Ngaba ngamanye amaxesha uziva ngathi isifuba sakho siyabetha ngequbuliso, ngokungathi kukho umntu obalekayo ngaphakathi? Okanye uziva ngathi umhlambi weebhabhathane ubhabha ngaphakathi esifubeni sakho, okanye uzive ngathi intlanzi iyasokola? Ukuba ezi zinto zihamba nezinto ezifana nokudinwa kunye nesiyezi, musa ukuzityeshela nje ucinge ukuba ziqhelekile. Ezi zinokuba ziimpawu zento engalunganga ngesingqisho sentliziyo yakho. Namhlanje sithetha nge-Atrial Fibrillation, okanye i-AFIB ngamafutshane, imeko apho isingqisho sentliziyo siphazamiseka kwaye sibonakala kubantu abaninzi.
Ngamafutshane, yintoni i-Atrial Fibrillation (AFib)?
Kulungile, masiqonde oku ngokulula. Intliziyo yethu yimpompo emangalisayo. Kufuneka isebenze ngokucwangcisiweyo, ngesingqisho. Esi singqisho silawulwa yinkqubo yombane yendalo entliziyweni yethu. Ukuchaneka, kungenxa yemiqondiso yombane evela kule nkqubo eyenza izihlunu zentliziyo zifinyeze ngexesha elifanelekileyo kwaye zipompe igazi.
Ngoku khawucinge nge-orchestra enkulu. Xa kukho umqhubi omnye kuphela, wonke umntu uyamjonga aze adlale ngesingqi esifanayo. Umculo umnandi kakhulu. Kodwa kwenzeka ntoni ukuba abaqhubi abalishumi beza ngaxeshanye baze baqale ukushukumisa izandla zabo ngeendlela ezahlukeneyo? Abadlali abazi ukuba mabamamele bani. Wonke umculo uba yingxubakaxaka, akunjalo?
I-AFib yinto efana naleyo. Kukho into engalunganga kwinkqubo ethumela imiqondiso yombane kumagumbi amabini aphezulu entliziyo (esiyibiza ngokuba yi-atria). Endaweni yesignali enye, imiqondiso emininzi ekhawulezayo nengalawulekiyo iqala ukuphuma kwiindawo ezahlukeneyo ngaxeshanye. Ngenxa yesi sizathu, amagumbi amabini aphezulu entliziyo awanciphi ngokufanelekileyo, kodwa ayaqhaqhazela. Oku sikubiza ngokuba yiFibrillation .
Xa amagumbi amabini aphezulu engasebenzi kakuhle, igazi alimpompi kakuhle ukuya kumagumbi amabini angaphantsi kwawo (ii-ventricles). Kwakhona, ngenxa yezi mpawu zingaqhelekanga ezivela phezulu, amagumbi amabini asezantsi nawo aqala ukubetha ngokungalawulekiyo nangokukhawuleza kakhulu. Kukubetha kwala magumbi mabini asezantsi esikuvayo njengentliziyo esifubeni sethu. Ngoko ke, yingakho umntu one-AFib enentliziyo engaqhelekanga, ngamanye amaxesha ikhawuleza kakhulu.
Zithini iimpawu ze-AFIB? Ngaba nawe ukhe uzibone ezi zinto?
Ayingabo bonke abantu abane-AFIB abaneempawu ezifanayo. Abanye abantu basenokungaziva kwaphela. Kodwa kukho ezinye iimpawu eziqhelekileyo. Makhe sijonge ukuba ziyintoni na.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukubetha kwentliziyo | Uzive ngathi amabhabhathane abhabha esifubeni sakho, ngathi intlanzi iyasokola, okanye ngathi intliziyo yakho ikhawuleza ibetha ngamandla okanye ibetha ngamandla. |
| Ukudinwa Okugqithisileyo | Ukudinwa kakhulu ngaphandle kwesizathu. Le meko yenzeka xa intliziyo ingasebenzi kakuhle, nto leyo ethintela umzimba ekufumaneni ioksijini kunye nezondlo ozifunayo. |
| Isiyezi okanye Ubudenge | Ukubetha kwentliziyo okungaqhelekanga kunokunciphisa inani legazi elifikelela engqondweni, nto leyo enokubangela isiyezi. |
| Ukuquleka (iSyncope) | Kwezinye iimeko ezinzima, ukuhamba kwegazi ukuya engqondweni kunokuphazamiseka kakhulu , nto leyo ekhokelela ekulahlekelweni zingqondo. |
| Ukunqongophala Komphefumlo (i-Dyspnea) | Xa intliziyo ingakwazi ukupompa igazi ngokufanelekileyo, elo gazi linokubuthana emiphungeni, nto leyo eyenza kube nzima ukuphefumla. |
| Intlungu Yesifuba (Intlungu Yesifuba - I-Angina) | Ngenxa yokuba intliziyo ibetha ngokukhawuleza kakhulu, izihlunu zentliziyo zisenokungafumani ioksijini eyaneleyo, nto leyo enokubangela ukuqina kwesifuba okanye intlungu. |
Into ebalulekileyo kukuba, nokuba uzifumana ezi mpawu okanye akunjalo, i-AFIB ayisiyonto ifanele ithathwe lula, kuba inokukhokelela kwiingxaki ezinkulu.
