Kodi kugunda kwa mtima wanu kukuoneka kuti sikukuyenda bwino? Tiyeni tikambirane za Atrial Fibrillation (AFib)!

Kodi nthawi zina mumamva ngati mtima wanu ukugunda ngati ng'oma, kapena mukungogunda ngati misala mwadzidzidzi? Kapena mumamva zachilendo ngati gulugufe akuuluka pachifuwa panu, kapena nsomba ikuvutika? Izi sizingakhale zinthu zomwe zimangobwera m'maganizo mwanu. Zingakhalenso chizindikiro cha matenda a mtima otchedwa 'Atrial Fibrillation' (AFib) . Chifukwa chake, lero tikambirana za AFib iyi m'njira yosavuta yomwe mungamvetse.

Kodi Atrial Fibrillation (AFib) ndi chiyani? Mwachidule...

Mwachidule, Atrial Fibrillation (AFib) ndi kugunda kwa mtima kosakhazikika komwe kumachitika m'zipinda ziwiri zapamwamba za mtima wanu, zotchedwa atria . Mitima yathu ili ndi dongosolo lamagetsi lomwe limatumiza zizindikiro kumtima kuti zigunde mwadongosolo komanso mwadongosolo. Koma mumtima mwa munthu amene ali ndi AFib, dongosolo lamagetsili siligwira ntchito bwino. M'malo motumiza zizindikiro mwadongosolo, limatumiza zizindikiro zosiyanasiyana nthawi imodzi.

Ganizirani mtima wanu ngati gulu la oimba. Nthawi zambiri, pamakhala wotsogolera m'modzi amene amapereka zizindikiro ndikupangitsa kuti kugunda kumveke bwino. Koma mu AFib, m'malo mwa wotsogolera m'modzi, pamakhala anthu angapo omwe amapereka zizindikirozo mbali zosiyanasiyana. Kenako mamembala a oimba samvetsa kuti akusewera chizindikiro cha ndani. Nyimbozo zasokonezeka kwathunthu, sichoncho? Umu ndi momwe AFib imachititsa kuti zipinda zapamwamba za mtima, atria, ziyambe kugunda mofulumira kwambiri komanso mosokonezeka.

Chifukwa chakuti atria siimakokana bwino, sangathe kupompa magazi bwino kupita ku zipinda zomwe zili pansi pa mtima, ma ventricles . Ma ventricles amayankha zizindikiro kuchokera ku atria, ndipo amayamba kukokana mosakhazikika. Kugunda kwa mtima komwe mumamva kumachitika chifukwa cha kukokana kwa ma ventricles awa. Chifukwa chake, mu AFib, kugunda kumeneku kumakhala kofulumira komanso kosakhazikika.

Kodi mumadziwa bwanji ngati muli ndi AFib? Kodi zizindikiro zake ndi ziti?

Si aliyense amene ali ndi AFib amene ali ndi zizindikiro. Komabe, pali zizindikiro zina zodziwika bwino. Ngati mukukumana ndi zizindikiro izi, ndi bwino kupita kwa dokotala.

• Zimamveka ngati gulugufe akuuluka pachifuwa panu, ngati nsomba ikuvutika . Kapena zimamveka ngati mtima wanu ukugunda mofulumira komanso kugunda pachifuwa panu. Mu zamankhwala, timatchanso kuti "kugunda kwa mtima" .
• Kumva kutopa kwambiri ndi "kutopa kwambiri" . Sikuti kungotopa kokha, komanso kutopa kwambiri moti simungathe kuchita chilichonse.
• Chizungulire kapena mutu wopepuka .
• Nthawi zina mungagwe mphwayi (syncope).
• Kuvuta kupuma (kulephera kupuma mokwanira) . Mungamve ngati mukuvutika kupuma ngakhale mutachita khama pang'ono.
• Kupweteka pachifuwa kapena kufinya (angina).

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, musanyalanyaze.

Kodi AFib ndi matenda oopsa?

