Mwachidule za Njira ziwiri Zochiritsira Zosiyana
Matenda a atrial ndi arrhythmia a mtima omwe amachititsa nthawi zambiri kupweteka , kutopa, komanso kupuma pang'ono. Choipa kwambiri, kupha tizilombo toyambitsa matenda kungachititse kuti mukhale ndi vuto lopweteka . Ngati muli ndi tizilombo toyambitsa matenda, mulibe funso lochepa ngati mukufuna chithandizo. Mumatero. Funso ndilo: Ndi njira yanji ya mankhwala ndi yoyenera kwa inu?
Chifukwa chake funsoli ndilovuta kuti liyankhe ndi chifukwa palibe mankhwala opatsirana pogwiritsira ntchito mankhwala omwe amatha kukhala otetezeka komanso othawirako pochotseratu arrhythmia ndi kubwezeretsa chiyero. Kusankha pa "kulondola" chithandizo kwa munthu aliyense yemwe ali ndi matenda a atrial nthawi zambiri amatsutsana.
Njira ziwiri Zochiritsira
Ngati zinali zophweka komanso zotetezeka kubwezeretsa ndi kukhala ndi mtima wabwinobwino, ndiye kuti cholinga chochizira matenda opatsirana pogwiritsa ntchito mankhwalawa ndicho kuchita zomwezo-kuti mutenge mtima wanu kumbuyo ndikusunga. Njira imeneyi yothandizira imatchedwa kuyimba-kayendedwe ka njira. Ndipo ngakhale izi zikutanthauza kukhala oyenera ambiri odwala, mwa ena ndi cholinga cha chithandizo chomwe sichikutheka pokhapokha ngati pali zovuta.
Kwa anthu ambiri omwe ali ndi atrial fibrillation, njira ina yothetsera mankhwala-yomwe ingakhale yothandiza kwambiri ndi yotetezeka-ndiyololeza kuti tizilombo toyambitsa matenda tipitirizebe, pamene tikuchitapo kanthu kuti tipewe zizindikiro ndi kuchepetsa chiopsezo cha kugwidwa .
Njira yachiwiri yothandizira, yomwe imatchedwa kuti-control control approach, imatanthawuza kuti kugwiritsira ntchito mankhwala opatsirana pogonana ndi "zachilendo zatsopano" ndikugwira ntchito yochepetsera mtima (kuchepetsa zizindikiro) ndi kugwiritsa ntchito mankhwala a antiticoagulation (kuchepetsa magazi ) kuchepetsa chiopsezo cha kupwetekedwa. Ngakhale kuti njira yoyendetsera njirayi ingakhale yosafunika kwambiri kusiyana ndi kuyimba kwa nyimbo, pali zifukwa zomveka zozigwiritsira ntchito kwa odwala ambiri omwe ali ndi matenda opatsirana pogonana.
Pamene Rhythm Control Ndi Njira Yabwino
Pali zochitika zambiri zomwe nthawi zambiri zimawongolera kuyendetsa nyimbo monga chithandizo choyenera. Ngati matenda anu oopsa amayamba chifukwa cha zina zomwe zingayambitse vutoli, ndiye kuti cholinga cha mankhwalachi chiyenera kukhala chothetsera vutoli ndikubwezeretsanso mtima wamtima. Zomwe zimayambitsanso matendawa zimakhala zovuta kapena zochiritsidwa monga matenda a hyperthyroidism , chibayo, mapuloteni ( magazi mu mapapo), kapena kumwa mowa kapena mankhwala osokoneza bongo.
Matenda a atrial angayambenso chifukwa cha matenda a mtima monga matenda a mitsempha yamtenda, matenda a mtima wa valvular, pericarditis , kapena mtima kulephera . Ngati muli ndi mkhalidwe umodzi wa mtima, ndiye kuti kuyesa kubwezeretsa ndi kukhala ndi mtima wabwinobwino ndi njira yabwino kwambiri, pamene vuto lanu la mtima likuyendetsedwa bwino.
Kuchita maseŵera kaŵirikaŵiri kaŵirikaŵiri ndi njira yomwe anthu amakonda kudwala matenda opatsirana pogonana kapena posachedwa kapena kuti paroxysmal-ndiko kuti, zimachitika mwadzidzidzi komanso mwachidule. Pali umboni wakuti munthu amakhalabe ndi matenda opatsirana pogonana, zimakhala zovuta kwambiri kukhalabe ndi chizoloŵezi chachibadwa.
