ʻO nā mea āpau āu e ʻike ai e pili ana i ka Fibrillation Atrial

Anter

• Nā ʻōuli ʻAtrial fibrillation
• Nā lāʻau lapaʻau Atrial fibrillation
• Nā kumu o ka fibrillation atrial
• Nā kumu pilikia no ka fibrillation atrial
• ʻO nā kūpilikiʻi fibrillation Atrial
• ʻIkioma fibrillation Atrial
• ʻOki kino Atrial fibrillation
• Uila cardioversion
• Hoʻokiʻoki catheter
• Atrioventricular (AV) node hoʻopau
• ʻOki kino o Maze
• Kāohi
• ʻAiʻai fibrillation Atrial
• Atrial fibrillation lapaʻau maoli
• Nā kuhikuhi fibrillation Atrial
• Aibrial fibrillation vs. flutter

He aha ka fibrillation atrial?

ʻO ka fibrillation Atrial ka ʻano maʻamau o ka arrhythmia puʻuwai (heartbeat ʻole) hiki ke keʻakeʻa i ke kahe maʻamau o ke koko. ʻO kēia keakea, ʻo ia nā kumu e waiho iā ʻoe i ka makaʻu i ke kahe o ke koko a me ka hahau.

Ma waena o ka fibrillation atrial (AFib a i ʻole AF).

Me AFib, hoʻopili ʻia nā keʻena kiʻekiʻe ʻelua o kou puʻuwai (atria). Hoʻopilikia kēia i ke kahe o ke koko i nā ventricle a i nā keʻena o lalo paha, a laila i ke koena o kou kino.

Inā haʻalele ʻole ʻia, hiki i ka AFib ke make.

Kūlohelohe paha katrial fibrillation, hele a hele paha, a i ʻole paʻa mau paha. ʻO ka mea maʻamau i nā mākua. Akā me ka mālama olakino kūpono, hiki iā ʻoe ke ola i kahi ola maʻamau.

Nā ʻōuli ʻAtrial fibrillation

ʻAʻole paha ʻoe e ʻike i kekahi ʻōuli inā loaʻa ʻoe i ka fibrillation atrial.

E nānā paha ka poʻe ʻike i nā ʻōuli:

• palpitations puʻuwai (manaʻo e like me ka puʻuwai ʻana o kou puʻuwai, e hoʻokuʻi wikiwiki a paʻakikī paha, a e lele ana paha)
• ʻeha ka umauma
• luhi
• pokole o ka hanu
• nāwaliwali
• ʻālohilohi
• ʻūpā
• maule ana
• huikau
• hoʻomanawanui ʻole i ka hoʻoikaika kino

Hiki ke hele a hele kēia mau ʻōuli ma muli o ke koʻikoʻi o kou ʻano.

ʻO kahi laʻana, paroxysmal AFib kahi ʻano o atrial fibrillation e hoʻonā iā ia iho me ka ʻole o ka lāʻau lapaʻau.Akā pono paha ʻoe e lawe i ka lāʻau e pale ai i nā hanana e hiki mai ana a me nā pilikia kūpono.

Ma ke ʻano holoʻokoʻa, ʻike paha ʻoe i nā ʻōuli o AFib no kekahi mau minuke a mau hola paha i kēlā me kēia manawa. ʻO nā ʻōuli i hoʻomau i mau mau lā hiki ke hōʻike iā AFib mau.

E haʻi i kāu kauka e pili ana i nā hōʻailona āu e ʻike nei, keu hoʻi inā he loli.

Nā lāʻau lapaʻau Atrial fibrillation

ʻAʻole paha ʻoe e pono ke mālama inā ʻaʻohe ou mau ʻōuli, inā ʻaʻohe ou pilikia puʻuwai ʻē aʻe, a i ʻole inā kū ka atrial fibrillation nona iho.

