Kana iwe wakabatwa uine fyria inouraya iwe unogona kunge uchinzwa wakanetseka ikozvino. Iwe wakangodaro wakafukidzwa nemashoko, mamwe acho achiita zvishoma zvinotyisa, uye nekusarudzwa kwehutano izvo zvose zvinonzwika zvisina kunaka. Chiremba wako angave akakukurudzira kuti uite zvisarudzo zvausinganzwi wakagadzirira kuita. Uye kana arrhythmia yako isati yanyatsogadziriswa, iwe unganzwa uine ruzivo uye mune zvishoma-kupfuura-zvakanaka kuti uite zvisarudzo zvinokosha.
Saka ngatitorei danho shure uye tiise zvinhu zvakajeka.
Kunzwisisa Kuziva Kwako
Atrial fibrillation inonyanya kurongeka, uye vanhu vazhinji vane urongwa hwemagariro aya vari kutungamirira hupenyu hwakakwana. Paunenge uchienda kunotengesa mabhizimusi paMugovera wakabatikana, usingazvizivi iwe uchasangana nevanhu gumi nevaviri vane acrial fibrillation. Paunotarisa boka rako raunotamba nebhokisi reSvondo masikati mazana ezviuru kana kunyange zviuru zvevaya vanoridza vateveri vane atrial fibrillation. Iwe, zvakare, uchakurumidza kudzokera mukati mehupenyu hwehupenyu hwose.
Ndicho chirongwa.
Kunyanya kunyanya, chirongwa chacho chinopetwa kaviri: Kutanga, kuve nechokwadi kuti zviratidzo zvipi zvaunayo ne-acrial fibrillation zvinobviswa kana kuderedzwa kuitira kuti ugone kudzokera kuhupenyu huripo. Chechipiri, kuderedza dambudziko rako rekurova chirwere. Zvose izvi zvinangwa zvose zvinogona kubudirira. Iwe haufaniri kungovimba chete kuti zvose zviri zviviri zvinobudirira, iwe unofanira kuzvitarisira uye kuronga pazviri.
Kuti uende ikoko, iwe zvechokwadi unoda kuita zvimwe zvisarudzo zvinokosha , uye iwe unotanga kutanga mamwe maitiro. Iwe zvichida uchada kutanga kutora mushonga mutsva, kana zvimwe zvimwe zvacho. Iwe unogona kudikanwa kuva neutano kana maviri. Iwe unogona kunge uchiita mararamiro ehupenyu hunochinja nekuda kwehutano hwako.
Asi iwe unenge wapfuura nguva ino yechisarudzo munguva shoma shoma - mwedzi miviri, vhiki shomanana, kana kunyange mazuva mashoma.
Nokudaro kubata nehutano fyria ndechimwe chinhu chakakomba uye kunoda kuedza kukuru pane iwe. Asi munguva pfupi, iwe uchadzoka kuzogara muupenyu hwako kazhinji.
Nzira Yokusarudza Sei Zvisarudzo Zvako
Iwe unoziva kuti une zvimwe zvasarudzo zvokuita: Ndeupi mushonga waunofanira kushandisa kuti uderedze njodzi yekurohwa? Iwe unofanirwa here kusarudza kuraira kwemazinga, kana rhythm control approach, uye ndeapi nzira dzokurapa mune imwe neimwe yezvirevo izvi ndiyo yakakunakira iwe?
Zvisarudzo "zvakarurama" zvichange zvakatarisana nemasikirwo ako, mafungiro ako, hupenyu hwehupenyu hwako, zvaunotarisira, uye zvimwe zvinhu zvaunogona kuunza patafura. Zvichaitawo zvehutano hwehutano hwako, nhoroondo yako yezvokurapa, nezvimwe, dzimwe nguva zvisinganzwisisiki, zvido zvekurapa zvauchafanira kuvimba nachiremba wako. Mune mamwe mazwi, nzira "yakarurama" yekurapa yako friction fibrillation haifaniri kutongororwa chete iwe kana kuti chiremba wako-inofanira kuva sarudzo yakabatanidzwa.
