Kuyini Ukuqhubeka Kwe-Atrial Fibrillation?

-Delile

• Izimpawu ze-AFib ephikelelayo
• Izici zobungozi ze-AFib ephikelelayo
• Ukuhlonza i-AFib ephikelelayo
• Ukwelashwa okuqhubekayo kwe-AFib
• Imithi yokulawula ukushaya kwenhliziyo
• Imithi yokulawula isigqi senhliziyo
• Imishanguzo yegazi
• Ezinye izindlela
• Umbono we-AFib ophikelelayo

Ukubuka konke

I-Atrial fibrillation (i-AFib) uhlobo lokuphazamiseka kwenhliziyo okumakwe ukushaya kwenhliziyo okungajwayelekile noma okusheshayo. I-Persistent AFib ingenye yezinhlobo ezintathu eziyinhloko zalesi simo. Ku-AFib ephikelelayo, izimpawu zakho zihlala isikhathi eside kunezinsuku eziyisikhombisa, futhi isigqi senhliziyo yakho asisakwazi ukuzilawula.

Ezinye izinhlobo ezimbili eziyinhloko ze-AFib yilezi:

• i-paroxysmal AFib, lapho izimpawu zakho zifika zidlule khona
• unomphela i-AFib, lapho izimpawu zakho zihlala khona isikhathi esingaphezu konyaka

I-AFib yisifo esiqhubekayo. Lokhu kusho ukuthi abantu abaningi baqala ukuthuthukisa i-paroxysmal AFib, ngezimpawu ezizayo nezidlulayo. Uma ishiywe ingalashwa, isimo singadlulela ezinhlotsheni eziphikelelayo noma ezihlala njalo. I-AFib ehlala njalo isho ukuthi isimo sakho asihlali isikhathi eside naphezu kokwelashwa nokuphathwa.

Isigaba esiphikelelayo se-AFib sibucayi, kodwa siyelapheka. Funda ongakwenza mayelana ne-AFib ephikelelayo ukusiza ukuvimbela ezinye izinkinga.

Izimpawu ze-AFib ephikelelayo

Izimpawu ze-AFib zifaka:

• ukushaya kwenhliziyo
• ukushaya kwenhliziyo okugijimayo
• isiyezi noma ikhanda elikhanyayo
• ukukhathala
• ubuthakathaka jikelele
• ukuphelelwa umoya

Njengoba isimo sakho siba esingelapheki ngokwengeziwe, ungaqala ukubona izimpawu nsuku zonke. I-Persistent AFib itholakala kubantu abanezinye zalezi zimpawu okungenani izinsuku eziyisikhombisa ziqondile. Kepha i-AFib nayo ingahle ingabonakali, okusho ukuthi azikho izimpawu.

Kufanele ufune usizo oluphuthumayo lwezokwelapha uma uzwa ubuhlungu besifuba. Lokhu kungaba uphawu lokuhlaselwa yisifo senhliziyo.

Izici zobungozi ze-AFib ephikelelayo

Akwaziwa njalo ukuthi yini ebangela i-AFib, kepha izici ezivamile zobungozi zifaka:

• umlando womndeni we-AFib
• ukukhula
• umfutho wegazi ophakeme, obizwa nangokuthi umfutho wegazi ophezulu
• umlando wokuhlaselwa yisifo senhliziyo
• ukulala ubuthongo
• ukuphuza utshwala, ikakhulukazi ukuphuza ngokweqile
• ukusetshenziswa ngokweqile kwezikhuthazi, njenge-caffeine
• ukukhuluphala ngokweqile
• iziyaluyalu
• isifo sikashukela
• isifo samaphaphu
• izifo ezinzima
• ukucindezeleka

Ukuphatha izifo ezingalapheki nemikhuba yokuphila kunganciphisa ubungozi bakho. I-Heart Rhythm Society inikeza umshini wokubala ohlola ubungozi bakho bokuthuthukisa i-AFib.

Amathuba akho okuthuthukisa i-AFib eqhubekayo nawo makhulu uma unesifo se-valve senhliziyo esivele sikhona. Abantu abahlinzwe inhliziyo nabo basengozini eyengeziwe yokuthola i-AFib njengenkinga ehlobene nayo.

Ukuhlonza i-AFib ephikelelayo

I-AFib eqhubekayo itholakala inenhlanganisela yezivivinyo kanye nezivivinyo zomzimba. Uma usuvele utholakale une-paroxysmal AFib, udokotela wakho angabona ukuthi isimo sakho siqhubeke kanjani.