Inde, AFib ndi matenda oopsa . Kaya muli ndi zizindikiro kapena ayi, kukhala ndi AFib kumatanthauza kuti kamvekedwe ka mtima wanu sikoyenera. Mtima wanu ukapanda kugunda bwino, pali mwayi waukulu woti magazi amaundana mkati mwa mtima wanu. Ngati magazi amaundanawa achoka mumtima mwanu n’kupita ku chiwalo chofunikira monga ubongo wanu, angayambitse matenda oopsa otchedwa sitiroko . Komanso, ngati muli ndi AFib kwa nthawi yayitali, mtima wanu ukhoza kufooka ndikufooka, zomwe zimapangitsa kuti mukhale ndi vuto lotchedwa kulephera kwa mtima .

Chifukwa chake, ngati muli ndi zizindikiro za AFib, ndikofunikira kwambiri kufunafuna upangiri wachipatala nthawi yomweyo .

Ngati izi zitachitika, imbani 1990 nthawi yomweyo kapena pitani kuchipatala chapafupi:

• Ngati muli ndi ululu waukulu pachifuwa .
• Ngati mukuvutika kupuma kwambiri .
• Ngati mukutaya nzeru kapena mukumva ngati mukufuna kutaya nzeru .

Nchifukwa chiyani AFib imachitika? Kodi zimayambitsa chiyani?

Chifukwa chachikulu cha AFib ndi kusintha kwa minofu ya mtima ndi dongosolo lamagetsi. Pali zinthu zingapo zomwe zingakhudze kusinthaku:

• Matenda ena a mtima: Mwachitsanzo, matenda monga matenda a mitsempha ya mtima, matenda a valve, ndi kulephera kwa mtima zingayambitse AFib.
• Matenda ena: Kuthamanga kwa magazi, kunenepa kwambiri, hyperthyroidism, matenda a impso osatha, komanso kupuma movutikira.
• Zinthu zokhudza majini: Kafukufuku waposachedwapa wapeza kuti kusintha kwina kwa majini kumakhudzana ndi kukula kwa AFib. Nthawi zina mphamvu zimenezi za majini zimatha kukhala chifukwa cha kukula kwa AFib ali wamng'ono.
• Opaleshoni ya mtima: AFib ingathenso kuchitika pambuyo pa opaleshoni ya mtima pazifukwa zina. AFib ingathenso kuchitika panthawi yochira kuchokera ku opaleshoni yopanda mtima.

Ndi zinthu zina ziti zomwe zimawonjezera chiopsezo cha matenda a AFib?

Kuwonjezera pa mikhalidwe yomwe yatchulidwa pamwambapa, zinthu zina zingapo zimawonjezera chiopsezo cha matenda a AFib:

• Kuchuluka kwa zaka: Chiwopsezo cha matenda a AFib chimawonjezeka ndi ukalamba, makamaka mutakwanitsa zaka 65 .
• Kugwiritsa ntchito mowa mopitirira muyeso: Kumwa mowa woposa mlingo woyenera, makamaka kumwa mowa mopitirira muyeso, kumawonjezera chiopsezo cha matenda a AFib.
• Matenda aakulu: Chiwopsezo cha matenda a AFib chimawonjezeka mukakhala ndi matenda oopsa kwambiri moti amafunika kugonekedwa m'chipatala (monga sepsis, matenda oopsa a COVID-19).
• Kusachita masewera olimbitsa thupi:Kusachita masewera olimbitsa thupi okwanira tsiku ndi tsiku ndi chifukwa china cha AFib.
• Kuchita masewera olimbitsa thupi mopitirira muyeso: Ngakhale kuchita masewera olimbitsa thupi n'kwabwino pamtima, kuchita zinthu zambiri sikwabwino. Anthu omwe amachita masewera olimbitsa thupi kwa maola opitilira atatu patsiku, kwa zaka zambiri, alinso pachiwopsezo chachikulu chotenga matenda a AFib.

Kodi madokotala amazindikira bwanji matenda a AFib?

Mayeso ofunikira kwambiri kuti mudziwe molondola ngati muli ndi AFib ndi ECG kapena EKG (Electrocardiogram) .

• Izi zimachitika polemba momwe mtima wanu umagwirira ntchito pa graph. Poyang'ana graph imeneyo, dokotala wanu akhoza kudziwa ngati muli ndi AFib kapena matenda ena a mtima (arrhythmias).

