Matenda a atrial - kutulutsa

Matenda a Atrial kapena flutter ndimtundu wofala wa kugunda kwamtima. Nyimbo yamtima imathamanga ndipo nthawi zambiri imasinthasintha. Munali mchipatala kuti muchiritse vutoli.

Muyenera kuti munali mchipatala chifukwa cha matenda a atrial fibrillation. Vutoli limachitika mtima wanu ukamenya mowirikiza komanso nthawi zambiri mofulumira kuposa zachilendo. Mutha kukhala kuti mudakumana ndi vutoli mukadali kuchipatala chifukwa chodwala matenda a mtima, opaleshoni yamtima, kapena matenda ena akulu monga chibayo kapena kuvulala.

Mankhwala omwe mwalandira ndi awa:

• Wopanga zida
• Kutengeka mtima (iyi ndi njira yochitidwira kusintha kugunda kwa mtima wanu kubwerera mwakale. Zitha kuchitika ndi mankhwala kapena kugwedezeka kwamagetsi.)
• Kuchotsa kwamtima

Mwina mwapatsidwa mankhwala oti musinthe kugunda kwanu kapena kuti muchepetse liwiro. Ena ndi awa:

• Oletsa Beta, monga metoprolol (Lopressor, Toprol-XL) kapena atenolol (Senormin, Tenormin)
• Oletsa ma calcium, monga diltiazem (Cardizem, Tiazac) kapena verapamil (Calan, Verelan)
• Digoxin
• Antiarrhythmics (mankhwala omwe amayendetsa kugunda kwa mtima), monga amiodarone (Cordarone, Pacerone) kapena sotalol (Betapace)

Lembani mankhwala anu onse musanapite kunyumba. Muyenera kumwa mankhwala anu monga momwe wothandizira zaumoyo wanu wakuwuzirani.

• Uzani wothandizira wanu za mankhwala ena omwe mukugwiritsa ntchito kuphatikizapo mankhwala owonjezera, zitsamba, kapena zowonjezera. Funsani ngati zili bwino kupitiriza kutenga izi. Komanso, uuzeni omwe amakupatsani ngati mukumwa maantacid.
• Osasiya kumwa mankhwala anu osalankhula ndi omwe akukuthandizani. Musadumphe mlingo pokhapokha mukauzidwa.

Mutha kutenga aspirin kapena clopidogrel (Plavix), prasugrel (Effient), ticagrelor (Brilinta), warfarin (Coumadin), heparin, kapena magazi ena ochepetsa magazi monga apixiban (Eliquis), rivaroxaban powder (Xarelto), dabigatran (Pradaxa) kuthandiza sungani magazi anu kuti asagundane.

Ngati mukumwa magazi ochepera magazi:

• Muyenera kuyang'anira magazi kapena magazi aliwonse omwe akutuluka, ndipo dziwitsani omwe akukuthandizani ngati zichitika.
• Uzani dokotala wamankhwala, wamankhwala, ndi othandizira ena kuti mukumwa mankhwalawa.
• Muyenera kuyesedwa magazi kuti mutsimikizire kuti mlingo wanu ndiwolondola ngati mukumwa warfarin.

Chepetsani kumwa mowa. Funsani omwe akukuthandizani ngati kuli koyenera kumwa, komanso kuti ndi zotani zomwe zili bwino.

Osasuta ndudu. Mukasuta, omwe amakupatsani akhoza kukuthandizani kuti musiye.

Tsatirani chakudya chamagulu.

• Pewani zakudya zamchere ndi zamafuta.
• Khalani kutali ndi malo odyera mwachangu.
• Dokotala wanu akhoza kukutumizirani kwa katswiri wazakudya, yemwe angakuthandizeni kukonzekera zakudya zabwino.
• Ngati mutenga warfarin, MUSASINTHE kwambiri pa zakudya zanu kapena kumwa mavitamini osafunsira kwa dokotala.

Yesetsani kupewa zovuta.

• Uzani wothandizira wanu ngati mukuvutika maganizo kapena mukumva chisoni.
• Kulankhula ndi phungu kungathandize.

Phunzirani momwe mungayang'anire kugunda kwanu, ndikuwona tsiku lililonse.

• Ndi bwino kutenga mtima wanu kusiyana ndi kugwiritsa ntchito makina.
• Makina sangakhale olondola kwenikweni chifukwa cha atril fibrillation.

Chepetsani kuchuluka kwa tiyi kapena khofi yemwe mumamwa (mumapezeka mu khofi, tiyi, ma kola ndi zina zambiri.)

Musagwiritse ntchito mankhwala osokoneza bongo a cocaine, amphetamine, kapena mankhwala aliwonse oletsedwa. Zitha kupangitsa mtima wanu kugunda kwambiri, ndikuwononga mtima wanu.

Itanani thandizo ladzidzidzi ngati mukumva:

• Ululu, kupanikizika, kulimba, kapena kulemera m'chifuwa, mkono, khosi, kapena nsagwada
• Kupuma pang'ono
• Kupweteka kwa gasi kapena kudzimbidwa
• Thukuta, kapena ngati mwataya utoto
• Opepuka
• Kugunda kwamtima, kugunda kwamtima mosasinthasintha, kapena mtima wanu ukugunda mosakhazikika
• Dzanzi kapena kufooka pankhope panu, mkono, kapena mwendo
• Maso osokonezeka kapena kuchepa
• Mavuto oyankhula kapena kumvetsetsa mawu
• Chizungulire, kutayika bwino, kapena kugwa
• Mutu wopweteka kwambiri
• Magazi

Fibrillation yamtundu - kutulutsa; A-fib - kutulutsa; AF - kumaliseche; Afib - kutulutsa

Januwale CT, Wann LS, Alpert JS, et al. Chitsogozo cha AHA / ACC / HRS cha 2014 pakuwongolera odwala omwe ali ndi matenda a atrial: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Ndine Coll Cardiol. 2014; 64 (21): e1-76. PMID: 24685669 www.ncbi.nlm.nih.gov/pubmed/24685669. (Adasankhidwa)

Morady F, Zipes DP. Matenda a Atrial: mawonekedwe azachipatala, njira, ndi kasamalidwe. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier Saunders; 2019: mutu 38.

Zimetbaum P. Cardiac arrhythmias wokhala ndi zoziziritsa kukhosi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 64.

• Arrhythmias
• Matenda a Atrial kapena flutter
• Njira zochotsera mtima
• Mtima pacemaker
• Kuukira kwakanthawi kochepa

• Mankhwala osokoneza bongo - P2Y12 inhibitors
• Aspirin ndi matenda amtima
• Cholesterol ndi moyo
• Cholesterol - mankhwala osokoneza bongo
• Kulamulira kuthamanga kwa magazi
• Kutenga warfarin (Coumadin, Jantoven) - zomwe mungafunse dokotala wanu
• Kutenga warfarin (Coumadin)

• Matenda a Atrial