Yini i-Atrial Fibrillation Ablation? Inhloso, Inqubo & Nemiphumela

I-Atrial fibrillation ablation iyinqubo yezokwelapha esebenzisa ukushisa noma amandla abandayo ukudala izibazi ezincane emagumbini aphezulu enhliziyo yakho. Lezi zibazi zivimba amasignali kagesi angajwayelekile abangela ukuthi inhliziyo yakho ishaye ngendlela engahlelekile, okusiza ukubuyisela isigqi esijwayelekile, esizinzile.

Cabanga ngayo njengokushintsha kabusha uhlelo lukagesi enhliziyweni yakho. Uma une-atrial fibrillation (AFib), i-pacemaker yemvelo yenhliziyo yakho igcwala amasignali kagesi angahlelekile. Inqubo ye-ablation idala ngamasu izithiyo ezivimbela la masignali angahlelekile ukuthi angasakazeki enhliziyweni yakho.

Yini i-atrial fibrillation ablation?

I-Atrial fibrillation ablation iyinqubo yenhliziyo encane engahlaseli ephatha ukushaya kwenhliziyo okungajwayelekile. Ngesikhathi senqubo, udokotela wakho usebenzisa ishubhu elincanyana, eliguquguqukayo elibizwa nge-catheter ukuletha amandla ngqo ezindaweni ezithile zezicubu zenhliziyo yakho.

Amandla adala izibazi ezincane, ezilawulwayo ezisebenza njengezithiyo zokuvimbela amasignali kagesi abangela i-AFib yakho. Lezi zibazi zihlala unomphela futhi zisiza inhliziyo yakho ukuthi igcine isigqi esijwayelekile. Le nqubo ngokuvamile igxila emithanjeni yamaphaphu, okuyizindawo ezivamile zomsebenzi kagesi ongajwayelekile.

Kunezinhlobo ezimbili eziyinhloko zamandla e-ablation asetshenziswayo. I-Radiofrequency ablation isebenzisa amandla okushisa, kuyilapho i-cryoablation isebenzisa amakhaza amakhulu. Zombili lezi zindlela zifinyelela umgomo ofanayo wokudala izicubu ezilimele ezivimba izindlela zikagesi ezingavamile.

Kungani kwenziwa i-atrial fibrillation ablation?

Udokotela wakho angase ancome i-AFib ablation lapho imithi ingaphumelelanga ekulawuleni ukushaya kwenhliziyo yakho okungajwayelekile. Le nqubo iba yindlela uma usahlangabezana nezimpawu ezinjengokushaya kwenhliziyo okusheshayo, ukuphefumula kanzima, noma ukukhathala naphezu kokuthatha imithi yesigqi senhliziyo.

I-Ablation ivame kaningi kubantu abafuna ukunciphisa ukuncika kwabo emithini yesikhathi eside. Ezinye iziguli ziba nemiphumela emibi evela emithini ye-AFib, kanti ezinye zikhetha indlela yokwelapha ecacile. Le nqubo ingathuthukisa kakhulu izinga lempilo yakho ngokunciphisa noma ukuqeda izigameko ze-AFib.

Isikhathi se-ablation sibalulekile futhi. Ucwaningo lubonisa ukuthi ukungenelela ngaphambi kwesikhathi, ikakhulukazi ezigulini ezincane ezinemibandela embalwa yenhliziyo engaphansi, kuvame ukuba namazinga aphumelelayo angcono. Udokotela wakho uzohlola isimo sakho esithile, okuhlanganisa ukuthi unayo isikhathi esingakanani i-AFib kanye nempilo yakho yonke yenhliziyo.

Ezinye izinhlobo ze-AFib ziphendula kangcono ku-ablation kunezinye. I-Paroxysmal AFib, eza futhi ihambe yodwa, ngokuvamile inamazinga aphumelelayo aphezulu kune-persistent AFib, ehlala isikhathi esingaphezu kwezinsuku eziyisikhombisa. Kodwa-ke, i-ablation ingase isebenze ngempumelelo ku-persistent AFib ezimweni eziningi.

