Kodi mukuyenera kutenga opaka magazi ku AFib?

Maphunziro a Zaumoyo

Akuyerekeza kuti aku America osachepera 2.7 miliyoni-mpaka 6.1 miliyoni-akukhala ndi Atrial Fibrillation, malinga ndi Malo Othandizira Kuletsa ndi Kupewa Matenda (CDC). Matenda a Atrial fibrillation (aka AFib) ndi mtundu wamatenda amtima omwe amadziwika kuti ndi osakhazikika-nthawi zambiri kuthamanga kapena kugwedezeka-kugunda kwa mtima (komwe kumatchedwa arrhythmia). Zimayambitsa kuchepa kwa magazi, zomwe zitha kuwonjezera ngozi yakupha ziwalo. Njira imodzi yochepetsera ngoziyi ikuchitika oonda magazi a AFib , koma amabwera ndi zoopsa zawo.

Kodi atrial fibrillation (AFib) ndi chiyani?

Matenda a atrial ndimomwe zimasokoneza magetsi oyenda pamtima, akufotokoza Kavitha Chinnaiyan, MD , katswiri wodziwa zaumoyo ku Beaumont Health System komanso pulofesa wothandizana naye ku Medicine ku Yunivesite ya Oakland William Beaumont School of Medicine . Mumtima wathanzi, zikoka zamagetsi zimadutsa munjira zina. Mwa wina yemwe ali ndi AFib, chidwi chakumenya kwa mtima chimachokera m'malo osazolowereka m'zipinda zam'mwamba za mtima, ndipo chimasinthidwa mosasunthika kuzipinda zapansi. Chifukwa chake m'malo mopyola bwino zipinda zakumtunda, 'zimasokonekera' ndipo sizigwirizana mwachizolowezi, a Dr. Chinnaiyan akuti.

Kodi zizindikiro za AFib ndi ziti?

Chizindikiro chodziwika kwambiri cha AFib ndi mtima wothamanga. Zizindikiro zimaphatikizaponso:

• kutopa
• kupweteka pachifuwa
• kupuma movutikira
• chizungulire ndi / kapena kupepuka

Komabe, anthu ena sakhala odziwika, akutero Nisha B. Jhalani, MD , Woyang'anira ntchito zamankhwala ndi zamaphunziro ku Center for Intervention Vascular Therapy ku Watsopano-Presbyterian / Columbia University Irving Medical Center .

Momwe mungadziwire AFib

Dr. Jhalani akuwonjezeranso kuti AFib imatha kupezeka ndi electrocardiogram (ECG), koma munthuyo ayenera kukhala ali ku AFib panthawi yoyesedwa. Ngati munthu akusinthana ndi ma fibrillation a atrial ndi chizolowezi cha sinus, chomwe chimakhala chofala kwambiri, ndiye kuti mayeso abwino kwambiri opezera matenda atha kukhala kuwunika kwa masabata awiri kuti atenge arrhythmia ndikuyiyanjanitsa ndi zizindikilo zilizonse, Dr. Jhalani akupitiliza.

AFib ndi chiopsezo cha stroke

Pakati pa zigawo za AFib, magazi olemera ndi okosijeni samapopedwa bwino mthupi lonse, zomwe zikutanthauza kuti magazi omwe ali m'zipinda zapamwamba amatha kudumphadumpha ndikupanga magazi. Kenako, kuundana kwamagazi kumatha kunyamulidwa kupita kuubongo kukayambitsa zilonda, Dr. Chinnaiyan, wolemba wa Mtima wa Ubwino , akuchenjeza. M'malo mwake, malinga ndi Bungwe la American Stroke Association , odwala omwe ali ndi AFib ali ndi mwayi wopwetekedwa ndi matenda opatsirana kasanu. Pulogalamu ya Mgwirizano Wadziko Lonse Wamagazi akuti zikwapu zokhudzana ndi AFib zitha kukhala zofooketsa komanso zakupha kawiri ngati sitiroko yoyambitsidwa ndi AFib.

Ochepetsa magazi a AFib

Maanticoagulants a AFib , omwe nthawi zambiri amatchedwa opepera magazi, amalimbikitsidwa chifukwa amatha kuchepetsa kuwonongeka kwa sitiroko kapena kuwonongeka kwa ziwalo zina zoyambitsidwa ndi magazi. Dr. Chinnaiyan akufotokoza kuti Coumadin (warfarin) anali mankhwala okhawo omwe amapezeka kwa anthu ambiri omwe ali ndi AFib. Tsopano, palinso mankhwala ena, kuphatikiza Eliquis (apixaban) ndi Pradaxa (dabigatran), omwe safuna kuwunika magazi mosalekeza okwanira - osati owonjezera - 'makulidwe.' Mu Januwale 2019, a American Mtima Association (AHA) yalengeza kuti mankhwala atsopanowa ochepetsa magazi-osakhala ndi vitamini K antiticoagulants (NOACs) - ndi njira ina yosankhira warfarin yochepetsera chiwopsezo cha sitiroko kwa odwala omwe ali ndi AFib.

