Kodi Kukhalitsa Kwamagetsi Koyeserera Ndi Chiyani?

Zamkati

• Zizindikiro za kupitiriza kwa AFib
• Zowopsa za AFib yolimbikira
• Kuzindikira AFib yosalekeza
• Kulimbikira kwa mankhwala a AFib
• Mankhwala oletsa kugunda kwa mtima
• Mankhwala ochepetsa kugunda kwamtima
• Mankhwala a magazi
• Njira zina
• Maonekedwe a AFib wolimbikira

Chidule

Atrial fibrillation (AFib) ndi mtundu wamatenda amtima omwe amadziwika ndi kugunda kwamtima mosafulumira kapena mwachangu. Persistent AFib ndiimodzi mwamitundu itatu yayikuluyi. Mu AFib yosalekeza, zizindikilo zanu zimatenga nthawi yayitali kuposa masiku asanu ndi awiri, ndipo kugunda kwa mtima wanu sikungadziwunikenso.

Mitundu ina iwiri yayikulu ya AFib ndi iyi:

• paroxysmal AFib, momwe matenda anu amabwera ndikupita
• okhazikika AFib, momwe zizindikilo zanu zimatha kupitilira chaka

AFib ndi matenda opita patsogolo. Izi zikutanthauza kuti anthu ambiri amayamba kukhala ndi paroxysmal AFib, okhala ndi zizindikilo zomwe zimabwera ndikutha. Ngati sanasamalire, vutoli limatha kupitilirabe kapena kupitilirabe. Permanent AFib zikutanthauza kuti matenda anu amakhala osachiritsika ngakhale atalandira chithandizo ndi kasamalidwe.

Gawo lolimbikira la AFib ndilovuta, koma limachiritsidwa. Phunzirani zomwe mungachite pakulimbana ndi AFib kuti mupewe zovuta zina.

Zizindikiro za kupitiriza kwa AFib

Zizindikiro za AFib ndizo:

• kugunda kwa mtima
• kugunda kwamtima
• chizungulire kapena mutu wopepuka
• kutopa
• kufooka kwathunthu
• kupuma movutikira

Matenda anu akamakula kwambiri, mutha kuyamba kuzindikira zizolowezi tsiku lililonse. Persistent AFib imapezeka mwa anthu omwe ali ndi zizindikilozi kwa masiku osachepera asanu ndi awiri molunjika. Koma AFib itha kukhalanso yopanda tanthauzo, zomwe zikutanthauza kuti palibe zisonyezo.

Muyenera kupita kuchipatala mwadzidzidzi ngati mukumva kupweteka pachifuwa. Izi zikhoza kukhala chizindikiro cha matenda a mtima.

Zowopsa za AFib yolimbikira

Sidziwika nthawi zonse zomwe zimayambitsa AFib, koma zomwe zimawopsa ndizo:

• mbiri ya banja la AFib
• ukalamba
• kuthamanga kwa magazi, komwe kumatchedwanso matenda oopsa
• mbiri ya matenda amtima
• kugona tulo
• kumwa mowa, makamaka kumwa mowa mwauchidakwa
• Kugwiritsa ntchito mankhwala osokoneza bongo mopitirira muyeso, monga caffeine
• kunenepa kwambiri
• matenda a chithokomiro
• matenda ashuga
• matenda am'mapapo
• matenda aakulu
• nkhawa

Kusamalira matenda aakulu ndi zizoloŵezi za moyo kungachepetse chiopsezo chanu. Heart Rhythm Society imapereka chowerengera chomwe chimayesa chiopsezo chanu chokhala ndi AFib.

Mwayi wanu wokhala ndi AFib yosalekeza nawonso ndi wokulirapo ngati muli ndi vuto la valavu yamtima yomwe ilipo kale. Anthu omwe achita opaleshoni ya mtima nawonso ali pachiwopsezo chowonjezeka chopeza AFib ngati zovuta zina.

Kuzindikira AFib yosalekeza

Persistent AFib imapezeka ndi mayeso osiyanasiyana komanso mayeso athupi. Ngati mwapezeka kale kuti muli ndi paroxysmal AFib, dokotala wanu amatha kuwona momwe matenda anu apitilira.

