Chirongwa cheAtrial Fibrillation
Atrial fibrillation ndechimwe chezvinhu zvakanyanya kufanana nemaridythmias emwoyo , uye inogona kuva imwe yezvinonyanya kuodza mwoyo kubata nayo. Nepo hutachiona hwepriyuta haisi iyo inopisa upenyu, inowanzokonzera zviratidzo zvikuru. Zvakaipisisa, zvinogona kutungamirira kune zvinetso zvakakomba, kunyanya kurwadziwa , uye (muvanhu vane chirwere chepfungwa), kuipa kwemoyo kusakundikana . Uyezve, apo dzimwe nzira dzakasiyana-siyana dzekurapa dzinowanika kuArifria fibrillation, kazhinji haisi kunyatsojeka-kunyange kumwoyo nyanzvi nyanzvi-iyo inoshandisa nzira yakanakisisa iri mumamiriro ezvinhu.
Kana iwe uine inrial fibrillation, unofanirwa kuedza kudzidza zvose zvaunogona pamusoro pechirongwa ichi-zviratidzo zvaro, zvinokonzera, uye kurapa huripo-kuitira kuti ugone kushanda nachiremba wako kuti asarudze nzira yekurapa yakakunakira iwe.
> Cherechedza kuti mwoyo une f-fiber beats yakaenzaniswa nemoyo wakajairika.
Chii Chiri Kumhanyira Kufunganya, Uye Nei Chichikosha Kwazvo?
Atrial fibrillation isinganzwisisiki uye kakawanda mwoyo inokurumidza kuratidzika, inokonzerwa nekukurumidza uye kwakashata kwemagetsi mukati memwoyo weatria ( makamuri maviri epamusoro pemwoyo ).
Izvozvo zvinokurumidza, zvinokonzera magetsi mumoyo inonzi "fibrillation."
Apo iyo inria inotanga kufungisisa, zvinhu zvitatu zvinogona kuitika:
Chokutanga , kutara kwemwoyo kunowedzera kukurumidzira uye kusinganzwisisiki. Iyo node yeVV inoputirwa nevanowanzo, mafungiro emagetsi asingasviki anobva kuAria, uye zvinosvika mazana maviri emaminitsi neminomwe zvinoparidzirwa kumhepo, zvichiita kuti kutsanya uye kwakanyanya kusagadzikana kwemoyo. Iyo inokurumidza, isina kukanganisa mwoyo yakarova inowanzobereka zviratidzo zvinokanganisa.
Chechipiri , apo maatria ari kufungisa, havagoni kubvumirana zvakanaka. Saka zvakanakira kuwirirana pakati peatria uye mavhiriki akarasika.
Somugumisiro, mwoyo unoshanda zvishoma nezvishoma uye unogona kutanga kutadza.
Uye chechitatu , nokuti inria haina kubvumirana zvakanaka, mushure mechinguva (kazhinji mushure memaawa makumi maviri nemaviri kana zvakadaro) ropa rinogona kutanga kuumba muAria. Aya mabhanhire eropa anogona kupedzisira apera uye anoenda kune zvikamu zvakasiyana-siyana zvemuviri, zvakadai seuropi.
Saka, apo hutachiona hwehutachiona hunowanzobereka zviratidzo zvikuru, kukosha kwayo ndeyekuti kunokuisa pangozi yehutano hunoita kuti huve hunovhiringidza kana kuuraya zvachose.
Chii Chinokonzera Kurera Kwemafiro?
I-Atrial fibrillation inogona kubudiswa nemamiriro akawanda emwoyo, kusanganisira coronary artery disease (CAD) , mitral regurgitation , chronic hypertension , pericarditis , moyo kusagadzikana, kana chero chinetso chipi zvacho chemoyo. Iyi arrhythmia inonyanya kufanana ne hyperthyroidism , pneumonia , kana pulmonary embolus .
