Mun san tsawon lokaci cewa za a iya haifar da fibrillation ta hanyar matsaloli masu yawa na kiwon lafiya, ciki har da cututtukan zuciya (irin su cututtuka na maganin jini , gyaran fuska , da kuma pericarditis ), cututtukan kafarka , hauhawar jini , barci mai barci , matsaloli daban-daban na huhu, irin su ciwon huhu ko kuma abin kunya na huhu , da kuma (ga wasu mutane) shan barasa. Duk da haka, a cikin mafi yawan mutanen da ke da alamar fitarwa, babu wani mahimmancin dalilin da aka gano.
Doctors sun faɗa wa mutanen nan al'ada cewa suna da "fitilun" ƙirar kwayoyin halitta, wato, babu wani dalilin dalili; Yana da kawai daya daga cikin waɗannan hanyoyin da aka yi amfani da su a rayuwa.
Amma bincike na baya-bayan nan sun bayyana cewa akwai tabbatattun dalilai ga mafi yawan mutanen da suke da zabi mai cin gashin kansu a cikin rayuwa, musamman, kasancewa da karba da kuma zama marasa zama.
Salon rayuwa da Attaura Fibrillation
Mun san dadewa cewa akwai wata ƙungiya tsakanin kasancewa da nauyi kuma ba ta da siffar, kuma yana da fibrillation. Amma a cikin 'yan shekarun da suka wuce, ya bayyana cewa ba fiye da wata ƙungiya ba ne - yana da dangantaka da tasiri.
Masu bincike a Adelaide, Australia sun shafe shekaru suna binciken wannan tambaya. A cikin jerin nazarin da suka nuna cewa salon da ba shi da kyau yana da babban tasiri a ɗakunan zuciya . Musamman, ƙwayar kitsen mai da ke kewaye da zuciya (fatalwar pericardial) yana haifar da canje-canje a cikin kwayoyin halitta, ƙara ƙarfin matsalolin, ƙumburi, ƙwayoyin ƙwayoyin jiki, da kuma ƙara atrial fibrosis.
Duk waɗannan canje-canje sun inganta cigaban filastillation.
Bugu da ƙari kuma, waɗannan masu bincike sun nuna a cikin binciken guda biyu da cewa, a cikin marasa lafiya da ke da alaƙa, wani shirin da ya dace da inganta salon rayuwa yana da muhimmanci ƙwarai, yana ragewa-kuma yana iya kawar da ita-wannan mummunan cututtukan arrhythmia.
A cikin jarrabawar LEGACY, masu binciken sun sanya marasa lafiya 335 tare da wadanda suka kamu da kwayar cutar (BMI fiye da 27) a cikin wani tsarin cin mutunci mai rai, tare da manufar kashi 10 cikin dari na nauyi.
Bayan shekara guda, wadanda suka rasa nauyin kashi 10 na nauyin asalin su na da gagarumar raguwa da alamun bayyanar cututtuka kuma sun kasance sau shida sun iya samun cikakkiyar maganin cutar su, fiye da marasa lafiya wanda basu rasa nauyi ba.
A cikin jarrabawar ARREST-AF, irin wadannan salon gyare-gyare na rayuwa sun shafi marasa lafiya da ke dauke da maganin da ke da alaƙa wanda ke da ciwon ablation . Wannan binciken ya nuna cewa sakamakon ablation ya fi kyau a cikin marasa lafiya wanda ya sami asarar nauyi. Saboda haka, sauye-sauye na rayuwa yana da muhimmanci ko da an yi amfani da maganin "gargajiya" don yin amfani da fibrillation.
Bugu da ƙari, waɗannan binciken sun tabbatar da cewa, a cikin marasa lafiya tare da filastillation mai tsanani, asarar nauyi ya haifar da canje-canje a cikin ainihin tsarin da aikin su atria, yana bayyana dalilin da yasa tsarin rayuwa yake aiki.
Layin Ƙasa
Hankula na haƙuri tare da "idiopathic" atrial fibrillation ne tsufa, nauyi, da sedentary. Yanzu mun san cewa nauyin kima da rashin aikin motsa jiki na da mahimmancin dalilin da ake yi na arrhythmia, kuma kara, cewa salon rayuwa mai rikitarwa na iya ragewa sosai-har ma da kawar da su-gadanillation.
Saboda lura da abin da ke faruwa a kan kwayoyin halitta-ko muna magana game da kwayoyi ko ablation-yana da wuyar gaske kuma yana da tasiri kawai, wannan sabon ilmi ya kamata a shigar da shi a cikin kowane tsarin kulawa ga kowane mai haƙuri wanda yake da wannan arrhythmia, kuma wanda ya dace da bayanin salon rayuwa.
Abin takaici, yin amfani da salon rayuwa mai rikitarwa-yayin da yake da aminci da inganci-yana da wuya ga marasa lafiya da lokacin cinye wa likitocin su. Kuma tun da ana biya likitoci don yin ba don yin magana ba, halayen su za su yi nasara idan sun dogara ga farfadowa da salon rayuwa. Saboda haka yana iya zama dan lokaci kafin likitoci sun yarda su yi amfani da wannan tsarin kuma marasa lafiya sun yarda su gwada shi.
> Sources:
> Abed HS, Samuel CS, Lau DH, et al. Abune yana haifar da tsarin cigaba da ke da mahimmanci da kuma gyaran lantarki: Abubuwan da ke haifar da fibrillation. Zuciya Zuciya . 2013; 10: 90-100.
> Pathak R, et al. Hanyar dogon lokaci na gudanar da gudanarwa ta burin da aka yi a cikin wani ɓangare na dandalin na fibrillation: Wani bincike mai tsawo (Nazarin LEGACY). J Am Coll Cardiol . 2015; DOI: 101016 / jacc.2015.03.002.
> Pathak RK, Middeldorp ME, Lau DH, et al. Matsanancin haɗarin haɗarin ƙaddamar da bincike ga ƙaddarar da ke tattare da mahimmanci da kuma abubuwan da zasu haifar da sakamakon ablation: Nazarin jarrabawa ta AFP. J Am Coll Cardiol . 2014; 64: 2222-2231.