Aibrial fibrillation - hoʻokuʻu

ʻO ka fibrillation Atrial a i ʻole ka flutter kahi ʻano maʻamau o ka naʻau kūlohelohe. Wikiwiki ka puʻuwai a wikiwiki pinepine ʻole. Ma ka haukapila ʻoe e mālama ai i kēia ʻano.

Ma ka haukapila paha ʻoe ma muli o ka loaʻa ʻana o ka fibrillation atrial. Kū kēia ʻano ke kani ka naʻau o kou puʻuwai me ka wikiwiki a me ka maʻamau ma mua o ka maʻamau. Ua hoʻomohala paha ʻoe i kēia pilikia ʻoiai ʻoe ma ka haukapila no ka hōʻeha puʻuwai, ʻoki ʻana i ka puʻuwai, a i ʻole nā ​​maʻi koʻikoʻi e like me ka pulumonia a ʻeha paha.

Nā hana i loaʻa iā ʻoe e loaʻa pū me:

• Pāʻalāʻau
• Cardioversion (he hana kēia e hoʻololi ai i ka pā o kou puʻuwai i ka maʻamau. Hiki ke hana ʻia me ka lāʻau a i ʻole ka uila uila.)
• Hoʻopau i ka naʻau

Ua hāʻawi ʻia paha iā ʻoe nā lāʻau e hoʻololi i kou puʻuwai puʻuwai a hoʻolohi paha. ʻO kekahi:

• ʻO nā mea pale beta, e like me metoprolol (Lopressor, Toprol-XL) a i ʻole atenolol (Senormin, Tenormin)
• Nā poloka ʻauana kalipuna, e like me diltiazem (Cardizem, Tiazac) a i ʻole verapamil (Calan, Verelan)
• Digoxin
• ʻO Antiarrhythmics (nā lāʻau e kaohi i ka mana o ka puʻuwai), e like me amiodarone (Cordarone, Pacerone) a i ʻole sotalol (Betapace)

E hoʻopiha i kāu mau kauka holoʻokoʻa ma mua o kou hoʻi ʻana i ka home. Pono ʻoe e lawe i kāu lāʻau i ke ala a kāu mea mālama ola i haʻi aku ai iā ʻoe.

• E haʻi aku i kāu mea hoʻolako e pili ana i nā lāʻau ʻē aʻe āu e lawe nei me nā lāʻau ʻoi loa, nā mea kanu, a i ʻole nā ​​mea hoʻopili. E nīnau inā he maikaʻi ke hoʻomau i ka lawe ʻana i kēia. Eia kekahi, e haʻi i kāu mea hāʻawi inā lawe ʻoe i nā antacids.
• Mai hōʻoki i ka lawe ʻana i kekahi o kāu lāʻau me ka ʻole e kamaʻilio mua me kāu mea hāʻawi. Mai hōʻalo i kahi lāʻau inā ʻaʻole ʻoe e haʻi ʻia.

Ke lawe nei paha ʻoe i ka aspirin a i ʻole clopidogrel (Plavix), prasugrel (Effient), ticagrelor (Brilinta), warfarin (Coumadin), heparin, a i ʻole kekahi mea ʻokiʻoki koko e like me apixiban (Eliquis), rivaroxaban (Xarelto), dabigatran (Pradaxa) e kōkua mālama i kou koko mai ka hoʻopili ʻana.

Inā ʻoe e lawe i ka lahilahi o ke koko:

• Pono ʻoe e kiaʻi no ke kahe ʻana o ke kahe a i ʻole ka palapū, a e ʻike i kāu mea lawelawe inā kū ʻia.
• E haʻi aku i ka kauka niho, kauka lāʻau lapaʻau, a me nā mea lawelawe ʻē aʻe āu e lawe nei i kēia lāʻau.
• Pono ʻoe e hōʻoia hou i ke koko e hōʻoia i ka pololei o kāu mahele inā lawe ʻoe i warfarin.

Ka palena i ka nui o ka waiʻona e inu ai ʻoe. E noi i kāu mea lawelawe inā maikaʻi ke inu, a he aha ka palekana.

Mai puhipaka. Inā hana puhi ʻoe, hiki i kāu mea hāʻawi ke kōkua iā ʻoe e haʻalele.

