Kunenepa kwambiri tsopano kukudziwika kuti ndi chiwopsezo cha matenda ambiri a mtima , kuphatikizapo matenda a mitsempha, matenda osokonezeka mtima , ndi kupwetekedwa. Kafukufuku watsopano anayi adatsimikizira mgwirizano wamphamvu pakati pa kunenepa kwambiri ndi chizoloŵezi chosagwirizana cha mtima chomwe chimadziŵika ngati matenda a atrial fibrillation.
Kodi Kukhumudwa Kwambiri Ndi Matenda Aakulu?
Matenda a atrial, omwe amadziwikanso kuti AF kapena "A-fib," ndi chizoloŵezi chodziwika bwino cha mtundu wa arrhythmia (dzina lachipatala lomwe limagwiritsidwa ntchito pa vuto lililonse ndi muyeso kapena mlingo wa kumenya mtima).
Matenda a atrial amachititsa kuti pakhale ngozi.
Kodi Ndi Zowonjezereka Zowonjezera Zotani Zambiri za M'thupi?
Pali zifukwa zingapo zomwe zimawopsyeza zomwe zimawonjezera chiopsezo cha matenda opatsirana pogonana. Izi zimaphatikizapo zaka, matenda omwe alipo kale (monga matenda a coronary kapena cardiomyopathy), kuthamanga kwambiri kwa magazi , kutaya mtima kwa mtima, hyperthyroidism, shuga, matenda a mapapo, kumwa kwambiri mowa, ndi kunenepa kwambiri. Kwa anthu ena, caffeine kapena maganizo othetsa nzeru angayambitse A-fib.
Kunenepa Kwambiri Ndi Vuto Lowopsya Chifukwa cha Nkhanza za M'thupi
Kafukufuku wambiri wanena kuti kunenepa kwambiri ndi chiopsezo cha matenda a atrial, komanso kuti chiwopsezo chikuwoneka chikuwonjezeka ndi chiwerengero cha thupi (BMI).
Kafukufuku wina amene adafufuza zomwe apeza pa Women's Health Study, zomwe zimaphatikizapo akazi oposa 34,000, adapeza kuti kunenepa kwambiri kunali chiwopsezo cha matenda opatsirana pogwiritsa ntchito mankhwala oopsa omwe amachokera kunthaka, koma amakhala odwala nthawi zonse.
Kafukufuku wina, wofufuza kuchokera ku Atherosclerosis Risk in Communities Study (ARIC), anapeza kuti kunenepa ndi kulemera kwapadera ndizifukwa zomwe zingayambitse chitukuko cha mankhwala opatsirana pogonana amuna komanso akazi.
Kuwonjezera pa kafukufuku wam'mbuyo, meta-yofufuza (kuyesa dziwe ndi kufufuza deta kuchokera ku maphunziro ena ambiri pa mutu womwewo) tsopano yatsimikizira kuti kunenepa kumakhala ndi mbali yaikulu pa zochitika zonse komanso kuopsa kwa mafinya .
Izi zimaphatikizapo mayesero okwana 51, ndipo anapeza kuti, chifukwa cha chiwerengero cha 5 ku BMI, zochitika (zochitika) zamagetsi zimapita 10% mpaka 29%.
Kuperewera kwa Thupi ndi Ntchito Yogonana Kungathandize
Kafukufuku wina apeza kuti kulemera kwake kungachepetse kulemetsa kwa matenda a atrial, ndipo kuti kusinthaku kumakhala kwa nthawi yaitali ngati kulemera kwake kukusungidwa.
Mu Women's Health Initiative (WHI) Phunziro Lofufuza, lomwe linaphatikizapo amayi oposa 93,000 omwe amatsatira pambuyo pa zaka 11.5, ofufuza anapeza kuti kuchuluka kwa masewera olimbitsa thupi kunachepetsera chiopsezo cha mafinya oopsa omwe mwina sakanakhalapo chifukwa cha kunenepa kwambiri . Izi zinapezeka kuti ndi zoona kwa amuna mu maphunziro a ARIC.
Ngati muli olemera kapena onenepa, kambiranani ndi dokotala wanu za chiopsezo cha kupha tizilombo toyambitsa matenda komanso zomwe mungachite kuti mupewe pangozi.
Zotsatira
Zoler ML. Kusanthula kwa meta kumalimbitsa kunenepa kwambiri-kugwiritsira ntchito mankhwala oopsa. Nkhani Zopatsa Moyo. June 2015.
National Heart, Lung, ndi Blood Institute. Fufuzani zamagetsi. http://www.nhlbi.nih.gov/health/health-topics/topics/af/
Magnani JW, Hylek EM, Apovian CM. Kunenepa kumayambitsa matenda opatsirana pogonana: chidule. Circulation 2013; 128: 401-405.
Sandhu RK, Conen D, Tedrow UB, ndi al. Zomwe zimagwirizanitsa ndi chitukuko cha kupitirizabe poyerekezera ndi mafinyumu oopsa omwe amawopsa. J Am Heart Assoc 2014; 3 (3).
Pathak RK, Middeldorp ME, Meredith M, et al. Kukhalitsa kwa nthawi yaitali kwa kayendetsedwe ka zolemetsa zowonongeka m'gulu la gulu la matenda opatsirana pogonana: phunziro lachidziwitso lalitali (LEGACY). J Am Coll Cardiol 2015; 65: 2159-69.
Pathak RK, Mahajan R, Lau DH, Sanders P. Zomwe zimakhudza kunenepa kwa thupi ndi njira zothandizira. Kodi J Cardiol 2015; 31: 203-10.