Nuna hanyoyin daban-daban
Idan kana da kwarewa ta hanyar kwarewa, yaya za ka yanke hukunci a tsakanin hanyoyin biyu na magance magungunanka (wato, tanadi da kuma riƙe wani tsari na al'ada ko sarrafa ikon zuciya)? Akwai dalilai da dama da ku da likitanku zasu yi la'akari da yin wannan yanke shawara.
Yaushe ne Kwancin Tsarin Rhythm Control ya dace?
A kan fuskarsa, tsarin kulawa da kullun - sabuntawa da kuma riƙe nauyin zuciya na al'ada - zai zama alama ce mai dacewa game da kowa.
Bayan haka, wa ke son ya zauna a filastillation? Matsalar ita ce, magungunan da ke samuwa don cimma burin kullun a cikin fibrillation da ke tattare da kwayar cutar ya kasance yana da tasiri mai kyau, kuma ya nuna marasa lafiya ga wasu ƙananan haɗari.
Saboda haka, likitoci sun fi tsayar da tsarin kulawa da marasa lafiya wadanda suke ganin sun sami damar samun nasara tare da shi, ko kuma wadanda basu iya jure wa jigilar kwayar cutar ba har ma lokacin da ake sarrafa zuciya. Irin waɗannan marasa lafiya zasu hada da wadannan nau'o'in:
- Wadanda wadanda ke nuna alamar fitina suna da alaƙa da wani abu mai rikitarwa, wani abu mai mahimmanci, ko matsalar ƙwayar lafiya wadda ta fi dacewa ta sarrafawa. Wadannan zasu hada da: hyperthyroidism ; pericarditis ; almuran jini , ciwon huhu ko wasu matsalolin kututtukan ƙwayar cuta; kwananyar ƙwayar hanya ta baya; barasa mai guba (" zuciya hutu "); talauci sarrafawa zuciya rashin cin nasara ; ko rashin barcin barcin barci . Da zarar an magance wadannan maganganu da ke haifar da filastillation da aka yanke, mai haƙuri yana da damar da zai iya zama a cikin zuciya ta al'ada.
- Mutane da ke da matukar magungunan '' mai karfi 'wadanda ke da alaƙa da yin jituwa da rashin ƙarfi, har ma lokacin da aka samu nasarar samun kudi mai kyau. Irin wannan yanayi sun hada da hypertrophic cardiomyopathy , hypertensive zuciya zuciya, diastolic dysfunction , ko kuma aortic stenosis .
- Magunguna waɗanda aka yi amfani da su a cikin hanyoyi masu tsada, kuma sun kasa kula da bayyanar cututtuka.
- 'Yan wasa da wasu waɗanda ayyukansu suke buƙatar su yi a kullun zuciya na zuciya.
- Mutanen da suke so su yi amfani da tsarin kulawa da hankali lokacin da aka sanar da su game da iyakokinta.
Yaushe Yasjejeniyar Ƙimar Kulawa ta Daidai?
Saboda matsaloli da kuma hadarin da ke tattare da tsarin kulawa da kullun da ke tattare da filastillation, mafi yawan masana sunyi la'akari da yadda tsarin kulawa ya zama tsarin "tsoho" don yawancin marasa lafiya da wannan arrhythmia.
Ba wai kawai tsarin kula da hankali ya fi dacewa ba kuma ya fi tasiri fiye da tsarin kulawa da hankali, amma kuma yana da tasiri wajen kawar da alamar bayyanar cututtuka na filastillation a mafi yawan mutanen da suke da wannan arrhythmia. Tun da dukan mahimmanci game da magance ƙwaƙwalwar shari'ar mutum shine kawar da bayyanar cututtuka, tsarin kula da tsarin kula da kudi yana da tasiri sosai wajen cimma burin maganin.
Bugu da ƙari kuma, yayin da a baya an ɗauka cewa idan za ku iya yin jituwa ta hanyar dabarar da za a iya kawar da hadarin bugun jini zai ragu sosai, binciken binciken asibiti ya kasa nuna wannan sakamako. Don haka, koda kuwa an yi amfani da dabarun sarrafa tsarin kuma yana ganin ya ci nasara, majiyyaci har yanzu suna buƙata a bi da su tare da kwayoyi masu tasowa .
Saboda haka, babbar hanyar amfani da tsarin kula da kariyar ta kasa ta kasa (a kalla har zuwa yanzu) don karawa.
Shin kula da al'ada na al'ada da kyau fiye da daidaituwa?
Yayinda yake gani a fili cewa tsarin dabarun kulawa zai samar da kyakkyawan sakamako fiye da tsarin dabarun kulawa a cikin filastillation, ƙwarewar binciken binciken sun kasa nuna cewa wannan shi ne yanayin. Maimakon haka, gwagwarmayar gwajin gwagwarmaya ta kwatanta tsarin kulawa da hankali don tabbatar da lafiyar marasa lafiya tare da fibrillation da ke tattare da kwayoyin halitta sun nuna halin da ke faruwa ga mummunar sakamako na asibiti (ciki har da mafi girma daga mutuwa, rashin zuciya , bugun jini da zub da jini) tare da tsarin kulawa da kariya.
Yawancin masana sun danganta wadannan sakamako mafi muni ga magungunan kwayoyin cutar kwayar antiarrhythmic, amma wannan ba gaskiya bane.
Layin Ƙasa
A yanzu, masana sun yarda cewa tsarin "tsoho" don yawancin marasa lafiya wadanda suka kamu da cutar (musamman ma bayan daya ko watakila ƙoƙari guda biyu don kula da rukunin al'ada sun kasa) shine tsarin kulawa da kulawa. Duk da haka, wannan shawarar yana bukatar a haɗuwa da juna tsakanin likita da mai haƙuri, tare da duk wadata da ƙwararrun kowane tsarin da aka ɗauka a cikin asusu mai kyau.
Sources:
Cibiyar Kwalejin Kwayoyin Kimiyya ta {asar Amirka, {ungiyar Harkokin Kasuwancin {asar Amirka, {ungiyar {asashen Turai ta Kwayoyin Kimiyya, Gudanar da marasa lafiya tare da ƙwararriyar kwayoyin halitta (tarihin 2006 ACCF / AHA / ESC da 2011 ACCF / AIHA / HRS shawarwari): rahoton da Cibiyar Harkokin Kasuwancin Amirka ta {ungiyar Amirka game da ka'idodin aiki. Yanayin 2013; 127: 1916.
Wyse DG, Waldo AL, et al. A kwatanta da kula da kwayoyi da kariyar sarrafawa a marasa lafiya tare da fibrillation. N Eng J Med 2002; 347 (23): 1825.
Van Gelder IC, Hagens VE, et al. A kwatanta tsarin kula da kwayoyi da kuma kula da kwayar cutar a cikin marasa lafiya tare da ci gaba da kasancewa a cikin fibrillation. N Eng J Med 2002; 347 (23): 1834.