Inā makemake ʻoe i ka lāʻau, hiki i kāu kauka ke koi aku i nā ʻano o nā lāʻau:

• beta-blockers e hoʻemi i ka helu o kou puʻuwai
• nā poloka auwaha kalipuna e hoʻomaha ai i nā mākala arterial a hoʻoliʻiliʻi i ka helu o ka naʻau
• ʻo ka sodium a i ʻole nā ​​pā kahakaha kahawai e kaohi i ka haʻihaʻi puʻuwai
• digitalis glycosides e hoʻoikaika i ka puʻuwai puʻuwai
• ʻili lahilahi e pale aku ai i nā huehue koko

ʻO nā anticoagulants waha ʻole non-vitamin K (NOACs) ka lahilahi o ke koko i makemake ʻia no AFib. Hoʻopili lākou iā rivaroxaban (Xarelto) a me apixaban (Eliquis).

ʻO ka mea maʻamau, ʻo ke kumu o ka lawe ʻana i nā lāʻau no AFib e hoʻonui i ka helu o kou puʻuwai a hoʻonui i ka maikaʻi o ka puʻuwai i ka holoʻokoʻa.

Hiki i kēia mau lāʻau ke pale i nā kahe o ke koko i ka wā e hiki mai ana, a me nā pilikia e pili ana e like me ka puʻuwai puʻuwai a me ka hahau. Kaukaʻi ʻia i kou ʻano, hiki i kāu kauka ke koi aku i nā lāʻau AFib he nui.

Nā kumu o ka fibrillation atrial

Loaʻa i ka puʻuwai ʻehā keʻena: ʻelua atria a me ʻelua ventricle.

Hana ʻia ka fibrillation Atrial ke hana ʻole kēia mau keʻena e like me ka mea e pono ai no ka hōʻailona uila uila.

ʻO ka maʻamau, ʻaelike ka atria a me nā ventricle i ka wikiwiki like. I ka fibrillation atrial, ʻaʻole lōkahi ke atria a me nā ventricle no ka mea ʻo ka ʻaelike ataria me ka wikiwiki a me ka ʻole.

ʻO ke kumu o ka fibrillation atrial ʻaʻole ʻike mau ʻia. Nā kūlana i hiki ke hōʻino i ka puʻuwai a alakaʻi i ka atrial fibrillation me:

• kahe koko kiʻekiʻe
• puʻuwai puʻuwai kongestive
• maʻi ahulau coronary
• maʻi maʻi puʻuwai
• hypertrophic cardiomyopathy, kahi e mānoanoa ai ka naʻau o ka puʻuwai
• ʻoki kino puʻuwai
• nā puʻuwai puʻuwai congenital, ʻo ia hoʻi nā kīnā o ka naʻau āu i hānau ʻia ai
• he gland thyroid overactive
• pericarditis, ʻo ia ka mumū o ka uhi ʻeke e like me ka puʻuwai
• ke lawe nei i kekahi mau lāʻau
• inu inu inu
• maʻi thyroid

Hiki i kahi nohona olakino olakino ke hōʻemi i kou makaʻu iā AFib. Akā ʻaʻole hiki ke pale ʻia nā kumu āpau.

He mea nui e haʻi aku i kāu kauka e pili ana i kāu mōʻaukala olakino piha i hiki ai iā lākou ke kuhikuhi pono i nā kumu o kāu AFib a hiki ke mālama maikaʻi iā ia.

Nā kumu pilikia no ka fibrillation atrial

ʻOiai ʻaʻole maopopo mau ke kumu kikoʻī o AFib, aia kekahi mau mea e hoʻokau iā ʻoe i kahi kiʻekiʻe kiʻekiʻe no kēia maʻi. Pale ʻia paha kekahi o kēia mau mea, ʻoiai he genetic kekahi.

