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Ingabe inhliziyo yakho ngezinye izikhathi izwa sengathi iyaphambana? Ingabe kungaba yi-Atrial Fibrillation (AFib)? Ake sixoxe!

Ingabe inhliziyo yakho ngezinye izikhathi izwa sengathi iyaphambana? Ingabe kungaba yi-Atrial Fibrillation (AFib)? Ake sixoxe!
Wake wazizwa ngokuzumayo ushintsho olungavamile, olungavamile endleleni inhliziyo yakho eshaya ngayo? Mhlawumbe inhliziyo yakho ishaya nje njengokuhlanya, noma izwa sengathi iyama bese iqala futhi. Nakuba singacabangi kakhulu ngalezi zinto, ngezinye izikhathi zingaba uphawu lwesimo sempilo. Namuhla sizokhuluma ngesimo esisodwa esinjalo, esingahlotshaniswa nesigqi senhliziyo. Leso yi-Atrial Fibrillation, noma i-AFIB ngamafuphi.

Kuyini i-AFIB (Atrial Fibrillation)? Ake sikuqonde kalula.

Kalula nje, i-Atrial Fibrillation (AFib) iyiphethini yokushaya kwenhliziyo okungajwayelekile eqala emakamelweni aphezulu enhliziyo yakho (ebizwa nangokuthi i-atria). Ukuze kube sobala, uhlelo lukagesi lomuntu one-AFib alusebenzi kahle. Esikhundleni sokuthumela izimpawu zikagesi ngendlela ehlelekile, njengoba kufanele, luqala ukuthumela izimpawu eziningi ezahlukene ngesikhathi esisodwa. Cabanga nge-orchestra enkulu, kodwa esikhundleni somqhubi oyinhloko ohola i-orchestra, kunabantu abaningana ohlangothini ngalunye abanikeza imiyalo ngesikhathi esifanayo. Bese abaculi abazi ukuthi balalele bani nokuthi badlale ini. Wonke umculo udidekile futhi awuhambisani ne-tune, akunjalo? Yilokho okwenzeka emakamelweni aphezulu ezinhliziyo zethu nge-AFib. Ngenxa yalokho, amakamelo aphezulu enhliziyo (i-atria) aqala ukushaya ngesigqi esisheshayo nesixakile. Ngenxa yalokho, la makamelo aphezulu awakwazi ukuncipha kahle futhi awakwazi ukupompa igazi liye emakamelweni aphansi (abizwa ngokuthi ama-ventricles). Amakamelo aphansi, asebenza ngezibonakaliso ezivela emakamelweni aphezulu, nawo aqala ukuncipha ngokungajwayelekile. Yingakho uzizwa sengathi inhliziyo yakho ishaya ngokushesha nangokungajwayelekile. Ukushaya kwenhliziyo okuzwayo empeleni kuvela ekuncipheni kwala makamelo aphansi (ama-ventricle). I-atrial fibrillation ingaholela ezinkingeni ezinkulu ezifana nesifo sohlangothi noma ukwehluleka kwenhliziyo. Yingakho kubalulekile ukuqaphela izimpawu zayo futhi ukhulume nodokotela wakho ngezinto eziyingozi zakho.

Ziyini izimpawu ze-AFIB? Bheka ukuthi nawe unazo yini lezi zimpawu

Akuwona wonke umuntu one-AFIB ozoba nezimpawu. Kodwa-ke, kunezimpawu ezithile ezivamile:
  • Umuzwa ongavamile njengovemvane olundiza esifubeni sakho, noma inhlanzi elwa. Ngezinye izikhathi inhliziyo yakho ingase ishaye ngokushesha, njengokungathi ishaya esifubeni sakho (lokhu sikubiza ngokuthi 'ukushaya kwenhliziyo ').
  • Ukuzizwa ukhathele kakhulu. Ukuzizwa ukhathele kakhulu ukuba ungenza noma yini.
  • Ukuzizwa unesizungu noma uzizwa ukhathazekile.
  • Ukulahlekelwa ukwazi (i-syncope).
  • Ubunzima bokuphefumula (ukuphelelwa umoya). Kuzwakala sengathi uyacinana nje.
  • Ubuhlungu besifuba (`i-angina ).
Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukubona udokotela ukuze akunike iseluleko.

I-AFIB ibaluleke kangakanani?

Kungakhathaliseki ukuthi unezimpawu noma cha, i-AFIB yisimo esibucayi esidinga ukuthathwa ngokungathi sína. Kusho ukuthi isigqi senhliziyo yakho asijwayelekile. Uma inhliziyo yakho ingashayi ngendlela evamile, usengozini enkulu yokuba namahlule egazi ayingozi ngaphakathi kwenhliziyo yakho. Uma la mahlule eya ezithweni ezibalulekile njengobuchopho bakho futhi awavimbele, angabangela izimo ezibucayi njengesifo sohlangothi. Ezinye izinkinga zingavela futhi.
Uma unezimpawu ze-AFIB, bona udokotela wakho ngokushesha.

Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?

Kwezinye izimo, kungadingeka uye ekamelweni lezimo eziphuthumayo ngokushesha. Lokhu kufaka phakathi:
  • Uma unezinhlungu zesifuba ezinzima .
  • Uma kuba nzima kakhulu ukuphefumula .
  • Uma ulahlekelwa ingqondo noma uzizwa sengathi ulahlekelwa ingqondo.
Ngezikhathi ezinjengalezi, ungahlali ekhaya, hamba uye esibhedlela ngokushesha.

Yini engabangela i-AFIB?

I-Atrial Fibrillation ibangelwa kakhulu izinguquko ezicutshini kanye nohlelo lukagesi lwenhliziyo yakho. Kunezimbangela eziningana ezingaba khona zalezi zinguquko:
  • Ezinye izimo zenhliziyo nemithambo yegazi . Isibonelo, isifo semithambo yegazi yenhliziyo , isifo se-valve, kanye nokwehluleka kwenhliziyo .
  • Ezinye izimo zezokwelapha. Izinto ezifana nomfutho wegazi ophakeme, ukukhuluphala ngokweqile, i-hyperthyroidism, isifo sezinso esingamahlalakhona, kanye ne-obstructive sleep apnea .
  • Izinhlobo zezakhi zofuzo. Ucwaningo lwamuva nje luthole ukuthi izinhlobo ezithile zezakhi zofuzo zihlotshaniswa ne-AFIB. Yingakho abanye abantu abasha nabo bengakha i-AFIB.
  • Ukuhlinzwa kwenhliziyo. Uma uke wahlinzwa inhliziyo ngesinye isizathu, i-AFIB ingaqala ngemva kwalokho kuhlinzwa. I-AFIB ingenzeka futhi ngesikhathi sokululama kokunye ukuhlinzwa okungahlobene nenhliziyo.

