Zvakanakira Kuisa Zvishandiso zveAfib

Zvemukati

• Kurapa kweAFib uye kuwonda kweropa
• Imba dzimwe nzira dzemishonga
• Watchman
• Lariat
• Kubudirira kwemidziyo yekudyara
• Mamwe mabhenefiti
• Iyo yekutora: Taura nachiremba wako nezvezvinodyarwa

Atrial fibrillation (AFib) chirwere chemoyo mutserendende unobata vamwe vanhu miriyoni gumi nemaviri muUnited States.

Uine AFib, makamuri maviri epamusoro emoyo wako anorova zvisina kujairika, pamwe zvichitungamira kuropa reropa uye kunetesa moyo wako nekufamba kwenguva. Iwe unogona kusangana chero chinhu kubva kupfupika kwemweya wekufema kusvika pamoyo palpitations. Kana iwe unogona kusatombova nezviratidzo zvachose.

Pasina kurapwa, zvakadaro, iwe unogona kuisa njodzi sitiroko kana kutadza kwemoyo.

Kurapa kweAFib uye kuwonda kweropa

Chinangwa chikuru chekurapwa kweAfib chinotarisa pakudzora moyo wako mutinhimira uye kudzivirira kugwamba kweropa. Kudzivirira kugwamba kwakanyanya kukosha nekuti vanogona kusunungura uye kuenda kune dzimwe nhengo dzemuviri wako. Kana kuvhara kweropa kukaenda kuuropi hwako, zvinogona kutungamira mukurohwa.

Kurapa kwechinyakare kunoenderana nemishonga, senge rinocheka ropa.

Warfarin (Coumadin) yaimbova yakanyanya kunyorerwa ropa mutete kune AFib. Inogona kusangana nezvimwe zvekudya nemishonga, saka haisi sarudzo kune wese munhu. Izvo zvinogona zvakare kutungamira kumatambudziko sekuwandisa kubuda ropa. Kana iwe ukatora mushonga uyu, iwe unozoda kugara uchiongororwa kuburikidza nekuongororwa kweropa.

Mishonga mitsva inozivikanwa seisiri-vhitamini K yemuromo anticoagulants (NOACs) inoshanda sewarfarin uye ikozvino ndiyo inosarudzika ropa rinochenesa AFib. Zvinosanganisira dabigatran (Pradaxa), rivaroxaban powder (Xarelto), uye apixaban (Eliquis).

NOACs inogona kutotungamira mukudonha kushoma kwekubuda ropa. Iyi mishonga ipfupi-inoshanda kupfuura warfarin, zvinoreva kuti haufanire kutariswa neropa rako zvakanyanya paunenge uchinwa. Izvo zvakare hazvipindirane nezvakawanda zvekudya uye mimwe mishonga.

Pamwe pamwe nenjodzi yekubuda ropa nekudyidzana, rimwe divi rekutora mishonga yekudzivirira kuwanda kweropa kuri kutora nguva yakareba. Iwe unogona kusada kuve pamushonga kweupenyu hwako hwese.Unogona kusada kuenda kuchipatara chako vhiki rega rega kunoongororwa ropa rako. Kana iwe unogona kunge uine zvimwe zvinetswa kana mamiriro anoita kuti utore mishonga iyi kwenguva refu isingakwidze kana kutotadza.

Imba dzimwe nzira dzemishonga

Watchman

Kana iwe uchitsvaga imwe nzira yekutora vanotetepa ropa, kuisa midziyo seMurindi inogona kuve yakakosha kuongorora. Ichi chidziviso chinovhara kubva kuruboshwe atrial appendage (LAA) - iyo nharaunda iri mumoyo mako uko ropa kazhinji kazhinji madziva uye kugwamba. Muchokwadi, zviputi zvinokonzeresa kurova vanhu vane AFib zvinokura munzvimbo ino 90 muzana yenguva, maererano ne.

