Isbarbardhig habab kala duwan
Haddii aad qabtid fibrillin atrial , sidee u go'aansataa inta u dhaxaysa labada hab ee aasaasiga ah ee lagu daaweynayo arxiskaada (taas oo ah, soo celinta iyo ilaalinta qaylada caadiga ah ama xakamaynta garaaca wadnaha)? Waxaa jira dhowr arrimood oo adiga iyo dhakhtarkaagu ay tahay inaad tixgeliso go'aankaas.
Goorma Ayuu Yahay Xakamaynta Xeeladda Qaadashada?
Wejigeeda, qaabka xakamaynta jajabka - dib u soo celinta iyo ilaalinta garaaca wadnaha caadiga ah - waxay u egtahay habka saxda ah qof walba.
Ka dib oo dhan, yaa doonaya in uu sii joogo fibrillada atrial? Dhibaatada, dabcan, waa in daaweynaha la heli karo si loo gaaro xakamaynta laf-dhabarka ee fibrillada atrial-ka waxay u muuqataa mid waxtar leh oo keliya, oo u muujinaysa bukaanada halisyo halis ah.
Sidaa awgeed dhakhaatiirta intooda badani waxay keydisaa istaraatiijiyada koontaroolka isxilqaanka ee bukaankooda u muuqda in ay helaan fursada ugu fiican ee guusha, ama kuwa ugu yaryar inay u dulqaataan fibrillada joogtada ah ee xitaa marka xaddiga garaaca wadnaha la xakameeyo. Bukaanada noocan oo kale ah waxaa ka mid ah qaybaha soo socda:
- Kuwa foosha xumida u muuqda inay la xiriiraan dhacdooyinka ku-meel-gaadhka ah, sabab macquul ah, ama dhibaatooyin caafimaad oo ka hooseeya oo si fiican loo kantarooli karo. Kuwaas waxaa ka mid ah: hyperthyroidism ; pericarditis ; xasaasiyadda sambabaha , oof-wareenka ama dhibaatooyinka kale ee sambabada; nidaamka qaliinka ee dhawaanta; aaladda khamriga (" qalbi fasax "); wadnaha oo aan fiicnayn oo wadnaha lagu fido ama hurdo la'aanta aan la daaweynin. Marka daaweynta sababahan hoosta ah ee loogu talagalay foosha loo yaqaan 'atrial fibrillation', ayaa bukaanku uu leeyahay fursad wanaagsan oo uu ku sii jiri karo garaaca wadnaha caadiga ah.
- Dadka qaba "niyadjab" oo "niyadjab" ah oo u muuqda in ay sameeyaan fayraska atrial-ka si liidata, xitaa marka la xakameynayo xaddiga ku filan. Xaaladaha noocan oo kale ah waxaa ka mid ah wadno-qabadka hypothertrophic cardiomyopathy , cudurada wadnaha oo aad u daran, xummad diimeed , ama stenosis aortic .
- Bukaanka kuwaas oo habka kantaroolka xakamaynta la isku dayay, oo uu ku guuldareystay inuu kantaroolo astaamaha.
- Isboortiga iyo dadka kale ee ay shaqadooda u baahan yihiin si ay u qabtaan hawlaha wadnaha.
- Dadka raba in ay isticmaalaan habka xakamaynta laxanka marka ay si buuxda ugu wargaliyaan xudduudaha dhici kara.
Goorma ayaa Loola Xidhiidha Qiyaasta Koontaroolka?
Sababtoo ah dhibaatooyinka iyo khatarta la xidhiidha habka xakamaynta laxiriira xakameynta atrial atrial, khabiirada intooda badani waxay tixgeliyaan habka koontaroolidda qiimaha si ay u noqdaan "habka ugu habboon" ee loogu talagalay badiba bukaanada qaba arrintani.
