Atrial Flutter

Zvemukati

• Ndezvipi zviratidzo zveatrial flutter?
• Chii chinokonzera atrial flutter?
• Coronary tsinga chirwere
• Kuvhiya-kwemoyo
• Ndiani ari panjodzi yeatrial flutter?
• Inrial flutter inoonekwa sei?
• Inrial flutter inorapwa sei?
• Mishonga
• Kuvhiya
• Dzimwe nzira dzokurapa
• Chii chinogona kutarisirwa munguva refu?
• Mubvunzo:
• A:

Mhedziso

Atrial flutter (AFL) rudzi rwemhando yemoyo, kana arrhythmia. Izvo zvinoitika kana makamuri epamusoro emoyo wako achirova zvakanyanya. Kana makamuri ari pamusoro pemoyo wako (atria) achirova nekukurumidza kupfuura epasi (ma ventricles), zvinoita kuti moyo wako mutinhimira ubve mukuenderana.

Atrial flutter yakafanana nemamiriro kune akajairika atrial fibrillation (AFib).

Ndezvipi zviratidzo zveatrial flutter?

Kazhinji, munhu ane AFL haanzwe kupepera kwemoyo wavo. Zviratidzo zvinowanzo kuratidza mune dzimwe nzira. Zvimwe zvacho zvinosanganisira:

• kukurumidza kurova kwemoyo
• mweya wekufema
• kunzwa musoro wakareruka kana kupera simba
• kumanikidza kana kuomesa mubhokisi
• dzungu kana hurema
• kurova kwemoyo
• kunetseka kuita zviitiko zvezuva nezuva nekuda kwekuneta

Kushungurudzika kunokwidziridza kurova kwemoyo wako, uye kunogona kuwedzera zviratidzo zveAFL. Izvi zviratidzo zveAFL zvakajairika mune mamwe akawanda mamiriro. Kuva nechimwe kana zvimwe zvezviratidzo izvi hazviwanzo chiratidzo cheAFL. Zviratidzo zvinowanzogara kwemazuva, kana kunyange vhiki, panguva.

Chii chinokonzera atrial flutter?

Iyo pacemaker yechisikigo (iyo sinus node) inodzora kurova kwemoyo wako. Inowanikwa mune chaiyo atrium. Iyo inotumira zviratidzo zvemagetsi kune vese kurudyi uye kuruboshwe atria. Iwo masaini anotaurira kumusoro kwemoyo kuti sei uye riini kondirakiti.

Paunenge uine AFL, iyo sinus node inotumira iyo magetsi chiratidzo. Asi chikamu chechiratidzo chinofamba munzira inoenderera ichitevedza nzira yakatenderedza atrium yekurudyi. Izvi zvinoita kuti atria chibvumirano nekukurumidza, izvo zvinoita kuti atria iridze nekukurumidza kupfuura ma ventricles.

Yechinyakare kurova kwemoyo ndeye 60 kusvika ku100 kurova paminiti (bpm). Vanhu vane AFL vane moyo inorova pa250 kusvika 300 bpm.

Zvinhu zvakati wandei zvinogona kukonzera AFL. Izvi zvinosanganisira:

Coronary tsinga chirwere

Chirwere chemwoyo ndicho chikonzero chikuru cheAFL. Coronary artery disease (CAD) inoitika apo tsinga dzemoyo dzinovharika nechikwangwani.

Cholesterol uye mafuta anonamira kumadziro etsinga anokonzeresa. Izvi zvinoderedza kana kudzivirira kufamba kweropa. Inogona kukuvadza mhasuru yemoyo, makamuri, uye tsinga dzeropa.

Kuvhiya-kwemoyo

Kuvhiya-kwemoyo wakasununguka kunogona kukuvadza moyo. Izvi zvinogona kuvharidzira magetsi, izvo zvinogona kutungamira kune yeatrial flutter.

Ndiani ari panjodzi yeatrial flutter?

Njodzi zvinhu zveAFL zvinosanganisira mimwe mishonga, mamiriro ezvinhu aripo, uye sarudzo yemararamiro. Vanhu vari panjodzi yeatrial flutter vanowanzo ku:

• chiutsi
• vane chirwere chemwoyo
• ndakarwara nemoyo
• vane BP yakakwira
• iva nemamiriro evharuvhu yemoyo
• vane chirwere chemapapu
• kuva nekushushikana kana kushushikana
• tora mapiritsi edhayeti kana imwewo mishonga
• kunwa doro kana kunwa doro kakawanda
• vakavhiyiwa munguva pfupi yapfuura
• vane chirwere cheshuga

Inrial flutter inoonekwa sei?

