Atrial Flutter vs. Atrial Fibrillation
Zvemukati
Mhedziso
Atrial flutter uye atrial fibrillation (AFib) ese ari maviri marudzi e arrhythmias. Izvo zviviri zvinoitika kana paine matambudziko nezviratidzo zvemagetsi zvinoita kuti moyo wako wemakamuri chibvumirano. Kana moyo wako uchirova, urikunzwa iwo makamuri ekubvumirana.
Atrial flutter uye AFib zvese zvinokonzereswa kana zviratidzo zvemagetsi zvikaitika nekukurumidza kupfuura zvakajairwa. Musiyano mukuru pakati pemamiriro maviri aya ndewekuti chiitiko chemagetsi ichi chakarongeka sei.
Zviratidzo
Vanhu vane AFib kana atrial flutter vangasazowana chero zviratidzo. Kana zviratidzo zvikaitika, zvakafanana:
| Chiratidzo | Atrial fibrillation | Atrial flutter |
| kukurumidza kupisa moyo | kazhinji zvinokurumidza | kazhinji zvinokurumidza |
| isina kujairika kupomba | nguva dzose zvisina kujairika | inogona kuve yenguva dzose kana isina kujairika |
| dzungu kana kupera simba | Ehe | Ehe |
| kupora (kunzwa senge moyo uri kumhanya kana kurova) | Ehe | Ehe |
| mweya wekufema | Ehe | Ehe |
| kushaya simba kana kuneta | Ehe | Ehe |
| kurwadziwa pachipfuva kana kuoma | Ehe | Ehe |
| wakawedzera mukana wekugwamba kweropa uye sitiroko | Ehe | Ehe |
Musiyano mukuru muzviratidzo uri mukuwanzoitika kweiyo pulse rate. Pakazara, zviratidzo zveatrial flutter zvinowanzo kuve zvishoma zvakanyanya. Kune zvakare mukana mushoma wekuvhara kwegadziri uye sitiroko
AFib
MuAfib, iwo maviri epamusoro makamuri emoyo wako (atria) anogashira asina kurongeka magetsi emagetsi.
Iyo atria yakarova kunze kwekubatana pamwe nepazasi maviri makamuri emoyo wako (ventricles). Izvi zvinotungamira kukurumidza uye zvisina kujairika moyo mutinhimira. Yechinyakare kurova kwemoyo ndeye 60 kusvika ku100 kurova paminiti (bpm). MuAfib, kurova kwemoyo kunotangira kubva pa100 kusvika 175 bpm.
Atrial flutter
Mune atrial flutter, yako atria inogamuchira yakarongeka magetsi masheni, asi iwo masheni anomhanyisa kupfuura zvakajairwa. Iyo atria yakarova kazhinji kazhinji kupfuura ma ventricles (anosvika mazana matatu bpm). Yega yechipiri yechipiri kurova ndiyo inopinda mukati meiyo ventricles.
Iyo inokonzeresa kupomba kwehuwandu hwakatenderedza 150 bpm. Atrial flutter inogadzira yakatarwa chaiyo "sawtooth" pateni pane yekuongorora bvunzo inozivikanwa seelectrocardiogram (EKG).
Ramba uchiverenga: Mashandiro anoita moyo wako »
Zvinokonzera
Njodzi zvinhu zveatrial flutter uye AFib zvakafanana chaizvo:
| Njodzi chinhu | AFib | Atrial flutter |
| kurwiswa kwemoyo kwakapfuura | ✓ | ✓ |
| kukwirira kweropa (hypertension) | ✓ | ✓ |
| chirwere chemoyo | ✓ | ✓ |
| kutadza kwemoyo | ✓ | ✓ |
| asina kujairika moyo mavharuvhu | ✓ | ✓ |
| kuremara kwekuzvarwa | ✓ | ✓ |
| chisingaperi chirwere chemapapu | ✓ | ✓ |
| kuvhiyiwa kwemoyo kuchangobva kuitika | ✓ | ✓ |
| hutachiona hwakakomba | ✓ | |
| kushandisa doro zvisina kufanira kana kushandisa zvinodhaka | ✓ | ✓ |
| yakanyanyisa hutachiona | ✓ | ✓ |
| kurara kufema | ✓ | ✓ |
| chirwere cheshuga | ✓ | ✓ |
Vanhu vane nhoroondo yeatrial flutter zvakare vane njodzi yakawedzera yekuvandudza atrial fibrillation mune ramangwana.
