Kuchita Zolimbitsa Thupi Mukakhala Ndi Mpweya Wambiri

Zamkati

• Zotsatira zoyipa za atril fibrillation
• Zotsatira zoyipa zolimbitsa thupi ndi matenda a atrial fibrillation
• Zochita zabwino za AFib
• Zochita zomwe muyenera kupewa ndi AFib
• Lankhulani ndi dokotala wanu
• Onani kugunda kwa mtima wanu
• Ganizirani za kukonzanso mtima
• Dziwani nthawi yoyimira kapena kufunafuna thandizo
• Chiwonetsero ndi machenjezo
• Funso:
• Yankho:

Kodi atrial fibrillation ndi chiyani?

Matenda a Atrial, omwe nthawi zambiri amatchedwa AFib mwachidule, ndi omwe amachititsa kuti mtima ukhale wosasinthasintha. Mtima wanu ukamenya nyimbo, umadziwika kuti arrhythmia. Mtima wanu umadalira kayendedwe kabwino kamene kamachokera pamagetsi amagetsi m'zipinda zake. Ndi AFib, ndondomekoyi siyikudutsa mwadongosolo. Zotsatira zake, zipinda zam'mwamba zam'mtima, zotchedwa atria, sizigwirizana ndi kugunda kwanthawi zonse.

Magawo osakhalitsa a AFib amapezeka mu zomwe zimatchedwa paroxysmal AFib. Ndi AFib wosatha, mtima umakhala ndi arrhythmia nthawi zonse.

Mankhwala akupezeka ku AFib, ndipo mutha kukhala ndi moyo wachangu ndi izi. Ndikofunika kuganizira zinthu zingapo mukamakhala ndi AFib, kuphatikiza kuchita masewera olimbitsa thupi.

Zotsatira zoyipa za atril fibrillation

AFib itha kukhala yovuta pazifukwa zingapo. Choyamba, kusowa kwa magwiridwe antchito amtima kumapangitsa kuti magazi azingoyenda ndi dziwe ku atria. Zotsatira zake, mutha kupanga zotseka zamagazi zomwe zimatha kupita kulikonse mthupi. Ngati khungu lilowa muubongo, limatha kuyambitsa sitiroko. Ngati khungu lilowa m'mapapo, limatha kuyambitsa kuphatikizika kwamapapu.

Chachiwiri, ngati mtima umagunda kwambiri, kuthamanga kwa mtima kumatha kubweretsa kulephera kwa mtima. Kulephera kwa mtima kumatanthauza kuti minofu ya mtima wanu siyitha kupopera bwino kapena kudzaza magazi okwanira. Chachitatu, AFib yosachiritsidwa imatha kubweretsa zovuta zina zokhudzana ndi arrhythmia, kuphatikizapo kutopa kwanthawi yayitali komanso kukhumudwa.

Zotsatira zoyipa zolimbitsa thupi ndi matenda a atrial fibrillation

Chimodzi mwazizindikiro zodziwika kwambiri za AFib ndikutopa mosavuta mukamachita masewera olimbitsa thupi. Zizindikiro zina za AFib zomwe zingapangitse kuchita masewera olimbitsa thupi kukhala kovuta ndizo:

• kugunda kwa mtima
• chizungulire
• thukuta
• nkhawa
• kupuma movutikira

AFib itha kupangitsa zovuta kukhala zolimba chifukwa mtima wako ungayambe kuthamanga. Mtima wothamanga ungachititse kuthamanga kwa magazi kwanu kukupangitsani kukomoka. Poterepa, zolimbitsa thupi zitha kukhala zovulaza kuposa zothandiza.

Nthawi zambiri, kuchita masewera olimbitsa thupi ndi AFib kungakuthandizeni kukhala ndi moyo wamphamvu. Kuchita masewera olimbitsa thupi kumakuthandizani kuti mukhale ndi thanzi labwino, zomwe zingalepheretse mtima kulephera. Palinso zabwino pakuchita masewera olimbitsa thupi zomwe zimathandiza makamaka ngati muli ndi AFib, kuphatikiza kuchepa kwa mtima wanu ndikuchepetsa kuthamanga kwa magazi.