Komanso, dokotala adzachita zinthu izi:

• Adzakuyezani thupi ndikufunsani za mbiri yanu yachipatala.
• Kuyezetsa magazi kungapemphedwe. Akhoza kuyang'ana matenda ena kapena zinthu zina zomwe zingakhudze dongosolo lanu la chithandizo cha AFib.
• Kuyezetsa kwa echocardiogram (echo) kumalamulidwa. Izi zingagwiritsidwe ntchito pofufuza bwino kapangidwe ndi ntchito ya mtima.
• Mungapatsidwe chowunikira chaching'ono (chowunikira cha Holter kapena chowunikira zochitika za mtima) chomwe mungavale kwa masiku angapo kapena sabata. Ichi chingajambule nthawi zonse momwe mtima wanu umagwirira ntchito pamene mukuchita ntchito zanu za tsiku ndi tsiku komanso ngakhale mukugona.

Kodi pali magawo osiyanasiyana a AFib?

Inde, AFib ndi vuto la "kupita patsogolo". Izi zikutanthauza kuti, limatha kudutsa m'magawo osiyanasiyana ndikuipiraipira pakapita nthawi. Madokotala amaganizira magawo awa akamazindikira ndi kuchiza AFib:

• Gawo 1: Ali pachiwopsezo cha AFib
• Gawo 2: Pre-AFib
• Gawo 3: AFib `(AFib)` (Ili lilinso ndi magawo angapo ang'onoang'ono)
• Gawo 4: AFib Yokhazikika

Gawo 1: Ali pachiwopsezo cha AFib

Izi zikutanthauza kuti muli ndi zinthu zomwe zingakupangitseni kukhala ndi AFib. Mwachitsanzo:

• Kuthamanga kwa magazi
• Kunenepa kwambiri
• Matenda a shuga
• Kuvuta kupuma ndi kukodza (kupuma movutikira)
• Kugwiritsa ntchito mowa mopitirira muyeso
• Matenda a mtima ndi mitsempha yamagazi
• Zaka zoposa 65

Ngati muli ndi zinthu izi, mungakhale pachiwopsezo chotenga AFib.

Gawo 2: Pre-AFib

Pa nthawiyi, mungazindikire kusintha kwa magetsi kapena kapangidwe ka mtima wanu. Izi zimawonjezera chiopsezo chanu chokhala ndi AFib. Madokotala amafufuza zizindikiro monga izi:

• Tachycardia ya mtima
• Kugwedezeka kwa mtima
• Atrium yokulirapo kumanzere ndi/kapena kumanja
• Kugunda kwa mtima pafupipafupi kwa ectopic

Komanso, anthu omwe ali ndi matenda omwe amawaika pachiwopsezo chachikulu cha AFib, monga `(Matenda a mitsempha ya mtima)`, `(Kulephera kwa mtima)`, `(Matenda a valve ya mtima)`, `(Hyperthyroidism)`, `(Hypertrophic cardiomyopathy)`, ndi `(Matenda a mitsempha ya ubongo)`, akhoza kugwa mu gawo lachiwirili.

Gawo 3: AFib (palinso zina mwa izi)

Ngati ECG ikutsimikizira kuti muli ndi AFib, muli mu gawo ili. Koma gawo ili limatha kusiyana. Anthu ena ali ndi zizindikiro zomwe zimabwera ndikupita, pomwe ena amapitirizabe kukhala ndi AFib ngakhale atalandira chithandizo. Ichi ndichifukwa chake madokotala amagawa gawoli m'magawo anayi:

• Paroxysmal AFib: Mu mtundu uwu wa AFib, AFib imachitika pang'onopang'ono ndipo imatha yokha mkati mwa sabata imodzi, nthawi zambiri popanda chithandizo. Komabe, mungakhalebe ndi vuto panthawi yochepayi. Muli pachiwopsezo chachikulu cha sitiroko kuposa anthu omwe alibe AFib.
• AFib Yosatha: Apa ndi pamene AFib imakhala yosatha , zomwe zikutanthauza kuti imatenga nthawi yoposa sabata imodzi. Chithandizo chikufunika kuti ithetsedwe.
• AFib yokhazikika kwa nthawi yayitali: Pankhaniyi, AFib imapitirira kwa chaka chimodzi kapena kuposerapo.
• Pambuyo pochiza bwino kuchotsa ziwalo: AFib yasiya kugwira ntchito pambuyo pa opaleshoni kapena chithandizo chogwiritsa ntchito catheter (ablation).

Mukapezeka ndi AFib, mutha kusuntha pakati pa magawo ang'onoang'ono awa. Mwachitsanzo, ngakhale mutachotsa bwino, AFib yosatha ikhoza kubwerera pakapita nthawi.

