Atrial fibrillation kana flutter

Atrial fibrillation kana flutter rudzi rwakajairika rwekusarongeka kwemwoyo. Rwiyo rwemoyo runokurumidza uye kazhinji kazhinji rwusina kujairika.

Kana ichishanda mushe, iwo mana makamuri echibvumirano chemoyo (svina) nenzira yakarongeka.

Zviratidzo zvemagetsi zvinotungamira moyo wako kupomba yakafanira huwandu hweropa pane zvido zvemuviri wako. Zviratidzo zvinotanga munzvimbo inonzi sinoatrial node (inonziwo sinus node kana SA node).

Mune atrial fibrillation, simba remagetsi remwoyo harisi renguva dzose. Izvi zvinodaro nekuti iyo sinoatrial node haisisiri kudzora rwiyo rwemoyo.

• Zvikamu zvemwoyo hazvigone kubvumirana nenzira yakarongeka.
• Nekuda kweizvozvo, moyo haugone kupomba ropa rakaringana kusangana nezvinodiwa nemuviri.

Mune atrial flutter, iyo ventricles (yakadzika moyo makamuri) inogona kurova nekukurumidza zvakanyanya, asi mune yakajairwa maitiro

Matambudziko aya anogona kukanganisa vese varume nevakadzi. Ivo vanova vanozivikanwa zvakanyanya nekuwedzera zera.

Zvinowanzoitika zve atrial fibrillation zvinosanganisira:

• Doro kushandisa (kunyanya kunwa doro)
• Coronary tsinga chirwere
• Kurwadziwa kwemoyo kana kuvhiya kwemoyo
• Kukundikana kwemoyo kana moyo wakawedzerwa
• Chirwere chevharuvhu yemoyo (kazhinji kacho iyo mitral vharafu)
• Hypertension
• Mishonga
• Kunyanyisa kuita thyroid gland (hyperthyroidism)
• Pericarditis
• Kurwara sinus syndrome

Iwe unogona kunge usiri kuziva kuti moyo wako hausi kurova mune yakajairwa pateni.

Zviratidzo zvinogona kutanga kana kumira pakarepo. Izvi zvinodaro nekuti atrial fibrillation inogona kumira kana kutanga yega.

Zviratidzo zvinogona kusanganisira:

• Pulse iyo inonzwa ichikurumidza, kumhanya, kurovera, kupuruzira, zvisina kujairika, kana kunonoka
• Kunzwa kwekunzwa moyo kurova (palpitations)
• Kuvhiringidzika
• Dzungu, musoro wakareruka
• Kufenda
• Kuneta
• Kurasikirwa kwekugona kurovedza muviri
• Kufema kwekufema

Anopa hutano anogona kunzwa kurova kwemoyo nekukurumidza achiteerera kumoyo wako ne stethoscope. Kupomba kwako kunogona kunzwa nekukurumidza, kusaenzana, kana zvese zviri zviviri.

Iyo yakajairwa kurova kwemoyo ndeye 60 kusvika ku100 kurova paminiti. Mune atrial fibrillation kana flutter, kurova kwemoyo kunogona kuita zana kusvika zana nemakumi manomwe nemashanu ekurova paminiti. Kuwedzera kweropa kunogona kuve kwakajairika kana kushoma.

ECG (bvunzo inorekodha mashandiro emagetsi emoyo) inogona kuratidza atrial fibrillation kana atrial flutter.

Kana yako isina kujairika moyo mutinhimira ikauya ichipfuura, ungangoda kupfeka yakakosha yekutarisa kuti uone dambudziko. Iyo yekutarisisa inorekodha mitinhimira yemoyo kwenguva yakati.

• Chiitiko chekutarisa (mavhiki matatu kusvika mana)
• Holter Monitor (24-awa bvunzo)
• Yakaisirwa loop rekodhi (yakawedzera kuongorora)

Miedzo yekuwana chirwere chemoyo inogona kusanganisira:

• Echocardiogram (ultrasound imaging yemoyo)
• Kuyedza kuongorora kuwedzerwa kweropa retsandanyama yemoyo
• Kuyedza kudzidza sisitimu yemagetsi yemoyo

Kurapa kweCardioversion kunoshandiswa kuita kuti mwoyo udzokere muchimiro chakajairwa ipapo ipapo. Pane nzira mbiri dzekurapwa:

• Kuvhunduka kwemagetsi kumoyo wako
• Zvinodhaka zvinopihwa kuburikidza netsinga

Aya marapirwo anogona kuitwa senzira dzekurumidzira, kana kurongwa nguva isati yakwana.