Izici Zengozi Ezandisa Ingozi Yokuthuthukisa i-AFIB

Uma unezinye zezimo zezokwelapha ezishiwo ngenhla, usengozini enkulu yokuthola i-AFIB. Kunezinye izici eziningana eziyingozi:
  • Ukukhula kweminyaka kuyakhula. Ingozi yakho yokuthola i-AFIB iyanda njengoba ukhula, ikakhulukazi ngemva kweminyaka engu-65.
  • Ukusetshenziswa kotshwala ngokweqile.Ukuphuza utshwala obuningi kunemingcele enconyiwe, ikakhulukazi ukuphuza kakhulu ngesikhathi esisodwa - sikubiza ngokuthi 'ukuphuza ngokweqile' - nakho kwandisa ingozi ye-AFIB.
  • Ukugula okubucayi. Izifo ezinkulu ngokwanele ukuthi zidinga ukulaliswa esibhedlela (njenge-sepsis noma i-COVID-19 embi kakhulu) zandisa ingozi ye-AFIB.
  • Ukuntuleka kokuzilolonga umzimba. Ukungazivocavoci ngokwanele emini nakho kungaba yimbangela ye-AFIB.
  • Ukuqeqeshwa kokuzivocavoca ngokweqile. Ukuzivocavoca umzimba kuhle enhliziyweni, kodwa ukwenza noma yini eningi kakhulu akukuhle. Abantu abazivocavoca amahora angaphezu kwamathathu ngosuku iminyaka eminingi nabo basengozini enkulu yokuthola i-AFIB.

Odokotela bayixilonga kanjani i-AFIB ngokunembile?

Ukuhlolwa okuyinhloko okusetshenziselwa ukuxilonga i-AFIB yi -electrocardiogram, eyaziwa nangokuthi i-ECG (electrocardiogram) noma i-EKG. Lokhu kudala igrafu yezimpawu zikagesi ezihamba enhliziyweni yakho. Lokhu kungakusiza ukuthi ubone ukuthi une-AFIB noma ezinye izinhliziyo ezingavamile (ama-arrhythmia). Ngaphezu kwalokho, udokotela wakho uzokwenza ezinye izinto ezimbalwa:
  • Uzohlolwa ngokomzimba futhi ubuzwe ngomlando wakho wezokwelapha.
  • Ukuhlolwa kwegazi kuyalelwe ukuhlola ezinye izimo, ikakhulukazi lezo ezingathinta uhlelo lokwelashwa lwe-AFIB.
  • Ungase ucelwe ukuthi wenze i- echocardiogram (echo) ukuhlola isakhiwo kanye nokusebenza kwenhliziyo yakho.
  • Ungase ucelwe ukuthi ugqoke i-monitor (i-'Holter monitor' noma i-'cardiac event monitor') amahora angama-24 noma ngaphezulu, eqopha umsebenzi kagesi wenhliziyo yakho njengoba uqhubeka nemisebenzi yakho yansuku zonke.

Ingabe kunezigaba ezahlukene ze-AFIB?

Yebo, i-AFIB 'iyisimo esiqhubekayo'. Lokhu kusho ukuthi ingadlula ezigabeni ezahlukene futhi ibe yimbi kakhulu ngokuhamba kwesikhathi. Odokotela basebenzisa lezi zigaba lapho bexilonga futhi belapha i-AFIB:
  • Isimo 1: Labo abasengozini ye-AFIB (`Esengozini ye-AFIB`)
  • Icala 2: I-Pre-AFib (`Pre-AFib`)
  • Isimo 3: I-AFib (`AFib`)
  • Icala 4: I-AFib Ehlala Njalo
Ake sibheke ngayinye yalezi zimo ngemininingwane ethe xaxa.

Isigaba 1: Isengozini ye-AFIB

Lokhu kusho ukuthi unezici ezithile eziyingozi ezingakwenza ube namathuba amaningi okuthola i-AFIB. Isibonelo:
  • Umfutho wegazi ophakeme
  • Ukukhuluphala ngokweqile
  • Isifo sikashukela
  • Ukuphefumula komoya ngesikhathi sokulala
  • Ukusetshenziswa kotshwala ngokweqile
  • Ukusebenza kabi kwesistimu yenhliziyo nemithambo yegazi
  • Ngaphezulu kweminyaka engama-65 ubudala
Uma unalezi zinto, ungasho ukuthi usengozini yokuthola i-AFIB.

Isigaba 2: I-Pre-AFib

Kuleli qophelo, kungase kube nezinguquko ezithile emsebenzini kagesi noma esakhiweni senhliziyo yakho. Lokhu kwandisa ingozi yakho yokuthola i-AFIB. Izimpawu odokotela abazifunayo kuleli qophelo zifaka:
  • I-atrial tachycardia (ukushaya kwenhliziyo okusheshayo)
  • Ukuphaphazela kwe-Atrial
  • I-atrium ekhulisiwe kwesobunxele kanye/noma kwesokudla
  • Ukushaya kwenhliziyo okuvamile kwe-ectopic
Futhi, uma unezimo ezithile zezokwelapha ezihlotshaniswa nengozi ephezulu yokuthola i-AFIB, nawe ukulesi sigaba sesibili. Izibonelo:
  • Isifo semithambo ye-coronary
  • Ukwehluleka kwenhliziyo
  • Isifo se-valve yenhliziyo
  • I-Hyperthyroidism
  • I-hypertrophic cardiomyopathy (ukuqina kwemisipha yenhliziyo)
  • Izinkinga ze-neuromuscular

Isigaba 3: I-AFIB

Uma ukuhlolwa kwe-ECG kuqinisekisa ukuthi une-Atrial Fibrillation, ukulesi sigaba. Kodwa kunezigaba ezingaphansi ezahlukene kulesi sigaba. Ungase ube nezimpawu eziza futhi zidlule zodwa. Noma ungase ube ne-AFIB eqhubekayo naphezu kokwelashwa. Ngisho noma izimpawu ziphela ngemva kokwelashwa, zingase zibuye kamuva. Yingakho odokotela behlukanisa lesi sigaba sibe yizigaba ezine ezingaphansi:
  • I-AFib engapheli (`i-Paroxysmal AFib`): Izimpawu ziyafika zidlule. Isiqephu ngasinye sihlala isikhathi esingaphansi kwesonto, futhi sivame ukuphela sodwa ngaphandle kokwelashwa. Ungase usazizwa ungakhululekile phakathi nalesi sikhathi esifushane. Usengozini enkulu yokuba nesifo sohlangothi kunabantu abangenayo i-AFib.
  • I-AFib Eqhubekayo: Izimpawu ziyaqhubeka zibuya, okusho ukuthi zibuya njalo. Isiqephu ngasinye sihlala isikhathi esingaphezu kwesonto. Ukwelashwa kuyadingeka ukuze kumiswe lesi simo.
  • I-AFib ehlala isikhathi eside: Izimpawu ziyaqhubeka unyaka noma ngaphezulu.
  • Ngemva kokususwa kwe-AFIB ngempumelelo: I-AFIB iyekile ngemva kokuhlinzwa noma inqubo esekelwe ku-catheter.
Uma usutholakale une-AFibib, ungashintsha phakathi kwalezi zinhlobo ezincane. Isibonelo, ungase ubhekane nokubuyela emuva kwe-'Persistent AFib' ngemuva nje kokwelashwa okuphumelelayo kwe-ablation.

