Kuyini i-Nonvalvular Atrial Fibrillation?

-Delile

• Izimpawu ze-nonvalvular atrial fibrillation
• Izimbangela ze-fibrillation ye-atrial engavimbeli
• Ukuhlonza i-nonrvalular atrial fibrillation
• Ukwelashwa kwe-nonvalvular atrial fibrillation
• Imithi
• Izinqubo
• I-Outlook ye-fibrillation ye-atrial engavimbeli
• I-Q & A: I-Rivaroxaban powder vs. warfarin
• Q:
• A:

Ukubuka konke

I-Atrial fibrillation (i-AFib) igama lezokwelapha lesigqi senhliziyo esingajwayelekile. Kunezimbangela eziningi ze-AFib. Lokhu kufaka phakathi izifo zenhliziyo ze-valvular, lapho ukungajwayelekile kuma-valve enhliziyo yomuntu kuholela kwizigqi zenhliziyo ezingavamile.

Kodwa-ke, abantu abaningi abane-AFib abanaso isifo senhliziyo se-valvular. Uma une-AFib engabangelwa yisifo senhliziyo se-valvular, ivame ukubizwa nge-nonvalvular AFib.

Ayikho incazelo ejwayelekile ye-nonibular AFib okwamanje. Odokotela basanquma ukuthi yiziphi izimbangela ze-AFib okufanele zithathwe njenge-valvular futhi okufanele zithathwe njengezingavumelekile.

kukhombisile ukuthi kungahle kube khona umehluko ekwelashweni phakathi kwezinhlobo ezimbili ezijwayelekile. Abaphenyi babheka ukuthi iziphi izindlela zokwelapha ezisebenza kangcono kwi-nonibvalular noma i-valvular AFib.

Izimpawu ze-nonvalvular atrial fibrillation

Ungaba ne-AFib futhi ungabi nazimpawu. Uma uhlangabezana nezimpawu ze-AFib, zingafaka:

• Ukungaphatheki kahle kwesifuba
• ukuphephuka esifubeni sakho
• ukushaya kwenhliziyo
• ikhanda elikhanyayo noma ukuzizwa uphelile
• ukuphelelwa umoya
• ukukhathala okungachazeki

Izimbangela ze-fibrillation ye-atrial engavimbeli

Izimbangela ezingekho emthethweni ze-AFib zingafaka:

• ukuvezwa kokuvuselela inhliziyo, njengotshwala, i-caffeine, noma ugwayi
• ukulala ubuthongo
• umfutho wegazi ophakeme
• izinkinga zamaphaphu
• hyperthyroidism, noma indlala yegilo eyeqisa
• ukucindezeleka ngenxa yokugula okunzima, njenge-pneumonia

Izimbangela ze-Valvular ze-AFib zibandakanya ukuba ne-valve yenhliziyo yokufakelwa noma isimo esaziwa njenge-mitral valve stenosis. Odokotela abakakavumelani uma ngabe ezinye izinhlobo zezifo ze-valve zenhliziyo kufanele zifakwe encazelweni ye-valvular AFib.

Ukuhlonza i-nonrvalular atrial fibrillation

Uma ungenazo izimpawu ze-AFib, udokotela wakho angathola isigqi senhliziyo esingajwayelekile lapho uhlolwe isimo esingahlobene. Bazokuhlola ngokomzimba futhi bakubuze ngomlando wakho wezokwelapha nomlando wezempilo yomndeni wakho. Cishe bazokucela ukuthi wenze olunye ukuhlolwa.

Ukuhlolwa kwe-AFib kufaka:

• i-electrocardiogram
• bhequza
• ukucindezeleka test
• X-ray esifubeni
• ukuhlolwa kwegazi

Ukwelashwa kwe-nonvalvular atrial fibrillation

Udokotela wakho angancoma ukwelashwa noma izinqubo ezithile zokwelapha i-non-vval AFB.

Imithi

Uma unanoma yiluphi uhlobo lwe-AFib, udokotela wakho angakunikeza umuthi we-anticoagulant. Lokhu kungenxa yokuthi i-AFib ingadala ukuthi amakamelo enhliziyo yakho aqhaqhazele, ivimbele igazi ekuhambeni kuyo ngokushesha okujwayelekile.

Lapho igazi lihlala linganyakazi isikhathi eside, lingaqala ukuminyana. Uma ihlwili lakha enhliziyweni yakho, lingadala ukuvimba okuholela ekuhlaselweni yinhliziyo noma isifo sohlangothi. Ama-Anticoagulants angasiza ekwenzeni igazi lakho lingabi namakhaza amaningi.

Izinhlobo eziningana zama-anticoagulants ziyatholakala. Lawa ma-anticoagulants angasebenza ngezindlela ezahlukahlukene ukunciphisa amathuba okuthi igazi lakho livaleke.

