Izinzuzo Zokufaka Amadivayisi we-AFib

-Delile

• Ukwelashwa kwe-AFib kanye namahlule egazi
• Faka ezinye izindlela zokwelapha
• Umlindi
• I-Lariat
• Ukusebenza kahle kwamadivayisi wokufaka
• Izinzuzo eziningi
• Ukuthatha: Khuluma nodokotela wakho mayelana nokufakwa

I-Atrial fibrillation (i-AFib) ukuphazamiseka kwesigqi senhliziyo okuthinta abantu abangaba yizigidi ezingama-2.2 e-United States.

Nge-AFib, amakamelo amabili aphezulu enhliziyo yakho ashaya ngokungajwayelekile, okungenzeka aholele kumahlule egazi futhi enze inhliziyo yakho ibe buthaka ngokuhamba kwesikhathi. Ungathola noma yini kusuka ekuphefumuleni kuze kube ukushaya kwenhliziyo. Noma ungazitholi izimpawu nhlobo.

Ngaphandle kokwelashwa, ungabekeka engozini yokushaywa unhlangothi noma ngisho nokuhluleka kwenhliziyo.

Ukwelashwa kwe-AFib kanye namahlule egazi

Umgomo oyinhloko wokwelashwa kwe-AFib ugxile ekulawuleni isigqi senhliziyo yakho nokuvimbela amahlule egazi. Ukuvimbela amahlule kubaluleke kakhulu ngoba angakhipha futhi ahambele kwezinye izingxenye zomzimba wakho. Lapho ihlule legazi lingena ebuchosheni bakho, kungaholela ekushayweni unhlangothi.

Izindlela zokwelashwa zendabuko zigxile emithini, njengabahlinzeki begazi.

I-Warfarin (i-Coumadin) yake yaba ngomncane kakhulu egazini we-AFib. Kungasebenzisana nokudla okuthile nemithi, ngakho-ke akuyona inketho yawo wonke umuntu. Kungase futhi kuholele ezinkingeni ezifana nokopha ngokweqile. Uma uthatha lo muthi, uzodinga ukuqashwa kaningi ngokuhlolwa kwegazi.

Izidakamizwa ezintsha ezaziwa njenge-non-vitamin K oral anticoagulants (NOACs) zisebenza kahle njenge-warfarin futhi manje zingabanciphisi begazi abathandwayo be-AFib. Kubandakanya i-dabigatran (Pradaxa), i-rivaroxaban powder (i-Xarelto), ne-apixaban (i-Eliquis).

Ama-NOAC angaholela ngisho nasekuphumeni kwegazi okungaphansi. Le mithi isebenza isikhathi esifushane kune-warfarin, okusho ukuthi awudingi ukuthi igazi lakho libhekwe eduze ngenkathi uyithatha. Futhi azihlangani nokudla okuningi neminye imithi.

Kanye nengozi yokuphuma kwegazi nokuhlangana, ukwehla kokuthatha imithi ukuvimbela amahlule egazi kufanele kukuthathe isikhathi eside. Ungahle ungafuni ukuba semithini impilo yakho yonke. Ungahle ungafuni ukuya esibhedlela sakho njalo ngesonto uyohlolwa igazi lakho. Noma ungaba nezinye izinkinga noma izimo ezenza ukuthatha le mithi isikhathi eside ungakhangi noma kungenzeki.

Faka ezinye izindlela zokwelapha

Umlindi

Uma ufuna enye indlela yokuthatha izinciphisi zegazi, izinto zokufaka ezifana noMlindi zingakufanele ukuphenya. Le divayisi ivimba i-atrial appendage engakwesobunxele (i-LAA) - indawo esenhliziyweni yakho lapho igazi livame ukuba namachibi kanye namahlule. Eqinisweni, amahlule abangela unhlangothi kubantu abane-AFib athuthuka kule ndawo amaphesenti angama-90 esikhathi, ngokusho kwe-.

