Zvese zvaunoda Kuti Uzive Nezve Atrial Fibrillation

Zvemukati

• Atrial fibrillation zviratidzo
• Atrial fibrillation kurapwa
• Zvinokonzera atrial fibrillation
• Njodzi zvinhu zveatrial fibrillation
• Matambudziko eatrial fibrillation
• Atrial fibrillation kuongororwa
• Kuvhiyiwa kweatrial fibrillation
• Magetsi cardioversion
• Catheter ablation
• Atrioventricular (AV) node ablation
• Maze kuvhiya
• Kudzivirira
• Kudya kweatrial fibrillation
• Atrial fibrillation chaiyo kurapwa
• Atrial fibrillation mirayiridzo
• Atrial fibrillation vs. flutter

Chii chinonzi atrial fibrillation?

Atrial fibrillation ndiyo yakajairika mhando yemoyo arrhythmia (isina kujairika kurova kwemoyo) iyo inogona kukanganisa kuyerera kweropa. Kukanganisa uku kunoreva kuti mamiriro acho anokuisa panjodzi yekugwamba kweropa uye sitiroko.

Pakati paine atrial fibrillation (AFib kana AF).

Ne AFib, makamuri maviri epamusoro emoyo wako (atria) anokanganiswa. Izvi zvinokanganisa kuyerera kweropa kuenda kuma ventricles kana kumakamuri epasi, uyezve mukati meyakazara muviri wako wese.

Kana ikasarapwa, AFib inogona kuuraya.

Atrial fibrillation inogona kunge iri yenguva pfupi, inogona kuuya yoenda, kana inogona kunge iri zvachose. Inonyanyawo kuvakuru. Asi nekuchengetwa kwakakodzera, unogona kurarama hwakajairika, hunoshanda hupenyu.

Atrial fibrillation zviratidzo

Iwe haugone kuona chero zviratidzo kana iwe uine atrial fibrillation.

Avo vanoona zviratidzo vanogona kucherechedza:

• moyo palpitations (kunzwa senge moyo wako uchisvetuka kurova, uchirova nekukurumidza kana kuomarara, kana kupopota)
• kurwadziwa pachipfuva
• kuneta
• mweya wekufema
• kushaya simba
• musoro wakareruka
• dzungu
• kufenda
• kuvhiringidzika
• kusashivirira kurovedza muviri

Zviratidzo izvi zvinogona kuuya nekuenda zvichibva pakukundikana kwemamiriro ako.

Semuenzaniso, paroxysmal AFib rudzi rweatrial fibrillation inozvigadzirisa yega pasina kupindira kwekurapa.Asi iwe ungangoda kutora mishonga yekudzivirira episodes dzichauya uye zvingangoita zvinetso.

Pakazara, unogona kuona zviratidzo zveAFB kwemaminetsi akati wandei kana maawa panguva. Zviratidzo zvinopfuurira kwemazuva mazhinji zvinogona kuratidza chisingaperi AFib.

Udza chiremba wako nezve chero zviratidzo zvauri kusangana nazvo, kunyanya kana paine shanduko.

Atrial fibrillation kurapwa

Iwe unogona kusada kurapwa kana iwe usina zviratidzo, kana iwe usina mamwe matambudziko emoyo, kana kana iyo atrial fibrillation inomira yega.

Kana iwe uchida kurapwa, chiremba wako anogona kukurudzira anotevera marudzi emishonga:

• beta-blockers kudzikisira kurova kwemoyo wako
• calcium chiteshi blockers yekuzorodza arterial mhasuru uye kudzikisira kwakazara kurova kwemoyo
• sodium kana potassium chiteshi blockers kudzora moyo mutinhimira
• digitalis glycosides kuti usimbise mwoyo wako kupunzika
• ropa rinotetepa kudzivirira kuwonda kweropa kubva pakuumbwa

Asiri-vhitamini K anwiwa anticoagulants (NOACs) ndiwo akasarudzika eropa anotapisa eAFib. Zvinosanganisira rivaroxaban powder (Xarelto) uye apixaban (Eliquis).