Yini inqubo ye-atrial fibrillation ablation?

Inqubo ye-ablation ngokuvamile ithatha amahora angu-3 kuya kwangu-6 futhi yenziwa e-lab ekhethekile ye-cardiac electrophysiology. Uzothola i-sedation enengqondo noma i-anesthesia ejwayelekile ukuze ikugcine ukhululekile kuyo yonke inqubo.

Udokotela wakho uzofaka ama-catheter amaningana amancane ngemigodi emincane endaweni yakho ye-groin. Lawa ma-catheter aqondiswa ngokucophelela ngemithambo yakho yegazi kuze kufike enhliziyweni yakho kusetshenziswa isiqondiso se-X-ray. I-catheter eyodwa idala imephu enemininingwane ye-3D yomsebenzi kagesi wenhliziyo yakho, kanti ezinye ziletha amandla e-ablation.

Inqubo yokwenza imephu ibalulekile futhi ithatha isikhathi. Udokotela wakho ufunda amaphethini kagesi enhliziyo yakho ukuze abone kahle ukuthi amasiginali angajwayelekile avela kuphi. Lokhu kunemba kuqinisekisa ukuthi kuphela izindawo ezinobunzima eziphathwayo, okushiya izicubu zenhliziyo ezinempilo zingathintwa.

Ngesikhathi sokushiswa kwangempela, ungase uzwe ukungakhululeki okuthile noma ukucindezela esifubeni sakho. Ukunikezwa kwamandla kuvame ukuthatha imizuzwana embalwa endaweni ngayinye. Udokotela wakho uzohlola izindawo eziphathwayo ukuze aqiniseke ukuthi izindlela zikagesi ezingavamile zivinjelwe ngempumelelo.

Ngemuva kwenqubo, uzoqashwa endaweni yokululama amahora amaningana. Izindawo zokufakwa kwe-catheter zizocindezelwa ngokuqinile noma zivalwe ngedivayisi yokuvala ukuvimbela ukopha. Iziguli eziningi zingahamba ngosuku olufanayo noma ngemuva kokuhlala ebusuku.

Ungalungiselela kanjani ukushiswa kwe-atrial fibrillation?

Ukulungiselela ukushiswa kwe-AFib kuqala emasontweni amaningana ngaphambi kwenqubo yakho. Udokotela wakho cishe uzoqhuba ezinye izivivinyo, okuhlanganisa umsebenzi wegazi, i-echocardiogram, futhi mhlawumbe i-CT scan noma i-MRI yenhliziyo yakho. Lezi zivivinyo zisiza ekudaleni imephu enemininingwane yenqubo yakho.

Uzodinga ukuxoxa ngemithi yakho yamanje nethimba lakho lezempilo. Eminye imithi yokunciphisa igazi ingase idinge ukulungiswa noma imiswe okwesikhashana, kanti eminye kufanele iqhubeke. Ungalokothi uyeke ukuthatha imithi enqunyiwe ngaphandle kwemiyalelo ethile evela kudokotela wakho.

Ngosuku olwandulela inqubo yakho, uzothola imiyalelo ethile mayelana nokudla nokuphuza. Ngokuvamile, uzodinga ukugwema ukudla noketshezi amahora angu-8 kuya kwangu-12 ngaphambi kwenqubo. Lesi sikhathi sokuzila ukudla sibalulekile ekuphepheni kwakho ngesikhathi sokuthuliswa.

Hlela isikhathi sakho sokululama kusengaphambili. Lungiselela othile ukuthi akuqhubele ekhaya futhi ahlale nawe amahora okuqala angu-24. Uzodinga ukugwema ukuphakamisa okunzima nemisebenzi eqinile cishe isonto elilodwa ngemuva kwenqubo.

Pakisha izingubo ezikhululekile, ezikhululekile zokuhlala esibhedlela sakho. Letha noma yimiphi imithi ovame ukuyithatha, kanye nohlu lwazo zonke izidakamizwa zakho kanye nemithamo. Ukuba nalolu lwazi olutholakala kalula kusiza ithimba lakho lezokwelapha ukuthi linikeze ukunakekelwa okungcono kakhulu.

