Chii chinonzi Persistent Atrial Fibrillation?

Zvemukati

• Zviratidzo zvekuramba AFib
• Njodzi zvinhu zvekuramba uchiita AFib
• Kuongorora kuramba kuine AFib
• Kuenderera mberi kweAfib kurapwa
• Mishonga yekudzora kurova kwemoyo
• Mishonga yekudzora moyo mutinhimira
• Ropa rekuvhara mishonga
• Dzimwe nzira
• Maonero ekupfuurira AFib

Mhedziso

Atrial fibrillation (AFib) rudzi rwechirwere chemoyo chinoratidzwa neisina kujairika kana kukurumidza kurova kwemoyo. Persistent AFib ndeimwe yemhando nhatu dzemhando dzemamiriro acho. Mukuramba uchiita AFib, zviratidzo zvako zvinogara kwenguva inopfuura mazuva manomwe, uye moyo wako mutinhimira haukwanise kuzvidzora pachawo zvakare.

Iwo mamwe maviri epamhando mikuru yeAFib ndeaya:

• paroxysmal AFib, umo zviratidzo zvako zvinouya uye zvoenda
• zvachose AFib, umo zviratidzo zvako zvinogara kweinopfuura gore

AFib chirwere chinofambira mberi. Izvi zvinoreva kuti vanhu vazhinji vanotanga kukudziridza paroxysmal AFib, ine zviratidzo zvinouya uye zvoenda. Kana ikasiiwa isina kurapwa, mamiriro acho anogona kufambira mberi kune anoramba aripo kana emhando dzechigarire. Permanent AFib zvinoreva kuti mamiriro ako haagumi kunyangwe kurapwa uye manejimendi.

Iyo inoramba inhanho yeAFib yakakomba, asi inorapika. Dzidza zvaunogona kuita nezve kuramba uchiita AFib kubatsira kudzivirira kumwe kunetseka.

Zviratidzo zvekuramba AFib

Zviratidzo zveAfib zvinosanganisira:

• kurova kwemoyo
• kumhanya kurova kwemoyo
• dzungu kana hurema
• kuneta
• zvachose kushaya simba
• mweya wekufema

Sezvo chimiro chako chichiwedzera kuva chisingaperi, unogona kutanga kucherechedza zviratidzo zuva nezuva. Persistent AFib inoonekwa mune vanhu vane chero cheizvi zviratidzo kweanenge mazuva manomwe akatwasuka. Asi AFib inogona zvakare kunge isina chiratidzo, zvinoreva kuti hapana zviratidzo.

Iwe unofanirwa kutsvaga kurapwa kwekukurumidzira kana iwe uchinge uchinge uchinge uchirwadziwa nepfupa. Ichi chingave chiratidzo chekurwadziwa kwemoyo.

Njodzi zvinhu zvekuramba uchiita AFib

Hazvizivikanwe nguva dzose izvo zvinokonzeresa AFib, asi zvakajairika zvinhu zvine njodzi zvinosanganisira:

• nhoroondo yemhuri yeAFib
• kukwegura
• BP, inonziwo neBP
• nhoroondo yekurwadziwa kwemoyo
• kurara kufema
• kunwa doro, kunyanya kunwa doro
• kunyanyisa kushandisa zvinokurudzira, zvakadai zvine caffeine
• kufutisa
• chirwere chetachiona
• chirwere cheshuga
• chirwere chemapapu
• hutachiona hwakanyanya
• kunetseka

Kugadzirisa zvirwere zvisingaperi uye mararamiro ehupenyu zvinogona kuderedza ngozi yako. Iyo Heart Rhythm Society inopa Calculator inoongorora njodzi yako yekukudziridza AFib.

Mikana yako yekukudziridza kuramba uchiita AFib zvakare yakakura kana iwe uine pre-iripo moyo vharuvhu chirwere. Vanhu vakave nekuvhiyiwa kwemoyo vari zvakare panjodzi yekuwedzera yekuwana AFib sedambudziko rakabatana.

Kuongorora kuramba kuine AFib

Persistent AFib inoonekwa iine musanganiswa weyedzo uye bvunzo dzepanyama. Kana iwe watoonekwa kuti une paroxysmal AFib, chiremba wako anogona kuona mafambiro akaita mamiriro ako.

