Ubwino Wokuyika Zipangizo za AFib

Zamkati

• Kuchiza kwa AFib ndi kuundana kwamagazi
• Ikani njira zina m'malo mwa mankhwala
• Mlonda
• Lariat
• Kuchita bwino kwa zida zopangira
• Zowonjezera zambiri
• Chotenga: Lankhulani ndi dokotala wanu za zopangira

Atrial fibrillation (AFib) ndimatenda amtima omwe amakhudza anthu pafupifupi 2.2 miliyoni ku United States.

Ndi AFib, zipinda ziwiri zakumtima kwanu zimamenya mosasinthasintha, mwina zomwe zimadzetsa magazi ndipo zimafooketsa mtima wanu pakapita nthawi. Mutha kuwona chilichonse kuchokera kupuma pang'ono mpaka kugundika kwamtima. Kapena mwina simungamve zisonyezo konse.

Popanda chithandizo, mutha kuwonongeka ndi stroke kapena ngakhale mtima kulephera.

Kuchiza kwa AFib ndi kuundana kwamagazi

Cholinga chachikulu cha chithandizo cha AFib chimayang'ana pakuwongolera kugunda kwa mtima wanu komanso kupewa kuundana kwamagazi. Kupewa kuundana ndikofunikira kwambiri chifukwa amatha kutuluka ndikupita mbali zina za thupi lanu. Magazi a magazi akapita kuubongo wanu, zimatha kuyambitsa sitiroko.

Zochiritsira zachikhalidwe zimazungulira mankhwala, monga owonda magazi.

Warfarin (Coumadin) kale anali wodwala magazi kwambiri kwa AFib. Itha kulumikizana ndi zakudya zina ndi mankhwala, motero sizotheka kwa aliyense. Zingayambitsenso zovuta monga kutaya magazi kwambiri. Mukalandira mankhwalawa, mufunika kuwunikiridwa pafupipafupi poyesa magazi.

Mankhwala atsopano omwe amadziwika kuti non-vitamin K oral anticoagulants (NOACs) ndi othandiza kwambiri ngati warfarin ndipo tsopano ndi omwe amakonda magazi a AFib. Amaphatikizapo dabigatran (Pradaxa), rivaroxaban powder (Xarelto), ndi apixaban (Eliquis).

Ma NOAC amatha kupangitsa kuti magazi asatayike kwenikweni. Mankhwalawa ndi achidule poyerekeza ndi warfarin, zomwe zikutanthauza kuti simuyenera kuyang'aniridwa ndi magazi anu mukamamwa. Samagwirizananso ndi zakudya zambiri komanso mankhwala ena.

Pamodzi ndi chiopsezo chotaya magazi komanso kulumikizana, vuto lina lakumwa mankhwala kuti muteteze magazi kuyenera kutenga nthawi yayitali. Mwina simukufuna kukhala ndi mankhwala kwa moyo wanu wonse.Mwina simukufuna kupita kuchipatala chanu sabata iliyonse kukayezetsa magazi anu. Kapenanso mutha kukhala ndi zovuta zina kapena zina zomwe zimapangitsa kuti kumwa mankhwalawa kwa nthawi yayitali kukhale kosavuta kapena kosatheka.

Ikani njira zina m'malo mwa mankhwala

Mlonda

Ngati mukufuna njira ina yochepetsera magazi, zopangira monga Watchman zitha kukhala zofunikira kuzifufuza. Chipangizochi chimatseka mbali yotsalira ya atrial appendage (LAA) - dera lomwe lili mumtima mwanu momwe magazi amadziwikira nthawi zambiri komanso kuundana. M'malo mwake, ziphuphu zomwe zimayambitsa matenda mwa anthu omwe ali ndi AFib zimayamba m'derali 90 peresenti ya nthawiyo, malinga ndi a.

