Yini Izinketho Zami Zokwelapha I-AFib?

-Delile

• Izinhloso zokwelashwa
• Izidakamizwa zokuvimbela amahlule egazi
• Izidakamizwa zokubuyisa isilinganiso sakho senhliziyo esivamile
• Izidakamizwa zokubuyisa isigqi senhliziyo esijwayelekile
• Ukuphazamiseka komzimba kagesi
• Ukukhishwa kwepayipi
• I-Pacemaker
• Inqubo yeMaze
• Izinguquko zendlela yokuphila

I-Atrial fibrillation

I-Atrial fibrillation (i-AFib) uhlobo oluvame kakhulu lwe-arrhythmia yenhliziyo ebucayi. Kubangelwa amasiginali kagesi angajwayelekile enhliziyweni yakho. Lezi zimpawu zibangela i-atria yakho, amakamelo aphezulu enhliziyo yakho, ukuba acwebe noma anyakaze. Le fibrillation imvamisa iphumela ekushayeni kwenhliziyo okusheshayo, okungajwayelekile.

Uma une-AFib, awusoze waba nezimpawu. Ngakolunye uhlangothi, ungaba nezinkinga ezinkulu zempilo. Ukushaya kwenhliziyo yakho ngokungajwayelekile kungadala ukuthi igazi lingene echibini e-atria yakho. Lokhu kungadala amahlule ahambela ebuchosheni bakho futhi abangele isifo sohlangothi.

Ngokusho kwe-American Heart Association, abantu abane-AFib engalashwa banobungozi obuphindwe kahlanu babantu abangenalesi simo. I-AFib nayo ingadabukisa izimo ezithile zenhliziyo, njengokuhluleka kwenhliziyo.

Kodwa ungapheli amandla. Unezinketho zokwelashwa eziningana, kufaka phakathi imishanguzo, ukuhlinzwa, nezinye izinqubo. Izinguquko ezithile zendlela yokuphila zingasiza, futhi.

Izinhloso zokwelashwa

Udokotela wakho uzohlanganisa uhlelo lokwelashwa ukuphatha i-AFib yakho. Uhlelo lwakho lokwelashwa kungenzeka lubhekane nezinhloso ezintathu:

• vimbela amahlule egazi
• buyisela ukushaya kwenhliziyo okujwayelekile
• buyisela isigqi senhliziyo sakho esijwayelekile

Imithi ingasiza ukufeza yomithathu le migomo. Uma imithi ingasebenzi ukubuyisela isigqi senhliziyo yakho, ezinye izinketho ziyatholakala, njengezinqubo zokwelashwa noma ukuhlinzwa.

Izidakamizwa zokuvimbela amahlule egazi

Ingozi yakho eyengeziwe yokushaywa yisifo iyinkinga enkulu. Ngenye yezimbangela ezinkulu zokufa ngaphambi kwesikhathi kubantu abane-AFib. Ukuze unciphise ubungozi bokuthi i-clot yakheke futhi ibangele ukushaywa unhlangothi, udokotela wakho cishe uzokunika imithi yokuncipha igazi. Lokhu kungafaka ama-anticoagulants omlomo angewona amavithamini K (ama-NOACs) alandelayo:

• i-Rivaroxaban powder (i-Xarelto)
• i-dabigatran (Pradaxa)
• i-apixaban (Eliquis)
• i-edoxaban (Savaysa)

Lawa ma-NOAC manje anconyiwe ngaphezu kwe-warfarin ebekwe ngokwesiko (i-Coumadin) ngoba ayinakho ukuxhumana okwaziwayo kokudla futhi ayidingi ukuqashwa njalo.

Abantu abathatha i-warfarin badinga ukuhlolwa kwegazi njalo futhi badinga ukuqapha ukudla kwabo okunothe ku-vitamin K.

Udokotela wakho uzohlola igazi lakho njalo ukuze aqiniseke ukuthi imithi iyasebenza.