Kukhala ndi moyo wabwino ndicholinga chofunikira ngati muli ndi AFib, ndipo kuchita masewera olimbitsa thupi kumatha kuthana ndi nkhawa komanso kupsinjika.

Zochita zabwino za AFib

Musanachite chilichonse chochita masewera olimbitsa thupi, onetsetsani kuti mutambasula minofu yanu kapena kuyenda pang'ono kwa mphindi 10 kuti mtima wanu uzolowere zochitikazo. Onetsetsani kuti mwathiridwa madzi musanayambe kuwonjezera ntchito yanu, inunso.

Mukangotha, yesetsani kuchita masewera olimbitsa thupi monga kuyenda mwamphamvu, kuthamanga, kapena kukwera mapiri kuti mulimbitsa thupi popanda kuwonjezera mtima wanu. Kukwera njinga yamagetsi kapena kugwiritsa ntchito makina olumikizira kapena makina opondera ndi ntchito yabwino kwa anthu omwe ali ndi AFib.

Kukweza zolemera zopepuka kungakhalenso kulimbitsa thupi kwabwino. Ikhoza kukuthandizani kuti mukhale ndi mphamvu yolimba komanso yolimba popanda kuwonjezera katundu wanu kapena kusokoneza mtima wanu.

Poyamba, yesani kulimbitsa thupi kwakanthawi kochepa mphindi 5-10 kuti muwonetsetse kuti masewera olimbitsa thupi sangakupangitseni kukhala opanda mutu kapena kukomoka. Mukamakhala omasuka ndi nthawi yochepa yochita masewera olimbitsa thupi, pang'onopang'ono onjezerani mphindi 5 mpaka 10 zolimbitsa thupi mpaka mutadzimva kuti mwakwaniritsa zolimbitsa thupi.

Zochita zomwe muyenera kupewa ndi AFib

Ngati simunachite masewera olimbitsa thupi kwakanthawi, simukufuna kuyamba ndi masewera olimbitsa thupi kwambiri. Mukamachita masewera olimbitsa thupi ndi AFib, mungafune kuyamba ndi nthawi yochepa yochita masewera olimbitsa thupi. Kenako mutha kukulitsa kutalika ndi kulimba kwa kulimbitsa thupi kwanu.

Yesetsani kupewa zinthu zomwe zingayambitse ngozi, monga kutsetsereka kapena kupalasa njinga panja. Mankhwala ambiri ochepetsa magazi omwe amagwiritsidwa ntchito pochizira AFib atha kukupangitsani kutuluka magazi kwambiri mukavulala.

Ngati mukufuna kukweza zolemera, lankhulani ndi dokotala kapena wodwalayo za kulemera kwake komwe kungakhale kotetezeka kuti mukweze. Kukweza kwambiri kumatha kuyika mavuto ambiri mumtima mwanu.

Lankhulani ndi dokotala wanu

Lankhulani ndi dokotala wanu zomwe muyenera komanso zomwe simuyenera kuchita pokhudzana ndi kugwira ntchito. Ngati AFib yanu imayambitsa zizindikilo zilizonse, dokotala wanu angakulimbikitseni kuti mukhale ndi vuto musanachite masewera olimbitsa thupi. Angakupatseni mankhwala oyeserera kuti mtima wanu ugwire bwino kapena kuti mtima wanu usagunde kwambiri.

Onani kugunda kwa mtima wanu

Simuyenera kuchita nawo masewera olimbitsa thupi kuti musangalale ndi maubwino olimbitsa thupi. Ndi AFib, kungakhale lingaliro labwino kuti muzichita masewera olimbitsa thupi poyamba. Kuyang'anitsitsa kugunda kwa mtima kwanu kumathandizanso kuti muziyenda bwino nthawi yolimbitsa thupi.