Ma aha oo kaliya habka koontaroolidda xaddiga oo ka amaan badan oo ka waxtar badan marka loo eego habka xakamaynta xakamaynta, laakiin sidoo kale waxay waxtar u leedahay ka takhalusidda calaamadaha fibrillada atrial badi dadka qaba arrintia. Maaddaama dhammaan qodobka daaweynta fibrillada atrial waa in laga takhaluso calaamadaha, qaabka xakamaynta saamiga badanaa waa mid aad waxtar u leh helitaanka ujeeddada daaweynta.
Intaa waxaa dheer, inta la soo dhaafay waxaa loo maleynayaa in haddii aad ka dhigi lahayd fibrillada atrial ka tagto khatarta istaroogga si weyn u dhimi lahaa, daraasaadka kiliinikada ayaa ku fashilmay inay muujiyaan natiijadan. Sidaa darteed, xitaa haddii istaraatiijiyada koontaroolka xakamaynta loo adeegsado oo u muuqata in ay guulaysato, bukaanku wali waxay u baahan yihiin in lagu daaweeyo daawooyinka xinjirowga lidka ku ah .
Sidaa darteed, faa'iido weyn oo ka mid ah habka koontaroolka xakamaynta ayaa ku fashilmay (ugu yaraan illaa hadda) si loo helo.
Miyuu Joogaa Hab Dhexdhexaad ah si Qaabsocodka ah u Xaddidan Xakameynta Kharashka?
Inkastoo ay u muuqato in ay si cad u muuqdaan in istaraatiijiyada kantaroolka iswadaarsiga ay ku siin doonto natiijooyin ka sii fiican marka la eego istaraatiijiyadda xakamaynta xaddiga ee fiiqileynta atrial, daraasaadka kiliinikada ayaa ku fashilmay inay muujiyaan in tani ay tahay kiiska. Taa baddalkeeda, tijaabooyinka kiliinikada ee la kala soocay oo isbarbardhigaya xakamaynta ritmalka si loo xakameeyo xakamaynta bukaanka qaba fayruuska atrial-ka ayaa muujiyay isbeddel ku yimid natiijooyinka caafimaad ee ka sii daraya (oo ay ku jiraan dhacdooyin ka sarreeya dhimashada, wadnaha oo shaqeyn waaya , madax-dhiigfuranka iyo dhiig-baxa) habka xakamaynta.
Khabiirada intooda badani waxay ka dhigaan natiijooyinka ka sii xun natiijada daawooyinka antiarrhythmic, laakiin tani ma cadda.
Khadka hoose
Hadda, khubarada ayaa ku raacsan in habka "caadiga ah" ee loogu talagalay bukaannada badankooda atrial fibrillation (gaar ahaan ka dib mid ama laba jeer isku dayga in lagu ilaaliyo qiyaasta caadiga ah) ayaa ah habka xakamaynta. Si kastaba ha noqotee, go'aankan marwalba wuxuu ubaahan yahay in si wadajir ah loo wadaago dhakhtarka iyo bukaanka, iyada oo dhammaan habsami-u-socodka iyo khasaarooyinka hab kasta oo lagu xisaabtamo xisaab taxaddar leh.
Ilaha:
Koleejka American College of Cardiology, Ururka Wadnaha Wadnaha Maraykanka, Jaaliyadda Yurub ee Wadnaha (Cardiology), iyo al. Maareynta bukaanada leh fibrillada atrial (ururinta 2006 ACCF / AHA / ESC iyo talooyinka ACCF / AHA / HRS 2011): Warbixin ka timid Kulliyoologiyada Mareykanka ee Daaweynta Daaweynta Daaweynta wadnaha / American Heart Association. Wareegga dhiigga 2013; 127: 1916.
Wyse DG, Waldo AL, iyo al. Isbarbardhiga xakamaynta sicirka iyo xakamaynta xakamaynta bukaanada qaba fibrillada atrial. N Eng J Med 2002; 347 (23): 1825.
Van Gelder IC, Hagens VE, et al. Marka la barbardhigo xakamaynta xawaaraha iyo xakamaynta isbeddelka bukaanka ee soo noqnoqonaya fayruuska joogtada ah ee joogtada ah. N Eng J Med 2002; 347 (23): 1834.