Chii chinonzi Nonvalvular Atrial Fibrillation?

Zvemukati

• Zviratidzo zve nonvalvular atrial fibrillation
• Zvinokonzera nonvalvular atrial fibrillation
• Kuongorora nonvalvular atrial fibrillation
• Kurapa kweasingaitevhariki atrial fibrillation
• Mishonga
• Maitiro
• Maonero easina kuvharika atrial fibrillation
• Q & A: Rivaroxabanxaban vs. warfarin
• Mubvunzo:
• A:

Mhedziso

Atrial fibrillation (AFib) ndiro izwi rezvekurapa rechiringo remwoyo chisina kujairika. Kune zvakawanda zvinogona kukonzera AFib. Izvi zvinosanganisira valvular hosha yemoyo, mune izvo zvisina kufanira mumavhavha emoyo wemunhu zvinotungamira kune zvisina kujairika moyo mutinhimira.

Zvisinei, vanhu vazhinji vane AFib havana valvular chirwere chemoyo. Kana uine AFib isina kukonzerwa nechirwere chemoyo chevharvosi, inowanzozonzi nonvalvular AFib.

Iko hakuna tsananguro yakajairwa yeasingaitevhe AFib zvakadaro. Vanachiremba vachiri kusarudza kuti ndezvipi zvikonzero zveAFib zvinofanirwa kutariswa sevharuvhu uye izvo zvinofanirwa kutariswa sezvisina basa.

vakaratidza kuti panogona kuve nemisiyano yekurapa pakati pemhando mbiri idzi. Vatsvakurudzi vari kutarisa kuti ndeapi marapirwo anoshanda zvakanyanya kune nonvalvular kana valvular AFib.

Zviratidzo zve nonvalvular atrial fibrillation

Unogona kuve neAfib uye usingave nezviratidzo. Kana iwe ukaona zviratidzo zveAFib, zvinogona kusanganisira:

• chipfuva kusagadzikana
• kurova chipfuva chako
• kurova kwemoyo
• husina musoro kana kunzwa kupera simba
• mweya wekufema
• kuneta kusingatsanangurike

Zvinokonzera nonvalvular atrial fibrillation

Zvisingaoneki zvikonzero zveAFib zvinogona kusanganisira:

• kuratidzwa kune zvinokurudzira moyo, senge doro, caffeine, kana fodya
• kurara kufema
• BP
• matambudziko emapapu
• hyperthyroidism, kana yakanyanyisa gland gland
• kushushikana nekuda kwechirwere chakakomba, senge pneumonia

Zvikonzero zveValvular zveAFib zvinosanganisira kuve neprosthetic moyo vharafu kana mamiriro anozivikanwa semitral valve stenosis. Vanachiremba havasati vabvumirana kana mamwe marudzi ezvirwere zvevharuvhu yemoyo achifanira kuverengerwa mududziro yevalvular AFib.

Kuongorora nonvalvular atrial fibrillation

Kana iwe usina chero zviratidzo zveAFIB, chiremba wako anogona kuwana irregular moyo mutinhimira kana iwe uchiedzwa kune isina hukama mamiriro. Vachaita kuongorora kwepanyama uye ndokubvunza iwe nezve yako nhoroondo yezvokurapa uye yako nhoroondo yemhuri hutano. Ivo vangango bvunza iwe kuti uenderere mberi kuyedza.

Miedzo yeAFib inosanganisira:

• electrocardiogram
• nemusvo
• kunetseka bvunzo
• X-ray yechipfuva
• kuongororwa ropa

Kurapa kweasingaitevhariki atrial fibrillation

Chiremba wako anogona kukurudzira mushonga kana mamwe maitiro ekurapa nonvalvular AFib.

Mishonga

Kana iwe uine chero mhando yeAFIB, chiremba wako anogona kunyorera anticoagulant mishonga. Izvi zvinodaro nekuti AFib inogona kukonzeresa makamuri emoyo wako kudonha, kudzivirira ropa kubva pariri nekukurumidza sezvazviri.

Kana ropa rikaramba rakamira kwenguva refu, rinogona kutanga kugwamba. Kana hovha ikaumbika mumoyo mako, inogona kukonzera kuvharika kunotungamira pakurwara kwemoyo kana sitiroko. Maanticoagulants anogona kubatsira kuti ropa rako riite shoma kuti rivhare.

Mhando dzinoverengeka dzeanticoagulants dziripo. Aya maanticoagulants anogona kushanda nenzira dzakasiyana kudzikisira mukana uyo ropa rako rinovhara.

