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Ngabe kufanele uthathe izinciphisi zegazi ze-AFib?

Ngabe kufanele uthathe izinciphisi zegazi ze-AFib?Imfundo Yezempilo

Kulinganiselwa ukuthi okungenani abantu baseMelika abayizigidi ezi-2.7 — kanye nabafika ezigidini eziyisi-6.1 — baphila ne-Atrial Fibrillation, ngokusho kwe Izikhungo Zokulawulwa Nokuvikelwa Kwezifo (I-CDC). I-Atrial fibrillation (aka AFib) uhlobo lwesimo senhliziyo esichazwa njengokungajwayelekile-imvamisa ukushaya kwenhliziyo okusheshayo noma okuthuthumela (okunye okubizwa ngokuthi i-arrhythmia). Kuholela ekuhambeni okungafanele kwegazi, okungakhuphula ubungozi bokushaywa unhlangothi. Enye indlela yokunciphisa leyo ngozi ukuthatha izinciphisi zegazi ze-AFib , kepha beza nezingozi zabo.





Kuyini i-atrial fibrillation (AFib)?

I-Atrial fibrillation yisimo lapho ukuphazamiseka okujwayelekile kukagesi kwenhliziyo kuphazamiseka, kuchaza UKavitha Chinnaiyan, MD , isazi senhliziyo esihlanganisayo eBeaumont Health System kanye noprofesa ohlobene noMnyango Wezokwelapha e I-Oakland University uWilliam Beaumont School of Medicine . Enhliziyweni enempilo, imizwa kagesi igeleza ezindleleni ezithile. Kumuntu one-AFib, umfutho wokushaya kwenhliziyo uvela ezindaweni ezingavamile emakamelweni aphezulu enhliziyo, futhi udluliswa ngokungahambi kahle nangokungajwayelekile emakamelweni aphansi. Ngakho-ke esikhundleni sokuncipha okubushelelezi kwamagumbi aphezulu, aya 'fibrillate' futhi awavumelani ngokujwayelekile, kusho uDkt.Chinnaiyan.



Ziyini izimpawu ze-AFib?

Isibonakaliso esivame kakhulu se-AFib yinhliziyo yokujaha. Izimpawu zingafaka futhi:

  • ukukhathala
  • ubuhlungu besifuba
  • ukuphelelwa umoya
  • isiyezi kanye / noma ikhanda elikhanyayo

Kodwa-ke, abanye abantu abanazimpawu, kusho UNisha B. Jhalani, MD , umqondisi wezinsizakalo zemitholampilo nezemfundo e-Center for Interventional Vascular Therapy e ENewYork-Presbyterian / Isikhungo Sezokwelapha saseColumbia University .

Ungayihlola kanjani i-AFib

UDkt Jhalani wengeza ukuthi i-AFib ingatholwa yi-electrocardiogram (ECG), kepha lowo muntu kumele abe ese-AFib ngesikhathi sokuhlolwa. Uma umuntu eshintshana phakathi kwe-atrial fibrillation kanye nesigqi sesinus esijwayelekile, esivame kakhulu, isivivinyo esihle kakhulu sokuxilongwa kungaba ngumqaphi womcimbi wamasonto amabili wokuthwebula i-arrhythmia futhi ayihambisane nanoma yiziphi izimpawu, uDkt Jhalani uyaqhubeka.



Ingozi ye-AFib ne-stroke

Ngesikhathi seziqephu ze-AFib, igazi elicebile nge-oxygen alifakwa kahle emzimbeni wonke, okusho ukuthi igazi elisemakamelweni aphezulu lingama futhi lenze ihlwili. Ngemuva kwalokho, amahlule egazi angayiswa ebuchosheni ukubangela imivimbo, uDkt Chinnaiyan, umbhali we Inhliziyo Yezempilo , kuxwayisa. Eqinisweni, ngokusho kwe- I-American Stroke Association , iziguli ezine-AFib zinamathuba aphindwe kahlanu okuhlaselwa yisifo sohlangothi. I- Umanyano Kazwelonke Wegazi ithi imivimbo ehlobene ne-AFib ingacishe iphindwe kabili njengokukhubazeka futhi ibulale njengesifo esingalinywanga yi-AFib.

Abanciphisi begazi be-AFib

Ama-Anticoagulants e-AFib , okuvame ukubizwa ngokuthi izinciphisi zegazi, kuvame ukunconywa ngoba zinganciphisa kakhulu ubungozi bokushaywa unhlangothi noma ukulimala kwezinye izitho ezibangelwa amahlule egazi. UDkt.Chinnaiyan uchaza ukuthi iCoumadin (warfarin) yayijwayele ukuba umuthi otholakalayo kubantu abaningi abane-AFib. Manje, kuneminye imishanguzo, efaka i-Eliquis (apixaban) ne-Pradaxa (dabigatran), engadingi ukuqapha okuqhubekayo kwegazi ngokwanele — futhi hhayi ngokweqile — ‘ubuthakathaka. ’NgoJanuwari 2019, i Inhlangano Yezinhliziyo ZaseMelika (AHA) umemezele ukuthi le mithi emisha yegazi elincanyana — ama-anticoagulants omlomo angenayo i-vitamin K (ama-NOACs) -iyindlela ekhethwayo kune-warfarin yokwehlisa ubungozi bokushaywa unhlangothi ezigulini ezine-AFib.