Ungazifunda kanjani imiphumela yakho yokushiswa kwe-atrial fibrillation?

Impumelelo ngemva kokuhlinzwa kwe-AFib akuhlali ngokushesha, futhi inhliziyo yakho idinga isikhathi sokuphola. Izinyanga ezimbalwa zokuqala ngemva kwenqubo zibizwa ngokuthi "isikhathi sokungabi nalutho," lapho amanye ama-rhythms angajwayelekile ejwayelekile njengoba inhliziyo yakho iguqukela ezingeni elisha.

Udokotela wakho uzoqapha ukushaya kwenhliziyo yakho ngezindlela ezihlukahlukene. Ungase ugqoke i-monitor yenhliziyo izinsuku eziningana noma amasonto ukuze ulandelele umsebenzi kagesi wenhliziyo yakho. Ezinye iziguli zithola amarekhoda e-loop afakelwayo aqapha ngokuqhubekayo ukushaya kwenhliziyo iminyaka emithathu.

Amanani empumelelo ayahluka ngokuya ngohlobo lwakho lwe-AFib nezinye izinto. Nge-paroxysmal AFib, amazinga empumelelo avame ukuba ngu-70-85% ngemva kwenqubo eyodwa. I-Persistent AFib inamazinga empumelelo aphansi kancane, cishe 60-70%. Ezinye iziguli zingase zidinge inqubo yesibili yokuhlinzwa ukuze zizuze imiphumela emihle.

Uzoba nokuqokwa okuvamile kokulandela ukuze uhlole inqubekela phambili yakho. Lokhu kuvakasha ngokuvamile kufaka phakathi ama-electrocardiograms (ECGs) nezingxoxo mayelana nanoma yiziphi izimpawu oziphilayo. Udokotela wakho uzohlola futhi ukuthi ungakwazi yini ukunciphisa ngokuphepha noma ukuyeka imithi ethile.

Khumbula ukuthi izinkinga ezingavamile zingenzeka, nakuba zingavamile. Lokhu kungase kuhlanganise ukopha, ukutheleleka, ukulimala kwezakhiwo eziseduze, noma ezimweni ezingavamile kakhulu, unhlangothi. Ithimba lakho lezokwelapha lizokwazi lezi zinto futhi lizixazulule ngokushesha uma zivela.

Ungayigcina kanjani impilo yenhliziyo ngemva kokuhlinzwa kwe-atrial fibrillation?

Ngemva kokuhlinzwa okuphumelelayo, ukugcina impilo yenhliziyo kuba ubambiswano phakathi kwakho nethimba lakho lezempilo. Ngenkathi inqubo ixazulula inkinga kagesi, ukunakekela impilo yakho yonke yenhliziyo nemithambo yegazi kusiza ekuqinisekiseni impumelelo yesikhathi eside.

Ukuguqulwa kwendlela yokuphila kudlala indima ebalulekile ekuvikeleni ukuphindeka kwe-AFib. Ukuzivocavoca njalo, njengoba kuvunywe udokotela wakho, kusiza ukuqinisa inhliziyo yakho futhi kuthuthukise ukuqina okuphelele. Qala kancane futhi wandise kancane amazinga omsebenzi ngokusekelwe ezincomweni zikadokotela wakho.

Ukuphatha ezinye izimo zempilo kubaluleke ngokulinganayo. Umfutho wegazi ophezulu, isifo sikashukela, kanye ne-sleep apnea konke kungaholela ekuphindweni kwe-AFib. Ukusebenza nethimba lakho lokunakekelwa kwezempilo ukuthuthukisa ukwelashwa kwalezi zimo kusekela impilo yenhliziyo yakho yesikhathi eside.

