Ingabe ngezinye izikhathi uzizwa sengathi isifuba sakho siyashaya ngokuzumayo, sengathi othile ugijima ngaphakathi? Noma uzizwa sengathi umhlambi wezimvemvane undiza ngaphakathi esifubeni sakho, noma umuzwa ongavamile sengathi inhlanzi iyalwa? Uma lezi zinto zihambisana nezinto ezifana nokukhathala kanye nesiyezi, ungazinaki nje bese ucabanga ukuthi zivamile. Lezi zingaba izimpawu zokuthi kukhona okungahambi kahle ngesigqi senhliziyo yakho. Namuhla sikhuluma nge-Atrial Fibrillation, noma i-AFIB ngamafuphi, isimo lapho isigqi senhliziyo siphazamiseka futhi sibonakala kubantu abaningi.
Kalula nje, kuyini i-Atrial Fibrillation (AFib)?
Kulungile, ake sikuqonde lokhu kalula. Inhliziyo yethu iyipompo emangalisayo. Kufanele isebenze ngokuhlelekile, ngesigqi. Lesi sigqi silawulwa uhlelo lukagesi lwemvelo enhliziyweni yethu. Ukuze sibe neqiniso, kungenxa yezibonakaliso zikagesi ezivela kulolu hlelo ukuthi imisipha yenhliziyo ifinyela ngesikhathi esifanele futhi ipompe igazi.
Manje cabanga nge-orchestra enkulu. Uma kunomqhubi oyedwa kuphela, wonke umuntu uyambheka futhi adlale ngesigqi esifanayo. Umculo muhle kakhulu. Kodwa kwenzekani uma abaqhubi abayishumi befika ngesikhathi esisodwa bese beqala ukushukumisa izandla zabo ngezindlela ezahlukene? Abadlali abazi ukuthi balalele bani. Wonke umculo uba yisiphithiphithi, akunjalo?
I-AFib iyinto efana naleyo. Kukhona okungahambi kahle ngohlelo oluthumela izimpawu zikagesi emakamelweni amabili aphezulu enhliziyo (siwabiza ngokuthi i-atria). Esikhundleni sesibonakaliso esisodwa, izimpawu eziningi ezisheshayo nezixakile ziqala ukuvela ezindaweni ezahlukene ngesikhathi esisodwa. Ngenxa yalokhu, amakamelo amabili aphezulu enhliziyo awanciphi kahle, kodwa ayathuthumela. Yilokhu esikubiza ngokuthi i-Fibrillation .
Uma amakamelo amabili aphezulu engasebenzi kahle, igazi alimpompi kahle liye emakamelweni amabili angaphansi kwawo (ama-ventricle). Futhi, ngenxa yalezi zimpawu eziphithizelayo ezivela phezulu, amakamelo amabili aphansi nawo aqala ukushaya ngokuphazima nangokushesha okukhulu. Ukushaya kwala makamelo amabili aphansi esikuzwayo njengokushaya kwenhliziyo esifubeni sethu. Ngakho-ke, yingakho umuntu one-AFIB eba nokushaya kwenhliziyo okungajwayelekile, ngezinye izikhathi okusheshayo kakhulu.
Ziyini izimpawu ze-AFIB? Ingabe nawe uzizwa lezi zimpawu?
Akuwona wonke umuntu one-AFIB onezimpawu ezifanayo. Abanye abantu bangase bangezwa lutho nhlobo. Kodwa kunezimpawu ezivamile. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukushaya kwenhliziyo | Ukuzizwa sengathi izimvemvane zindiza esifubeni sakho, njengenhlanzi elwa, noma sengathi inhliziyo yakho ishaya ngamandla noma ishaya ngamandla ngokuzumayo. |
| Ukukhathala Okukhulu | Ukuzizwa ukhathele kakhulu ngaphandle kwesizathu. Lesi simo senzeka lapho inhliziyo ingasebenzi kahle, okuvimbela umzimba ekutholeni umoya-mpilo nezakhamzimba ozidingayo. |
| Isiyezi noma Ubumpumputhe | Ukushaya kwenhliziyo okungajwayelekile kunganciphisa inani legazi elifinyelela ebuchosheni, okungabangela isiyezi. |
| Ukuquleka (i-Syncope) | Kwezinye izimo ezinzima kakhulu, ukugeleza kwegazi ebuchosheni kungaphazamiseka kakhulu , okuholela ekulahlekelweni yingqondo. |
| Ukuphelelwa Umoya (i-Dyspnea) | Uma inhliziyo ingakwazi ukupompa igazi ngendlela efanele, lelo gazi lingahlangana emaphashini, okwenza kube nzima ukuphefumula. |
| Ubuhlungu Besifuba (Ubuhlungu Besifuba - I-Angina) | Ngenxa yokuthi inhliziyo ishaya ngokushesha kakhulu, imisipha yenhliziyo ingase ingatholi umoya-mpilo owanele, okungabangela ukuqina kwesifuba noma ubuhlungu. |
Into ebalulekile ukuthi, kungakhathaliseki ukuthi uhlangabezana nalezi zimpawu noma cha, i-AFIB akuyona inkinga okufanele ithathwe kalula, ngoba ingaholela ezinkingeni ezinkulu.