Odokotela bangahle banikeze izidakamizwa ze-anticoagulant ezaziwa njengabaphikisi bakavithamini K kubantu abane-valvular AFib. Abaphikisi bakaVitamin K bavimba amandla omzimba wakho wokusebenzisa uvithamini K. Ngoba umzimba wakho udinga uvithamini K ukwakha ihlwili, ukulivimba kungenza igazi lakho lingabi namandla okuvaleka I-Warfarin (i-Coumadin) uhlobo lomphikisi ka-vitamin K.

Kodwa-ke, ukuthatha umphikisi ka-vitamin K kudinga ukuvakashelwa udokotela njalo ukubheka ukuthi i-anticoagulant isebenza kahle kangakanani. Kuzofanele futhi ugcine imikhuba yokudla ngokucophelela ukuze ungathathi uvithamini K omningi ekudleni kwakho.

Imishanguzo emisha, manje enconywayo ngaphezu kwe-warfarin, isebenza ngezindlela ezahlukene ukunciphisa ukunqamuka kwegazi okungadingi lokhu kubhekwa. Lokhu kungabenza bathandeke kubaphikisi bakavithamini K kubantu abane-nonibular AFib.

Le mithi emisha ibizwa ngama-anticoagulants womlomo (non-vitamin K) anticoagulants (NOACs). Zisebenza ngokuvimbela i-thrombin, into edingekayo ukuze igazi lakho limile. Izibonelo zama-NOACs yilezi:

• i-dabigatran (Pradaxa)
• i-Rivaroxaban powder (i-Xarelto)
• i-apixaban (Eliquis)

Ngaphezu kwama-anticoagulants, udokotela angahle anikeze imishanguzo yokusiza ukugcina inhliziyo yakho isesigqi. Lokhu kufaka phakathi:

• Siphokuhle (Tikosyn)
• i-amiodarone (i-Cordarone)
• i-sotalol (Betapace)

Izinqubo

Udokotela wakho futhi angancoma izinqubo ezingasiza "ukusetha kabusha" inhliziyo yakho ngakho ishaya ngesigqi. Lezi zinqubo zifaka:

• Ukuphefumula kwenhliziyo. Ku-cardioversion, amandla kagesi alethwa enhliziyweni yakho ukuzama ukubuyisela isigqi esigqi sesinus esijwayelekile, nokushaya kwenhliziyo okuvamile.
• Ukususwa kwemali. Lokhu kufaka phakathi ukusika ngamabomu noma ukulimaza izingxenye zenhliziyo yakho ezithumela amasiginali kagesi angajwayelekile ukuze inhliziyo yakho ishaye ngesigqi futhi.

I-Outlook ye-fibrillation ye-atrial engavimbeli

Abantu abane-valvular AFib basengozini enkulu yamahlule egazi. Kodwa-ke, bonke abantu abane-AFib basengozini enkulu yamahlule egazi kunalabo abangenayo i-AFib.

Uma ucabanga ukuthi ungaba ne-AFib, khuluma nodokotela wakho. Ngokuvamile bangasebenzisa i-electrocardiogram ukuhlola isigqi senhliziyo yakho. Ukusuka lapho, bangasebenza ukuthola ukuthi ngabe i-AFib yakho iyi-valvular noma i-nonvalvular futhi basungula uhlelo lokwelashwa olungcono kakhulu kuwe.

I-Q & A: I-Rivaroxaban powder vs. warfarin

Q:

Ngine-AFib engavumelekile. Yikuphi i-anticoagulant engcono, i-rivaroxaban powder noma i-warfarin?

A:

I-Warfarin ne-Rivaroxaban powder isebenza ngokuhlukile, futhi ngalinye linobuhle nobubi balo. Izinzuzo zezidakamizwa ezifana ne-rivaroxaban powder ukuthi awudingi ukuqapha i-coagulation yegazi lakho noma ukhawulele ekudleni kwakho, zinokuxhumana okumbalwa kwezidakamizwa, futhi ziya emsebenzini ngokushesha. I-Rivaroxaban powder itholakale isebenza kanye ne-warfarin yokuvimbela ukushaywa unhlangothi noma ukuvala igazi. Okubi kakhulu ku-Rivaroxaban powder ukuthi kungadala ukopha emathunjini kaningi kune-warfarin. Ukubuyekezwa kwezilingo zakamuva zezidakamizwa kubonise ukuthi ama-NOAC anciphisa izimbangela zokufa kwabantu cishe ngamaphesenti ayishumi.

Abantu abane-valvular AFib banamathuba amaningi okuba negazi kunabantu abanesifo senhliziyo esingavumelekile.