Ambiri olimbitsa thupi komanso ochita masewera olimbitsa thupi amapezeka kuti akuthandizeni kuwunika kugunda kwa mtima wanu. Ma tracker olimbitsa thupi awa nthawi zambiri amavala m'manja mwanu ngati wotchi (ndipo nthawi zambiri amawoneka ngati mawotchi). Ambiri mwa iwo amalemba zolemba zowerengera za mtima zomwe mutha kuziwona kudzera pulogalamu pafoni yanu, piritsi, kapena kompyuta yakunyumba.

Zina mwazinthu zodziwika bwino kwambiri, ndi Fitbit, yomwe imagulitsa mitundu ingapo yama tracker olimbitsa thupi omwe amakhala ndi oyang'anira othamanga mumtima. Makampani monga Apple, Garmin, ndi Samsung amagulitsanso ochita masewera olimbitsa thupi.

Malingana ndi (CDC), kuchita masewera olimbitsa thupi moyenera kumayenera kukhala 50 mpaka 70 peresenti ya kugunda kwanu kwamtima. Kuti muyese kugunda kwa mtima wanu mukamachita masewera olimbitsa thupi, ikani cholozera chanu ndi zala zapakati pa chala chanu chakumanja, pansi pa chala chanu chachikulu, kapena pambali ya khosi lanu. Mutha kuwerengera kutentha kwanu kwa mphindi yonse kapena kuwerengera masekondi 30 ndikuchulukitsa ndi 2.

Nazi zinthu zochepa zofunika kukumbukira mukamayang'ana kugunda kwa mtima wanu:

• Kuchuluka kwa mtima wanu kumatsimikizika pochotsa zaka zanu kuchokera pa 220. Mwachitsanzo, ngati muli ndi zaka 50, kugunda kwa mtima kwanu kumakhala kogunda 170 pamphindi (bpm).
• Kuti muzichita masewera olimbitsa thupi, kugunda kwa mtima kwanu kuyenera kukhala pakati pa 85 (kuyambira kuchulukitsa 170 x 0.5) ndi 119 (kuchokera kuchulukitsa 170 x 0.7) bpm.

Ngati mumamwa mankhwala omwe amadziwika kuti beta-blocker, mutha kuzindikira kuti kugunda kwa mtima wanu sikuwoneka kuti kukukulira momwe mungaganizire. Izi ndichifukwa choti beta-blockers imagwira ntchito kuti muchepetse kugunda kwa mtima, kuwonjezera pakuchepetsa kuthamanga kwa magazi. Zotsatira zake, mtima wanu sungagunde mwachangu, ngakhale mutachita masewera olimbitsa thupi pang'ono.

Ganizirani za kukonzanso mtima

Ndi zachilendo kumva mantha pa masewera olimbitsa thupi mukakhala ndi AFib. Koma sikuti nthawi zonse mumayenera kuyang'anira kugunda kwamtima kwanu panthawi yolimbitsa thupi. Lankhulani ndi dokotala wanu za kukonzanso mtima.

Kukhazikika kwa mtima kumangotanthauza kuchita masewera olimbitsa thupi kuchipatala komwe mtima wanu ukhoza kuyang'aniridwa. Mungasankhe kuchipatala, kuchipatala, kapena kuchipatala cha dokotala wanu. Ogwira ntchito pamalowo akhoza kukuchenjezani ngati kugunda kwa mtima kwanu kukufulumira kapena ngati muli ndi vuto la kuthamanga kwa magazi. Ogwira ntchitowa amaphunzitsidwanso mwapadera kuthandiza anthu omwe ali ndi vuto la mtima monga AFib komanso kulephera kwa mtima. Amatha kupereka malangizo pazochita zatsopano zomwe angaganizire ndi upangiri pachitetezo cha masewera olimbitsa thupi.

Mutha kupemphedwa kuti muyesetse kupsinjika thupi mukakhala mukukonzanso mtima. Pachiyesochi, muziyenda pa chopondera chomwe chimasinthidwa mwachangu ndikutsika mukalumikizidwa ndi zida zomwe zimayang'anira kugunda kwa mtima wanu.