Vanachiremba vanogona kupa anticoagulant zvinodhaka zvinozivikanwa sevitamin K vanopikisa vanhu vane valvular AFib. Vavhithamini K vanopikisa vanovharira kugona kwemuviri wako kushandisa vhitamini K. Nekuti muviri wako unoda vhitamini K kuti ugadzire kugwamba, kuivharira kunogona kuita kuti ropa rako riite shoma. Warfarin (Coumadin) rudzi rwevhitamini K anopikisa.

Zvisinei, kutora vhitamini K anopikisa kunoda kushanya kwachiremba nguva nenguva kuti uone kuti anticoagulant iri kushanda sei. Iwe zvakare unofanirwa kuchengetedza tsika dzakangwarira dzekudya kuitira kuti usatore yakawandisa vhitamini K kubva pane chako chikafu.

Mishonga mitsva, iyo ikozvino yakakurudzirwa pamusoro pewarfarin, inoshanda nenzira dzakasiyana kudzora kuvhara ropa kusingade kuongorora uku. Izvi zvinogona kuvaita vanosarudzika kuvhitamin K vanopikisana nevanhu vane nonvalvular AFib.

Iyi mishonga mitsva inonzi isiri-vitamini K yemuromo anticoagulants (NOACs). Ivo vanoshanda nekudzivisa thrombin, chinhu chinodiwa kuti ropa rako rigadzike. Mienzaniso yeNoACs ndeiyi:

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

Pamusoro pemishonga inorwisa mabhakitiriya, chiremba vanogona kukunyorera mishonga yekubatsira kuchengeta mwoyo wako uri mutinhimira. Izvi zvinosanganisira:

• Dofetilide (Tikosyn)
• amiodarone (Cordarone)
• sotalol (Betapace)

Maitiro

Chiremba wako anogona zvakare kukurudzira maitiro anogona kubatsira "kugadzirisa" moyo wako saka unorova mutinhimira. Maitiro aya anosanganisira:

• Kushushikana. Mune moyo wemoyo, magetsi anounzwa kumoyo wako kuyedza kudzoreredza rwiyo kune yakasarudzika sinus rhythm, inova yenguva dzose, kunyange kurova kwemoyo.
• Kubvisa. Izvi zvinosanganisira kuvenga zvine chinangwa kana kukuvadza zvikamu zvemoyo wako izvo zviri kutumira zvisirizvo magetsi emagetsi kuti moyo wako urove murwiyo zvakare.

Maonero easina kuvharika atrial fibrillation

Vanhu vane valvular AFib vari panjodzi huru yekuvhara ropa. Zvisinei, vanhu vose vane AFib vachiri pangozi yakakura yekuvhara ropa kupfuura avo vasina AFib.

Kana iwe uchifunga kuti iwe unogona kuve ne AFib, taura nachiremba wako. Ivo vanowanzo shandisa electrocardiogram kuongorora moyo wako mutinhimira. Kubva ipapo, ivo vanokwanisa kushanda kuti vaone kana yako AFib iri yevhorivheri kana isiri yevhirivhari uye nekumisikidza chirongwa chekurapa icho chakanakira iwe.

Q & A: Rivaroxabanxaban vs. warfarin

Mubvunzo:

Ndine nonvalvular AFib. Ndeipi anticoagulant iri nani, rivaroxaban powder kana warfarin?

A:

Warfarin uye rivaroxaban powder vanoshanda zvakasiyana, uye imwe neimwe ine zvayakanakira nezvayakaipira. Izvo zvakanakira zvinodhaka senge rivaroxaban powder ndeyokuti iwe haufanire kutarisa kuwanda kweropa rako kana kudzora kudya kwako, vane mashoma mashandisirwo emishonga, uye vanoenda kunoshanda nekukurumidza. Rivaroxaban powder yakawanikwa ichishanda pamwe newarfarin yekudzivirira sitiroko kana kuvhara ropa. Iyo yakadzikira kune rivaroxaban powder ndeyekuti inogona kukonzera kubuda kwematumbo kubuda kazhinji kupfuura warfarin. Kuongororwa kwemiedzo yemishonga ichangoburwa kwakaratidza kuti maNoACs anoderedza zvese-zvinokonzeresa kufa neanenge gumi muzana.

Vanhu vane valvular AFib vanowanzo kuve neropa rakavhara kupfuura vanhu vasina chirwere chemoyo chisina kuvharika.