Nooca Ugu Waaweyn ee Xaaladaha Cudurka Wadnaha
Meelaha hore ee isdaba-joogga ah, ama PACs, waa wadnaha "dheeraad ah" oo ka soo baxa wadnaha wadnaha. PACs waa noocyada ugu caansan ee arxanka wadnaha . Dhab ahaantii, PACs waa wax caadi ah in dadka intooda badani ay marmarka qaarkood leeyihiin.
Qalabka Wadnaha ee caadiga ah
Qalabka garaaca wadnaha caadiga ah waxaa gacanta ku haya qaab dhismeed yar oo la yiraahdo nudaha sanka, kaas oo ku yaal meel u dhow dusha sare ee wadnaha ee wadnaha.
Goobta sinusku waxay dhalisaa calaamad koronto oo bilaabaysa garaaca wadnaha iyo xakamaynta wadnaha wadnaha.
Caadi ahaan, nooduusku wuxuu "ku shubayaa" koronto-qabadka korontada inta u dhaxaysa 50 illaa 90 jeer daqiiqaddii nasashada. Marka wadnaha garaaca wadnaha qofka ayaa lagu xakameeyaa nudaha sanka ee habdhaqan caadi ah, dhakhtarrada ayaa inta badan ku magacaaba "raajada caadiga ah ee sinuska."
Maxaa keena PACs?
PACs waa waqti hore (taasi waa, bilawga ah) dareenka korontada ee lagu sameeyay gudaha wadnaha atria, laakiin ma aha mid ka yimaada nudaha sanka. PACs waxay si joogto ah u joojiyaan garaacista caadiga ah ee sinuska adigoo ku geliya wadne garaacis dheeraad ah. Sababtoo ah PAC-ku "dib-u-dejin" noodhka sanka, waxaa inta badan jira masiibo gaaban ka hor intaan xitaa wadnaha wadnaha ee caadiga ah dhaco. Sidaas darteed PAC-yada waxaa badanaa loo arkaa inay "ka boodi" wadnaha garaaca.
Haddii laguu sheego inaad haysatid PACs, waad ku nasasiin kartaa inaad ku jirto inta badan. Ku dhowaad qof kastaa wuxuu leeyahay.
Mid ka mid ah daraasaddan oo ka badan 1700 qof oo qaan-gaar ah, 99% waxay haysteen ugu yaraan hal PAC 24 saacadood oo ah kormeerka wadnaha.
Sidee Muhiim u Ahaan PACs?
PACs guud ahaan waxay leedahay muhiima caafimaad oo aad u yar, waxaana loo eegaa (si ku haboon) dhakhaatiirta inta u dhaxeysa "caadi".
Si kastaba ha noqotee, sanadihii ugu dambeeyay, dhakhaatiirtu waxay barteen in PACs ay muhiim u tahay dadka qaba xanuunka 'atrial fibrillation' .
Qaar ka mid ah dadka qaba fayriliska atrial, PACs ayaa loo maleynayaa inay kicinayaan dhacdooyinka arrintiyaamka. Sababtan awgeed, qaar ka mid ah hababka abortiska ee loo isticmaalo daaweynta fibrillada atrials waxaa loogu talagalay in laga tirtiro PACs.
Si kastaba ha noqotee, way ku sii fiicnaanaysaa in dadka intooda badani haystaan, PAC-yada aan laheyn wax muhiim ah oo la aqoonsan yahay oo aan la ogeyn khatarta.
Calaamadaha Waalidiinta
Nasiib wanaag (tixgelinta in ay yihiin kuwo aad u badan), inta badan dadka PAC-yada ah ma keenaan wax calaamado ah.
Hase yeeshee, dadka qaarkiis waxay la kulmi doonaan boodboodka , taas oo ay inta badan ku tilmaamaan "murgasho", ama garaaca wadnaha oo aan caadi ahayn. Isbedelka isbeddelka leh ee PACs waxay u badan tahay ka dib markaad qaadato aalkolo, tubaako, kafeyn, ama daawooyin ay ku jiraan kiciyeyaasha.
Daweynta PACs
Haddii aysan ahayn PACs-ka qofku u maleynayo inuu ku dhicikaro ficillada atrial atrial, wax walbaa "lama huraan" si loo daweeyo.
Si kastaba ha noqotee, marmarka qaarkood qofku wuxuu la kulmi doonaa isbedel aan loo baahnayn oo ka yimaada PAC-yada, daaweyntuna waxay noqoneysaa mid suurad wacan. Habka ugu fiican ee lagu daaweyn karo PAC waa in laga fogaado walxaha (khamriga, kafeyn, tubaako, iwm.) Oo u muuqda inay calaamaduhu ka sii darayaan.
Marar dhif ah, PAC-yada ayaa aad u jahawareersan nolosha qofka oo laga yaabo inay ku habboonaato in ay isku daydo in ay xakameyso.
Beta-blockers waxay caawin karaan in la yareeyo calaamadaha PAC-yada qaarkood, waxaana guud ahaan lagu taliyaa tallaabada ugu horreysa marka daaweynta loo baahan yahay. Daawooyinka khatarta ah ayaa laga yaabaa inay waxtar u yeeshaan yaraynta PACs, laakiin daroogooyinkaasi inta badan waa kuwo sun ah oo laguma talinayo PACs haddii aysan keenin calaamado aad u culus oo aan loo dulqaadan karin.
Diiditaanka aagagga uur-ku-jirta ee soo saaraya PACs waa la aqbali karayaa, laakiin qaabkan daaweyntu waa qallafsan wuxuuna qaadaa halista dhibaatooyin halis ah.
Xaqiijinta PACs waa mid had iyo jeer loogu talagalay dadka bukaanka ah ee PAC-yada ay ku kicinayaan xaalado qallafsan oo culus, sida fibrillada atrial.
Ereyga
PACs aad ayey u badan tahay, waxayna ku dhow yihiin gebi ahaanba si fiican - markaa haddii ay jirto sabab aad u fiican oo loo sameeyo si kale, illaa hadda daaweynta ugu fiican ayaa ah inay iyaga keligood iska tagaan.
Sidaa darteed haddii aad qabtid PACs oo soo saaraya isbeddel, waxaad rabi laheyd inaad dhakhtarkaaga kala hadasho ka hor intaadan oggolaanin daaweyn kasta oo aad u kacsan isbedelka nolosha.
> Ilo:
> Brooks AG, Rangnekar G, Ganesan AN, et al. Astaamaha Dareemayaasha Ectopic Associated with Paroxysmal iyo Fududeynta Burburka Burburka joogtada ah: Caddaynta Doorka Beddelka ah. Qalabka wadnaha ee 2012; 9: 1367.
> Chong BH, Pong V, Lam KF, et al. Dhacdooyinka Joogtada ah ee Joogta ah ee Dhacdooyinka Burburiya Calaamadaha Cusub ee Dhacdooyinka Ba'an iyo Dhacdooyinka Wadnaha Dhiigga ah. Europace 2012; 14: 942.
> Conen D, Adam M, Roche F, et al. Xilliga Gabood-dhiska Qalabka Atriyadeed ee Dadwaynaha Guud: Saamaynta iyo Ciladaha Halista ah. Wareegga 2012; 126: 2302.