Ingabe i-AFIB iyisifo esibucayi? Kungani kufanele sikhathalele?
Yebo, i-AFIB iyisimo esibucayi. Ingozi enkulu isifo sohlangothi .
Kwenzeka kanje: Lapho amakamelo amabili aphezulu enhliziyo enganciphi kahle futhi ethuthumela, igazi liqala ukugcwala ngaphakathi kwawo. Njengamanzi angakwazi ukugeleza. Igazi eligcwala endaweni eyodwa lingakha kalula amahlule egazi. Uma ihlule legazi liphuma, lihamba ngemithambo yegazi, bese libhajwa emthanjeni wegazi omncane ebuchosheni, linganqamula ukugeleza kwegazi liye ebuchosheni futhi libangele isifo sohlangothi.
Ngaphezu kwalokho, uma inhliziyo isebenza ngokungajwayelekile nangokushesha ngale ndlela isikhathi eside, imisipha yenhliziyo ingaba buthaka futhi iholele nasekuhlulekeni kwenhliziyo . Lokhu kusho ukuthi inhliziyo ayikwazi ukupompa inani legazi elidingwa ngumzimba.
Ngakho-ke, uma unezimpawu ze-AFIB, kubaluleke kakhulu ukubona udokotela wakho ngokushesha okukhulu.
Lesi yisimo esiphuthumayo! Uma unalezi zimpawu, funa ukwelashwa ngokushesha.
- Uma unezinhlungu zesifuba ezinzima
- Uma kunzima kakhulu ukuphefumula
- Uma ulahlekelwa ingqondo noma uzizwa sengathi usuzolahlekelwa ingqondo
Esimweni esinjalo, shayela ngokushesha ku-1990 noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Isikhathi sibaluleke kakhulu.
Kungani sithola i-AFIB? Yiziphi izinto eziyingozi?
Ayikho imbangela eyodwa ye-AFIB. Kunezimbangela eziningana ezingaba khona. Empeleni, noma yini elimaza izicubu zenhliziyo noma uhlelo lwayo lukagesi ingaholela ku-AFIB.
Izimbangela eziyinhloko kanye nezici eziyingozi:
- Ezinye izimo zenhliziyo: Kungenzeka kakhulu ukuthi ube ne-AFIB uma usuvele unezimo ezifana nokwehluleka kwenhliziyo, isifo semithambo yenhliziyo, noma isifo se-valve yenhliziyo.
- Umfutho Wegazi Ophakeme: Umfutho wegazi ophakeme ongalawulwa ungalimaza inhliziyo isikhathi eside.
- Ukuguga: Ingozi yokuthola i-AFIB iyanda kakhulu ngemva kweminyaka engu-65.
- Ukukhuluphala ngokweqile: Isisindo somzimba esiningi sibangela ukucindezeleka okukhulu enhliziyweni.
- Isifo Sikashukela: Isifo sikashukela siyinto ebalulekile ethinta impilo yenhliziyo.
- I-Hyperthyroidism: Ukwanda kwamazinga e-hormone ye-thyroid kungakhuphula izinga lokushaya kwenhliziyo futhi kubangele i-AFIB.
- I-Obstructive Sleep Apnea: Lesi simo siphinde sicindezele inhliziyo.
- Ukuphuza utshwala ngokweqile: Ukuphuza utshwala obuningi njalo noma ngesikhathi esisodwa kuyimbangela enamandla ye-AFIB.
- Ukuntuleka kokuzilolonga: Indlela yokuphila engenamsebenzi omningi nayo iyingozi.
- Izici Zofuzo (Izinhlobo Zofuzo): Uma othile emndenini wakho ene-AFIB, nawe ungase ube sengozini yokuba nayo.
- Ukuhlinzwa kwenhliziyo: I-AFIB ingenzeka okwesikhashana ngemva kokuhlinzwa kwenhliziyo ngesinye isizathu.
Udokotela uyixilonga kanjani i-AFIB?
Uma uya kudokotela, uzokubuza ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Ngemuva kwalokho, bangase benze izivivinyo eziningana ukuqinisekisa i-AFIB nokuthola imbangela.
- I-Electrocardiogram (ECG/EKG): Lesi yisilingo esibaluleke kakhulu. Izinzwa ezincane zifakwa esifubeni sakho, ezingalweni, nasemilenzeni ukuze zirekhode umsebenzi kagesi wenhliziyo yakho. Lokhu kungakutshela ngokuqinisekile ukuthi isigqi senhliziyo yakho asijwayelekile noma ukuthi une-AFib.
- I-Echocardiogram (Echo): Lokhu kufana nokuskena kwenhliziyo. Kusebenzisa amaza omsindo ukuthola isithombe esihle sobukhulu benhliziyo, ukuma kwayo, umsebenzi wayo we-valve, kanye nendlela epompa ngayo igazi.
