Ngaba kufuneka uthathe abacoci gazi kwi-AFib?
Imfundo yezeMpiloKuqikelelwa ukuba ubuncinci i-2.7 yezigidi zabantu baseMelika-ukuya kuthi ga kwi-6.1 yezigidi-bahlala ne-Atrial Fibrillation, ngokwe Amaziko oLawulo noThintelo lwezifo (I-CDC). I-Atrial fibrillation (aka AFib) luhlobo lwesimo sentliziyo esichazwa njengesiqhelo- ngesiqhelo ukukhawuleza okanye ukugungqa-ukubetha kwentliziyo (ngenye indlela eyaziwa ngokuba yi-arrhythmia). Kukhokelela ekungahambi kakuhle kwegazi, elinokunyusa umngcipheko wokubetha. Enye indlela yokunciphisa ubungozi kukuthatha abacoci gazi kwi-AFib , kodwa beza neengozi zabo.
Yintoni i-atrial fibrillation (AFib)?
I-atrial fibrillation yimeko apho ukujikeleza kombane okuqhelekileyo kwentliziyo kuphazamiseka, kuchaza UKavitha Chinnaiyan, MD , ugqirha wentliziyo odibeneyo kwiNkqubo yezeMpilo yaseBeaumont kunye noprofesa onxulumene noNyango IYunivesithi yase-Oakland i-William Beaumont School of Medicine . Kwintliziyo esempilweni, iimpembelelo zombane zihamba ngeendlela ezithile. Kumntu one-AFib, intshukumisa yokubetha kwentliziyo ivela kwiindawo ezingaqhelekanga kumagumbi aphezulu entliziyo, kwaye idluliselwe ngokungaqhelekanga nangokungaqhelekanga kumagumbi asezantsi. Ke endaweni yokutyibilika okuthe tyaba kwamagumbi aphezulu, aya 'fibrillate' kwaye awenzi mvumelwano ngesiqhelo, utshilo uGqirha Chinnaiyan.
Zithini iimpawu ze-AFib?
Olona phawu luqhelekileyo lwe-AFib yintliziyo ebalekayo. Iimpawu zinokubandakanya:
- ukudinwa
- iintlungu zesifuba
- ukuqhawukelwa ngumphefumlo
- utywala kunye / okanye intloko elula
Nangona kunjalo, abanye abantu abakho kwaphela, bathi UNisha B. Jhalani, MD , Umlawuli weenkonzo zeklinikhi nezemfundo kwiZiko loNyango lweeVascular Intervention e INewYork-Presbyterian / Iziko Lonyango laseColumbia Irving .
Indlela yokufumanisa i-AFib
UGqirha Jhalani wongeza ukuba i-AFib inokuchongwa nge-electrocardiogram (ECG), kodwa umntu lowo kufuneka abe kwi-AFib ngexesha lovavanyo. Ukuba umntu uyatshintsha phakathi kwe-fibrillation ye-atrial kunye nesingqisho esiqhelekileyo sesinus, esiqheleke kakhulu, olona vavanyo lulungileyo lokufumanisa isifo iya kuba kukubeka iliso kumnyhadala weeveki ezimbini ukubamba i-arrhythmia kunye nokulungelelanisa nayo nayiphi na impawu, uGqirha Jhalani uyaqhubeka.
AFib kunye nomngcipheko wesifo
Ngexesha leziqendu ze-AFib, igazi eline-oksijini eligazi alifakwanga ngokufanelekileyo emzimbeni wonke, oko kuthetha ukuba igazi kumagumbi aphezulu linokuma kwaye lenze iqokobhe. Emva koko, amahlwili egazi anokusiwa kwingqondo ukubangela ukubetha, uGqirha Chinnaiyan, umbhali we Intliziyo yokuPhila , uyalumkisa. Ngapha koko, ngokuka Umbutho waseMelika weStroke , abaguli abane-AFib banamathuba amahlanu okuba bafumane isifo. Inkqubo ye- Umanyano lweLizwe lweGazi Ithi imivimbo enxulumene ne-AFib inokuphantse iphindaphindwe kabini njengokunciphisa kwaye ibulale njengestroke esingabangelwa yi-AFib.
Abanciphisi begazi kwi-AFib
I-Anticoagulants ye-AFib , ezihlala zibizwa ngokuba zizicoci gazi, zihlala zicetyiswa kuba zinokuwunciphisa kakhulu umngcipheko wokubetha okanye wokonakalisa amanye amalungu abangelwa ligazi. UGqirha Chinnaiyan ucacisa ukuba i-Coumadin (warfarin) yayiyeyona ichiza elikhoyo kubantu abaninzi abane-AFib. Ngoku, akhona amanye amayeza, kubandakanya i-Eliquis (apixaban) kunye ne-Pradaxa (dabigatran), engadingi kuhlolwa okuqhubekayo kwegazi ngokwaneleyo-kwaye hayi kakhulu-'ukukhanya. 'NgoJanuwari 2019, i Umbutho wentliziyo yaseMelika (AHA) ibhengeze ukuba la mayeza amatsha egazi-angabinayo ivithamin K ye-anticoagulants yomlomo (i-NOACs) -enye indlela ekhethwayo kune-warfarin yokunciphisa umngcipheko wokubetha kwizigulana ezine-AFib.
