Chilichonse Chimene Muyenera Kudziwa Zokhudza Mpweya Wam'mimba

Zamkati

• Zizindikiro za atrial fibrillation
• Mankhwala a Atrial fibrillation
• Zimayambitsa matenda a fibrillation
• Zowopsa zakuyenda kwamatenda
• Matenda a Atrial fibrillation
• Matenda a Atrial fibrillation
• Opaleshoni ya fibrillation ya Atrial
• Kutulutsa kwamphamvu kwamagetsi
• Kuchotsa patheter
• Kuchotsa pamtundu wa Atrioventricular (AV)
• Kuchita opaleshoni ya Maze
• Kupewa
• Zakudya zamatenda a Atrial
• Matenda a Atrial fibrillation achilengedwe
• Malangizo a Atrial fibrillation
• Matenda a Atrial motsutsana ndi flutter

Kodi atrial fibrillation ndi chiyani?

Matenda a Atrial ndi omwe amapezeka kwambiri pamtima (kugunda kwamtima) komwe kumatha kusokoneza magazi. Kusokonezedwa kumeneku kumatanthauza kuti zomwe zimakuyikani pachiwopsezo cha kuundana kwamagazi ndi sitiroko.

Pakati pali atrial fibrillation (AFib kapena AF).

Ndi AFib, zipinda ziwiri zakumtima kwanu (atria) zimakhudzidwa. Izi zimasokoneza magazi kupita kuma ventricles kapena zipinda zapansi, kenako mthupi lanu lonse.

Ngati sichichiritsidwa, AFib itha kupha.

Matenda a Atrial atha kukhala osakhalitsa, atha kubwera ndikupita, kapena atha kukhala okhazikika. Zimakhalanso zofala kwa akuluakulu. Koma ndi chithandizo chamankhwala choyenera, mutha kukhala moyo wabwinobwino, wokangalika.

Zizindikiro za atrial fibrillation

Simungakhale ndi zizindikiro zilizonse ngati muli ndi matenda a atrial.

Anthu omwe akukumana ndi zidziwitso amatha kuzindikira kuti:

• kupweteka kwa mtima (kumverera ngati mtima wako ukudumpha kugunda, kumenya mofulumira kwambiri kapena mwamphamvu, kapena kukuwombera)
• kupweteka pachifuwa
• kutopa
• kupuma movutikira
• kufooka
• mutu wopepuka
• chizungulire
• kukomoka
• chisokonezo
• kusalolera kuchita masewera olimbitsa thupi

Zizindikirozi zimatha kubwera ndikupita kutengera kukula kwa matenda anu.

Mwachitsanzo, paroxysmal AFib ndi mtundu wamatenda amtenda omwe amatha mwaokha popanda chithandizo chamankhwala.Koma mungafunike kumwa mankhwala kuti muteteze magawo amtsogolo komanso zovuta zina.

Ponseponse, mutha kukhala ndi zisonyezo za AFib kwa mphindi zingapo kapena maola angapo nthawi. Zizindikiro zomwe zimapitilira masiku angapo zitha kuwonetsa AFib yanthawi yayitali.

Uzani dokotala wanu za zizindikiro zilizonse zomwe mukukumana nazo, makamaka ngati pali kusintha.

Mankhwala a Atrial fibrillation

Simungasowe chithandizo ngati mulibe zizindikilo, ngati mulibe mavuto ena amtima, kapena ngati fibrillation yamatenda imayima yokha.

Ngati mukufuna chithandizo, dokotala wanu angakulimbikitseni mitundu iyi ya mankhwala:

• beta-blockers kuti achepetse kugunda kwa mtima wanu
• zotsekemera za calcium kuti muchepetse minofu yolimbitsa thupi ndikuchepetsa kugunda kwamtima
• zotchinga za sodium kapena potaziyamu kuti muchepetse kugunda kwamtima
• digitalis glycosides kuti mulimbitse mtima wanu
• ochepetsa magazi kuti magazi asapangike

Ma non-vitamin K anticoagulants (NOACs) ndi omwe amakonda magazi a AFib. Amaphatikizapo rivaroxaban powder (Xarelto) ndi apixaban (Eliquis).