- I-Holter Monitor: Ngezinye izikhathi i-AFIB ayihlali ikhona. Iyafika futhi idlule. Ezimweni ezinjalo, ingase ingatholakali nge-ECG evamile. Kulesi simo, udokotela wakho uzokunikeza umshini omncane we-ECG ongawugqoka amahora angama-24 noma angama-48. Lokhu kungaqapha ukusebenza kwenhliziyo yakho ngenkathi wenza imisebenzi yakho yansuku zonke.
- Ukuhlolwa Kwegazi: Ukuhlolwa kwegazi kwenziwa ukuze kuhlolwe ezinye izimo ezingase zithinte i-AFIB, njengezinkinga ze-thyroid kanye nokusebenza kwezinso.
Iphathwa kanjani i-AFIB?
Kunemigomo emibili eyinhloko yokwelapha i-AFIB:
1. Ukuvimbela isifo sohlangothi.
2. Ukulawula ukushaya kwenhliziyo nokubuyisela isigqi esijwayelekile.
Izindlela zokwelapha zincike eminyakeni yakho, ubukhulu bezimpawu zakho, kanye nezinye izimo zezokwelapha.
| Indlela yokwelapha | Incazelo |
|---|---|
| Izinguquko zendlela yokuphila | Ukudla ukudla okunempilo, ukulawula isisindo, ukugwema utshwala nokubhema, ukuzivocavoca nsuku zonke, kanye nokulawula umfutho wegazi ophakeme kanye nesifo sikashukela kubalulekile kunoma yikuphi ukwelashwa. |
| Imithi |
|
| Ukuguqulwa kwenhliziyo | Lokhu kuhilela ukufaka ugesi olawulwayo esifubeni ukuze kubuyiselwe ngokushesha isigqi senhliziyo. Ngezinye izikhathi lokhu kungenziwa nangemithi. |
| Ukususwa kwe-Catheter | Lena inqubo ekhethekile. Ipayipi elincane (i-catheter) lidluliselwa ngomthambo osemlenzeni liye enhliziyweni, lapho lihlonza khona izindawo zezicubu zenhliziyo ezithumela izimpawu zikagesi ezingalungile ezibangela i-AFIB futhi zizibhubhise ngokushisa noma ukubanda okukhulu. Kufana nokusika nokususa intambo kagesi enephutha. |
| Okunye ukuhlinzwa | Ukuhlinzwa, njengenqubo ye-Maze , esusa izicubu ezibangela i-AFib, kungenziwa ngesikhathi sokuhlinzwa kwenhliziyo okunye. |
Ungaphila kanjani ne-AFIB?
Ungesabi noma ukhathazeke uma uthola ukuthi une-AFIB. Kuyisimo esilawulekayo. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
- Thatha imithi yakho ngesikhathi: Ungaphuthelwa ngisho usuku olulodwa lwemithi yakho, ikakhulukazi imithi yokunciphisa igazi.
- Hlola ukushaya kwenhliziyo yakho: Cela udokotela wakho akufundise ukuthi ungakuhlola kanjani ukushaya kwenhliziyo yakho esihlakaleni sakho. Hlola njalo ukuthi akujwayelekile noma kuyashesha.
- Indlela yokuphila enempilo: Lokhu kubaluleke kakhulu. Ukudla ukudla okunosawoti omncane, uwoyela, noshukela, ukudla izithelo nemifino eminingi, kanye nokuzivocavoca nsuku zonke kungasiza kakhulu ekulawuleni i-AFIB.
- Bona udokotela wakho njalo: Yiya emitholampilo ngezinsuku ezihleliwe. Tshela udokotela wakho nganoma yiziphi izinguquko noma izimpawu ezintsha oziqaphelayo.
I-AFib akuyona into okufanele yesatshwe, kodwa into okufanele iphathwe. Ngokwelashwa okufanele kanye nokushintsha kwendlela yokuphila, nawe ungaphila impilo enempilo nesebenzayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Atrial Fibrillation (AFib) yisimo lapho isigqi senhliziyo siba esingajwayelekile futhi sishesha khona.
- Ukuqina kwesifuba okungajwayelekile, ukukhathala okukhulu, isiyezi, kanye nobunzima bokuphefumula kungaba yizimpawu eziyinhloko .
- Inkinga eyinhloko neyimbi kakhulu ye-AFIB isifo sohlangothi, ngakho-ke ungasithathi kalula lesi simo.
- Umfutho wegazi ophakeme, isifo sikashukela, ukukhuluphala ngokweqile, kanye nokuguga yizinto ezibangela lokhu .
- Uma unezimpawu ze-AFIB, bona udokotela ngokushesha. Kungatholakala kalula ngokuhlolwa kwe-ECG.
- Ngemithi, izinguquko zendlela yokuphila, kanye nokwelashwa okukhethekile, i-AFIB ingaphathwa ngempumelelo futhi impilo enempilo ingatholakala.
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