I-Watchman ivunyelwe yi-U.S. Food and Drug Administration (FDA) yabantu abane-AFib engabandakanyi i-valve yenhliziyo (i-nonvalvular AFib). Ibunjwe njengepharashuthi elincane futhi iyazikhulisa. Uma sesisendaweni, izicubu zizokhula phezu kweWatchman ezinsukwini ezingaba ngu-45 ukuvimba i-LAA.

Ukuze ufaneleke ukufakwa kule divayisi, kufanele ukwazi ukubekezelela izinciphisi zegazi. Awukwazi ukuba nehlule legazi elikhona enhliziyweni yakho noma ukungezwani komzimba ne-nickel, i-titanium, noma enye into ekwidivayisi.

Umlindi ufakwa phakathi nenqubo yokuphulukiswa kweziguli ngepayipi elisemgodini wakho olondliwe enhliziyweni yakho.

I-Lariat

NjengeWatchman, iLariat iyithuluzi lokufakelwa elisiza ukuvimbela amahlule egazi ukuthi angakheki ku-LAA yakho. ILariat ibopha i-LAA isebenzisa ama-sutures. Ekugcineni, iphenduka izicubu ezibomvu ngakho-ke igazi alikwazi ukungena, ukuqoqa nokugoqa.

Le nqubo yenziwa futhi kusetshenziswa ama-catheters. ILariat yakhiwe ngeshubhu lepulasitiki elithambile lepulasitiki. Ishubhu linamazibuthe kanye nesiphetho esime njenge-lasso- noma i-noose. Le yi-suture ezogcina ibophele i-LAA yakho. Kudingeka ukubhoboza okuncane kuphela ukubeka le divayisi kuqhathaniswa nokusika okukhulu.

ILariat ivunyelwe abantu abangaphumeleli ngemithi yokuncipha igazi nalabo abangakwazi ukuhlinzwa nganoma yisiphi isizathu.

Ukusebenza kahle kwamadivayisi wokufaka

Ngemuva kwezinsuku ezingama-45, abantu abangamaphesenti angama-92 abane-Watchman bakwazi ukuphuma emithini yokuncipha igazi ekuhlolweni komtholampilo Ngonyaka owodwa, amaphesenti angama-99 wabantu akwazi ukuphuma abahlinza igazi.

Inqubo yeLariat inganciphisa ubungozi bokushaywa unhlangothi ngamaphesenti aphakathi kwama-85 nama-90.

Izinzuzo eziningi

Ngaphandle kokusebenza kahle, enye yezinzuzo ezinkulu lawa madivayisi afakelwayo ukuthi angabekwa emzimbeni wakho ngaphandle kokuhlinzwa okungahlaseli. Eqinisweni, ezimweni eziningi abantu baya emakhaya ngosuku lwenqubo. Ngaphambi kwalezi zinhlobo zokufakelwa, i-LAA ibizoboshwa ngokuhlinzwa okuvulekile kwenhliziyo.

Lokhu kusho ukuthi cishe uzoba nokululama okusheshayo nge-Watchman noma i-Lariat. Izinga lakho lobuhlungu nokungakhululeki kufanele futhi kube kuncane.

Le mishini ingakuvumela ukuthi uthole ukuzimela emithini yokuncipha igazi. Zisebenza ngempumelelo efanayo - uma kungenjalo - njenge-warfarin nezinye izidakamizwa. Banikeza ukuvikelwa ngaphandle kwengozi yokopha nobunzima bokulawula imithi yesikhathi eside. Lezi yizindaba ezinhle uma unezinkinga ngokuthatha ama-anticoagulants noma ufisa ukugwema izingozi zokopha ngokweqile.

Ukuthatha: Khuluma nodokotela wakho mayelana nokufakwa

Awuneme ngegazi lakho elizacile? Kunezinye izindlela. Uma unentshisekelo yokufunda kabanzi mayelana nokuthi la madivayisi okufakelwa angakusebenzela kanjani, xhumana nodokotela wakho ukuze enze i-aphoyintimenti. Bazokwazisa uma ungumuntu ofanelekayo wokufakelwa, futhi bakunikeze nemininingwane eminingi ngezinqubo futhi baphendule noma yimiphi imibuzo ethile ongahle ube nayo.