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Ingabe isigqi senhliziyo yakho sibonakala singasebenzi kahle? Ake sixoxe nge-Atrial Fibrillation (AFib)!

Ingabe isigqi senhliziyo yakho sibonakala singasebenzi kahle? Ake sixoxe nge-Atrial Fibrillation (AFib)!

Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho ishaya njengesigubhu, noma ingabe ishaya nje ngokuzumayo? Noma uthola umuzwa ongavamile njengovemvane olundiza esifubeni sakho, noma inhlanzi elwa? Lokhu kungase kungabi yizinto ezifika engqondweni nje kuphela. Kungase futhi kube uphawu lwesifo senhliziyo esibizwa ngokuthi 'i-Atrial Fibrillation' (AFib) . Ngakho-ke, namuhla sizokhuluma ngale AFib ngendlela elula ongayiqonda.

Kuyini i-Atrial Fibrillation (AFib)? Kalula nje...

Kalula nje, i-Atrial Fibrillation (AFib) ukushaya kwenhliziyo okungajwayelekile okwenzeka emakamelweni amabili aphezulu enhliziyo yakho, okuthiwa i-atria . Izinhliziyo zethu zinesimiso sikagesi esithumela izimpawu enhliziyweni ukuze zishaye ngendlela evamile nehlelekile. Kodwa enhliziyweni yomuntu one-AFib, lesi simiso sikagesi asisebenzi kahle. Esikhundleni sokuthumela izimpawu ngendlela ehlelekile, sithumela izimpawu eziningi ezahlukene ngesikhathi esisodwa.

Cabanga ngenhliziyo yakho njengeqembu le-orchestra. Ngokuvamile, kunomqhubi oyedwa onikeza izimpawu futhi enze izinsimbi zidlale ngendlela ehlelekile. Kodwa ku-AFibib, esikhundleni somqhubi oyedwa, kunabantu abaningana abanikeza izimpawu ngezindlela ezahlukene. Khona-ke amalungu eqembu le-orchestra awaqondi ukuthi adlala uphawu lukabani. Umculo udidekile ngokuphelele, akunjalo? Yileyo ndlela i-AFibib ebangela ngayo amakamelo aphezulu enhliziyo, i-atria, ukuthi aqale ukushaya ngokushesha okukhulu nangendlela exakile.

Ngenxa yokuthi i-atria ayifinyeleli kahle, ayikwazi ukupompa igazi kahle liye emakamelweni angaphansi kwenhliziyo, ama-ventricle . Ama-ventricle asabela ezimpawini ezivela ku-atria, futhi aqala ukufinyela ngokungajwayelekile. Ukushaya kwenhliziyo okuzwayo kubangelwa ukufinyela kwala ma-ventricle. Ngakho-ke, ku-AFIB, lokhu kushaya kuba ngokushesha futhi kungajwayelekile.

Wazi kanjani ukuthi une-AFIB? Ziyini izimpawu?

Akuwona wonke umuntu one-AFIB onezimpawu. Kodwa-ke, kunezimpawu ezithile ezivamile. Uma ubhekene nanoma yiziphi zalezi zimpawu, kuwumqondo omuhle ukubona udokotela.

  • Kuzwakala sengathi uvemvane lundiza esifubeni sakho, njengenhlanzi elwa . Noma kuzwakala sengathi inhliziyo yakho ishaya ngokushesha futhi ishaya esifubeni sakho. Kwezokwelapha, lokhu sikubiza nangokuthi "ukushaya kwenhliziyo" .
  • Ukuzizwa ukhathele kakhulu "kuwukukhathala okukhulu" . Akugcini nje ngokukhathala, kodwa ukukhathala kangangokuthi awukwazi ukwenza lutho.
  • Isiyezi noma ikhanda elibuthakathaka .
  • Ngezinye izikhathi ungase uquleke (i-syncope).
  • Ubunzima bokuphefumula (ukuphelelwa umoya) . Ungase uzizwe sengathi unenkinga yokuphefumula ngisho noma uzikhandla kancane.
  • Ubuhlungu besifuba noma ukuqina (i-angina).

Uma unesinye noma ngaphezulu salezi zimpawu, ungazinaki.

Ingabe i-AFIB iyisimo esibucayi?

Yebo, i-AFib yisimo esibucayi . Kungakhathaliseki ukuthi unezimpawu noma cha, ukuba ne-AFib kusho ukuthi isigqi senhliziyo yakho asijwayelekile. Uma inhliziyo yakho ingashayi kahle, kunethuba elikhulu lokuthi amahlule egazi akheke ngaphakathi kwenhliziyo yakho. Uma la mahlule egazi ephuma enhliziyweni yakho futhi aye esithweni esibalulekile njengobuchopho bakho, angabangela isimo esibucayi esibizwa ngokuthi i-stroke . Futhi, uma une-AFib isikhathi eside, inhliziyo yakho ingaba buthaka futhi ibe buthakathaka, okuholela esimweni esibizwa ngokuthi ukwehluleka kwenhliziyo .

Ngakho-ke, uma unezimpawu ze-AFIB, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha .

Kulesi simo, shayela u-1990 ngokushesha noma uye esibhedlela esiseduze:

  • Uma unezinhlungu zesifuba ezinzima .
  • Uma unenkinga enkulu yokuphefumula .
  • Uma ulahlekelwa yingqondo noma uzizwa sengathi ulahlekelwa yingqondo .

Kungani i-AFIB yenzeka? Ziyini izimbangela?

Imbangela eyinhloko ye-AFIB izinguquko ezicutshini zenhliziyo kanye nohlelo lukagesi. Kunezici eziningana ezingathinta lezi zinguquko:

  • Ezinye izifo zenhliziyo: Isibonelo, izimo ezifana nesifo semithambo yenhliziyo, isifo se-valve, kanye nokwehluleka kwenhliziyo kungabangela i-AFIB.
  • Ezinye izimo zempilo: Umfutho wegazi ophakeme, ukukhuluphala ngokweqile kanye nokukhuluphala, i-hyperthyroidism, isifo sezinso esingamahlalakhona, kanye nokuphefumula okungenampilo.
  • Izici zofuzo: Ucwaningo lwamuva nje luthole ukuthi ukuhlukahluka okuthile kofuzo kuhlobene nokukhula kwe-AFIB. La mathonya ofuzo ngezinye izikhathi angaba yimbangela yokukhula kwe-AFIB isencane.
  • Ukuhlinzwa kwenhliziyo: I-AFib ingenzeka nangemva kokuhlinzwa kwenhliziyo ngezinye izizathu. I-AFib ingenzeka nangesikhathi sokululama ngemva kokuhlinzwa okungeyona inhliziyo.

Yiziphi ezinye izinto ezandisa ingozi yokuthola i-AFIB?