Kuwana Chiremba Akarurama
Kana iwe uine uropi hwakabviswa, kutsvaga chiremba ane chimiro chakanaka pamubhedha uri kungofanana-ne-kuva.
Zvaunonyatsoda ndeye chiremba anovhiya anogona kuwana tumarara kunze, kunyange kana ari mbongoro. Izvo hazvisizvo neyetrial fibrillation.
Iwe unoda chiremba uyo (kunze kwekunyatsonyatsonzwisisa firipi yefridhi) anofungidzirwa, anonzwira tsitsi uye mutauriri akanaka . Izvi ndechokuti imi mose, pamwe chete, munofanirwa kusarudza pamusoro pemaitiro ekurapa. Kana iwe usingakwanisi kutaurirana, haugone kushanda pamwe nenzira yaunoda.
Kana izvi zvisingarevi chiremba wako, iwe unoda kuwana imwe.
Ndorudzii Rwechiremba Ndinoda?
Ndeapi ruzivo rwehutano hunofanira kuitwa nachiremba wako? Kana iwe uchifunga kuti unofunga kuongorora rhythm control approach, saka iwe unofanira kuona mwoyo nyanzvi yeruzivo-a cardiac electrophysiologist.
Ava ndivo vanachiremba vanoziva mukugadzirisa zvese zvinoshandiswa pakushandisa uye kurongedza njodzi nemigumisiro yemarudzi akasiyana-siyana ekurwisa mishonga, maitiro, uye zvigadzirwa zvinogona kuitika mukudzorera nekuchengetedza chimiro chepfungwa chemazuva ose.
Iwe haufaniri hako kutanga kutanga ne electrophysiologist, zvakadaro. Mumwe mutori wenhau yepamusoro uye kunyange akanaka mukati moutano nyanzvi (an internist) anofanira kunge akakwanisa kukutungamirira kuburikidza nekukurukurirana kwemashoko makuru uye kukubatsira kusarudza nzira yekurapa. Vanofanirawo kukwanisa kubata anticoagulant therapy, shandisa marapirwo anodiwa kuti udzikise mukana wehutachiona hwehutano uye kuita cardioversion kana zvichidikanwa. Kune varwere vazhinji vane hutachiona hweAricrial, ndizvo zvose zvinodiwa.
Asi kana iwe uchifunga nezve-rhythm control control approach, izvo zvingangodaro zvinosanganisira zvirwere zvisingaperi zvekare uye / kana kubvisa, unoda kutumira kune electrophysiologist.
Kushanyirwa Kwako Chiremba
Kushandisa fiber yako inouraya kunogona kudikanwa kurapwa nokukurumidza iyo inotanga kuongororwa . Izvi zvakanyatsonaka, uye kunyange zvakakosha mune dzakawanda zviitiko. Kana iyo fyria inouraya ichikurumidza zvikuru, kana iri kubudisa zviratidzo zvinoshamisa, kana kukonzera matambudziko emwoyo, ipapo matanho epfupi achadikanwa kuti atange kudzora mwoyo kana kudzorera rwiyo rwemazuva ose (kureva, cardioversion). Hapana zvakawanda zvaungaita kuti ugadzirire chiremba akadaro anoshanyira. Iwe une dambudziko rakaoma uye rinofanira kutarisirwa naro.
Asi kana zvinhu zvikagadziriswa zvinosvika nguva yekuita zvisarudzo zvekugara kwenguva refu pamusoro pekurapa yako inrial fibrillation. Kuti uite izvi, iwe uchada kugadzirira kukurukurirana kukuru nechiremba wako.
Kugadzirira Kushanyirwa Kwakachiremba Wako
Usati wava ne "kukurukurirana," gadzirira. Verenga zvose zvaunogona pamusoro pehutrial fibrillation uye maitiro ayo ekurapwa.