Kuwedzerwa kwemamphetamine kana zvimwe zvinokurudzira (zvakadai semishonga inotonhora ine pseudoephedrine ) zvinogona kukonzera kuipa kwefridhi mune vamwe vanhu, uye shure kwekunwa zvishoma sewaini kana maviri doro-chiitiko chinozivikanwa se "holiday soul." Kunyange zvazvo vanachiremba vagara vachitaura kuti caffeine inokonzerawo hutachiona hwehutachiona, huchapupu huchangobva kuwanikwa kubva kuchirongwa chechirwere hunoratidza kuti, kuvanhu vakawanda, hazviiti.
Icho chinotarisa kuti chikamu chikuru kwazvo chevanhu vane atrial fibrillation havana chikonzero chaicho chinozivikanwa. Vanonzi vane "idiopathic" inrial fibrillation. Idiopathic atrial fibrillation inowanzomirirwa nehutano. Somuenzaniso, apo atrial fibrillation inowanikwa mune varwere vari pasi pe50, inowanzoonekwa kuvanhu vane makore makumi mapfumbamwe kana makumi mapfumbamwe kana makumi matatu.
Zvidzidzo zvitsva zvakaratidza kuti muzviitiko zvizhinji, friction friction inobatana nemararamiro ehupenyu . Semuenzaniso, vanhu vane kuwandisa uye vanogara pasi vane ngozi yakawanda kwazvo yehutrial fibrillation. Uyezve, kune vanhu vane hutano hwehutano hune chokuita nehupenyu hwekusarudza, chirongwa chakasimba chekuchinja mararamiro chakaratidzwa kubatsira kubvisa arthmia.
Zviratidzo Nehutano Hwenyama
Vanhu vazhinji vane acrial fibrillation vane zviratidzo zvikuru. The arrhythmia inowanzooneka yakajeka uye yakanyanya kuvhiringidza. Zviratidzo zvinowanzozivikanwa zviputi , izvo zvinowanzoonekwa sekunzwa kukurumidza, kusagadzikana kwepfungwa, kana zvichida se "kurohwa" kunorohwa.
Vanhu vane fibrionic atrial vanowanzova nyore kunetseka, kupererwa kwemhepo, uye (dzimwe nguva) kuchena-musoro. Zviratidzo izvi, zvakananga zvakananga ne-atrial fibrillation pachake, zvinogona kuve zvakanyanya kuvhiringidza vanhu vane diastolic dysfunction , kana hypertrophic cardiomyopathy .
Zvisinei, zviri kuonekwa zvakajeka kuti inrial fibrillation inogona kuitika pasina kubudisa zviratidzo zvachose. Kunyange zvazvo usina zviratidzo zvinowanzova chinhu chakanaka, kuva "wakanyarara" kwepine fibrillation kunogona kuva nengozi-sezvo inowanzobereka zvinetso zvehutano kana kuti kwete arrhythmia pachayo inokonzera zviratidzo zvikuru.
Semuenzaniso, kushandiswa kwepereyumu kunogona kutungamirira kune dzimwe nguva kana kuwedzera zvakanyanya angina kune vanhu vane CAD. Atrial fibrillation inogonawo kukonzera kuora kwekushanda kwemwoyo mukati mevanhu vane mwoyo kusakundikana.
Zvechokwadi, kana kukurumidza kwepfungwa yemwoyo inokonzerwa nefriday fibrillation inopfuurira kwenguva yakakwana (kwemwedzi inoverengeka), mwoyo wemusana unogona kutanga kuora simba, uye mwoyo kukanganisa kunogona kuitika-kunyange kune vanhu vane mwoyo yakasiyana.
Iyo yakanyanya kukonzera kukanganisa kwehutachiona hwehutachiona, zvisinei, ndiyo inogona kugadziriswa. Kunyangwe kusagadziriswa kwehutachiona hwehutachiona hunowedzera huwandu hwekurohwa. Vose vanenge 15 muzana yehurose dzose dzinofungidzirwa kuti dzinokonzerwa nefriday fibrillation. Uyezve, vanhu vakawanda avo vakatambura marwadzo pasina chikonzero chaicho (zvinonzi " cryptogenic strokes" ) vanoita kuti zvikamu zve "kunyarara" zvirwere zvakanyanya.