E kamaʻilio me kāu kauka e pili ana i nā mea pilikia:

• hoʻonui i kou mau makahiki (ʻo kou ʻelemakule, ʻoi aku kou kiʻekiʻe)
• keʻokeʻo
• he kāne
• kahi moʻolelo ʻohana o fibrillation atrial
• maʻi maʻi puʻuwai
• kīnā o ka naʻau kūkulu
• kīnā kīnā ʻole
• pericarditis
• moʻolelo o nā puʻuwai puʻuwai
• moʻolelo o ka puʻuwai puʻuwai
• kulana thyroid
• maʻi maʻi metabolic
• momona
• maʻi lolo
• diabetes
• inu lama, ʻoiaʻiʻo hoʻi ka inu pia ʻana
• ʻāpana moe
• lāʻau lapaʻau steroid kiʻekiʻe loa

ʻO nā kūpilikiʻi fibrillation Atrial

Hiki i ke olakino olakino maʻamau a me nā loiloi me kāu kauka ke kōkua iā ʻoe e hōʻalo i nā pilikia. Akā inā haʻalele ʻole ʻia ia, hiki i ka fibrillation atrial ke koʻikoʻi a hiki i ka make.

ʻO nā kūpilikiʻi koʻikoʻi me ka hōʻeha puʻuwai a me ka hahau. Hiki i nā lāʻau a me nā ʻano nohona ke kōkua i ka pale ʻana i kēia mau mea i ka poʻe me AFib.

Kū ka maʻi hahau ma muli o ke kō ʻana o ke koko i ka lolo. Mālama kēia i kou lolo i ka oxygen, a hiki i ka hopena o ka pōʻino. Hiki i nā hōʻeha ke make i ka make.

Kūpono ʻole ka puʻuwai ke hiki ʻole i kāu puʻuwai ke hana kūpono hou. Hiki iā AFib ke hoʻopau i ka puʻuwai o ka puʻuwai, e like me ka hoʻāʻo ʻana o nā ventricle i nā keʻena o lalo e hana ʻoi aku ka hana no ka nele o ke kahe o ke koko i nā keʻena ma luna.

I ka poʻe me AFib, ulu ka puʻuwai puʻuwai ma hope o ka manawa - ʻaʻole ia he hanana koke e like me ka puʻuwai a me ka hahau paha.

Ma hope o kāu hoʻolālā lapaʻau hiki ke hōʻemi i kāu mau manawa āpau o nā pilikia ma muli o AFib.

E lawe i kāu mau lāʻau āpau e like me ka mea i kauoha ʻia e kāu kauka. A aʻo e pili ana i nā pilikia AFib a me ko lākou mau ʻōuli.

ʻIkioma fibrillation Atrial

Nui a hewahewa nā hoʻokolohua i hiki ke hana ʻia e loaʻa ai kahi manaʻo maikaʻi aʻe o nā mea e hana nei me kāu hana puʻuwai.

Hiki i kāu kauka ke hoʻohana i hoʻokahi a ʻoi paha o nā hōʻike aʻe e kuhikuhi ai i ka fibrillation atrial.

• kahi hoʻokolohua kino e nānā i kāu pulse, kaomi koko, a me nā akemāmā
• kahi electrocardiogram (EKG), kahi hoʻāʻo e hoʻopaʻa i nā impulses uila o kou puʻuwai no kekona kekona

Inā kū ʻole ka atrial fibrillation i ka wā o ka EKG, ua hoʻokau paha kāu kauka iā ʻoe i kahi monitor EKG lawe lima a hoʻāʻo paha i kahi ʻano hoʻokolohua ʻē aʻe.

