Ngati muli ndi matenda a atrial , chithandizo choyenera chingakhale njira ya katatu yomwe imamveka yosamvetsetsana -itani kuti mankhwalawa asapitirire, yesetsani kupangitsa kuti mtima wanu usafulumire (kuti muthe kuteteza zizindikiro zanu) Njira zochepetsera chiopsezo chanu. Izi zimatchedwa njira yochezera. Intuitively, njira ina, kuyimba-kayendetsedwe ka kayendedwe kake , kamene kamakonza kubwezeretsa ndi kusunga mtima wamtundu wabwino, kumveka bwino.
Koma mwa anthu ambiri omwe ali ndi matenda opatsirana pogwiritsa ntchito mankhwala opatsirana pogonana (ndiko kuti, akhala akugwidwa ndi matenda a atrial nthawi zonse kapena nthawi zambiri kwa masabata ambiri kapena miyezi ingapo), zotsatira zimakhala zabwino kwambiri ndi njira yoyendetsera mlingo.
Pachifukwa chachikulu, izi ndichifukwa chakuti kuyimba kwa nyimbo kumakhala kovuta, kosasokonezeka, kosagwira ntchito ndipo kumaphatikizapo chiopsezo chachikulu cha zotsatirapo. Komanso, anthu ambiri omwe amatha kupatsidwa mphamvu zowonongeka amachita bwino; Maphunziro a zachipatala amasonyeza kuti zotsatira zawo zili zabwino, ngati sizili bwino, kusiyana ndi omwe akuyesa kuyimba nyimbo.
Njira yowonongeka kwa mafinysi ya khansa imakhala ndi zolinga ziwiri - kulamulira kuthamanga kwa mtima ndikupewa kuteteza magazi ndi kupweteka.
Kulamulira Mitima ya Mtima
Kwa anthu ambiri omwe ali ndi matenda oopsa a chiwindi, zizindikiro zimayambitsidwa mwachangu ndi msanga wa mtima womwe nthawi zambiri umayenda ndi arrhythmia.
Ndipotu, bola ngati mtima ukulamulidwa, anthu ambiri okhala ndi matenda a atrial angapangitse moyo weniweni, ngakhale kupitiriza kwawo arrhythmia. Kawirikawiri, kuchepetsa kutentha kwa mtima kungapezeke mwa kupereka beta kuletsa mankhwala osokoneza bongo , nthawi zambiri pamodzi ndi calcium channel blockers . Komanso, digoxin nthawi zambiri imathandiza kuchepetsa kuthamanga kwa mtima m'thupi.
Mankhwalawa onsewa amachititsa kuchepetsa mphamvu ya magetsi pogwiritsa ntchito kachilombo ka HIV , komwe kumachepetsa chiwerengero cha zikoka zomwe zimafika pamakontomba - motero kuchepetsa kutentha kwa mtima. Ambiri mwa anthu omwe ali ndi matenda a atrial, kuyima kwa mtima kumatha kuyendetsedwa mokwanira ndi kuphatikiza kwa mankhwalawa.
Komabe, nthawi zina, mpweya wamtima umakhala mofulumira kwambiri kuti upangitse zizindikiro zopitirirabe ngakhale mankhwala. Muzochitika izi, kuthamanga kwa mtima kungakhale kosavuta kuyang'aniridwa ndi ndondomeko yapadera yothetsera ubongo yomwe cholinga chake ndi kuwononga nthenda ya AV. Mwa njirayi, kathetechete wapadera imathetsa chidziwitsochi pogwiritsa ntchito cauterizing kapena kuzizira.
Kuchotsa kachilombo ka HIV kumateteza kuti ziphuphu zamagazi zifike pamtima, kotero kutentha kwa mtima kumakhala pang'onopang'ono kwambiri. Ndipotu, kupuma kwa kachilombo ka AV kumapangitsa kuti mtima ugwire , zomwe nthawi zambiri zimawombera mtima . Kotero kuperekera kwa kachilombo ka AV nthawizonse kumafuna kuyika kwa pacemaker yosatha . Chifukwa chakuti okonza pachipatala amakono angasinthe mlingo umene amayendera, malinga ndi momwe wodwalayo akuchitira, njira ya AV-ablation-plus-pacemaker imapatsa munthuyo chiwopsezo cha mtima wa atrial - pa nthawi yopuma komanso pa masewera olimbitsa thupi - zomwe zimapangitsa mtima kukhala anthu omwe ali ndi chizolowezi cha mtima.
Ngakhale kuti kuvuta kwa HIV kumakhala ngati njira yovuta kwambiri yothetsera kuyima kwa mtima, nthawi zambiri zimapangitsa kuti zizindikiro za odwala omwe ali ndi matenda opatsirana pogwiritsira ntchito mankhwala omwe amatha kuwonongeka komanso omwe amalephera kuchita zina.
Kupewa Kuvala Magazi
Chithandizo choletsa kutsekemera kwa magazi kuchoka ku atria ndi sitepe yovuta kwa aliyense yemwe ali ndi matenda oopsa. Anthu ambiri omwe ali ndi tizilombo toyambitsa matenda amafunika kukhala opaleshoni ndi mankhwala odana ndi coagulation (mankhwala omwe "amawonda" magazi kuti asateteze magazi) kuti asamapweteke. Mpaka pomwe Coumadin anali njira yokhayo yabwino, koma pogwiritsa ntchito Coumadin mosamala ndi bwino kungakhale chinthu chovuta kuchikwaniritsa.
Mwamwayi, njira zatsopano komanso zosavuta kugwiritsa ntchito zotsutsa coagulation posachedwapa zimapezeka.
Chidule
Ngakhale kuti sizingakhale zovuta, njira yothetsera vuto la mankhwala opatsirana nthawi zambiri imakhala yothandiza kwambiri pakuletsa zizindikiro ndipo imachepetsa chiopsezo cha sitiroko. Kufikira njira zabwino zakhazikitsidwa pofuna kuthetseratu kupha tizilombo toyambitsa matenda ndi kubwezeretsa mtima wamtundu wabwino, njira yowonongeka ndiyo yabwino kwa anthu ambiri omwe ali ndi chigamulochi.
Zotsatira:
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.
Wann LS, Curtis AB, January CT, et al. 2011 ACCF / AHA / HRS ndondomeko yowunika kwa odwala omwe ali ndi matenda oopsa a m'thupi (Kusintha Zotsatira za 2006): Lipoti la American College Association of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2011; 57: 223.