Isigaba 4: I-AFib Ehlala Njalo

Lokhu kusho ukuthi ngeke usazama ukwelashwa ukuphatha i-AFIB yakho, nokuthi uzohlala use-AFIB. Lesi sinqumo senziwa nguwe nodokotela wakho ndawonye, ​​ngokusekelwe esimweni sakho.

Yiziphi izindlela zokwelapha i-AFIB?

Ukwelashwa kwe-fibrillation ye-atrial kungafaka okukodwa noma ngaphezulu kwalokhu okulandelayo:
  • Izinguquko zendlela yokuphila
  • Imithi
  • Ukwelashwa kokukhipha isisu
  • Ezinye izindlela zokwelapha
Ake sibheke lezi.

Izinguquko zendlela yokuphila

Lezi izinto ongayenza nsuku zonke ukusiza ukuvimbela i-AFIB ukuthi ibe yimbi kakhulu. Lezi zinguquko zendlela yokuphila zibalulekile nganoma yisiphi isikhathi ngesikhathi se-AFIB — noma ngabe awunazo izimpawu. Udokotela wakho angakusiza ngalezi zinto:
  • Zigcine unesisindo esinempilo.
  • Nciphisa ukusetshenziswa kotshwala.
  • Gwema ukusebenzisa imikhiqizo kagwayi.
  • Yenza umsebenzi womzimba onconywayo ngesilinganiso esinconywayo.
  • Lawula 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 izimpawu ezikwenza ungakhululeki noma ukhathazeke. Angase akunike nemithi yokunciphisa ingozi yakho yokuqhekeka kwegazi okungabangela isifo sohlangothi. Imithi oyidingayo ukuze uphathe i-AFIB ingashintsha ngokuhamba kwesikhathi. Ngokuvamile, uma usengozini yokuba nesifo sohlangothi, kuzodingeka uthathe imithi yokunciphisa igazi (ama-anticoagulants) . Odokotela bavame ukukunikeza imithi yokunciphisa igazi (ama-DOACs) ngomlomo. Izibonelo:
  • `Apixaban`
  • `I-Rivaroxaban`
  • `I-Dabigatran`
  • `Edoxaban`
Kwezinye izimo, kunikezwa umuthi obizwa ngokuthi `warfarin` esikhundleni se-`DOACs`. Imithi elawula izinga lokushaya kwenhliziyo yakho ihlanganisa:
  • `I-Carvedilol`
  • `I-Digoxin`
  • `I-Diltiazem`
  • 'I-Metoprolol'
  • `I-Verapamil`
Lena imithi esiza inhliziyo yakho ukuthi ishaye ngendlela evamile (isinus):
  • `I-Amiodarone`
  • `I-Dofetilide`
  • `I-Dronedarone`
  • `I-Flecainide`
  • `I-Propafenone`
Ungakhohlwa ukuthi yonke le mithi kufanele isetshenziswe kuphela njengoba kuyalelwe udokotela.

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

I-Ablation ye-AFIB yigama elijwayelekile leqembu lezokwelapha ezidala izicubu zesibazi enhliziyweni yakho. Nakuba sivame ukucabanga ngezicubu zesibazi njengento eyingozi, kulokhu, lesi sibazi sisiza uhlelo lukagesi lwenhliziyo yakho ukuthi lusebenze kahle. Lesi sibazi sivimba izimpawu zikagesi ezingavamile futhi sisize inhliziyo yakho ukuthi ishaye ngesigqi esijwayelekile. Ukwelashwa okukhethekile udokotela wakho wenhliziyo angase akuncomele i-AFIB kufaka phakathi:
  • Ukususwa kwe-catheter: Lokhu kuyindlela yokwelapha engangenisi kakhulu. Udokotela ohlinzayo ufaka amapayipi amancane (ama-catheter) ngemithambo yegazi yakho aye enhliziyweni yakho.Ukususwa kwemithambo ye-pulmonary vein (PVI) uhlobo oluthile lokususwa kwe-catheter olusetshenziswa kakhulu kwi-AFIB.
  • Inqubo ye-Maze: Ebizwa nangokuthi i-surgical ablation, le nqubo ihilela udokotela ohlinzayo ukudala iphethini efana ne-maze yezicubu zesilonda ezivimba izimpawu ezingavamile. Lokhu kuhlinzwa kwe-ablation kuvame ukwenziwa ngesikhathi esifanayo nokuhlinzwa kwenhliziyo ngesinye isizathu (njenge-CABG noma ukuhlinzwa kwe-valve).

Ezinye izindlela zokwelapha

Kunezinye izindlela eziningana zokwelapha i-AFIB:
  • Ukuguqulwa kwenhliziyo: Udokotela usebenzisa idivayisi (i-defibrillator) noma umuthi ukuze abuyisele isigqi senhliziyo yakho esimweni esijwayelekile.
  • Ukuvalwa kwe-left atrial appendage (LAA): Uma ungakwazi ukubekezelela izinto zokunciphisa igazi, ungase ufanelekele idivayisi yokuvalela i-left atrial appendage ukuze unciphise ingozi yakho yokushaywa yisifo sohlangothi. Le nqubo ivala isikhwama esincane enhliziyweni lapho amahlule egazi angakheka khona kalula.

Ingabe inhliziyo izobuyela esimweni sayo esijwayelekile ngemva kwe-AFIB? Ingabe ikhona ikhambi eliphelele?

