Chirongwa cheZviviri zvakasiyana-siyana Kurapa mazano
Atrial fibrillation chironga chemwoyo chinowanzokonzera kuora mwoyo kwakanyanya, kuneta, uye kunyange kupererwa kwemhepo. Zvakaipisisa, kuberekwa kwefayira inogona kukura mukana wako wekurohwa . Kana iwe uine hutachiona hwepriyuta pane mubvunzo muduku wekuti iwe unoda kurapwa. Uno. Mubvunzo ndewokuti: Ndeipi nzira yekurapa ndiyo yakakodzera kwauri?
Chikonzero icho mubvunzo uyu kazhinji chiri chakaoma kupindura ndechokuti hapana hutano hwehutachiona hwefridhi iyo, muhuwandu hwevarwere, zvose zvakachengeteka uye zvinobudirira pakubvisa urongwa hwemagetsi uye kudzorera rwiyo rwemazuva ose. Kusarudza pa "kururamisira" kurapwa kune chero munhu wega ane fibrionic atrial ndiyo inowanzoratidzira.
Nzira mbiri dzokurapa
Kana zvaive nyore uye zvakachengeteka kudzorera nekuchengetedza chimiro chemazuva ose, ipapo chinangwa chokurapa friction yepriyuta ingadai chiri kuita izvo chete-kuti uite mwoyo wako rhythm kudzokera kune zvakasikwa uye ugare uripo. Iyi nzira yekurapa inonzi rhythm-control approach. Uye apo izvi chaizvoizvo zvinoshanduka kuva nzira yakakodzera kune varwere vazhinji, mune vamwe iyo chinangwa chekurapa icho hachigoni kuwanika pamatambudziko anogamuchirwa ematambudziko.
Kune vanhu vakawanda vane inrial fibrillation, imwe nzira yekurapa-imwe inogona kuva yakanyatsobudirira uye yakachengeteka-ndeyokubvumira kuti fyria yefridhi inopfuurira, achitora matanho ekubvisa zviratidzo uye kuderedza dambudziko rekurohwa .
Iyi nzira yechipiri yekurapa, iyo inowanzonzi chirongwa-chengetedzo, inoreva kureva kuti mafiro epriyria ndiyo "itsva" uye kushanda kurongedza kushaya kwemwoyo (kuderedza zviratidzo) nekushandisa anticoagulation therapy ( ropa rakanyanyisa ) kuderedza dambudziko re stroke. Kunyange zvazvo chiyero ichi-chengetedzo chinogona kuonekwa pakutanga chinenge chisingadi kudarika chinonzi rhythm control, kune zvikonzero zvinokurudzira kuti uzvishandise kune varwere vakawanda vane inrial fibrillation.
Apo Rhythm Control Ndiyo Nzira Yakarurama
Pane mimwe mamiriro ezvinhu ayo anowanzotaurira kurongeka kwekuita sehutano hwakanaka. Kana iwe friction yako yeAriric inokonzerwa nechimwe chinogona kugadziriswa chinokonzera, saka, kazhinji, chinangwa cherapi chinofanira kunge chiri kubata chirwere chepfungwa ndokudzorera chimiro chepfungwa chemazuva ose. Izvi zvinowanzokonzera zvirwere zvinowanzove zvakanyanya kana kuti zvinongobva kuongororwa uye zvirwere zvinorapwa zvinoshandiswa se hyperthyroidism , pneumonia, mutezo wemapapu ( ropa clot mumapapu), kana kuwedzerwa doro kana mishonga inokurudzira.
Atrial fibrillation inogonawo kukonzerwa nemamiriro ezvinhu emwoyo semakoronary artery chirwere , chirwere chemwoyo valvular, pericarditis , kana mwoyo kusakundikana . Kana iwe uine imwe yemamiriro ezvinhu epfungwa, zvino kuedza kudzorera nekuchengetedza chimiro chepfungwa chemazuva ose zvakare nzira inonzwisisika, kana chinetso chepfungwa chako chepfungwa chakanyatsorapwa.
Rhythm control inowanzotaridzirwa kune vanhu vane zvirwere zvekushaya zvirwere zvishoma kana zvishoma kana kuti paroxysmal-kureva kuti, inowanzoerekana yaitika uye inopindirana. Kune uchapupu hwokuti nguva refu munhu anoramba ari muhutano hwehutachiona, zvakanyanya kuoma kuchengetedza rhythm.
Kune vanhu vane paroxysmal atrial fibrillation, uye ndiani anowanzoita rwiyo rwemazuva ose, rhythm-control approach inowedzera kuva yakabudirira zvikuru kupfuura kune vanhu vane maitiro ekurwisana neatrial inoramba iripo kana kusingaperi.
