Kodi mtima wanu umayamba kugunda mofulumira mwadzidzidzi? Tiyeni tikambirane za Atrial Fibrillation (AFib)!

Kodi nthawi zina mumamva ngati chifuwa chanu chikugunda mwadzidzidzi, ngati kuti winawake akuthamanga mkati? Kapena mumamva ngati gulu la agulugufe akuuluka mkati mwa chifuwa chanu, kapena kumva kwachilendo ngati nsomba ikuvutika? Ngati zinthuzi zikugwirizana ndi zinthu monga kutopa ndi chizungulire, musangozinyalanyaza ndi kuganiza kuti ndi zachilendo. Izi zitha kukhala zizindikiro za vuto linalake ndi kayimbidwe ka mtima wanu. Lero tikulankhula za Atrial Fibrillation, kapena AFib mwachidule, vuto lomwe kayimbidwe ka mtima kamasokonekera ndipo kamawoneka mwa anthu ambiri.

Mwachidule, kodi Atrial Fibrillation (AFib) ndi chiyani?

Chabwino, tiyeni timvetse izi mosavuta. Mtima wathu ndi pampu yodabwitsa. Uyenera kugwira ntchito mwadongosolo, mu rhythm. Rhythm iyi imayendetsedwa ndi dongosolo lamagetsi lachilengedwe mumtima mwathu. Kunena zoona, chifukwa cha zizindikiro zamagetsi zomwe zimachokera mu dongosololi, minofu ya mtima imakokana panthawi yoyenera ndikupompa magazi.

Tsopano taganizirani gulu lalikulu la oimba. Ngati pali wotsogolera mmodzi yekha, aliyense amamuyang'ana ndipo amaimba mofanana. Nyimbozo zimakhala zokongola kwambiri. Koma bwanji ngati otsogolera khumi abwera nthawi imodzi ndikuyamba kugwedeza manja awo m'njira zosiyanasiyana? Osewera sakudziwa kuti amvere ndani. Nyimbo zonse zimakhala zosokoneza, sichoncho?

AFib ndi chinthu chonga chimenecho. Pali cholakwika ndi dongosolo lomwe limatumiza zizindikiro zamagetsi ku zipinda ziwiri zapamwamba za mtima (timazitcha kuti atria). M'malo mwa chizindikiro chimodzi, zizindikiro zambiri zachangu komanso zosokoneza zimayamba kubwera kuchokera kumalo osiyanasiyana nthawi imodzi. Chifukwa cha izi, zipinda ziwiri zapamwamba za mtima sizimapindika bwino, koma zimanjenjemera. Izi ndi zomwe timazitcha Fibrillation .

Zipinda ziwiri zapamwamba zikapanda kugwira ntchito bwino, magazi samayenda bwino kupita ku zipinda ziwiri zomwe zili pansi pake (ventricles). Komanso, chifukwa cha zizindikiro zosokonezazi zochokera pamwamba, zipinda ziwiri zapansi zimayambanso kugunda mosokonezeka komanso mwachangu kwambiri. Ndi kugunda kwa zipinda ziwiri zapansi izi komwe timamva ngati kugunda kwa mtima pachifuwa chathu. Chifukwa chake, ichi ndichifukwa chake munthu yemwe ali ndi AFib amakhala ndi kugunda kwa mtima kosasinthasintha, nthawi zina mofulumira kwambiri.

Kodi zizindikiro za AFib ndi ziti? Kodi inunso mumaziona choncho?

Si aliyense amene ali ndi AFib amene ali ndi zizindikiro zofanana. Anthu ena sangamve chilichonse. Koma pali zizindikiro zina zodziwika bwino. Tiyeni tiwone zomwe zili.

Kodi matenda a AFib ndi oopsa? N’chifukwa chiyani tiyenera kusamala?

Inde, AFib ndi matenda oopsa. Chiwopsezo chachikulu ndi sitiroko .

Zimachitika motere: Zipinda ziwiri zapamwamba za mtima zikalephera kugwira bwino ntchito ndipo sizikugwedezeka, magazi amayamba kusonkhana mkati mwawo. Monga madzi omwe sangayende. Magazi omwe amasonkhana pamalo amodzi amatha kupanga magazi oundana mosavuta. Ngati magazi oundana atuluka, amayenda m'mitsempha yamagazi, ndikukakamira mumtsempha wamagazi waung'ono muubongo, amatha kuletsa kuyenda kwa magazi kupita ku ubongo ndikuyambitsa sitiroko.

Kuphatikiza apo, mtima ukagwira ntchito molakwika komanso mwachangu mwanjira imeneyi kwa nthawi yayitali, minofu ya mtima imatha kufooka komanso kupangitsa kuti mtima usagwire bwino ntchito . Izi zikutanthauza kuti mtima sungathe kupopa magazi omwe thupi limafunikira.

Chifukwa chake, ngati muli ndi zizindikiro za AFib, ndikofunikira kwambiri kukaonana ndi dokotala mwamsanga.

Izi ndi zadzidzidzi! Ngati muli ndi zizindikiro izi, funani chithandizo mwamsanga.

• Ngati muli ndi ululu waukulu pachifuwa
• Ngati n'kovuta kwambiri kupuma
• Ngati mwataya chidziwitso kapena mukumva ngati mwatsala pang'ono kutaya chidziwitso

Zikatero, imbani foni nthawi yomweyo ku 1990 kapena pitani ku chipatala chapafupi cha Emergency Department (ETU) . Nthawi ndi yofunika kwambiri.

Nchifukwa chiyani timapeza AFib? Kodi zinthu zomwe zimayambitsa chiopsezo ndi ziti?

