Kupititsa patsogolo Matenda Anu Opatsirana Opatsirana

Zamkati

• Kodi ndikulosera kotani kwa munthu yemwe ali ndi AFib?
• Ndi zovuta ziti zomwe zingachitike ndi AFib?
• Kodi AFib amathandizidwa bwanji?
• Mankhwala
• Kutaya mtima
• Njira zochitira opareshoni
• Kodi mungapewe bwanji AFib?

Kodi atrial fibrillation ndi chiyani?

Matenda a Atrial fibrillation (AFib) ndi mtima wamtima womwe umapangitsa zipinda zakumtunda (zotchedwa atria) kugwedezeka.

Kugwedezeka uku kumalepheretsa mtima kupopa bwino. Nthawi zambiri, magazi amayenda kuchokera ku atrium kupita ku ventricle (chipinda chakumunsi cha mtima), komwe amapopa mwina m'mapapu kapena mthupi lonse.

Atrium ikagwedezeka m'malo mopopera, munthu amatha kumva ngati mtima wawo wawomba kapena kudumphadumpha. Mtima ukhoza kugunda kwambiri. Amatha kumva kunyoza, kupuma movutikira, komanso kufooka.

Kuphatikiza pa kukhudzika kwa mtima ndi kupindika komwe kumatha kubwera ndi AFib, anthu ali pachiwopsezo chachikulu chotseka magazi. Magazi akapanda kupopanso, magazi omwe amakomoka mumtima amatha kuwundana.

Zofundira ndizowopsa chifukwa zimatha kuyambitsa sitiroko. Malinga ndi American Heart Association, pafupifupi 15 mpaka 20 peresenti ya anthu omwe ali ndi sitiroko amakhalanso ndi AFib.

Mankhwala ndi mankhwala ena amapezeka kwa iwo omwe ali ndi AFib. Ambiri azilamulira, osati kuchiritsa, vutoli. Kukhala ndi AFib kumathandizanso kuti munthu akhale ndi vuto lolephera mtima. Dokotala wanu angalimbikitse katswiri wa zamagetsi ngati akuganiza kuti mutha kukhala ndi AFib.

Kodi ndikulosera kotani kwa munthu yemwe ali ndi AFib?

Malinga ndi a Johns Hopkins Medicine, aku America aku 2.7 miliyoni ali ndi AFib. Pafupifupi gawo limodzi mwa magawo asanu mwa anthu omwe ali ndi sitiroko amakhalanso ndi AFib.

Anthu ambiri azaka 65 kapena kupitilira apo omwe ali ndi AFib amalandiranso mankhwala ochepetsa magazi kuti achepetse mwayi wazovuta monga sitiroko. Izi zimapangitsa kuti anthu omwe ali ndi AFib azidziwika bwino.

Kufunafuna chithandizo ndikukhala pafupipafupi ndi dokotala kumatha kukulitsa chiyembekezo chanu mukakhala ndi AFib. Malinga ndi American Heart Association (AHA), 35 peresenti ya anthu omwe samalandira chithandizo cha AFib amapitilira sitiroko.

AHA ikuti gawo la AFib silimayambitsa imfa nthawi zambiri. Komabe, magawo awa atha kukuthandizani kukumana ndi zovuta zina, monga kupwetekedwa mtima ndi mtima kulephera, zomwe zitha kubweretsa imfa.

Mwachidule, ndizotheka kuti AFib ingakhudze moyo wanu. Zimayimira kukanika mu mtima komwe kuyenera kuthetsedwa. Komabe, pali mankhwala ambiri omwe angakuthandizeni kuwongolera zizindikiro zanu ndikuchepetsa chiopsezo chanu pazinthu zazikulu, monga sitiroko ndi mtima wosalimba.

Ndi zovuta ziti zomwe zingachitike ndi AFib?

Zovuta ziwiri zoyambilira zomwe zimakhudzana ndi AFib ndizopwetekedwa mtima komanso kulephera kwa mtima. Chiwopsezo chowonjezeka chakumanga magazi chingapangitse kuti magazi agwe mumtima mwanu ndikupita kuubongo wanu. Chiwopsezo cha sitiroko chimakhala chachikulu ngati muli ndi zifukwa zotsatirazi:

• matenda ashuga
• kulephera kwa mtima
• kuthamanga kwa magazi
• Mbiri ya sitiroko

Ngati muli ndi AFib, lankhulani ndi dokotala wanu za chiopsezo chanu cha sitiroko ndi njira zilizonse zomwe mungateteze kuti zisachitike.

Kulephera kwa mtima ndichinthu china chofala kwambiri chokhudzana ndi AFib. Kugunda kwanu kwamtima wonjenjemera komanso mtima wanu osagunda mwanjira yake yanthawi yake kumatha kupangitsa mtima wanu kugwira ntchito molimbika kupopera magazi moyenera.

Popita nthawi, izi zitha kubweretsa kulephera kwa mtima. Izi zikutanthauza kuti mtima wanu umavutika kufalitsa magazi okwanira kukwaniritsa zosowa za thupi lanu.

Kodi AFib amathandizidwa bwanji?

Mankhwala ambiri amapezeka ku AFib, kuyambira mankhwala akumwa mpaka opaleshoni.

Choyamba, ndikofunikira kudziwa zomwe zikuyambitsa AFib yanu. Mwachitsanzo, zovuta monga matenda obanika kutulo kapena vuto la chithokomiro zimatha kuyambitsa AFib. Ngati dokotala atha kupereka mankhwala kuti athetse vutoli, AFib yanu imatha.

