Atrial Fibrillation: Chokwadi, Statistics, uye Iwe

Zvemukati

• Kuwanda
• Zvinokonzera uye njodzi zviitiko
• Zviratidzo
• Matambudziko
• Miedzo uye kuongororwa
• Kurapa
• Kudzivirira
• Mariro

Atrial fibrillation, inozivikanwawo seAfib kana AF, ndeyekusagadzikana kwemoyo (arrhythmia) iyo inogona kutungamira kumatambudziko akasiyana-siyana ane chekuita nemoyo senge kuwanda kweropa, sitiroko, uye kukundikana kwemoyo.

AFib chirwere chakakomba chinogona kuitika pasina zviratidzo kana zviratidzo asi chinogona kukonzera matambudziko ekutyisidzira hupenyu kana akasiiwa asina kurapwa.

Kudzvinyirira kwakajairika kwemhasuru yemhasuru yemakamuri ekumusoro emoyo (iyo atria) inowanzo bvumidza kurongedzwa uye kwakazara kuropa kweropa kubva kumakamuri epamusoro emoyo kuenda kune ayo ezasi (ma ventricles).

MuAFib, zvakadaro, kusagadzikana kana kukurumidza magetsi masaiti anokonzera atria kubvumirana nekukurumidza uye zvine mutsindo (fibrillate).

Ropa risina kunyatsoputirwa kunze kweatria rinogona kusara uye rinogona kunyura ipapo. Kuti tiwedzere kugona kwemoyo uye kudzivirira zvirwere zvakasiyana, makamuri epamusoro neepasi emoyo anofanirwa kushanda sechikwata. Izvo hazviitike panguva yeAAB.

AFib inogona kuitika muzvikamu zvipfupi, kana inogona kunge iri mamiriro asingaperi. Dzimwe nguva, rubatsiro rwekurapa rwechimbichimbi runodikanwa. Hezvino izvo zvaunoda kuti uzive:

Kuwanda

AFib ndiyo yakajairika arrhythmia inowanikwa mukiriniki tsika.

Kufungidzira kwekupararira kweAFib muUnited States kunobva kubva panenge. Nhamba iyoyo inofungidzirwa kukwira kusvika.

Pasi rose, huwandu hunofungidzirwa hwevanhu vane AFib muna 2010 hwaive mamirioni makumi matatu neshanu nemashanu, sekureva kwechidzidzo cha2013. Ndiyo inenge 0.5 muzana yehuwandu hwepasi rose.

Zvinoenderana neiyo, vangangoita 2 muzana yevanhu vari pasi pemakore makumi matanhatu nemashanu vane AFib, nepo vangangoita 9 muzana yevanhu vane makore makumi matanhatu nemashanu zvichikwira.

Zvinoenderana nea, vanhu vasingazivikanwe sevachena vane huwandu hwakaderera uye chiitiko chekuve neAFib.

Zvinokonzera uye njodzi zviitiko

Kune mana makuru marudzi eAFib.

Paroxysmal atrial fibrillation apo AFib inotanga pasina yambiro uye inomira zvakangoerekana zvaitika. Kazhinji yenguva, iyi mhando yeAFib inozvichenesa yega mukati maawa makumi maviri nemana, asi inogona kutora kusvika pavhiki.

Kana AFib ikagara kwenguva inopfuura vhiki, inonzi kuenderera mberi kweatrial fibrillation.

AFib inogara kweinopfuura gore isina kuenda iri -mire-refu yakaramba ichiramba atrial fibrillation.

AFib inoenderera zvisinei nekurapwa inonzi zvachose atrial fibrillation.

Kusagadzikana kana kukuvara kune chimiro chemoyo ndizvo zvakanyanya kukonzeresa atrial fibrillation. Iwe uri mukana wekuvandudza AFib kana iwe uine:

• BP
• coronary chirwere chemoyo, kukanganisa kwemoyo, kana kukundikana kwemoyo
• rheumatic chirwere chemoyo kana pericarditis
• hyperthyroidism
• kufutisa
• chirwere cheshuga kana metabolic syndrome
• chirwere chemapapu kana chirwere cheitsvo
• kurara kufema
• nhoroondo yemhuri yeAFib

AFib inosanganisirwa nekuwedzera kwekufa kune vanhu vane mamwe mamiriro emwoyo uye maitiro, kusanganisira kusakwana kwemoyo uye sitiroko.

Maitiro anogona zvakare kuwedzera njodzi kune AFib. Izvi zvinosanganisira kunwa caffeine uye kushandisa doro zvisizvo. Kudzvinyirira kwakanyanya kana hutano hwepfungwa hunogona zvakare kuve chinhu chiri muAFib.

