Umbhali: Louise Ward
Umhla Wokudalwa: 3 Eyomdumba 2021
Hlaziya Umhla: 23 Eyenkanga 2024
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Umxholo

I-AFib kunye ne-thinner yegazi

I-Atrial fibrillation (AFib) sisifo sentliziyo esinokunyusa umngcipheko wokubetha. Nge-AFib, amagumbi amabini aphezulu entliziyo yakho abetha ngendlela engaqhelekanga. Igazi linokudibanisa kwaye liqokelele, lenze amahlwili anokuhamba aye kumalungu akho nakwingqondo yakho.

Oogqirha bahlala beyalela ii-anticoagulants ukuba zinciphise igazi kunye nokuthintela amahlwili ekubumbeni.

Nantsi into ekufuneka uyazi malunga nokusetyenziswa kwegazi ixesha elide, naziphi na iziphumo ebezingalindelekanga onokuzifumana, kunye nento onokufuna ukuxoxa ngayo nogqirha wakho.

Indlela abacoli begazi abasebenza ngayo

I-Anticoagulants inokuwunciphisa umngcipheko westroke ukuya kuthi ga. Ngenxa yokuba i-AFib ayinayo impawu ezininzi, abanye abantu baziva bengafuni okanye bafuna ukuthatha abacoci begazi, ngakumbi ukuba oko kuthetha ukuthatha iyeza ubomi babo bonke.

Ngelixa abacoci gazi bengatshintshi indlela oziva ngayo yonke imihla, kubaluleke kakhulu ukuzikhusela kwisifo sokubethwa.

Unokuhlangabezana neendidi ezininzi zegazi elincinci njengenxalenye yonyango lwe-AFib. IWarfarin (i-Coumadin) ibiligazi eliqhelekileyo elimiselweyo. Isebenza ngokunciphisa amandla omzimba wakho wokwenza ivithamin K. Ngaphandle kwe-vitamin K, isibindi sakho sinenkathazo yokwenza iiprotheni zokunqanda igazi.


Nangona kunjalo, abatsha abancinci, abasebenza ngokufutshane begazi ababizwa ngokuba yi-non-vitamin K ngomlomo i-anticoagulants (NOACs) ngoku bayacetyiswa ngaphezulu kwe-warfarin yabantu abane-AFib, ngaphandle kokuba umntu une-mitral stenosis okanye i-valve yentliziyo eyenziweyo. La mayeza aquka i-dabigatran (Pradaxa), i-rivaroxaban powder (i-Xarelto), i-apixaban (i-Eliquis), kunye ne-edoxaban (i-Savaysa).

Iziphumo ebezingalindelekanga zegazi elincinci

Abanye abantu akufuneki bathathe igazi elincinci. Qiniseka ukuba uxelela ugqirha wakho ukuba unayo nayiphi na kwezi meko zonyango zilandelayo ukongeza kwi-AFib:

  • uxinzelelo lwegazi olungalawulekiyo
  • izilonda zesisu okanye eminye imiba ekubeka emngciphekweni omkhulu wokopha ngaphakathi
  • hemophilia okanye ezinye iingxaki zokopha

Esinye seziphumo ebezingalindelekanga ezibonakalayo zonyango lwegazi-kukucutha ukwanda komngcipheko wokopha. Usenokuba semngciphekweni wokopha kakhulu kwizinto ezincinci.

Qiniseka ukuba uxelela ugqirha wakho ukuba uneempumlo ezide zempumlo okanye ukopha, okanye ubona igazi emhlanzweni okanye kwilindle lakho.Ukutyumka kakhulu yenye into onokuyibona efuna ingqalelo yogqirha.


Kunye nokopha, unokufumana irhashalala kunye nelahleko yeenwele njengeziphumo ebezingalindelekanga ngelixa usisiyobisi.

Ukubeka iliso kwigazi lakho elincinci

IWarfarin

Ukuba uthatha i-warfarin ixesha elide, uya kubekwa esweni ngokusondeleyo liqela lakho lezonyango.

Unokutyelela rhoqo esibhedlele okanye ekliniki ukuya kuvavanyo lwegazi olubizwa ngokuba lixesha leprothrombin. Oku kuthetha ukuba kuthatha ixesha elingakanani ukuba igazi lakho lijiye. Ihlala yenziwa rhoqo ngenyanga de ugqirha wakho abenako ukufumana idosi efanelekileyo esebenza emzimbeni wakho.

Ukujongwa kwegazi lakho yinto ekuya kufuneka uyenze ngelixa uthatha iyeza. Abanye abantu abadingi ukutshintsha idosi yabo yamayeza rhoqo. Abanye kufuneka babe novavanyo lwegazi rhoqo kunye notshintsho kumthamo wabo ukunqanda iziphumo ebezingalindelekanga kunye nokopha kakhulu.

Kuya kufuneka ukuba uhlolwe ngaphambi kokuba ube neenkqubo ezithile zonyango ezibandakanya ukopha, njengokuhlinzwa.

Ungaqaphela ukuba umbala wepilisi yakho ye-warfarin yahlukile kumaxesha ngamaxesha. Umbala umele idosi, ke kuya kufuneka ubeke iliso kuyo kwaye ubuze ugqirha wakho ukuba unemibuzo malunga nokubona umbala owahlukileyo kwibhotile yakho.