Kuti uronge pfungwa dzako iwe unofunga kufunga kugadzira chati, imwe ine ma column mana. Ikosi yekutanga inonyora mazita ezvokurapa zvaunofunga kuti unogona kufarira, kana kuti iwe unoda kuziva zvakawanda pamusoro. Iyi korumusi inogona kunge ine zvinhu zvakadai se "kurohwa nekurohwa neCoumadin," "kuparadzaniswa nekuputika neAAAC zvinodhaka," "kutaridzika kwemaawa nemishonga," "rhythm kudzora nemishonga," "rhythm kudzivirira nekutengesa," kana imwe nzira ipi zvayo yekurapa iwe zvinogona kunyanya kuda kuongorora.
Chikamu chechipiri chinorondedzera zvakakosha zverapi imwe neimwe inonyanya kukosha kwamuri; kora yechitatu inorati "cons" yehutano hwega; kora yechina inonyora mibvunzo yaunayo pamusoro peumwe neumwe.
Nyaya yakakosha zvikuru ndiyo imwe yemibvunzo yako. Chinangwa chako chekushanyira chiremba chichave chekuita kuti umwe neumwe wemibvunzo iyi aongororwe zvakakwana nachiremba wako. Mibvunzo miviri yaunofanira kukumbira kumusarudzo imwe neimwe yekurapa ndeyekuti, "Sei izvi zvingave zvakanaka kwandiri?" Uye "Sei izvi zvisiri izvo zvingava zvakanakisisa kwandiri?" Mumwe angave, "Ndiani, kana mumwe munhu, unganditaurira ini kuti atarisire kurapwa uku? "
Kana waita zvese zvawakagadzirira kutsvakurudza, unogona kukuwana uri kuvimba zvakasimba kune imwe nzira yekurapa kana imwe. Kana unogona kukuwana iwe wakakwana zvachose mumhepo. Chero nzira, zvakanaka. Muchikamu chinogadzirira, iwe hausi kuita chisarudzo; uri kungozvigadzirira kuti unzwe tsananguro yechiremba wezvaunosarudza (uye kuti unzwisise zviri nani zvaanogona kushandisa) uye kuti uwane kukwanisa kuongorora zvaanofunga kubva kune imwe nheyo yakanaka yezivo.
Chiremba Anoshanyira
Iwe unofanirwa kuva nezvinangwa zvakajeka zvechiremba wacho anoshanyira pachake. Pakati peizvi zvinofanira kuva:
- Iwe unoda kunzwa tsanangudzo yechiremba wezvokurapa zvaunowana iwe.
- Iwe unoda kunzwa chiremba wako achirondedzera kuti sei, pane yako chaiyo , zvimwe zvingasarudzwa zvinofanira kuve zvakasarudzwa kana kuti zvakanyanya kufungidzirwa.
- Unoda kuva nemibvunzo yako yose yakapindurwa.
Pasinei nekugadzirira kwako kwose zviri nyore kuti uoremerwe kana uchiona chiremba wako. Iwe unofanirwa kunge wakatarisira kuti uremerwe.
Kugadzirisa "overwhelm" iwe unofanirwa kuita chimwe chezvinhu zviviri kana zviviri: Unofanirwa kutora nzeve mbiri dzechipiri newe-munhu waunovimba naye kana munhu anoziva uyo anogona kunyatsoteerera uye zvakananga kune tsanangudzo dzechiremba pamwe newe, uye achikubatsira anozvinyima zvose zvakare; uye / kana iwe unofanirwa kunyora izwi rekushanyira. (Iwe unoda chiremba wako chibvumirano chekuita izvi, asi kana iye achinonoka, ndicho chiratidzo chakanaka chokuti iwe haufaniri kuva nechiremba akakodzera.)
Mushure mekushanya
Pakuguma kwekushanyira, iwe unogona kunge wakanyatsojeka mupfungwa dzako iwe nzira yekurapa yaunoda kushandisa. Zvikuru izvo. Asi zvichida iwe unoda kutora nguva yekufunga nezvazvo. Izvo zvakanyatsonaka, zvakare.
