Nchiyani Chimachititsa Izi?
Matenda a atrial ndi ofala kwambiri mtima wamaganizo ; padziko lonse, ndi imodzi mwa magulu ambiri omwe madokotala amawawona pazochita zawo.
Kufala kwa matenda a atrial kumagwirizana kwambiri ndi zaka. Ngakhale osachepera 1 peresenti ya akuluakulu oposa zaka makumi asanu ndi awiri ali ndi ziwalo zapiritsi, 9 peresenti ya anthu 80 kapena kuposa ali nayo. Mu kafukufuku amene anagwira pafupifupi 4000 Air Force omwe anawatenga kwa zaka 44, 7.5 peresenti ya odwala anali ndi matenda opatsirana pogonana pamene iwo adakula.
Kodi N'chiyani Chimayambitsa Matenda Oopsa?
Matenda a atrial akuwoneka kuti akukhudzana ndi kusintha komwe kumachitika mkati mwa minofu ya atrial, makamaka kutupa, fibrosis, ndi kuwonjezeka kwapanyumba mu zipinda zamagetsi. Kusintha kumeneku kungasokoneze momwe minofu ya m'thupi imagwirira ntchito zamagetsi za mtima, ndipo zokhudzana ndi matenda a khansa zingayambitse.
Chinthu chimodzi chomwe chimapangitsa kusintha kwakusokoneza kumeneku mu minofu ya m'thupi ndi matenda a khansa yokha. Pamene mafinyria akudwala amapezeka, ndizotheka kubwereranso-ndipo kumaipiraipira ngati nthawi ikupita. Akatswiri ena amanena kuti, "Kugwiritsa ntchito mankhwala opatsirana pogonana kumabweretsa matenda opatsirana pogonana." Ichi ndi chimodzi mwa zifukwa zomwe zimagwiritsira ntchito matenda opatsirana pogonana ndi vuto lopitirirabe, ndipo pang'onopang'ono timakhala timene timakhalapo nthawi yaitali.
Mitima Yomwe Imayanjana Ndi Matenda a Atrial
Pafupi matenda alionse a mtima angapangitse kupsinjika kwa minofu ya m'thupi, kutulutsa mtundu wa kutupa ndi fibrosis wokhudzana ndi matenda a atrial fibrillation.
Matenda a mtima omwe amawoneka kuti akutsatiridwa ndi atrial fibrillation ndi awa:
- Valvular matenda a mtima, makamaka matenda a mtima wa rheumatic
- Coronary artery matenda
- Kulephera kwa mtima
- Hypertrophic cardiomyopathy
- matenda a mtima a Congenital
- Matenda a uchimo (Sick Sinus Syndrome)
- Matenda ena a mtima, makamaka a tachcarcardia (SVT)
- Matenda oopsa kwambiri
Mavuto Osagwirizana ndi Matenda a M'thupi
Matenda angapo osagwirizana ndi matenda a mtima amachititsanso kuti chiopsezo chachikulu chokhala ndi matenda a khansa chiwonjezere. Izi zikuphatikizapo:
- Chibayo
- Shuga
- Matenda a matenda a impso
- Hyperthyroidism
- Opaleshoni ya mtima
Anthu omwe ali ndi matendawa, kaya a mtima kapena a mtima, amakhala ndi chiopsezo chowonjezereka chokhala ndi matenda opatsirana pogonana.
Zowonjezera Zina Zowopsa za Ziphuphu za Atrial
Zosinthika: Ngakhale kuti chiwopsezo cha mafinyria akuwoneka kuti n'chokwanira m'mabanja ena, zomwe zimapangitsa kuti chiwerengerochi chikhale chokwanira ndi chovuta kwambiri. Komabe, mbiri yakale ya mafinydri ya m'thupi mwa wachibale wapafupi ikuwonjezera chiopsezo chanu chokhazikitsa dongosololi.
Kulemera kwakukulu: Ana omwe ali ndi kulemera kwa kubadwa kumawoneka kuti ali ndi chiopsezo cha moyo wapatali chokhala ndi matenda a atrial.
