Kodi Njira Zanga Zakuchiritsira AFib Ndi Ziti?

Zamkati

• Zolinga zamankhwala
• Mankhwala oletsa kuundana kwamagazi
• Mankhwala obwezeretsa kugunda kwamtima kwanu
• Mankhwala obwezeretsa kugunda kwamtima
• Kutulutsa kwamphamvu kwamagetsi
• Kuchotsa patheter
• Wopanga zida
• Njira ya Maze
• Zosintha m'moyo

Matenda a Atrial

Matenda a Atrial fibrillation (AFib) ndiwo mtundu wofala kwambiri wamtima wamtima. Zimachitika chifukwa cha zisonyezo zamagetsi zosadziwika mumtima mwanu. Zizindikirozi zimapangitsa atria yanu, zipinda zam'mwamba za mtima wanu, kuti iziyenda bwino. Fibrillation imabweretsa kugunda kwamtima mwachangu, mosasinthasintha.

Ngati muli ndi AFib, mwina simudzakhala ndi zizindikilo. Komano, mungakhale ndi mavuto aakulu azaumoyo. Kugunda kwanu kosasintha kumatha kuyambitsa magazi m'madzi anu. Izi zitha kuyambitsa maundana omwe amapita kuubongo wanu ndikupangitsa sitiroko.

Malinga ndi American Heart Association, anthu omwe sanalandire AFib ali ndi chiopsezo cha stroke cha anthu opanda matendawa. AFib amathanso kukulitsa mavuto ena amtima, monga mtima kulephera.

Koma musataye mtima. Muli ndi njira zingapo zamankhwala, kuphatikiza mankhwala, opareshoni, ndi njira zina. Zosintha zina pamachitidwe zimathandizanso.

Zolinga zamankhwala

Dokotala wanu adzakhazikitsa njira yothandizira kusamalira AFib yanu. Ndondomeko yanu yothandizira itha kukwaniritsa zolinga zitatu:

• pewani magazi kuundana
• bwezeretsani kugunda kwanu kwamtima
• bweretsani kayendedwe kabwino ka mtima wanu

Mankhwala atha kuthandiza kukwaniritsa zonsezi. Ngati mankhwala sakugwira ntchito kuti abwezeretse kugunda kwa mtima wanu, njira zina zilipo, monga njira zamankhwala kapena opaleshoni.

Mankhwala oletsa kuundana kwamagazi

Kuwonjezeka kwa chiopsezo chanu cha sitiroko ndi vuto lalikulu. Ndi chimodzi mwazinthu zazikulu zomwe zimayambitsa kufa msanga kwa anthu omwe ali ndi AFib. Pofuna kuchepetsa chiopsezo chokhala ndi khungu ndikupanga sitiroko, dokotala wanu angakupatseni mankhwala ochepetsa magazi. Izi zitha kuphatikizira ma anticoagulants (NOACs) osakhala vitamini K:

• Rivaroxaban ufa (Xarelto)
• Kasulu (Pradaxa)
• apixaban (Eliquis)
• mankhwala a edoxaban (Savaysa)

Ma NOACwa tsopano akulimbikitsidwa chifukwa cha warfarin (Coumadin) malinga ndi chikhalidwe chawo chifukwa alibe chakudya chodziwika bwino ndipo safuna kuwunika pafupipafupi.

Anthu omwe amatenga warfarin amafunika kuyezetsa magazi pafupipafupi ndipo amafunika kuwunika momwe amadyera vitamini K.

Dokotala wanu amayang'ana magazi anu pafupipafupi kuti atsimikizire kuti mankhwalawa akugwira ntchito.

Mankhwala obwezeretsa kugunda kwamtima kwanu

Kuchepetsa kugunda kwa mtima wanu ndichinthu china chofunikira pakuthandizira. Dokotala wanu akhoza kukupatsani mankhwala pazifukwa izi. Mitundu itatu yamankhwala itha kugwiritsidwa ntchito kuti ibwezeretse kugunda kwamtima kwanu:

• Beta-blockers monga atenolol (Tenormin), carvedilol (Coreg), ndi propranolol (Inderal)
• Oletsa ma calcium calcium monga diltiazem (Cardizem) ndi verapamil (Verelan)
• Digoxin (Lanoxin)