Mhando dzeAtrial Fibrillation
Vanachiremba vanowanzotarisa friction inrial muzvizhinji zvakasiyana-siyana, uye chaizvoizvo kuwanda kunokanganisa maitiro ehurumende yefriday fibrillation yakashandiswa. Asi kuti ikubatsire kusarudza nzira ipi yekurapa yakakunakira iwe, inobatsira kuchenesa mhando dzehutachiona hwehutachiwana mumhando mbiri chete:
- Kutanga kutsva kana kubuda kwepine friction . Pano, frill fibrillation ingangodaro chinetso chetsva, kana dambudziko rinowanzoitika mukatikati. Izvozvo zvinowanzoitwa "friday fibrillation" inowanzozonzi "paroxysmal atrial fibrillation." Vanhu vari munharaunda iyi vane mwoyo unowanzoenderana nehuwandu hwemazuva acho, uye zvikamu zvavo zvehutachiona hwemagetsi zvinowanzove zvishoma uye zvinowanzoitika.
- Kurarama kana kusingagumi kwepill fibrillation . Pano, frill fibrillation inowanikwa nguva dzose, kana inowanzoitika kakawanda-yakadai kuti nguva dzemazuva ano moyo murefu zvinenge zvishoma kana zvishoma.
Kuongorora Mafiro Atari
Kuongororwa kwehutachiona hwetrial inowanzova yakananga. Zvinongoda kutora imwe electrocardiogram (ECG) panguva yechiitiko chetrial fibrillation. Ichi chinodiwa hachiiti chinetso kuvanhu vane chirwere chisingaperi chisingagumi kana kuti chinoramba chiripo, iyo iyo arrhythmia inogona kuonekwa chero nguva iyo ECG inotorwa.
Zvisinei, kune vanhu vane zvirwere zvepriydri inowanikwa mukati mekunze, nguva refu yekufungidzira ECG kutarisa kunogona kudiwa kuti iongororwe. Kubvira kwenguva refu ECG inogona kuve yakakosha zvikuru kune vanhu vakambove nekuputika, nokuti kurapa hutachiona hwehutachiona (kana iripo) kunogona kubatsira kudzivirira chirwere chekare.
Kurapa Mafiro Atrial
Kana zvaive nyore uye zvakachengetedzeka kuita kudaro, zvinoratidzika pachena kuti mushonga wakanakisisa wehutachiona hwehutano hwaizova kudzorera nekuchengetedza hutano hwemwoyo. Zvinosuruvarisa, muzviitiko zvakawanda hazvisi zvakachengeteka kana kunyanya nyore.
Muzviitiko zvakawanda, zvikurukuru kana chirwere chepereyumu chichive chiripo kwemavhiki kana mwedzi, zvakaoma zvikuru kuchengetedza rwiyo rwemazuva akawanda kwemaawa mashomanana kana mazuva. Iyi chokwadi chisina kunaka yakada nzira mbiri dzakasiyana-siyana dzekurapa kwehutachiona hwefridhi. Yokutanga ndiyo "rhythm-control" inosvika, uye yechipiri ndiyo nzira ye "kura-control".
I "rhythm control" inosvika pakuedza kudzorera uye kuchengetedza mwoyo wakakwana rhythm. Nepo paunotanga kuona izvi zvingaita sokuti ndizvo zvakanyanya kuguma, kune matambudziko mazhinji nayo. Rhythm control approach inowanzova yakaoma, inotadza, isina kubudirira, uye inowanzobatana nehuwandu hukuru hwemigumisiro yakaipa. Izvi zvinowanzoshanda kune vanhu vane nguva-ichangopfuura-inotanga kuitika kana kuti inenge iri pakati pechirungu chekushaya ropa, uye zvishoma zvishoma kuti iite basa kune vanhu avo vane arthmia isingaperi kana kuti inoramba iripo. Kunyange zvakadaro, kune vanhu vakawanda vane inrial fibrillation iyi ndiyo nzira yokuenda nayo.
Rhythm control method inowanzoreva kushandiswa kwemishonga inopesana nemishonga , chirongwa chekubvisa chirwere , kana zvose zviri zviviri.