Mowa: Ngakhale kuti kumwa mowa mwauchidakwa sikungachititse kuti munthu asamafe kwambiri, kumwa mowa mwauchidakwa kumakhala kosavuta. Nthaŵi zambiri, mafilimu am'thupi mwa oledzera amatha kumwa mowa kwambiri usiku kapena masabata, chomwe chimatchedwa " mtima wa holide ."
Kuwonongeka kwa mpweya: Pa phunziro limodzi loyang'anapo, kutentha kwapadera kwa mpweya kunkagwirizanitsidwa ndi chiopsezo chachikulu cha matenda opatsirana pogonana.
Kunenepa Kwambiri: Anthu omwe mliri wa thupi lawo (BMI) woposa 30 makilogalamu / m2-ndiwo omwe amawerengedwa ngati odwala kwambiri-ali ndi chiopsezo chokwanira cha matenda opatsirana pogonana kusiyana ndi omwe omwe BMI ili pansipa 25. Kulemera kwambiri kumagwirizanitsidwa ndi kuwonjezereka kwapuma kuntchito, komanso kuwonjezeka kwa mafuta onunkhira (mafuta amaika pa peicardium, yomwe ili kunja kwa mtima). Zinthu ziwirizi zikuganiziridwa kuti zimapangitsa kuti kunenepa kwambiri kumagwirizanitse ndi matenda oopsa.
Moyo wosasintha: Kafukufuku wambiri wasonyeza tsopano kuti moyo wokhala ndi moyo wokhazikika kwambiri ungapangitse anthu kukhala ndi matenda a atrial fibrillation. Zoonadi, kafukufuku awiri adawonetsa kuti, mopitirira muyeso, anthu okhala ndi matenda opatsirana pogwiritsa ntchito mankhwala ozunguza bongo, njira yowonongeka ya moyo yomwe imapangitsa kulemera kwa thupi ndi kuchepa kwa thupi, ndipo nthawi zina zimachotsedwa, pangozi yowonjezereka.
Caffeine: Ngakhale kuti madokotala nthawi zambiri amauza odwala okhala ndi mafinythriyamu (ndi ena arrhythmias) kuti apewe caffeine, kafukufuku alephera kusonyeza kuti caffeine, muyambiri yomwe imakhalapo, ili ndi zotsatirapo iliyonse pamaganizo ena a mtima.
Kuteteza Fibrillation Yachilendo
Ngakhale madokotala ambiri amawona kuti mafinyriyamu akugwiritsidwa ntchito ngati "chinthu chimodzi chabe" -ndipo zomwe zimachitika kwa anthu ena popanda chifukwa china-zonse muyenera kuchita ndikuyang'ana mndandanda wa zifukwa zomwe zimayesedwa mu gawo lotsiriza kuti muone kuti pali Njira zochepetsera chiopsezo chanu chokhala ndi tizilombo toyambitsa matenda.
Ndipo, pamene zikutulukira, zambiri zomwe mungachite kuti muchepetse chiopsezo chanu cha matenda opatsirana pogonana ndi zinthu zomwezo zomwe mukuyenera kuchita, kuti muchepetse vuto lanu la mtima. Ndipo ngati mutatenga njira zothetsera matenda a mitsempha, matenda a mtima, ndi matenda a mtima, mumachepetsanso chiwopsezo cha shuga, kugona kwa mpweya, kunenepa kwambiri, kugwidwa ndi pulmonary, ndi opaleshoni ya mtima. Kupewa zinthu zonsezi kudzathetsa zina mwazikuluzikulu zomwe zimayambitsa matendawa.
Mmene Mungachepetsere Vuto Lanu la Matenda a Mtima
Pano pali zinthu zomwe aliyense ayenera kuchita kuti achepetse chiopsezo cha matenda a mtima - ndipo chifukwa chake, kufooka kwa mankhwala:
- Musasute. Kusuta fodya ndi njira yowonjezera komanso yodalirika yoonjezera chiopsezo cha matenda a mtima.
- Pitirizani kulemera kwanu.
- Kudya chakudya chamoyo chamagulu. Ngakhale kuti "zakudya zabwino kwambiri" pofuna kuteteza matenda a mtima ndizopitirizabe kutsutsana, akatswiri ambiri amavomereza kuti zakudya za ku Mediterranean ndi zabwino kwa mtima.
