Idan kana da wata mahimmanci, za a iya kasancewa mai sauƙi guda uku wanda yayi sauti-mai ƙira - ya dace da ƙwaƙwalwar da za a ci gaba da ci gaba, da mahimmancin farfadowa don kiyaye zuciyarka don zama da sauri (don sarrafa lafiyar ka) kuma kai matakai don rage yawan hadarin bugun jini. Ana kiran wannan hanyar hanyar sarrafawa. A hankali, wani hanya, tsarin kulawa da kariya , wanda ake nufi don sakewa da kuma riƙe nauyin zuciya ta al'ada, sauti mafi kyau.
Amma a mafi yawancin mutanen da suke da ciwon kofin shari'ar (wanda shine, sun kasance a cikin korafi ko kuma mafi yawan lokuta na makonni masu yawa ko wata), sakamakon yana da kyau mafi kyau tare da tsarin kulawa.
Har ila yau, wannan ya faru ne saboda sarrafawar motsa jiki yana da wuyar gaske, rashin dacewa, rashin tasiri kuma yana haifar da mummunan haɗari na tasiri. Har ila yau, yawancin mutanen da aka bi da su tare da kula da kudi sunyi kyau sosai; Nazarin binciken likita ya nuna cewa sakamakon su ya zama mafi kyau, in ba mafi kyau ba, fiye da waɗanda aka yi amfani da su a cikin kullun.
Gudanar da tsarin kulawa da jin dadi na biyu yana da raga biyu - don sarrafa ƙwayar zuciya da kuma hana yaduwar jini da bugun jini.
Ƙara Zuciya Zuciya
A mafi yawancin mutanen da ke da alamar wariyar launin fata, bayyanar cututtuka suna kai tsaye ta hanyar karfin zuciya wanda yawanci yakan biyo bayan wannan arrhythmia.
A gaskiya ma, idan dai yawancin zuciya yana sarrafawa, mafi yawan mutanen da ke da tsinkayyar kwayar halitta zasu iya haifar da rayuwa ta al'ada, duk da ci gaba da tsayayinsu na arrhythmia. Kullum, ana iya samun kulawa da zuciya ta hanyar bada beta na hana kwayoyi , sau da yawa tare da magunguna masu kwari . Bugu da ƙari, digoxin yana da amfani sosai a rage jinkirin zuciya a cikin fibrillation.
Dukkanin wadannan kwayoyin sunyi aiki ta hanyar rage jinkirin motsawar wutar lantarki ta hanyar kodin AV , wanda ya rage yawan adadin da zai kai ga ventricles - saboda haka rage girman zuciya. A mafi yawan mutanen da ke da alamar fitarwa, za a iya yin kwakwalwa da kyau tare da wasu haɗarin waɗannan kwayoyi.
Amma a wasu lokuta, ƙwayar zuciya yana ci gaba da tsinkaya don haifar da bayyanar cututtuka duk da farfadowa. A cikin waɗannan lokuta, ƙin zuciya zai iya sarrafawa ta hanyar hanyar tsagewa na musamman wanda ya dace da lalata aboki na AV. A wannan hanya, catheter na musamman ya rufe kumburi ta hanyar cauterizing ko daskarewa.
Yin amfani da kullin AV yana hana ƙananan ƙirar fibrillation don kai ga ventricles, don haka zuciya ya zama mai jinkirin. A gaskiya ma'anar cirewar AV yana haifar da sakon zuciya , wanda yakan haifar da wani zuciya wanda yayi jinkirin. Saboda haka cirewar cirewar AV ta kullum yana buƙatar shigar da mai ɗaukar miki . Saboda iyalan zamani na iya canza canjin da suke yi, dangane da matakin aikin mai haƙuri, zaɓi AV-cire-da-pacemaker na nuni ya ba mutumin da lamarin zuciya na ciki - da a hutawa da kuma lokacin motsa jiki - wanda yayi simintin ƙimar zuciya mutane tare da ƙwayar zuciya ta al'ada.
Yayin da ablation na AV na iya zama wata hanya mai sauki wajen sarrafawa da zuciya, kusan kusan kullum yakan haifar da cigaban cigaba a bayyanar cututtuka ga marasa lafiya da ciwon jigilar jini da kuma wanda wasu matakan sun gaza.
Tsayar da Clots na jini
Jiyya don hana yaduwar jini daga farawa a cikin atria wani mataki ne mai matukar muhimmanci ga duk wanda ke da filaye. Yawancin mutanen da ke da alamar dabarar ya kamata su kasance tare da maganin magungunan ƙwayar cuta (kwayoyi da "jini" don hana jinin jini) don hana fashewa. Har zuwa kwanan nan kwanan nan ne Marmadin shine kawai zaɓi mai kyau, amma ta amfani da Coumadin a amince kuma zai iya zama abu mai wuya don cim ma.
Abin farin ciki, sabbin hanyoyin da za a iya amfani da su don yin amfani da maganin ƙwayar cuta a cikin filastillation mai tsanani sun samu kwanan nan.
Takaitaccen
Duk da yake bazai zama da hankali ba, tsarin kulawa da kulawa da jin dadi na yawanci yana da tasiri sosai wajen kula da bayyanar cututtuka kuma yana rage haɗarin fashewa. Har sai an bunkasa hanyoyin da suka dace don kawar da fibrillation da kuma mayar da hankali na zuciya, tsarin kulawa da hankali shine mafi kyawun zabi ga yawancin mutanen da suke da wannan arrhythmia.
Sources:
Fuster, V, Ryden, LE, Cannom, DS, et al. ACC / AHA / ESC 2006 Rubuce-rubuce don Gudanar da marasa lafiya tare da hangen nesa Wani rahoto na Cibiyar Harkokin Kasuwancin Amirka da Ƙungiyar Harkokin Kasuwancin Amirka game da Ka'idojin Harkokin Kasuwanci da Ƙungiyar Harkokin Kasuwancin Kasuwancin Kasuwanci (Guidance Guidelines) (Kwamitin Rubuta don Gyara Shawarar 2001 don Gudanar da marasa lafiya tare da Fibrillation na Wajibi). J Am Coll Cardiol 2006; 48: e149.
Wann LS, Curtis AB, Janairu CT, et al. 2011 ACCF / AHA / HRS mayar da hankali a kan kula da marasa lafiya tare da fibrillation mai tsanani (Ana sabunta jagorancin 2006): Rahoton Cibiyar Harkokin Kasuwancin Amirka da Ƙungiyar Ayyuka ta Ƙungiyar Amirka game da Sharuɗɗan Ɗaukaka. J Am Coll Cardiol 2011; 57: 223.