Mankhwala obwezeretsa kugunda kwamtima

Gawo lina la chithandizo cha AFib ndikubwezeretsanso mawonekedwe amtima wanu, otchedwa sinus rhythm. Mitundu iwiri yamankhwala ingathandize ndi izi. Zimagwira ntchito pochepetsa zida zamagetsi mumtima mwanu. Mankhwalawa ndi awa:

• Zotseka ma sodium monga flecainide (Tambocor) ndi quinidine
• Otsitsira potaziyamu monga amiodarone (Cordarone, Nexterone, Pacerone)

Kutulutsa kwamphamvu kwamagetsi

Nthawi zina mankhwala sangathe kubwezeretsanso sinus, kapena amatulutsa zovuta zambiri. Poterepa, mutha kukhala ndi mtima wamagetsi wamagetsi. Ndi njirayi yopanda ululu, katswiri wanu wazachipatala amachititsa kuti mtima wanu usokonezeke kuti mubwezeretsere ndikubwezeretsanso kugunda koyenera.

Kutaya mtima kwamagetsi nthawi zambiri kumagwira ntchito, koma nthawi zambiri sikukhazikika. Pambuyo pake, mungafunike kumwa mankhwala kuti mukhalebe ndi mtima watsopano.

Kuchotsa patheter

Njira ina yobwezeretsera sinus rhythm pomwe mankhwala alephera amatchedwa catheter ablation. Catheter yopapatiza imalumikizidwa kudzera mumtsuko wamagazi kulowa mumtima mwanu.

Catheter imagwiritsa ntchito mphamvu ya radiofrequency kuwononga tinthu tating'onoting'ono tamatenda mumtima mwanu omwe amatumiza zizindikilo zomwe zimayambitsa kugunda kwamtima kwanu. Popanda zizindikilo zosazolowereka, chizindikiritso chabwinobwino cha mtima wanu chitha kupitilira ndikupanga sinus rhythm.

Wopanga zida

Ngati mungoli wanu wamtima sukuyankha mankhwala, mungafunike pacemaker. Ichi ndi chipangizo chamagetsi chomwe chimayikidwa m'chifuwa chanu panthawi yochita opaleshoni. Imayendetsa kugunda kwanu pamiyeso ya sinus.

amagwiritsidwa ntchito kwa odwala ena ngati njira yomaliza mankhwala atalephera kugwira ntchito. Ngakhale kulowetsa pacemaker kumaonedwa ngati opaleshoni yaying'ono, palinso zoopsa zina.

Njira ya Maze

Chithandizo chomaliza chotchedwa Maze chitha kugwiritsidwa ntchito pochizira AFib pomwe mankhwala ndi njira zina zalephera. Zimaphatikizapo opaleshoni ya mtima. Njira ya Maze imatha kugwiritsidwa ntchito ngati muli ndi vuto lina la mtima lomwe limafuna kuchitidwa opaleshoni.

Dokotala wochita opaleshoni amaboola mu atria yanu yomwe imalepheretsa zizindikilo zamagetsi zamagetsi kudera linalake la mtima wanu.

Zimalepheretsa zikwangwani kuti zifike ku atria kuti ziyambitse kukondana. Anthu ambiri omwe ali ndi njirayi alibenso AFib ndipo safunikiranso kumwa mankhwala osokoneza bongo.

Zosintha m'moyo

Zosintha m'moyo ndizofunikanso. Kusintha kumeneku kungathandize kuchepetsa mavuto omwe amabwera kuchokera ku AFib.

Muyenera kusiya kapena kusuta fodya komanso kuchepetsa kumwa mowa ndi caffeine. Komanso, muyenera kupewa mankhwala a chifuwa ndi ozizira omwe ali ndi zowonjezera. Ngati simukudziwa chomwe muyenera kupewa, funsani wamankhwala wanu.

Komanso, zindikirani zochitika zilizonse zomwe zimapangitsa kapena kukulitsa zizindikiritso zanu za AFib ndikulankhula ndi dokotala za izo.

Kuchepetsa thupi kumalimbikitsidwanso kwa anthu omwe ali ndi AFib onenepa kwambiri.

Kuti mumve zambiri, onani nkhaniyi pamasinthidwe amoyo kuti muthane ndi AFib.