Ndezvipi Ndezvangu Kurapwa Sarudzo dzeAfib?

Zvemukati

• Zvinangwa zvekurapa
• Mishonga yekudzivirira kuwanda kweropa
• Zvinodhaka zvekudzorera yako yakajairwa kurova kwemoyo
• Zvinodhaka zvekudzoreredza zvakajairwa moyo mutinhimira
• Magetsi cardioversion
• Catheter ablation
• Pacemaker
• Maitiro eMaze
• Mararamiro anochinja

Atrial fibrillation

Atrial fibrillation (AFib) ndiyo yakajairika mhando yeakakomba moyo arrhythmia. Inokonzerwa nezviratidzo zvemagetsi zvisina kujairika mumoyo mako. Zviratidzo izvi zvinokonzeresa yako atria, makamuri ekumusoro emoyo wako, kuita fibrillate kana goba. Iyi fibrillation inowanzo guma nekukurumidza, kusinganzwisisike kwemwoyo.

Kana iwe uine AFib, iwe haungambove uine zviratidzo. Kune rimwe divi, iwe unogona kunge uine zvakakomba hutano hutano. Kurova kwemoyo wako zvisina kujairika kunogona kukonzera ropa kunyura muatria yako. Izvi zvinogona kukonzera kugwamba kunofamba kuenda kuuropi hwako uye kukonzera sitiroko.

Sekureva kweAmerican Heart Association, vanhu vasina kurapwa AFib vane kashanu kurohwa sitiroko kwevanhu vasina mamiriro. AFib inogona zvakare kukuvadza mamwe mamiriro emoyo, sekushaya moyo.

Asi shinga. Iwe une nzira dzinoverengeka dzekurapa, kusanganisira mishonga, kuvhiya, uye mamwe maitiro. Dzimwe shanduko dzemararamiro dzinogona kubatsira, zvakare.

Zvinangwa zvekurapa

Chiremba wako achaisa pamwechete chirongwa chekurapa kuti utarise yako AFib. Chirongwa chako chekurapa chingangotarisana nezvinangwa zvitatu:

• kudzivirira kuwanda kweropa
• dzosera moyo wako wenguva dzose
• dzorera yako yakajairwa moyo mutinhimira

Mishonga inogona kubatsira kuzadzisa zvese zvitatu zvezvinangwa izvi. Kana mishonga isingashande kudzorera mwoyo wako mutinhimira, zvimwe sarudzo zviripo, senge nzira dzekurapa kana kuvhiya.

Mishonga yekudzivirira kuwanda kweropa

Kuwedzera kwako njodzi yekurohwa idambudziko rakakomba. Icho chimwe chezvikonzero zvikuru zvekufa nguva isati yakwana muvanhu vane AFib. Kuti uderedze njodzi yekugwamba kuumba uye kukonzera sitiroko, chiremba wako anogona kupa mishonga yekucheresa ropa. Izvi zvinogona kusanganisira zvinotevera zvisina-vhitamini K zvemuromo anticoagulants (NOACs):

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

Aya maNoACs ave kukurudzirwa pamusoro petsika yechinyakare yakatemwa warfarin (Coumadin) nekuti havana kuzivikanwa kwekudyidzana kwekudya uye havadi kuongororwa nguva zhinji.

Vanhu vanotora warfarin vanoda kuongororwa ropa nguva zhinji uye vanoda kuongorora kudya kwavo kwezvikafu zvine vhitamini K.

Chiremba wako anozotarisa ropa rako nguva nenguva kuti ave nechokwadi chekuti mishonga iri kushanda.