Kazhinji, chinangwa chekutora mishonga yeAFib ndeyekugadzirisa kurova kwemoyo wako uye kukurudzira zviri nani moyo basa.

Iyi mishonga inogona zvakare kudzivirira kuwanda kweropa mune ramangwana, pamwe nehukama hwakabatana senge chirwere chemwoyo uye sitiroko. Zvichienderana nemamiriro ako, chiremba wako anogona kukurudzira akawanda AFib mishonga.

Zvinokonzera atrial fibrillation

Moyo une makamuri mana: maviri atria uye maviri ma ventricles.

Atrial fibrillation inoitika kana makamuri aya asingashande pamwe sezvaanofanirwa nekuda kwekuratidzira kwakashata kwemagetsi.

Kazhinji, iyo atria uye ventricles chibvumirano panguva imwecheteyo kumhanya. Mune atrial fibrillation, iyo atria uye ma ventricles haabvumidzane nekuti atria chibvumirano nekukurumidza uye zvisina kujairika.

Chikonzero cheatrial fibrillation hachizivikanwe nguva dzose. Mamiriro ezvinhu anogona kukonzera kukuvadza kumoyo uye kutungamira kune atrial fibrillation anosanganisira:

• BP
• congestive moyo kutadza
• coronary tsinga chirwere
• chirwere chevhavha yemoyo
• hypertrophic cardiomyopathy, umo mhasuru yemwoyo inova gobvu
• kuvhiyiwa mwoyo
• kuberekwa kwemoyo kusakwana, zvichireva kuremara kwemoyo iwe wawakazvarwa uine
• yakanyanyisa gland gland
• pericarditis, kunova kuzvimba kwesaga-sekufukidza kwemoyo
• kutora mimwe mishonga
• kudhakwa
• chirwere chetachiona

Hupenyu hwese hune hutano hunogona kudzikisira njodzi yako yeAfib. Asi hazvisi zvikonzero zvese zvinodzivirirwa.

Izvo zvakakosha kuti uudze chiremba wako nezve yako yakazara nhoroondo yehutano kuitira kuti vagone zvirinani kujekesa izvo zvikonzero zveAFB yako uye vari nani kugona kuchirapa.

Njodzi zvinhu zveatrial fibrillation

Kunyange hazvo chikonzero chaicho cheAFIB chisingazivikanwe nguva dzose, pane zvimwe zvinhu zvinogona kukuisa padanho repamusoro remamiriro aya. Zvimwe zveizvi zvinogona kudzivirirwa, nepo zvimwe zviri zvemajini.

Taura nachiremba wako nezve zvinotevera njodzi zvinhu:

• kuwedzera zera (iwe mukuru iwe, inowedzera njodzi yako)
• kuva chena
• kuva murume
• nhoroondo yemhuri yeatrial fibrillation
• chirwere chemoyo
• chimiro chemwoyo hurema
• kuberekwa kwemoyo kukanganisa
• pericarditis
• nhoroondo yekurwadziwa kwemoyo
• nhoroondo yekuvhiyiwa kwemoyo
• mamiriro ehutachiona
• metabolic chirwere
• kufutisa
• chirwere chemapapu
• chirwere cheshuga
• kunwa doro, kunyanya kunwa doro
• kurara kufema
• yakakwira-dose steroid kurapa

Matambudziko eatrial fibrillation

Kugara uchirapwa uye uchiongororwa nachiremba wako kunogona kukubatsira kuti urege kunetseka. Asi kana ikasiiwa isina kurapwa, atrial fibrillation inogona kuve yakakomba uye kunyange kuuraya.

Zvinetso zvakakomba zvinosanganisira kutadza kwemoyo uye sitiroko. Mishonga uye maitiro ehupenyu anogona zvese kubatsira kudzivirira izvi mune vanhu vane AFib.

