Kusankha Pakati pa Matenda A-Fib

Kuyerekeza njira zosiyanasiyana

Ngati muli ndi tizilombo toyambitsa matenda , kodi mumasankha bwanji pakati pa njira ziwiri zoyenera kuti muyambe kupanga (arr. Pali zifukwa zambiri zomwe inu ndi dokotala muyenera kuziganizira posankha izi.

Kodi Rhythm Control Yoyandikira Yoyenera?

Pamaso pake, kuyimba kwa kayendedwe ka kayendedwe kake - kubwezeretsa ndi kusunga mtima wamtundu wabwino - kungawoneke ngati njira yoyenera kwa aliyense.

Ndiponsotu, ndani akufuna kuti azikhala ndi matenda opatsirana pogonana? Vuto, ndithudi, ndilo kuti mankhwala omwe amapezeka kuti akwaniritse kugwiritsira ntchito rhythm mu mafilimu a atrial amaoneka ngati ofunika kwambiri, ndipo amawonetsa odwala ku ngozi zina.

• Werengani za mankhwala omwe amagwiritsidwa ntchito kuti azitha kuyendetsa bwino matendawa.

Kotero madokotala nthawi zambiri amasungira njira yothandizira odwala awo omwe amawoneka kuti ali ndi mwayi wopambana nawo, kapena omwe sangalekerere kupuma kwapirinku kosalekeza ngakhale pamene mtima ukulamulidwa. Odwala amenewa angaphatikizepo izi:

• Anthu omwe amagwidwa ndi matendawa amawoneka kuti akugwirizana ndi chochitika cham'mbuyo, chifukwa chosinthika, kapena vuto lalikulu lachipatala limene lingathe kulamulidwa bwino. Izi zingaphatikizepo: hyperthyroidism ; kupweteka ; kupuma kwa mapapo , chibayo kapena vuto lina la m'mapapo; posachedwapa opaleshoni; kumwa mowa (" mtima wa tchuthi "); kulakwitsa kwa mtima ; kapena kupuma kosaleredwa kosagonjetsedwa . Ngati mankhwalawa athandizidwa kwambiri, wodwalayo ali ndi mwayi wabwino kwambiri wokhala ndi moyo wabwinobwino.

• Anthu omwe ali ndi "olimba" omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, sitingalekerere, ngakhale pamene kuyendetsa mlingo kokwanira kumatheka. Zinthu ngati zimenezi zimaphatikizapo hypertrophic cardiomyopathy , matenda a mtima, hypertensive, or aortic stenosis .
• Odwala omwe njira yoyendetsera mayendedwe ayesedwa, ndipo alephera kuyang'anira zizindikiro mokwanira.

• Ochita masewera ndi ena omwe ntchito zawo zimafuna kuti azichita pazithunzithunzi za mtima.
• Anthu omwe akufuna kugwiritsa ntchito kayendedwe ka rhythm atayandikira kale atadziwa bwino za zolephera zawo.

Kodi Ndondomeko Yoyendetsera Ndalama Ndi Yoyenera Yanji?

Chifukwa cha mavuto ndi zoopsa zomwe zimagwirizanitsidwa ndi njira yoletsa kugwiritsira ntchito mankhwala a atrial, akatswiri ambiri amaganiza kuti njira yowonongeka kuti ikhale "yopanda pake" kwa odwala ambiri omwe ali ndi arrhythmia.

• Werengani za njira yochepetsera mankhwala ophera tizilombo toyambitsa matenda.

Sikuti njira zowonjezera zowonjezera zimakhala zotetezeka komanso zogwira mtima kwambiri kusiyana ndi kayendedwe ka kayendedwe kake, komabe zimathandizanso kuthetsa zizindikiro za matenda opatsirana pogonana mwa anthu ambiri omwe ali ndi arrhythmia. Popeza kuti njira yonse yochizira matendawa ndi kuchotseratu zizindikiro, njira yowonongeka ndi yovuta kwambiri pokwaniritsa cholinga cha mankhwala.

Komanso, ngakhale m'mbuyomo munkaganiza kuti ngati mutha kupangitsa kuti matendawa asapangitse kuti chiwopsezo chisawonongeke, maphunziro a zachipatala alephera kusonyeza izi. Kotero, ngakhale ngati kugwiritsira ntchito kayendedwe ka kayendedwe kamene kalikugwiritsidwa ntchito ndipo kumawoneka kuti kuli bwino, odwala akufunikiranso kuchiritsidwa ndi mankhwala a antiticoagulant .

Choncho, kupindula kwakukulu kwa kayendedwe ka kayendedwe ka rhythm kunalephereka (osachepera mpaka pano) kuti apange.

Kodi Kusunga Nyimbo Yachibadwa Ndi Yabwino Kwambiri Kuposa Kugonjetsa Rate?

Ngakhale zikuwoneka mwachidwi kuti kayendedwe ka kayendedwe kake kamene kangapange zotsatira zabwino kusiyana ndi njira yowonongeka kwa ma ARV, maphunziro a zachipatala alephera kusonyeza kuti izi ndizo. M'malo mwake, mayesero am'chipatala omwe amawayerekeza kuti azitha kulamulira odwala omwe ali ndi matenda opatsirana pogonana awonetsa zovuta kwambiri ku zotsatira zachipatala (kuphatikizapo imfa, mtima wosagwira ntchito , kupwetekedwa mtima ndi kutuluka magazi).

Akatswiri ambiri amanena kuti zotsatirazi zimakhala zovuta kwambiri chifukwa cha mankhwala osokoneza bongo, koma izi sizidziwika bwino.

• Werengani zokhudzana ndi mankhwala osokoneza bongo.

Pansi

Pakalipano, akatswiri amavomereza kuti njira yowonongeka kwa odwala ambiri odwala matenda opatsirana pogonana (makamaka pambuyo poyesa chimodzi kapena mwinamwake kuyesera kukhala ndi chizoloŵezi chachizolowezi chalephera) ndiyo njira yowonongeka. Komabe, chisankho ichi chiyenera nthawi zonse kuti chigwirizane pakati pa dokotala ndi wodwala, ndi ubwino ndi kuipa kwa njira iliyonse yomwe imatengedwa mu akaunti yosamala.

_Zotsatira:

_{Sukulu ya American College of Cardiology Foundation, American Heart Association, European Society of Cardiology, et al. Kusamalira odwala omwe ali ndi matenda a atrial fibrillation (kuphatikizapo 2006 ACCF / AHA / ESC ndi zotsatira za ACCF / AHA / HRS): lipoti la American College Association of Cardiology / American Heart Association Task Force pazochita zothandiza. Circulation 2013; 127: 1916.}

_{Wyse DG, Waldo AL, et al. Kuyerekezera kuyeza kwa mlingo ndi kuyimba kwa odwala omwe ali ndi matenda oopsa. N Eng J Med 2002; 347 (23): 1825.}

_{Van Gelder IC, Hagens VE, et al. Kuyerekezera kuchuluka kwa kuchepetsa komanso kugwiritsira ntchito rhythm kwa odwala omwe amapitirizabe kugwiritsira ntchito mankhwala osokoneza bongo. N Eng J Med 2002; 347 (23): 1834.}