Ochepetsa magazi amaperekedwa molingana ndi chiopsezo cha sitiroko chomwe chimaganizira zaka, kugonana, ndi zina zamankhwala, monga sitiroko yam'mbuyomu komanso kulephera kwa mtima, a Dr. Chinnaiyan akufotokoza. Kuchuluka kwa chiopsezo, kufunika kwa owonda magazi.

Kodi magazi abwino kwambiri a AFib ndi ati?

Ndi dokotala wanu yekha amene angadziwe magazi abwino kwambiri kwa inu malinga ndi matenda anu, thanzi lanu, komanso momwe mungathandizire. Otsatira magazi otsatirawa akuyerekeza kuyerekezera mankhwala omwe amaperekedwa kuchiza AFib.

Opaka magazi abwino kwambiri a AFib
Dzina la mankhwala osokoneza bongo	Gulu la mankhwala osokoneza bongo	Njira yoyang'anira	Mlingo woyenera	Zotsatira zoyipa
Coumadin (warfarin)	Wotsutsa	Pakamwa	Pulogalamu ya 5mg kamodzi patsiku	Kukhetsa magazi, nseru, kusowa chilakolako, komanso kupweteka m'mimba
Eliquis (apixaban)	Wotsutsa	Pakamwa	5mg piritsi kawiri patsiku	Nseru, mabala osavuta, kutuluka pang'ono
Pradaxa (dabigatran)	Wotsutsa	Pakamwa	75mg kapisozi kawiri pa tsiku	Kuvulaza kosavuta ndikutuluka pang'ono
Xarelto (piritsi ya rivaroxaban)	Wotsutsa	Pakamwa	20mg piritsi kamodzi patsiku	Kuvulaza kosavuta ndikutuluka pang'ono
Savaysa (edoxaban)	Wotsutsa	Pakamwa	60mg piritsi kamodzi patsiku	Kuvulaza kosavuta ndikutuluka pang'ono

Zotsatira zoyipa za owonda magazi

Komabe, njira zina zachitetezo ziyenera kutsatidwa mukamamwa mankhwala osokoneza bongo. Kutaya magazi mopitirira muyeso ndichinthu chofala chokhudza omwe amawonda magazi, ndichifukwa chake Dr. Jhalani amalimbikitsa odwala kuti alankhule ndi katswiri wawo wamtima kapena wowaphunzitsa za mavuto omwe amadza chifukwa chopopera magazi. Ngati wina posachedwa agonekedwa pachilonda chakutuluka magazi kapena ngati atadwala, lingaliro loyambitsa oonda magazi chifukwa cha matenda a atrial likhala lodziwika bwino, akutero.

Pulogalamu ya AHA akuti odwala ayenera kulingalira kawiri asanatenge nawo gawo pamasewera aliwonse omwe angakulitse mwayi wakugwa, kuvulala, kapena kutuluka magazi. Pulogalamu ya Agency for Healthcare Research ndi Quality imanena kuti mankhwala aliwonse omwe angagulitsidwe (OTC) okhala ndi aspirin amatha kulumikizana ndi ochepetsa magazindi kuonjezera magazi kupatulira zotsatira, komanso zopweteka zambiri za OTC, kuzizira, ndi kupweteka m'mimba, kuphatikizapo:

• Zoipa
• Aleve
• Tylenol
• Alka-Seltzer
• Pepto Bismol
• Kutaya mtima

Lankhulani ndi dokotala wanu zakumwa kwanu kwa vitamini K. Vitamini K ndi mavitamini osungunuka mafuta omwe amathandizira thupi kupanga zina mwa mapuloteni omwe amatenga nawo mbali m'magazi. Kuonjezera kudya kwa vitamini K (komwe kumapezeka masamba obiriwira, broccoli, kolifulawa, ndi masamba a Brussels) kumatha kusintha kagayidwe ka Coumadin (warfarin), akutero Mgwirizano Wadziko Lonse Wamagazi .Kudya Vitamini K mosalekeza ukamadya magazi ndikofunikira kwambiri.