Sitiroko inoitika semhedzisiro yeropa rakavhara muuropi. Izvi zvinotorera uropi hwako mweya weoksijeni, izvo zvinogona kutungamira mukukuvara zvachose. Kurohwa kunogonawo kuuraya.

Kukundikana kwemoyo kunoitika kana moyo wako usisakwanise kushanda nemazvo. AFib inogona kupfeka pasi yemhasuru yemoyo, sezvo ma ventricles mumakamuri epasi achiedza kushanda zvakanyanya kuti akwanise kushomeka kweropa kuyerera mumakamuri epamusoro.

Mune vanhu vane AFib, kutadza kwemoyo kunowedzera nekufamba kwenguva - hazvisi izvo zvinongoerekana zvaitika sekurwadziwa kwemoyo kana sitiroko.

Kuteedzera chirongwa chako chekurapa kunogona kudzikisira mikana yako yese yezvinetso nekuda kweAfib.

Tora mishonga yako yese sekurairwa nachiremba wako. Uye dzidza nezve zvinogona kuitika zveAfib uye zviratidzo zvavo.

Atrial fibrillation kuongororwa

Pane bvunzo dzakasiyana dzinoverengeka dzinogona kuitwa kuti uwane pfungwa iri nani yezviri kuitika nemoyo wako basa.

Chiremba wako anogona kushandisa imwe kana yakawanda yeanotevera bvunzo kuti aongorore atrial fibrillation:

• bvunzo dzepanyama kuti utarise kupomba, BP, nemapapu
• electrocardiogram (EKG), muyedzo unorekodha mafungire emagetsi emoyo wako kwemasekondi mashoma

Kana atrial fibrillation ikasaitika panguva yeEGG, chiremba wako anogona kunge iwe ukapfeka inotakurika EKG yekutarisa kana kuyedza imwe mhando bvunzo.

Iyi bvunzo inosanganisira:

• Holter Monitor, diki inotakurika chishandiso chaunopfeka kwemaawa makumi maviri nemana kusvika makumi mana ekutarisisa moyo wako.
• chiitiko chekutarisa, chishandiso chinorekodha moyo wako chete pane dzimwe nguva kana paunenge uine zviratidzo zveAFIB
• echocardiogram, bvunzo isingashande inoshandisa mafungu eruzha kuburitsa mufananidzo unofamba wemwoyo wako.
• transesophageal echocardiogram, iyo inopinza vhezheni yemadhicardiogram inoitwa nekuisa probe mugurokuro
• kushushikana bvunzo, iyo inoongorora moyo wako panguva yekurovedza muviri
• X-ray yechipfuva kuti uone moyo wako nemapapu
• kuongororwa kweropa kutarisa utachiona uye metabolic mamiriro

Kuvhiyiwa kweatrial fibrillation

Yechirwere chisingaperi kana chakakomba, kuvhiya kunogona kuve sarudzo inokurudzirwa.

Kune mhando dzakasiyana dzekuvhiya dzinovavarira mhasuru yemoyo mukuyedza kuibatsira kupomba ropa zvakanyanya. Kuvhiya kunogona zvakare kubatsira kudzivirira kukuvara kwemoyo.

Mhando dzekuvhiya dzinogona kushandiswa kurapa AFib dzinosanganisira:

Magetsi cardioversion

Mune maitiro aya, kupfupika kwesimba kwemagetsi kunoisazve rwiyo rwekupwanyika kwemoyo wako.

Catheter ablation

Mune catheter ablation, iyo catheter inoendesa masaisai eredhiyo kumoyo kuti iparadze zvisikwa zvisina kujairika zvinotumira zvisizvo zvisina kujairika.

Atrioventricular (AV) node ablation

Mafungu eredhiyo anoparadza iyo AV node, iyo inobatanidza iyo atria uye ma ventricles mune ino maitiro. Ipapo iyo atria haichakwanise kutumira masaini kuma ventricles.

Pacemaker inoiswa kuti irambe iine rwiyo rwenguva dzose.