Ingaba i-AFIB yimeko embi kakhulu? Kutheni sifanele sikhathalele?
Ewe, i-AFIB yimeko enzima kakhulu. Ingozi ephambili sistroke .
Kwenzeka ngolu hlobo: Xa amagumbi amabini aphezulu entliziyo enganciphi kakuhle kwaye eqhaqhazela, igazi liqala ukubuthana ngaphakathi kwawo. Njengamanzi angakwaziyo ukuhamba. Igazi elibuthana kwindawo enye linokwenza amahlwili egazi ngokulula. Ukuba ihlwili legazi liyaphuma, lihamba ngemithambo yegazi, lize libambeke kwimithambo yegazi emincinci engqondweni, linokuthintela ukuhamba kwegazi ukuya engqondweni kwaye libangele isifo sohlangothi.
Ukongeza, xa intliziyo isebenza ngokungacwangciswanga nangokukhawuleza ngale ndlela ixesha elide, izihlunu zentliziyo zinokuba buthathaka kwaye zikhokelele ekusileleni kwentliziyo . Oku kuthetha ukuba intliziyo ayikwazi ukupompa igazi elifunekayo emzimbeni.
Ngoko ke, ukuba uneempawu ze-AFIB, kubaluleke kakhulu ukubona ugqirha wakho ngokukhawuleza.
Le yimeko engxamisekileyo! Ukuba unale mpawu, funa unyango ngokukhawuleza.
- Ukuba unentlungu eqatha esifubeni
- Ukuba kunzima kakhulu ukuphefumla
- Ukuba ulahlekelwa zingqondo okanye uzive ngathi uza kulahlekelwa zingqondo
Kwimeko enjalo, fowunela u-1990 ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane. Ixesha libaluleke kakhulu.
Kutheni sifumana i-AFIB? Zithini izinto ezibangela umngcipheko?
Akukho sizathu sinye se-AFIB. Zininzi izizathu ezinokubakho. Ngokwenyani, nantoni na eyonakalisa izicwili zentliziyo okanye inkqubo yayo yombane inokukhokelela kwi-AFIB.
Izizathu eziphambili kunye nezinto ezinobungozi:
- Ezinye izifo zentliziyo: Usethubeni elikhulu lokufumana i-AFIB ukuba sele unezifo ezifana nokusilela kwentliziyo, isifo semithambo yegazi yentliziyo, okanye isifo sevalvu yentliziyo.
- Uxinzelelo lwegazi oluphezulu: Uxinzelelo lwegazi oluphezulu olungalawulwayo lungonakalisa intliziyo ixesha elide.
- Ukwaluphala: Umngcipheko wokufumana i-AFIB uyanda kakhulu emva kweminyaka engama-65.
- Ukutyeba kakhulu: Ubunzima bomzimba obugqithisileyo bubangela uxinzelelo olungakumbi entliziyweni.
- Isifo seswekile: Isifo seswekile sikwayinto ephambili echaphazela impilo yentliziyo.
- I-Hyperthyroidism: Ukwanda kwamanqanaba e-hormone ye-thyroid kunokunyusa izinga lentliziyo kwaye kubangele i-AFIB.
- I-Obstructive Sleep Apnea: Le meko ikwabeka uxinzelelo entliziyweni.
- Ukusela utywala kakhulu: Ukusela utywala obuninzi rhoqo okanye ngaxeshanye yimbangela enamandla ye-AFIB.
- Ukungazilolongi: Indlela yokuphila engenamsebenzi mkhulu nayo iyingozi.
- Izinto Ezibangela Imfuza (Iintlobo Zemfuza): Ukuba umntu kusapho lwakho une-AFIB, nawe usenokuba sengozini yokuba nayo.
- Utyando lwentliziyo: I-AFIB inokwenzeka okwethutyana emva kotyando lwentliziyo ngesinye isizathu.
Ugqirha uyixilonga njani i-AFIB?
Xa usiya kugqirha, uza kukubuza ngeempawu zakho aze akuhlole ngokwasemzimbeni. Emva koko, banokwenza iimvavanyo ezininzi ukuqinisekisa i-AFIB baze bafumane unobangela.
- I-Electrocardiogram (ECG/EKG): Olu lolona vavanyo lubalulekileyo. Iisensa ezincinci zifakwa esifubeni sakho, ezingalweni, nasemilenzeni ukuze zirekhode umsebenzi wombane wentliziyo yakho. Oku kunokukuxelela ngokuqinisekileyo ukuba isingqisho sentliziyo yakho asihambelani okanye ukuba une-AFib.
- I-Echocardiogram (Echo): Oku kufana nokuskena intliziyo. Kusebenzisa amaza esandi ukuze kufunyanwe umfanekiso olungileyo wobukhulu bentliziyo, imilo, umsebenzi wevalvu, kunye nendlela epompa ngayo igazi.
