Kodi Fibrillation Yosavomerezeka Yotani?

Zamkati

• Zizindikiro za kutsekeka kwamitsempha kosavomerezeka
• Zomwe zimayambitsa matenda amtundu wa nonvalvular
• Kuzindikira ma fibrillation a atvalvular
• Kuchiza kwa ma nonrvular atrial fibrillation
• Mankhwala
• Ndondomeko
• Chiwonetsero cha ma fibrillation amtenda osagwira ntchito
• Q & A: Rivaroxaban powder ndi warfarin
• Funso:
• Yankho:

Chidule

Matenda a Atrial fibrillation (AFib) ndi dzina lachipatala la mtima wosagwirizana. Pali zifukwa zambiri zomwe zingayambitse AFib. Izi zikuphatikiza matenda am'magazi a valvular, momwe zosakhazikika m'mavala amtima wamunthu zimabweretsa nyimbo zosadziwika bwino.

Komabe, anthu ambiri omwe ali ndi AFib alibe matenda a mtima wa valvular. Ngati muli ndi AFib osayambitsidwa ndi matenda amtima wa valvular, nthawi zambiri amatchedwa nonvalvular AFib.

Palibe tanthauzo lililonse la AFib yosavomerezeka pano. Madokotala akuganizirabe zomwe zimayambitsa AFib zomwe zimayenera kuonedwa ngati zowoneka bwino komanso zomwe ziyenera kuonedwa ngati zosavomerezeka.

awonetsa kuti pakhoza kukhala kusiyana kwa chithandizo pakati pa mitundu iwiriyi. Ochita kafukufuku akuyang'ana kuti ndi njira ziti zamankhwala zomwe zimagwira bwino ntchito ku nonibular kapena valvular AFib.

Zizindikiro za kutsekeka kwamitsempha kosavomerezeka

Mutha kukhala ndi AFib osakhala ndi zizindikiro zilizonse. Ngati mukumva zizindikiro za AFib, zitha kuphatikiza:

• kusapeza bwino pachifuwa
• kukupiza pachifuwa pako
• kugunda kwa mtima
• kupusa kapena kumva kukomoka
• kupuma movutikira
• Kutopa kosamveka

Zomwe zimayambitsa matenda amtundu wa nonvalvular

Zomwe zimayambitsa AFib zitha kukhala izi:

• kuwonetseredwa pazomwe zimalimbikitsa mtima, monga mowa, caffeine, kapena fodya
• kugona tulo
• kuthamanga kwa magazi
• mavuto m'mapapo
• hyperthyroidism, kapena chithokomiro chopitilira muyeso
• kupanikizika chifukwa chodwala kwambiri, monga chibayo

Zomwe zimayambitsa AFib zimaphatikizapo kukhala ndi valavu ya mtima kapena china chotchedwa mitral valve stenosis. Madokotala sanavomerezebe ngati mitundu ina ya matenda a valavu yamtima iyenera kuphatikizidwa mukutanthauzira kwa valvular AFib.

Kuzindikira ma fibrillation a atvalvular

Ngati mulibe zizindikiro zilizonse za AFib, dokotala wanu atha kukhala ndi vuto la mtima wosakhazikika mukamayesedwa kuti simukugwirizana. Adzawunika ndikukufunsani za mbiri yanu ya zamankhwala komanso mbiri ya banja lanu. Angakufunseni kuti mupitirize kuyesa.

Mayeso a AFib ndi awa:

• makina ojambulira
• kutuloji
• kuyesa kupanikizika
• X-ray pachifuwa
• kuyesa magazi

Kuchiza kwa ma nonrvular atrial fibrillation

Dokotala wanu angakulimbikitseni mankhwala kapena njira zina zochiritsira nonvalvular AFib.

Mankhwala

Ngati muli ndi mtundu uliwonse wa AFib, dokotala wanu akhoza kukupatsani mankhwala a anticoagulant. Izi ndichifukwa choti AFib imatha kuyambitsa zipinda zamtima wanu kugwedezeka, kuteteza magazi kuti asadutsemo mwachangu mwachizolowezi.

Magazi akapanda kukhala nthawi yayitali, amatha kuyamba kuwundana. Ngati khungu limapangidwa mumtima mwanu, limatha kuyambitsa kutsekeka komwe kumayambitsa matenda amtima kapena sitiroko. Maanticoagulants amatha kuthandiza kuti magazi anu asamaundane.

Pali mitundu ingapo yama anticoagulants yomwe ilipo. Maanticoagulantswa amatha kugwira ntchito m'njira zosiyanasiyana kuti achepetse mwayi womwe magazi anu adzaundana.

