Dzimwe nguva unonzwa sekuti chipfuva chako chiri kurova kamwe kamwe, sekunge mumwe munhu ari kumhanya mukati here? Kana kuti unonzwa sekuti boka remashavishavi riri kubhururuka mukati mechipfuva chako, kana kuti kunzwa kusinganzwisisike sekunge hove iri kutambudzika? Kana zvinhu izvi zvichiperekedzwa nezvinhu zvakaita sekuneta nedzungu, usangozvifuratira wofunga kuti zvakajairika. Izvi zvinogona kunge zviri zviratidzo zvechimwe chinhu chisina kunaka nemoyo wako. Nhasi tiri kutaura nezveAtrial Fibrillation, kana kuti AFib muchidimbu, chirwere umo moyo unokanganiswa uye chinoonekwa muvanhu vazhinji.
Zvichitaurwa zviri nyore, chii chinonzi Atrial Fibrillation (AFib)?
Zvakanaka, ngatinzwisise izvi zviri nyore. Mwoyo wedu ipombi inoshamisa. Inofanira kushanda zvakarongeka, mumutinhimira. Mutinhimira uyu unodzorwa nehurongwa hwemagetsi hwechisikigo mumoyo medu. Kutaura chokwadi, imhasuru dzemwoyo dzinobatana panguva chaiyo nekuda kwezviratidzo zvemagetsi zvinobva muhurongwa uhwu.
Zvino fungidzira chikwata chikuru chevaimbi. Kana paine mutungamiriri mumwe chete, munhu wese anomutarisa uye anoridza mutinhimira mumwe chete. Mimhanzi yacho yakanaka kwazvo. Asi chii chinoitika kana vatungamiriri gumi vakauya panguva imwe chete votanga kusimudza maoko avo nenzira dzakasiyana? Vatambi havazivi kuti voteerera ani. Mimhanzi yese inova isina kurongeka, handiti?
AFib chinhu chakadaro. Pane chimwe chinhu chisina kunaka nehurongwa hunotumira masaini emagetsi kumakamuri maviri epamusoro emoyo (tinodaidza kuti atria). Panzvimbo pechiratidzo chimwe chete, masaini mazhinji anokurumidza, asina kugadzikana anotanga kubva kunzvimbo dzakasiyana panguva imwe chete. Nekuda kweizvi, makamuri maviri epamusoro emoyo haagumbuke zvakanaka, asi anodedera. Izvi ndizvo zvatinodaidza kuti Fibrillation .
Kana makamuri maviri epamusoro asingashande zvakanaka, ropa haripombi zvakanaka kuenda kumakamuri maviri ari pasi pawo (ventricles). Zvakare, nekuda kwezviratidzo izvi zvisingawirirane kubva kumusoro, makamuri maviri epasi anotangawo kurova zvine ruzha uye nekukurumidza. Kurova kwemakamuri maviri epasi aya ndiko kwatinonzwa sekurova kwemoyo muchipfuva chedu. Saka, ndosaka munhu ane AFib aine kurova kwemoyo kusina kurongeka, dzimwe nguva nekukurumidza zvikuru.
Ndezvipi zviratidzo zveAFIB? Unonzwawo izvi here?
Havasi vese vane AFib vane zviratidzo zvakafanana. Vamwe vanhu vangasanzwa chero chinhu. Asi pane zvimwe zviratidzo zvakajairika. Ngationei kuti chii.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kurova kwemoyo | Kunzwa semashavishavi ari kubhururuka muchipfuva chako, sehove iri kurwisana, kana kuti sekuti moyo wako uri kurova kana kurova zvine simba. |
| Kuneta Kwakanyanya | Kunzwa kuneta zvakanyanya pasina chikonzero. Dambudziko iri rinoitika kana moyo usingashande zvakanaka, zvichiita kuti muviri usawane okisijeni nezvinovaka muviri zvaunoda. |
| Dzungu kana kuti musoro mutete | Kurova kwemoyo zvisina kurongeka kunogona kuderedza huwandu hweropa rinosvika kuuropi, izvo zvinogona kukonzera dzungu. |
| Kufenda (syncope) | Mune zvimwe zviitiko zvakakomba, kuyerera kweropa kuenda kuuropi kunogona kukanganisa zvakanyanya , zvichikonzera kurasikirwa nepfungwa. |
| Kushaya Mweya (Dyspnea) | Kana moyo usingakwanise kupomba ropa zvakanaka, ropa iroro rinogona kuungana mumapapu, zvichiita kuti zviome kufema. |
| Marwadzo eChipfuva (Marwadzo eChipfuva - Angina) | Nekuti moyo unorova nekukurumidza, tsandanyama dzemwoyo dzinogona kusawana okisijeni yakakwana, izvo zvinogona kukonzera kuomarara kwechipfuva kana kurwadziwa. |
Chinhu chakakosha ndechekuti, kungave uine zviratidzo izvi kana kwete, AFib haisi chirwere chekurerutsa, sezvo chinogona kukonzera matambudziko akakomba.