Yebo, ngezinye izikhathi inhliziyo yakho ingabuyela esigqini sayo esijwayelekile. Yilokhu okwenzekayo kubantu abane-'Paroxysmal AFib'. Uma une-'Persistent' noma 'Long-standing AFib', uzodinga ukwelashwa ukuze umise lesi simo.
Kodwa kubalulekile ukwazi ukuthi ayikho ikhambi le-AFIB. Uma usunayo, iyinto onayo impilo yakho yonke.
Udokotela wakho angakusiza ukuthi uphathe lesi simo. 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 banempilo emfushane kunalabo abangenayo i-AFIB. Inani leminyaka elahlekile kusukela esikhathini sabo sokuphila lincike eminyakeni yabo lapho bexilongwa. Uma bebancane lapho bexilongwa, isikhathi sabo sokuphila siba sifushane futhi iminyaka eminingi balahlekelwa yiyo uma kuqhathaniswa nontanga yabo abangenayo i-AFIB. Kodwa khumbula, izibalo zilandisa uhlangothi olulodwa kuphela lwendaba. Ngokusebenzisana eduze nethimba lakho lezokwelapha ukuphatha i-AFIB nanoma yiziphi ezinye izimo zezokwelapha, unethuba elihle kakhulu lokuphila impilo ende.

Kufanele ngizinakekele kanjani?

Imikhuba efanayo enciphisa ingozi yakho yokuthola i-AFIB izokusiza ukuthi uhlale uphilile ngisho noma une-AFIB.
  • Ukudla ukudla okunomsoco kanye nokuzivocavoca umzimba imizuzu engama-30 izinsuku ezinhlanu ngesonto kuhle kakhulu enhliziyweni yakho. Ukuze kube lula ngawe ukuzivocavoca, ungakuhlukanisa kube yizicucu zemizuzu eyi-10.
  • Ukuyeka imikhiqizo kagwayi notshwala nakho kuhle kakhulu enhliziyweni.
Ukulandela lezi zinto kahle kuzokusiza kakhulu ukuthi uphile impilo enempilo ngisho noma une-AFIB.

Kufanele ngimbone nini udokotela?

Akukho simiso esibekiwe salokhu. Kuncike ngokuphelele ezimpawini zakho, ohlelweni lokwelashwa, nokuthi udinga yini ukulandelwa ngemva kwanoma yikuphi ukwelashwa. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho bese nihlela uhlelo ndawonye.
  • Yiba khona kuzo zonke izikhathi zakho ezihleliwe.
  • Gcina uhlu lwemithi oyiphuzayo bese uyiletha kudokotela ngamunye. Kungumqondo omuhle futhi ukugcina uhlu esikhwameni sakho, njengoba lungaba usizo ezimweni eziphuthumayo.
  • Tshela udokotela wakho nganoma yiziphi izimpawu noma izinkinga ezintsha onazo (isib., imiphumela emibi evela emithini) ngesikhathi ngasinye sokubonana.
  • Buza udokotela wakho njalo ngaphambi kokuthatha imithi ethengiswa ngaphandle kwemithi kadokotela (i-OTC) – isibonelo, imithi yomkhuhlane kanye neyomkhuhlane – kanye nezithasiselo zokudla okunempilo, njengoba le mikhiqizo ngezinye izikhathi ingathinta izinga lokushaya kwenhliziyo yakho noma ixhumane nemithi oyithathayo.

Yimiphi imibuzo okufanele uyibuze udokotela?

Nazi ezinye imibuzo ongayibuza udokotela wakho:
  • Ngingazinciphisa kanjani izinto engizibeka engcupheni?
  • Ungangisiza yini ukuthi ngixhumane nochwepheshe wezokudla?
  • Ungakwazi yini ukuncoma noma yiziphi izinhlelo zezempilo nokuqina komzimba kule ndawo?
  • I-AFib yami ikusiphi isigaba?
  • Yikuphi ukwelashwa okungcono kakhulu kimi?
  • Yimiphi imiphumela emibi engaba khona yokwelashwa?
Buza imibuzo efana nale ukuze uqonde kangcono isimo sakho.

Ungakwazi yini ukuhlola i-AFIB ekhaya?

Uma ucabanga ukuthi unezimpawu ze-AFibib, kubalulekile ukukhuluma nodokotela wakho ngokushesha bese umtshela ukuthi uzizwa kanjani. Udokotela wakho angase akucele ukuthi uhlole ukushaya kwenhliziyo yakho. Uma kuzwakala kungajwayelekile noma kubuthakathaka, lokho kungaba uphawu lokuthi une-AFibib. Kodwa ngezinye izikhathi, ungase ungaboni 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. Awusoze wazixilonga nge-AFibib.

Ivame kangakanani i-AFIB?

Abantu abangaphezu kwezigidi ezingu-33 abaneminyaka engaphezu kwengu-55 emhlabeni wonke batholakale benesifo i-AFIB. E-United States kuphela, kulindeleke ukuthi abantu abayizigidi ezingu-12 babe ne-AFIB ngo-2030. I-AFIB ibangela ukulaliswa esibhedlela cishe ingxenye yesigidi minyaka yonke e-United States, futhi inani labafa ngenxa yayo liyakhula minyaka yonke. Ukuthola ukuthi une-AFIB kungaba yinto eyesabekayo, edidayo, noma ekhungathekisayo. Kodwa awuwedwa. Ungomunye wezigidi zabantu abafunda izindlela ezintsha zokuphatha i-AFIB ngenkathi besaphila impilo ejabulisayo. Udokotela wakho angakutshela okwengeziwe ngezinketho zokwelapha, izinsiza, kanye nemiphakathi yokusekela.

Ngamafuphi (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi usunombono ongcono wokuthi i-AFIB besikhuluma ngani.
I-AFib iyisifo sokushaya kwenhliziyo esingajwayelekile. Kungaba yingozi, kodwa uma kuphathwa kahle, ungaphila impilo enempilo.
  • Qaphela izimpawu. Uma uzwa ubuhlungu besifuba njalo, ukukhathala okukhulu, noma isiyezi, bona udokotela.
  • Nciphisa izinto eziyingozi. Phila impilo enempilo.
  • Landela ukwelashwa njengoba nje udokotela esho. Thatha imithi yakho ngesikhathi, bese uya kohlolwa okuhleliwe.
  • Awuwedwa. Baningi abantu abaphila nalesi simo. Cela usizo uma uludinga.
Ukunakekela inhliziyo yakho kubaluleke kakhulu empilweni yakho iyonke, ngakho-ke kuwumqondo omuhle ukuqaphela lolu lwazi!
Ukushaya kwenhliziyo okungajwayelekile, ukushaya kwenhliziyo okungajwayelekile, i-Atrial Fibrillation, i-AFib, isifo senhliziyo, ingozi yokushaywa unhlangothi, ukuhlaselwa yinhliziyo, izimpawu ze-AFIB, ukwelashwa kwe-AFIB, ukushaya kwenhliziyo okungajwayelekile
⚠️ 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 inhliziyo yakho ngezinye izikhathi izwa sengathi iyaphambana? Ingabe kungaba yi-Atrial Fibrillation (AFib)? Ake sixoxe!

