Chinangwa
Chinangwa chaive chekubudirira uye nekungwarira kusuma boka idzva reanticoagulants (NOAC's) kudzivirira sitiroko (cerebral infactions) muvarwere vane atrial fibrillation (rudzi rwe arrhythmia umo mwoyo unorova zvisingaite uye kazhinji nekukurumidza), kuitira kuti kusava nechokwadi pamusoro pekuchengetedzwa kwekushandiswa kwezvinhu izvi mukuita kwemazuva ose kunogona kubviswa. Paive zvakare nekudikanwa kwekuongorora kudhura-kushanda kwemishonga iyi tichienzanisa neiyo 'yaivepo' anticoagulant kurapwa kweatrial fibrillation muNetherlands vachishandisa vhitamini K vanopikisa vane INR cheki dzakabatana kuburikidza nesevhisi yethrombosis..
Maitiro
Panguva yekuiswa kweNOACs yekudzivirira sitiroko kune varwere vasina-valvular atrial fibrillation. (NVAF) muNetherlands pakupedzisira 2012 Nekukumbira kweBazi rezvehutano, gwara rakadhirowewa nezano pamusoro pezvishoma nezvishoma uye zvakachengeteka kusuma maNOACs.. Zvikonzero zvikuru zveizvi zvaive zviri nani kurongeka kwekutarisira thrombosis munyika yedu zvichienzaniswa nedzimwe nyika dzekuMadokero uye pamwe nemitengo yakakwira yekurapwa neNOAC.. Iyi nhungamiro yakagadzirwa nevamiriri vemasangano esainzi akabatanidzwa zvakananga (NVVC, NIV, NVN, NOV, VAL/NVKC, NVZA/KNMP). Kukosha kwekutevera nhungamiro uye kuvimbisa kusuma sumo kwakasimbiswa nebhodhi reDutch Cardiology Association panguva iyoyo.. zvakare, pachikumbiro chehurumende, komisheni yekubvunzurudza yakagadzwa kuti iite tsvakiridzo yakakumbirwa mukuchengetedzeka uye kudhura-kushanda kweava vamiririri mukuita kwemazuva ese.. Kuti izvi zviitike, chidzidzo chekutyaira chakatanga kuitwa neVEKTIS zvichemo dhatabhesi (insured details), umo varwere vakarapwa nemuromo anticoagulation yechiratidzo NVAF vakaonekwa. Idzi data dzeinshuwarisi dzakaratidza kuti hadzina kukwana (murwere)ine ruzivo rwekukwanisa kupindura mibvunzo inobvunzwa. Chidzidzo chitsva chakabva chagadzirwa kuti chiunganidze data rakawanda rine chekuita nemurwere kubva kumaitiro ezuva nezuva. hafu yaFebruary 2016 ndicho chirongwa chechokwadi paZonMw che 'nyika kunyoresa anticoagulation yeNVAF'.: Dutch AF Registry' uye chirongwa chakakura ichi chinotarisirwa kutanga gore rino.
Mhedzisiro
Zvichitsauka kubva kune dzimwe sumo, kunyorwa kwegwaro uye tsvakiridzo yekuwedzera inogona kutaurwa, zvakananga kune Dutch mamiriro. Kusava nechokwadi uye kurukurirano iyi yakamutsa yakatungamirira kune vakawanda (zvimwe zvisina basa uye zvisina kufanira) kushambadza kwakashata kwakatenderedza NOACs uye nhaurirano pakati pevashandi (cardiologists, vadzidzisi, neurologists, general practitioners uye thrombosis service). Zvakaita kuti pave nemusika unononoka sumo pane zvaitarisirwa, uko kwete chete vagadziri veNOACs asiwo masangano evarwere aive asina kugutsikana: Murwere aripi munyaya iyi??
Zvidzidzo
Mapato mazhinji akabatanidzwa mukuunzwa kweNOACs, pamwe nezvido zvinopokana. Kukosha kwemurwere kwakadzikira kumashure mune iyi ndima yekushushikana, nepo ichi chaifanira kunge chiri hwaro hunoenderera mberi hwekusuma sumo pasi pemutoro wemubatanidzwa wemapato akasiyana. Izvi zvingangove zvakakonzera mhirizhonga uye ingadai yakapindura mibvunzo nezve kuchengetedzeka uye kudhura-kushanda kweNOACs nekukurumidza., zvakananga kune Dutch mamiriro. Hans van Laarhoven (mumiriri wesangano revarwere Hart&Barel group) akataura izvi zvakanaka: "Izvi zvingapokana nezvemaitiro eruzhinji ekuzivisa."