Ngaphezu kwezimo ezishiwo ngenhla, ezinye izici eziningana zandisa ingozi yokuthuthukisa i-AFIB:

  • Ukukhula kweminyaka: Ingozi yokuthola i-AFIB iyanda ngokuguga, ikakhulukazi ngemva kweminyaka engu-65 .
  • Ukusebenzisa utshwala ngokweqile: Ukuphuza utshwala obungaphezu kobunconywayo, ikakhulukazi ukuphuza ngokweqile, kwandisa ingozi ye-AFIB.
  • Izifo Ezibucayi: Ingozi yokuthola i-AFIB iyanda uma unezifo ezinzima ngokwanele ukuthi zidinga ukulaliswa esibhedlela (isb., i-sepsis, ukutheleleka okukhulu kwe-COVID-19).
  • Ukuntuleka kokuvivinya umzimba:Ukungazibandakanyi emisebenzini yomzimba eyanele yansuku zonke kungenye imbangela ye-AFIB.
  • Ukuqeqeshwa kokuzivocavoca ngokweqile: Nakuba ukuzivocavoca kuhle enhliziyweni, noma yini eningi kakhulu ayilungile. Abantu abazivocavoca amahora angaphezu kwamathathu ngosuku, eminyakeni eminingi, nabo basengozini enkulu yokuthola i-AFIB.

Odokotela bayixilonga kanjani i-AFIB?

Isivivinyo esibaluleke kakhulu sokunquma ngokunembile ukuthi une-AFIB yi -ECG noma i-EKG (i-Electrocardiogram) .

  • Lokhu kwenziwa ngokuqopha umsebenzi kagesi wenhliziyo yakho kugrafu. Ngokubheka leyo grafu, udokotela wakho anganquma ngokuqinisekile ukuthi une-AFIB noma ezinye izinkinga zesigqi senhliziyo (arrhythmias).

Ngaphezu kwalokho, udokotela uzokwenza lezi zinto:

  • Bazokwenza ukuhlolwa ngokomzimba futhi babuze ngomlando wakho wezokwelapha.
  • Ukuhlolwa kwegazi kungacelwa. Bangahlola ezinye izimo zezokwelapha noma izimo ezingathinta uhlelo lwakho lokwelashwa lwe-AFIB.
  • Kuhlolwa ukuhlolwa kwe-echocardiogram (echo) . Lokhu kungasetshenziswa ukuhlola ngokuseduze isakhiwo kanye nomsebenzi wenhliziyo.
  • Unganikwa i-monitor encane (i-Holter monitor noma i-cardiac event monitor) ongayigqoka izinsuku ezimbalwa noma isonto. Lokhu kungaqopha njalo umsebenzi kagesi wenhliziyo yakho ngenkathi wenza imisebenzi yakho yansuku zonke ngisho nalapho ulele.

Ingabe kunezigaba ezahlukene ze-AFIB?

Yebo, i-AFIB iyisimo "esiqhubekayo". Okusho ukuthi, ingadlula ezigabeni ezahlukene futhi ibe yimbi kakhulu ngokuhamba kwesikhathi. Odokotela bacabangela lezi zigaba lapho bexilonga futhi belapha i-AFIB:

  • Isigaba 1: Kusengozini ye-AFIB
  • Isigaba 2: I-Pre-AFib
  • Isigaba 3: I-AFIB `(AFib)` (Lokhu futhi kunezigaba eziningana ezincane)
  • Isigaba 4: I-AFib Ehlala Njalo

Isigaba 1: Kusengozini ye-AFIB

Lokhu kusho ukuthi unezici eziyingozi ezingase zandise ingozi yakho yokuthola i-AFIB. Isibonelo:

  • Umfutho wegazi ophakeme
  • Ukukhuluphala ngokweqile
  • Isifo sikashukela
  • Ubunzima bokuhona nokuphefumula (i-sleep apnea)
  • Ukusetshenziswa kotshwala ngokweqile
  • Izinkinga zesistimu yenhliziyo
  • Ngaphezulu kweminyaka engama-65 ubudala

Uma unalezi zinto, ungase ube sengozini yokuthola i-AFIB.

Isigaba 2: I-Pre-AFib

Kuleli qophelo, ungase uqaphele izinguquko ezithile emsebenzini kagesi noma esakhiweni senhliziyo yakho. Lokhu kwandisa ingozi yakho yokuthola i-AFib. Odokotela bafuna izimpawu ezinjengalezi:

  • I-tachycardia ye-Atrial
  • Ukuphaphazela kwe-Atrial
  • I-atrium ekhulisiwe kwesobunxele kanye/noma kwesokudla
  • Ukushaya kwenhliziyo okuvamile kwe-ectopic

Futhi, abantu abanezimo ezibabeka engcupheni enkulu ye-AFIB, njenge-`(Isifo semithambo yegazi ye-Coronary)`, `(Ukwehluleka kwenhliziyo)`, `(Isifo se-valve yenhliziyo)`, `(I-Hyperthyroidism)`, `(I-Hypertrophic cardiomyopathy)`, kanye ne-`(Izinkinga ze-Neuromuscular)`, bangase bawele kulesi sigaba sesibili.

Isigaba 3: I-AFIB (kukhona nezingxenye zalokhu)

Uma i-ECG iqinisekisa ukuthi une-AFIB, ukulesi sigaba. Kodwa lesi sigaba singahluka. Abanye abantu banezimpawu ezifikayo nezidlulayo, kanti abanye bayaqhubeka nokuba ne-AFIB naphezu kokwelashwa. Yingakho odokotela behlukanisa lesi sigaba sibe yizigaba ezine ezincane:

  • I-Paroxysmal AFib: Kulolu hlobo lwe-AFibib, i-AFibib yenzeka ngezikhathi ezithile futhi iphela yodwa phakathi nesonto, ngokuvamile ngaphandle kokwelashwa. Kodwa-ke, ungase uzizwe ungakhululekile phakathi nalesi sikhathi esifushane. Usengozini enkulu yokushaywa unhlangothi kunabantu abangenayo i-AFibib.
  • I-AFib Eqhubekayo: Lokhu kwenzeka lapho i-AFib iphikelela , okusho ukuthi ihlala isikhathi esingaphezu kwesonto. Kudingeka ukwelashwa ukuze imiswe.
  • I-AFib ehlala isikhathi eside: Kulesi simo, i-AFib iyaqhubeka unyaka noma ngaphezulu.
  • Ngemva kokwelashwa ngempumelelo kwe-ablation: I-AFIB iyekile ngemuva kokuhlinzwa noma ukwelashwa okusekelwe ku-catheter (ablation).