Palibe chifukwa chimodzi chokha cha AFib. Pali zifukwa zingapo zomwe zingachitike. Kwenikweni, chilichonse chomwe chingawononge minofu ya mtima kapena makina ake amagetsi chingayambitse AFib.

Zifukwa zazikulu ndi zoopsa zake:

• Matenda ena a mtima: Muli ndi mwayi waukulu wopeza matenda a AFib ngati muli kale ndi matenda monga kulephera kwa mtima, matenda a mitsempha ya mtima, kapena matenda a valve ya mtima.
• Kuthamanga kwa Magazi Kwambiri: Kuthamanga kwa magazi kosalamulirika kungawononge mtima kwa nthawi yayitali.
• Ukalamba: Chiwopsezo cha matenda a AFib chimawonjezeka kwambiri munthu akakwanitsa zaka 65.
• Kunenepa kwambiri: Kulemera kwambiri kwa thupi kumawonjezera mavuto pa mtima.
• Matenda a shuga: Matenda a shuga ndi chinthu chachikulu chomwe chimakhudza thanzi la mtima.
• Hyperthyroidism: Kuwonjezeka kwa mahomoni a chithokomiro kumatha kuonjezera kugunda kwa mtima ndikuyambitsa AFib.
• Matenda a Obstructive Sleep Apnea: Matendawa amaikanso mtima pamavuto.
• Kumwa mowa mopitirira muyeso: Kumwa mowa wambiri nthawi zonse kapena nthawi imodzi ndi chifukwa chachikulu cha AFib.
• Kusachita masewera olimbitsa thupi: Moyo wokhala ndi zochita zochepa zolimbitsa thupi nawonso ndi chiopsezo.
• Zinthu Zokhudza Majini (Zosiyanasiyana za Majini): Ngati wina m'banja mwanu ali ndi AFib, inunso mungakhale pachiwopsezo chotenga matendawa.
• Opaleshoni ya mtima: AFib ikhoza kuchitika kwakanthawi pambuyo pa opaleshoni ya mtima pazifukwa zina.

Kodi dokotala amazindikira bwanji matenda a AFib?

Mukapita kwa dokotala, adzakufunsani za zizindikiro zanu ndikukuyesani thupi. Kenako, angachite mayeso angapo kuti atsimikizire AFib ndikupeza chomwe chikuyambitsa.

• Electrocardiogram (ECG/EKG): Iyi ndi njira yofunika kwambiri yoyezera. Masensa ang'onoang'ono amaikidwa pachifuwa panu, m'manja, ndi m'miyendo kuti alembe momwe magetsi a mtima wanu amagwirira ntchito. Izi zingakuuzeni ngati kugunda kwa mtima wanu sikuli bwino kapena ngati muli ndi AFib.
• Echocardiogram (Echo): Ichi chili ngati kusanthula mtima. Chimagwiritsa ntchito mafunde a phokoso kuti chipeze chithunzi chabwino cha kukula kwa mtima, mawonekedwe ake, ntchito ya valavu, ndi momwe umapopera magazi.
• Holter Monitor: Nthawi zina AFib siimakhalapo nthawi zonse. Imabwera ndi kutuluka. Pazochitika zotere, singazindikirike ndi ECG yokhazikika. Pankhaniyi, dokotala wanu adzakupatsani makina ang'onoang'ono a ECG omwe mungavalire kwa maola 24 kapena 48. Izi zitha kuyang'anira momwe mtima wanu ukuyendera pamene mukuchita ntchito zanu zatsiku ndi tsiku.
• Kuyesa Magazi: Kuyesa magazi kumachitika kuti aone ngati pali matenda ena omwe angakhudze AFib, monga mavuto a chithokomiro ndi ntchito ya impso.

Kodi AFib imachiritsidwa bwanji?

Pali zolinga ziwiri zazikulu pochiza AFib:

1. Kupewa sitiroko.

2. Kulamulira kugunda kwa mtima ndi kubwezeretsa kamvekedwe kabwinobwino.

Njira zochiritsira zimadalira zaka zanu, kuopsa kwa zizindikiro zanu, ndi matenda ena.

Kodi mungakhale bwanji ndi AFib?

Musachite mantha kapena kuchita mantha ngati mutapeza kuti muli ndi AFib. Ndi vuto lomwe lingathe kuthetsedwa. Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola.

• Imwani mankhwala anu pa nthawi yake: Musaphonye tsiku limodzi la mankhwala anu, makamaka mankhwala ochepetsa magazi.
• Yesani kugunda kwa mtima kwanu: Funsani dokotala wanu kuti akuphunzitseni momwe mungayezere kugunda kwa mtima kwanu m'dzanja lanu. Nthawi zonse yesani kuona ngati sikukuyenda bwino kapena kuli kofulumira.
• Moyo wathanzi: Izi ndizofunikira kwambiri. Kudya zakudya zokhala ndi mchere wochepa, mafuta ochepa, ndi shuga wochepa, kudya zipatso ndi ndiwo zamasamba zambiri, komanso kuchita masewera olimbitsa thupi tsiku lililonse kungathandize kwambiri pakuwongolera matenda a AFib.
• Pitani kuchipatala nthawi zonse: Pitani kuzipatala pa masiku omwe akonzedwa. Uzani dokotala wanu za kusintha kulikonse kapena zizindikiro zatsopano zomwe mwazindikira.

AFib si chinthu choopedwa, koma chinthu choyenera kusamalidwa. Ndi chithandizo choyenera komanso kusintha kwa moyo wanu, inunso mutha kukhala ndi moyo wathanzi komanso wokangalika.