Iwe unofanirwa kutora anotapira ropa kune AFib?

Dzidzo yehutano

Zvinofungidzirwa kuti vangangoita mamirioni 2.7 vekuAmerican - uye vanosvika mamirioni 6.1 - vari kurarama neAtrial Fibrillation, sekureva kwe Nzvimbo dzekudzivirira nekudzivirira hosha (CDC). Atrial fibrillation (aka AFib) imhando yemamiriro emwoyo anotsanangurwa seasina kujairika - kazhinji kukurumidza kana kudedera - kurova kwemoyo (neimwe nzira kunozivikanwa se arrhythmia). Inotungamira mukusviba kweropa kuyerera, izvo zvinogona kuwedzera njodzi yekurohwa. Imwe nzira yekudzora njodzi iyi kutora ropa rinotapira AFib , asi vanouya nenjodzi dzega.

Chii chinonzi atrial fibrillation (AFib)?

Atrial fibrillation ndiyo mamiriro apo akajairika magetsi wedunhu emoyo akavhiringidzwa, anotsanangura Kavitha Chinnaiyan, MD , anobatanidza cardiologist kuBeaumont Health System uye anobatanidza purofesa weMedicine pa Oakland University William Beaumont Chikoro cheMishonga . Mumwoyo une hutano, simba remagetsi rinoyerera nenzira dzakasarudzika. Mune mumwe munhu ane AFib, iko kushushikana kwekurova kwemoyo kunobva munzvimbo dzisina kujairika mumakamuri epamusoro emoyo, uye inoparadzirwa nenzira isina kujairika uye kumakamuri epazasi. Saka pachinzvimbo chekupfava kwemakamuri epamusoro, iwo 'fibrillate' uye haabvumirane zvakajairika, Dr. Chinnaiyan anodaro.

Ndezvipi zviratidzo zveAFib?

Chiratidzo chakajairika cheAFIB moyo wekumhanya. Zviratidzo zvinogona zvakare kusanganisira:

• kuneta
• kurwadziwa pachipfuva
• mweya wekufema
• dzungu uye / kana huma musoro

Asi, vamwe vanhu havana chiratidzo zvachose, anodaro Nisha B. Jhalani, MD , director wezvekurapa uye zvekudzidzisa mabasa kuCentre for Interventional Vascular Therapy pa NewYork-Presbyterian / Columbia University Irving Chiremba Center .

Nzira yekuziva sei AFib

Dr. Jhalani anowedzera kuti AFib inogona kuongororwa ne electrocardiogram (ECG), asi munhu wacho anofanira kunge ari muAFib panguva yekuyedzwa. Kana munhu achichinjika pakati peatrial fibrillation uye yakajairwa sinus rhythm, iyo yakajairika, saka muyedzo wakanyanya wekuongororwa ungangove wevhiki mbiri chiitiko chekutora kutora arrhythmia uye kuiendesa kune chero zviratidzo, Dr. Jhalani anoenderera mberi.

AFib uye sitiroko njodzi

Munguva yezvikamu zveAfib, ropa rakapfuma reoksijeni harina kuputirwa nemuviri wese, zvinoreva kuti ropa riri mumakamuri epamusoro rinogona kumira uye kuita ganda. Zvino, kugwamba kweropa kunogona kuendeswa kuuropi kunokonzera kurohwa, Dr. Chinnaiyan, munyori we Mwoyo weUpenyu , anonyevera kudaro. Muchokwadi, maererano ne American Stroke Sangano , varwere vane AFib vane kashanu mukana wekutambura sitiroko. Iyo National Ropa Clot Kubatana inotaura kuti kurohwa kwakabatana neAfib kunogona kuve kwakapetwa kaviri sekukuvadza uye kuuraya sekurohwa kusiri kukonzerwa neAfib.

Ropa rakapfava kune AFib

Anticoagulants yeAFib , inowanzodaidzwa kuti inouraya ropa, inowanzo kukurudzirwa sezvo ichigona kudzikisa zvakanyanya njodzi yekurohwa kana kukuvara kune dzimwe nhengo dzinokonzerwa nekugwamba kweropa. Dr. Chinnaiyan anotsanangura kuti Coumadin (warfarin) yaimbove iri wega mushonga unowanikwa kune ruzhinji rwevanhu vane AFib. Ikozvino, kune mimwe mishonga, inosanganisira Eliquis (apixaban) uye Pradaxa (dabigatran), izvo zvisingade kuongororwazve kweropa zvakakwana-uye kwete zvakawandisa - 'hutete.' Muna Ndira 2019, iyo American Moyo Sangano (AHA) yakazivisa kuti aya matsva eropa mutete meds-asiri-vhitamini K anwiwa anticoagulants (NOACs) - ndiyo imwe nzira inosarudzwa kune warfarin yekudzora njodzi yekurohwa nevarwere vane AFib.