Uma usutholakale une-AFibib, ungase ushintshe phakathi kwalezi zigaba ezincane. Isibonelo, ngisho nangemva kokususwa kwezicubu okuphumelelayo, i-AFibib eqhubekayo ingabuya ngokuhamba kwesikhathi.

Isigaba 4: I-AFib Ehlala Njalo

Lokhu kusho ukuthi wena nodokotela wakho ninqume ndawonye ukuthi ngeke usaphathwa ukulawula i-AFIB yakho, nokuthi uzohlala ku-AFIB unomphela. Lesi sinqumo senziwa ngokusekelwe esimweni sakho.

Yiziphi izindlela zokwelapha i-AFIB?

I-AFIB ingelashwa ngokunye noma ngaphezulu kwalokhu okulandelayo:

  • Izinguquko zendlela yokuphila
  • Imithi
  • Ukwelashwa kokukhipha isisu
  • Ezinye izindlela zokwelapha

Izinguquko zendlela yokuphila

Lezi yizinto ongayenza nsuku zonke ukusiza ukuvimbela i-AFIB ukuthi ibe yimbi kakhulu. Lezi zinguquko zendlela yokuphila zibalulekile ngisho nangaphambi kokuba uqale ukuba nezimpawu. Udokotela wakho angakusiza ngalezi zinto:

  • Kukusiza ukuthi ugcine isisindo sakho siphilile .
  • Ukunciphisa ukusetshenziswa kotshwala.
  • Gwema ngokuphelele ukusebenzisa imikhiqizo kagwayi (njengogwayi).
  • Ukuthola inani elinconywayo lokuzivocavoca umzimba nsuku zonke.
  • Ukulawula kahle izimo ezandisa ingozi ye-AFIB, njengomfutho wegazi ophakeme, ukukhuluphala ngokweqile, i-obstructive sleep apnea, kanye nesifo sikashukela.

Imithi

Udokotela wakho angase akunike imithi yokulawula ukushaya kwenhliziyo yakho kanye/noma isigqi senhliziyo. Le mithi ingasiza ekuvimbeleni ukulimala kwenhliziyo yakho futhi inciphise ukungakhululeki nokukhathazeka ongase ukuzwe. Udokotela wakho angase akunike imithi yokunciphisa ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi.

Izinhlobo zemithi edingekayo ukulawula i-AFIB zingashintsha ngokuhamba kwesikhathi. Ngokuvamile, uma usengozini yokushaywa yisifo sohlangothi, kuzodingeka uthathe imithi yokunciphisa igazi (ama-anticoagulants) . Odokotela bavame ukukunikeza ama-anticoagulants omlomo (ama-DOAC - Ama-Direct Oral Anticoagulants). Izibonelo:

  • `Apixaban`
  • `I-Rivaroxaban`
  • `I-Dabigatran`
  • `Edoxaban`

Kwezinye izimo, kunikezwa umuthi obizwa ngokuthi ``Warfarin'' esikhundleni se ``DOACs''.

Imithi yokulawula izinga lokushaya kwenhliziyo yakho:

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

Imithi esiza inhliziyo yakho ukuthi ishaye ngendlela evamile:

  • `I-Amiodarone`
  • `I-Dofetilide`
  • `I-Dronedarone`
  • `I-Flecainide`
  • `I-Propafenone`

Ukwelashwa kwe-Ablation (i-Ablation ye-AFIB)

I-Ablation ye-AFIB igama elijwayelekile leqembu lezokwelapha elidala inani elincane lezicubu zesibazi ezindaweni ezithile zenhliziyo. Nakuba sivame ukucabanga ngezicubu zesibazi njengento eyingozi, kulokhu, lesi sibazi sisiza uhlelo lukagesi lwenhliziyo ukuthi lusebenze kahle. Lesi sibazi sivimba izimpawu zikagesi ezingavamile ukuthi zingangeni enhliziyweni. Lokhu kusiza isigqi senhliziyo sibuyele esimweni esijwayelekile.

Kunezinqubo eziningana ezithile zokuhlanza umzimba ezinganconywa udokotela wakho wenhliziyo nge-AFIB:

  • Ukususwa kwe-catheter: Lokhu kuyindlela yokwelapha engangenisi kakhulu. Udokotela ohlinzayo ufaka ipayipi elincane (i-catheter) ngemithambo yegazi yakho iye enhliziyweni yakho. Ukususwa kwemithambo yegazi yamaphaphu (i-PVI ablation) nakho kuyindlela evame kakhulu yokususwa kwe-catheter ye-AFIB.
  • Inqubo ye-Maze: Lokhu kubizwa nangokuthi i-surgical ablation. Udokotela ohlinzayo udala iphethini "ye-maze" yezicubu zesilonda enhliziyweni ukuvimba izimpawu ezingajwayelekile. Lokhu kuvame ukwenziwa ngesikhathi esifanayo nokunye ukuhlinzwa kwenhliziyo (njengokufakelwa kwemithambo yenhliziyo noma ukuhlinzwa kwe-valve).

Ezinye izindlela zokwelapha

Ezinye izindlela zokwelapha i-AFIB:

  • Ukuguqulwa kwenhliziyo:Kulokhu, udokotela uzosebenzisa idivayisi kagesi (i-defibrillator) noma akunike umuthi wokubuyisela isigqi senhliziyo yakho esimweni esijwayelekile.
  • Ukuvalwa kwe-atrial appendage (LAA) kwesobunxele: Uma ungakwazi ukubekezelela izinto zokunciphisa igazi, idivayisi encane ingafakwa enhliziyweni yakho ukuze kuncishiswe ingozi yakho yokushaywa yisifo sohlangothi. Lokhu kusebenza ngokuvala i-atrial appendage kwesobunxele , ingxenye encane yenhliziyo efana nesikhwama engenza amahlule egazi kalula.

Ingabe inhliziyo ibuyela esimweni sayo esijwayelekile ngemva kwe-AFIB?

Yebo, ngezinye izikhathi inhliziyo yakho izobuyela esigqini sayo esijwayelekile. Yilokhu okwenzeka ku-"Paroxysmal AFib``. Uma une-"eqhubekayo" noma "i-AFib`` ehlala isikhathi eside, uzodinga ukwelashwa ukuze umise ukushaya kwenhliziyo okungajwayelekile.

Kodwa into ebaluleke kakhulu ukuthi i-AFIB ayikwazi ukwelapheka. Yisimo esihlala isikhathi eside. Udokotela wakho angakusiza ukuthi usilawule. Ukwelashwa kunganciphisa ingozi yakho yokushaywa yisifo sohlangothi futhi kwenze izimpawu zakho zingabi zimbi kakhulu.

Ungaphila isikhathi esingakanani ne-AFIB?