- Muzichita masewera olimbitsa thupi. Moyo wokhala chete ndi woipa kwa thanzi lanu m'njira zambiri. Tsopano tikhoza kuwonjezera tizilombo toyambitsa matenda m'ndandanda.
- Onetsetsani kuthamanga kwa magazi nthawi zonse, ndipo ngati mukuyamba kukhala ndi matenda oopsa kwambiri onetsetsani kuti akuchiritsidwa mokwanira.
- Onetsetsani kuti dokotala akuyang'ana makilogalamu anu a cholesterol , ndipo akuganiza ngati mukufunikira kuthandizira kuti mukhazikitse mapepala awo.
- Ngati mumamwa mowa, chitani moyenera-ndipo musamamwe mowa.
Palibe uphungu uwu uyenera kumveka wosadabwitsa. Inu mwakhala mwamvapo za izo moyo wanu wonse. Zomwe zikhoza kukhala zatsopano ndikuti malangizo omwewa akugwiranso ntchito popewera mafinya.
Njira zina zomwe zingakuthandizeni kuchepetsa chiopsezo cha matenda opatsirana pogwiritsa ntchito mankhwala monga kupeweratu kunja kwa masiku masiku akuda kwambiri kwa mpweya, komanso kudya zakudya za omega-3 fatty acids (monga nsomba).
Kukhudzana ndi Matenda a M'thupi: Matenda a Moyo?
Madokotala akungodziwa kuti kuchuluka kwa mankhwala akupha ndi matenda otani. Chimodzimodzinso wodwala yemwe adokotala amamuwona ndi matenda opatsirana pogonana sangathe kudziwika (chifukwa chake, palibe matenda a mtima, matenda a shuga, kugona tulo kapena zina mwazolembedwa). Koma nthawi zambiri amakhala okalamba, olemera kwambiri, komanso osowa. Zikuonekeratu kuti kukhala woposa kunenepa komanso kusachita masewera olimbitsa thupi kumagwirizanitsidwa kwambiri ndi matenda a atrial fibrillation.
Komanso, ochita kafukufuku tsopano asonyeza kuti, odwala omwe ali ochepa kwambiri komanso osakhala pogona, n'zotheka kuchepetsa kapena kuthetseratu matenda opatsirana pogonana mwa kukhazikitsa ndondomeko yowonongeka ya moyo kuti awonetseke kulemera kwa thupi ndi kusintha thupi. Njirazi zomwe zimapangitsa kuti zamoyo zikhale bwino m'thupi zimaphatikizidwa ndi kusintha koyambirira mu mtima womwewo-kuchepetsa kuperewera kwa mafuta, komanso ku atrial fibrosis ndi kutupa. Zofukufukuzi zikusonyeza kuti kukhala wochuluka ndi kuchepa kumachititsa kuti thupi lizikhala ndi njira zolepheretsa kugwiritsira ntchito mankhwalawa, komanso kuti zotsatira zake za mtima zikhoza kusinthidwa ndi kutaya thupi ndi kutaya thupi.
Palibe aliyense wa ife amene angapewe kukalamba. Koma ngati timagwira ntchito, mwina tingapewe kukhala olemera kwambiri komanso osadetsedwa. Izi sizikutanthauza kuti kukhala ndi thanzi labwino komanso kuchita masewera olimbitsa thupi n'kosavuta. Kwa ambiri, anthu ambiri ndi ovuta kwambiri, mwinamwake chinthu chovuta kwambiri chomwe iwo adzachita.
> Zotsatira:
> Abed HS, Wittert GA, Leong DP, et al. Zotsatira za kuchepa kwa kulemera kwa thupi ndi kugwilitsika kwa matenda a cardiometabolic chifukwa cha chizindikiro cholemetsa ndi kupsyinjika kwa odwala omwe ali ndi matenda opatsirana pogonana: mayesero osokoneza bongo. JAMA 2013; 310: 2050.
> 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.
> Pathak RK, Middeldorp ME, Lau DH, et al. Kuphunzira kuchepetsa kuchepetsa chiopsezo cha chiopsezo cha atrial fibrillation ndi zomwe zimakhudza zotsatira za kubalidwa: KUYAMBIRA-AF cohort phunziro. J Am Coll Cardiol 2014; 64: 2222.