Sikuti mitundu yonse ya mafinyri yowopsya ndi yofanana. Choncho, pofuna kuyambitsa malingaliro awo, madokotala ambiri apanga machitidwe osiyanasiyana osiyanasiyana kuti afotokoze "mitundu" yosiyanasiyana ya matenda a atrial. Chotsatira chake, madokotala omwe amagwiritsidwa ntchito poyankhula za matenda opatsirana pogonana akhala osokonezeka kwambiri.
Komabe, mu 2014, kayendedwe ka magawo kanakhazikitsidwa ndi American Heart Association, American College of Cardiology, ndi Heart Rhythm Society yomwe tsopano iyenera kuthandizira onse okalamba.
Ndondomekoyi ikudziwika kuti mafinyria akutha nthawi zambiri. Poyamba, arrhythmia kawirikawiri imapezeka m'zigawo zomwe zimakhala zochepa komanso zochepa. Pamene nthawi ikupita, zigawozi zimakhala zofala komanso zowonjezereka. Kwa odwala ambiri, mafinydri odwala matenda opatsirana pogonana amawathandiza kukhala ndi mtima wamba komanso amakhala osatha.
"Mtundu" wa matenda a atrial amene munthu ali nawo angathandize dokotala kupanga malingaliro okhudza njira yoyenera kwambiri ya mankhwala. Poonjezera wodwala a arrhythmia apita patsogolo kumagwiritsa ntchito mankhwala opatsirana pogonana, mwachitsanzo, mosaganizira kuti mtima wachibadwa umatha kubwezeretsedwa ndi kusungidwa.
Machitidwe a Atrial Fibrillation System
Pano pali dongosolo lokhazikika lomwe likugwiritsidwa ntchito popanga mafinya oopsa.
Mafupa a Paroxysmal Atrial fibrillation amanenedwa kuti ndi paroxysmal (dzina lachidziwitso la "intermittent") ngati likupezeka m'magulu osachepera masiku asanu ndi awiri.
Nthaŵi zambiri, mafinya a paroxysmal amatha kukhala kwa mphindi zochepa chabe. Maseŵera a paroxysmal fibrillation akutha kuchitika kawirikawiri, kapena kawirikawiri.
Odwala ena omwe amagwiritsidwa ntchito poyambitsa matenda a paroxysmal amatha kukhala ndi zizindikiro zochepa zomwe sizikhala ndi zizindikiro ndipo zimakhala "zozizwitsa." Izi zikutanthauza kuti ngakhale wodwalayo kapena dokotala wawo sakudziwa kuti zizindikiro za matenda opatsirana pogonana zikuchitika.
Zikatero, arrhythmia kawirikawiri imapezeka mosayembekezeka pa kuyang'ana mtima. Mankhwala opatsirana pogonana ndi ofunika kwambiri chifukwa, ngati matenda oopsa a mafinya, amatha kupwetekedwa.
Nkhalango Yopweteka Kwachilendo: Mu gawo lachiwiri, mafilimu a atrial amapezeka m'magulu omwe amalephera kuthetsa masiku asanu ndi awiri. Pofuna kubwezeretsa chizoloŵezi cha mtima, nthawi zambiri thandizo lachipatala ndilofunikira. Odwala omwe ali ndi chigawo chimodzi kapena zingapo za matenda opatsirana pogwiritsira ntchito mankhwala oopsa amatha kukhala ndi ziwalo zina za paroxysmal matenda opatsirana pogonana, koma tsopano amadziwika kuti ali ndi "chikhalire" chokhazikika.
Kukhalitsa Kwambiri Kwambiri Kwambiri Kwa Odwala : Mwa odwala awa, chiwerengero cha matenda a atrial amadziwika kuti anakhalapo kwautali kuposa miyezi 12. Pochita zowathandiza, matenda opatsirana pogonana ayamba kukhala atsopano, "maziko" a mtima wamkati mwa odwalawa.
Fibrillation Yachilendo Yachilendo: Kusiyana kokha pakati pa "kupirira kwa nthawi yaitali" ndi "kukhalitsa" mafinyrative akupha ndikuti, ndi matenda osokoneza bongo a m'thupi, adokotala ndi wodwala avomereza kusiya ntchito yowonjezeretsa kubwezeretsa mtima wamtunduwu ndikupita ku njira yothandizira .
Iwo adalengeza kuti mafinyri a atrial adzakhala osatha.
Valvular ndi Non-Valvular Fririllation Atrial
Mndandanda wosiyana wa matenda opatsirana pogonana omwe mumakonda kumamva nawo ndi odwala matenda opatsirana pogwiritsa ntchito mankhwala osokoneza bongo; ndiko kuti, ngati ayi kapena mankhwalawa akugwiritsidwa ntchito ndi matenda a mtima wa valvular, monga kutral regurgitation .
Zolinga zenizeni, izi zimaganiziridwa pokhapokha posankha njira yothandizira anticoagulation kuti zisawonongeke. Chofunika kwambiri, odwala omwe amagwiritsa ntchito valvular atrial fibrillation nthawi zonse amafunika kugwiritsira ntchito mankhwala osokoneza bongo; odwala omwe ali ndi matenda osokoneza bongo amatha kupha.
Mawu Ochokera
Phindu lalikulu la dongosololi ndiloti limaimira dzina lakuti nomenclature, kotero kuti pamene madokotala akulankhulana zokhudzana ndi mafilimu a atrial, onse amatanthauza chinthu chomwecho. Ikuthandizani inunso, kuti mumvetse chikhalidwe chanu.
Kuonjezera apo, zimapereka madokotala lingaliro loti kutalika kwa momwe wodwalayo akugwiritsira ntchito matenda oopsa amatha kukhala chikhalire cha mtima wamuyaya, ndipo motero, zingatheke kuti njira yothetsera chiyero yachibadwa ingakhale yothandiza. Pamapeto pake, izo zidzakuthandizani inu ndi dokotala wanu kupanga chisankho chamankhwala chomwe chili chabwino kwa inu .
> Chitsime:
> January CT, Wann LS, Alpert JS, et al. 2014 AHA / ACC / HRS chitsogozo cha odwala omwe ali ndi matenda a atrial: lipoti la American College of Cardiology / American Heart Association Task Force pamakhalidwe abwino ndi Heart Rhythm Society. Circulation 2014; 130: e199.