Yintoni iFibrillation yeAtvalvular Atrial?

Umxholo

• Iimpawu ze-fibrillation ye-atrial engavumelekanga
• Oonobangela be-fibrillation ye-atrial engasebenziyo
• Ukuchonga i-nonvalvular atrial fibrillation
• Unyango lwe-nonvalvular atrial fibrillation
• Amayeza
• Iinkqubo
• Imbonakalo yefibrillation ye-atrial engasebenziyo
• I-Q & A: I-Rivaroxaban powder kunye ne-warfarin
• Q:
• A:

Ushwankathelo

I-Atrial fibrillation (AFib) ligama lonyango lesingqisho sentliziyo esingaqhelekanga. Zininzi izinto ezinokubangela i-AFib. Oku kubandakanya izifo zentliziyo ye-valvular, apho ukungahambi kakuhle kwezivalo zentliziyo yomntu kukhokelela kwisingqi sentliziyo esingaqhelekanga.

Nangona kunjalo, abantu abaninzi abane-AFib abanaso isifo senhliziyo se-valvular. Ukuba une-AFib engabangelwa sisifo sentliziyo se-valvular, ihlala ibizwa ngokuba yi-nonvalvular AFib.

Akukho nkcazo isemgangathweni ye-AFib engavumelekanga okwangoku. Oogqirha basathatha isigqibo sokuba zeziphi izizathu ze-AFib kufuneka ziqwalaselwe njenge-valvular kwaye zifanele zithathwa njenge-nonvalvular.

zibonise ukuba kungakho umahluko kunyango phakathi kweentlobo ezimbini ngokubanzi. Abaphandi bajonge ukuba loluphi unyango olusebenza kakuhle kwi-AFib ye-nonvalvular okanye ye-valvular.

Iimpawu ze-fibrillation ye-atrial engavumelekanga

Unokuba ne-AFib kwaye ungabinazo iimpawu. Ukuba ufumana iimpawu ze-AFib, zinokubandakanya:

• Ukungonwabi esifubeni
• ukubetha esifubeni sakho
• ukubetha kwentliziyo
• intloko engenamphunga okanye uziva utyhafile
• ukuqhawukelwa ngumphefumlo
• Ukudinwa okungachazwanga

Oonobangela be-fibrillation ye-atrial engasebenziyo

Izizathu ezingavumelekanga ze-AFib zingabandakanya:

• ukubonakaliswa kukukhuthaza intliziyo, njengotywala, icaffeine, okanye icuba
• ubuthongo bokulala
• igazi elonyukayo
• iingxaki zemiphunga
• hyperthyroidism, okanye idlala lengqula eligqithisileyo
• uxinzelelo ngenxa yokugula kakhulu, njenge-pneumonia

Izizathu ze-Valvular ze-AFib ziquka ukuba ne-valve yokufakelwa kwentliziyo okanye imeko eyaziwa ngokuba yi-mitral valve stenosis. Oogqirha abakavumelani ukuba ezinye iintlobo zezifo zentliziyo yevalve kufuneka zibandakanywe kwinkcazo ye-valvular AFib.

Ukuchonga i-nonvalvular atrial fibrillation

Ukuba awunayo nayiphi na impawu ye-AFib, ugqirha wakho unokufumana isigqi senhliziyo esingaqhelekanga xa uvavanywa kwimeko engahambelaniyo. Baza kwenza uvavanyo lomzimba kwaye babuze malunga nembali yakho yezonyango kunye nembali yempilo yosapho lwakho. Baza kucelwa ukuba wenze uvavanyo oluthe kratya.

Uvavanyo lwe-AFib lubandakanya:

• umbane wombane
• qeebloyi
• Uvavanyo loxinzelelo
• X-reyi yesifuba
• iimvavanyo zegazi

Unyango lwe-nonvalvular atrial fibrillation

Ugqirha wakho unokucebisa amayeza okanye iinkqubo ezithile zokunyanga i-AFib engeyiyo engavumelekanga.

Amayeza

Ukuba unayo nayiphi na i-AFib, ugqirha wakho unokumisela iyeza le-anticoagulant. Kungenxa yokuba i-AFib inokubangela ukuba amagumbi entliziyo yakho agungqe, kuthintele igazi ukuba lihambe kulo ngokukhawuleza njengesiqhelo.

Xa igazi lihleli ixesha elide, linokuqalisa ukujiya. Ukuba i-clot yenzeka entliziyweni yakho, inokubangela ukukhutshwa okukhokelela ekuhlaselweni yintliziyo okanye ukubetha. Iianticoagulants zinokunceda ekwenzeni ukuba igazi lakho lingabikho kwihlwili.

Zininzi iintlobo ze-anticoagulants ezikhoyo. Ezi anticoagulants zinokusebenza ngeendlela ezahlukeneyo ukunciphisa ukubakho kwegazi lakho.