Ukudla nokuphatha isisindo kungaba nomthelela omkhulu emiphumeleni yakho. Ukugcina isisindo esinempilo kunciphisa ukucindezeleka enhliziyweni yakho, ngenkathi ukukhawulela utshwala ne-caffeine kungasiza ekuvimbeleni izimbangela ze-AFib. Ezinye iziguli zithola ukuthi ukudla noma iziphuzo ezithile kungabangela iziqephu, ngakho-ke ukugcina idayari yezimpawu kungasiza.

Amaqhinga okuphatha ukucindezeleka njengokuzindla, i-yoga, noma ukuzivocavoca kokuphefumula okujulile kungase futhi kusekele impilo yenhliziyo. Ukucindezeleka okungapheli kungabangela iziqephu ze-AFib kwabanye abantu, ngakho-ke ukuthola izindlela ezinempilo zokuphatha ukucindezeleka kuba yingxenye yohlelo lwakho lokunakekelwa oluqhubekayo.

Uyini umphumela ongcono kakhulu we-atrial fibrillation ablation?

Umphumela ongcono kakhulu we-AFib ablation ukukhululeka okuphelele emazingeni enhliziyo angajwayelekile ngaphandle kwesidingo semithi eqhubekayo. Iziguli eziningi zifinyelela le njongo futhi zithola ukuthuthuka okukhulu ezingeni lempilo yazo, amazinga wamandla, kanye nenhlalakahle yonke.

I-ablation eyimpumelelo ngokuvamile isho ukuthi ungabuyela emisebenzini ongase wayigwema ngenxa yezimpawu ze-AFib. Ukubekezelelana kokuzivocavoca kuvame ukuthuthuka, futhi iziguli eziningi zibika ukuzizwa zizethembile futhi zikhathazeke kancane ngesimo senhliziyo yazo.

Nokho, impumelelo ibukeka ihlukile kumuntu ngamunye. Ezinye iziguli zingase zidinge imithi kodwa ngemithamo ephansi, kanti ezinye zingase zibe neziqephu ze-AFib ezimbalwa kakhulu ngisho noma zingaqedwa ngokuphelele. Noma yikuphi ukuncishiswa komthwalo we-AFib kuvame ukubhekwa njengokuzuzisayo.

Impumelelo yenqubo inganciphisa nengozi yakho yokushaywa unhlangothi nezinye izinkinga ezihlobene ne-AFib. Iziguli eziningi zingayeka ngokuphepha imithi yokunciphisa igazi ngemva kwe-ablation eyimpumelelo, nakuba lesi sinqumo sincike ezingozini zakho zomuntu siqu zokushaywa unhlangothi.

Imiphumela yesikhathi eside iyaqhubeka nokuthuthuka njengoba izindlela zokushisa zithuthuka. Iningi leziguli eziphumelelayo ligcina imiphumela yazo iminyaka eminingi, nakuba ezinye zingase zidinge izinqubo ezengeziwe noma imithi njengoba zikhula.

Ziyini izici eziyingozi zokuhluleka kwe-atrial fibrillation ablation?

Ngenkathi i-AFib ablation ngokuvamile iphephile, izici ezithile zingakhuphula ingozi yakho yezinkinga. Ubudala buyinto okufanele icatshangelwe, njengoba iziguli ezindala zingase zibe nengozi ephakeme kancane yezinkinga, nakuba ubudala bodwa bungamkhishwa umuntu enqatshelwa inqubo.

Isimo sakho sempilo esiphelele sithinta iphrofayili yakho yengozi. Izimo ezinjengesifo senhliziyo esibi, izinkinga zezinso, noma izifo zokuphuma igazi zingakhuphula ukuba yinkimbinkimbi kwenqubo. Ithimba lakho lezokwelapha lizohlola ngokucophelela lezi zici lapho linquma ukuthi i-ablation ilungile yini kuwe.

Uhlobo nobude be-AFib yakho nakho kunomthelela engozini. I-AFib eqhubekayo ebilokhu ikhona iminyaka eminingi ingase idinge i-ablation ebanzi kakhulu, okungenzeka ukuthi ikhuphula ingozi yezinkinga. Kodwa-ke, ochwepheshe be-electrophysiologists abanolwazi bangavame ukwenza lezi zinqubo ngokuphepha.