Nthawi zambiri, cholinga chogwiritsa ntchito mankhwala a AFib ndikuwongolera kugunda kwa mtima wanu ndikulimbikitsa mtima kugwira ntchito bwino.

Mankhwalawa amathanso kupewa kuundana kwamagazi mtsogolo, komanso zovuta zina monga matenda amtima ndi sitiroko. Malingana ndi momwe mulili, dokotala wanu angakulimbikitseni mankhwala angapo a AFib.

Zimayambitsa matenda a fibrillation

Mtima uli ndi zipinda zinayi: ma atria awiri ndi ma ventricle awiri.

Matenda a atrial amachitika pamene zipindazi sizigwira ntchito limodzi momwe ziyenera kukhalira chifukwa cha kusokonekera kwamagetsi.

Nthawi zambiri, atria ndi ma ventricles amalumikizana nthawi yomweyo. Mu atrial fibrillation, ma atria ndi ma ventricles sizimagwirizana chifukwa atria imagwirizana mwachangu komanso mosasinthasintha.

Chifukwa cha matenda a atrial sichidziwika nthawi zonse. Zinthu zomwe zitha kuwononga mtima ndikupangitsa kuti atrial fibrillation iphatikizepo:

• kuthamanga kwa magazi
• congestive mtima kulephera
• matenda amitsempha yamagazi
• matenda a valavu ya mtima
• hypertrophic cardiomyopathy, momwe minofu yamtima imakhalira yolimba
• opaleshoni ya mtima
• kupindika kwa mtima wobadwa nako, kutanthauza kupunduka kwa mtima komwe umabadwa nako
• chithokomiro chopitilira muyeso
• pericarditis, komwe ndikutupa kwa kuphimba ngati thumba pamtima
• kumwa mankhwala enaake
• kumwa mowa kwambiri
• matenda a chithokomiro

Kukhala ndi moyo wathanzi kumatha kuchepetsa chiopsezo cha AFib. Koma sizifukwa zonse zomwe zimatha kupewedwa.

Ndikofunika kuuza dokotala wanu za mbiri yanu yonse yathanzi kuti athe kudziwa bwino zomwe zimayambitsa AFib yanu ndipo azitha kuchiza.

Zowopsa zakuyenda kwamatenda

Ngakhale chifukwa chenicheni cha AFib sichidziwika nthawi zonse, pali zinthu zina zomwe zingakuike pachiwopsezo chachikulu cha vutoli. Zina mwa izi zitha kupewedwa, pomwe zina zimakhala za chibadwa.

Lankhulani ndi dokotala wanu pazifukwa zotsatirazi:

• Kukula msinkhu (momwe muliri wamkulu, chiwopsezo chanu chimakulirakulira)
• kukhala mzungu
• kukhala wamwamuna
• mbiri ya banja yamatenda a atrial
• matenda amtima
• kapangidwe kake pamtima
• kobadwa nako kupindika mtima
• matenda am'mimba
• mbiri ya matenda amtima
• Mbiri ya opaleshoni ya mtima
• matenda a chithokomiro
• matenda amadzimadzi
• kunenepa kwambiri
• matenda am'mapapo
• matenda ashuga
• kumwa mowa, makamaka kumwa mowa mwauchidakwa
• kugona tulo
• mankhwala apamwamba a steroid

Matenda a Atrial fibrillation

Kuchita chithandizo chamankhwala pafupipafupi komanso kukayezetsa kuchipatala kumatha kukuthandizani kupewa zovuta. Koma ngati sasamalidwa, atrial fibrillation ikhoza kukhala yoopsa komanso yopha.

Zovuta zazikulu zimaphatikizira kulephera kwa mtima ndi kupwetekedwa mtima. Mankhwala ndi zizolowezi pamoyo wawo zitha kuthandiza kupewa izi kwa anthu omwe ali ndi AFib.

