Atrial fibrillation - fitarwa

Atrial fibrillation ko flutter shine nau'in nau'in bugun zuciya mara kyau. Bugun zuciya yana da sauri kuma galibi ba shi da tsari. Kun kasance a asibiti don kula da wannan yanayin.

Wataƙila kun kasance a cikin asibiti saboda kuna fama da matsalar rashin ƙarfi. Wannan yanayin yana faruwa yayin da zuciyarka ta buga ba daidai ba kuma yawanci sauri fiye da al'ada. Wataƙila kun ɓullo da wannan matsalar ne yayin da kuke asibiti don bugun zuciya, tiyatar zuciya, ko wata cuta mai tsanani irin su ciwon huhu ko rauni.

Jiyya da wataƙila kuka karɓa sun haɗa da:

• Mai daukar ciki
• Cardioversion (wannan hanya ce da aka yi don canza bugun zuciyar ku zuwa al'ada. Ana iya yin shi da magani ko girgiza wutar lantarki.)
• Cirewar zuciya

Wataƙila an ba ku magunguna don sauya bugun zuciyar ku ko rage shi. Wasu sune:

• Masu hana Beta, kamar metoprolol (Lopressor, Toprol-XL) ko atenolol (Senormin, Tenormin)
• Masu toshe tashar calcium, kamar diltiazem (Cardizem, Tiazac) ko verapamil (Calan, Verelan)
• Digoxin
• Antiarrhythmics (magunguna masu sarrafa zuciya), kamar amiodarone (Cordarone, Pacerone) ko sotalol (Betapace)

Ka cika dukkan takardun da ka sha kafin ka koma gida. Ya kamata ku ɗauki magungunan ku kamar yadda mai ba ku kiwon lafiya ya gaya muku.

• Faɗa wa mai ba ka sabis game da wasu magungunan da kake sha ciki har da magunguna marasa magani, ganye, ko kari. Tambayi idan yana da kyau a ci gaba da shan waɗannan. Har ila yau, gaya wa mai ba ku idan kuna shan antacids.
• Kada ka daina shan kowane magungunan ka ba tare da fara magana da mai baka ba. KADA KA tsallake kashi sai dai idan an gaya maka.

Kuna iya shan aspirin ko clopidogrel (Plavix), prasugrel (Effient), ticagrelor (Brilinta), warfarin (Coumadin), heparin, ko wani mai sikari na jini kamar apixiban (Eliquis), rivaroxaban (Xarelto), dabigatran (Pradaxa) don taimakawa ka kiyaye jininka daga daskarewa.

Idan kuna shan kowane sikanin jini:

• Kuna buƙatar lura da kowane zub da jini ko rauni, kuma bari mai ba da sabis ya san idan hakan ta faru.
• Faɗa wa likitan hakori, likitan magunguna, da sauran masu samarwa cewa kuna shan wannan magani.
• Kuna buƙatar yin ƙarin gwaje-gwajen jini don tabbatar da cewa adadin ku daidai ne idan kuna shan warfarin.

Iyakance yawan giyar da kuke sha. Tambayi mai ba da sabis lokacin da ya yi kyau a sha, kuma yaya mai lafiya.

KADA KA sha sigari. Idan ka sha taba, mai baka zai iya taimaka maka ka daina.

Bi zuciya lafiyayyen abinci.

• Guji abinci mai gishiri da mai.
• Nisanci gidajen abinci mai saurin-abinci.
• Likitanku na iya tura ku zuwa likitan abinci, wanda zai iya taimaka muku shirya lafiyayyen abinci.
• Idan ka sha warfarin, KADA KA yi babban canje-canje a cikin abincin ka ko shan bitamin ba tare da duba likitanka ba.

Ka yi ƙoƙari ka guji yanayin damuwa.

• Faɗa wa mai ba ka sabis idan ka ji damuwa ko baƙin ciki.
• Yin magana da mai ba da shawara na iya taimaka.

Koyi yadda ake duba bugun jini, kuma bincika shi kowace rana.

• Zai fi kyau ka ɗauki bugun zuciyarka fiye da amfani da mashin.
• Inji na iya zama kasa daidai saboda matsalar bugun ciki.

Ayyade adadin maganin kafeyin da kuke sha (wanda aka samo a cikin kofi, shayi, colas, da sauran abubuwan sha.)

KADA KA yi amfani da hodar iblis, amfetamines, ko duk wasu haramtattun magunguna. Suna iya sa zuciyar ka bugawa da sauri, kuma su haifar da lalacewar dindindin ga zuciyar ka.

Kira don taimakon gaggawa idan kun ji:

• Jin zafi, matsi, matsewa, ko nauyi a kirjinka, hannu, wuya, ko muƙamuƙi
• Rashin numfashi
• Ciwan gas ko rashin narkewar abinci
• Gumi, ko kuma idan ka rasa launi
• Haske mai haske
• Bugun zuciya mai sauri, bugun zuciya mara tsari, ko zuciyar ka tana bugawa ba dadi
• Jin rauni ko rauni a fuskarka, hannu, ko ƙafarka
• Rashin gani ko rage gani
• Matsalar magana ko fahimtar magana
• Dizziness, asarar ma'auni, ko fadowa
• Tsananin ciwon kai
• Zuban jini

Fibrillation na auricular - fitarwa; A-fib - fitarwa; AF - fitarwa; Afib - fitarwa

Janairu CT, Wann LS, Alpert JS, et al. Jagoran 2014 AHA / ACC / HRS don kula da marasa lafiya tare da ɓarna: rahoton rahoton kwalejin cututtukan zuciya na Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka game da Ka'idodin Ayyuka da Rungiyar Zuciya. J Am Coll Cardiol. 2014; 64 (21): e1-76. PMID: 24685669 www.ncbi.nlm.nih.gov/pubmed/24685669.

Morady F, Zipes DP. Atrial fibrillation: siffofin asibiti, hanyoyin, da gudanarwa. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier Saunders; 2019: babi na 38.

Zimetbaum P. Cardiac arrhythmias tare da asalin supraventricular. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 64.

• Arrhythmias
• Atrial fibrillation ko motsi
• Tsarin cirewar zuciya
• Mai bugun zuciya
• Harshen lokaci na ischemic

• Magungunan Antiplatelet - Masu hanawa P2Y12
• Asfirin da cututtukan zuciya
• Cholesterol da rayuwa
• Cholesterol - maganin ƙwayoyi
• Kula da hawan jini
• Shan warfarin (Coumadin, Jantoven) - abin da zaka tambayi likitanka
• Shan warfarin (Coumadin)

• Atrial Fibrillation