Ukuqonda I-Atrial Fibrillation

I-Atrial fibrillation (AFib) iyi-arrhythmia yenhliziyo evamile ethinta izigidi zabantu emhlabeni jikelele. Kuyisimo esibonakala ngokushaya kwenhliziyo okungajwayelekile futhi okuvamise ukushesha, okungaholela ezinkingeni ezehlukene, ezihlanganisa unhlangothi. Ukuqonda i-AFib, ukutholwa kwayo, ukwelashwa, kanye namasu okuvimbela unhlangothi kubalulekile ukuze kulawulwe ngempumelelo lesi simo kanye nokuthuthukisa izinga lempilo yalabo abathintekile. UDkt. Aman Salwan, onguchwepheshe kanye nodokotela wenhliziyo ongenelelayo e-CARE Hospitals, e-Nampally, e-Hyderabad, wabelane ne-The Pioneer kabanzi mayelana ne-atrial fibrillation, ukutholwa kokuzulazula, ukwelashwa, nokuvimbela unhlangothi.

I-Atrial fibrillation wukuphazamiseka kwesigqi senhliziyo okuvela ku-atria (amagumbi aphezulu enhliziyo). Ngokushaya kwenhliziyo okuvamile, izimpawu zikagesi zenhliziyo zihamba ngendlela ehlelekile nehlelekile, okuvumela ukufinyela okunesigqi nokumpompa igazi kuwo wonke umzimba. Kodwa-ke, kubantu abane-AFib, lezi zimpawu zikagesi ziba nesiphithiphithi, okuholela ekushayeni kwenhliziyo okungajwayelekile futhi okuvamise ukushesha. Lokhu kushaya kwenhliziyo okungajwayelekile kungaholela ekumpompeni igazi ngendlela engafanele, okubangela izimpawu ezinjengokushaya kwenhliziyo, ukuphelelwa umoya, ukukhathala, isiyezi, nokungakhululeki kwesifuba. Uma ingelashwa, i-AFib ingandisa kakhulu ingozi yokushaywa unhlangothi, ukwehluleka kwenhliziyo, nezinye izinkinga zenhliziyo nemithambo yegazi.

Ukuthola I-Atrial Fibrillation

Ukutholwa kusenesikhathi kwe-fibrillation ye-atrial kubalulekile ekulawuleni ngempumelelo kanye nokuvimbela izinkinga. Kodwa-ke, i-AFib ingaba yinselele ukuyibona njengoba ingase ingabonakali ngaso sonke isikhathi izimpawu. Ukuhlolwa njalo nokuhlolwa, ikakhulukazi kubantu abasengozini enkulu, kungasiza ekuxilongeni kusenesikhathi. I-electrocardiogram (ECG noma EKG) iyithuluzi eliyinhloko lokuxilonga i-AFib. Irekhoda ukusebenza kukagesi kwenhliziyo, ihlonze noma yikuphi ukuphazamiseka esigqini senhliziyo. Iziqaphi ze-Holter, iziqapheli zomcimbi, nezinhlelo zokusebenza zezempilo zamaselula zingaphinda zisetshenziselwe ukuqapha isikhathi eside, okuvumela ukutholwa kwe-AFib yesikhashana noma ye-paroxysmal.