Ingabe inhliziyo yakho ngezinye izikhathi izwa sengathi iyaphambana? Ingabe kungaba yi-Atrial Fibrillation (AFib)? Ake sixoxe!

Wake wazizwa ngokuzumayo ushintsho olungavamile, olungavamile endleleni inhliziyo yakho eshaya ngayo? Mhlawumbe inhliziyo yakho ishaya nje njengokuhlanya, noma izwa sengathi iyama bese iqala futhi. Nakuba singacabangi kakhulu ngalezi zinto, ngezinye izikhathi zingaba uphawu lwesimo sempilo. Namuhla sizokhuluma ngesimo esisodwa esinjalo, esingahlotshaniswa nesigqi senhliziyo. Leso yi-Atrial Fibrillation, noma i-AFIB ngamafuphi.

Kuyini i-AFIB (Atrial Fibrillation)? Ake sikuqonde kalula.

Kalula nje, i-Atrial Fibrillation (AFib) iyiphethini yokushaya kwenhliziyo okungajwayelekile eqala emakamelweni aphezulu enhliziyo yakho (ebizwa nangokuthi i-atria). Ukuze kube sobala, uhlelo lukagesi lomuntu one-AFib alusebenzi kahle. Esikhundleni sokuthumela izimpawu zikagesi ngendlela ehlelekile, njengoba kufanele, luqala ukuthumela izimpawu eziningi ezahlukene ngesikhathi esisodwa. Cabanga nge-orchestra enkulu, kodwa esikhundleni somqhubi oyinhloko ohola i-orchestra, kunabantu abaningana ohlangothini ngalunye abanikeza imiyalo ngesikhathi esifanayo. Bese abaculi abazi ukuthi balalele bani nokuthi badlale ini. Wonke umculo udidekile futhi awuhambisani ne-tune, akunjalo? Yilokho okwenzeka emakamelweni aphezulu ezinhliziyo zethu nge-AFib. Ngenxa yalokho, amakamelo aphezulu enhliziyo (i-atria) aqala ukushaya ngesigqi esisheshayo nesixakile. Ngenxa yalokho, la makamelo aphezulu awakwazi ukuncipha kahle futhi awakwazi ukupompa igazi liye emakamelweni aphansi (abizwa ngokuthi ama-ventricles). Amakamelo aphansi, asebenza ngezibonakaliso ezivela emakamelweni aphezulu, nawo aqala ukuncipha ngokungajwayelekile. Yingakho uzizwa sengathi inhliziyo yakho ishaya ngokushesha nangokungajwayelekile. Ukushaya kwenhliziyo okuzwayo empeleni kuvela ekuncipheni kwala makamelo aphansi (ama-ventricle). I-atrial fibrillation ingaholela ezinkingeni ezinkulu ezifana nesifo sohlangothi noma ukwehluleka kwenhliziyo. Yingakho kubalulekile ukuqaphela izimpawu zayo futhi ukhulume nodokotela wakho ngezinto eziyingozi zakho.

Ziyini izimpawu ze-AFIB? Bheka ukuthi nawe unazo yini lezi zimpawu

Akuwona wonke umuntu one-AFIB ozoba nezimpawu. Kodwa-ke, kunezimpawu ezithile ezivamile:
  • Umuzwa ongavamile njengovemvane olundiza esifubeni sakho, noma inhlanzi elwa. Ngezinye izikhathi inhliziyo yakho ingase ishaye ngokushesha, njengokungathi ishaya esifubeni sakho (lokhu sikubiza ngokuthi 'ukushaya kwenhliziyo ').
  • Ukuzizwa ukhathele kakhulu. Ukuzizwa ukhathele kakhulu ukuba ungenza noma yini.
  • Ukuzizwa unesizungu noma uzizwa ukhathazekile.
  • Ukulahlekelwa ukwazi (i-syncope).
  • Ubunzima bokuphefumula (ukuphelelwa umoya). Kuzwakala sengathi uyacinana nje.
  • Ubuhlungu besifuba (`i-angina ).
Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukubona udokotela ukuze akunike iseluleko.

I-AFIB ibaluleke kangakanani?

Kungakhathaliseki ukuthi unezimpawu noma cha, i-AFIB yisimo esibucayi esidinga ukuthathwa ngokungathi sína. Kusho ukuthi isigqi senhliziyo yakho asijwayelekile. Uma inhliziyo yakho ingashayi ngendlela evamile, usengozini enkulu yokuba namahlule egazi ayingozi ngaphakathi kwenhliziyo yakho. Uma la mahlule eya ezithweni ezibalulekile njengobuchopho bakho futhi awavimbele, angabangela izimo ezibucayi njengesifo sohlangothi. Ezinye izinkinga zingavela futhi.
Uma unezimpawu ze-AFIB, bona udokotela wakho ngokushesha.

Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?

Kwezinye izimo, kungadingeka uye ekamelweni lezimo eziphuthumayo ngokushesha. Lokhu kufaka phakathi:
  • Uma unezinhlungu zesifuba ezinzima .
  • Uma kuba nzima kakhulu ukuphefumula .
  • Uma ulahlekelwa ingqondo noma uzizwa sengathi ulahlekelwa ingqondo.
Ngezikhathi ezinjengalezi, ungahlali ekhaya, hamba uye esibhedlela ngokushesha.

Yini engabangela i-AFIB?

I-Atrial Fibrillation ibangelwa kakhulu izinguquko ezicutshini kanye nohlelo lukagesi lwenhliziyo yakho. Kunezimbangela eziningana ezingaba khona zalezi zinguquko:
  • Ezinye izimo zenhliziyo nemithambo yegazi . Isibonelo, isifo semithambo yegazi yenhliziyo , isifo se-valve, kanye nokwehluleka kwenhliziyo .
  • Ezinye izimo zezokwelapha. Izinto ezifana nomfutho wegazi ophakeme, ukukhuluphala ngokweqile, i-hyperthyroidism, isifo sezinso esingamahlalakhona, kanye ne-obstructive sleep apnea .
  • Izinhlobo zezakhi zofuzo. Ucwaningo lwamuva nje luthole ukuthi izinhlobo ezithile zezakhi zofuzo zihlotshaniswa ne-AFIB. Yingakho abanye abantu abasha nabo bengakha i-AFIB.
  • Ukuhlinzwa kwenhliziyo. Uma uke wahlinzwa inhliziyo ngesinye isizathu, i-AFIB ingaqala ngemva kwalokho kuhlinzwa. I-AFIB ingenzeka futhi ngesikhathi sokululama kokunye ukuhlinzwa okungahlobene nenhliziyo.