Oogqirha banokuyalela iziyobisi ze-anticoagulant ezaziwa ngokuba zii-vitamin K ezichasene nabantu abane-valvular AFib. Abaphikisi bakaVitamin K bavimba amandla omzimba wakho ekusebenziseni ivithamin K. Ngenxa yokuba umzimba wakho ufuna ivithamin K ukwenza ihlwili, ukuwuthintela kungenza ukuba igazi lakho lingabinalo ihlwili. IWarfarin (Coumadin) luhlobo lwevithamini K ochasene nayo.

Nangona kunjalo, ukuthatha i-vitamin K antagonist kufuna ukutyelelwa rhoqo ngugqirha ukujonga ukuba isebenza njani i-anticoagulant. Kuya kufuneka ugcine iindlela zokutya ngononophelo ukuze ungathathi ivithamin K eninzi kukutya kwakho.

Amayeza amatsha, ngoku acetyiswayo ngaphezulu kwe-warfarin, asebenza ngeendlela ezahlukeneyo ukunciphisa i-clotting yegazi engadingi ukubekwa kweliso. Oku kunokubenza bakhethe ngakumbi ku-vithamini K abachasene nabantu abane-nonibular AFib.

La mayeza matsha abizwa ngokuba yi-non-vitamin K ngomlomo i-anticoagulants (NOACs). Zisebenza ngokuthintela i-thrombin, into efunekayo ukuze igazi lakho ligutyunge. Imizekelo yee-NOAC zezi:

• dabigatran (iPradaxa)
• Rivaroxabanxabisa (Xarelto)
• apixaban (uEliquis)

Ukongeza kwii-anticoagulants, ugqirha unokuyalela amayeza ukunceda ukugcina intliziyo yakho inesingqi. Oku kubandakanya:

• Ndiphiwe (Tikosyn)
• amiodarone (eCordarone)
• I-sotalol (iBetapace)

Iinkqubo

Ugqirha wakho unokucebisa kwakhona iinkqubo ezinokukunceda "ukusetha kwakhona" intliziyo yakho ukuze ibethe kwisigqi. Ezi nkqubo zibandakanya:

• Intliziyo. Kwi-cardioversion, umbane uhanjiswa entliziyweni yakho ukuzama ukubuyisela isigqi kwisigqi sesiqhelo sesono, esiqhelekileyo, kunye nokubetha kwentliziyo.
• Ukunciphisa. Oku kubandakanya ukonakala ngenjongo okanye ukonakalisa iinxalenye zentliziyo yakho ezithumela imiqondiso yombane engagunyaziswanga ukuze intliziyo yakho ibethe ngesingqi kwakhona.

Imbonakalo yefibrillation ye-atrial engasebenziyo

Abantu abane-valibular AFib basemngciphekweni omkhulu wamagazi. Nangona kunjalo, bonke abantu abane-AFib basemngciphekweni omkhulu wamagazi kunabo bangenayo i-AFib.

Ukuba ucinga ukuba unokuba ne-AFib, thetha nogqirha wakho. Bahlala besebenzisa i-electrocardiogram ukuvavanya isingqi sentliziyo yakho. Ukusuka apho, banokusebenza ukumisela ukuba i-AFib yakho yi-valvular okanye ayiyiyovvalval kwaye iseke isicwangciso sonyango esilungele wena.

I-Q & A: I-Rivaroxaban powder kunye ne-warfarin

Q:

Ndine-AFib engavumelekanga. Yeyiphi i-anticoagulant ebhetele, i-rivaroxaban powder okanye i-warfarin?

Isigulana esingaziwayo

A:

I-Warfarin kunye ne-Rivaroxaban powder basebenza ngokwahlukileyo, kwaye nganye ineenzuzo kunye neengozi. Izibonelelo zamachiza afana ne-rivaroxaban powder kukuba awudingi ukubeka esweni ukugcwala kwegazi lakho okanye ukuthintela ukutya kwakho, banonxibelelwano oluncinci lweziyobisi, kwaye baya kusebenza ngokukhawuleza. I-Rivaroxaban powder ifunyenwe ukuba isebenze kunye ne-warfarin yokuthintela ukubetha okanye ukujija kwegazi. Icala elisezantsi kwi-rivaroxaban powder kukuba kunokubangela ukopha emathunjini rhoqo kune-warfarin. Ukuphononongwa kwezilingo zamachiza kutshanje kubonise ukuba ii-NOACs zinciphisa zonke izizathu zokufa kwabantu malunga neepesenti ezili-10.

Elaine K. Luo, MD Iimpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.Amahlwili egazi kwi-AFib

Abantu abane-valibular AFib banamathuba okuba babe ne-clot yegazi kunabantu abanesifo sentliziyo esingavumelekanga.