Izibonelelo zokuFakela izixhobo ze-AFib

Umxholo

• Unyango lwe-AFib kunye namahlwili egazi
• Ukumisela ezinye iindlela zonyango
• Umlindi
• Lariat
• Ukusebenza kwezixhobo zokufakelwa
• Izibonelelo ezingaphezulu
• Ukuthatha: Thetha nogqirha wakho malunga nokufakwa

I-Atrial fibrillation (AFib) sisifo sentliziyo esichaphazela abantu abamalunga ne-2.2 yezigidi e-United States.

Nge-AFib, amagumbi amabini aphezulu wentliziyo yakho abetha ngokungaqhelekanga, ekunokwenzeka ukuba akhokelele kumagazi kunye nokuyenza buthathaka intliziyo yakho ekuhambeni kwexesha. Unokufumana nantoni na ukusuka ekuphefumlweni okuphefumlayo ukuya kwintliziyo ebethekileyo. Okanye akunakufumana zimpawu kwaphela.

Ngaphandle konyango, nangona kunjalo, unokubeka emngciphekweni wokubetha okanye ushiyeke usilela kwintliziyo.

Unyango lwe-AFib kunye namahlwili egazi

Eyona njongo iphambili yonyango ye-AFib ijolise ekulawuleni isingqi sentliziyo kunye nokuthintela amahlwili egazi. Ukuthintela amahlwili kubaluleke kakhulu kuba banokukhupha kwaye bahambe baye kwamanye amalungu omzimba wakho. Xa i-clot yegazi iya kwingqondo yakho, inokukhokelela ekubetheni.

Unyango lwesintu lujikeleze amayeza, njengabacoci begazi.

IWarfarin (i-Coumadin) yayiyeyona yegazi ichazwe ngokuthe gca kwi-AFib. Ingadibana nokutya okuthile kunye namayeza, ke ayisiyiyo inketho kuye wonke umntu. Inokukhokelela kubunzima njengokuphuma kakhulu kwegazi. Ukuba uthatha eli yeza, uyakufuna ukubeka iliso rhoqo kuvavanyo lwegazi.

Amachiza amatsha abizwa ngokuba yi-non-vitamin K ngomlomo anticoagulants (NOACs) ayasebenza ngokufana ne-warfarin kwaye ngoku ngawona acetywayo egazi kwi-AFib. Babandakanya i-dabigatran (Pradaxa), i-rivaroxaban powder (i-Xarelto), kunye ne-apixaban (i-Eliquis).

I-NOACs ingakhokelela ekuphumeni kwegazi okungaphantsi. La mayeza asebenza ngokufutshane kune-warfarin, oko kuthetha ukuba awudingi ukuba ujonge igazi lakho ngokusondeleyo ngelixa uwathatha. Kananjalo abanxibelelani nokutya okuninzi kunye namanye amayeza.

Kunye nomngcipheko wokopha kunye nokunxibelelana, elinye icala elingelolakho lokuthatha amayeza ukunqanda amahlwili egazi kufuneka liwathathe ixesha elide. Awunakufuna ukuba kumayeza ubomi bakho bonke.Usenokungafuni ukuya esibhedlele rhoqo ngeveki ukuya kuvavanywa igazi lakho. Okanye unokuba nezinye iingxaki okanye iimeko ezenza ukuba la mayeza athathwe ixesha elide okanye angenakwenzeka.

Ukumisela ezinye iindlela zonyango

Umlindi

Ukuba ujonga enye indlela yokuthatha abacoci gazi, izixhobo zokufaka ezifana noMlindi kunokuba kufanelekile ukuba ziphandwe. Esi sixhobo sibhloka kwisongezo se-atrial appendage (LAA) -indawo esentliziyweni yakho apho igazi lidla ngokufaka amachibi kunye namahlwili. Ngapha koko, amahlwili abangela ukubetha kwabantu abane-AFib bakhula kule ndawo iipesenti ezingama-90 zexesha, ngokwe-a.