Sitiroko imachitika chifukwa chamagazi m'mitsempha. Izi zimalepheretsa ubongo wanu mpweya, womwe ungayambitse kuwonongeka kwamuyaya. Sitiroko imatha kupha.

Kulephera kwa mtima kumachitika pamene mtima wanu sungagwire bwino ntchito. AFib imatha kuchepa minofu yamtima, pomwe ma ventricle omwe ali muzipinda zapansi amayesetsa kugwira ntchito molimbika kuti athetse kusowa kwa magazi kuzipinda zakumtunda.

Kwa anthu omwe ali ndi AFib, kulephera kwa mtima kumayamba pakapita nthawi - sizomwe zimachitika mwadzidzidzi ngati vuto la mtima kapena sitiroko.

Kutsatira dongosolo lanu la chithandizo kumatha kuchepetsa mwayi wanu wazovuta chifukwa cha AFib.

Tengani mankhwala anu onse monga adanenera dokotala. Ndipo phunzirani zovuta zomwe zingachitike ku AFib ndi zizindikilo zake.

Matenda a Atrial fibrillation

Pali mayesero osiyanasiyana omwe angapangidwe kuti mudziwe bwino zomwe zikuchitika ndi mtima wanu.

Dokotala wanu angagwiritse ntchito mayesero amodzi kapena angapo kuti apeze matenda a fibrillation:

• kuyezetsa thupi kuti muwone momwe zimakhalira, kuthamanga kwa magazi, ndi mapapo
• electrocardiogram (EKG), mayeso omwe amalemba zomwe zimakhudza mtima wanu kwa masekondi ochepa

Ngati fibrillation yamankhwala sikuchitika pa EKG, dokotala wanu atha kuvala zowunikira za EKG kapena kuyesa mtundu wina wamayeso.

Mayesowa akuphatikizapo:

• Kuwunika kwa Holter, chida chaching'ono chonyamula chomwe mumavala kwa maola 24 mpaka 48 kuti muwone mtima wanu.
• chochitika, chojambula chomwe chimalemba mtima wanu nthawi zina zokha kapena mukakhala ndi zizindikiro za AFib
• echocardiogram, mayeso osagwira ntchito omwe amagwiritsa ntchito mafunde akumveka kuti apange chithunzi chosunthika cha mtima wanu.
• transesophageal echocardiogram, mtundu wosokoneza wa echocardiogram womwe umachitika poyika kafukufuku pamero
• Kupanikizika, komwe kumayang'anira mtima wanu mukamachita masewera olimbitsa thupi
• X-ray pachifuwa kuti muwone mtima wanu ndi mapapo
• kuyesa magazi kuti muwone ngati ali ndi chithokomiro komanso kagayidwe kachakudya

Opaleshoni ya fibrillation ya Atrial

Kwa AFib yanthawi yayitali kapena yoopsa, opaleshoni ikhoza kukhala njira yovomerezeka.

Pali mitundu yosiyanasiyana ya maopaleshoni yomwe imayang'ana minofu ya mtima poyeserera kupopera magazi moyenera. Kuchita opaleshoni kumathandizanso kupewa kuwonongeka kwa mtima.

Mitundu ya maopaleshoni omwe angagwiritsidwe ntchito pochizira AFib ndi awa:

Kutulutsa kwamphamvu kwamagetsi

Munjira iyi, kugwedezeka kwakanthawi kwamagetsi kumabwezeretsanso kamvekedwe kambiri ka mtima wanu.

Kuchotsa patheter

Pobwezeretsa catheter, catheter imapereka ma wailesi kumtima kuwononga minyewa yachilendo yomwe imatumiza malingaliro osakhazikika.

Kuchotsa pamtundu wa Atrioventricular (AV)

Mafunde a wailesi amawononga njira ya AV, yomwe imalumikiza atria ndi ma ventricles munjira iyi. Kenako atria singathenso kutumiza ma sign kwa ma ventricles.

Wopanga pacemaker amalowetsedwa kuti akhale ndi chizolowezi chokhazikika.