Pakupedzisira, rhythm control ndiyo nzira iri nani kune vanhu vane mamwe mamiriro emwoyo umo kurasikirwa kwebasa rinoparadzaniswa neyemagetsi (iyo inowanzoitika ne-acill fibrillation) inogona kubudisa kuora kunoshamisa kwebasa romwoyo. Mamiriro aya anowanzobatanidza kuwedzera kwehutano hwehutachiona , aortic stenosis , hypertrophic cardiomyopathy , uye kudzvinyirira kwe diastolic . Mune chimwe nechimwe chezviitiko izvi, kuruboshwe rwemashure kunowedzera kuva "mutsindo," kuitira kuti kugadzirisa kuzadza kwebhokisi rekusiya rakanyanya kunomira pane kusimba kwakasimba kwepagree.
Kana chimwe chezviitiko izvi zvezvechirwere kana chepfungwa zviripo, zvinowanzobatsira kuti usanyanya kurwisana mukushandisa rhythm-control-kutaura-kureva, kudzorera uye kuchengetedza moyo wakakwana rwiyo-kana chirwere chiripo chakanyatsogadziriswa. Pano, "utsinye" zvinogona kureva kuedza kushandiswa kwemishonga yakasiyana-siyana yakasiyana-siyana kuti urambe uine chimiro chakajairika. Zvinogona kureva zvakasimba kufunga nezvekugadzirisa nzira yekubvisa kubvisa kwefridhi yefridhi. Chimwe nechimwe chezviito izvi chinosanganisira ngozi. Vamwe vanhu vasina imwe yemamiriro ezvinhu aya vacharamba vachiita rhythm control. Ichi chisarudzo chakanaka, chero bedzi pavanonyatsonzwisisa zviitiko.
Kana Kuraira Kwokuita Ndiyo Nzira Yakarurama
Mune vanhu vane chirwere chisingaperi chisingagumi uye chinoramba chiripo (kureva kuti, avo vave vari muutapi firipi nguva yakawanda yevhiki kana mwedzi yakawanda), kunyanya kana yavo yefriday fibrillation idiopathic (kureva kuti, hapana anozivikanwa uye inoporesa iri pasi kukonzera), pane zvikonzero zviviri zvakanaka nei kutaridzika kuwanda kunowanzova nzira iri nani.
Kutanga, kune vanhu ava, matambudziko ekudzorera nekugadzirisa kwemazuva ano mwoyo wepfungwa pamusoro penguva refu ndeyepasi. Chechipiri, zvidzidzo zvechiremba zvinoratidza kuti mhedziso yenguva refu mune izvi vanhu haisi nani-uye inogona kunge ichingowedzera-ine antiarrhythmic drug therapy inoshandiswa pakuita rhythm control, kupfuura nehuwandu-kutonga nzira. Mune vanhu ava, njodzi dzekutonga rhythm dzinowanzopfuura chero ipi zvayo inobatsira.
Vanachiremba vazhinji vanoita imwe yedzidzo yekudzorera rwiyo rwemazuva ano kunyange kune ava varwere. Izvi zvinowanzoitwa nekungotarisa varwere kudzokera kune rimwe rwiyo rukuru uye kuona kuti vanoita sei pasina antiarrhythmic drug therapy. Asi kana kuedza kwakadaro kusakundikana (kureva kuti, kana chirwere chekare chinopera), vanachiremba vanokurumidza kutora kuderedzwa kwemazinga se nzira yakachengeteka uye inobudirira yekurapa.
The Bottom Line
Zviri pachena kuti kana iwe uine fibrillation yeAricrial kune zvakawanda zvokufunga nezvazvo mukusarudza kurapa kwakakodzera-kusimba kwezviratidzo zvako; matambudziko ako ehutano uye emoyo, kana pane; kuwedzerwa uye nguva yezvikamu zvako zvepayibrilling yeprimary; zvaunofarira; uye maonero evarapi vako. Ichi chisarudzo chinogara chichifanira kuva chega.
> Kwakabva:
Fuster V, Ryden LE, Cannom DS, et al. ACC / AHA / ESC 2006 Nhungamiro Yekutungamira Kwevarwere Nehutachiona hweArper A Report of the American College of Cardiology / American Heart Association Task Force pamusoro Pemitemo Yezvokuita uye neEuropean Society of Cardiology Komitungamiri Yekushandisa Mazano (Komiti Yokunyora kuongororazve Zvinyorwa zve2001 nokuda kwekutungamira kwevarwere nehutachiona hwepanyika). J Am Coll Cardiol . 2006; 48: e149.