Shin yakamata ku sha sikanin jini na AFib?

Ilimin Kiwon Lafiya

An kiyasta cewa aƙalla Amurkawa miliyan 2.7 - har zuwa miliyan 6.1 - suna rayuwa tare da Atrial Fibrillation, a cewar Cibiyoyin Kula da Cututtuka da Cututtuka (CDC). Atrial fibrillation (aka AFib) wani nau'i ne na yanayin zuciya da jijiyoyin jini wanda aka bayyana azaman mara tsari-yawanci saurin ko juyawa-bugun zuciya (in ba haka ba ana kiransa arrhythmia). Yana haifar da ƙarancin jini, wanda zai iya ƙara haɗarin bugun jini. Hanya ɗaya don rage wannan haɗarin ita ce ta amfani masu rage jini ga AFib , amma sun zo da haɗarin kansu.

Menene fibrillation na atrial (AFib)?

Atrial fibrillation shine yanayin da yanayin lantarki na yau da kullun na zuciya ya rikice, yayi bayani Kavitha Chinnaiyan, MD , masanin likitan zuciya a Beaumont Health System kuma masanin farfesa ne na Medicine a Makarantar Medicine ta Jami'ar Oakland William Beaumont . A cikin lafiyayyen zuciya, motsin lantarki yana gudana ta hanyoyi na musamman. A cikin wani tare da AFib, muradin bugawar zuciya ya tashi daga wurare marasa kyau a cikin ɗakunan saman zuciya, kuma ana watsa shi ne bisa kuskure kuma ba bisa ƙa'ida ba zuwa ƙananan ɗakunan. Don haka maimakon sassaucin sassauci na ɗakunan sama, sai su yi ‘fibrillate’ kuma ba sa kwangila kamar yadda ya kamata, in ji Dokta Chinnaiyan.

Menene alamun AFib?

Alamar da aka fi sani da AFib ita ce zuciyar tsere. Kwayar cutar na iya haɗawa da:

• gajiya
• ciwon kirji
• karancin numfashi
• jiri da / ko saukin kai

Duk da haka, wasu mutane gaba ɗaya ba su da tabbas, jihohi Nisha B. Jhalani, MD , darektan kula da asibiti da kuma ilimantarwa a Cibiyar Kula da Magungunan Magunguna a NewYork-Presbyterian / Cibiyar Koyon Lafiya ta Irving University .

Yadda ake tantance cutar AFib

Dr. Jhalani ya kara da cewa ana iya gano cutar ta AFib ta hanyar binciken kwayar cutar (ECG), amma dole ne mutum ya kasance a cikin AFib a lokacin gwajin. Idan mutum yana canzawa tsakanin fibrillation na atrial da al'ada sinus rhythm, wanda yake gama gari ne, to mafi kyawun gwaji don ganewar asali zai zama mai sa ido ne na mako biyu don ɗaukar arrhythmia da daidaita shi da kowane alamun, Dr. Jhalani ya ci gaba.

AFib da hadarin bugun jini

A yayin lokuta na AFib, jinin mai wadataccen oxygen ba shi da kyau shiga cikin jiki, wanda ke nufin jini a cikin ɗakunan saman zai iya tsayawa ya samar da gudan jini. Bayan haka, za a iya ɗaukar daskararren jini zuwa kwakwalwa don haifar da shanyewar jiki, Dr. Chinnaiyan, marubucin Zuciyar Lafiya , yayi kashedin. A gaskiya, bisa ga Stungiyar Stungiyar Buga ta Amurka , marasa lafiya tare da AFib sun fi saurin fuskantar bugun jini sau biyar. Da Bloodungiyar Hadin jini ta Nationalasa ya bayyana cewa shanyewar jiki da ke da alaƙa da AFib na iya zama kamar ninki biyu na rauni da mutuwa kamar bugun jini wanda ba AFib ya haifar ba.