Izvo "kuraira" kunosvika kuhutachiona hwemagetsi inokanganisa kuedza kudzorera nekuchengetedza chimiro chemoyo chaiwo. Atrial fibrillation inogamuchirwa se "itsva" yemwoyo rhythm, uye chirwere chinotarisirwa kudzora chiyero chemwoyo kuitira kuti kuderedza zviratidzo zvipi zvinokonzerwa nefriday fibrillation. Kubudirira kwekukura kwekutaura inzira ndeyokuti inenge nguva dzose inogoneka yekugadzirisa kutaridzika kwemoyo mukati mevanhu vane acrial fibrillation, uye kuita kudaro kazhinji kunowedzera kuderedza zviratidzo zvipi zvinokonzerwa neArthmthmia pachayo. Uyewo, marapirwo akashandiswa kuronga maitiro anowanzove akachengeteka uye anoregererwa. Uyezve, zvidzidzo zvekugara kwenguva refu zvakaratidza kuti zvikwereti zvemakiriniki nehuwandu-hutungamiri hwekutaura zvinenge zvakakosha se (uye zvichida zvakanakisisa kupfuura) rhythm-control approach.
Chero chero nzira yekurapa inosarudzwa, chimwe chinhu chinonyanya kukosha chekurapa inrial fibrillation ndechokutora matanho anodiwa kuti kuderedze njodzi yekurohwa. Izvi zvinowanzodikanwa kutora anticoagulant zvinodhaka , asi pane dzimwe nzira dzokurapa zvakare.
Kana Wakave Uchangobva Kuongororwa Nehutano Hwenyama
Pane zvinhu zvakasiyana siyana zvaunofanira kuchengeta mupfungwa sezvaunoita iwe uye chiremba wako kusarudza nzira yakarurama kwauri. Izvi zvinosanganisira:
- Sei iwe uine fyria inouraya? Pane chimwe chinhu iwe kana chiremba wako anogona kuita (zvakadai sokurapa huwandu hwehutano, kurega doro, kana kugadzirisa mararamiro ehupenyu) hunogona kubatsira kubvisa dambudziko racho?
- Kana uwandu hwako hwepriyuta husingagumi kana kuti huripo, kazhinji sei zvikamu zvako zvinowanzoitika, nguva yakareba sei, uye zviratidzo zvipi zvinokonzera?
- Iwe une chirwere chinokonzerwa nehutachiona chinogona kuita kuti chirwere chetrial fibrillation chiwedzere kudzoka, kana kuti kuita hutachiona hwehutachiona hunoita kuti huve nemamwe matambudziko, akaina kana moyo kusakatika?
- Ndezvipi zvakanyanya zviratidzo zvinobudiswa neutrial fibrillation yako?
- Iwe unonetseka here munowanzorega kubvisa zvinodhaka?
- Iwe unonzwa sei pamusoro pezvinopindira zvirongwa zvinoshandiswa mukurapa armitiumia?
Kusarudza kuti ndeupi wezvinyorwa zviviri zvekurapa- "rhythm control" kana kuti "kutaridzika kwekutengesa" -ndiyo yakakodzera iwe uchavimba nezvose izvi.
Kusarudza pamusoro pekurapa kwakanaka ndiyo nyaya inonyanya kukosha neutrial fibrillation. Inogona kuva sarudzo yakaoma, uye iyo inofanira kuenzaniswa kune mumwe nomumwe. Kunyanya iwe unonzwisisa pamusoro payo, paunenge uchikwanisa kubatsira chiremba wako kuita sarudzo dzokurapa dzakakunakira iwe.
Shoko Rinobva
Ramba uchiyeuka kuti mamiriyoni evanhu ari kurarama hupenyu hwakakwana kunze kwekuve neutrial fibrillation. Izvozvo zvinofanira kuva chinangwa chako, zvakare. Apo kusvika pakusarudzwa kwakanaka kwekurapa kunogona kuva dambudziko, uye kana uchitarisira kurapwa kunogona kutora nguva nekuedza, kana kurapwa kwako kuri kugadziriswa kwauri kunofanira kudzokera kurarama hupenyu hwako hwehupenyu (zvichida nemamwe mararamiro anoita mararamiro). Izvi zvinofanira kuva chimiro chako. Uye apo iwe uchikurukura nzira dzako dzokurapa nachiremba wako, iva nechokwadi chokuti ane tariro imwe chete kwauri.
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