Maze kuvhiya

Uku kuvhiya kunokatyamadza kunogona kuve kwakavhurika-mwoyo kana kuburikidza nekucheka-cheka muchipfuva, panguva iyo chiremba anovhiya zvishoma kana kupisa mukati meatria yemoyo kugadzira "maze" yemavanga ayo anodzivirira zvishuwo zvemagetsi zvisina kujairika kusvika kune mamwe nzvimbo dzemwoyo.

Kuvhiya uku kunongoshandiswa muzviitiko apo mamwe marapirwo asina kubudirira.

Chiremba wako anogona zvakare kukurudzira mamwe maitiro ekurapa mamiriro ehutano hwakasarudzika, senge chirwere chetachiona kana chemoyo, izvo zvinogona kunge zvichikonzera yako AFib.

Kuvhiya ndeimwe nzira yekurapa yeAFib. Zvakadaro, mishonga uye shanduko yemararamiro inokurudzirwa semitsara yekutanga yekurapa. Chiremba wako anogona kukurudzira kuvhiyiwa senzira yekupedzisira kana mamiriro ako akaoma.

Kudzivirira

Mazhinji kesi eatrial fibrillation anogona kutarisirwa kana kurapwa. Asi atrial fibrillation inowanzo reoccur uye ichiwedzera kukura nekufamba kwenguva.

Iwe unogona kudzikisa njodzi yako yeatrial fibrillation nekuita zvinotevera:

• idya chikafu chakapfuma mumichero mitsva nemiriwo uye yakaderera mune yakazara uye inotapisa mafuta
• kurovedza muviri nguva dzose
• chengetedza huremu hune hutano
• dzivisa kusvuta
• dzivisa kunwa doro kana kungonwa shoma shoma dzedoro pano neapo
• tevera rairo yechiremba wako yekurapa chero mamiriro ehutano ane iwe

Zvinetso zvakajairika zveAfib kurova uye kutadza kwemoyo.

Kana uine AFib uye usiri kutora mishonga yakakodzera, iwe unowanzoita sitiroko kupfuura vanhu vasina AFib.

Kudya kweatrial fibrillation

Kunyange pasina chikafu chakatemwa cheatrial fibrillation, kunetseka kwekudya kweAfib kunotarisa pane zvekudya zvine moyo-pachinzvimbo.

Kudya kweAfib kungango sanganisira zvimwe zvekudyara-zvinodyiwa, senge oats, michero, uye miriwo.

Hove zvakare yakanaka sosi yeprotein, uye yayo omega-3 fatty acid zvemukati zvinoita kuti inyatso kunakira moyo.

Kune zvekudya uye zvinhu zvinogona kuita kuti AFib iwedzere. Izvi zvinosanganisira:

• doro (kunyanya kana uchinwa doro)
• caffeine - kofi, soda, tii, uye zvimwe zviwanikwa zvinogona kuita kuti moyo wako ushande zvakanyanya
• grapefruit, iyo inogona kukanganisa mishonga yeAFib
• gluten, iyo inogona kuwedzera kuzvimba kana iwe uine allergiki kana kunzwisisika
• munyu uye mafuta akazara
• vhitamini K-zvakapfuma zvekudya, senge yakasviba mashizha mashizha, sezvo izvi zvinogona kukanganisa kurapa-kutetepa mishonga warfarin (Coumadin)

Kudya kweAFib kwakafanana nechero moyo-hutano kudya. Inotarisa pazvikafu zvine hupfumi, ichidzivirira zvinhu zvinogumbura uye zvekudya zvakaderera.

Taura nachiremba wako nezve chirongwa chekudya chemamiriro ako.

Atrial fibrillation chaiyo kurapwa

Kunze kwemazano ezvekudya, chiremba wako anogona zvakare kuratidza zvimwe zvinowedzera kana iwe uri wakaderera muzvakakosha zvinovaka muviri zvakakosha kune hutano hwemwoyo.