Rukatar jini na AFib

Anticoagulants don AFib , wanda ake kira sau da ƙarancin jini, ana ba da shawarar galibi tunda suna iya rage haɗarin shanyewar jiki ko lalacewar wasu gabobin da ciwan jini ke haifarwa. Dr. Chinnaiyan yayi bayanin cewa Coumadin (warfarin) ya kasance shine kawai kwaya daya da ake samu ga yawancin mutane da ke da cutar ta AFib. Yanzu, akwai wasu magunguna, ciki har da Eliquis (apixaban) da Pradaxa (dabigatran), waɗanda ba sa buƙatar ci gaba da lura da jini don isasshen-kuma ba yawa-‘thinness. ’A cikin Janairu 2019, the Heartungiyar Zuciya ta Amurka (AHA) ta sanar da cewa wadannan sabbin magungunan rage jini - wadanda ba kwayoyin Vitamin K ba (NOACs) - sune mafi kyawun madadin warfarin domin rage barazanar bugun jini a marasa lafiya tare da AFib.

An tsara masu sikanin jini gwargwadon yiwuwar bugun jini wanda yayi la'akari da shekaru, jima'i, da sauran yanayin kiwon lafiya, kamar su bugun jini na baya da gazawar zuciya, Dr. Chinnaiyan yayi bayani. Mafi girman haɗarin, shine mafi girman buƙata don masu yanke sihiri.

Menene mafi kyawun sikan jini don AFib?

Likitan ku ne kawai zai iya tantance mafi kyawun sikanin jini a gare ku dangane da yanayin lafiyar ku, cikakkiyar lafiyar ku, da kuma martani ga magani. Lissafin masu sikanin jini masu zuwa yana kwatanta magungunan da aka saba bayarwa don magance AFib.

Mafi kyawun sikanin jini don AFib
Sunan magunguna	Ajin magani	Hanyar gudanarwa	Daidaitaccen sashi	Illolin gama gari
Coumadin (warfarin)	Anticoagulant	Na baka	5mg kwamfutar hannu sau ɗaya a rana	Zub da jini, tashin zuciya, rashin cin abinci, da ciwon ciki
Eliquis (apixaban)	Anticoagulant	Na baka	5mg kwamfutar hannu sau biyu a rana	Tashin zuciya, saurin rauni, ƙananan jini
Pradaxa (dabigatran)	Anticoagulant	Na baka	Kashi 75mg sau biyu a rana	Arami mai sauƙi da ƙananan jini
Xarelto (rivaroxaban foda)	Anticoagulant	Na baka	20mg kwamfutar hannu sau ɗaya a rana	Arami mai sauƙi da ƙananan jini
Savaysa (edoxaban)	Anticoagulant	Na baka	60mg kwamfutar hannu sau ɗaya a rana	Arami mai sauƙi da ƙananan jini

Illolin masu rage jini

Koyaya, dole ne a bi wasu matakan tsaro lokacin shan magani mai hana yaduwar jini. Zubar da jini mai yawa shine sakamako na gama gari na masu rage jini, shi yasa Dr. Jhalani ya bukaci marasa lafiya suyi magana da likitan zuciya ko likitan ciki game da haɗari da fa'idodin masu rage jini. Idan wani ba da daɗewa ba aka kwantar da shi a asibiti saboda cutar gyambon ciki ko kuma idan suna da niyyar faɗuwa, shawarar da za a fara masu ƙwanƙwasa jini don ɓarna a jiki za ta kasance ta musamman.

Da AHA ya ce marasa lafiya ya kamata su yi tunani sau biyu kafin shiga duk wani wasan tuntuɓar juna ko aiki wanda zai iya haɓaka damarku na fadowa, rauni, ko zubar jini. Da Hukumar Kula da Lafiya da Inganci ya bayyana cewa duk wani magani da ake sayarwa (OTC) tare da asfirin zai iya mu'amala da masu rage jinida kuma kara tasirin rage jini, kazalika da yawan ciwo na OTC, sanyi, da masu ba da ciki, ciki har da:

• Advil
• Aleve
• Tylenol
• Alka-Seltzer
• Pepto Bismol
• Ex-lax

Yi magana da likitanka game da cin bitamin K ɗinku. Vitamin K sinadarin bitamin ne mai narkewa wanda yake taimakawa jiki wajen samar da wasu daga cikin sunadaran dake hade da jini. Asingara yawan cin bitamin K (wanda aka samo a cikin ganyayyaki masu koren ganye, broccoli, farin kabeji, da tsiron Brussels) na iya canza tasirin maganin Coumadin (warfarin), in ji Bloodungiyar Hadin jini ta Nationalasa .Samun cikakken ciwan Vitamin K yayin sanyaya jini yana da mahimmanci.