Kuenzanisa nzira dzakasiyana
Kana iwe uine hutachiona hwetrial , iwe unosarudza sei pakati pezvinhu zviviri zvinokosha pakurapa thy arrhythmia (kureva, kudzorera nekuchengetedza rhythm ruregerero kana kuti kudzora mutengo wemwoyo)? Kune zvikonzero zvekuti iwe uye chiremba wako uchafanirwa kufunga nezvekuita sarudzo iyi.
Apo Rhythm Control Inofamba Yakakodzera?
Pamusoro pechiso chake, rhythm control kusvika - kudzorera nekuchengetedza chimiro chepfungwa chepfungwa-inogona kuonekwa seyo nzira yakarurama kune chero ani zvake.
Mushure mezvose, ndiani anoda kugara muhutano hwehutano? Dambudziko, hongu, nderokuti mishonga inowanikwa kuti ibudirire rhythm kudzora mufriday fibrillation inowanzova yakakwana chete, uye inoratidzira varwere kune dzimwe ngozi dzakawanda.
Saka vanachiremba vanowanzochengetedza rhythm control urongwa hwevarwere avo vanoita sevari mukana wakanakisisa wekubudirira nawo, kana ndiani asingakwanisi kubvumira kusagadziriswa kwehutachiona huripo kunyange kana moyo wekutengesa uchitungamirirwa. Varwere vakadai vangangosanganisira zvinotevera:
- Vaya vane hutachiona hwehutachiona hunoratidzika sehunoenderana nechiitiko chinopera, chikonzero chinogona kuchinja, kana chinetso chechirwere chinogona kutaridzirwa zviri nani. Izvi zvinogona kusanganisira: hyperthyroidism ; pericarditis ; mapurumary embolus , pneumonia kana imwe dambudziko remapapu acute; kunyanya chirongwa ichi; kunwa doro (" moyo wezororo "); kunyatsodzora kukanganisa mwoyo ; kana kupererwa kwekurara kurara . Kamwe kurapwa kwezvikonzero zvinokonzerwa neutrial fibrillation kwave kwakagadziridzwa, murwere ane mukana wakanaka kwazvo wekugara mumoyo wakakwana rhythm.
- Vanhu vane "mikukutu" yemhepo ine simba inowanzoita kuti atrial fibrillation irege kushivirirwa, kunyange kana kukwana kwekutengesa kuwanikwa kunoitwa. Mamiriro ezvinhu akadaro anosanganisira hypertrophic cardiomyopathy , chirwere chepfungwa chepfungwa, diastolic dysfunction , kana aortic stenosis .
- Varwere vane maitiro ekudzora maitiro avo akaedzwa, uye vakakundikana kudzora zviratidzo zvakakwana.
- Vatambi uye vamwe vane mabasa avo anoda kuti vaite pamusoro pemwoyo wepfungwa.
- Vanhu vanoda kushandisa rhythm control kana vachinge vanyatsonyatsoziva nezvekukwanisa kusagona.
Ndivanaani Rinofanira Kutarisa Kudhura Kwekodzero?
Nemhaka yezvinetso uye zvipingamupinyi zvinobatanidzwa nemutambo wekutonga kusvika kune fyria inouraya, nyanzvi dzakawanda dzinofunga kuti chirongwa chekudzivirira chekuita chiri "kusakwanisa" nzira yehuwandu hwevarwere vane chirongwa ichi.
Haisi kungoita chete kutaridzika kune nzira yakachengeteka uye yakanyanya kupfurikidza kupfuura rhythm control approach, asi zvakare inoshanda mukubvisa zviratidzo zvehutachiona hwehutachiona muhuzhinji hwevanhu vane chirongwa ichi. Sezvo chinangwa chose mukurapa friction friction ndechokubvisa zviratidzo, chirongwa chekutora nzira chinowanzobudirira chaizvo pakuzadzisa chinangwa chekurapa.
Uyezve, kunyange munguva yakapfuura yaifungidzirwa kuti kana iwe ukagona kuita kuti friggriation inouraya irege kurega njodzi yekurohwa inogona kuderera zvikuru, zvidzidzo zvekliniki zvakakundikana kuratidzira izvi. Saka, kunyange kana rhythm control urongwa inoshandiswa uye ichiita seichibudirira, varwere vachiri kunoda kurapwa ne anticoagulant zvinodhaka .
Nokudaro, chinhu chakakosha chekushandisa kwekuita rhythm nzira yakakundikana (kunyanya kusvikira zvino) kuisa.
Kuchengetedza Rhythm Inowanikwa Zvakanaka Kupfuura Kura Kwemahara?
Kunyange zvazvo ichiita sechinyatsooneka kuti rhythm control urongwa huchapa migumisiro iri nani kudarika chirongwa chekuraira muhutano muhutano hwehutachiona, zvidzidzo zvechiremba zvakakundikana kuratidza kuti iyi ndiyo mhaka. Panzvimbo pezvo, maitiro emakiriniki emakiriniki achienzanisa rhythm control kutarisa kutarisa kune varwere vane hutachiona hwetrial inoratidzira mararamiro kune mamwe maitiro emakiriniki (kusanganisira kuwedzera kwekufa, kukanganisa kwemwoyo , kurohwa uye kubuda ropa) nemhanzi-control.
Nyanzvi dzakawanda dzinoita kuti izvi zvive zvakanyanya kuitika kumigumisiro yemishonga inopesana nemishonga, asi izvi hazvisi pachena.
Pasi Pasi
Kubva ikozvino, nyanzvi dzinobvumirana kuti "kusakwanisa" kunosvika kune vakawanda varwere vane chirwere chekushaya ropa (zvikurukuru mushure mekunge imwe kana zvimwe zvimwe zviviri kuedza kugadzirisa chimiro chakanaka chakakundikana) ndiyo inotora-kutarisa nzira. Zvisinei, chisarudzo ichi nguva dzose chinofanira kuumbwa pamwe chete pakati pechiremba uye murwere, nezvose zvinobudirira uye zvakanakira pane imwe neimwe nzira inotorwa mucherechedzo account.
Sources:
American College of Cardiology Foundation, American Heart Association, European Society of Cardiology, et al. Kutungamirirwa kwevarwere vane inrial fibrillation (kuumbwa kwa2006 ACCF / AHA / ESC uye 2011 Hurukuro ACCF / AHA / HRS): mushumo weAmerican College of Cardiology / American Heart Association Task Force pamitemo yekuita. Circulation 2013; 127: 1916.
Wyse DG, Waldo AL, et al. Kuenzanisa kwehuwandu hwekudzivirira uye rhythm kudzora kune varwere vane fibrionic atrial. N Eng J Med 2002; 347 (23): 1825.
Van Gelder IC, Hagens VE, et al. Kuenzanisa kwehuwandu hwekudzivirira uye rhythm kudzora kune varwere vanowanzogara vachirwara nehutachiona hwehutachiona. N Eng J Med 2002; 347 (23): 1834.