I-Atrial fibrillation - ukukhutshwa

I-Atrial fibrillation okanye i-flutter yinto eqhelekileyo yokubetha kwentliziyo engaqhelekanga. Isingqisho sentliziyo siyakhawuleza kwaye sihlala singaqhelekanga. Ubusesibhedlele ukunyanga le meko.

Usenokuba usesibhedlele kuba une-atrial fibrillation. Le meko yenzeka xa intliziyo yakho ibetha ngokungagungqiyo kwaye ihlala ikhawuleza kunesiqhelo. Usenokuba uyenzile le ngxaki ngelixa usesibhedlele ngenxa yesifo sentliziyo, uqhaqho lwentliziyo, okanye esinye isifo esibi njengepneumonia okanye ukwenzakala.

Unyango osenokuba ulufumene lubandakanya:

• Umenzi wePacemaker
• I-Cardioversion (le yinkqubo eyenziwayo ukutshintsha ukubetha kwentliziyo yakho ibuyele esiqhelweni. Kungenziwa ngeyeza okanye ngokothuka ngombane.)
• Ukupheliswa kwentliziyo

Inokuba unikwe amayeza okutshintsha ukubetha kwentliziyo yakho okanye ukuthobise. Ezinye zezi:

• I-Beta blockers, ezinje nge-metoprolol (Lopressor, Toprol-XL) okanye i-atenolol (Senormin, Tenormin)
• I-calcium block blockers, njenge-diltiazem (iCardizem, iTiazac) okanye i-verapamil (iCalan, iVerelan)
• I-Digoxin
• Antiarrhythmics (amayeza alawula isingqisho sentliziyo), anje nge-amiodarone (Cordarone, Pacerone) okanye i-sotalol (Betapace)

Gcwalisa yonke imigqaliselo yakho ngaphambi kokuba ugoduke. Kufuneka uthathe amayeza akho ngendlela athe umboneleli wakho wezempilo akuxelele ngayo.

• Xelela umboneleli wakho ngamanye amayeza owathathayo kubandakanya amayeza angaphaya kwekhawuntare, amayeza, okanye izongezo. Buza ukuba ngaba kulungile ukuqhubeka nokuthatha ezi. Kwakhona xelela umboneleli wakho ukuba uthatha ii-antacids.
• Ungaze uyeke ukuthatha nawaphi na amayeza akho ngaphandle kokuqala uthethe nomboneleli wakho. MUSA ukutsiba idosi ngaphandle kokuba uxelelwe.

Unokuthatha i-aspirin okanye i-clopidogrel (i-Plavix), i-prasugrel (i-Effient), i-ticagrelor (i-Brilinta), i-warfarin (i-Coumadin), i-heparin, okanye elinye igazi elincinci njenge-apixiban (Eliquis), i-rivaroxaban powder (i-Xarelto), i-dabigatran (Pradaxa) gcina igazi lakho lingonakali.

Ukuba uthatha naliphi na igazi elincinci:

• Kuya kufuneka ujonge nakuphi na ukuphuma kwegazi okanye ukugruzuka, kwaye yazisa umboneleli wakho ukuba oko kuyenzeka.
• Xelela ugqirha wamazinyo, usokhemesti kunye nabanye ababoneleli ukuba uthatha eli chiza.
• Uya kudinga kuvavanyo lwegazi olongezelelweyo ukuqinisekisa ukuba idosi yakho ichanekile ukuba uthatha i-warfarin.

Nciphisa utywala obuselayo. Buza umboneleli wakho xa kulungile ukusela, kwaye kukhuseleke kangakanani?

Musa ukutshaya iisigarethi. Ukuba uyatshaya, umboneleli wakho unokukunceda uyeke.

Landela intliziyo yokutya okunempilo.