Izidakamizwa zokubuyisa isilinganiso sakho senhliziyo esivamile

Ukwehlisa izinga lokushaya kwenhliziyo yakho ngesinye isinyathelo esibalulekile ekwelashweni. Udokotela wakho angakunikeza imithi ngale njongo. Izinhlobo ezintathu zemithi zingasetshenziswa ukubuyisa isilinganiso senhliziyo yakho ejwayelekile:

• Ama-beta-blocker anjenge-atenolol (Tenormin), i-carvedilol (i-Coreg), ne-propranolol (Inderal)
• Ama-block block wesiteshi seCalcium afana ne-diltiazem (Cardizem) ne-verapamil (Verelan)
• I-Digoxin (Lanoxin)

Izidakamizwa zokubuyisa isigqi senhliziyo esijwayelekile

Esinye isinyathelo ekwelashweni kwe-AFib ukubuyisela isigqi esivamile senhliziyo yakho, esibizwa ngesigqi sesono. Izinhlobo ezimbili zemithi zingasiza ngalokhu. Zisebenza ngokunciphisa ijubane amasiginali kagesi enhliziyweni yakho. Le mithi yile:

• Izivimbeli zesiteshi seSodium ezifana ne-flecainide (Tambocor) ne-quinidine
• Ama-block block wesiteshi se-potassium afana ne-amiodarone (Cordarone, Nexterone, Pacerone)

Ukuphazamiseka komzimba kagesi

Kwesinye isikhathi imithi ayikwazi ukubuyisa isigqi sesono, noma ikhiqiza imiphumela emibi eminingi kakhulu. Kulokhu, ungaba ne-cardioversion kagesi. Ngale nqubo engenabuhlungu, uchwepheshe wakho wezokunakekelwa kwempilo unika inhliziyo yakho ukwethuka ukuyisetha kabusha nokubuyisela isigqi esijwayelekile.

Ukushintshwa kwenhliziyo kagesi kuvame ukusebenza, kepha akuvamisile ukuba ngunaphakade. Ngemuva kwalokho, kungadingeka ukuthi uthathe imishanguzo ukugcina ukushaya kwenhliziyo yakho okusha, njalo.

Ukukhishwa kwepayipi

Enye indlela yokubuyisela isigqi sesinus lapho imithi yehluleka ibizwa ngokuthi yi-abatheth ablation. Ipayipi elincane lifakwa ngomthambo wegazi lingene enhliziyweni yakho.

I-catheter isebenzisa amandla e-radiofrequency ukubhubhisa inani elincane lamaseli wezicubu enhliziyweni yakho athumela amasiginali abangela isigqi senhliziyo sakho esingajwayelekile. Ngaphandle kwezimpawu ezingajwayelekile, isignali ejwayelekile yenhliziyo yakho ingathatha futhi idale isigqi sesinus.

I-Pacemaker

Uma isigqi senhliziyo yakho singaphenduli emithini, ungadinga i-pacemaker. Le yidivayisi kagesi efakwa esifubeni sakho ngesikhathi senqubo yokuhlinzwa. Ilawula ukushaya kwenhliziyo yakho isigqi sesono.

zisetshenziswa kuphela ezigulini ezithile njengesinqumo sokugcina ngemuva kokuthi imishanguzo yehlulekile ukusebenza. Noma ukufakwa kwe-pacemaker kubhekwa njengokuhlinzwa okuncane, kusenezingozi ezithile.

Inqubo yeMaze

Ukwelashwa kokugcina okubizwa ngokuthi inqubo yeMaze kungasetshenziswa ukwelapha i-AFib lapho imithi nezinye izinqubo zehlulekile. Kubandakanya ukuhlinzwa kwenhliziyo evulekile. Inqubo yeMaze kungenzeka isetshenziswe uma unesinye isimo senhliziyo esidinga ukuhlinzwa.

Udokotela ohlinzayo wenza ukusikeka e-atria yakho okukhawulela amasiginali kagesi angajwayelekile endaweni ethile yenhliziyo yakho.

Kuvimbela amasiginali ukuthi afike e-atria ukudala i-fibrillation. Iningi labantu abanale nqubo abasenayo i-AFib futhi abasadingi ukuthatha imishanguzo elwa nesigqi.

Izinguquko zendlela yokuphila

Izinguquko zokuphila nazo zibalulekile. Lezi zinguquko zingasiza ekunciphiseni ubungozi bezinkinga ezivela ku-AFib.

Kufanele uyeke noma uyeke ukubhema futhi unciphise ukuphuza kwakho utshwala ne-caffeine. Futhi, kufanele ugweme ukukhwehlela nemithi ebandayo equkethe izikhuthazi. Uma ungaqiniseki ukuthi yini okufanele uyigweme, buza usokhemisi wakho.

Futhi, qaphela noma imiphi imisebenzi ekhiqiza noma eyenze zibe zimbi izimpawu zakho ze-AFib bese ukhuluma nodokotela wakho ngayo.

Ukwehla kwesisindo kuyanconywa nakubantu abane-AFib abakhuluphele ngokweqile.

Ukuze uthole amathiphu amaningi, hlola le ndatshana ekushintsheni kwendlela yokuphila ukusiza ukuphatha i-AFib.