Izici Zengozi Ezandisa Ingozi Yokuthuthukisa i-AFIB

Uma unezinye zezimo zezokwelapha ezishiwo ngenhla, usengozini enkulu yokuthola i-AFIB. Kunezinye izici eziningana eziyingozi:
  • Ukukhula kweminyaka kuyakhula. Ingozi yakho yokuthola i-AFIB iyanda njengoba ukhula, ikakhulukazi ngemva kweminyaka engu-65.
  • Ukusetshenziswa kotshwala ngokweqile.Ukuphuza utshwala obuningi kunemingcele enconyiwe, ikakhulukazi ukuphuza kakhulu ngesikhathi esisodwa - sikubiza ngokuthi 'ukuphuza ngokweqile' - nakho kwandisa ingozi ye-AFIB.
  • Ukugula okubucayi. Izifo ezinkulu ngokwanele ukuthi zidinga ukulaliswa esibhedlela (njenge-sepsis noma i-COVID-19 embi kakhulu) zandisa ingozi ye-AFIB.
  • Ukuntuleka kokuzilolonga umzimba. Ukungazivocavoci ngokwanele emini nakho kungaba yimbangela ye-AFIB.
  • Ukuqeqeshwa kokuzivocavoca ngokweqile. Ukuzivocavoca umzimba kuhle enhliziyweni, kodwa ukwenza noma yini eningi kakhulu akukuhle. Abantu abazivocavoca amahora angaphezu kwamathathu ngosuku iminyaka eminingi nabo basengozini enkulu yokuthola i-AFIB.

Odokotela bayixilonga kanjani i-AFIB ngokunembile?

Ukuhlolwa okuyinhloko okusetshenziselwa ukuxilonga i-AFIB yi -electrocardiogram, eyaziwa nangokuthi i-ECG (electrocardiogram) noma i-EKG. Lokhu kudala igrafu yezimpawu zikagesi ezihamba enhliziyweni yakho. Lokhu kungakusiza ukuthi ubone ukuthi une-AFIB noma ezinye izinhliziyo ezingavamile (ama-arrhythmia). Ngaphezu kwalokho, udokotela wakho uzokwenza ezinye izinto ezimbalwa:
  • Uzohlolwa ngokomzimba futhi ubuzwe ngomlando wakho wezokwelapha.
  • Ukuhlolwa kwegazi kuyalelwe ukuhlola ezinye izimo, ikakhulukazi lezo ezingathinta uhlelo lokwelashwa lwe-AFIB.
  • Ungase ucelwe ukuthi wenze i- echocardiogram (echo) ukuhlola isakhiwo kanye nokusebenza kwenhliziyo yakho.
  • Ungase ucelwe ukuthi ugqoke i-monitor (i-'Holter monitor' noma i-'cardiac event monitor') amahora angama-24 noma ngaphezulu, eqopha umsebenzi kagesi wenhliziyo yakho njengoba uqhubeka nemisebenzi yakho yansuku zonke.

Ingabe kunezigaba ezahlukene ze-AFIB?

Yebo, i-AFIB 'iyisimo esiqhubekayo'. Lokhu kusho ukuthi ingadlula ezigabeni ezahlukene futhi ibe yimbi kakhulu ngokuhamba kwesikhathi. Odokotela basebenzisa lezi zigaba lapho bexilonga futhi belapha i-AFIB:
  • Isimo 1: Labo abasengozini ye-AFIB (`Esengozini ye-AFIB`)
  • Icala 2: I-Pre-AFib (`Pre-AFib`)
  • Isimo 3: I-AFib (`AFib`)
  • Icala 4: I-AFib Ehlala Njalo
Ake sibheke ngayinye yalezi zimo ngemininingwane ethe xaxa.

Isigaba 1: Isengozini ye-AFIB

Lokhu kusho ukuthi unezici ezithile eziyingozi ezingakwenza ube namathuba amaningi okuthola i-AFIB. Isibonelo:
  • Umfutho wegazi ophakeme
  • Ukukhuluphala ngokweqile
  • Isifo sikashukela
  • Ukuphefumula komoya ngesikhathi sokulala
  • Ukusetshenziswa kotshwala ngokweqile
  • Ukusebenza kabi kwesistimu yenhliziyo nemithambo yegazi
  • Ngaphezulu kweminyaka engama-65 ubudala
Uma unalezi zinto, ungasho ukuthi usengozini yokuthola i-AFIB.

Isigaba 2: I-Pre-AFib

Kuleli qophelo, kungase kube nezinguquko ezithile emsebenzini kagesi noma esakhiweni senhliziyo yakho. Lokhu kwandisa ingozi yakho yokuthola i-AFIB. Izimpawu odokotela abazifunayo kuleli qophelo zifaka:
  • I-atrial tachycardia (ukushaya kwenhliziyo okusheshayo)
  • Ukuphaphazela kwe-Atrial
  • I-atrium ekhulisiwe kwesobunxele kanye/noma kwesokudla
  • Ukushaya kwenhliziyo okuvamile kwe-ectopic
Futhi, uma unezimo ezithile zezokwelapha ezihlotshaniswa nengozi ephezulu yokuthola i-AFIB, nawe ukulesi sigaba sesibili. Izibonelo:
  • Isifo semithambo ye-coronary
  • Ukwehluleka kwenhliziyo
  • Isifo se-valve yenhliziyo
  • I-Hyperthyroidism
  • I-hypertrophic cardiomyopathy (ukuqina kwemisipha yenhliziyo)
  • Izinkinga ze-neuromuscular

Isigaba 3: I-AFIB

Uma ukuhlolwa kwe-ECG kuqinisekisa ukuthi une-Atrial Fibrillation, ukulesi sigaba. Kodwa kunezigaba ezingaphansi ezahlukene kulesi sigaba. Ungase ube nezimpawu eziza futhi zidlule zodwa. Noma ungase ube ne-AFIB eqhubekayo naphezu kokwelashwa. Ngisho noma izimpawu ziphela ngemva kokwelashwa, zingase zibuye kamuva. Yingakho odokotela behlukanisa lesi sigaba sibe yizigaba ezine ezingaphansi:
  • I-AFib engapheli (`i-Paroxysmal AFib`): Izimpawu ziyafika zidlule. Isiqephu ngasinye sihlala isikhathi esingaphansi kwesonto, futhi sivame ukuphela sodwa ngaphandle kokwelashwa. Ungase usazizwa ungakhululekile phakathi nalesi sikhathi esifushane. Usengozini enkulu yokuba nesifo sohlangothi kunabantu abangenayo i-AFib.
  • I-AFib Eqhubekayo: Izimpawu ziyaqhubeka zibuya, okusho ukuthi zibuya njalo. Isiqephu ngasinye sihlala isikhathi esingaphezu kwesonto. Ukwelashwa kuyadingeka ukuze kumiswe lesi simo.
  • I-AFib ehlala isikhathi eside: Izimpawu ziyaqhubeka unyaka noma ngaphezulu.
  • Ngemva kokususwa kwe-AFIB ngempumelelo: I-AFIB iyekile ngemva kokuhlinzwa noma inqubo esekelwe ku-catheter.
Uma usutholakale une-AFibib, ungashintsha phakathi kwalezi zinhlobo ezincane. Isibonelo, ungase ubhekane nokubuyela emuva kwe-'Persistent AFib' ngemuva nje kokwelashwa okuphumelelayo kwe-ablation.