Ucwaningo olwanyatheliswa ngo-2024 lwathola ukuthi abantu abane-AFIB bangase babe nesikhathi sokuphila esifushane kunalabo abangenayo i-AFIB. Lokhu kuyahlukahluka kuye ngokuthi umuntu uneminyaka emingaki lapho exilongwa.

Kodwa khumbula, izibalo zilandisa uhlangothi olulodwa kuphela lwendaba. Uma usebenzisana nethimba lakho lezokwelapha ukuphatha kahle i-AFIB yakho nezinye izimo zezokwelapha, unethuba elihle lokuphila impilo ende nenempilo .

Ngizinakekela kanjani?

Imikhuba efanayo enciphisa ingozi yakho ye-AFIB izokusiza ukuthi uhlale uphilile ngisho noma une-AFIB.

  • Ukudla ukudla okunomsoco .
  • Ukuzivocavoca imizuzu engama-30 ngosuku, okungenani izinsuku ezi-5 ngesonto, kuhle kakhulu enhliziyweni. Uma ukuthola kunzima ukuzivocavoca njalo, ungakuhlukanisa kube yimizuzu eyi-10.
  • Ukuyeka imikhiqizo kagwayi notshwala nakho kuyisiza kakhulu inhliziyo.

Kufanele ngimbone nini udokotela?

Akukho simiso esifanelana nakho konke lokhu. Kuncike ezimpawini zakho, uhlelo lokwelashwa, kanye nokulandelela uma uke waba nanoma yiziphi izinqubo. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho bese uqhamuka nohlelo oluzokusebenzela.

  • Bonana nodokotela ngesikhathi ngaphandle kokuphuthelwa yizikhathi zokubonana.
  • Hlala ubhala uhlu lwemithi oyithathayo, bese uluphatha uma uya kudokotela. Kungumqondo omuhle futhi ukugcina lolu hlu esikhwameni sakho uma kwenzeka isimo esiphuthumayo.
  • Kuyo yonke i-aphoyintimenti, tshela udokotela wakho nganoma yiziphi izimpawu ezintsha onazo kanye nanoma yimiphi imiphumela emibi evela emithini yakho.
  • Buza udokotela wakho njalo ngaphambi kokuthatha imithi ethengiswa ngaphandle kwemithi kadokotela (i-OTC) (isib. imithi yomkhuhlane kanye nokukhwehlela) kanye nezithako zokudla okunempilo.Ngezinye izikhathi lokhu kungathinta izinga lokushaya kwenhliziyo yakho noma kuhambisane neminye imithi oyiphuzayo.

Yimiphi imibuzo okufanele uyibuze udokotela?

Eminye imibuzo ongayibuza udokotela wakho:

  • Ngingazinciphisa kanjani izinto engizibeka engcupheni?
  • Ungangixhumanisa nochwepheshe wezokudla?
  • Ungancoma noma yiziphi izinhlelo zezempilo nokufaneleka eduze?

Ungakwazi yini ukuhlola i-AFIB ekhaya?

Uma ucabanga ukuthi unezimpawu ze-AFIB, into ebaluleke kakhulu ukushayela udokotela wakho ucingo ngokushesha umtshele ukuthi uzizwa kanjani. Cishe bazokutshela ukuthi uhlole ukushaya kwenhliziyo yakho. Uma kungajwayelekile noma kubuthakathaka, kungaba uphawu lwe-AFIB.

Kodwa ngezinye izikhathi, ungase ungezwa noma yiziphi izinguquko ekushayweni kwenhliziyo yakho, ikakhulukazi uma i-AFibib yakho ingekho nzima kakhulu. Kunalokho, ungase uzizwe ukhathele noma uphelelwa umoya. Ungase ungakwazi ukubona ukuthi izimpawu zakho zibangelwa yi-AFibib noma okunye. Yingakho kubalulekile ukukhuluma nodokotela wakho. Awukwazi ukuzinqumela ukuthi une-AFibib.

Ivame kangakanani i-AFIB?

Abantu abangaphezu kwezigidi ezingu-33 abaneminyaka engaphezu kwengu-55 emhlabeni wonke batholakale benesifo i-AFIB. E-United States kuphela, kulinganiselwa ukuthi abantu abayizigidi ezingu-12 bazoba ne-AFIB ngo-2030. I-AFIB ibangela ukulaliswa esibhedlela cishe ingxenye yesigidi e-United States minyaka yonke, futhi inani labafa ngenxa yayo liyakhula minyaka yonke.

Ukuthola ukuthi une-AFIB kungaba yinto eyesabekayo, ekhungathekisayo, futhi edidayo. Kodwa awuwedwa. Izigidi zabantu emhlabeni wonke zifunda izindlela ezintsha zokuphatha lesi simo nokuphila izimpilo ezijabulisayo. Udokotela wakho angakutshela okwengeziwe ngezinketho zokwelapha, izinsiza, kanye nemiphakathi yokusekela.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule kulesi sihloko?

Kulungile, nansi eminye yemibono okufanele uyikhumbule kulokho esikhulume ngakho:

- I-AFIB yisimo lapho isigqi senhliziyo singajwayelekile, futhi singaba sibi kakhulu, ngisho noma kungekho zimpawu. Kukhona ingozi yezinkinga, ikakhulukazi isifo sohlangothi.

- Qaphela izimpawu ezifana nokuqina kwesifuba, ukukhathala, isiyezi, kanye nobunzima bokuphefumula. Uma uhlangabezana nanoma yikuphi kwalokhu, qiniseka ukuthi ubona udokotela.

- I-AFIB iyisimo esingelapheka. Ingalawulwa kahle ngokushintsha indlela yokuphila, imithi, futhi kwezinye izimo, ukwelashwa okufana "nokuhlanza umzimba".

- Indlela yokuphila enempilo (ukudla okunempilo, ukuvivinya umzimba njalo)Ukugcina indlela yokuphila enempilo (ukuzivocavoca umzimba, ukubhema, nokugwema utshwala) kubaluleke kakhulu ekulawuleni i-AFIB kanye nempilo yenhliziyo.

- Awuwedwa kulolu hambo. Khuluma nodokotela wakho ukuze wakhe uhlelo lokwelashwa kanye nesu lokuphatha elikusebenzela kahle kakhulu. Ungesabi ukubuza imibuzo nokwabelana ngemizwa yakho.

Khumbula, ukuqwashisa kuyisinyathelo sokuqala sokuphila impilo enempilo!


` I-Atrial Fibrillation, i-AFib, isigqi senhliziyo, ukushaya kwenhliziyo okungajwayelekile, isifo sohlangothi, ukuhlaselwa yinhliziyo, isifo senhliziyo, ubuhlungu besifuba, ukushaya kwenhliziyo, impilo yenhliziyo

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Ingabe isigqi senhliziyo yakho sibonakala singasebenzi kahle? Ake sixoxe nge-Atrial Fibrillation (AFib)!
Izifo NezimoJulayi 16, 2026

Ingabe isigqi senhliziyo yakho sibonakala singasebenzi kahle? Ake sixoxe nge-Atrial Fibrillation (AFib)!

Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho ishaya njengesigubhu, noma ingabe ishaya nje ngokuzumayo? Noma uthola umuzwa ongavamile njengovemvane olundiza esifubeni sakho, noma inhlanzi elwa? Lokhu kungase kungabi yizinto ezifika engqondweni nje kuphela. Kungase futhi kube uphawu lwesifo senhliziyo esibizwa ngokuthi 'i-Atrial Fibrillation' (AFib) . Ngakho-ke, namuhla sizokhuluma ngale AFib ngendlela elula ongayiqonda.

Kuyini i-Atrial Fibrillation (AFib)? Kalula nje...

Kalula nje, i-Atrial Fibrillation (AFib) ukushaya kwenhliziyo okungajwayelekile okwenzeka emakamelweni amabili aphezulu enhliziyo yakho, okuthiwa i-atria . Izinhliziyo zethu zinesimiso sikagesi esithumela izimpawu enhliziyweni ukuze zishaye ngendlela evamile nehlelekile. Kodwa enhliziyweni yomuntu one-AFib, lesi simiso sikagesi asisebenzi kahle. Esikhundleni sokuthumela izimpawu ngendlela ehlelekile, sithumela izimpawu eziningi ezahlukene ngesikhathi esisodwa.

Cabanga ngenhliziyo yakho njengeqembu le-orchestra. Ngokuvamile, kunomqhubi oyedwa onikeza izimpawu futhi enze izinsimbi zidlale ngendlela ehlelekile. Kodwa ku-AFibib, esikhundleni somqhubi oyedwa, kunabantu abaningana abanikeza izimpawu ngezindlela ezahlukene. Khona-ke amalungu eqembu le-orchestra awaqondi ukuthi adlala uphawu lukabani. Umculo udidekile ngokuphelele, akunjalo? Yileyo ndlela i-AFibib ebangela ngayo amakamelo aphezulu enhliziyo, i-atria, ukuthi aqale ukushaya ngokushesha okukhulu nangendlela exakile.

Ngenxa yokuthi i-atria ayifinyeleli kahle, ayikwazi ukupompa igazi kahle liye emakamelweni angaphansi kwenhliziyo, ama-ventricle . Ama-ventricle asabela ezimpawini ezivela ku-atria, futhi aqala ukufinyela ngokungajwayelekile. Ukushaya kwenhliziyo okuzwayo kubangelwa ukufinyela kwala ma-ventricle. Ngakho-ke, ku-AFIB, lokhu kushaya kuba ngokushesha futhi kungajwayelekile.

Wazi kanjani ukuthi une-AFIB? Ziyini izimpawu?

Akuwona wonke umuntu one-AFIB onezimpawu. Kodwa-ke, kunezimpawu ezithile ezivamile. Uma ubhekene nanoma yiziphi zalezi zimpawu, kuwumqondo omuhle ukubona udokotela.

  • Kuzwakala sengathi uvemvane lundiza esifubeni sakho, njengenhlanzi elwa . Noma kuzwakala sengathi inhliziyo yakho ishaya ngokushesha futhi ishaya esifubeni sakho. Kwezokwelapha, lokhu sikubiza nangokuthi "ukushaya kwenhliziyo" .
  • Ukuzizwa ukhathele kakhulu "kuwukukhathala okukhulu" . Akugcini nje ngokukhathala, kodwa ukukhathala kangangokuthi awukwazi ukwenza lutho.
  • Isiyezi noma ikhanda elibuthakathaka .
  • Ngezinye izikhathi ungase uquleke (i-syncope).
  • Ubunzima bokuphefumula (ukuphelelwa umoya) . Ungase uzizwe sengathi unenkinga yokuphefumula ngisho noma uzikhandla kancane.
  • Ubuhlungu besifuba noma ukuqina (i-angina).

Uma unesinye noma ngaphezulu salezi zimpawu, ungazinaki.

Ingabe i-AFIB iyisimo esibucayi?

Yebo, i-AFib yisimo esibucayi . Kungakhathaliseki ukuthi unezimpawu noma cha, ukuba ne-AFib kusho ukuthi isigqi senhliziyo yakho asijwayelekile. Uma inhliziyo yakho ingashayi kahle, kunethuba elikhulu lokuthi amahlule egazi akheke ngaphakathi kwenhliziyo yakho. Uma la mahlule egazi ephuma enhliziyweni yakho futhi aye esithweni esibalulekile njengobuchopho bakho, angabangela isimo esibucayi esibizwa ngokuthi i-stroke . Futhi, uma une-AFib isikhathi eside, inhliziyo yakho ingaba buthaka futhi ibe buthakathaka, okuholela esimweni esibizwa ngokuthi ukwehluleka kwenhliziyo .

Ngakho-ke, uma unezimpawu ze-AFIB, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha .

Kulesi simo, shayela u-1990 ngokushesha noma uye esibhedlela esiseduze:

  • Uma unezinhlungu zesifuba ezinzima .
  • Uma unenkinga enkulu yokuphefumula .
  • Uma ulahlekelwa yingqondo noma uzizwa sengathi ulahlekelwa yingqondo .

Kungani i-AFIB yenzeka? Ziyini izimbangela?

Imbangela eyinhloko ye-AFIB izinguquko ezicutshini zenhliziyo kanye nohlelo lukagesi. Kunezici eziningana ezingathinta lezi zinguquko:

  • Ezinye izifo zenhliziyo: Isibonelo, izimo ezifana nesifo semithambo yenhliziyo, isifo se-valve, kanye nokwehluleka kwenhliziyo kungabangela i-AFIB.
  • Ezinye izimo zempilo: Umfutho wegazi ophakeme, ukukhuluphala ngokweqile kanye nokukhuluphala, i-hyperthyroidism, isifo sezinso esingamahlalakhona, kanye nokuphefumula okungenampilo.
  • Izici zofuzo: Ucwaningo lwamuva nje luthole ukuthi ukuhlukahluka okuthile kofuzo kuhlobene nokukhula kwe-AFIB. La mathonya ofuzo ngezinye izikhathi angaba yimbangela yokukhula kwe-AFIB isencane.
  • Ukuhlinzwa kwenhliziyo: I-AFib ingenzeka nangemva kokuhlinzwa kwenhliziyo ngezinye izizathu. I-AFib ingenzeka nangesikhathi sokululama ngemva kokuhlinzwa okungeyona inhliziyo.

Yiziphi ezinye izinto ezandisa ingozi yokuthola i-AFIB?