Nepo iyo electrocardiogram inogona kushandiswa seyekutanga yekuongorora yekushandisa yezvikamu zvekutanga zveAfib, mimwe bvunzo inoshandiswa kune yakanyanya kumberi kana inoramba ichienderera AFib. Chiremba wako anogona kukurudzira zvinotevera:

• kuongororwa kweropa kutsvaga zvikonzero zvinokonzeresa kufambira mberi kweAFB, senge chirwere chetachiona
• chipfuva X-rays kuti utarise kumakamuri uye mavhavha mukati memwoyo wako, uye kuongorora ayo ese mamiriro
• echocardiogram kuti uone kukuvara kwemoyo kuburikidza nemafungu eruzha
• kushandiswa kwechiitiko rekodhi, chishandiso chinotakurika senge Holter yekutarisa yaunotora kumba kuyera zviratidzo zvako kwenguva yakati rebei.
• kurovedza muviri bvunzo kuyera chiyero chemwoyo wako uye mutinhimira mushure mekuita muviri

Kuenderera mberi kweAfib kurapwa

Nekuramba uchiita AFib, moyo wako mutinhimira wakakanganiswa zvekuti moyo wako haugone kuimisikidza pasina kupindira kwekurapa. Kune zvakare njodzi yekuvhara ropa iyo inogona kukonzeresa pakurwara kwemoyo kana sitiroko.

Kurapa kunogona kusanganisira mishonga yekudzora kurova kwemoyo wako uye mutinhimira kana kugwamba kweropa rako, pamwe nenzira dzisingasanganisi mishonga.

Mishonga yekudzora kurova kwemoyo

Imwe chinangwa mukuramba uchirapa AFib kurapa kunonoka kukurumidza kurovera kwemoyo. Chiremba wako anogona kupa mishonga se:

• beta-blockers
• calcium chiteshi blockers
• digoxin (Lanoxin)

Izvi zvinoshanda nekuderedza zviitiko zvemagetsi mukati mekamuri yepamusoro yemoyo wako kukamuri yepasi.

Mamiriro ako anozotariswa zvakaringana kutsvaga mhedzisiro, senge yakaderera BP uye kuwedzera moyo kutadza.

Mishonga yekudzora moyo mutinhimira

Mimwe mishonga inogona kushandiswa padhuze nemoyo wekubata madhiragi kuti ubatsire kudzikamisa rwiyo rwemwoyo wako. Izvi zvinouya nenzira yeanodzvinyirira madhiragi, senge:

• amiodarone (Cordarone, Pacerone)
• Dofetilide (Tikosyn)
• flecainide
• propafenone
• sotalol (Betapace)

Mhedzisiro yemhedzisiro yemishonga iyi inogona kusanganisira:

• dzungu
• kuneta
• kugumbuka mudumbu

Ropa rekuvhara mishonga

Kuti uderedze njodzi yekurohwa uye kurohwa nemoyo, chiremba wako anogona kupa mushonga wekuvhara ropa. Ropa rakapfava, rinozivikanwa seanticoagulants, rinogona kubatsira. Anticoagulants chiremba wako anogona kupa anosanganisira rivaroxaban powder (Xarelto) kana warfarin (Coumadin). Iwe ungangoda kuongororwa kana uchitora iyi mishonga.

Dzimwe nzira

Maitiro ekuvhiya, senge catheter ablation, inogona zvakare kubatsira kudzikamisa moyo mutinhimira mune inoramba ichiitika AFib. Izvi zvinosanganisira kutsemura mumoyo mako kunanga nzvimbo dzinonyanya kushanda.

Chiremba wako anogona zvakare kukurudzira mararamiro ehupenyu kuti ubatsire kutsigira mishonga yako kana chero nzira dzekuvhiya. Izvi zvinogona kusanganisira:

• kuchinja kwekudya
• kushushikana manejimendi
• manejimendi ezvirwere zvisingaperi
• kurovedza muviri

Maonero ekupfuurira AFib

Iyo yakareba kwenguva refu AFib inoenda isina kubatwa, zvakanyanya kuomera kuitisa. Kusarapika kunoramba kuripo AFib kunogona kutungamira kune zvachose AFib. Kuva nechero chimiro cheAfib, kusanganisira inoramba iine AFib, inowedzera njodzi yako yekurohwa, kurohwa nemoyo, uye kufa.

Nzira yakanakisa yekudzivirira matambudziko kubva kuAfib ndeyekunyatso gadzirisa uye nekuibata. Kana iwe ukabatwa uine anoramba aripo AFib, taura nachiremba wako nezvese ako sarudzo. Mhedzisiro yakakosha yeiyi nhanho ndeyekuti ive nechokwadi chekuti haina kufambira mberi kuenda mune refu-yakamira kana nhanho yekusingaperi.