I-Atrial fibrillation - ukukhishwa

I-Atrial fibrillation noma i-flutter uhlobo oluvamile lokushaya kwenhliziyo okungavamile. Isigqi senhliziyo siyashesha futhi imvamisa asijwayelekile. Ubukade usesibhedlela ukwelapha lesi simo.

Kungenzeka ukuthi usesibhedlela ngoba une-atrial fibrillation. Lesi simo senzeka lapho inhliziyo yakho ishaya ngokungafani futhi imvamisa ishesha kakhulu kunokujwayelekile. Kungenzeka ukuthi waba nale nkinga ngenkathi usesibhedlela ngenxa yesifo senhliziyo, ukuhlinzwa kwenhliziyo, noma esinye isifo esibi njenge-pneumonia noma ukulimala.

Imishanguzo okungenzeka ukuthi uyitholile ifaka phakathi:

• I-Pacemaker
• I-Cardioversion (le yinqubo eyenziwe ukushintsha isigqi senhliziyo yakho sibuyele kokujwayelekile. Kungenziwa ngomuthi noma ngogesi.)
• Ukukhishwa kwenhliziyo

Kungenzeka unikezwe imithi yokushintsha ukushaya kwenhliziyo yakho noma yehlise ijubane. Eminye yile:

• Ama-beta blockers, afana ne-metoprolol (Lopressor, Toprol-XL) noma i-atenolol (Senormin, Tenormin)
• Ama-block block wesiteshi seCalcium, njenge-diltiazem (Cardizem, Tiazac) noma i-verapamil (Calan, Verelan)
• I-Digoxin
• Ama-antiarrhythmics (imithi elawula isigqi senhliziyo), efana ne-amiodarone (Cordarone, Pacerone) noma i-sotalol (Betapace)

Gcwalisa yonke imiyalo yakho ngaphambi kokuba uye ekhaya. Kufanele uthathe imithi yakho ngendlela umhlinzeki wakho wezokunakekelwa kwempilo ekutshele ngayo.

• Tshela umhlinzeki wakho ngeminye imishanguzo oyiphuzayo okubandakanya imishanguzo yamakhasimende, amakhambi, noma izithako. Buza ukuthi ngabe kulungile ukuqhubeka nokuthatha lokhu. Futhi, tshela umhlinzeki wakho uma uthatha ama-antacids.
• Ungalokothi uyeke ukuthatha noma imiphi imithi yakho ngaphandle kokukhuluma nomhlinzeki wakho kuqala. UNGAKWEQI umthamo ngaphandle kokuthi utshelwe.

Kungenzeka uthathe i-aspirin noma i-clopidogrel (i-Plavix), i-prasugrel (i-Effient), i-ticagrelor (i-Brilinta), i-warfarin (i-Coumadin), i-heparin, noma elinye igazi elincanyana njenge-apixiban (i-Eliquis), i-rivaroxaban powder (i-Xarelto), i-dabigatran (i-Pradaxa) ukusiza gcina igazi lakho linganqandi.

Uma uthatha noma yiliphi igazi elincanyana:

• Udinga ukubuka noma yikuphi ukuphuma kwegazi noma ukulimaza, futhi wazise umhlinzeki wakho uma kwenzeka.
• Tshela udokotela wamazinyo, usokhemisi nabanye abahlinzeki ukuthi uphuza lo muthi.
• Uzodinga ukuhlolwa okwengeziwe kwegazi ukuze uqiniseke ukuthi umthamo wakho ulungile uma uthatha i-warfarin.

Nciphisa ukuthi uphuza kangakanani utshwala. Buza umhlinzeki wakho uma kulungile ukuphuza, nokuthi kungakanani okuphephile.

UNGABHALI ugwayi. Uma ubhema, umhlinzeki wakho angakusiza ukuthi uyeke.

Landela ukudla okunempilo kwenhliziyo.

• Gwema ukudla okunosawoti nokunamafutha.
• Hlala kude nezindawo zokudlela ezidayisa ukudla okusheshayo.
• Udokotela wakho angakudlulisela kuchwepheshe wezokudla, ongakusiza ukuhlela ukudla okunempilo.
• Uma uthatha i-warfarin, UNGENZI ushintsho olukhulu ekudleni kwakho noma uthathe amavithamini ngaphandle kokuhlola udokotela wakho.

Zama ukugwema izimo ezicindezelayo.

• Tshela umhlinzeki wakho uma uzizwa ucindezelekile noma udabukile.
• Ukukhuluma nomeluleki kungasiza.

Funda ukuthi ungayihlola kanjani i-pulse yakho, futhi uyihlole nsuku zonke.

• Kungcono ukuthatha ishayela lakho kunokusebenzisa umshini.
• Umshini unganemba kancane ngenxa ye-atrial fibrillation.

Nciphisa inani le-caffeine oyiphuzayo (etholakala kukhofi, itiye, ama-colas, nezinye iziphuzo eziningi.)

UNGAYisebenzisi i-cocaine, ama-amphetamine, noma ezinye izidakamizwa ezingekho emthethweni. Kungenza inhliziyo yakho ishaye ngamandla, futhi kudale umonakalo ongapheli enhliziyweni yakho.

Shayela usizo oluphuthumayo uma uzizwa:

• Ubuhlungu, ingcindezi, ukuqina, noma isisindo esifubeni sakho, ingalo, intamo noma umhlathi
• Ukuphelelwa umoya
• Izinhlungu zegesi noma ukugaya ukudla
• Ukujuluka, noma uma ulahlekelwa umbala
• Ikhanda elikhanyayo
• Ukushaya kwenhliziyo okusheshayo, ukushaya kwenhliziyo okungajwayelekile, noma inhliziyo yakho ishaya ngamandla
• Ukuba ndikindiki noma ubuthakathaka ebusweni bakho, engalweni, noma emlenzeni
• Fiphalaza noma wehlise umbono
• Izinkinga zokukhuluma noma ukuqonda inkulumo
• Isiyezi, ukulahlekelwa ibhalansi, noma ukuwa
• Ikhanda elibuhlungu
• Ukopha

I-fibrillation ye-auricular - ukukhishwa; I-A-fib - ukukhishwa; AF - ukukhishwa; I-Afib - ukukhishwa

UJanuwari CT, Wann LS, Alpert JS, et al. Umhlahlandlela we-2014 AHA / ACC / HRS wokuphathwa kweziguli ezine-fibrillation ye-atrial: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice kanye ne-Heart Rhythm Society. UJ Am Coll Cardiol. 2014; 64 (21): e1-76. I-PMID: 24685669 www.ncbi.nlm.nih.gov/pubmed/24685669.

UMorady F, uZipes DP. I-Atrial fibrillation: izici zomtholampilo, izindlela, nokuphathwa. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier Saunders; 2019: isahluko 38.

I-Zimetbaum P. Ama-arrhythmias enhliziyo anemvelaphi engaphezulu kwamandla. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 64.

• I-Arrhythmias
• I-Atrial fibrillation noma i-flutter
• Izinqubo zokukhipha inhliziyo
• Umenzi wenhliziyo
• Ukuhlaselwa kweschemic kwesikhashana

• Izidakamizwa ze-antiplatelet - P2Y12 inhibitors
• I-Aspirin nesifo senhliziyo
• Cholesterol nendlela yokuphila
• I-cholesterol - ukwelashwa kwezidakamizwa
• Ukulawula umfutho wegazi ophakeme
• Ukuthatha i-warfarin (Coumadin, Jantoven) - okufanele ubuze udokotela wakho
• Ukuthatha i-warfarin (Coumadin)

• I-Atrial Fibrillation