Atril fibrillation - dheecaan

Cudurka 'atrial fibrillation ama flutter' waa nooc caadi ah oo garaaca wadnaha aan caadiga ahayn. Qaafiyadda wadnaha ayaa dhakhso badan badanaana aan caadi ahayn. Waxaad ku jirtay isbitaalka si aad u daweyso xaaladan.

Waxaa laga yaabaa inaad isbitaalka ugu jirtay maxaa yeelay waxaad qabtaa fibrillation-ka jirka. Xaaladani waxay dhacdaa marka wadnahaagu garaaco si aan caadi ahayn oo badiyaa ka dhakhso badan kan caadiga ah. Waxaa laga yaabaa inaad ku soo kacday dhibaatadan intaad ku jirtay isbitaalka wadno qabad, qalliin wadnaha ah, ama cudur kale oo daran sida oof wareen ama dhaawac.

Daaweynta laga yaabo inaad heshay waxaa ka mid ah:

• Qalab-sameeyaha
• Wadnaha (Cardioversion) (kani waa nidaam la sameeyo si wadna garaaca wadnahaaga caadi loogu beddelo. Waxaa lagu sameyn karaa daawo ama shoog koronto.)
• Ka-goynta Wadnaha

Waxaa laga yaabaa in lagu siiyay daawooyin si aad u beddesho garaaca wadnahaaga ama u gaabiso. Qaarkood waa:

• Beta blockers, sida metoprolol (Lopressor, Toprol-XL) ama atenolol (Senormin, Tenormin)
• Kaalshiyeyaasha kaalshiyam-dilaha, sida diltiazem (Cardizem, Tiazac) ama verapamil (Calan, Verelan)
• Digoxin
• Antiarrhythmics (dawooyinka xakameeya garaaca wadnaha), sida amiodarone (Cordarone, Pacerone) ama sotalol (Betapace)

Buuxi dhammaan daawooyinka laguu qoray intaadan aadin guriga. Waa inaad u qaadataa daawooyinkaaga sida daryeelahaaga caafimaad uu kuugu sheegay.

• U sheeg daryeel bixiyahaaga wixii ku saabsan dawooyinka kale ee aad qaadanaysid oo ay ku jiraan dawooyinka aan lagaa iibsan karin ee dhakhtarku qoro, geedo yaryar, ama nafaqo dheeraad ah Weydii haddii ay caadi tahay in la sii wado qaadashada kuwan. Sidoo kale, u sheeg daryeel bixiyahaaga haddii aad qaadanayso dawada ka hortagga dhiigga.
• Weligaa ha joojin qaadashada mid ka mid ah daawooyinkaaga adiga oo aan marka hore la hadlin takhtarkaaga. Ha ka boodin qiyaas inta aan laguu sheegin mooyee.

Waxaa laga yaabaa inaad qaadatid aspirin ama clopidogrel (Plavix), prasugrel (Effient), ticagrelor (Brilinta), warfarin (Coumadin), heparin, ama dhiig kale oo khafiifiya sida apixiban (Eliquis), rivaroxaban (Xarelto), dabigatran (Pradaxa) si loo caawiyo dhiiggaaga ka ilaali xinjirowga.

Haddii aad qaadatid wax dhiig khafiifiya ah:

• Waxaad u baahan tahay inaad iska ilaaliso wixii dhiig baxa ama nabar ah, oo u sheeg daryeel bixiyahaaga haddii ay dhacaan.
• U sheeg dhakhtarka ilkaha, farmashiistaha, iyo bixiyeyaasha kaleba inaad qaadanayso dawadan.
• Waxaad u baahan doontaa baaritaanno dhiig oo dheeri ah si loo hubiyo in qaddarkaagu sax yahay haddii aad qaadanayso warfarin.

Xaddid inta khamri aad cabto. Weydii daryeel bixiyahaaga markay fiican tahay in la cabbo, iyo intee in le'eg ayaa badbaado leh.

Sigaar ha cabin. Haddii aad sigaar cabto, adeeg bixiyahaaga ayaa kaa caawin kara inaad joojiso.