Aia kēia mau hoʻāʻo:

• Holter monitor, kahi mīkini uila liʻiliʻi āu e komo ai no 24 a 48 mau hola e nānā i kou puʻuwai.
• mea nānā hanana, kahi hāmeʻa e hoʻopaʻa i kou puʻuwai wale nō i kekahi mau manawa a i ʻole ke loaʻa nei nā hōʻailona o AFib
• echocardiogram, kahi hōʻike noninvasive e hoʻohana i nā nalu kani e hana i kahi kiʻi neʻe o kou puʻuwai.
• echocardiogram transesophageal, kahi mana invasive o kahi echocardiogram e hana ʻia e ke kau ʻana i kahi ʻimi i ka esophagus
• hoʻāʻo koʻikoʻi, nāna e mālama i kou puʻuwai i ka hoʻoikaika kino
• umauma X-ray e ʻike i kou puʻuwai a me kou akemāmā
• nā hoʻāʻo ʻana i ke koko e nānā no ka thyroid a me nā kūlana metabolic

ʻOki kino Atrial fibrillation

No ka AFib mau a koʻikoʻi paha, hiki i ke ʻoki ke koho ʻia i koho.

Aia kekahi mau ʻano ʻoki lāʻau i māka i ka mākala puʻuwai i kahi hoʻāʻo e kōkua iā ia e pīpī i ke koko me ka maikaʻi loa. Hiki i ke ʻoki kino ke pale aku i ka hōʻino o ka puʻuwai.

Nā ʻano o ke kaha ʻana i hiki ke hoʻohana ʻia e mālama iā AFib me:

Uila cardioversion

I kēia kaʻina hana, hoʻololi hou kahi haʻalulu uila pōkole i ka mele o kāu puʻuwai puʻuwai.

Hoʻokiʻoki catheter

I ka hoʻopau ʻana o ka catheter, hāʻawi kahi catheter i nā nalu lekiō i ka puʻuwai e luku ai i nā kino kūlohelohe e hoʻouna i nā impulses kūlike ʻole.

Atrioventricular (AV) node hoʻopau

Luku nā nalu uila i ka piko AV, kahi e hoʻopili ai i ka atria a me nā ventricle i kēia kaʻina hana. A laila ʻaʻole hiki i ke atria ke hoʻouna hou i nā hōʻailona i nā ventricle.

Hoʻokomo ʻia kahi pacemaker e mālama i kahi mele maʻamau.

ʻOki kino o Maze

He ʻoki kino kipi kēia i hiki i ka puʻuwai hāmama a i ʻole i nā ʻokiʻoki liʻiliʻi i ka umauma, kahi e hana ai ka mea ʻokiʻoki i kahi ʻoki liʻiliʻi a i ʻole ke kuni ʻana i ka atria o ka puʻuwai e hana i kahi "maze" o nā scars e pale ai i nā impulses uila ʻole mai ka hiki ʻana i kahi ʻē aʻe. ʻāpana o ka puʻuwai.

Hoʻohana wale ʻia kēia kaha i nā hihia ke kūleʻa ʻole nā ​​ʻano lāʻau ʻē aʻe.

Paipai paha kāu kauka i nā kaʻina hana ʻē aʻe e mālama i nā kūlana olakino olakino, e like me ka thyroid a i ʻole nā ​​maʻi puʻuwai, e hoʻonāukiuki paha i kāu AFib.

ʻO ke ʻoki lāʻau kahi ala lapaʻau no AFib. Eia nō naʻe, koi ʻia nā lāʻau a me nā loli nohona e like me nā lālani mua o ka lapaʻau. Koi paha kāu kauka i ke ʻoki ʻana ma ke ʻano he koho hope loa inā koʻikoʻi kou ʻano.

Kāohi

ʻO ka hapa nui o nā hihia o ka atrial fibrillation hiki ke hoʻokele a mālama ʻia paha. Akā mālama ʻia ka fibrillation atrial a lilo i mea ʻoi aku ka hewa ma mua o ka manawa.