Izinqubo zenhliziyo zangaphambilini noma ukuhlinzwa kungenza i-ablation ibe yinselele enkulu. Izicubu ezinamanxeba ezivela ekuhlinzweni kwangaphambilini zingase zithinte ukuthi ama-catheter abekwa kanjani noma ukuthi amandla alethwa kanjani. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ukuze ahlele indlela ephephe kunazo zonke.

Imithi ethile, ikakhulukazi ama-blood thinners, idinga ukuphathwa ngokucophelela ngesikhathi senqubo. Ithimba lakho lezokwelapha lizokwenza uhlelo oluthile lokuphatha le mithi ukuze kuncishiswe kokubili ukuphuma kwegazi kanye nezingozi zokujiya kwegazi.

Ingabe kungcono ukuba ne-atrial fibrillation ablation ngaphambi kwesikhathi noma ngemuva kwesikhathi?

Ucwaningo lwakamuva luphakamisa ukuthi i-ablation yangaphambi kwesikhathi, ikakhulukazi ezigulini ezincane ezinemibandela embalwa yenhliziyo engaphansi, ngokuvamile kuholela emiphumeleni engcono. Ukungenelela ngaphambi kwesikhathi kungavimbela izinguquko zikagesi nezokwakha ezenza i-AFib ibe nzima ukuyelapha ngokuhamba kwesikhathi.

Noma kunjalo, isikhathi sincike esimweni sakho. Uma i-AFib yakho ilawulwa kahle ngemithi futhi awuzwa zimpawu ezibalulekile, udokotela wakho angase ancome ukuqhubeka nokuphathwa kwezokwelapha. Isinqumo sihlanganisa ukulinganisa izinzuzo ze-ablation ngokumelene nezingozi ezincane kodwa eziqotho.

Kubantu abane-AFib enezimpawu ngaphandle kwemithi, i-ablation yangaphambi kwesikhathi ingavimbela lesi simo ukuthi singabi ngokuqhubekayo. I-Paroxysmal AFib (izigameko ezafika zihambe) ngokuvamile inamazinga aphakeme okuphumelela kune-AFib eqhubekayo, okwenza ukungenelela kwangaphambi kwesikhathi kube ngempumelelo enkulu.

Ubudala bakho nempilo yonke nakho kuyathinteka ezinqumweni zesikhathi. Abantu abasebancane abanezinkinga ezimbalwa zempilo ngokuvamile banemiphumela emihle nge-ablation yangaphambi kwesikhathi. Abantu abadala noma labo abanezimo eziningi zezokwelapha bangazuza endleleni eneqhubu eliningi.

Okubalulekile ukuba nengxoxo evulekile ne-electrophysiologist yakho mayelana nesimo sakho esithile. Bangakusiza ukuthi uqonde izinzuzo ezingaba khona nezingozi ze-ablation ezigabeni ezihlukene zohambo lwakho lwe-AFib.

Ziyini izinkinga ezingaba khona ze-atrial fibrillation ablation?

Ama-ablations amaningi e-AFib aqedwa ngaphandle kwezinkinga, kodwa kubalulekile ukuqonda izingozi ezingaba khona. Izinkinga ezivamile ezincane zihlanganisa ukulimala noma ubuhlungu ezindaweni zokufaka i-catheter, ezivame ukuxazululwa ezinsukwini ezimbalwa.

Izinkinga ezingathi sína kodwa ezingavamile zingenzeka. Lokhu kungase kuhlanganise ukopha okudinga ukunakekelwa kwezokwelapha, ukutheleleka ezindaweni zokufaka, noma ukulimala kwemithambo yegazi. Ithimba lakho lezokwelapha liqapha lezi zinkinga futhi lingazixazulula ngokushesha uma zivela.