Ngenkathi i-electrocardiogram ingasetshenziswa njengethuluzi lokuqala lokuxilonga izigaba zangaphambili ze-AFib, ezinye izivivinyo zisetshenziselwa i-AFib ethuthuke kakhulu noma ephikelelayo. Udokotela wakho angancoma okulandelayo:

• ukuhlolwa kwegazi ukubheka izimbangela eziyisisekelo zokuqhubeka kwe-AFib, njengesifo se-thyroid
• X-ray esifubeni ukubheka amakamelo namavalvu ngaphakathi kwenhliziyo yakho, nokuqapha isimo sayo jikelele
• i-echocardiogram ukuthola ukulimala kwenhliziyo ngamaza omsindo
• ukusetshenziswa komrekhoda womcimbi, idivaysi ephathekayo efana ne-Monitor yeHolter oyithatha ekhaya ukukala izimpawu zakho isikhathi esithile
• ukuzivocavoca umzimba ukukala isilinganiso senhliziyo yakho nesigqi ngemuva kokuzivocavoca umzimba

Ukwelashwa okuqhubekayo kwe-AFib

Nge-AFib ephikelelayo, isigqi senhliziyo yakho siphazamisekile kangangokuba inhliziyo yakho ayikwazi ukusijwayela ngaphandle kokungenelela kwezokwelapha. Kukhona nengozi yamahlule egazi angaholela ekuhlaselweni yinhliziyo noma isifo sohlangothi.

Ukwelashwa kungafaka imithi yokulawula ukushaya kwenhliziyo yakho kanye nesigqi noma ukujiya kwegazi lakho, kanye nezindlela ezingabandakanyi imishanguzo.

Imithi yokulawula ukushaya kwenhliziyo

Inhloso eyodwa ekwelashweni okuqhubekayo kwe-AFib ukunciphisa ijubane lokushaya kwenhliziyo okusheshayo. Udokotela wakho angakunikeza imithi efana nale:

• beta-blocker
• abavimba isiteshi se-calcium
• i-digoxin (Lanoxin)

Lokhu kusebenza ngokunciphisa imisebenzi kagesi ngaphakathi kwegumbi eliphezulu lenhliziyo yakho iye ekamelweni eliphansi.

Isimo sakho sizobhekwa ngokucophelela ukuze ubheke imiphumela emibi, efana nomfutho wegazi ophansi kanye nokwehluleka kwenhliziyo okwedlulele.

Imithi yokulawula isigqi senhliziyo

Eminye imithi ingasetshenziswa eceleni kwezidakamizwa zokushaya kwenhliziyo ukusiza ukuzinzisa isigqi senhliziyo yakho. Lokhu kuza ngesimo semithi elwa nesigqi, njenge:

• i-amiodarone (Cordarone, Pacerone)
• Siphokuhle (Tikosyn)
• busisiwe
• propafenone
• i-sotalol (Betapace)

Imiphumela emibi yale mithi ingafaka:

• isiyezi
• ukukhathala
• isisu esibuhlungu

Imishanguzo yegazi

Ukwehlisa ubungozi bokushaywa unhlangothi nokuhlaselwa yisifo senhliziyo, udokotela wakho angakunikeza umuthi wokuvala igazi. Abanciphisi begazi, abaziwa ngokuthi ama-anticoagulants, bangasiza. Ama-anticoagulants udokotela wakho angahle anikeze ukuthi afaka i-rivaroxaban powder (i-Xarelto) noma i-warfarin (i-Coumadin). Ungadinga ukuthi ubhekwe ngenkathi uthatha le mithi.

Ezinye izindlela

Izinqubo zokuhlinzwa, njengokukhishwa kwe-catheter ablation, zingasiza futhi ekuqiniseni isigqi senhliziyo ku-AFib ephikelelayo. Lokhu kufaka ukubambeka enhliziyweni yakho ukukhomba izindawo ezingasebenzi kakhulu.

Udokotela wakho futhi mhlawumbe uzoncoma izinguquko zendlela yokuphila ukusiza ukugcwalisa imithi yakho noma ezinye izinqubo zokuhlinzwa. Lokhu kungafaka:

• izinguquko zokudla
• ukuphathwa kwengcindezi
• ukuphathwa kwezifo ezingamahlalakhona
• ukuzivocavoca umzimba

Umbono we-AFib ophikelelayo

I-AFib ephikelela isikhathi eside ihamba ngaphandle kokutholwa, kunzima kakhulu ukuyiphatha. I-AFib ephikisiwe engalashwa ingaholela ku-AFib yaphakade. Ukuba nanoma yiluphi uhlobo lwe-AFib, kufaka phakathi i-AFib ephikelelayo, kwandisa ubungozi bokushaywa unhlangothi, isifo senhliziyo nokufa.

Indlela engcono yokuvimbela izinkinga ezivela ku-AFib ukuphatha ngokucophelela nokuyiphatha. Uma uthola ukuthi une-AFib ephikelelayo, khuluma nodokotela wakho ngazo zonke izinketho zakho. Umphumela osemqoka walesi sigaba ukwenza isiqiniseko sokuthi awuqhubeki uqhubekele esigabeni esimi isikhathi eside noma unomphela.