Hiki iā ʻoe ke hōʻemi i kāu makaʻu o ka fibrillation atrial ma ka hana ʻana i kēia:

• e ʻai i ka papaʻai momona i nā huaʻai a me nā mea kanu a me ka haʻahaʻa o ka momona a me ka momona trans
• hoʻoikaika kino mau
• mālama i kahi kaupaona olakino
• pale i ka puhipaka
• e hōʻalo i ka inu lama a inu wale paha i ka waiʻona liʻiliʻi i kekahi manawa
• hāhai i ka ʻōlelo aʻoaʻo a kāu kauka no ka mālama ʻana i nā kūlana olakino i loaʻa iā ʻoe

ʻO nā pilikia maʻamau o ka AFib ka hahau a me ka hōʻeha puʻuwai.

Inā loaʻa iā ʻoe ʻo AFib a lawe ʻole i ka lāʻau kūpono, ʻoi aku paha ʻoe i ka maʻi ahulau ma mua o ka poʻe i loaʻa ʻole ka AFib.

ʻAiʻai fibrillation Atrial

ʻOiai ʻaʻohe hoʻonohonoho papa no ka fibrillation atrial, ʻo ka hopohopo no nā meaʻai no ka AFib e pili ana i nā meaʻai olakino naʻau.

ʻO kahi papaʻai no AFib e hoʻopili pū paha i nā mea kanu i hoʻokumu ʻia, e like me nā ʻoka, nā huaʻai, a me nā mea kanu.

ʻO ka iʻa kahi kumu maikaʻi o ka protein, a ʻo ka omega-3 fatty acid ka mea e maikaʻi loa ai ka puʻuwai.

Aia nā meaʻai a me nā mea i hiki ke hōʻino iā AFib. Pākuʻi ʻia kēia mau mea:

• ʻalekohola (keu hoʻi i ka inu pia ʻana)
• caffeine - kope, soda, tī, a me nā kumuwaiwai ʻē aʻe hiki ke hoʻoikaika i kou puʻuwai
• grapefruit, ka mea hiki ke hoʻopilikia i nā lāʻau AFib
• gluten, ka mea hiki ke hoʻonui i ka mumū inā loaʻa ʻoe i ka maʻi āpau a i ʻole ka ʻike
• nā paʻakai a me nā momona momona
• ʻo nā huaʻai K-waiwai waiwai, e like me nā ʻōmaʻomaʻo uliuli, no ka mea hiki i kēia mau mea ke hoʻopilikia i ka warfarin lāʻau pale koko (Coumadin)

ʻO ka papaʻai AFib e like me nā meaʻai olakino puʻuwai. Nānā ʻia i nā meaʻai momona-momona, ʻoiai e hōʻalo nei i nā mea hoʻonāukiuki a me nā meaʻai haʻahaʻa.

E kamaʻilio me kāu kauka e pili ana i kahi hoʻolālā ʻai no kou ʻano.

Atrial fibrillation lapaʻau maoli

Ma waho o nā papa kuhikuhi papaʻai, hiki i kāu kauka ke ʻōlelo pū kekahi i nā mea hoʻopihapiha inā haʻahaʻa ʻoe i nā meaʻai nui e pono ai i ke olakino puʻuwai.

E kamaʻilio me kāu kauka ma mua o ka lawe ʻana i nā mea hoʻohui hou aʻe no ka mea he hopena ʻē aʻe a i ʻole launa pū me nā lāʻau.

ʻO kekahi o nā mea hoʻopihapiha i hoʻohana ʻia no AFib:

• makanekiuma
• ʻaila iʻa
• coenzyme Q10
• wenxin keli
• taurine
• hua palaoa hawthorn

ʻO nā mālama kūlohelohe ʻē aʻe no AFib me nā ʻano nohona olakino, e like me ka hoʻoikaika kino a me ka hoʻēmi koʻikoʻi. He mea nui ka hoʻoikaika kino no kou olakino puʻuwai, akā makemake ʻoe e lohi, keu hoʻi inā he hou ʻoe i ka hana.