Madokotala amatha kupereka mankhwala opatsirana pogonana omwe amadziwika kuti vitamini K antagonists kwa anthu omwe ali ndi valvular AFib. Otsutsana ndi Vitamini K amalepheretsa thupi lanu kugwiritsa ntchito vitamini K. Chifukwa thupi lanu limafunikira vitamini K kuti apange chotsekemera, kutsekereza kumatha kupangitsa kuti magazi anu asamatenthe. Warfarin (Coumadin) ndi mtundu wa wotsutsana ndi vitamini K.

Komabe, kutenga wotsutsana ndi vitamini K kumafuna maulendo a dokotala nthawi zonse kukawona ngati anticoagulant ikugwira ntchito bwino. Muyeneranso kusunga zakudya mosamala kuti musatenge vitamini K wambiri pazakudya zanu.

Mankhwala atsopano, omwe tsopano akulimbikitsidwa pa warfarin, amagwira ntchito m'njira zosiyanasiyana kuti achepetse magazi omwe safuna kuwunika kumeneku. Izi zingawapangitse kukhala abwino kwa omwe amatsutsana ndi vitamini K kwa anthu omwe ali ndi nonibular AFib.

Mankhwala atsopanowa amatchedwa non-vitamin K oral anticoagulants (NOACs). Zimagwira ntchito poletsa thrombin, chinthu chofunikira kuti magazi anu aumbike. Zitsanzo za NOACs ndi izi:

• Kasulu (Pradaxa)
• Rivaroxaban ufa (Xarelto)
• apixaban (Eliquis)

Kuphatikiza pa ma anticoagulants, adokotala amatha kukupatsirani mankhwala othandizira kuti mtima wanu ukhale wolimba. Izi zikuphatikiza:

• alirezatalischi (Tikosyn)
• amiodarone (Cordarone)
• sotalol (Betapace)

Ndondomeko

Dokotala wanu angakulimbikitseninso njira zomwe zingakuthandizeni "kukonzanso" mtima wanu kuti umve bwino. Njirazi ndi monga:

• Kutaya mtima. Mu mtima wamagetsi, mphamvu yamagetsi imaperekedwa mumtima mwanu kuti muyesere kubwereranso m'chiyero cha sinus, chomwe chimakhala chogunda, ngakhale kugunda kwamtima.
• Kuchotsa. Izi zimakhudza kupundula kapena kuwononga ziwalo za mtima wanu zomwe zimatumiza zizindikilo zamagetsi zosasinthasintha kuti mtima wanu ugundenso.

Chiwonetsero cha ma fibrillation amtenda osagwira ntchito

Anthu omwe ali ndi valvular AFib ali pachiwopsezo chachikulu chamagazi. Komabe, anthu onse omwe ali ndi AFib akadali pachiwopsezo chachikulu chotseka magazi kuposa omwe alibe AFib.

Ngati mukuganiza kuti mutha kukhala ndi AFib, lankhulani ndi dokotala wanu. Nthawi zambiri amatha kugwiritsa ntchito electrocardiogram kuti ayese mtima wanu. Kuchokera pamenepo, amatha kugwira ntchito kuti adziwe ngati AFib yanu ndi ya valvular kapena nonvalvular ndikukhazikitsa dongosolo lamankhwala lomwe lingakuthandizeni.

Q & A: Rivaroxaban powder ndi warfarin

Funso:

Ndili ndi nonibular AFib. Ndi anticoagulant iti yabwinoko, Rivaroxaban powder kapena warfarin?

Yankho:

Warfarin ndi rivaroxaban amagwira ntchito mosiyana, ndipo aliyense ali ndi zabwino komanso zoyipa. Ubwino wa mankhwala monga rivaroxaban ndikuti simukuyenera kuwunika kuchuluka kwa magazi kapena kulepheretsa zakudya zanu, ali ndi zocheperako pang'ono pamankhwala osokoneza bongo, ndipo amapita kukagwira ntchito mwachangu. Rivaroxaban powder yapezeka ikugwira ntchito komanso warfarin yoletsa kupwetekedwa kapena magazi. Choyipa cha rivaroxaban ndikuti chimatha kuyambitsa magazi m'mimba nthawi zambiri kuposa warfarin. Kuwunikanso kwamayeso aposachedwa a mankhwala akuwonetsa kuti NOACs imachepetsa zonse zomwe zimayambitsa kufa ndi 10%.

Anthu omwe ali ndi valvular AFib amakhala ndi magazi ambiri kuposa anthu omwe ali ndi matenda amtima osavomerezeka.