Ropa rakapfava rinorayirwa zvinoenderana nenjere yakatarwa yekurohwa iyo inofunga nezvezera, bonde, uye zvimwe zvehutano mamiriro, senge kurohwa kwakapfuura uye kutadza kwemoyo, Dr. Chinnaiyan anotsanangura. Iyo yakanyanya njodzi, inowedzera kudiwa kwevanocheka ropa.

Ndeupi akanyanya ropa mutete kune AFib?

Chiremba wako chete ndiye anogona kuona rakanakisa reropa rakatetepa kwauri zvichienderana nehutano hwako, hutano hwakazara, uye kupindura kurapwa. Aya anotevera eropa anotapudza rondedzero inofananidza inowanzo kupihwa mishonga yekurapa AFib.

Ropa rakapfava ropa kune AFib
Zita remishonga	Kirasi yemishonga	Nzira yekutungamira	Standard muyero	Zvakajairika mhedzisiro
Coumadin (warfarin)	Anticoagulant	Oral	5mg piritsi kamwe pazuva	Kubuda ropa, kuda kurutsa, kurasikirwa nechido, uye kurwadziwa nemudumbu
Eliquis (apixaban)	Anticoagulant	Oral	5mg piritsi kaviri pazuva	Nausea, kupwanya kuri nyore, kubuda ropa kudiki
Pradaxa (dabigatran)	Anticoagulant	Oral	75mg capsule kaviri pazuva	Kupwanya kuri nyore uye kubuda ropa kudiki
Xarelto (Rivaroxaban powder)	Anticoagulant	Oral	20mg piritsi kamwe pazuva	Kupwanya kuri nyore uye kubuda ropa kudiki
Savaysa (edoxaban)	Anticoagulant	Oral	60mg piritsi kamwe pazuva	Kupwanya kuri nyore uye kubuda ropa kudiki

Mhedzisiro mhedzisiro yeropa vatete

Nekudaro, mamwe matanho ekuchengetedza anofanirwa kuteverwa kana uchitora mushonga unodzivirira-kugwamba. Kuwedzeredza kubuda kweropa kwakajairika divi mhedzisiro yevanocheka ropa, ndosaka Dr. Jhalani achikurudzira varwere kuti vataure nachiremba wavo wemoyo kana wekudzidzira basa pamusoro penjodzi uye mabhenefiti evanoonda eropa. Kana mumwe munhu munguva pfupi yapfuura akarara muchipatara nekuda kweronda rinobuda ropa kana kana vakafanorongerwa kudonha, danho rekutanga vatapudza reropa kune atrial fibrillation rinenge rakasarudzika, anodaro.

Iyo AHA inoti varwere vanofanirwa kufunga kaviri vasati vatora chikamu mune chero mutambo wekubata kana chiitiko chinogona kuwedzera mikana yako yekudonha, kupwanya, kana kubuda ropa. Iyo Sangano reHutano Hwekutsvagisa uye Hunhu inotaura kuti chero mushonga wepamusoro-the-counter (OTC) une asipurini unogona kusangana nevanoonda ropauye kuwedzera iyo yekuonda kweropa maitiro, pamwe neakawanda marwadzo eOTC, kutonhora, uye kurwadziwa nemudumbu kunodzora, kusanganisira:

• Zvakaipa
• Aleve
• Tylenol
• Alka-Seltzer
• Pepto Bismol
• Ex-lax

Taura nachiremba wako nezve yako vitamini K yekudya. Vitamin K vhitamini ine mafuta-anogadzikana anobatsira muviri kuburitsa mamwe mapuroteni anobatanidzwa mukugwamba kweropa. Kuwedzera kudya kwako kwevhitamini K (inowanikwa mumashizha emashizha emashizha, broccoli, cauliflower, uye mabhurusi eBrussels) zvinogona kuchinja metabolism yeCoumadin (warfarin), inoratidza National Ropa Clot Kubatana .Kuva neyakawandisa kudya kweVitamin K uku uri muropa vatete kunokosha kwazvo.