Abacoci begazi bamiselwe ngokomngcipheko wokuhlaselwa sisifo sokuthathelwa ingqalelo othatha ingqalelo yobudala, isini, kunye nezinye iimeko zonyango, ezinje ngokubetha kwangaphambili kwentliziyo kunye nokusilela kwentliziyo, utshilo uGqirha Chinnaiyan. Umngcipheko ophakamileyo, kokukhona sikhona isidingo sabacoci begazi.
Leliphi elona gazi lilungileyo kwi-AFib?
Ngugqirha wakho kuphela onokumisela elona gazi lilungileyo kuwe ngenxa yemeko yakho yempilo, impilo iyonke, kunye nempendulo kunyango. Olu luhlu lulandelayo lwabanciphisi begazi luthelekisa amayeza aqhelekileyo okunyanga i-AFib.
| Abona bacoci gazi bafanelekileyo kwi-AFib | ||||
|---|---|---|---|---|
| Igama leziyobisi | Iklasi yeziyobisi | Indlela yolawulo | Umthamo osemgangathweni | Iziphumo eziqhelekileyo |
| Coumadin (warfarin) | I-Anticoagulant | Ngomlomo | Ithebhulethi ye-5mg kanye ngemini | Ukopha, isicaphucaphu, ukuphelelwa ngumdla wokutya, kunye nentlungu esiswini |
| Eliquis (apixaban) | I-Anticoagulant | Ngomlomo | Ithebhulethi ye-5mg kabini ngemini | Isicaphucaphu, ukugruzuka ngokulula, ukopha okuncinci |
| IPradaxa (dabigatran) | I-Anticoagulant | Ngomlomo | 75mg philisi kabini ngemini | Ukutyumza ngokulula kunye nokopha okuncinci |
| Xarelto (Rivaroxabanxaban) | I-Anticoagulant | Ngomlomo | Ithebhulethi ye-20mg kanye ngemini | Ukutyumza ngokulula kunye nokopha okuncinci |
| I-Savaysa (edoxaban) | I-Anticoagulant | Ngomlomo | Ithebhulethi ye-60mg kanye ngemini | Ukutyumza ngokulula kunye nokopha okuncinci |
Iziphumo ebezingalindelekanga zegazi elincinci
Nangona kunjalo, amanyathelo okhuseleko athile kufuneka alandelwe xa usela ichiza lokulwa nehlwili. Ukopha okugqithisileyo sisiphumo secala eliqhelekileyo labacoci begazi, yiyo loo nto uGqirha Jhalani ebongoza abaguli ukuba bathethe nentliziyo yabo okanye ugqirha wezonyango malunga nemingcipheko kunye neenzuzo zokucoca igazi. Ukuba umntu kutshanje ebengeniswe esibhedlele ngenxa yesilonda esophayo okanye ukuba ebetyekele ekuweni, isigqibo sokuqalisa ukucoca igazi ngenxa ye-atrial fibrillation siyakuba sesomntu, utshilo.
Inkqubo ye- AHA uthi abaguli mabacinge kabini ngaphambi kokuthatha inxaxheba nakowuphi na umdlalo wezemidlalo okanye umsebenzi onokwandisa amathuba okuwa, ukutyumka, okanye ukopha. Inkqubo ye- I-Arhente yoPhando lwezeMpilo kunye noMgangatho ithi naliphi na iyeza elise-counter-counter-counter (OTC) kunye ne-aspirin linokusebenzisana nabancinci begazikunye nokunyusa ukusebenza kwegazi, kunye neentlungu ezininzi ze-OTC, ukubanda, kunye nesisu esinciphisayo, kubandakanya:
- Yimbi
- UAleve
- UTylenol
- UAlka-Seltzer
- UPepto Bismol
- Ex-lax
Thetha nogqirha wakho malunga nokutya kwakho ivithamin K. UVitamin K yivitamin enyibilikayo enamafutha enceda umzimba ukuba uvelise ezinye zeeproteni ezichaphazelekayo ekunqandeni igazi. Ukwandisa ukutya kwakho i-vitamin K (efumaneka kwimifuno eluhlaza, i-broccoli, i-cauliflower kunye ne-Brussels sprouts) inokutshintsha imetabolism yeCoumadin (warfarin), icebisa Umanyano lweLizwe lweGazi .Ukutya rhoqo iVitamin K ngelixa unciphisa igazi kubaluleke kakhulu.
