izithelo nemifino emisha futhi okunamafutha amaningi agcwele futhi adlulisiwe
• zivocavoca njalo
• gcina isisindo esinempilo
• gwema ukubhema
• gwema ukuphuza utshwala noma uphuze kuphela utshwala obuncane ngezikhathi ezithile
• landela izeluleko zikadokotela wakho zokwelapha noma yiziphi izimo zempilo ezingaphansi kwakho

Izinkinga ezivame kakhulu ze-AFib yimivimbo nokuhluleka kwenhliziyo.

Uma une-AFib futhi ungathathi imishanguzo efanele, kungenzeka ukuthi ube nesifo sohlangothi kunabantu abangenayo i-AFib.

Ukudla kwe-Atrial fibrillation

Ngenkathi kungekho kudla okusethiwe kwe-atrial fibrillation, ukukhathazeka kokudla kwe-AFib kugxila kokudla okunempilo enhliziyweni esikhundleni.

Ukudla kwe-AFib cishe kuzofaka ukudla okuningi okususelwa ezitshalweni, njenge-oats, izithelo nemifino.

Inhlanzi nayo iwumthombo omuhle wamaprotheni, futhi okuqukethwe kwayo okunama-acid okunamafutha kwenza kube kuhle kakhulu enhliziyweni.

Kukhona ukudla nezinto ezingenza i-AFib ibe yimbi kakhulu. Lokhu kufaka phakathi:

• utshwala (ikakhulukazi uma uziphuzela ngokweqile)
• i-caffeine - ikhofi, isoda, itiye, neminye imithombo kungenza inhliziyo yakho isebenze kanzima
• i-grapefruit, engaphazamisa imithi ye-AFib
• i-gluten, engakhuphula ukuvuvukala uma une-allergies noma ukuzwela
• usawoti kanye namafutha agcwele
• ukudla okunothe ngo-vitamin K, okufana nemifino enamaqabunga amnyama, ngoba lokhu kungaphazamisa umuthi wokuncipha kwegazi i-warfarin (Coumadin)

Ukudla kwe-AFib kufana nanoma yikuphi ukudla okunempilo kwenhliziyo. Igxila kokudla okunothile okunomsoco, ngenkathi kugwenywa izinto ezicasulayo kanye nokudla okunamandla aphansi.

Khuluma nodokotela wakho ngohlelo lokudla lwesimo sakho.

Ukwelashwa kwemvelo kwe-Atrial fibrillation

Ngaphandle kwezincomo zokudla, udokotela wakho futhi angaphakamisa izithasiselo ezithile uma unezakhamzimba ezibalulekile ezibalulekile empilweni yenhliziyo.

Khuluma nodokotela wakho ngaphambi kokuthatha noma yiziphi izithasiselo ezingeziwe ngoba lokhu kungaba nemiphumela engemihle noma kuhlanganyele nemithi.

Ezinye izithasiselo ezisetshenziselwa i-AFib zifaka:

• i-magnesium
• uwoyela wezinhlanzi
• i-coenzyme Q10
• wenxin keli
• i-taurine
• ijikijolo le-hawthorn

Okunye ukwelashwa kwemvelo kwe-AFib kufaka phakathi imikhuba yokuphila enempilo, njengokuvivinya umzimba nokunciphisa ukucindezeleka. Ukuzivocavoca umzimba kubalulekile empilweni yenhliziyo yakho, kodwa uzofuna ukuyithatha kancane, ikakhulukazi uma umusha ukuzilolonga.

Ukuzivocavoca okuphezulu, njengokugijima, kungaba kakhulu kubantu abane-AFib. Kepha imisebenzi yokumodareyitha kuya kokuphansi, njengokuhamba, ukubhukuda, nokuhamba ngebhayisikili, kusengashisa ama-calories, kuqinise inhliziyo yakho, futhi kunciphise ukucindezeleka.

Njengoba ingcindezi ingathinta nempilo yenhliziyo yakho, kubalulekile ukugcina isimo sengqondo siphilile. Ukuzivocavoca okujulile kunganciphisa izingcindezi zansuku zonke, ngenkathi isigaba se-yoga singakusiza ukuthi uzuze isimo sokuzindla esijulile (nebhonasi eyengeziwe yemisipha nokuzivumelanisa nezimo).

Ngisho nokwenza isikhathi sokujabulela umdlalo wokuzilibazisa owuthandayo kungakusiza ukuthi ufinyelele ukuphumula okwengeziwe nempilo yenhliziyo ethuthukisiwe.

Ukwelashwa kwemvelo kungasiza i-AFib uma isetshenziswa kanye nokwelashwa okuvamile.

Ucwaningo oluningi luyadingeka ukuthola ukuthi ngabe ezinye izindlela zokwelashwa zingasiza zodwa yini, ngakho-ke namathela kuhlelo lwakho lwezokwelapha. Buza udokotela wakho ukuthi ungakufaka kanjani ngempumelelo ukwelashwa kwemvelo ohlelweni lwakho lwamanje lokwelashwa kwe-AFib.

Imihlahlandlela ye-Atrial fibrillation

Imihlahlandlela esemthethweni ye-AFib, ngokusho kwe-American Heart Association, ichaza izinketho zokwelashwa ngokuya ngesimo sakho esivele sikhona nomlando wezokwelapha.

Udokotela wakho uzokusebenzisa lokhu lapho encoma uhlelo lokwelashwa.

Ngokuvamile, inhlanganisela yemikhuba yokuphila nemithi kungakusiza ukuvimbela ukwehluleka kwenhliziyo nokushaya uhlangothi.

Udokotela wakho uzophinde ahlukanise i-AFib yakho ukunquma ukuthi ngabe kubi (okwesikhashana) noma okungapheli (isikhathi eside). Ubudala, ubulili, kanye nempilo isiyonke izonquma nezici zobungozi ezingazodlula.

Kukonke, ukwelashwa kwakho kuzogxila ku:

• ukulawula ukushaya kwenhliziyo nesigqi
• ihlola ingozi yokushaywa unhlangothi
• Ukuhlola ingozi yokopha

I-Atrial fibrillation vs. flutter

Kwesinye isikhathi i-AFib ingadideka ngama-flutters. Izimpawu ziyafana, kufaka phakathi ukushaya kwenhliziyo okusheshayo nokushaya kwenhliziyo okungafanele.

Ngenkathi zombili zithinta amakamelo enhliziyo afanayo futhi ziholela kuma-arrhythmias, lezi yizimo ezimbili ezihlukile.

Ama-atrial flutters ayenzeka lapho amasiginali kagesi enhliziyweni eshesha. Izimpawu nezici zobungozi ziyafana ne-AFib.

Imikhuba yokuphila enempilo nemithi kungasiza zombili lezi zimo. Udokotela wakho uzokusiza ukuhlukanisa phakathi kwe-AFib nama-flutters e-atrial ukuze ukwazi ukwelapha ngamunye ngokufanele.