Zvinodhaka zvekudzorera yako yakajairwa kurova kwemoyo

Kudzora kurova kwemoyo wako ndeimwe nhanho yakakosha pakurapa. Chiremba wako anogona kupa mishonga yechinangwa ichi. Mhando nhatu dzemishonga dzinogona kushandiswa kudzorera yako yakajairika kurova kwemoyo:

• Beta-blockers senge atenolol (Tenormin), carvedilol (Coreg), uye propranolol (Inderal)
• Calcium chiteshi blockers senge diltiazem (Cardizem) uye verapamil (Verelan)
• Digoxin (Lanoxin)

Zvinodhaka zvekudzoreredza zvakajairwa moyo mutinhimira

Imwe nhanho yekurapa kweAfib kudzoreredza yakajairwa rhythm yemoyo wako, inonzi sinus rhythm. Mhando mbiri dzemishonga dzinogona kubatsira neizvi. Ivo vanoshanda nekudzikisira pasi magetsi emagetsi mumoyo mako. Iyi mishonga ndeiyi:

• Sodium chiteshi blockers senge flecainide (Tambocor) uye quinidine
• Potassium chiteshi blockers senge amiodarone (Cordarone, Nexterone, Pacerone)

Magetsi cardioversion

Dzimwe nguva mishonga haigone kudzorera sinus rhythm, kana inogadzira yakawandisa mhedzisiro. Muchiitiko ichi, unogona kunge uine magetsi emagetsi. Nemaitiro aya asingarwadzi, nyanzvi yako yehutano inopa moyo wako kuvhunduka kuti umise patsva uye kudzoreredza kurova kwakajairwa.

Kadhi yemagetsi yemagetsi inowanzo shanda, asi haiwanzo kugara. Mushure meizvozvo, iwe ungangoda kutora mishonga yekuchengetedza yako nyowani, yenguva dzose kurova kwemoyo.

Catheter ablation

Imwe sarudzo yekudzosera sinus rhythm kana mishonga ikakundikana inonzi catheter ablation. Iyo catheter yakamanikana inosungirwa kuburikidza neropa reropa mukati memoyo wako.

Iyo catheter inoshandisa radiofrequency simba kuparadza mashoma mashoma maseru emaviri mumoyo mako ayo anotumira zviratidzo zvinokonzeresa yako isina kujairika moyo mutinhimira. Pasina zviratidzo zvisina kujairika, chiratidzo chemoyo wako chinogona kutora uye kugadzira sinus rhythm.

Pacemaker

Kana mwoyo wako mutinhimira usingapindure kumushonga, ungangoda pacemaker. Ichi chigadzirwa chemagetsi chinoiswa muchipfuva chako panguva yekuvhiya. Iyo inogadzirisa kurova kwemoyo wako kune sinus rhythm.

anongoshandiswa mune vamwe varwere senzira yekupedzisira mushure mekunge mishonga yatadza kushanda. Kunyangwe kuiswa pacemaker kunoonekwa sekuvhiyiwa kudiki, kuchine dzimwe njodzi.

Maitiro eMaze

Kurapa kwekupedzisira kunodaidzwa kuti Maze maitiro kunogona kushandiswa kurapa AFib kana mishonga nedzimwe nzira dzakundikana. Inosanganisira kuvhiyiwa kwemwoyo wakasununguka. Maitiro eMaze anowanzo shandiswa kana iwe uine mumwe moyo mamiriro anoda kuvhiyiwa.

Chiremba anovhiya anoita kutsemura muatriya yako iyo inodzikamisa zvisizvo zvemagetsi kune imwe nzvimbo yemoyo wako.

Iyo inodzivirira iwo masaini kuti asvike kune iyo atria kukonzera iyo fibrillation. Vazhinji vanhu vane maitiro aya havasisina AFib uye havachadi kutora antiarrhythmic zvinodhaka.

Mararamiro anochinja

Mararamiro ehupenyu akakoshawo. Idzi shanduko dzinogona kubatsira kudzikisa njodzi yako yezvinetso kubva kuAfib.

Iwe unofanirwa kumira kana kurega kuputa uye kudzikisira kunwa kwako doro uye caffeine. Zvakare, iwe unofanirwa kudzivirira kukosora uye kutonhora mishonga ine zvinokurudzira. Kana iwe usina chokwadi chekudzivisa, bvunza wako wemishonga.

Zvakare, cherekedza chero zviitwa zvinoburitsa kana kuwedzera zviratidzo zveAfib uye utaure nachiremba wako nezvazvo.

Kurera huremu kunokurudzirwawo kune vanhu vane AFib vane huremu hwakanyanya.

Kuti uwane mamwe matipi, tarisa ichi chinyorwa nezve mararamiro shanduko kubatsira kubata AFib.