Mlonda wavomerezedwa ndi US Food and Drug Administration (FDA) kwa anthu omwe ali ndi AFib omwe samakhudza valavu yamtima (nonvalvular AFib). Amapangidwa ngati parachuti yaying'ono ndipo imadzikulitsa yokha. Ikakhala m'malo, minofu imakula pa Mlonda m'masiku pafupifupi 45 kuti aletse LAA.

Kuti mukhale woyenera kulumikizidwa ndi chipangizochi, muyenera kulekerera opopera magazi. Simungakhale ndi magazi omwe alipo kale mumtima mwanu kapena zovuta za nickel, titaniyamu, kapena china chilichonse pachidacho.

Mlonda amalowetsedwa munthawi yakuchira kudzera pachapaipi m'mimba mwanu zomwe zimakhuta mumtima mwanu.

Lariat

Monga Mlonda, Lariat ndichida chokhazikitsira chomwe chimathandiza kuteteza magazi kuundana mu LAA yanu. Lariat imamangiriza LAA pogwiritsa ntchito sutures. Potsirizira pake, amasandulika khungu lofiira kotero magazi amalephera kulowa, kusonkhanitsa, ndi kuphimba.

Njirayi imagwiritsidwanso ntchito pogwiritsa ntchito ma catheters. Lariat ili ndi chubu chofewa cha pulasitiki cha catheter. Chitolirochi chimakhala ndi maginito komanso malekezero owoneka ngati lasso- kapena maloko. Ili ndiye suture lomwe pamapeto pake lidzamangiriza LAA yanu. Ma punctures ochepa okha ndi omwe amafunikira kuyika chipangizochi motsutsana ndi kudula kwakukulu.

Lariat imavomerezedwa kwa anthu omwe sapambana ndi mankhwala ochepetsa magazi komanso omwe sangathe kuchitidwa opaleshoni pazifukwa zilizonse.

Kuchita bwino kwa zida zopangira

Pambuyo masiku 45, pafupifupi 92% ya anthu omwe ali ndi Watchman adatha kumwa mankhwala ochepetsa magazi m'mayesero azachipatala Pachaka chimodzi, 99 peresenti ya anthu adatha kusiya magazi.

Ndondomeko ya Lariat ingachepetse chiopsezo chanu cha stroke pakati pa 85 ndi 90 peresenti.

Zowonjezera zambiri

Kuphatikiza pakuchita bwino, chimodzi mwamaubwino omwe zida izi zimayikidwa ndikuti amatha kuyikidwa mthupi lanu popanda opareshoni yovuta. M'malo mwake, nthawi zambiri anthu amapita kunyumba tsiku lokonzekera. Asanakhazikike mitundu iyi, LAA imamangirizidwa kudzera pakuchita opaleshoni ya mtima.

Izi zikutanthauza kuti mwina mutha kuchira mwachangu ndi Watchman kapena Lariat. Mulingo wanu wa zowawa komanso kusapeza bwino uyeneranso kukhala wochepa.

Zipangizozi zimatha kukupatsani mwayi wodziyimira panokha popanda mankhwala ochepetsa magazi. Ndizothandizanso - ngati sichoncho - monga warfarin ndi mankhwala ena. Amateteza popanda kuwopsa kokhetsa magazi komanso kuvutika kuyang'anira mankhwala a nthawi yayitali. Iyi ndi nkhani yabwino ngati mukuvutika kumwa ma anticoagulants kapena mukufuna kupewa zovuta zakutaya magazi kwambiri.

Chotenga: Lankhulani ndi dokotala wanu za zopangira

Osasangalala ndi magazi anu ochepera magazi? Pali njira zina. Ngati mukufuna kudziwa zambiri za momwe zida zopangira izi zingakugwirireni ntchito, funsani dokotala wanu kuti mupange nthawi yokumana. Adzakudziwitsani ngati ndinu woyenera kupangira ma implant, komanso akupatseni tsatanetsatane wa njira ndikuyankhani mafunso aliwonse omwe mungakhale nawo.