Raac cunno caafimaad qabta oo wadnaha ah.

• Ka fogow cunnooyinka cusbada iyo dufanka badan.
• Ka fogow maqaayadaha cuntada lagu cuno.
• Dhakhtarkaagu wuxuu kuu gudbin karaa dhakhtarka cuntada, kaas oo kaa caawin kara qorsheynta cunto caafimaad leh.
• Haddii aad qaadato warfarin, HA ku sameynin isbeddello weyn cuntadaada ama ha qaadan fiitamiino adiga oo aan ka hubin dhakhtarkaaga.

Isku day inaad ka fogaato xaaladaha walaaca leh.

• U sheeg daryeel bixiyahaaga haddii aad dareentid culeys ama murugo.
• La hadalka lataliye ayaa ku caawin kara.

Baro sida loo hubiyo garaaca wadnahaaga, oo hubi maalin kasta.

• Way ka wanaagsan tahay inaad garaacdo garaaca wadnahaaga intaad mishiin u isticmaali lahayd.
• Mashiinka ayaa laga yaabaa inuu ka saxsanaado sababtoo ah fibrillation-ka wadnaha.

Xaddid xaddiga kafeega aad cabto (oo laga helo kafee, shaah, koolaas, iyo cabbitaanno kale oo badan.)

HA isticmaalin kookayn, amfetamines, ama daroogo kale oo sharci darro ah. Waxay kaa dhigi karaan wadnahaaga inuu si dhakhso leh u garaaco, oo waxay dhaawac joogto ah ugu geystaan ​​wadnahaaga.

U wac gargaar deg-deg ah haddii aad dareento:

• Xanuun, cadaadis, cidhiidhi, ama culeys laabtaada, gacanta, qoorta, ama daanka
• Neefta oo kugu yaraata
• Xanuunka gaaska ama dheefshiidka
• Dhidid, ama haddii midab kaa lumo
• Madaxa
• Wadna garaac dhakhso ah, garaaca wadnaha oo aan joogto ahayn, ama wadnahaaga ayaa si aan fiicnayn u garaacaya
• Kabuubyo ama daciifnimo wajigaaga, gacantaada, ama lugtaada
• Aragga oo xumaada ama yaraada
• Dhibaatooyinka hadalka ama fahamka hadalka
• Dawakhaad, isku dheelitirnaan la'aan, ama dhicitaan
• Madax xanuun daran
• Dhiigbax

Fibrillation Auricular - dheecaan; A-fib - dheecaan; AF - dheecaan; Afib - dheecaan

Janaayo CT, Wann LS, Alpert JS, et al. Tilmaamaha 2014 AHA / ACC / HRS ee loogu talagalay maareynta bukaanada qaba xanuunka 'atrial fibrillation': warbixinta Kulliyadda Caafimaadka Wadnaha ee Mareykanka / Kooxda Wadnaha ee Wadnaha ee Mareykanka ee Tilmaamaha Tababarka iyo Bulshada Wadnaha. J Am Coll Cardiol. 2014; 64 (21): e1-76. PMID: 24685669 www.ncbi.nlm.nih.gov/pubmed/24685669.

Morady F, Zipes DP. Cudurka 'Atrial fibrillation': astaamaha caafimaad, qaababka, iyo maaraynta. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier Saunders; 2019: cutubka 38.

Zimetbaum P. Wadnaha wadnaha oo leh asal supraventricular. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 64.

• Arrhythmias
• Cudurka 'atrial fibrillation' ama ruxitaanka
• Nidaamka ka-goynta Wadnaha
• Wadnaha wadnaha
• Weerar ku-meel-gaadh ah oo ku-meel-gaadh ah

• Dawooyinka Antiplatelet - Daawadayaasha P2Y12
• Aspirin iyo wadne xanuun
• Kalastarol iyo qaab nololeedka
• Kalastaroolka - daaweynta daroogada
• Xakamaynta dhiig karkaaga
• Qaadashada warfarin (Coumadin, Jantoven) - waxa aad weydiiso dhakhtarkaaga
• Qaadashada warfarin (Coumadin)

• Qalitaanka Atrial