Izinkinga ezingavamile kodwa ezinzima zifanelwe ukushiwo, yize zenzeka ngaphansi kuka-1% wezinqubo. Lokhu kungabandakanya ukushaywa unhlangothi, ukulimala e-esophagus (etholakala ngemuva kwenhliziyo), noma ukulimala emthanjeni we-phrenic, olawula i-diaphragm yakho. I-Pulmonary vein stenosis, lapho imithambo ephathwayo iba mncane, kungenye enye into engavamile.

I-Atrial-esophageal fistula iyinkinga engavamile kakhulu kodwa engathi sína lapho kwakheka khona ukuxhumana okungavamile phakathi kwenhliziyo ne-esophagus. Lokhu kwenzeka ngaphansi kuka-1 kwizinqubo eziyi-1,000 kodwa kudinga ukunakekelwa kwezempilo ngokushesha uma kwenzeka.

Ithimba lakho lezokwelapha lithatha izinyathelo eziningi zokunciphisa lezi zingozi. Basebenzisa ukuqapha izinga lokushisa, balungise amazinga wamandla ngokucophelela, futhi basebenzise isiqondiso sokucabanga ukuqinisekisa ukubekwa kwe-catheter okunembile. Okuhlangenwe nakho kwe-electrophysiologist yakho kanye nohlelo lwe-ablation esibhedlela nakho kunomthelela ekuphepheni okuphelele.

Kufanele ngibone nini udokotela ngemuva kwe-atrial fibrillation ablation?

Kufanele uxhumane nodokotela wakho ngokushesha uma uzwa ubuhlungu besifuba, ukuphefumula kanzima, noma izimpawu zokushaywa unhlangothi njengobuthakathaka obuzumayo, ubunzima bokukhuluma, noma ukwehla kobuso. Lezi zimpawu zidinga ukuhlolwa kwezokwelapha okuphuthumayo.

Ukuphuma kwegazi okukhulu ezindaweni zokufaka i-catheter kungenye indlela yokufuna ukunakekelwa ngokushesha. Ngenkathi ukulimala okuthile kuvamile, ukuphuma kwegazi okungami ngokucindezela noma ukuphuma kwegazi okumanzisa amabhandishi amaningi kudinga ukunakekelwa kwezokwelapha.

Umkhuhlane, ikakhulukazi uma ehambisana nokubanda noma ukwanda kobuhlungu ezindaweni zokufaka, kungase kubonise ukutheleleka. Ungalindi ukubona ukuthi izimpawu ziyathuthuka yini zodwa - ukwelashwa ngokushesha kokutheleleka kubalulekile ukuze uthole imiphumela engcono kakhulu.

Ukuze uthole ukulandelela okuvamile, ngokuvamile uzobona udokotela wakho kungakapheli amasonto ambalwa ngemuva kwenqubo. Lokhu kuvakasha kuvumela ithimba lakho lezokwelapha ukuthi lihlole ukululama kwakho, libuyekeze noma yiziphi izimpawu, futhi lihlele ukuqapha okuqhubekayo kwesigqi senhliziyo yakho.

Ezinye iziguli ziba nokushaya kwenhliziyo okungavamile noma ukushaya okungajwayelekile ezinyangeni ezimbalwa zokuqala ngemva kokushiswa. Nakuba kuvamile ngesikhathi sokuphola, kubalulekile ukubika lezi zimpawu kudokotela wakho ukuze akwazi ukuthola ukuthi ngabe kudingeka yini ukuhlolwa okwengeziwe.

Imibuzo evame ukubuzwa mayelana nokushiswa kwe-atrial fibrillation

Umbuzo 1. Ingabe ukushiswa kwe-atrial fibrillation kulungele ukuvimbela isifo sohlangothi?

Ukushiswa kwe-AFib kunganciphisa kakhulu ingozi yakho yesifo sohlangothi ngokuqeda noma ukunciphisa kakhulu ukushaya kwenhliziyo okungajwayelekile. Lapho inhliziyo yakho ishaya ngokungajwayelekile, igazi lingase liqoqane emagumbini angaphezulu bese lakha amahlule angase ahambe ebuchosheni bakho, abangele isifo sohlangothi.