Ngaphezu kwezimo ezishiwo ngenhla, ezinye izici eziningana zandisa ingozi yokuthuthukisa i-AFIB:

  • Ukukhula kweminyaka: Ingozi yokuthola i-AFIB iyanda ngokuguga, ikakhulukazi ngemva kweminyaka engu-65 .
  • Ukusebenzisa utshwala ngokweqile: Ukuphuza utshwala obungaphezu kobunconywayo, ikakhulukazi ukuphuza ngokweqile, kwandisa ingozi ye-AFIB.
  • Izifo Ezibucayi: Ingozi yokuthola i-AFIB iyanda uma unezifo ezinzima ngokwanele ukuthi zidinga ukulaliswa esibhedlela (isb., i-sepsis, ukutheleleka okukhulu kwe-COVID-19).
  • Ukuntuleka kokuvivinya umzimba:Ukungazibandakanyi emisebenzini yomzimba eyanele yansuku zonke kungenye imbangela ye-AFIB.
  • Ukuqeqeshwa kokuzivocavoca ngokweqile: Nakuba ukuzivocavoca kuhle enhliziyweni, noma yini eningi kakhulu ayilungile. Abantu abazivocavoca amahora angaphezu kwamathathu ngosuku, eminyakeni eminingi, nabo basengozini enkulu yokuthola i-AFIB.

Odokotela bayixilonga kanjani i-AFIB?

Isivivinyo esibaluleke kakhulu sokunquma ngokunembile ukuthi une-AFIB yi -ECG noma i-EKG (i-Electrocardiogram) .

  • Lokhu kwenziwa ngokuqopha umsebenzi kagesi wenhliziyo yakho kugrafu. Ngokubheka leyo grafu, udokotela wakho anganquma ngokuqinisekile ukuthi une-AFIB noma ezinye izinkinga zesigqi senhliziyo (arrhythmias).

Ngaphezu kwalokho, udokotela uzokwenza lezi zinto:

  • Bazokwenza ukuhlolwa ngokomzimba futhi babuze ngomlando wakho wezokwelapha.
  • Ukuhlolwa kwegazi kungacelwa. Bangahlola ezinye izimo zezokwelapha noma izimo ezingathinta uhlelo lwakho lokwelashwa lwe-AFIB.
  • Kuhlolwa ukuhlolwa kwe-echocardiogram (echo) . Lokhu kungasetshenziswa ukuhlola ngokuseduze isakhiwo kanye nomsebenzi wenhliziyo.
  • Unganikwa i-monitor encane (i-Holter monitor noma i-cardiac event monitor) ongayigqoka izinsuku ezimbalwa noma isonto. Lokhu kungaqopha njalo umsebenzi kagesi wenhliziyo yakho ngenkathi wenza imisebenzi yakho yansuku zonke ngisho nalapho ulele.

Ingabe kunezigaba ezahlukene ze-AFIB?

Yebo, i-AFIB iyisimo "esiqhubekayo". Okusho ukuthi, ingadlula ezigabeni ezahlukene futhi ibe yimbi kakhulu ngokuhamba kwesikhathi. Odokotela bacabangela lezi zigaba lapho bexilonga futhi belapha i-AFIB:

  • Isigaba 1: Kusengozini ye-AFIB
  • Isigaba 2: I-Pre-AFib
  • Isigaba 3: I-AFIB `(AFib)` (Lokhu futhi kunezigaba eziningana ezincane)
  • Isigaba 4: I-AFib Ehlala Njalo

Isigaba 1: Kusengozini ye-AFIB

Lokhu kusho ukuthi unezici eziyingozi ezingase zandise ingozi yakho yokuthola i-AFIB. Isibonelo:

  • Umfutho wegazi ophakeme
  • Ukukhuluphala ngokweqile
  • Isifo sikashukela
  • Ubunzima bokuhona nokuphefumula (i-sleep apnea)
  • Ukusetshenziswa kotshwala ngokweqile
  • Izinkinga zesistimu yenhliziyo
  • Ngaphezulu kweminyaka engama-65 ubudala

Uma unalezi zinto, ungase ube sengozini yokuthola i-AFIB.

Isigaba 2: I-Pre-AFib

Kuleli qophelo, ungase uqaphele izinguquko ezithile emsebenzini kagesi noma esakhiweni senhliziyo yakho. Lokhu kwandisa ingozi yakho yokuthola i-AFib. Odokotela bafuna izimpawu ezinjengalezi:

  • I-tachycardia ye-Atrial
  • Ukuphaphazela kwe-Atrial
  • I-atrium ekhulisiwe kwesobunxele kanye/noma kwesokudla
  • Ukushaya kwenhliziyo okuvamile kwe-ectopic

Futhi, abantu abanezimo ezibabeka engcupheni enkulu ye-AFIB, njenge-`(Isifo semithambo yegazi ye-Coronary)`, `(Ukwehluleka kwenhliziyo)`, `(Isifo se-valve yenhliziyo)`, `(I-Hyperthyroidism)`, `(I-Hypertrophic cardiomyopathy)`, kanye ne-`(Izinkinga ze-Neuromuscular)`, bangase bawele kulesi sigaba sesibili.

Isigaba 3: I-AFIB (kukhona nezingxenye zalokhu)

Uma i-ECG iqinisekisa ukuthi une-AFIB, ukulesi sigaba. Kodwa lesi sigaba singahluka. Abanye abantu banezimpawu ezifikayo nezidlulayo, kanti abanye bayaqhubeka nokuba ne-AFIB naphezu kokwelashwa. Yingakho odokotela behlukanisa lesi sigaba sibe yizigaba ezine ezincane:

  • I-Paroxysmal AFib: Kulolu hlobo lwe-AFibib, i-AFibib yenzeka ngezikhathi ezithile futhi iphela yodwa phakathi nesonto, ngokuvamile ngaphandle kokwelashwa. Kodwa-ke, ungase uzizwe ungakhululekile phakathi nalesi sikhathi esifushane. Usengozini enkulu yokushaywa unhlangothi kunabantu abangenayo i-AFibib.
  • I-AFib Eqhubekayo: Lokhu kwenzeka lapho i-AFib iphikelela , okusho ukuthi ihlala isikhathi esingaphezu kwesonto. Kudingeka ukwelashwa ukuze imiswe.
  • I-AFib ehlala isikhathi eside: Kulesi simo, i-AFib iyaqhubeka unyaka noma ngaphezulu.
  • Ngemva kokwelashwa ngempumelelo kwe-ablation: I-AFIB iyekile ngemuva kokuhlinzwa noma ukwelashwa okusekelwe ku-catheter (ablation).

