Kana iwe uine atrial fibrillation , kurapwa kwakanaka kunogona kunge iri nzira yechitatu-inogadzirisa iyo inonzwika-intuitive -rega fyria inouraya kuti irambe iripo, inoronga maitiro ekuchengetedza mwoyo wako kukurumidza kubva kukurumidza kukurumidza (kuitira kuti uchengetedze zviratidzo zvako) uye utore matanho ekuderedza ngozi yako yekurohwa. Izvi zvinonzi chirongwa-chengetedza nzira. Intuitively, imwe nzira, rhythm-control approach , iyo inotarisirwa kudzorera nekuchengetedza chimiro chemwoyo chaiwo, inonzwika zviri nani.
Asi kune vanhu vakawanda vane chirwere chisingaperi chisingagumi uye chinoramba chiripo (kureva kuti, vave vari muutapi firipi yose kana nguva yakawanda yevhiki dzakawanda kana mwedzi), zvigumisiro zvinowanzova nani zviri nani nehuwandu hwekutonga.
Kumwero mukuru, izvi ndezvekuti rhythm control inowanzova yakasimba, isina kukanganisa, isina basa uye inosanganisira ngozi yakakura yemigumisiro. Uyewo, vanhu vakawanda vanobatwa nehuwandu hwekutonga vanoita zvakanaka; zvidzidzo zvekurapa zvinoratidza kuti zvigumisiro zvavo zvinenge zvakanaka, kana zvisina kunaka, pane avo vane rhythm control vanoedza.
Izvo-kutaridzika kunosvika kuhutachiona hwemagetsi kune zvinangwa zviviri - kuti udzivirire kutengesa kwemoyo uye kudzivirira kuvhara ropa uye kurohwa.
Kudzora Mwoyo Wemaonero
Muvanhu vakawanda vane zvirwere zveAriary, zviratidzo zvinokonzerwa zvakananga nekukurumidza kwenhamba yemwoyo iyo inowanzoenda iri urrimimia.
Ichokwadi, chero bedzi mwoyo wekutengesa inotungamirirwa, vanhu vazhinji vane hutachiona hwetrial vanogona kutungamirira hupenyu hwehupenyu huripo, pasinei nekuramba kwerhythmia. Kazhinji, kutonga kwepfungwa yemwoyo kunogona kuwanikwa kuburikidza kupa beta zvinodzivisa zvinodhaka , kazhinji pamwe chete ne calcium channel blockers . Mukuwedzera, digoxin inowanzobatsira mukudzikisa kutara kwemwoyo muhutano hwekushaya ropa.
Zvose zvitatu zvemishonga iyi zvinoshanda nekudzikisa kutengesa kwemasimba emagetsi kuburikidza neAV node , iyo inoderedza nhamba yemafungiro anosvika pamhepo-yekutengesa - nokudaro kuderedza mwoyo wekutengesa. Muchizhinji chevanhu vane atrial fibrillation, mutambo wemwoyo unogona kutongerwa zvakakwana pamwe nekubatanidzwa kwemishonga iyi.
Mune zvimwe zviitiko, zvisinei, chiyero chemwoyo chinoramba chichikurumidza kukonzera zviratidzo zvinoramba zvichiri pasinei nekurapa. Mune zviitiko izvi, mutengo we mwoyo unogona kutaridzika nyore nyore nehutano hunodiwa hwekutengesa hunoitirwa kukanganisa AV node. Mune nzira iyi, catheter chaiyo inobvisa chinyorwa ichi kuburikidza ne cauterizing kana kuvhundusa.
Ablating iyo node yeVV inodzivisa mafungiro emagetsi ekutadza kusvika pamhepo, kuitira kuti mwoyo weve inonoke. Ichokwadi, kuvhara kweAV kuderedza kunowanzokonzera mwoyo ye block , iyo inowanzotungamirira kukura kwemoyo kunonoka. Saka kubvisa maitiro eV nguva dzose kunoda kuiswa kwepermanem pacemaker . Nemhaka yokuti vemazuva ano vanogadzirisa zvigadziri vanogona kuchinja muzinga wavanofamba nawo, zvichienderana nebasa remuurwere, chirongwa cheAV chipfuti-plus-pacemaker chinopa munhu ane atrial fibrillation mwoyo miviri - zvose pazororo uye panguva yekurovedza muviri - iyo inofanidza moyo wehutano hwe vanhu vane mwoyo chaiwo rhythms.
Kunyange zvazvo kuvhurwa kweAV nodal kunogona kuonekwa seimwe nzira inotyisa yekudzora kutengesa kwemwoyo, inowanzotadza kugadzirisa kunoshamisa kwezviratidzo zvevarwere vanoramba vachinyanya kushandiswa kwehutano uye mune dzimwe nzira dzakakundikana.
Kudzivirira Kuvhara Ropa
Mishonga yekudzivirira ropa clots kubva pakuumba muAria inotora danho rakakosha kune ani zvake ane chirwere chekushaya ropa. Vanhu vazhinji vane chirwere chinonzi atrial fibrillation vanofanira kunge vachirapa ne anti-coagulation zvinodhaka (zvinodhaka "zvakapfava" ropa kuti dzidzivirire ropa rinoputika) kudzivirira zvirwere. Kusvikira munguva pfupi yapfuura Coumadin ndiyo ndiyo nzira yakanaka chete yaivepo, asi kushandisa Coumadin zvakachengeteka uye zvinobudirira kunogona kuva chinhu chakaoma kuita.
Nenzira yakanaka, zvitsva uye zviri nyore-kushandisa-zvingasarudzwa zvekugadzirisa zvinopesana nekugadzirisa muhutano hwekushaya ropa munguva ichangobva kuwanikwa.
Summary
Kunyange zvazvo zvingave zvisingave zvakanaka, chirwere-chengetedza nzira yekurapa fyria inouraya inowanzoshanda chaizvo mukudzivirira zviratidzo uye inoderedza zvikuru njodzi yekurohwa. Kusvikira nzira dzakanakisisa dzichigadziriswa kuti dzibvise kubviswa kwepereyumu uye kudzorera chimiro chepfungwa chemazuva ose, chiyero-kutonga nzira ndiyo yakanakisisa sarudzo yehuwandu hwevanhu vane chirongwa ichi.
Sources:
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Wann LS, Curtis AB, January CT, et al. 2011 ACCF / AHA / HRS inonyanya kujeka pamusoro pekutungamirirwa kwevarwere vane hutachiona hwehutachiona (Kuvandudza 2006 Guideline): mushumo weAmerican College of Cardiology Foundation / American Heart Association Task Force pamusoro pekushandisa mazano. J Am Coll Cardiol 2011; 57: 223.