Ngakhale electrocardiogram itha kugwiritsidwa ntchito ngati chida choyambirira chodziwira magawo am'mbuyomu a AFib, mayeso ena amagwiritsidwa ntchito pa AFib yopitilira kapena yolimbikira. Dokotala wanu angakulimbikitseni zotsatirazi:

• kuyezetsa magazi kuti ayang'ane zomwe zimayambitsa AFib, monga matenda a chithokomiro
• X-rays pachifuwa kuti muwone zipinda ndi mavavu omwe ali mkati mwa mtima wanu, ndikuwunika momwe zinthu zilili
• echocardiogram kuti muwone kuwonongeka kwa mtima kudzera pamafunde amawu
• kugwiritsa ntchito chojambulira chochitika, chida chonyamula monga chowunikira cha Holter chomwe mumapita nacho kunyumba kuti mukayese matenda anu kwakanthawi
• yesetsani kupanikizika kuti muyese kugunda kwa mtima wanu ndi thupi lanu mutatha kuchita masewera olimbitsa thupi

Kulimbikira kwa mankhwala a AFib

Ndikumangokhalira AFib, mtima wanu umasokonekera kwambiri kotero kuti mtima wanu sungathe kuzisintha popanda chithandizo chamankhwala. Palinso chiopsezo chotseka magazi chomwe chingayambitse matenda a mtima kapena sitiroko.

Chithandizo chake chitha kuphatikizira mankhwala othandizira kuti mtima wanu ugundike komanso kuti mugwire bwino magazi, komanso njira zosakhudzana ndi mankhwala.

Mankhwala oletsa kugunda kwa mtima

Cholinga chimodzi pakulandila chithandizo cha AFib ndikuchepetsa kugunda kwamtima mwachangu. Dokotala wanu akhoza kukupatsani mankhwala monga:

• otchinga beta
• zotseka za calcium
• digoxin (Lanoxin)

Izi zimagwira ntchito pochepetsa zochitika zamagetsi m'chipinda cham'mwamba cha mtima wanu kupita kuchipinda chapansi.

Matenda anu adzayang'aniridwa mosamala kuti ayang'ane zotsatira zoyipa, monga kuthamanga kwa magazi komanso kuwonongeka kwa mtima.

Mankhwala ochepetsa kugunda kwamtima

Mankhwala ena atha kugwiritsidwa ntchito limodzi ndi kugunda kwa mtima kuti muthandize kukhazikika mtima wanu. Izi zimabwera ngati mankhwala osokoneza bongo, monga:

• amiodarone (Cordarone, Pacerone)
• alirezatalischi (Tikosyn)
• alireza
• mankhwala
• sotalol (Betapace)

Zotsatira zoyipa za mankhwalawa zitha kuphatikiza:

• chizungulire
• kutopa
• kukhumudwa m'mimba

Mankhwala a magazi

Pochepetsa chiopsezo cha sitiroko ndi vuto la mtima, dokotala wanu akhoza kukupatsani mankhwala oti atsekereze magazi. Ochepetsa magazi, omwe amadziwika kuti anticoagulants, amatha kuthandiza. Maanticoagulants omwe dokotala angakupatseni ndi rivaroxaban powder (Xarelto) kapena warfarin (Coumadin). Mungafunike kuyang'aniridwa mukamamwa mankhwalawa.

Njira zina

Njira zochitira opareshoni, monga kuchotsa catheter, zitha kuthandizanso kukhazikika kwa mtima mu AFib yosalekeza. Izi zimakhudza kutengeka mumtima mwanu kuti muwongolere madera omwe satha kuchita bwino.

Dokotala wanu angakulimbikitseninso kusintha kwa moyo wanu kuti muthandizane ndi mankhwala anu kapena njira zilizonse zopangira opaleshoni. Izi zingaphatikizepo:

• kusintha kwa zakudya
• kusamalira nkhawa
• kasamalidwe ka matenda aakulu
• kuchita masewera olimbitsa thupi

Maonekedwe a AFib wolimbikira

AFib yolimbikira yomwe imakhalapo nthawi yayitali imadziwika popanda kuzindikira, ndizovuta kwambiri kuchiza. Kulimbana kosalekeza kwa AFib kumatha kubweretsa ku AFib yokhazikika. Kukhala ndi mtundu uliwonse wa AFib, kuphatikiza AFib yolimbikira, kumawonjezera chiopsezo chanu cha stroke, matenda amtima, ndi imfa.

Njira zabwino zopewera zovuta ku AFib ndikuzisamalira mosamala. Ngati mukupezeka ndi AFib yosalekeza, lankhulani ndi dokotala pazomwe mungasankhe. Chotsatira chofunikira pagawo lino ndikuwonetsetsa kuti sichikupita patsogolo kapena kukhala chokhazikika.