Ko AFib chirwere chakakomba here? Sei tichifanira kungwarira?
Ehe, AFib chirwere chakakomba. Njodzi huru sitiroko .
Zvinoitika seizvi: Kana makamuri maviri epamusoro emoyo asinganyatsobatirira uye achidedera, ropa rinotanga kuungana mukati mawo. Semvura isingakwanise kuyerera. Ropa rinoungana panzvimbo imwe rinogona kuumba magwamba eropa zviri nyore. Kana gwamba reropa rikabuda, richifamba nemutsinga yeropa, uye rikabatwa mutsinga diki yeropa muuropi, rinogona kumisa kuyerera kweropa kuenda kuuropi uye kukonzera sitiroko.
Pamusoro pezvo, kana mwoyo ukashanda zvisina kurongeka uye nekukurumidza nenzira iyi kwenguva yakareba, tsandanyama dzemwoyo dzinogona kupera simba uye kutokonzera kutadza kushanda kwemoyo . Izvi zvinoreva kuti moyo haugone kupomba huwandu hweropa hunodiwa nemuviri.
Saka, kana uine zviratidzo zveAFIB, zvakakosha kuti uone chiremba wako nekukurumidza.
Izvi zvinonetsa! Kana uine zviratidzo izvi, tsvaga rubatsiro nekukasika.
- Kana uine kurwadziwa kwakanyanya pachipfuva
- Kana zvakaoma kufema
- Kana ukarasikirwa nepfungwa kana kuti uchinzwa sekunge wava kuda kurasikirwa nepfungwa
Kana zvakadaro, fonera 1990 nekukasika kana kuti enda kuchipatara chiri pedyo neEmergency Department (ETU) . Nguva ndiyo inokosha.
Sei tichiwana AFib? Ndezvipi zvinhu zvinokonzera njodzi?
Hapana chikonzero chimwe chete cheAFIB. Pane zvikonzero zvakawanda zvinogona kunge zviripo. Chaizvoizvo, chero chinhu chinokuvadza nyama yemoyo kana mashandiro ayo emagetsi chinogona kukonzeraAFIB.
Zvikonzero zvikuru uye zvinhu zvine njodzi:
- Zvimwe zvirwere zvemwoyo: Une mukana wekuti uve neAFIB kana uine zvirwere zvakaita sekushaya simba kwemoyo, chirwere chetsinga dzemwoyo, kana chirwere chevharuvhu yemoyo.
- Kukwira Kweropa: Kukwira kweropa kusingadzoreki kunogona kukuvadza moyo kwenguva refu.
- Kukwegura: Njodzi yekubatwa neAFib inowedzera zvakanyanya mushure memakore makumi matanhatu nemashanu.
- Kufuta: Kurema kwakanyanya kwemuviri kunoisa mutoro wakanyanya pamoyo.
- Chirwere cheshuga: Chirwere cheshuga chinhu chikuru chinokanganisa hutano hwemwoyo.
- Hyperthyroidism: Kuwedzera kwemahormone ethyroid kunogona kuwedzera kurova kwemoyo uye kukonzera AFib.
- Obstructive Sleep Apnea: Dambudziko iri rinoisawo kumanikidzwa kwemoyo.
- Kunwa doro zvakanyanya: Kunwa doro rakawanda nguva dzose kana panguva imwe chete ndicho chikonzero chikuru cheAFib.
- Kusaita maekisesaizi: Mararamiro asina maekisesaizi akawanda ane njodziwo.
- Zvinhu Zvinokonzera Majini (Majini Akafanana): Kana mumwe munhu mumhuri yako aine AFib, unogona kunge uri panjodzi yekuibatawo.
- Kuvhiyiwa kwemoyo: AFib inogona kuitika kwenguva pfupi mushure mekuvhiyiwa kwemoyo nekuda kwechimwe chikonzero.
Chiremba anoongorora sei chirwere cheAFIB?
Kana ukaenda kuna chiremba, achakubvunza nezvezviratidzo zvako uye oita bvunzo yemuviri. Zvadaro, vanogona kuita bvunzo dzakawanda kuti vasimbise AFib uye vaone chikonzero chacho.
- Electrocardiogram (ECG/EKG): Iyi ndiyo bvunzo inonyanya kukosha. Masensa madiki anoiswa pachipfuva chako, maoko, nemakumbo kuti anyore mashandiro emagetsi emwoyo wako. Izvi zvinogona kukuudza zvechokwadi kana kurova kwemoyo wako kusina kurongeka kana kuti kana uine AFib.
- Echocardiogram (Echo): Izvi zvakafanana nekuongororwa kwemoyo. Inoshandisa mafungu eruzha kuti iwane mufananidzo wakanaka wehukuru hwemoyo, chimiro, mashandiro evharuvhu, uye kuti unopomba sei ropa.