Iyo mikana yekuvandudza AFib inowedzera nezera. Nezve vanhu vane AFib vari pakati pemakore makumi matanhatu nemashanu nemakumi masere neshanu. Kuwanda kweAFIB kwakakwirira muvarume. Zvisinei, sezvo vakadzi vachirarama kwenguva yakareba kupfuura varume, nhamba yevarume nevakadzi vane AFib inenge yakaenzana.

Kunyangwe hazvo vanhu veEuropean madzitateguru vane atrial fibrillation pa, tsvagiridzo yakawana kuti mazhinji ezvinetso zvaro - kusanganisira sitiroko, chirwere chemwoyo, uye kukundikana kwemoyo - zvakajairika pakati pevanhu vemuAmerica.

Zviratidzo

Iwe haugare uchinzwa zviratidzo zveAFIB, asi zvimwe zviratidzo zvakajairika zvinosanganisira kurova kwemoyo uye kufema kwekufema.

Zvimwe zviratidzo zvinogona kusanganisira:

• kurova kwemoyo zvisina kujairika
• musoro usina musoro kana dzungu
• kupera simba kana kuvhiringidzika
• kuneta zvakanyanya
• kusagadzikana pachipfuva kana kurwadziwa

Matambudziko

Kune kuwedzera kwekuziva kuti atrial fibrillation inowanzo kuve isingazivikanwe asi iri mamiriro akakomba.

Kunyangwe iwe uine zviratidzo kana kwete, AFib inokuisa iwe panjodzi huru yekurohwa. Sekureva kweAmerican Heart Association, kana iwe uine AFib, iwe uri ka5 mukana wekuita sitiroko pane munhu asina.

Kana moyo wako uchirova zvakanyanya, zvinogona kutungamira mukundikana kwemoyo. AFib inogona kukonzera ropa kuvhara mumoyo mako. Aya mavhinga anogona kufamba muropa, zvichizopedzisira zvavhara.

Tsvagiridzo yakaratidza kuti vakadzi vane AFib vari panjodzi huru yekurohwa uye yekufa kupfuura varume vane AFib.

Miedzo uye kuongororwa

Kuongorora kunogona kuve chikamu chekuchengetwa kwako nguva dzose kana uine makore makumi matanhatu nemashanu kana kupfuura, kana kana uine zvimwe zvinenjodzi. Kana iwe uine zviratidzo zveAFIB, ona chiremba wako.

Kuongororwa kuongororwa kunogona kusanganisira electrocardiogram (EKG kana ECG) kutarisa chiitiko chemagetsi emoyo wako. Imwe bvunzo inogona kubatsira ndeye Holter yekutarisa, inotakurika ECG iyo inogona kuongorora moyo wako mutinhimira kwemazuva akati wandei.

Echocardiogram imwe bvunzo isinga tsvete inogona kuburitsa mifananidzo yemoyo wako, saka chiremba wako anogona kutsvaga zvisina kujairika.

Chiremba wako anogona zvakare kuraira kuongororwa kweropa kuti utarise mamiriro ezvinhu anogona kunge achikonzera zviratidzo zvako, senge matambudziko ehutachiona. X-ray yechipfuva inogona kupa chiremba wako kutarisa zviri nani pamwoyo wako nemapapu kuti aone kana paine chero chikonzero chiri pachena chezviratidzo zvako.

Kurapa

AFib inorapwa nekuchinja kwehupenyu, mishonga, maitiro, uye kuvhiyiwa kubatsira kudzivirira kuwanda kweropa, kunonoka kurova kwemoyo, kana kudzoreredza rwiyo rwemoyo.

Kana iwe uine atrial fibrillation, chiremba wako achatarisawo chero chirwere chingangove chiri kuchikonzera uye kuongorora njodzi yako yekukudziridza ngozi yeropa.

Kurapa kweAfib kunogona kusanganisira:

• mishonga yekudzora rwiyo rwemoyo uye chiyero
• ropa-kutetepa mishonga yekudzivirira kuwanda kweropa kubva mukuumba uye kudzikisa sitiroko njodzi
• kuvhiya
• mararamiro ane hutano anochinja kugadzirisa zvinhu zvine njodzi

Mimwe mishonga inogona kubatsirawo kugadzirisa kurova kwemoyo wako. Izvi zvinosanganisira beta blockers (metoprolol, atenolol), calcium chiteshi blockers (diltiazem, verapamil), uye digitalis (digoxin).