Uma usutholakale une-AFibib, ungase ushintshe phakathi kwalezi zigaba ezincane. Isibonelo, ngisho nangemva kokususwa kwezicubu okuphumelelayo, i-AFibib eqhubekayo ingabuya ngokuhamba kwesikhathi.

Isigaba 4: I-AFib Ehlala Njalo

Lokhu kusho ukuthi wena nodokotela wakho ninqume ndawonye ukuthi ngeke usaphathwa ukulawula i-AFIB yakho, nokuthi uzohlala ku-AFIB unomphela. Lesi sinqumo senziwa ngokusekelwe esimweni sakho.

Yiziphi izindlela zokwelapha i-AFIB?

I-AFIB ingelashwa ngokunye noma ngaphezulu kwalokhu okulandelayo:

  • Izinguquko zendlela yokuphila
  • Imithi
  • Ukwelashwa kokukhipha isisu
  • Ezinye izindlela zokwelapha

Izinguquko zendlela yokuphila

Lezi yizinto ongayenza nsuku zonke ukusiza ukuvimbela i-AFIB ukuthi ibe yimbi kakhulu. Lezi zinguquko zendlela yokuphila zibalulekile ngisho nangaphambi kokuba uqale ukuba nezimpawu. Udokotela wakho angakusiza ngalezi zinto:

  • Kukusiza ukuthi ugcine isisindo sakho siphilile .
  • Ukunciphisa ukusetshenziswa kotshwala.
  • Gwema ngokuphelele ukusebenzisa imikhiqizo kagwayi (njengogwayi).
  • Ukuthola inani elinconywayo lokuzivocavoca umzimba nsuku zonke.
  • Ukulawula kahle izimo ezandisa ingozi ye-AFIB, njengomfutho wegazi ophakeme, ukukhuluphala ngokweqile, i-obstructive sleep apnea, kanye nesifo sikashukela.

Imithi

Udokotela wakho angase akunike imithi yokulawula ukushaya kwenhliziyo yakho kanye/noma isigqi senhliziyo. Le mithi ingasiza ekuvimbeleni ukulimala kwenhliziyo yakho futhi inciphise ukungakhululeki nokukhathazeka ongase ukuzwe. Udokotela wakho angase akunike imithi yokunciphisa ingozi yokuqhekeka kwegazi kanye nesifo sohlangothi.

Izinhlobo zemithi edingekayo ukulawula i-AFIB zingashintsha ngokuhamba kwesikhathi. Ngokuvamile, uma usengozini yokushaywa yisifo sohlangothi, kuzodingeka uthathe imithi yokunciphisa igazi (ama-anticoagulants) . Odokotela bavame ukukunikeza ama-anticoagulants omlomo (ama-DOAC - Ama-Direct Oral Anticoagulants). Izibonelo:

  • `Apixaban`
  • `I-Rivaroxaban`
  • `I-Dabigatran`
  • `Edoxaban`

Kwezinye izimo, kunikezwa umuthi obizwa ngokuthi ``Warfarin'' esikhundleni se ``DOACs''.

Imithi yokulawula izinga lokushaya kwenhliziyo yakho:

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

Imithi esiza inhliziyo yakho ukuthi ishaye ngendlela evamile:

  • `I-Amiodarone`
  • `I-Dofetilide`
  • `I-Dronedarone`
  • `I-Flecainide`
  • `I-Propafenone`

Ukwelashwa kwe-Ablation (i-Ablation ye-AFIB)

I-Ablation ye-AFIB igama elijwayelekile leqembu lezokwelapha elidala inani elincane lezicubu zesibazi ezindaweni ezithile zenhliziyo. Nakuba sivame ukucabanga ngezicubu zesibazi njengento eyingozi, kulokhu, lesi sibazi sisiza uhlelo lukagesi lwenhliziyo ukuthi lusebenze kahle. Lesi sibazi sivimba izimpawu zikagesi ezingavamile ukuthi zingangeni enhliziyweni. Lokhu kusiza isigqi senhliziyo sibuyele esimweni esijwayelekile.

Kunezinqubo eziningana ezithile zokuhlanza umzimba ezinganconywa udokotela wakho wenhliziyo nge-AFIB:

  • Ukususwa kwe-catheter: Lokhu kuyindlela yokwelapha engangenisi kakhulu. Udokotela ohlinzayo ufaka ipayipi elincane (i-catheter) ngemithambo yegazi yakho iye enhliziyweni yakho. Ukususwa kwemithambo yegazi yamaphaphu (i-PVI ablation) nakho kuyindlela evame kakhulu yokususwa kwe-catheter ye-AFIB.
  • Inqubo ye-Maze: Lokhu kubizwa nangokuthi i-surgical ablation. Udokotela ohlinzayo udala iphethini "ye-maze" yezicubu zesilonda enhliziyweni ukuvimba izimpawu ezingajwayelekile. Lokhu kuvame ukwenziwa ngesikhathi esifanayo nokunye ukuhlinzwa kwenhliziyo (njengokufakelwa kwemithambo yenhliziyo noma ukuhlinzwa kwe-valve).

Ezinye izindlela zokwelapha

Ezinye izindlela zokwelapha i-AFIB:

  • Ukuguqulwa kwenhliziyo:Kulokhu, udokotela uzosebenzisa idivayisi kagesi (i-defibrillator) noma akunike umuthi wokubuyisela isigqi senhliziyo yakho esimweni esijwayelekile.
  • Ukuvalwa kwe-atrial appendage (LAA) kwesobunxele: Uma ungakwazi ukubekezelela izinto zokunciphisa igazi, idivayisi encane ingafakwa enhliziyweni yakho ukuze kuncishiswe ingozi yakho yokushaywa yisifo sohlangothi. Lokhu kusebenza ngokuvala i-atrial appendage kwesobunxele , ingxenye encane yenhliziyo efana nesikhwama engenza amahlule egazi kalula.

Ingabe inhliziyo ibuyela esimweni sayo esijwayelekile ngemva kwe-AFIB?

Yebo, ngezinye izikhathi inhliziyo yakho izobuyela esigqini sayo esijwayelekile. Yilokhu okwenzeka ku-"Paroxysmal AFib``. Uma une-"eqhubekayo" noma "i-AFib`` ehlala isikhathi eside, uzodinga ukwelashwa ukuze umise ukushaya kwenhliziyo okungajwayelekile.

Kodwa into ebaluleke kakhulu ukuthi i-AFIB ayikwazi ukwelapheka. Yisimo esihlala isikhathi eside. Udokotela wakho angakusiza ukuthi usilawule. Ukwelashwa kunganciphisa ingozi yakho yokushaywa yisifo sohlangothi futhi kwenze izimpawu zakho zingabi zimbi kakhulu.

Ungaphila isikhathi esingakanani ne-AFIB?