Murindi anotenderwa neU.S.Food and Drug Administration (FDA) kune vanhu vane AFib iyo isingabatanidze vharuvhu yemoyo (nonvalvular AFib). Yakaumbwa kunge parachuti diki uye iri kuzvikurisa. Pane imwe nzvimbo, nyama dzinokura pamusoro peMurindi mukati memazuva makumi mana nemashanu yekuvhara LAA.

Kuti uve unokodzera kuve neichi chishandiso, iwe unofanirwa kukwanisa kushivirira vatete veropa. Iwe haugone kuve neropa riripo muropa mumoyo mako kana allergy kune nickel, titanium, kana chero chinhu chipi zvacho muchigadzirwa.

Murindi anoiswa mukati mekurapwa kwekunze kuburikidza nekachetter mukati mekugomera kwako uko kunozodyiswa mukati memoyo wako.

Lariat

SaMurindi, iyo Lariat chishandiso chinodyarwa icho chinobatsira kudzivirira kuwanda kweropa kubva mukuumba mune yako LAA. Iyo Lariat inosunga iyo LAA ichishandisa sutures. Pakupedzisira, inoshanduka kuita mutsipa mutsvuku saka ropa rinotadza kupinda, kuunganidza, uye kugwamba.

Maitiro acho anoitwa zvakare achishandisa catheters. Iyo Lariat inoumbwa neyakareruka epurasitiki catheter chubhu. Iyo chubhu ine magineti pamwe neiyo lasso- kana yekupedzisira-yakaita semagumo. Iyi ndiyo suture inozopedzisira yasungira LAA yako. Anongodiwa madiki punctures kuisa mudziyo uyu maringe neakakura incision.

Iyo Lariat inogamuchirwa kune vanhu vasina kubudirira nemishonga yekuchera-ropa uye avo vasingakwanise kuvhiyiwa chero chikonzero.

Kubudirira kwemidziyo yekudyara

Mushure memazuva makumi mana neshanu, makumi mapfumbamwe neshanu muzana yevanhu vane Watchman vakakwanisa kuenda kunodonhedza ropa-rekurapa mumakiriniki ekuyedzwa Mugore regore rimwe, 99 muzana yevanhu vakakwanisa kuenda kuonda ropa.

Maitiro eLariat anogona kudzikisa njodzi yako yekurohwa nepakati pe 85 kusvika 90 muzana.

Mamwe mabhenefiti

Kunze kwekushanda, chimwe chezvakakosha mabhenefiti aya ekugovana michina ndeyekuti anogona kuiswa mumuviri wako pasina kuvhiyiwa kunokanganisa. Muchokwadi, muzviitiko zvakawanda vanhu vanoenda kumba zuva remaitiro. Pamberi pemhando idzi dzekudyara, iyo LAA yaizosungwa kuburikidza nekuvhura-moyo kuvhiya.

Izvi zvinoreva kuti iwe unokwanisa kuve nekukurumidza kupora pamwe neMurindi kana Lariat. Yako nhanho yekurwadziwa uye kusagadzikana kunofanirawo kuve kushoma.

Midziyo iyi inogona kukubvumidza iwe kuti uwane rusununguko kubva pamishonga yekuchera ropa. Izvo zvinongoshanda - kana zvisiri zvakanyanya - sewarfarin nemimwe mishonga. Ivo vanopa dziviriro pasina njodzi yekubuda ropa uye kunetsekana kwekutarisira kwenguva refu mishonga. Idzi inhau dzakanaka kana uine nyaya dzekutora anticoagulants kana unoshuvira kudzivirira njodzi dzekubuda ropa zvakanyanya.

Iyo yekutora: Taura nachiremba wako nezvezvinodyarwa

Haufare neropa rako rakatetepa? Kune dzimwe nzira. Kana iwe uchifarira kudzidza zvakawanda nezvekuti mashandisiro emidziyo iyi anogona kukushandira iwe, bata chiremba wako kuti aite musangano. Ivo vanokuzivisa iwe kana iwe uri mukwikwidzi akanaka kune anodyara, pamwe nekukupa iwe zvimwe zvakawanda nezve maitirwo uye kupindura chero yakatarwa mibvunzo iwe yaungave unayo.