Taura nachiremba wako usati watora chero chekuwedzera chinowedzera nekuti izvi zvinogona kuve nemhedzisiro kana kusangana nemishonga.

Zvimwe zvekuwedzera zvinoshandiswa kune AFib zvinosanganisira:

• magnesium
• hove mafuta
• coenzyme Q10
• wenxin keli
• taurine
• hawthorn bheri

Mamwe marapirwo echisikigo eAfib anosanganisira mararamiro ane hutano, sekurovedza muviri uye kudzikisira kushushikana. Kudzidzira muviri kwakakosha kune moyo wako hutano, asi iwe uchazoda kuzvitora zvishoma, kunyanya kana iwe uri mutsva mukushanda.

Kumusoro-kusimba kurovedza muviri, sekumhanya, kunogona kuve kwakanyanya kune vanhu vane AFib. Asi zvine mwero kudzikisa-kusimba zviitiko, sekufamba, kushambira, uye kuchovha bhasikoro, zvinogona kupisa macalorie, kusimbisa moyo wako, uye kudzikamisa kushushikana.

Sezvo kushushikana kuchikanganisawo moyo wako hutano, zvakakosha kuti ugare uine hutano hwepfungwa. Kufema kwakadzika kurovedza muviri kunogona kudzikisira kushushikana kwemazuva ese, nepo iyo yoga kirasi inogona kukubatsira iwe kuwana yakadzika yekufungisisa nyika (pamwe neyakawedzerwa bhonasi yemhasuru uye inochinjika).

Kunyangwe kuita iyo nguva yekunakidzwa neyakada kunakidzwa kunogona kukubatsira iwe kuti uwane kuzorora kwakawanda uye kuvandudzwa hutano hwemwoyo.

Kurapa kwechisikigo kunogona kubatsira AFib kana ikashandiswa pamwe chete neyakajairwa kurapwa kurapwa.

Dzimwe tsvagurudzo dzinodiwa kuti uone kana mamwe marapirwo anogona kubatsira ega, saka namatira kuchirongwa chako chekurapa. Kumbira chiremba wako kuti unganyatsobatanidza sei kurapa kwechisikigo mune yako yazvino AFib kurapwa chirongwa.

Atrial fibrillation mirayiridzo

Iwo marongedzero epamutemo eAFib, sekureva kweAmerican Heart Association, rondedzera sarudzo dzekurapa zvichienderana nemamiriro ako aripo uye nhoroondo yekurapa.

Chiremba wako angangoshandisa izvi kana uchikurudzira chirongwa chekurapa.

Kazhinji, musanganiswa wemararamiro uye mishonga inogona kukubatsira kudzivirira kutadza kwemoyo uye sitiroko.

Chiremba wako anozoisa zvakare yako AFib kuti uone kana iri yakaoma (pfupi-pfupi) kana isingagumi (yakareba-nguva). Zera, murume kana murume, uye hutano hwakazara huchagadzirisawo njodzi dzinogona kuitika.

Pakazara, kurapwa kwako kunozotarisa pane:

• kudzora kurova kwemoyo uye mutinhimira
• kuongorora njodzi yekurohwa
• kuongorora njodzi yekubuda ropa

Atrial fibrillation vs. flutter

Dzimwe nguva AFib inogona kuvhiringidzwa nemafirita. Zviratidzo zvakafanana, zvinosanganisira kukurumidza kurovera kwemoyo uye kusarongeka kwemhanza.

Nepo zvese zviri zviviri zvichikanganisa makamuri emoyo mumwe uye zvichikonzera arrhythmias, aya mamiriro maviri akasiyana.

Atrial flutters inoitika kana magetsi emagetsi mumoyo achikurumidza. Zviratidzo uye njodzi zvinhu zvakafanana neAfib.

Hutano mararamiro maitiro uye mishonga inogona kubatsira ese ari maviri mamiriro. Chiremba wako achakubatsira kusiyanisa pakati peAFib uye atrial flutters kuti ugone kurapa imwe neimwe zvinoenderana.