Kurapa
Kurapa kweAfib uye atrial flutter kune zvinangwa zvakafanana: Dzorera yakajairwa rhythm yemoyo uye kudzivirira ropa kugwamba. Kurapa kwemamiriro ese ari maviri kunogona kusanganisira:
Mishonga, kusanganisira:
- calcium chiteshi blockers uye beta-blockers kudzora kurovera kwemoyo
- amiodarone, propafenone, uye flecainide kushandura mutinhimira kudzokera pane zvakajairwa
- ropa-kutapira mishonga senge isiri-vhitamini K yemuromo anticoagulants (NOACs) kana warfarin (Coumadin) kudzivirira sitiroko kana chirwere chemwoyo
NOACs izvozvi zvinokurudzirwa pamusoro pewarfarin kunze kwekunge munhu ane zvine mwero kusvika kwakakomba mitral stenosis kana ane yevhavha yemoyo vharuvhu. NOACs dzinosanganisira dabigatran (Pradaxa), rivaroxaban powder (Xarelto), apixaban (Eliquis) uye edoxaban (Savaysa).
Magetsi cardioversion: Iyi nzira inoshandisa kuvhunduka kwemagetsi kuisazve rwiyo rwemoyo wako.
Catheter ablation: Catheter ablation inoshandisa radiofrequency simba kuparadza nzvimbo iri mukati memwoyo wako izvo zviri kukonzera isina kujairika moyo mutinhimira.
Atrioventricular (AV) node ablation: Iyi nzira inoshandisa masaisai eredhiyo kuparadza iyo AV node. Iyo AV node inobatanidza iyo atria uye ventricles. Mushure merudzi urwu rwekubvisa, iwe uchazoda pacemaker kuti uchengete mutinhimira wenguva dzose.
Maze kuvhiya: Maze kuvhiya kuvhurika-kwemoyo kuvhiya. Chiremba anovhiya anoita zvidimbu zvidiki kana kupisa mukati memwoyo atria.
Mishonga inowanzo kuve yekutanga kurapwa kweAFib. Nekudaro, ablation inowanzoonekwa seyakanakisa kurapwa kweatrium flutter. Zvakadaro, kurapa kweablation kunowanzo shandiswa chete kana mishonga isingakwanise kudzora mamiriro.
Kutora
Ose maviri AFib uye atrial flutter inosanganisira nekukurumidza kupfuura zvakajairika magetsi emagetsi mumoyo. Zvisinei, pane misiyano mishoma pakati pemamiriro maviri aya.
Misiyano mikuru
- Mune atrial flutter, masimba emagetsi akarongeka. MuAfib, mafungiro emagetsi ane mhirizhonga.
- AFib yakajairika kupfuura atrial flutter.
- Ablation kurapa kuri kubudirira zvakanyanya kune vanhu vane atrial flutter.
- Mune atrial flutter, pane "sawtooth" pateni pane ECG. MuAfib, iyo ECG bvunzo inoratidza isina kujairika ventricular chiyero.
- Zviratidzo zveatrial flutter zvinowanzove zvisina kusimba pane zviratidzo zveAFib.
- Vanhu vane atrial flutter vane tsika yekukudziridza AFib, kunyangwe mushure mekurapwa.
Mamiriro ezvinhu ese ari maviri anotakura njodzi yekurohwa. Kunyangwe iwe uine AFib kana atrial flutter, zvakakosha kuti utore chirwere nekukasira kuti iwe ugone kuwana chaiyo kurapwa.
Zvinonakidza Pane Saiti
Iyo Yakaderera-Carb Kudya Kwekuseni Waunofanirwa Kuedza