Vanachiremba vanotanga kufungidzira AFL kana kurova kwemoyo wako pazororo kukaenda pamusoro pe100 bpm. Nhoroondo yemhuri yako yakakosha apo chiremba wako ari kuyedza kuongorora AFL. Nhoroondo yehosha yemoyo, nyaya dzekushushikana, uye yakakwira BP inogona kukanganisa njodzi yako.

Chiremba wako wekutanga anokwanisa kuongorora AFL. Iwe unogona zvakare kuendeswa kune chiremba wezvemwoyo kuti uongorore.

Miedzo yakati wandei inoshandiswa kuongorora nekusimbisa AFL:

• Echocardiograms shandisa ultrasound kuratidza mifananidzo yemoyo. Ivo vanogona zvakare kuyera kuyerera kweropa kuburikidza nemoyo wako nemidziyo yeropa.
• Electrocardiograms nyora maitiro emagetsi emoyo wako.
• EP (electrophysiology) zvidzidzo ndiyo imwe nzira inoparadza yekurekodha moyo mutinhimira. Catheter yakasungirirwa kubva mutsinga dzeguruva rako kupinda mumoyo mako. Ma electrode anozoiswa kuti aongorore mutinhimira wemoyo munzvimbo dzakasiyana.

Inrial flutter inorapwa sei?

Chinangwa chako chikuru chechiremba ndechekudzorera moyo wako mutinhimira kune zvakajairwa. Kurapa kunoenderana nekuti mamiriro ako akakomba sei. Zvimwe zvinetso zvehutano zvinogona kukanganisa kurapwa kweAFL.

Mishonga

Mishonga inogona kunonoka kana kudzora kurova kwemoyo wako. Mimwe mishonga inogona kuda kugara muchipatara kwenguva pfupi apo muviri wako unogadzirisa. Mienzaniso yemishonga iyi inosanganisira calcium chiteshi blockers, beta-blockers, uye digoxin.

Mimwe mishonga inogona kushandiswa kushandura atrial flutter rhythm kudzokera kune yakasarudzika sinus rhythm. Amiodarone, propafenone, uye flecainide mienzaniso yemhando idzi dzemishonga.

Ropa rakapfava, senge isiri-vhitamini K yemuromo anticoagulants (NOACs), inogona kushandiswa kudzivirira kuumbika kwemukati mutsinga dzako. Kuvhara kunogona kukonzera sitiroko kana chirwere chemwoyo. Vanhu vane AFL vane mikana yekuwedzera yeropa.

Warfarin yave iri anticoagulant yakagara ichitaurwa, asi maNoACs ave kusarudzwa nekuti iwo haadi kuongororwa pamwe nekuongororwa kweropa kakawanda uye havana hukama hwekudya.

Kuvhiya

Ablation therapy inoshandiswa apo AFL isingakwanise kudzorwa kuburikidza nemushonga. Inoparadza matissue emoyo ari kukonzera mutinhimira usina kujairika. Iwe ungangoda pacemaker mushure mekuvhiyiwa uku kudzora kurova kwemoyo wako. Iyo pacemaker inogona zvakare kushandiswa pasina ablation.

Dzimwe nzira dzokurapa

Cardioversion inoshandisa magetsi kuvhundutsa mutinhimira wemoyo kudzokera pane zvakajairwa. Inonziwo defibrillation. Paddles kana zvigamba zvinoshandiswa pachipfuva zvinokonzeresa kuvhunduka.

Chii chinogona kutarisirwa munguva refu?

Mishonga inowanzo kubudirira mukurapa AFL. Nekudaro, mamiriro acho anogona dzimwe nguva kudzokazve mushure mekurapwa zvichienderana nechikonzero che AFL yako. Iwe unogona kudzikisa njodzi yekudzokazve nekuderedza kunetseka kwako uye kutora mishonga yako sekurairwa.

Mubvunzo:

Ndeapi matanho akanyanya ekudzivirira andinogona kutora kudzivirira kukura kweAFL?

A:

Atrial flutter yakajairika arrhythmia asi inosanganisirwa nehumwe hutano mamiriro sekutadza kwemoyo, chirwere chemwoyo, kudhakwa, chirwere cheshuga, chirwere chetachiona, kana chirwere chisingaperi chemapapu. Nzira yakanakisa yekudzivirira atrial flutter kuyedza uye kudzivirira kuvandudza aya marapirwo pakutanga. Kuchengeta mararamiro ane hutano nekudya kwakaringana uye kurovedza muviri nguva dzose, kurega kunwa doro rakawandisa, uye kurega kusvuta kana uchisvuta kunobatsira.