Kuchita opaleshoni ya Maze

Uku ndi kuchitidwa opaleshoni komwe kumatha kukhala kotseguka pamtima kapena kupyola pang'ono pachifuwa, pomwe dokotalayo amadula pang'ono kapena kuwotcha mu mtima kuti apange "zopindika" zipsera zomwe zingapewe zikhumbo zamagetsi zosafikiranso kwina madera amtima.

Kuchita opaleshoniyi kumangogwiritsidwa ntchito ngati mankhwala ena sanapambane.

Dokotala wanu amathanso kulangiza njira zina zochizira matenda, monga chithokomiro kapena matenda amtima, omwe atha kubweretsa AFib yanu.

Opaleshoni ndi njira imodzi yothandizira a AFib. Komabe, mankhwala ndi kusintha kwa moyo kumalimbikitsidwa ngati njira zoyamba zothandizira. Dokotala wanu angakulimbikitseni kuchitidwa opaleshoni ngati njira yomaliza ngati matenda anu ali ovuta.

Kupewa

Matenda ambiri a atrial fibrillation amatha kuyang'aniridwa kapena kuchiritsidwa. Koma atril fibrillation imayamba kubweranso ndikuwonjezeka pakapita nthawi.

Mungachepetse chiopsezo cha matenda a fibriya pochita izi:

• idyani chakudya chomwe chili ndi zipatso ndi ndiwo zamasamba zatsopano komanso mafuta ochepa
• kuchita masewera olimbitsa thupi nthawi zonse
• khalani ndi thanzi labwino
• pewani kusuta
• Pewani kumwa mowa kapena muzimwa pang'ono pang'ono nthawi zina
• tsatirani malangizo a dokotala pochiza zovuta zilizonse zomwe mungakhale nazo

Mavuto ofala kwambiri a AFib ndi zilonda ndi mtima kulephera.

Ngati muli ndi AFib ndipo simumamwa mankhwala oyenera, mumakhala ndi sitiroko kuposa anthu omwe alibe AFib.

Zakudya zamatenda a Atrial

Ngakhale kulibe chakudya chokhazikitsidwa ndi matenda a atrial, nkhawa pazakudya za AFib zimayang'ana pa zakudya zopatsa thanzi m'malo mwake.

Chakudya cha AFib chingaphatikizepo zakudya zambiri zamasamba, monga oats, zipatso, ndi ndiwo zamasamba.

Nsomba zimapezanso mapuloteni abwino, ndipo omega-3 fatty acid wake amawapangitsa kukhala abwino makamaka pamtima.

Pali zakudya ndi zinthu zomwe zingapangitse AFib kukhala yoipitsitsa. Izi zikuphatikiza:

• mowa (makamaka mukamamwa)
• caffeine - khofi, soda, tiyi, ndi zinthu zina zingapangitse mtima wanu kugwira ntchito molimbika
• zipatso zamphesa, zomwe zingasokoneze mankhwala a AFib
• gluten, yomwe imatha kukulitsa kutupa ngati mukudwala kapena mukudwala
• mchere ndi mafuta okhutira
• zakudya zokhala ndi vitamini K, monga masamba obiriwira, chifukwa zimatha kusokoneza mankhwala ochepetsa magazi a warfarin (Coumadin)

Chakudya cha AFib chimafanana ndi chakudya chilichonse chopatsa thanzi. Amayang'ana kwambiri zakudya zopatsa thanzi, popewa zinthu zosakondweretsa ndi zakudya zochepa.

Lankhulani ndi dokotala wanu za njira yodyera matenda anu.

Matenda a Atrial fibrillation achilengedwe

Kupatula pamawu azakudya, dokotala wanu amathanso kunena zina zowonjezera ngati mulibe michere yayikulu yofunikira pamtima wathanzi.

Lankhulani ndi dokotala musanamwe mankhwala ena owonjezera chifukwa awa atha kukhala ndi zovuta kapena kucheza ndi mankhwala.