- Holter Monitor: Dzimwe nguva AFib haigari iripo. Inouya yoenda. Muzviitiko zvakadaro, ingasaonekwa neECG yenguva dzose. Muchiitiko ichi, chiremba wako achakupa muchina mudiki weECG waunogona kupfeka kwemaawa makumi maviri nemana kana makumi mana nemasere. Izvi zvinogona kutarisa mashandiro emoyo wako paunenge uchiita mabasa ako ezuva nezuva.
- Kuongororwa kweRopa: Kuongororwa kweropa kunoitwa kuti kuonekwe zvimwe zvirwere zvinogona kukanganisa AFib, zvakaita sematambudziko ethyroid uye mashandiro eitsvo.
AFib inorapwa sei?
Pane zvinangwa zvikuru zviviri mukurapa AFib:
1. Kudzivirira sitiroko.
2. Kudzora kurova kwemoyo uye kudzoreredza rhythm yakajairika.
Nzira dzekurapa dzinoenderana nezera rako, kuoma kwezviratidzo zvako, uye zvimwe zvirwere.
| Nzira yekurapa | Tsananguro |
|---|---|
| Kuchinja kwemararamiro | Kudya chikafu chine hutano, kudzora huremu, kurega doro nekuputa fodya, kurovedza muviri zuva nezuva, uye kudzora BP nechirwere cheshuga zvakakosha pakurapa chero kupi zvako. |
| Mishonga |
|
| Kuchinja kwemwoyo | Izvi zvinosanganisira kuisa kurova kwemoyo nemagetsi pachipfuva kuti mwoyo udzorere kumhanya kwawo. Dzimwe nguva izvi zvinogona kuitwawo nemishonga. |
| Kubviswa kweCatheter | Iyi inzira yakakosha. Chubhu yakatetepa (catheter) inopfuudzwa nemutsinga iri mugumbo ichienda kumoyo, uko inoona nzvimbo dzenyama yemoyo dziri kutumira masaini emagetsi asiri iwo anokonzera AFib uye dzinoaparadza nekupisa kana kutonhora kwakanyanya. Zvakafanana nekucheka nekubvisa waya yemagetsi isina kunaka. |
| Kumwe kuvhiyiwa | Kuvhiyiwa, kwakadai seMaze procedure , iyo inobvisa nyama iri kukonzera AFib, kunogona kuitwa panguva yekuvhiyiwa kwemoyo. |
Nzira yekurarama sei neAFIB?
Usatya kana kutya kana ukaona kuti une AFib. Chirwere ichi chinorapika. Chinhu chakakosha ndechekutevedzera mirairo yachiremba wako nemazvo.
- Inwa mushonga wako nenguva: Usapotsa kana zuva rimwe chete remushonga wako, kunyanya mishonga inobvisa ropa.
- Tarisa kurova kwemoyo wako: Kumbira chiremba wako kuti akudzidzise maitiro ekutarisa kurova kwemoyo wako muruoko rwako. Nguva dzose tarisa kuti uone kana kusina kurongeka kana kuti kunokurumidza.
- Mararamiro ane hutano: Izvi zvakakosha zvikuru. Kudya chikafu chine munyu mushoma, mafuta, uye shuga shoma, kudya michero nemiriwo yakawanda, uye kurovedza muviri zuva nezuva zvinogona kubatsira zvikuru mukurapa AFib.
- Ona chiremba wako nguva dzose: Enda kumakiriniki pamazuva akarongwa. Udza chiremba wako nezvekuchinja kupi zvako kana zviratidzo zvitsva zvaunoona.
AFib haisi chinhu chekutyiwa, asi chinhu chinofanira kutarisirwa. Nekurapwa kwakakodzera uye shanduko dzemararamiro, iwewo unogona kurarama hupenyu hune hutano uye hunoshanda.
Mharidzo Yekuenda Nayo Kumba
- Atrial Fibrillation (AFib) chirwere chinoita kuti mwoyo utange kufamba zvisina kurongeka uye nekukurumidza.
- Kuoma kwechipfuva, kuneta kwakanyanya, dzungu, uye kuoma kufema zvinogona kunge zviri zviratidzo zvikuru .
- Dambudziko guru uye rakakomba reAFIB sitiroko, saka usatore dambudziko iri serisina basa.
- Dambudziko guru reBP, chirwere cheshuga, kufuta, uye kukwegura ndizvo zvinhu zvikuru zvinokonzera izvi .
- Kana uine zviratidzo zveAFIB, enda kuna chiremba nekukasika. Zvinogona kuonekwa zviri nyore neECG test.
- Nekushandisa mishonga, shanduko dzemararamiro, uye mamwe marapirwo akakosha, AFib inogona kutarisirwa zvinobudirira uye hupenyu hune hutano hunogona kuwanikwa.
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