Nufin
Manufar ita ce a samu nasara da kuma gabatar da sabon rukunin magungunan rigakafin jini a hankali (Farashin NOAC) don rigakafin bugun jini (cututtuka na cerebral) a cikin marasa lafiya da atrial fibrillation (nau'in arrhythmia wanda zuciya ke bugawa ba bisa ka'ida ba kuma yawanci da sauri), ta yadda za a iya cire rashin tabbas game da amincin amfani da waɗannan abubuwa a cikin ayyukan yau da kullun. Har ila yau, akwai buƙatar yin bincike game da ingancin waɗannan wakilai idan aka kwatanta da "wanda yake da shi" maganin ƙwanƙwasa jini na fibrillation a cikin Netherlands ta amfani da masu adawa da bitamin K tare da haɗin INR cak ta hanyar sabis na thrombosis..
The m
A lokacin gabatarwar NOACs don rigakafin bugun jini a cikin marasa lafiya tare da fibrillation na valvular. (NVAF) a cikin Netherlands a karshen 2012 Bisa bukatar Ma'aikatar Lafiya, an tsara jagora tare da shawarwari game da sannu-sannu da aminci na NOACs.. Babban dalilan wannan shine mafi kyawun tsarin kula da thrombosis a cikin ƙasarmu idan aka kwatanta da sauran ƙasashen Yamma da yuwuwar hauhawar farashin jiyya tare da NOAC.. Wakilan ƙungiyoyin kimiyyar da abin ya shafa kai tsaye ne suka zana wannan jagorar (NVVC, NIV, NVN, NOV, VAL/NVKC, NVZA/KNMP). Mahimmancin bin ka'idar da tabbatar da gabatarwar a hankali an jaddada shi daga hukumar kula da cututtukan zuciya na Dutch a lokacin.. ya kuma, bisa bukatar gwamnati, an kafa kwamitin bincike don gudanar da binciken da aka nema akan aminci da ingancin waɗannan wakilai a cikin ayyukan yau da kullun.. Don wannan, an fara gudanar da binciken matukin jirgi tare da bayanan da'awar VEKTIS (insured bayanai), Inda aka gano majinyatan da aka yi musu maganin maganin ƙwanƙwasawa na baka don nunin NVAF. Waɗannan bayanan inshora sun zama marasa wadatarwa (mai haƙuri)ya ƙunshi bayanai don samun damar amsa tambayoyin da aka yi. Bayan haka an ƙirƙiri sabon binciken don tattara ƙarin bayanai masu alaƙa da haƙuri daga ayyukan yau da kullun. rabin Fabrairu 2016 shine madaidaicin tsari a ZonMw don 'rejista na kasa na maganin rigakafi don NVAF': Yaren mutanen Holland AF Registry' kuma ana sa ran fara wannan gagarumin aikin a wannan shekara.
Sakamakon
Ya bambanta da sauran gabatarwa, za a iya ba da shawarar tsara jagora da ƙarin bincike, musamman ga halin da ake ciki na Dutch. Rashin tabbas da tattaunawar da wannan ya haifar ya haifar da yawa (wani bangare ba dole ba kuma mara hujja) mummunan talla a kusa da NOACs da tattaunawa tsakanin masu aikin (likitocin zuciya, internists, neurologists, GPs da sabis na thrombosis). Ya haifar da ƙaddamar da kasuwa a hankali fiye da yadda ake tsammani, inda ba kawai masana'antun NOACs ba har ma da ƙungiyoyin haƙuri ba su gamsu ba: Ina mai haƙuri da kansa a cikin wannan labarin?
Darussan
Jam'iyyu da yawa sun shiga cikin gabatar da NOACs, wani bangare tare da bukatu masu karo da juna. Sha'awar majiyyaci ta ɗan dusashe a cikin wannan fagen tashin hankali, yayin da wannan ya kamata ya zama tushen ci gaba don gabatar da hankali a ƙarƙashin alhakin haɗin gwiwa na bangarori daban-daban. Wataƙila wannan zai iya haifar da ƙarancin hayaniya kuma zai iya amsa tambayoyi game da aminci da ƙimar NOACs da wuri., musamman ga halin da ake ciki na Dutch. Hans van Laarhoven (wakilin kungiyar marasa lafiya Hart&Rukunin ganga) yace wannan da kyau: "Wannan zai ba da hujjar tsarin shigar da jama'a gaba ɗaya."