Kuyezetsa magazi kumathandiza dokotala kuti awone momwe mtima wanu umayankhira pochita masewera olimbitsa thupi, komanso momwe amapopera magazi mthupi lanu moyenera. Mayesowa amatha kuyeza kuchuluka kwa masewera olimbitsa thupi omwe mtima wanu ungatengere zisanachitike zizindikiro za AFib. Kudziwa kuti masewera olimbitsa thupi ndi abwino bwanji pamtima panu kungakuthandizeni kukhala ndi chizolowezi chochita masewera olimbitsa thupi omwe ndi otetezeka ku AFib yanu.

Dziwani nthawi yoyimira kapena kufunafuna thandizo

Ngakhale mutha kuchita masewera olimbitsa thupi popanda zovuta kuchokera ku AFib, nkofunikabe kuti mudziwe zisonyezo zomwe zikutanthauza kuti muchepetse kapena kusiya zonse. AFib itha kukupangitsani kuti muzimva kupweteka pachifuwa mukamachita masewera olimbitsa thupi. Ngati kupweteka pachifuwa kwanu sikumachepa mukamapuma pang'ono kapena kupumula, imbani 911 kapena nambala yadzidzidzi yakomweko. Muthanso kuganizira zakuti wina akuyendetsani kuchipinda chadzidzidzi.

Zizindikiro zina muyenera kupeza chithandizo chadzidzidzi monga:

• mpweya wochepa simungathe kuchira
• kuwombera kupweteka kwa mkono
• chisokonezo kapena kusokonezeka
• kutaya chidziwitso
• kufooka kwadzidzidzi mbali imodzi ya thupi lanu
• mawu osalankhula
• kuvuta kuganiza bwino

Itanani dokotala wanu ngati muli ndi zizindikiro zina zomwe zimakupangitsani kuti mukhale osasangalala kapena osasangalala.

Ngati muli ndi pacemaker, lankhulani ndi dokotala wanu za momwe mungakwaniritsire kuchita masewera olimbitsa thupi. Dokotala wanu angafune kuphatikiza mankhwala ena a AFib ndi pacemaker, monga mankhwala kapena ablation (kupanga minofu yolira kuti muthandize kuwongolera mtima wanu). Mankhwalawa amatha kukulitsa kuthekera kwanu kuthana ndi nthawi yayitali kapena kulimbitsa thupi kwambiri. Funsani dokotala wanu momwe mankhwalawa angakhudzire mtima wanu musanayambe kuchita masewera olimbitsa thupi.

Mankhwala ena a AFib, monga warfarin (Coumadin), amakupangitsani kutuluka magazi kwambiri mukavulala. Ngati mukumwa izi kapena magazi ena ochepera magazi, funsani dokotala ngati zili bwino kuchita nawo masewera olimbitsa thupi omwe amachulukitsa chiopsezo chakugwa kapena kuvulala kwakuthupi.

Chiwonetsero ndi machenjezo

Funsani dokotala wanu kuti akutsimikizire ngati mungathe kuchita nawo masewera olimbitsa thupi nthawi zonse. Momwemo, awa atha kukhala olimbitsa thupi pang'ono. Kudziwa zizindikilo zomwe zingakusonyezeni kuti muyenera kuchepa kapena kupita kuchipatala zitha kuonetsetsa kuti mukukhala wathanzi mukamachita masewera olimbitsa thupi ndi AFib.

Funso:

Ndili ndi A-fib komanso chotseka mumtima mwanga. Ndili pa Cardizem ndi Eliquis. Kodi izi zithandiza kuchepetsa khungu?

Yankho:

Eliquis ndi wochepetsetsa wamagazi watsopano yemwe amachepetsa chiopsezo chanu pakupanga magazi ndi zovuta zina. Ngati muli ndi magazi m'magazi mumtima mwanu kale, Eliquis athandizanso kukhazika magazi kuti thupi lanu liziwononga mwachilengedwe pakapita nthawi. Cardizem ndi mankhwala odana ndi matenda oopsa omwe amakhalanso ndi mtima wamtima - koma osagwiritsa ntchito kayendedwe kabwino - katundu. Zilibe mphamvu, yabwino kapena yoyipa, pagazi lokha.