I-NOACs

Amagqabantshintshi egazi asebenza ngokufutshane njenge-anticoagulants yomlomo yenoveli (i-NOACs) ayihlali ifuna ukubekwa esweni rhoqo. Ugqirha wakho angakunika izikhokelo ezingakumbi kunyango kunye naluphi na utshintsho kumthamo.

Unxibelelwano

IWarfarin

I-Warfarin inokusebenzisana namayeza ahlukeneyo owathathayo. Ukutya okutyayo kunokuphazamisa nefuthe lakho emzimbeni wakho. Ukuba uthatha eli chiza ixesha elide, uya kufuna ukubuza ugqirha wakho ngakumbi malunga nokutya kwakho-ngakumbi malunga nokutya okuphezulu kwi-vitamin K.

Oku kutya kubandakanya imifuno eluhlaza, enamagqabi:

  • kudala
  • imifuno yekhola
  • I-chard yaseSwitzerland
  • imifuno yemostade
  • imifuno yetheniphu
  • iparsley
  • ispinatshi
  • endive

Kuya kufuneka uthethe nogqirha wakho malunga nayo nayiphi na into eyongezwayo ye-herbal okanye ye-omega-3 oyithathayo ukuze ubone indlela abanokuthi basebenzisane ngayo nabacoci begazi.

I-NOACs

Ii-NOACs azinakho ukuhlangana kokutya okanye iziyobisi. Thetha nogqirha wakho ukuze ubone ukuba ngaba ungumgqatswa wokuthatha la mayeza.

Uza kubona nini ugqirha wakho

Ukuba unenkxalabo malunga nokuthatha abacoci begazi ixesha elide, thetha nogqirha wakho.

Kubalulekile ukuba uthathe amayeza akho ngexesha elifanayo yonke imihla. Ukuba uphosa idosi, biza ugqirha wakho ukuze abone indlela onokubuyela ngayo kumkhondo.

Abanye abakhumbula idosi yabo ephosiweyo kufutshane nalapho bahlala beyithatha banokukwazi ukuyithatha kade iiyure ezimbalwa. Abanye banokufuna ukulinda kude kube lusuku olulandelayo kwaye baphindaphinde idosi yabo. Ugqirha wakho unokukucebisa ngeyona ndlela ilungileyo kwimeko yakho.

Tsalela umnxeba ku-911 kwangoko ukuba ufumana naziphi na kwezi mpawu zilandelayo ngelixa unciphisa igazi:

  • intloko ebukhali okanye engaqhelekanga
  • ukudideka, ubuthathaka, okanye ukuba ndindisholo
  • ukopha okungayi kuyeka
  • ukugabha igazi okanye igazi kwisitulo sakho
  • ukuwa okanye ukwenzakala entlokweni yakho

Ezi meko zinokuba ziimpawu zokopha ngaphakathi okanye kunokukhokelela ekuphulukaneni negazi ngokugqithileyo. Ukwenza izinto ngokukhawuleza kunokusindisa ubomi bakho.

Kukho amayeza antidote anokuthintela iimpembelelo ze-warfarin kwaye ufumane igazi lakho ukuba ligutyungeke kunxunguphalo, kodwa kuyakufuneka uye esibhedlele ukuze ufumane unyango.

Ukuthatha

Ukopha ngowona mngcipheko mkhulu wokusetyenziswa kwegazi ixesha elide. Ukuba ubiyele malunga nokubathatha kwesi sizathu, cinga ngokwenza iinguqu ezimbalwa kwindlela yokuphila. Ezi zinto zilandelayo unokuzenza ekhaya ukunciphisa amathuba okopha kwimisebenzi yemihla ngemihla:

  • Phosa nayiphi na ibhrashi yamazinyo eqinileyo, kwaye utshintshele kwezi ezineebristles ezithambileyo.
  • Sebenzisa i-wax floss endaweni ye-unwax, enokonakalisa iintsini zakho.
  • Zama isitshixo sombane ukunqanda ukusikwa kunye nokusikwa.
  • Sebenzisa izinto ezibukhali, njengezikere okanye iimela ngononophelo.
  • Buza ugqirha wakho malunga nokuthatha inxaxheba kuyo nayiphi na imisebenzi enokuthi inyuse amathuba akho okuwa okanye okonzakala, njengemidlalo yokunxibelelana. Oku kunokunyusa umngcipheko wokopha ngaphakathi.

Ukuba uthatha i-warfarin, unokufuna ukunciphisa ukutya okuthile ekudleni kwakho okunokusebenzisana namayeza. Endaweni yoko zama ukutya iintlobo ezahlukeneyo zokutya eziphantsi ku-vitamin K, kubandakanya:

  • iminqathe
  • icauliflower
  • ukhukhamba
  • iipepile
  • iitapile
  • I-squash
  • iitumato

Khumbula ukuba ukucocwa kwegazi akunakukwenza uzive ungcono yonke imihla. Okwangoku, lelinye lawona manyathelo angcono onokuwathatha ukuzikhusela kwisifo sokubethwa. Ukuba unenkxalabo malunga nabancinci begazi kunye nokusetyenziswa kwexesha elide, thetha nogqirha wakho malunga neengozi kunye neenzuzo.

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