E hāhai i ka papaʻai olakino naʻau.

• Hōʻalo i nā meaʻai paʻakai a momona.
• E haʻalele i nā hale ʻaina ʻai wikiwiki.
• Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi dietitian, ka mea hiki ke kōkua iā ʻoe e hoʻolālā i kahi papaʻai olakino.
• Inā ʻoe e lawe i ka warfarin, mai hoʻololi nui i kāu papaʻai a i ʻole lawe i nā wikamina me ka nānā ʻole ʻana me kāu kauka.

E hoʻāʻo e hōʻalo i nā pilikia pilikia.

• E haʻi i kāu mea hāʻawi inā manaʻo kaumaha a kaumaha paha ʻoe.
• Kōkua paha ke kamaʻilio pū ʻana me ke kākāʻōlelo.

E aʻo pehea e nānā ai i kāu pulse, a nānā iā ia i kēlā me kēia lā.

• ʻOi aku ka maikaʻi e lawe i kāu pulse ponoʻī ma mua o ka hoʻohana ʻana i kahi mīkini.
• ʻOi aku ka pololei o ka mīkini ma muli o ka fibrillation atrial.

Ka palena i ka nui o nā caffeine āu e inu ai (loaʻa i ke kope, tī, colas, a me nā mea inu ʻē aʻe he nui.)

Mai hoʻohana i ka cocaine, amphetamines, a i ʻole nā ​​lāʻau ʻokiʻoki ʻē aʻe. Hiki iā lākou ke hoʻokuʻi i kou puʻuwai me ka wikiwiki, a hoʻopōʻino mau i kou puʻuwai.

Kāhea i kōkua kōkua pilikia inā manaʻo ʻoe:

• ʻEha, kaomi, paʻa, a i ʻole ke kaumaha i kou umauma, lima, ʻāʻī, a i ʻole
• Pokole o ka hanu
• ʻEha Gas a i ʻole indigestion
• Kuʻi, a inā ʻoe e nalo ke kala
• ʻĀlamalama
• ʻO ke kuʻi puʻuwai wikiwiki, ka puʻuwai kīnā ʻole, a i ʻole kuʻi ʻoluʻolu ʻole kou puʻuwai
• Numbness a nāwaliwali paha i kou alo, lima, a wāwae paha
• Blurry a hoʻoliʻiliʻi paha ka hihiʻo
• Pilikia i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana i ka ʻōlelo
• Puʻupuʻu, nalo o ke kaulike, a hāʻule paha
• ʻEha poʻo poʻo
• Kahena

Auricular fibrillation - hoʻokuʻu; A-fib - hoʻokuʻu; AF - hoʻokuʻu; Afib - hoʻokuʻu

Ianuali CT, Wann LS, Alpert JS, et al. ʻO 2014 AHA / ACC / HRS alakaʻi no ka mālama ʻana i nā mea maʻi me ka fibrillation atrial: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force e pili ana i nā kulekele hana a me ka Heart Rhythm Society. ʻO J Am Coll Cardiol. 2014; 64 (21): e1-76. PMID: 24685669 www.ncbi.nlm.nih.gov/pubmed/24685669.

Morady F, Zipe DP. Aibrial fibrillation: nā hiʻohiʻona maʻi, nā ʻano hana, a me ka hoʻokele. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier Saunders; 2019: chap 38.

Zimetbaum P. Cardiac arrhythmias me kahi kumu supraventricular. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 64.

• ʻO Arrhythmias
• Aibrial fibrillation a i ʻole flutter
• Nā kaʻina hana hoʻopau Cardiac
• Puʻuwai puʻuwai
• Hoʻouka ischemic kuikawa

• Nā lāʻau Antiplatelet - nā mea kūpaka P2Y12
• ʻO ka aspirin a me ka maʻi puʻuwai
• ʻO Cholesterol a me ka nohona
• Cholesterol - lāʻau lapaʻau
• Ke kaohi nei i kou kiʻekiʻe o ke koko
• Lawe iā warfarin (Coumadin, Jantoven) - he aha e nīnau aku ai i kāu kauka
• Lawe iā warfarin (Coumadin)

• ʻAtrial Fibrillation