Gawo 4: AFib Yokhazikika

Izi zikutanthauza kuti inu ndi dokotala wanu mwagwirizana kuti simudzakhalanso ndi chithandizo chowongolera AFib yanu, ndipo mudzakhalabe mu AFib kwamuyaya. Chisankhochi chimapangidwa kutengera momwe mulili.

Kodi mankhwala a AFib ndi ati?

AFib ikhoza kuchiritsidwa ndi chimodzi kapena zingapo mwa izi:

• Kusintha kwa moyo
• Mankhwala
• Chithandizo cha ablation
• Mankhwala ena

Kusintha kwa moyo

Izi ndi zinthu zomwe mungachite tsiku lililonse kuti muteteze AFib kuti isakule kwambiri. Kusintha kwa moyo wanu ndikofunikira ngakhale musanayambe kukhala ndi zizindikiro. Dokotala wanu angakuthandizeni ndi izi:

• Kukuthandizani kukhala ndi kulemera kwabwino .
• Kuchepetsa kumwa mowa.
• Pewani kugwiritsa ntchito fodya (monga ndudu).
• Kuchita masewera olimbitsa thupi tsiku lililonse kumafunika kuchuluka koyenera.
• Kuwongolera bwino matenda omwe amawonjezera chiopsezo cha matenda a AFib, monga kuthamanga kwa magazi, kunenepa kwambiri, kupuma movutikira, komanso matenda a shuga.

Mankhwala

Dokotala wanu angakupatseni mankhwala oletsa kugunda kwa mtima wanu komanso/kapena kugunda kwa mtima. Mankhwalawa angathandize kupewa kuwonongeka kwa mtima wanu ndikuchepetsa kusasangalala ndi nkhawa zomwe mungamve. Dokotala wanu angakupatseninso mankhwala ochepetsa chiopsezo cha magazi kuundana ndi sitiroko.

Mitundu ya mankhwala ofunikira kuti muchepetse AFib imatha kusintha pakapita nthawi. Nthawi zambiri, ngati muli pachiwopsezo cha sitiroko, muyenera kumwa mankhwala ochepetsa magazi (anticoagulants) . Madokotala nthawi zambiri amalemba mankhwala oletsa magazi kutuluka m'magazi (DOACs - Direct Oral Anticoagulants). Zitsanzo:

• `Apixaban`
• Rivaroxaban
• `Dabigatran`
• `Edoxaban`

Nthawi zina, mankhwala otchedwa ``Warfarin'' amaperekedwa m'malo mwa ``DOACs''.

Mankhwala owongolera kugunda kwa mtima wanu:

• `Carvedilol`
• 'Digoxin'
• `Diltiazem`
• 'Metoprolol'
• `Verapamil`

Mankhwala omwe amathandiza mtima wanu kugunda bwino:

• `Amiodarone`
• `Dofetilide`
• `Dronedarone`
• `Flecainide`
• `Propafenone`

Chithandizo cha Ablation (Ablation ya AFib)

Kuchotsa magazi m'thupi (AFib) ndi mawu ofala a gulu la mankhwala omwe amapanga minofu yochepa ya zipsera m'malo ena a mtima. Ngakhale nthawi zambiri timaganiza kuti minofu ya zipsera ndi chinthu choopsa, pankhaniyi, minofu ya zipsera iyi imathandiza kuti magetsi a mtima azigwira ntchito bwino. Minofu ya zipsera iyi imaletsa zizindikiro zamagetsi zosazolowereka kuti zisadutse mumtima. Izi zimathandiza kuti kugunda kwa mtima kubwerere mwakale.

Pali njira zingapo zapadera zochotsera thupi zomwe dokotala wanu wa mtima angakulimbikitseni pa AFib:

• Kuchotsa catheter: Iyi ndi njira yochepetsera kufalikira kwa magazi. Dokotala wa opaleshoni amaika chubu chopyapyala (catheter) kudzera mu imodzi mwa mitsempha yanu yamagazi kupita mumtima mwanu. Kuchotsa mitsempha ya m'mapapo (PVI ablation) ndi njira yodziwika kwambiri yochotsera catheter ya AFib.
• Njira ya Maze: Izi zimatchedwanso opaleshoni yochotsa zipsera. Dokotala wa opaleshoni amapanga mawonekedwe a "maze" a minofu ya zipsera mumtima kuti aletse zizindikiro zosazolowereka. Izi nthawi zambiri zimachitika nthawi imodzi ndi opaleshoni ina ya mtima (monga opaleshoni ya mtima kudzera mu mitsempha ya mtima kapena opaleshoni ya valve).