Umlindi uvunyiwe yi-US Food and Drug Administration (i-FDA) yabantu abane-AFib engabandakanyi i-valve yentliziyo (i-nonvalvular AFib). Imile okwe parachute encinci kwaye iyazandisa. Nje ukuba ibekhona, izicwili ziya kukhula ngaphezulu komlindi kwiintsuku ezingama-45 zokucima i-LAA.

Ukulungela ukufakelwa esi sixhobo, kuya kufuneka ubenako ukunyamezela abacoci gazi. Awunakho ukuba negazi esele likho entliziyweni yakho okanye ukungabikho komzimba kwi-nickel, i-titanium, okanye nayiphi na into enayo kwesi sixhobo.

Umlindi ufakwa ngexesha lonyango lwangaphandle ngokusebenzisa i-catheter kwindawo yakho yokutya eyondliweyo entliziyweni yakho.

Lariat

Njengomlindi, iLariat sisixhobo sokufakelwa esikunceda ukuthintela amahlwili egazi ekwenzeni kwi-LAA yakho. I-Lariat ibopha i-LAA isebenzisa ii-sutures. Ekugqibeleni, ijika ibe sisihlunu esibomvu ukuze igazi lingakwazi ukungena, ukuqokelela kunye nokugungqa.

Inkqubo yenziwa kwakhona kusetyenziswa iicatheters. I-Lariat yenziwe ngetyhubhu yeplastiki ye-catheter ethambileyo. Ityhubhu ineemagnethi kunye nesiphelo esine-lasso- okanye esine-noose. Esi sisiseko esiya kuthi ekugqibeleni siyibophelele i-LAA yakho. Kufuneka kuphela iipunctures ezincinci ukubeka esi sixhobo xa kuthelekiswa nokusikwa okukhulu.

I-Lariat yamkelwe kubantu abangenayo impumelelo ngamayeza okucoca igazi kunye nabo bangakwaziyo ukwenza utyando nangasiphi na isizathu.

Ukusebenza kwezixhobo zokufakelwa

Emva kweentsuku ezingama-45, iipesenti ezingama-92 zabantu ababenomlindi babenako ukuphuma kumayeza okusika igazi kuvavanyo lweklinikhi Kunyaka omnye, iipesenti ezingama-99 zabantu baye bakwazi ukuphuma egazini.

Inkqubo yeLariat inokunciphisa umngcipheko wokubetha phakathi kwama-85 nama-90 ekhulwini.

Izibonelelo ezingaphezulu

Ngaphandle kokusebenza, esinye sezibonelelo eziphambili zokufakelwa kwezixhobo kukuba zinokubekwa emzimbeni wakho ngaphandle kotyando olungenelelayo. Ngapha koko, kwiimeko ezininzi abantu bagoduka umhla wenkqubo. Ngaphambi kwezi ntlobo zofakelo, i-LAA iya kubotshwa ngotyando lwentliziyo oluvulekileyo.

Oku kuthetha ukuba uya kuba nokufumana ngokukhawuleza kunye noMlindi okanye uLariat. Inqanaba lakho leentlungu kunye nokungonwabi kufuneka libe lincinci.

Ezi zixhobo zinokuvumela ukuba ufumane ukuzimela ngaphandle kwamayeza okucoca igazi. Ziyasebenza ngokuchanekileyo-ukuba akunjalo-njenge-warfarin kunye nezinye iziyobisi. Banikezela ngokhuseleko ngaphandle kwengozi yokopha kunye nobunzima bokulawula amayeza exesha elide. Ezi ziindaba ezimnandi ukuba unemicimbi yokuthatha i-anticoagulants okanye unqwenela ukunqanda umngcipheko wokopha kakhulu.

Ukuthatha: Thetha nogqirha wakho malunga nokufakwa

Ngaba awonwabanga ligazi lakho lincinci? Kukho ezinye iindlela. Ukuba unomdla wokufunda okungakumbi malunga nendlela ezi zixhobo zokufakelwa ezinokukusebenzela ngayo, nxibelelana nogqirha wakho ukuze enze idinga. Baza kukwazisa ukuba ngaba ungumgqatswa ofanelekileyo wokufakwa, kunye nokukunika iinkcukacha ezithe kratya malunga neenkqubo kwaye uphendule nayiphi na imibuzo onokuthi ube nayo.