Ucwaningo olwanyatheliswa ngo-2024 lwathola ukuthi abantu abane-AFIB bangase babe nesikhathi sokuphila esifushane kunalabo abangenayo i-AFIB. Lokhu kuyahlukahluka kuye ngokuthi umuntu uneminyaka emingaki lapho exilongwa.

Kodwa khumbula, izibalo zilandisa uhlangothi olulodwa kuphela lwendaba. Uma usebenzisana nethimba lakho lezokwelapha ukuphatha kahle i-AFIB yakho nezinye izimo zezokwelapha, unethuba elihle lokuphila impilo ende nenempilo .

Ngizinakekela kanjani?

Imikhuba efanayo enciphisa ingozi yakho ye-AFIB izokusiza ukuthi uhlale uphilile ngisho noma une-AFIB.

  • Ukudla ukudla okunomsoco .
  • Ukuzivocavoca imizuzu engama-30 ngosuku, okungenani izinsuku ezi-5 ngesonto, kuhle kakhulu enhliziyweni. Uma ukuthola kunzima ukuzivocavoca njalo, ungakuhlukanisa kube yimizuzu eyi-10.
  • Ukuyeka imikhiqizo kagwayi notshwala nakho kuyisiza kakhulu inhliziyo.

Kufanele ngimbone nini udokotela?

Akukho simiso esifanelana nakho konke lokhu. Kuncike ezimpawini zakho, uhlelo lokwelashwa, kanye nokulandelela uma uke waba nanoma yiziphi izinqubo. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho bese uqhamuka nohlelo oluzokusebenzela.

  • Bonana nodokotela ngesikhathi ngaphandle kokuphuthelwa yizikhathi zokubonana.
  • Hlala ubhala uhlu lwemithi oyithathayo, bese uluphatha uma uya kudokotela. Kungumqondo omuhle futhi ukugcina lolu hlu esikhwameni sakho uma kwenzeka isimo esiphuthumayo.
  • Kuyo yonke i-aphoyintimenti, tshela udokotela wakho nganoma yiziphi izimpawu ezintsha onazo kanye nanoma yimiphi imiphumela emibi evela emithini yakho.
  • Buza udokotela wakho njalo ngaphambi kokuthatha imithi ethengiswa ngaphandle kwemithi kadokotela (i-OTC) (isib. imithi yomkhuhlane kanye nokukhwehlela) kanye nezithako zokudla okunempilo.Ngezinye izikhathi lokhu kungathinta izinga lokushaya kwenhliziyo yakho noma kuhambisane neminye imithi oyiphuzayo.

Yimiphi imibuzo okufanele uyibuze udokotela?

Eminye imibuzo ongayibuza udokotela wakho:

  • Ngingazinciphisa kanjani izinto engizibeka engcupheni?
  • Ungangixhumanisa nochwepheshe wezokudla?
  • Ungancoma noma yiziphi izinhlelo zezempilo nokufaneleka eduze?

Ungakwazi yini ukuhlola i-AFIB ekhaya?

Uma ucabanga ukuthi unezimpawu ze-AFIB, into ebaluleke kakhulu ukushayela udokotela wakho ucingo ngokushesha umtshele ukuthi uzizwa kanjani. Cishe bazokutshela ukuthi uhlole ukushaya kwenhliziyo yakho. Uma kungajwayelekile noma kubuthakathaka, kungaba uphawu lwe-AFIB.

Kodwa ngezinye izikhathi, ungase ungezwa noma yiziphi izinguquko ekushayweni kwenhliziyo yakho, ikakhulukazi uma i-AFibib yakho ingekho nzima kakhulu. Kunalokho, ungase uzizwe ukhathele noma uphelelwa umoya. Ungase ungakwazi ukubona ukuthi izimpawu zakho zibangelwa yi-AFibib noma okunye. Yingakho kubalulekile ukukhuluma nodokotela wakho. Awukwazi ukuzinqumela ukuthi une-AFibib.

Ivame kangakanani i-AFIB?

Abantu abangaphezu kwezigidi ezingu-33 abaneminyaka engaphezu kwengu-55 emhlabeni wonke batholakale benesifo i-AFIB. E-United States kuphela, kulinganiselwa ukuthi abantu abayizigidi ezingu-12 bazoba ne-AFIB ngo-2030. I-AFIB ibangela ukulaliswa esibhedlela cishe ingxenye yesigidi e-United States minyaka yonke, futhi inani labafa ngenxa yayo liyakhula minyaka yonke.

Ukuthola ukuthi une-AFIB kungaba yinto eyesabekayo, ekhungathekisayo, futhi edidayo. Kodwa awuwedwa. Izigidi zabantu emhlabeni wonke zifunda izindlela ezintsha zokuphatha lesi simo nokuphila izimpilo ezijabulisayo. Udokotela wakho angakutshela okwengeziwe ngezinketho zokwelapha, izinsiza, kanye nemiphakathi yokusekela.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule kulesi sihloko?

Kulungile, nansi eminye yemibono okufanele uyikhumbule kulokho esikhulume ngakho:

- I-AFIB yisimo lapho isigqi senhliziyo singajwayelekile, futhi singaba sibi kakhulu, ngisho noma kungekho zimpawu. Kukhona ingozi yezinkinga, ikakhulukazi isifo sohlangothi.

- Qaphela izimpawu ezifana nokuqina kwesifuba, ukukhathala, isiyezi, kanye nobunzima bokuphefumula. Uma uhlangabezana nanoma yikuphi kwalokhu, qiniseka ukuthi ubona udokotela.

- I-AFIB iyisimo esingelapheka. Ingalawulwa kahle ngokushintsha indlela yokuphila, imithi, futhi kwezinye izimo, ukwelashwa okufana "nokuhlanza umzimba".

- Indlela yokuphila enempilo (ukudla okunempilo, ukuvivinya umzimba njalo)Ukugcina indlela yokuphila enempilo (ukuzivocavoca umzimba, ukubhema, nokugwema utshwala) kubaluleke kakhulu ekulawuleni i-AFIB kanye nempilo yenhliziyo.

- Awuwedwa kulolu hambo. Khuluma nodokotela wakho ukuze wakhe uhlelo lokwelashwa kanye nesu lokuphatha elikusebenzela kahle kakhulu. Ungesabi ukubuza imibuzo nokwabelana ngemizwa yakho.

Khumbula, ukuqwashisa kuyisinyathelo sokuqala sokuphila impilo enempilo!


` I-Atrial Fibrillation, i-AFib, isigqi senhliziyo, ukushaya kwenhliziyo okungajwayelekile, isifo sohlangothi, ukuhlaselwa yinhliziyo, isifo senhliziyo, ubuhlungu besifuba, ukushaya kwenhliziyo, impilo yenhliziyo

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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