Ama-thinner egazi anqunywa ngokwengozi ebaliwe yokushaywa unhlangothi ecubungula iminyaka, ubulili, nezinye izimo zezokwelapha, njengokushaywa yisifo sohlangothi kwangaphambilini kanye nokwehluleka kwenhliziyo, kuchaza uDkt Chinnaiyan. Ukuphakama kwengozi, kukhula isidingo sabanciphisi begazi.



Yini i-blood thinner engcono kakhulu ye-AFib?

Udokotela wakho kuphela onganquma okungcono kakhulu kwegazi kuwe ngokuya ngesimo sakho sezempilo, impilo yakho yonke, kanye nempendulo ekwelashweni. Uhlu olulandelayo lwabanciphisa igazi luqhathanisa imithi ejwayelekile ebekiwe yokwelapha i-AFib.

Ama-thinner amahle kakhulu we-AFib
Igama lomuthi Isigaba sezidakamizwa Umzila wokuphatha Umthamo ojwayelekile Imiphumela emibi ejwayelekile
I-Coumadin (warfarin) I-Anticoagulant Ngomlomo Ithebhulethi engu-5mg kanye ngosuku Ukopha, isicanucanu, ukulahlekelwa isifiso sokudla, nobuhlungu besisu
I-Eliquis (apixaban) I-Anticoagulant Ngomlomo Ithebhulethi engu-5mg kabili ngosuku Ukucanuzela kwenhliziyo, ukulimaza okulula, ukopha okuncane
I-Pradaxa (dabigatran) I-Anticoagulant Ngomlomo 75mg capsule kabili ngosuku Ukulinyazwa okulula nokopha okuncane
I-Xarelto (Rivaroxaban powder) I-Anticoagulant Ngomlomo Ithebhulethi engu-20mg kanye ngosuku Ukulinyazwa okulula nokopha okuncane
I-Savaysa (edoxaban) I-Anticoagulant Ngomlomo Ithebhulethi engu-60mg kanye ngosuku Ukulinyazwa okulula nokopha okuncane

Imiphumela emibi yabancipha begazi

Kodwa-ke, kufanele kulandelwe izinyathelo ezithile zokuphepha lapho uthatha umuthi olwa nokujiya. Ukopha ngokweqile kungumphumela ojwayelekile ohlangothini lwabanciphisa igazi, yingakho uDkt Jhalani enxusa iziguli ukuthi zikhulume nodokotela wazo wenhliziyo noma we-internist ngezingozi nezinzuzo zabanciphisa igazi. Uma othile esanda kulaliswa esibhedlela ngenxa yesilonda esophayo noma uma behlelwe ukuwa, isinqumo sokuqala abagcini begazi be-atrial fibrillation sizobanjelwa umuntu uqobo, kusho yena.

I- AHA uthi iziguli kufanele zicabange kabili ngaphambi kokubamba iqhaza kunoma yimuphi umdlalo wezokuxhumana noma umsebenzi ongakhuphula amathuba akho okuwa, ukulinyazwa, noma ukopha. I- I-Agency for Healthcare Research nekhwalithi ithi noma imuphi umuthi we-over-the-counter (OTC) one-aspirin ungasebenzisana nabanciphisa igazifuthi wandise umphumela wokuncipha kwegazi, kanye nezinhlungu eziningi ze-OTC, ukubanda, nesisu esinciphisayo, kufaka phakathi:



  • I-Advil
  • U-Aleve
  • UTylenol
  • U-Alka-Seltzer
  • UPepto Bismol
  • Ex-lax

Khuluma nodokotela wakho ngokudla kwakho uvithamini K. UVitamin K uvithamini oncibilika njengamafutha osiza umzimba ukuthi ukhiqize amanye amaprotheni abandakanyeka ekunqandeni igazi. Ukwanda kokudla kwakho uvithamini K (okutholakala emifino eluhlaza eluhlaza, i-broccoli, ukholifulawa, kanye namahlumela aseBrussels) kungashintsha imetabolism yeCoumadin (warfarin), kuphakamisa Umanyano Kazwelonke Wegazi .Ukudla i-Vitamin K ngokungaguquguquki ngenkathi usebenzisa izinciphisi zegazi kubaluleke kakhulu.