Kana iyo mishonga isingabudirire, mimwe mishonga inogona kubatsira kuchengetedza yakajairwa moyo mutinhimira. Iyi mishonga inoda kuchenjerera dosing uye kuongorora:

• amiodarone (Cordarone, Pacerone)
• Dofetilide (Tikosyn)
• flecainide (Tambocor)
• ibutilide (Corvert)
• propafenone (Rythmol)
• sotalol (Betapace, Sorine)
• disopyramide (Norpace)
• procainamide (Procan, Procapan, Pronestyl)

Hwakajairika moyo mutinhimira unogona zvakare kudzoreredzwa uchishandisa yakaderera-simba kuvhunduka mune maitiro anonzi emagetsi mweya moyo. Kana izvo zvikasashanda, chiremba wako anogona kuyedza chimwe chinhu chinonzi ablation, icho chinoshanda nekupwanya kana kuparadza nyama mukati memoyo wako kukanganisa kukanganisa kwemasaini emagetsi zvichikonzera arrhythmia.

Atrioventricular node ablation ndeimwe sarudzo. Mune maitiro aya, maRawowave frequency anoshandiswa kuparadza chikamu chemuviri. Mukuita kudaro, iyo atria haichagone kutumira mafungiro emagetsi.

Iyo pacemaker inochengeta ma ventricles achirova zvakajairika. Maze kuvhiya ndeimwe sarudzo inowanzo chengeterwa vanhu vatove kuda imwe mhando yekuvhiyiwa kwemoyo. Zvidimbu zvidiki zvinogadzirwa muatria kuitira kuti nyonganiso yemagetsi masaini isakwanise kupfuura.

Sechikamu chekurapa kwako, iwe unozokurudzirwa kuti uchengetedze kudya kunovaka moyo. Kugara uchirovedza muviri chikamu chakakosha chehutano hwemwoyo, saka bvunza chiremba wako kuti yakawanda sei kurovedza muviri kwakanakira iwe.

Ona chiremba wako nguva dzose kuitira yekutevera. Iwe unofanirwa zvakare kudzivirira kuputa.

Kudzivirira

Iwe haugone kudzivirira AFib zvachose, asi pane zvinhu zvaunogona kuita kuti moyo wako urambe wakagwinya.

Edza kuchengetedza yako yeropa, cholesterol, mazinga e triglyceride, uye huremu mukati meyakajairika renji.

Dhata inoratidza kuti vanhu vakafutisa uye vakafutisa vane chiratidzo cheAfib avo vakasarudza kuonda uye vane hukasha njodzi yekugadzirisa manejimendi vaive nezvipatara zvishoma, moyo wekubata, uye nzira dzekudzora pane vamwe vavo vakaramba kunyoreswa.

Mamwe mararamire shanduko aungaite anosanganisira:

• kuchengetedza chikafu chakaderera mucholesterol, mafuta akazara, uye mafuta anotapira
• kudya miriwo yakawanda, michero, uye zviyo zvakakwana
• kuwana kurovedza muviri zuva nezuva
• kurega kusvuta
• kunwa doro zvine mwero
• kudzivisa caffeine kana ichikonzera yako AFib
• kutora mishonga yako yese zvinoenderana nezvakanyorwa kana kuraira kwechiremba wako
• kukumbira chiremba wako usati wawedzera chero epamusoro-the-counter mishonga kana zvinowedzera kune yako regimen
• kuronga kushanya kwese nachiremba wako
• kuzivisa kurwadziwa kwepfupa, kunetseka kufema, kana zvimwe zviratidzo kuna chiremba wako nekukurumidza
• kuongorora uye kurapa mamwe mamiriro ehutano

Mariro

AFib mamiriro anodhura. Mari yese yeAFib muUnited States yakauya inosvika madhora makumi maviri nematanhatu emadhora pagore.

Yakaputsika pasi, iyi yaive madhora mazana matanhatu emadhora ekuchengetwa yakanangana nekurapa AFib, $ 9.9 bhiriyoni yekurapa zvimwe chirwere chemoyo uye njodzi, uye $ 10.1 bhiriyoni yekurapa ane hukama husingaite mwoyo.

, zvinopfuura mazana manomwe nemakumi mashanu ezvipatara zvipatara zvinoitika gore rega rega nekuda kweAfib. Mamiriro acho anobatsirawo kune vangangoita zviuru zana nemakumi matatu vakafa pagore.

ICDC inoshuma kuti mwero wekufa kubva kuAAB sechakanyanya kana chinokonzera chikonzero cherufu wave uchikwira kweanopfuura makumi maviri emakore.

Ongororo ichangoburwa yevarwere veMedare pakati pa1998 na2014 yakawana kuti vanhu vane hutachiona hwemagetsi vaiwanzoiswa muchipatara (37.5 muzana vs. 17.5 muzana) uye zvakanyanya kufa panguva yekurara (2.1 muzana vs. 0.1 muzana) kupfuura zvavakafanana vanhu vasina AFib.