Mishonga yemazuva ese inotorwa nemuromo inoshandiswa ku:

• Inononoka kurova kwehana kusingaite - Iyi mishonga inogona kusanganisira beta-blockers, calcium chiteshi blockers, uye digoxin.
• Kudzivirira atrial fibrillation kubva kudzoka -- Iyi mishonga inoshanda zvakanaka muvanhu vazhinji, asi inogona kuve nemhedzisiro yakaipa. Atrial fibrillation inodzoka muvanhu vazhinji, kunyangwe ivo pavanenge vachitora iyi mishonga.

Maitiro anonzi radiofrequency ablation anogona kushandiswa kuora nzvimbo mumoyo mako uko matambudziko emutinhimira wemoyo anokonzereswa. Izvi zvinogona kudzivirira zvisina kujairika magetsi emagetsi anokonzera atrial fibrillation kana flutter kubva mukufamba kuburikidza nemoyo wako. Iwe ungangoda moyo pacemaker mushure meiyi nzira. Vanhu vese vane atrial fibrillation vanofanirwa kudzidza maitiro ekugadzirisa mamiriro aya kumba.

Vanhu vane atrial fibrillation vanowanzoda kutora mishonga yakatetepa yeropa. Iyi mishonga tare inoshandiswa kudzikisa njodzi yekukura kweropa rinofamba mumuviri (uye iro rinogona kukonzera sitiroko, semuenzaniso). Iyo isina kujairika yemoyo mutinhimira inoitika neatrial fibrillation inoita kuti kuwanda kweropa kuwedzere kuumba.

Ropa rakatetepa mishonga inosanganisira heparin, warfarin (Coumadin), apixaban (Eliquis), rivaroxaban powder (Xarelto), edoxaban (Savaysa) uye dabigatran (Pradaxa). Antiplatelet zvinodhaka senge aspirin kana clopidogrel inogona zvakare kupihwa. Zvisinei, vanoonda ropa vanowedzera mukana wekubuda ropa, saka havazi vese vanogona kuvashandisa.

Imwe nzira yekudzivirira sitiroko kune vanhu vasingakwanise kutora mishonga iyi zvakachengeteka iWatchman Midziyo, iyo ichangobva kugamuchirwa neDFA. Iyi idiki diki-yakaumbwa inoiswa mukati memwoyo kuvhara nzvimbo yemoyo panowanzoita mavhinga. Iyi miganho inogwamba fomu kuumba.

Mupiki wako anozotarisa zera rako nemamwe matambudziko ekurapa kana uchisarudza nzira dzekudzivirira sitiroko dzakanakira iwe.

Kurapa kunogona kazhinji kudzora kusagadzikana uku. Vanhu vazhinji vane atrial fibrillation vanoita chaizvo nemushonga.

Atrial fibrillation inowanzo dzoka uye ichiwedzera kuwedzera. Inogona kudzoka mune vamwe vanhu, kunyangwe nekurapwa.

Mavhinga anotsemuka achienda kuuropi anogona kukonzera sitiroko.

Fonera mupiki wako kana iwe uine zviratidzo zveatrial fibrillation kana flutter.

Taura nemupi wako nezve nhanho dzekurapa mamiriro anokonzera atrial fibrillation uye flutter. Dzivisa kunwisa.

Auricular fibrillation; A-fib; Afib

• Atrial fibrillation - kubuda
• Mwoyo pacemaker - kubuda
• Kutora warfarin (Coumadin, Jantoven) - chii chekubvunza chiremba wako

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa
• Mashure emoyo arteri
• Anterior moyo arteri
• Kuitisa system yemoyo

Ndira CT, Wann LS, Calkins H, et al. 2019 AHA / ACC / HRS yakatarisa kuvandudzwa kwegore ra2014 AHA / ACC / HRS gwara rekutungamira kwevarwere vane atrial fibrillation: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro uye iyo Mwoyo Rhythm Society mu kushanda pamwe neSosaiti yeVarapi Vanovhiya. Kutenderera. 2019; 140 (6) e285. PMID: 30686041 pubmed.ncbi.nlm.nih.gov/30686041.

Meschia JF, Bushnell C, Boden-Albala B, uye al. Nongedzo dzekudzivirira kwekutanga sitiroko: chirevo chevashandi vezvehutano kubva kuAmerican Heart Association / American Stroke Association. Kurohwa. 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838.

Morady F, Zipes DP. Atrial fibrillation: kiriniki maficha, maitiro, uye manejimendi. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 38.

Zimetbaum P. Supraventricular yemoyo arrhythmias. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 58.