Isigaba 4: I-AFib Ehlala Njalo

Lokhu kusho ukuthi ngeke usazama ukwelashwa ukuphatha i-AFIB yakho, nokuthi uzohlala use-AFIB. Lesi sinqumo senziwa nguwe nodokotela wakho ndawonye, ​​ngokusekelwe esimweni sakho.

Yiziphi izindlela zokwelapha i-AFIB?

Ukwelashwa kwe-fibrillation ye-atrial kungafaka okukodwa noma ngaphezulu kwalokhu okulandelayo:
  • Izinguquko zendlela yokuphila
  • Imithi
  • Ukwelashwa kokukhipha isisu
  • Ezinye izindlela zokwelapha
Ake sibheke lezi.

Izinguquko zendlela yokuphila

Lezi izinto ongayenza nsuku zonke ukusiza ukuvimbela i-AFIB ukuthi ibe yimbi kakhulu. Lezi zinguquko zendlela yokuphila zibalulekile nganoma yisiphi isikhathi ngesikhathi se-AFIB — noma ngabe awunazo izimpawu. Udokotela wakho angakusiza ngalezi zinto:
  • Zigcine unesisindo esinempilo.
  • Nciphisa ukusetshenziswa kotshwala.
  • Gwema ukusebenzisa imikhiqizo kagwayi.
  • Yenza umsebenzi womzimba onconywayo ngesilinganiso esinconywayo.
  • Lawula 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 izimpawu ezikwenza ungakhululeki noma ukhathazeke. Angase akunike nemithi yokunciphisa ingozi yakho yokuqhekeka kwegazi okungabangela isifo sohlangothi. Imithi oyidingayo ukuze uphathe i-AFIB ingashintsha ngokuhamba kwesikhathi. Ngokuvamile, uma usengozini yokuba nesifo sohlangothi, kuzodingeka uthathe imithi yokunciphisa igazi (ama-anticoagulants) . Odokotela bavame ukukunikeza imithi yokunciphisa igazi (ama-DOACs) ngomlomo. Izibonelo:
  • `Apixaban`
  • `I-Rivaroxaban`
  • `I-Dabigatran`
  • `Edoxaban`
Kwezinye izimo, kunikezwa umuthi obizwa ngokuthi `warfarin` esikhundleni se-`DOACs`. Imithi elawula izinga lokushaya kwenhliziyo yakho ihlanganisa:
  • `I-Carvedilol`
  • `I-Digoxin`
  • `I-Diltiazem`
  • 'I-Metoprolol'
  • `I-Verapamil`
Lena imithi esiza inhliziyo yakho ukuthi ishaye ngendlela evamile (isinus):
  • `I-Amiodarone`
  • `I-Dofetilide`
  • `I-Dronedarone`
  • `I-Flecainide`
  • `I-Propafenone`
Ungakhohlwa ukuthi yonke le mithi kufanele isetshenziswe kuphela njengoba kuyalelwe udokotela.

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

I-Ablation ye-AFIB yigama elijwayelekile leqembu lezokwelapha ezidala izicubu zesibazi enhliziyweni yakho. Nakuba sivame ukucabanga ngezicubu zesibazi njengento eyingozi, kulokhu, lesi sibazi sisiza uhlelo lukagesi lwenhliziyo yakho ukuthi lusebenze kahle. Lesi sibazi sivimba izimpawu zikagesi ezingavamile futhi sisize inhliziyo yakho ukuthi ishaye ngesigqi esijwayelekile. Ukwelashwa okukhethekile udokotela wakho wenhliziyo angase akuncomele i-AFIB kufaka phakathi:
  • Ukususwa kwe-catheter: Lokhu kuyindlela yokwelapha engangenisi kakhulu. Udokotela ohlinzayo ufaka amapayipi amancane (ama-catheter) ngemithambo yegazi yakho aye enhliziyweni yakho.Ukususwa kwemithambo ye-pulmonary vein (PVI) uhlobo oluthile lokususwa kwe-catheter olusetshenziswa kakhulu kwi-AFIB.
  • Inqubo ye-Maze: Ebizwa nangokuthi i-surgical ablation, le nqubo ihilela udokotela ohlinzayo ukudala iphethini efana ne-maze yezicubu zesilonda ezivimba izimpawu ezingavamile. Lokhu kuhlinzwa kwe-ablation kuvame ukwenziwa ngesikhathi esifanayo nokuhlinzwa kwenhliziyo ngesinye isizathu (njenge-CABG noma ukuhlinzwa kwe-valve).

Ezinye izindlela zokwelapha

Kunezinye izindlela eziningana zokwelapha i-AFIB:
  • Ukuguqulwa kwenhliziyo: Udokotela usebenzisa idivayisi (i-defibrillator) noma umuthi ukuze abuyisele isigqi senhliziyo yakho esimweni esijwayelekile.
  • Ukuvalwa kwe-left atrial appendage (LAA): Uma ungakwazi ukubekezelela izinto zokunciphisa igazi, ungase ufanelekele idivayisi yokuvalela i-left atrial appendage ukuze unciphise ingozi yakho yokushaywa yisifo sohlangothi. Le nqubo ivala isikhwama esincane enhliziyweni lapho amahlule egazi angakheka khona kalula.

Ingabe inhliziyo izobuyela esimweni sayo esijwayelekile ngemva kwe-AFIB? Ingabe ikhona ikhambi eliphelele?