• Kuphephe ukutya okunetyiwa nokunamafutha.
• Hlala kude kwindawo yokutyela.
• Ugqirha wakho angakuthumela kwingcali yokutya, onokukunceda ucwangcise ukutya okusempilweni.
• Ukuba uthatha i-warfarin, MUSA ukwenza utshintsho olukhulu kwindlela otya ngayo okanye uthathe iivithamini ngaphandle kokujonga ugqirha wakho.

Zama ukunqanda iimeko zoxinzelelo.

• Xelela umboneleli wakho ukuba uziva uxinezelekile okanye ulusizi.
• Ukuthetha nomcebisi kunokunceda.

Funda indlela yokujonga ukubetha kwentliziyo yakho, kwaye uyijonge yonke imihla.

• Kungcono ukuthatha ukubetha kwakho kunokuba usebenzise umatshini.
• Umatshini unokungachaneki kangako ngenxa ye-atrial fibrillation.

Nciphisa umlinganiselo wecaffeine oselayo (efumaneka kwikofu, iti, iikhola kunye nezinye iziselo.)

MUSA ukusebenzisa icocaine, amphetamines, okanye nasiphi na isiyobisi esingekho mthethweni. Zinokwenza intliziyo yakho ibethe ngokukhawuleza, kwaye ibangele umonakalo ongapheliyo entliziyweni yakho.

Tsalela uncedo olungxamisekileyo ukuba uziva:

• Ubuhlungu, uxinzelelo, ukuqina, okanye ubunzima esifubeni sakho, ingalo, intamo, okanye umhlathi
• Ukuqhawukelwa ngumphefumlo
• Iintlungu zegesi okanye ukungcola
• Ukubila, okanye ukuba ulahlekelwa ngumbala
• Unentloko elula
• Ukubetha kwentliziyo okukhawulezayo, ukubetha kwentliziyo okungaqhelekanga, okanye intliziyo yakho ibetha ngokungathandekiyo
• Ubudenge okanye ubuthathaka ebusweni bakho, engalweni, okanye emlenzeni
• Ukungaboni kakuhle okanye ukunciphisa umbono
• Iingxaki zokuthetha okanye ukuqonda intetho
• Ukuba nesiyezi, ukulahleka kwebhalansi, okanye ukuwa
• Intloko ebuhlungu
• Ukopha

I-fibrillation ye-auricular - ukukhutshwa; Ukukhutshwa kwe-A-fib; AF - ukubhobhoza; I-Afib - ukukhutshwa

NgoJanuwari CT, uWann LS, uAlpert JS, et al. Isikhokelo se-AHA / ACC / HRS sika-2014 kulawulo lwezigulana ezine-atrial fibrillation: ingxelo ye-American College of Cardiology / American Heart Association Task Force kwiZikhokelo zokuziqhelanisa kunye ne-Heart Rhythm Society. J NdinguColl Cardiol. Ngo-2014; 64 (21): e1-76. IINKCUKACHA: 24685669 www.ncbi.nlm.nih.gov/pubmed/24685669.

UMorady F, uZipes DP. I-Atrial fibrillation: iimpawu zeklinikhi, iindlela kunye nolawulo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier Saunders; I-2019: isahluko 38.

I-Zimetbaum P.I-Cardiac arrhythmias enemvelaphi engaphaya kwento. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 64.

• Arrhythmias
• I-Atrial fibrillation okanye i-flutter
• Iinkqubo zokupheliswa kwentliziyo
• Intliziyo yomenzi wentliziyo
• Uhlaselo lwexeshana lweschemic

• Iziyobisi Antiplatelet - P2Y12 inhibitors
• I-Aspirin kunye nesifo sentliziyo
• Cholesterol kunye nendlela yokuphila
• Cholesterol - unyango lweziyobisi
• Ukulawula uxinzelelo lwegazi oluphezulu
• Ukuthatha i-warfarin (Coumadin, Jantoven) -ukubuza ugqirha wakho
• Ukuthatha warfarin (Coumadin)

• I-Atrial Fibrillation