Kwa anthu omwe ali ndi matenda opatsirana pogonana, ndipo nthawi zambiri amakhala ndi chizoloŵezi chodziwika bwino, kayendedwe ka kayendedwe kameneka kamakhala kothandiza kwambiri kusiyana ndi anthu omwe amagwiritsidwa ntchito mowa mwauchidakwa amakhala osapitirira kapena osatha.
Pomalizira, kuyimba kwa nyimbo ndi njira yabwino kwa anthu omwe ali ndi matenda ena amtima omwe amatha kusokoneza ma ARV (omwe amawoneka ndi matenda opatsirana pogonana) akhoza kuwononga kwambiri mtima. Zinthu zimenezi zimaphatikizapo matenda aakulu, aortic stenosis , hypertrophic cardiomyopathy , ndi kuwonongeka kwa diastolic . Mmodzi mwazifukwazi, zotsalira zazing'ono zimakhala "zowuma," kotero kuti kukhutitsidwa kwazomwe kumachokera ku ventricle kumanzere kumadalira kwambiri kukanika kwakukulu kwa magazi.
Ngati zina mwazochitika zachipatala kapena za moyo zilipo, ndi bwino kukhala okhwima pakagwiritsira ntchito kayendedwe ka kayendedwe ka mtima-ndiko kuti, kubwezeretsa ndi kusunga mtima wabwinobwino -pamene vutoli likuyendetsedwa mokwanira. Apa, "nkhanza" kungatanthawuze kuyesera mankhwala osiyanasiyana oletsa antiarrhythm kuti azisunga mwachibadwa. Zingatanthauzenso kulingalira mwatsatanetsatane njira yothetsera abambo kuchotseratu mafinya a atrial. Zonsezi zimaphatikizapo ngozi. Anthu ena omwe alibe zofunikirazi adzasankha kulamulira nyimbo. Ili ndi lingaliro lomveka bwino, malinga ngati iwo amamvetsa bwino zoopsa.
Ndalama Zoyendetsa Ndi Njira Yoyenera
Anthu omwe ali ndi matenda opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala oopsa (omwe amatchulidwa nthawi zambiri kwa milungu ingapo kapena miyezi ingapo), makamaka ngati mankhwalawa amawopsa kwambiri (kutanthauza kuti palibe chodziwikiratu komanso chochiritsidwa chifukwa), pali zifukwa ziwiri zabwino zomwe zimawoneka kuti kuyendetsa bwino ndi njira yabwino.
Choyamba, mwa anthu awa, zovuta za kubwezeretsa ndi kukhalabe ndi mtima wabwino nthawi zonse ndizochepa. Chachiwiri, kafukufuku wamaphunziro akuwonetsa kuti zotsatira za nthawi yaitali mwa anthuwa sizowonjezera-ndipo zikhoza kukhala zoipira-ndi mankhwala osokoneza bongo omwe amawathandiza kuti azitha kulamulira, kusiyana ndi momwe angayendetsere. Kwa anthu awa, kuopsa kwa kayendedwe ka rhythm kumaposa phindu lililonse.
Madokotala ambiri amapanga mayeso amodzi kubwezeretsa nyimbo yachibadwa ngakhale kwa odwala awa. Izi kawirikawiri zimachitidwa pokhapokha kupangitsa odwala kubwerera kuchimbukero chachizolowezi ndikuwona momwe amachitira popanda mankhwala osokoneza bongo. Koma ngati kuyesayesa kumodzi kumalephera (ndiko kuti, ngati mankhwala opatsirana pogwiritsa ntchito mankhwala), madokotala ambiri amafulumira kutenga njira yotetezera ngati njira yabwino komanso yothandiza kuchiza.
Mfundo Yofunika Kwambiri
Mwachiwonekere, ngati muli ndi matenda a atrial pali zambiri zoti muganizire posankha njira yoyenera yothetsera-kuopsa kwa zizindikiro zanu; mavuto anu azachipatala ndi a mtima, ngati alipo; mafupipafupi ndi nthawi ya zigawo zanu za matenda oopsa a atrial; zosankha zanu; ndi maganizo a madokotala anu. Ili ndilo lamulo limene nthawi zonse liyenera kukhala lokha.
> Chitsime:
Fuster V, Ryden LE, Cannom DS, et al. ACC / AHA / ESC 2006 Malangizo Othandizira Odwala Odwala Matenda Aakulu Padziko Lonse Lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines ndi European Society ya Komiti Yokonza Maphunziro Otsogolera (Komiti Yolemba Kubwereza Malangizo a 2001 kwa Utsogoleri wa Odwala Amene Ali ndi Nthenda Yamatenda). J Am Coll Cardiol . 2006; 48: e149.