Mankhwala

Dokotala wanu akhoza kukupatsani mankhwala omwe amathandiza mtima kukhalabe ndi kugunda kwamtima komanso kuthamanga. Zitsanzo ndi izi:

• amiodarone (Cordarone)
• digoxin (Lanoxin)
• alirezatalischi (Tikosyn)
• mankhwala (Rythmol)
• sotalol (Betapace)

Dokotala wanu amathanso kukupatsirani mankhwala ochepetsa magazi kuti muchepetse chiopsezo chokhala ndi khungu lomwe lingayambitse sitiroko. Zitsanzo za mankhwalawa ndi awa:

• apixaban (Eliquis)
• Kasulu (Pradaxa)
• Rivaroxaban ufa (Xarelto)
• mankhwala a edoxaban (Savaysa)
• nkhondo (Coumadin, Jantoven)

Mankhwala anayi oyamba omwe atchulidwa pamwambapa amadziwikanso kuti non-vitamin K oral anticoagulants (NOACs). Ma NOAC tsopano akulimbikitsidwa pa warfarin pokhapokha mutakhala ndi mitral stenosis yoyipa kapena valavu yamtima yopangira.

Inu adokotala mungakupatseni mankhwala kuti mtima wanu ukhale wabwino (bwezerani mtima wanu kukhala wabwinobwino). Ena mwa mankhwalawa amaperekedwa kudzera m'mitsempha, pomwe ena amatengedwa pakamwa.

Mtima wanu ukayamba kugunda kwambiri, adokotala angavomereze kupita nawo kuchipatala mpaka mankhwalawo athe kukhazikika pamtima.

Kutaya mtima

Chifukwa cha AFib yanu sichingadziwike kapena chokhudzana ndi mikhalidwe yomwe imafooketsa mtima. Ngati muli ndi thanzi lokwanira, adokotala angavomereze njira yotchedwa kutaya mtima kwamagetsi. Izi zimaphatikizaponso kugunditsa magetsi pamtima panu kuti mukhazikitsenso kayendedwe kake.

Munthawi imeneyi, mumapatsidwa mankhwala ogonetsa, motero mwina simudziwa za mantha.

Nthawi zina, dokotala wanu amakupatsani mankhwala ochepetsa magazi kapena kuchita njira yotchedwa transesophageal echocardiogram (TEE) musanadwalitse mtima kuti muwonetsetse kuti mulibe magazi omwe ali mumtima mwanu omwe angayambitse matendawa.

Njira zochitira opareshoni

Ngati matenda amtima kapena kumwa mankhwala sikuwongolera AFib yanu, dokotala wanu angakulimbikitseni njira zina. Zitha kuphatikizira kuchotsa patheter, pomwe catheter imalumikizidwa kudzera mumitsempha yamanja kapena kubuula.

Catheter imatha kulunjika kumadera amtima wanu omwe akusokoneza magetsi. Dokotala wanu amatha kufafaniza, kapena kuwononga, gawo laling'ono la minofu yomwe imayambitsa zizindikilo zosasinthasintha.

Njira ina yotchedwa maze process imatha kuchitika limodzi ndi maopareshoni amtima, monga kudutsa mtima kapena kusintha kwa valavu. Njirayi imaphatikizapo kupanga zilonda zipsera mumtima kotero kuti zikhumbo zamagetsi zosasunthika sizingathe kufalikira.

Mwinanso mungafunike wopanga pacem kuti athandize mtima wanu kukhalabe ndiulemu. Madokotala anu amatha kuyika pacemaker pambuyo poti AVode ichotse.

Node ya AV ndiyo pacemaker yayikulu yamtima, koma imatha kutumiza zisonyezo zosasintha mukakhala ndi AFib.

Dokotala wanu amapanga zipsera zokhazokha pomwe mfundo za AV zimapezeka kuti zisawonongeke zizindikilo zosafalikira. Kenako amaika pacemaker kuti ipereke ziwonetsero zolondola za mtima.

Kodi mungapewe bwanji AFib?

Kukhala ndi moyo wathanzi ndikofunikira mukakhala ndi AFib. Zinthu monga kuthamanga kwa magazi ndi matenda amtima zitha kukulitsa chiopsezo cha AFib. Mwa kuteteza mtima wanu, mutha kuteteza kuti vutoli lisachitike.

Zitsanzo zomwe mungachite kuti muteteze AFib ndizo:

• Kuleka kusuta.
• Kudya chakudya chopatsa thanzi chomwe chimakhala ndi mafuta ochepa, mchere, cholesterol, ndi mafuta.
• Kudya zakudya zokhala ndi michere yambiri, kuphatikiza mbewu zonse, ndiwo zamasamba, zipatso, ndi mkaka wopanda mafuta ambiri komanso magwero a mapuloteni.
• Kuchita masewera olimbitsa thupi omwe amakuthandizani kuti mukhale ndi thanzi labwino pakukula kwanu ndi chimango.
• Kuchepetsa thupi kumalimbikitsidwa ngati pano mukulemera kwambiri.
• Kuyezetsa magazi anu pafupipafupi ndikuwona dokotala ngati ndizokwera kuposa 140/90.
• Kupewa zakudya ndi zochitika zomwe zimadziwika kuti zimayambitsa AFib yanu. Zitsanzo zake ndi monga kumwa mowa ndi caffeine, kudya zakudya zomwe zili ndi monosodium glutamate (MSG), komanso kuchita masewera olimbitsa thupi kwambiri.

Ndizotheka kutsatira njira zonsezi komanso kupewa AFib. Komabe, kukhala ndi moyo wathanzi kumakulitsa thanzi lanu komanso malingaliro anu ngati muli ndi AFib.