Mankhwala ena

Njira zina zochizira matenda a AFib:

• Kusinthasintha kwa mtima:Pachifukwa ichi, dokotala adzagwiritsa ntchito chipangizo chamagetsi (defibrillator) kapena kukupatsani mankhwala kuti mtima wanu ubwerere mwakale.
• Kutseka kwa gawo lamanzere la atrium (LAA): Ngati simungathe kulekerera mankhwala ochepetsa magazi, chipangizo chaching'ono chingaikidwe mumtima mwanu kuti muchepetse chiopsezo chanu cha sitiroko. Izi zimagwira ntchito potseka gawo lamanzere la atrium , gawo laling'ono la mtima longa thumba lomwe lingapangitse magazi kuundana mosavuta.

Kodi mtima umabwerera mwakale pambuyo pa AFib?

Inde, nthawi zina mtima wanu umabwerera ku kayimbidwe kabwinobwino kokha. Izi ndi zomwe zimachitika mu ``Paroxysmal AFib``. Ngati muli ndi ``chosatha`` kapena ``AFib`` yomwe yakhalapo kwa nthawi yayitali, mudzafunika chithandizo kuti muletse kugunda kwa mtima kosakhazikika.

Koma chofunika kwambiri ndichakuti AFib sichitha kuchiritsidwa. Ndi vuto la moyo wonse. Dokotala wanu angakuthandizeni kuthana nalo. Chithandizo chingachepetse chiopsezo chanu cha sitiroko ndikupangitsa kuti zizindikiro zanu zisakhale zovuta kwambiri.

Kodi mungakhale ndi AFib kwa nthawi yayitali bwanji?

Kafukufuku wofalitsidwa mu 2024 adapeza kuti anthu omwe ali ndi AFib amatha kukhala ndi moyo wautali pang'ono kuposa omwe alibe AFib. Izi zimasiyana malinga ndi zaka zomwe amapezeka nazo.

Koma kumbukirani kuti ziwerengero zimangofotokoza mbali imodzi yokha ya nkhaniyi. Ngati mugwira ntchito ndi gulu lanu lachipatala kuti muthane bwino ndi matenda anu a AFib ndi matenda ena, muli ndi mwayi wokhala ndi moyo wautali komanso wathanzi .

Kodi ndimadzisamalira bwanji?

Makhalidwe omwewo omwe amachepetsa chiopsezo chanu cha AFib adzakuthandizani kukhalabe bwino ngakhale mutakhala ndi AFib.

• Kudya chakudya chopatsa thanzi .
• Kuchita masewera olimbitsa thupi kwa mphindi 30 patsiku, osachepera masiku 5 pa sabata, ndi kwabwino kwambiri pamtima. Ngati zikukuvutani kuchita masewera olimbitsa thupi mosalekeza, mutha kugawa m'magawo a mphindi 10.
• Kusiya fodya ndi mowa kumathandizanso kwambiri pamtima.

Ndiyenera kupita kwa dokotala liti?

Palibe ndondomeko yokwanira yonse pa izi. Zimatengera zizindikiro zanu, dongosolo la chithandizo, ndi zotsatirapo ngati mwachitidwapo opaleshoni iliyonse. Chifukwa chake, ndikofunikira kulankhula ndi dokotala wanu ndikupanga dongosolo lomwe lingagwire ntchito kwa inu.