Nzira yeku "kufunga pamusoro payo" inofanira kusanganisira kuenderera mberi pane yako yakagadzirirwa urongwa hwemibvunzo mushure mekunge maona chiremba, uye kuve nechokwadi kuti uri kunyatsojeka pamhinduro dzose. Zvinenge zvichibatsira kuteerera kutora kwawakanyora kana kukurukura nyaya yacho neshamwari yakakuendesa kuna chiremba wako anoshanyira. Kana iwe ukawana imomo mibvunzo yakasununguka, tumira kana kutumira tsamba yako chiremba kuti ajekeswe (zvichida mukati mezuva kana kuti, saka iyo hurukuro ichiri pachena mumoyo make).
Mushure mekunge watora matanho aya, iwe uchava wakagadzirira kuita zvisarudzo zvako nenzira yakanakisisa yekutarisa yako friction fibrillation.
Kutsvaka Pfungwa Yechipiri
Kuwana pfungwa yechipiri kubva kune mumwe chiremba kunogona kubatsira-kana kuti kungave kusingakoshi. Inonyanya kubva mukusununguka kwaunoita neukama hwako nachiremba wako, uye pane chisarudzo chawakaita pamusoro pekurapa kwerhythmia. Usanetseka nekukuvadza manzwiro ako, asi-vanachiremba vanofanira kutarisira (uye kunyange kukurudzira) varwere vavo kuti vawane pfungwa dzechipiri nokuda kwechisimba chisarudzo chezvoutano.
Chimwe chiitiko apo pfungwa yechipiri inofanira kunge iri mutemo kunze kwekuti kunze kwokuti iwe wakasarudza kuve neipi inopinza yekurapa yako inrial fibrillation-ablation therapy, kana kuiswa kwechigadziro chekuvhara mairi yeganda rekumusoro. Mamiriro ehutano mumatambudziko aya ari mukuyerera, uye kunyange electrophysiologists haabvumirani pazvinenge zvichishandiswa.
Iwe unoda kuve nechokwadi kuti nzira yako pane yako ndeyechokwadi pfungwa, uye kuti iwe hausi kutungamirirwa neevhangeri. Kana vaviri vakasiyana-siyana ve electrophysiologists vanobvumirana kuti nzira yacho inonzwisisika, saka zvakanyanya kunyanya kuti inonyatsoita.
Mushure meKusarudza Kwako
Kana wangofunga zvose zvaunogona kuita uye wakaita sarudzo dzako, uye kurapwa kunotanga, chengeta mupfungwa kuti iwe hauna kupfiga mikova.
Vanhu vanowanzofuratira kubva muchitendero chekutonga kusvika kune chirongwa chekutarisa kana umwe kana maviri achiedza kushandisa antiarrhythmic zvinokanganisa, kana kana kuedza kubvisa pasina kubudirira. Uye zvinokwanisika kuti chirongwa chekuraira chiyero hachikwanisi kuderedza zvachose zviratidzo zvako, pane izvo zvingaita zvachose kutenderera kune rhythm control approach. Nokudaro chisarudzo chako chekutanga hachidi kuti chive chisarudzo chako chokupedzisira.
Kune vanhu vazhinji, zvisinei, kurapwa kwefriday fibrillation kunofadza zvakanaka kana nzira yekurapa inosarudzwa, uye inokurumidza kudzoka kunzwa zvakanaka. Kunyangwe kana kurapwa kusingaiti zvakakwana, uye kunoda maitiro mashomanana akasiyana, iwe nachiremba wako unofanira kuramba uchida kusvikira chinangwa-uye zvaunotarisira-zvichisangana.
Kuedza kurapa kwakasiyana-siyana uye nzira dzakasiyana-siyana dzekurapa dzimwe nguva zvinodiwa neutrial fibrillation. Asi iwe haufaniri kushandura chimiro chako chekupedzisira, icho chinofanira kunge chiri kutungamirira hupenyu hune hupenyu hune zviratidzo zvishoma.