Takaziva kwenguva yakareba kuti inrial fibrillation inogona kukonzerwa nezvinetso zveutano zvakawanda, zvinosanganisira chirwere chemwoyo (zvakadai sekortonary artery disease , mitral regurgitation , uye pericarditis ), chirwere chetachiona , hutachiona hwehutachiona , chirwere chekurara , zvirwere zvakasiyana-siyana zvemapapu, zvakadai sepineumonia kana mapurmoni embolism , uye (kune vamwe vanhu) kunwa doro. Kunyange zvakadaro, mumuzhinji wevanhu vane artificial friction, hapana chinokonzera chikonzero chave chiri pachena.
Vanachiremba vakataurira vanhu ava vane "idiopathic" atrial fibrillation, kureva, hapana chikonzero chakajeka; Ndiyo imwe chete yevaya veve curveballs inokanda kwamuri.
Asi zviongorori zvenguva yakare zvave zvaratidza kuti pane zvechokwadi chinokonzera chikonzero chevanhu vazhinji vane zvirongwa zvehupenyu hwehutano husina kunaka, kunyanya, kuwedzeresa uye kudarika.
Lifestyle uye Atrial Fibrillation
Isu tave tichiziva kwenguva yakareba kuti pane sangano pakati pekuwedzererwa kwepamusoro uye kunze kwechimiro, uye kuva neutrial fibrillation. Asi mumakore mashomanana apfuura zvave zvakajeka kuti zvinopfuura kungoita sangano-ihwo hukonzero-uye-hukama hukama.
Vatsvakurudzi muAdelaide, Australia vakapedza makore vachitsvakurudza mubvunzo uyu. Muzviitiko zvakasiyana-siyana vakaratidza kuti mararamiro asina kunaka anogunzva zvakanyanya pamakamuri emagetsi emoyo . Kunyanya, kuwedzerwa kwemasero emafuta akakomberedzwa nemwoyo (pericardial fat) inobatsira kuchinja mumasero epamusoro, kuwedzera rusvingo rwemhepo, kuputika, neural patterns, uye kunowedzera atrial fibrosis.
Zvose izvi zvinokurudzira hutachiona hwehutachiona.
Uyezve, vatsvakurudzi ava vava kuratidzwa mune zvidzidzo zviviri zvakasiyana, izvo, kune varwere vane friction, vachirwisana nehupenyu hunosimudzira hupenyu hunochinja zvikuru-uye hunogona kubvisa-izvi zvinoshungurudza uye zvine ngozi arrhythmia.
Muchirongwa che LEGACY, vatsvakurudzi vakanyoresa 335 varwere vane atrial fibrillation avo vairemekedzwa (BMI vanopfuura 27) vachiita chirongwa chekuita mararamiro-moderation, nechinangwa che 10% kurasikirwa muhukuru.
Mushure megore rimwe, avo vakarasikirwa nezana kubva muzana yehuremu hwavo hwepakutanga vakave nekuderedza kukuru kwezviratidzo zvehutachiona hwehutachiona uye zvakange zvakapetwa katanhatu kuti zvive nekugadziriswa kwemagetsi avo, kupfuura varwere vasina kurasikirwa.
Muchiri chekutanga-AF chiitiko, kushandiswa kwakafanana kwehupenyu kwakashandiswa kuvarwere vane fibriation yeAririal avo vaive nekurapa kwekubvisa . Ichi chidzidzo chakaratidzira kuti migumisiro yekubhadhara yakave yakanyanya nani kune varwere vakawana kurasikirwa kwekurema. Saka, mararamiro emararamiro anokosha kunyange kana "mararamiro" ekurapa kwepayiraini ari kushandiswa.
Mukuwedzera, zvidzidzo izvi zvakatsigira kuti, kune varwere vane hutachiona hweAriria, kuora kurasikirwa kwakakonzera kuchinja kwakanaka mune chairo chimiro uye basa reavoaa, kutsanangura kuti nei mararamiro emararamiro anoita.
The Bottom Line
Izvo zvinoratidzira murwere ane "idiopathic" inrial fibrillation yakakura, inodarika, uye inogara. Iye zvino tava kuziva kuti kuwedzera kwakanyanya uye kushayikwa kwekurovedza muviri kunowanzova chikonzero chinokosha cherhythmia, uyezve, hupenyu hutsinye hunochinja hunogona kuderedza zvakanyanya-uye kunyange kubvisa-hutachiona hwehutachiona.
Nemhaka yekuti kurapwa kwetrial fibrillation-kunyangwe tichitaura nezvemishonga kana kubvisa-kwakaoma uye kungoita zvinyatsobudirira, ruzivo urwu rutsva runofanira kuiswa mune chero chirongwa chekurapa kune chero murwere ane chirongwa ichi, uye anofanirana nehuwandu hwehupenyu.
Zvinosuruvarisa, kutarisira hupenyu hutsinye-asi hunochengeteka uye hunobudirira-kwakaoma kuvarwere uye nguva inopedza kuvanachiremba vavo. Uye sezvo vanachiremba vachibhadharwa nokuda kwekuita uye kwete kwekutaura, mari yavo inogona kutora hit kana vaifanira kuvimba zvikuru nemararamiro ehupenyu. Saka zvingava nguva yakati vanachiremba vasagutsikana kushandisa nzira iyi uye varwere vanogutsikana kuedza.
> Sources:
> Abhed HS, Samuel CS, Lau DH, et al. Kuwedzera kwehuputi kunokonzera kuenderera mberi kwehutano hwehutano uye kugadzirisa magetsi: Zvinokonzerwa nefridhi yefridhi. Heart Rhythm . 2013; 10: 90-100.
> Pathak R, et al. Nenguva yakareba yechinangwa chekutungamira uremu hwehupfumi muhutori hwehutachiona hwehutachiona: Chidzidzo chekudzidza kwenguva refu (LEGACY Yokudzidza). J Am Coll Cardiol . 2015; DOI: 101016 / jacc.2015.03.002.
> Pathak RK, Middeldorp ME, Lau DH, et al. Dambudziko rekurwisana nechinetso chekudzidzira chidzidzo chetrial fibrillation uye zvinokonzerwa nemigumisiro yekubvisa: ARREST-AF cohort study. J Am Coll Cardiol . 2014; 64: 2222-2231.