• Pitani kwa dokotala nthawi yake popanda kuphonya nthawi iliyonse.
• Nthawi zonse sungani mndandanda wa mankhwala omwe mumatenga, ndipo mutenge nawo mukapita kwa dokotala. Ndibwinonso kusunga mndandandawu m'chikwama chanu ngati pachitika zadzidzidzi.
• Pa nthawi iliyonse yokumana ndi dokotala, uzani dokotala wanu za zizindikiro zatsopano zomwe muli nazo komanso zotsatirapo zilizonse zoyipa zomwe zingachitike chifukwa cha mankhwala anu.
• Nthawi zonse funsani dokotala wanu musanamwe mankhwala ogulitsidwa kunja kwa chipatala (OTC) (monga mankhwala a chimfine ndi chifuwa) ndi zakudya zowonjezera.Nthawi zina izi zingakhudze kugunda kwa mtima wanu kapena kuyanjana ndi mankhwala ena omwe mukumwa.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mafunso ena omwe mungafunse dokotala wanu:

• Kodi ndingachepetse bwanji zoopsa zomwe ndili nazo?
• Kodi munganditumizire kwa katswiri wa zakudya?
• Kodi mungapangire mapulogalamu aliwonse azaumoyo ndi olimbitsa thupi pafupi?

Kodi mungathe kuwona ngati muli ndi AFib kunyumba?

Ngati mukuganiza kuti muli ndi zizindikiro za AFib, chofunika kwambiri ndi kuyimbira dokotala nthawi yomweyo ndikumuuza zomwe mukumva. Mwina angakuuzeni kuti muyang'ane kugunda kwa mtima kwanu. Ngati sikukuyenda bwino kapena kufooka, kungakhale chizindikiro cha AFib.

Koma nthawi zina, simungamve kusintha kulikonse mumtima mwanu, makamaka ngati AFib yanu siili yoopsa kwambiri. M'malo mwake, mungamve kutopa kapena kupuma movutikira. Simungathe kudziwa ngati zizindikiro zanu zikuchokera ku AFib kapena china chake. Ndicho chifukwa chake ndikofunikira kulankhula ndi dokotala wanu. Simungasankhe nokha kuti muli ndi AFib.

Kodi AFib ndi yofala bwanji?

Anthu opitilira 33 miliyoni azaka zopitilira 55 padziko lonse lapansi apezeka ndi AFib. Ku United States kokha, akuti anthu 12 miliyoni adzakhala ndi AFib pofika chaka cha 2030. AFib imayambitsa pafupifupi theka la miliyoni ku United States chaka chilichonse, ndipo chiwerengero cha anthu omwe amafa chifukwa cha matendawa chikuwonjezeka chaka chilichonse.

Kupeza kuti muli ndi AFib kungakhale koopsa, kotopetsa, komanso kosokoneza. Koma simuli nokha. Anthu mamiliyoni ambiri padziko lonse lapansi akuphunzira njira zatsopano zothanirana ndi vutoli ndikukhala ndi moyo wachimwemwe. Dokotala wanu angakuuzeni zambiri zokhudza njira zamankhwala, zinthu zothandizira, ndi madera othandizira.

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira kuchokera m'nkhaniyi?

Chabwino, nazi zinthu zina zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

- AFib ndi vuto lomwe kugunda kwa mtima kumakhala kosasinthasintha, ndipo kumatha kukhala koopsa, ngakhale popanda zizindikiro. Pali chiopsezo cha zovuta, makamaka sitiroko.

- Dziwani zizindikiro monga kuuma pachifuwa, kutopa, chizungulire, komanso kupuma movutikira. Ngati mukukumana ndi chilichonse mwa izi, onetsetsani kuti mwaonana ndi dokotala.

- AFib ndi matenda ochiritsika. Amatha kulamulidwa bwino ndi kusintha moyo, mankhwala, ndipo nthawi zina, mankhwala monga "ablation".

- Moyo wathanzi (zakudya zabwino zopatsa thanzi, kuchita masewera olimbitsa thupi nthawi zonse)Kukhala ndi moyo wathanzi (kuchita masewera olimbitsa thupi, kusuta fodya, ndi kumwa mowa) ndikofunikira kwambiri poletsa matenda a mtima komanso kukhala ndi thanzi labwino.

- Simuli nokha paulendowu. Lankhulani ndi dokotala wanu kuti mupange dongosolo la chithandizo ndi njira yoyendetsera matenda yomwe ingakuthandizeni kwambiri. Musaope kufunsa mafunso ndikugawana malingaliro anu.

Kumbukirani, kudziwa bwino zinthu ndi gawo loyamba la moyo wathanzi!

` Atrial Fibrillation, AFib, kugunda kwa mtima, kugunda kwa mtima kosasinthasintha, sitiroko, matenda a mtima, matenda a mtima, kupweteka pachifuwa, kugunda kwa mtima, thanzi la mtima