Yebo, ngezinye izikhathi inhliziyo yakho ingabuyela esigqini sayo esijwayelekile. Yilokhu okwenzekayo kubantu abane-'Paroxysmal AFib'. Uma une-'Persistent' noma 'Long-standing AFib', uzodinga ukwelashwa ukuze umise lesi simo.
Kodwa kubalulekile ukwazi ukuthi ayikho ikhambi le-AFIB. Uma usunayo, iyinto onayo impilo yakho yonke.
Udokotela wakho angakusiza ukuthi uphathe lesi simo. 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 banempilo emfushane kunalabo abangenayo i-AFIB. Inani leminyaka elahlekile kusukela esikhathini sabo sokuphila lincike eminyakeni yabo lapho bexilongwa. Uma bebancane lapho bexilongwa, isikhathi sabo sokuphila siba sifushane futhi iminyaka eminingi balahlekelwa yiyo uma kuqhathaniswa nontanga yabo abangenayo i-AFIB. Kodwa khumbula, izibalo zilandisa uhlangothi olulodwa kuphela lwendaba. Ngokusebenzisana eduze nethimba lakho lezokwelapha ukuphatha i-AFIB nanoma yiziphi ezinye izimo zezokwelapha, unethuba elihle kakhulu lokuphila impilo ende.

Kufanele ngizinakekele kanjani?

Imikhuba efanayo enciphisa ingozi yakho yokuthola i-AFIB izokusiza ukuthi uhlale uphilile ngisho noma une-AFIB.
  • Ukudla ukudla okunomsoco kanye nokuzivocavoca umzimba imizuzu engama-30 izinsuku ezinhlanu ngesonto kuhle kakhulu enhliziyweni yakho. Ukuze kube lula ngawe ukuzivocavoca, ungakuhlukanisa kube yizicucu zemizuzu eyi-10.
  • Ukuyeka imikhiqizo kagwayi notshwala nakho kuhle kakhulu enhliziyweni.
Ukulandela lezi zinto kahle kuzokusiza kakhulu ukuthi uphile impilo enempilo ngisho noma une-AFIB.

Kufanele ngimbone nini udokotela?

Akukho simiso esibekiwe salokhu. Kuncike ngokuphelele ezimpawini zakho, ohlelweni lokwelashwa, nokuthi udinga yini ukulandelwa ngemva kwanoma yikuphi ukwelashwa. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho bese nihlela uhlelo ndawonye.
  • Yiba khona kuzo zonke izikhathi zakho ezihleliwe.
  • Gcina uhlu lwemithi oyiphuzayo bese uyiletha kudokotela ngamunye. Kungumqondo omuhle futhi ukugcina uhlu esikhwameni sakho, njengoba lungaba usizo ezimweni eziphuthumayo.
  • Tshela udokotela wakho nganoma yiziphi izimpawu noma izinkinga ezintsha onazo (isib., imiphumela emibi evela emithini) ngesikhathi ngasinye sokubonana.
  • Buza udokotela wakho njalo ngaphambi kokuthatha imithi ethengiswa ngaphandle kwemithi kadokotela (i-OTC) – isibonelo, imithi yomkhuhlane kanye neyomkhuhlane – kanye nezithasiselo zokudla okunempilo, njengoba le mikhiqizo ngezinye izikhathi ingathinta izinga lokushaya kwenhliziyo yakho noma ixhumane nemithi oyithathayo.

Yimiphi imibuzo okufanele uyibuze udokotela?

Nazi ezinye imibuzo ongayibuza udokotela wakho:
  • Ngingazinciphisa kanjani izinto engizibeka engcupheni?
  • Ungangisiza yini ukuthi ngixhumane nochwepheshe wezokudla?
  • Ungakwazi yini ukuncoma noma yiziphi izinhlelo zezempilo nokuqina komzimba kule ndawo?
  • I-AFib yami ikusiphi isigaba?
  • Yikuphi ukwelashwa okungcono kakhulu kimi?
  • Yimiphi imiphumela emibi engaba khona yokwelashwa?
Buza imibuzo efana nale ukuze uqonde kangcono isimo sakho.

Ungakwazi yini ukuhlola i-AFIB ekhaya?

Uma ucabanga ukuthi unezimpawu ze-AFibib, kubalulekile ukukhuluma nodokotela wakho ngokushesha bese umtshela ukuthi uzizwa kanjani. Udokotela wakho angase akucele ukuthi uhlole ukushaya kwenhliziyo yakho. Uma kuzwakala kungajwayelekile noma kubuthakathaka, lokho kungaba uphawu lokuthi une-AFibib. Kodwa ngezinye izikhathi, ungase ungaboni 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. Awusoze wazixilonga nge-AFibib.

Ivame kangakanani i-AFIB?

Abantu abangaphezu kwezigidi ezingu-33 abaneminyaka engaphezu kwengu-55 emhlabeni wonke batholakale benesifo i-AFIB. E-United States kuphela, kulindeleke ukuthi abantu abayizigidi ezingu-12 babe ne-AFIB ngo-2030. I-AFIB ibangela ukulaliswa esibhedlela cishe ingxenye yesigidi minyaka yonke e-United States, futhi inani labafa ngenxa yayo liyakhula minyaka yonke. Ukuthola ukuthi une-AFIB kungaba yinto eyesabekayo, edidayo, noma ekhungathekisayo. Kodwa awuwedwa. Ungomunye wezigidi zabantu abafunda izindlela ezintsha zokuphatha i-AFIB ngenkathi besaphila impilo ejabulisayo. Udokotela wakho angakutshela okwengeziwe ngezinketho zokwelapha, izinsiza, kanye nemiphakathi yokusekela.

Ngamafuphi (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi usunombono ongcono wokuthi i-AFIB besikhuluma ngani.
I-AFib iyisifo sokushaya kwenhliziyo esingajwayelekile. Kungaba yingozi, kodwa uma kuphathwa kahle, ungaphila impilo enempilo.
  • Qaphela izimpawu. Uma uzwa ubuhlungu besifuba njalo, ukukhathala okukhulu, noma isiyezi, bona udokotela.
  • Nciphisa izinto eziyingozi. Phila impilo enempilo.
  • Landela ukwelashwa njengoba nje udokotela esho. Thatha imithi yakho ngesikhathi, bese uya kohlolwa okuhleliwe.
  • Awuwedwa. Baningi abantu abaphila nalesi simo. Cela usizo uma uludinga.
Ukunakekela inhliziyo yakho kubaluleke kakhulu empilweni yakho iyonke, ngakho-ke kuwumqondo omuhle ukuqaphela lolu lwazi!
Ukushaya kwenhliziyo okungajwayelekile, ukushaya kwenhliziyo okungajwayelekile, i-Atrial Fibrillation, i-AFib, isifo senhliziyo, ingozi yokushaywa unhlangothi, ukuhlaselwa yinhliziyo, izimpawu ze-AFIB, ukwelashwa kwe-AFIB, ukushaya kwenhliziyo okungajwayelekile
⚠️ 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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