- I-Holter Monitor: Ngamanye amaxesha i-AFIB ayisoloko ikhona. Iza ize idlule. Kwimeko ezinjalo, isenokungabonwa yi-ECG eqhelekileyo. Kwimeko enjalo, ugqirha wakho uza kukunika umatshini omncinci we-ECG onokuwunxiba iiyure ezingama-24 okanye ezingama-48. Oku kunokujonga ukusebenza kwentliziyo yakho ngelixa usenza imisebenzi yakho yemihla ngemihla.
- Uvavanyo lweGazi: Uvavanyo lwegazi lwenziwa ukujonga ezinye iimeko ezinokuchaphazela i-AFIB, njengeengxaki ze-thyroid kunye nokusebenza kwezintso.
Iphathwa njani i-AFIB?
Kukho iinjongo ezimbini eziphambili zokunyanga i-AFIB:
1. Ukuthintela isifo sohlangothi.
2. Ukulawula isantya sentliziyo nokubuyisela isigqi esiqhelekileyo.
Iindlela zonyango zixhomekeke kwiminyaka yakho, ubukhali beempawu zakho, kunye nezinye iimeko zempilo.
| Indlela yonyango | Inkcazo |
|---|---|
| Utshintsho kwindlela yokuphila | Ukutya ukutya okunempilo, ukulawula ubunzima bomzimba, ukuphepha utywala nokutshaya, ukwenza umthambo imihla ngemihla, kunye nokulawula uxinzelelo lwegazi oluphezulu kunye nesifo seswekile kubalulekile kulo naluphi na unyango. |
| Amayeza |
|
| Intliziyo eguquguqukayo | Oku kuquka ukufaka umbane olawulwayo esifubeni ukuze kubuyiselwe isigqi sentliziyo ngoko nangoko. Ngamanye amaxesha oku kungenziwa nangamayeza. |
| Ukususwa kweCatheter | Le yinkqubo ekhethekileyo. Ityhubhu encinci (i-catheter) idluliselwa ngomthambo osemlenzeni ukuya entliziyweni, apho ichonga khona iindawo zezicubu zentliziyo ezithumela imiqondiso yombane engalunganga ebangela i-AFIB kwaye izitshabalalise ngobushushu okanye kubanda kakhulu. Kufana nokusika nokususa intambo yombane enengxaki. |
| Ezinye iindlela zotyando | Utyando, olufana nenkqubo yeMaze , esusa izicubu ezibangela i-AFib, lunokwenziwa nakwezinye iintlobo zotyando lwentliziyo. |
Ungaphila njani ne-AFIB?
Musa ukoyika okanye ukhathazeke ukuba ufumanisa ukuba une-AFib. Yimeko elawulekayo le. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
- Sela amayeza akho ngexesha: Ungaphoswa nalusuku olunye lonyango lwakho, ingakumbi amayeza okunciphisa igazi.
- Jonga ukubetha kwentliziyo yakho: Cela ugqirha wakho akufundise indlela yokujonga ukubetha kwentliziyo yakho esihlahleni sakho. Soloko ujonga ukuba ayiqhelekanga okanye ikhawuleza.
- Indlela yokuphila enempilo: Oku kubaluleke kakhulu. Ukutya ukutya okunetyuwa encinci, ioyile encinci, kunye neswekile encinci, ukutya iziqhamo nemifuno emininzi, kunye nokuzilolonga imihla ngemihla kunokunceda kakhulu ekulawuleni i-AFIB.
- Bona ugqirha wakho rhoqo: Yiya kwiikliniki ngeentsuku ezicwangcisiweyo. Xelela ugqirha wakho ngalo naluphi na utshintsho okanye iimpawu ezintsha oziqaphelayo.
I-AFib ayisiyonto yokoyika, kodwa yinto ekufuneka ilawulwe. Ngonyango olufanelekileyo kunye notshintsho kwindlela yokuphila, nawe ungaphila ubomi obusempilweni nobusebenzayo.
Umyalezo Wokuya Ekhaya
- I-Atrial Fibrillation (AFib) yimeko apho isingqisho sentliziyo siba singaqhelekanga kwaye sikhawuleza.
- Ukuqina kwesifuba okungaqhelekanga, ukudinwa kakhulu, isiyezi, kunye nobunzima bokuphefumla zinokuba zezona mpawu ziphambili .
- Eyona ngxaki iphambili neyona inzima ye-AFIB sistroke, ngoko ke musa ukuyithatha lula le meko.
- Uxinzelelo lwegazi oluphezulu, isifo seswekile, ukutyeba kakhulu, kunye nokwaluphala zezona zinto ziphambili ezibangela oku .
- Ukuba uneempawu ze-AFIB, bonana nogqirha ngokukhawuleza. Ingafunyaniswa lula ngovavanyo lwe-ECG.
- Ngamayeza, utshintsho kwindlela yokuphila, kunye nonyango oluthile olukhethekileyo, i-AFib inokulawulwa ngempumelelo kwaye ubomi obusempilweni bunokufezekiswa.
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