Zina mwazowonjezera zomwe zimagwiritsidwa ntchito ku AFib ndi izi:

• magnesium
• mafuta a nsomba
• coenzyme Q10
• wenxin keli
• taurine
• Mabulosi a hawthorn

Mankhwala ena achilengedwe a AFib ndi monga kukhala ndi moyo wathanzi, monga kuchita masewera olimbitsa thupi komanso kuchepetsa nkhawa. Kuchita masewera olimbitsa thupi ndikofunikira kuti mukhale ndi thanzi lamtima, koma muyenera kuuchepetsa, makamaka ngati mwayamba kuchita masewera olimbitsa thupi.

Zochita zolimba kwambiri, monga kuthamanga, zitha kukhala zochuluka kwambiri kwa anthu omwe ali ndi AFib. Koma ntchito zochepa zochepa, monga kuyenda, kusambira, ndi kupalasa njinga, kumatha kuwotcha mafuta, kulimbitsa mtima wanu, ndikuchepetsa kupsinjika.

Popeza kupsinjika mtima kumathanso kukhudza thanzi la mtima wanu, ndikofunikira kuti mukhale ndi malingaliro abwino. Kuchita masewera olimbitsa thupi kumachepetsa kupsinjika kwa tsiku ndi tsiku, pomwe kalasi ya yoga imatha kukuthandizani kuti muzitha kusinkhasinkha mozama (ndikuwonjezeka kwa minofu ndi kusinthasintha).

Ngakhale kupatula nthawi yosangalala ndi zomwe mumakonda kumatha kukuthandizani kuti muzisangalala komanso kuti mukhale ndi thanzi labwino.

Mankhwala achilengedwe amatha kuthandiza AFib akagwiritsidwa ntchito limodzi ndi mankhwala ochiritsira.

Kafufuzidwe kafukufuku amafunika kuti adziwe ngati chithandizo chamankhwala chamtundu wina chingathandizire chokha, choncho tsatirani dongosolo lanu lazachipatala. Funsani dokotala wanu momwe mungagwiritsire ntchito bwino mankhwala achilengedwe mu dongosolo lanu lamankhwala la AFib.

Malangizo a Atrial fibrillation

Malangizo aboma a AFib, malinga ndi American Heart Association, afotokozereni zosankha zamankhwala kutengera momwe muliri kale komanso mbiri yazachipatala.

Dokotala wanu adzawagwiritsa ntchito akafuna chithandizo.

Mwambiri, kuphatikiza zizolowezi zamankhwala ndi mankhwala kumatha kukuthandizani kupewa mtima komanso kupwetekedwa mtima.

Dokotala wanu adzakusankhiraninso AFib yanu kuti muwone ngati ili yovuta (yochepa) kapena yayitali (yayitali). Zaka, jenda, komanso thanzi labwino zithandizanso kudziwa zomwe zingayambitse chiopsezo.

Ponseponse, chithandizo chanu chiziwoneka pa:

• kuwongolera kugunda kwa mtima ndi kuthamanga
• kuwunika kuwopsa kwa sitiroko
• kuwunika kuwopsa kwa kutuluka magazi

Matenda a Atrial motsutsana ndi flutter

Nthawi zina AFib imatha kusokonezedwa ndi ma flutters. Zizindikirozi ndizofanana, kuphatikiza kugunda kwamtima mwachangu komanso kugunda kwamphamvu mosasinthasintha.

Ngakhale zonsezi zimakhudza zipinda zamtima zomwezi ndipo zimabweretsa ma arrhythmias, awa ndi magawo awiri osiyana.

Kuuluka kwamayendedwe kumachitika ma siginidwe amagetsi mumtima amathamanga. Zizindikiro ndi zoopsa zake ndizofanana ndi AFib.

Makhalidwe abwinobwino komanso mankhwala amatha kuthandizira mikhalidwe yonseyi. Dokotala wanu adzakuthandizani kusiyanitsa pakati pa AFib ndi ma flutters a atrial kuti muthe kuchitira aliyense moyenera.