1. Ukwelapha i-atrial fibrillation: Ukwelashwa kwe-atrial fibrillation kuhloswe ukuphatha izimpawu, ukubuyisela isigqi senhliziyo esivamile, nokunciphisa ingozi yezinkinga. Izinhlelo zokwelapha zenziwa ngezifiso kuye ngezimpawu zesiguli, impilo iyonke, kanye nokuba khona kwezimo ezikhona.
2. Imithi: Imithi ivamise ukuba wumugqa wokuqala wokwelashwa kwe-AFib. Imithi ye-antiarrhythmic isiza ukulawula isigqi nesilinganiso senhliziyo. Ama-Anticoagulant, awaziwa nangokuthi anciphisa igazi, anqunyelwe ukunciphisa ingozi yamahlule egazi kanye nokushaywa unhlangothi, okukhathaza kakhulu labo abane-AFib.
3. I-Cardioversion: I-Cardioversion ihilela ukusebenzisa ukushaqeka kukagesi noma imithi yokubuyisela isigqi senhliziyo esivamile. Isebenza kahle kakhulu ku-AFib esanda kuqala noma lapho imithi yehluleka ukulawula isigqi esingavamile.
4. Ukwelashwa kwe-Ablation: Ukukhipha isisu kuhilela ukucekela phansi noma ukuhlukanisa izindawo zenhliziyo ezibangela amasignali kagesi angavamile. Le nqubo ingenziwa ngokusebenzisa i-catheter ablation futhi ngokuvamile inconywa kubantu abane-AFib eqhubekayo.
5. I-Pacemaker noma i-cardioverter-defibrillator (ICD) efakwayo: Kwezinye izimo, i-pacemaker noma i-ICD ingase itshalwe ukuze isize ukulawula isigqi senhliziyo nokuvimbela ukushaya kwenhliziyo okunensa kakhulu noma okusheshayo.
6. Ukuvimbela isifo sohlangothi ku-atrial fibrillation: Abantu abane-atrial fibrillation basengozini enkulu kakhulu yokushaywa unhlangothi ngenxa yokwakheka okungenzeka kwamahlule egazi enhliziyweni, angahamba aye ebuchosheni futhi abangele isifo sohlangothi. Ngakho-ke, ukuvimbela isifo sohlangothi kuyisici esibalulekile sokuphathwa kwe-AFib.
7. Ukwelashwa kwe-Anticoagulant: Imithi ye-Anticoagulant, njenge-warfarin, i-dabigatran, i-rivaroxaban, noma i-apixaban, ivame ukunqunywa i-aban, noma i-apixaban, ivame ukunqunywa ukuze kuncishiswe ingozi yokushaywa unhlangothi ngokuvimbela ukwakheka kwe-clot yegazi.
8. Ukulungiswa kwendlela yokuphila: Izinguquko zendlela yokuphila, okuhlanganisa ukudla okunempilo, ukuvivinya umzimba njalo, ukunciphisa uphuzo oludakayo, ukuyeka ugwayi, nokulawula ukucindezeleka, kungadlala indima ebalulekile ekwehliseni ingozi yokushaywa unhlangothi kanye nokwenza ngcono impilo yenhliziyo iyonke.
9. Ukufundisa nokunika amandla iziguli: Imfundo kanye nokunika amandla isiguli kubalulekile ekulawuleni i-atrial fibrillation. Iziguli kufanele zifundiswe ngesimo sazo, izindlela zokwelashwa, kanye nokubaluleka kokubambelela emithini kanye nokuguqulwa kwendlela yokuphila. Ukulandelela njalo nabahlinzeki bezempilo kubalulekile ukuze kuqashwe ukuqhubeka nokulungisa izinhlelo zokwelashwa njengoba kudingeka.

I-Atrial fibrillation yisimo senhliziyo esivamile esidinga ukuqonda okuphelele nokuphathwa okufanele ukuze kuncishiswe izingozi ezihlobene. Ukutholwa kusenesikhathi, izinhlelo zokwelashwa komuntu ngamunye, kanye namasu asebenzayo okuvimbela unhlangothi kuyizici ezibalulekile zokubhekana ne-AFib kanye nokwenza ngcono izimpilo zalabo abathintekile. Ngokuthuthuka kwesayensi yezokwelapha kanye nendlela yokushesha ekunakekelweni kwezempilo, abantu abane-atrial fibrillation bangaphila ukuphila okugculisayo futhi okusebenzayo kuyilapho benciphisa izinkinga ezingaba khona zalesi simo. Ukuxhumana okuvamile nabasebenzi bezempilo kanye nokuzibophezela endleleni yokuphila enempilo yizici ezibalulekile ekuzulazuleni ohambweni lwe-atrial fibrillation.

Umthombo: Iphayona