Nokho, udokotela wakho uzocabangela izici zakho eziphelele zengozi yesifo sohlangothi lapho enquma ngemithi yokunciphisa igazi. Ezinye iziguli zingakwazi ukuyeka ngokuphepha le mithi ngemva kokushiswa okuphumelelayo, kanti ezinye zingase zidingeke ukuthi ziqhubeke nokuyithatha ngokusekelwe eminyakeni, umfutho wegazi, isifo sikashukela, noma ezinye izimo.

Umbuzo 2. Ingabe ukushiswa kwe-atrial fibrillation kubangela ukulimala kwenhliziyo?

Inqubo yokushiswa idala ukulimala okuhloswe ngakho, okulawulwayo ngesimo sezibazi ezincane ezivimba izindlela zikagesi ezingavamile. Lokhu kulimala okwelaphayo kunembile futhi kuqondiwe, okwenzelwe ukuthuthukisa ukusebenza kwenhliziyo yakho kunokuyilimaza.

Ukwakheka kwezicubu ezilimele kuyingxenye yenqubo yokuphola futhi ngokuvamile akuthinti ikhono lenhliziyo yakho lokumpompa. Iziguli eziningi zithola ukuthuthuka kokusebenza kwenhliziyo ngemva kokushiswa okuphumelelayo njengoba ukushaya kwenhliziyo kwazo kuba okuvamile futhi kusebenza kahle.

Umbuzo 3. Ingabe i-atrial fibrillation ingabuyela ngemva kokushiswa?

I-AFib ingabuyela ngemva kokushiswa, nakuba amazinga empumelelo ngokuvamile ephakeme. Cishe ama-70-85% eziguli ezinokushaya kwe-paroxysmal AFib ahlala engenakushaya okungajwayelekile ngemva kwenqubo eyodwa. Ezinye iziguli zingase zidinge ukushiswa kwesibili ukuze zithole imiphumela engcono kakhulu.

Izinto ezithinta ukuphindeka zihlanganisa uhlobo lwe-AFib onalo, ukuthi usunesikhathi esingakanani unayo, nempilo yakho yenhliziyo engaphansi. Udokotela wakho uzoxoxa ngethuba lakho elithile lokuphumelela ngokusekelwe kulezi zinto.

Q.4 Kuthatha isikhathi esingakanani ukululama ngemuva kokushiswa kwe-atrial fibrillation?

Ukwelulama kokuqala ngemuva kwale nqubo kuvame ukuthatha izinsuku eziyi-3-7, lapho uzodinga ukugwema ukuphakamisa izinto ezisindayo nemisebenzi eqinile. Iziguli eziningi zingabuyela emsebenzini phakathi nezinsuku ezimbalwa kuya evikini, kuye ngezidingo zomsebenzi wazo.

Ukuphola okuphelele kuthatha cishe izinyanga ezi-2-3, lapho inhliziyo yakho izivumela izinguquko ezenziwe ngesikhathi sokushiswa. Ungase uhlangabezane namanye ama-rhythms angajwayelekile ngesikhathi saleli "vuliwe," okujwayelekile njengoba inhliziyo yakho iphola.

Q.5 Iyini izinga lokuphumelela lokushiswa kwe-atrial fibrillation?

Amanani okuphumelela ancike ezintweni eziningana, okuhlanganisa uhlobo lwe-AFib onalo nempilo yakho yonke. Nge-paroxysmal AFib, amanani okuphumelela kwenqubo eyodwa avame ukuba yi-70-85%. I-Persistent AFib inamanani okuphumelela angama-60-70% ngemuva kwenqubo eyodwa.

Ezinye iziguli zingase zidinge inqubo yesibili yokushiswa ukuze zithole imiphumela emihle. Uma kucatshangelwa zombili izinqubo zokuqala nezesibili, amanani okuphumelela angafinyelela ku-85-90% kubantu abafanelekayo. I-electrophysiologist yakho inganikeza izilinganiso eziqondile ngokusekelwe esimweni sakho.