ʻO nā hoʻoikaika ikaika kiʻekiʻe, e like me ka holo ʻana, nui aku paha ia no ka poʻe me AFib. Akā ʻo nā hana haʻahaʻa a haʻahaʻa paha, e like me ka hele wāwae, ʻauʻau ʻana, a me ke kaʻa kaʻa uila, hiki ke hoʻomau i ke ahi i nā calories, hoʻoikaika i kou puʻuwai, a hoʻoliʻiliʻi i ke kaumaha.

ʻOiai hiki i ke koʻikoʻi ke hoʻopili i kou olakino puʻuwai, he mea nui ia e mālama i kahi kūlana olakino o ka noʻonoʻo. Hiki i nā hana hanu hohonu ke hoʻonāukiuki i nā kaumaha o kēlā me kēia lā, ʻoiai kahi papa yoga hiki ke kōkua iā ʻoe e hoʻokō i kahi kūlana meditative hohonu (me ka bonus i hoʻohui ʻia o ka mākala a me ka maʻalahi).

ʻOiai ʻo ka hana ʻana i ka manawa e leʻaleʻa ai i kahi leʻaleʻa punahele hiki ke kōkua iā ʻoe e hoʻokō i ka hoʻomaha hou a me ke olakino puʻuwai maikaʻi.

Hiki paha i nā mālama kūlohelohe ke kōkua iā AFib ke hoʻohana pū ʻia me nā lāʻau lapaʻau maʻamau.

Pono e noiʻi hou aʻe e hoʻoholo inā hiki i nā ʻano lāʻau ʻē aʻe ke kōkua wale, no laila pili i kāu hoʻolālā olakino. E noi i kāu kauka pehea e hiki ai iā ʻoe ke hoʻokomo pono i nā lāʻau kūlohelohe i kāu hoʻolālā hoʻomaʻamaʻa AFib o kēia manawa.

Nā kuhikuhi fibrillation Atrial

ʻO nā kulekele kūhelu no AFib, e like me ka American Heart Association, e kahakaha i nā koho lapaʻau e pili ana i kāu kūlana a me ka mōʻaukala e kū nei.

E hoʻohana paha kāu kauka i kēia mau mea ke paipai nei i kahi hoʻolālā lapaʻau.

Ma ka laulā, hiki i kahi hui o nā ʻano nohona a me nā lāʻau ke kōkua iā ʻoe e pale i ka hōʻeha o ka puʻuwai a me ka hahau.

E hoʻohālikelike pū kāu kauka i kāu AFib e hoʻoholo inā he koʻikoʻi (wā pōkole) a lōʻihi paha (wā lōʻihi). E hoʻoholo ka makahiki, ke kāne, a me ke olakino holoʻokoʻa i nā mea pilikia o kēlā me kēia mea.

Ma ka hapanui, e kau ana kāu lapaʻau ʻana ma:

• ke kaohi ʻana i ka helu o ka puʻuwai a me ke kaʻina
• ke nānā nei i ka pilikia o ka hahau
• ke nānā nei i ka makaʻu o ke kahe

Aibrial fibrillation vs. flutter

I kekahi manawa hiki ke huikau ʻo AFib me nā flutters. Kūlike nā ʻōuli, e like me ka wikiwiki o ka puʻuwai a me ka pulse kūlike ʻole.

ʻOiai e pili ana nā mea like i nā keʻena puʻuwai like a hopena i nā arrhythmia, ʻelua ʻano ʻokoʻa kēia.

Hana nā flutters Atrial ke wikiwiki nā hōʻailona uila i ka puʻuwai. Ua like nā ʻōuli a me nā mea pilikia me AFib.

Hiki i nā ʻano hana olakino olakino a me nā lāʻau ke kōkua i nā kūlana ʻelua. Kōkua kāu kauka iā ʻoe e hoʻokaʻawale ma waena o AFib a me atrial flutters i hiki ai iā ʻoe ke mālama i kēlā me kēia.