Takhala tikudziŵa kwa nthawi yaitali kuti matenda opatsirana pogonana angayambitsidwe ndi mavuto ambiri azachipatala, kuphatikizapo matenda a mtima (monga matenda a mitsempha yambiri , matenda a chithokomiro , matenda a chithokomiro , matenda opatsirana , kugona tulo , mavuto osiyanasiyana a mapapo, monga chibayo kapena embolism pulmonary , ndi (kwa anthu ena) kumwa mowa. Ngakhale zili choncho, mwa anthu ambiri omwe ali ndi matenda opha tizilombo toyambitsa matenda, palibe chifukwa china chomwe chadziwika.
Madokotala akhala akuwuza anthu awa kuti ali ndi "idiopathic" kufooka kwa magazi, ndiko kunena, palibe chifukwa chowonekera; Ndi umodzi mwa moyo wa curveballs umene ukuponyera pa iwe.
Koma kafukufuku waposachedwapa awonetsa kuti pali chifukwa chachikulu chomwe anthu ambiri omwe ali ndi matenda a atrial-osauka amakhala ndi moyo wosankha, makamaka, kukhala olemera kwambiri komanso ochepa.
Zamoyo ndi Matenda Aakulu
Takhala tikudziŵa kwa nthawi yaitali kuti pali mgwirizano pakati pa kukhala oposa kunenepa ndi osapanga mawonekedwe, komanso kukhala ndi mafinya a atrial. Koma zaka zingapo zapitazo zakhala zikuonekeratu kuti sizingowonjezera chiyanjano-ndicho chiyanjano-ndi-zotsatira.
Ofufuza ku Adelaide, Australia akhala akufufuza mafunso awa zaka zambiri. Muzochitika zingapo awonetsa kuti moyo wathanzi umakhudza kwambiri mitima yapakati ya mtima . Makamaka, maselo ochulukirapo pamtima (mafuta owonetsetsa) amapanga kusintha kwa maselo a m'thupi, kuwonjezereka kwa khoma, kutupa, maonekedwe a neural, ndi kuwonjezereka mankhwala opatsirana pogonana.
Zosintha zonsezi zimalimbikitsa matenda opatsirana pogonana.
Komanso, ochita kafukufukuwa tsopano akuwonetsa maphunziro awiri omwe, odwala omwe ali ndi matenda a atrial, pulogalamu yaukali yopititsa patsogolo kusintha kwa moyo kumachepetsetsa-komanso kuthetsa-izi zowopsya komanso zoopsa.
Mu zoyesayesa za LEGACY, ochita kafukufuku analembetsa odwala 335 omwe ali ndi matenda oopsa kwambiri (BMI oposa 27).
Pambuyo pa chaka chimodzi, omwe adataya 10 peresenti ya kulemera kwawo koyambirira kunachepetsedwa kwambiri ndi zizindikiro za matenda oopsa omwe amachititsa kuti thupi likhale lopweteka kwambiri ndipo nthawi zambiri amatha kuthetseratu magetsi awo, kusiyana ndi odwala omwe sali olemera.
M'ndondomeko ya AFREST-AF, kusintha kotere kwa moyo kunkagwiritsidwa ntchito kwa odwala omwe amagwiritsa ntchito mankhwala opatsirana pogonana omwe anali ndi mankhwala opatsirana . Kafukufukuyu anawonetsa kuti zotsatira za ablation zinali zabwino kwambiri kwa odwala amene analemera. Choncho, moyo umasintha ngakhale kuti "mankhwala" amachititsa kuti mankhwala akugwiritsidwa ntchito.
Kuonjezera apo, maphunzirowa anatsimikizira kuti, odwala omwe ali ndi matenda a atrial, kuperewera kwa thupi amawoneka bwino kwambiri ndikukhala ndi machitidwe awo a atria, kufotokoza chifukwa chake miyoyo imachita ntchito.
Mfundo Yofunika Kwambiri
Wodwala yemwe ali ndi "idiopathic" amagwiritsira ntchito mankhwala oopsa kwambiri, amakhala olemera kwambiri, komanso amakhala pansi. Tsopano tikudziwa kuti kulemera kwakukulu komanso kusowa kochita masewero olimbitsa thupi nthawi zambiri ndizofunikira kwambiri chifukwa cha kusintha kwawo, komanso kuti moyo wawo wamanyazi umachepetsa kwambiri-komanso kuchotsa-mankhwala omwe amawopsa.
Chifukwa chithandizo cha mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo-kaya tikukamba za mankhwala osokoneza bongo kapena chowopsa-ndi zovuta komanso zogwira mtima kwambiri, chidziwitso chatsopanochi chiyenera kuphatikizidwa mu dongosolo lililonse lachipatala kwa wodwala aliyense yemwe ali ndi chigamulochi, ndipo akugwirizana ndi moyo wake.
Mwamwayi, kuyendetsa moyo waukali-pamene kuli kotetezeka ndi kotheka-n'kovuta kwa odwala ndi nthawi yotentha kwa madokotala awo. Ndipo popeza madokotala amalipidwa chifukwa chochita, osati chifukwa cholankhulana, ndalama zawo zikanatha kugwira ntchito ngati akudalira kwambiri njira zothetsera moyo. Kotero mwina pangakhale kanthawi madokotala asakayikire kuti azitsatira njirayi ndipo odwala akukhulupirira kuti ayesere.
> Zotsatira:
> Abed HS, Samuel CS, Lau DH, et al. Kunenepa kumapangitsa kuti zipangizo zowonongeka zowonongeka ziziyenda bwino. Mtima Rhythm . 2013; 10: 90-100.
> Pathak R, et al. Kukhalitsa kwa nthawi yaitali kwa cholinga choyendetsa kasamalidwe ka kulemera kwa gulu la matenda opatsirana pogonana: Kuphunzira kafukufuku wamtsogolo (LEGACY Study). J Am Coll Cardiol . 2015; DOI: 101016 / jacc.2015.03.002.
> Pathak RK, Middeldorp ME, Lau DH, et al. Kuphunzira kochepetsa chiopsezo chotenga chiopsezo cha atrial fibrillation ndi zotsatira za zotsatira zowonjezera: KUWERENGA KU AFRIKA-AF. J Am Coll Cardiol . 2014; 64: 2222-2231.