He aha ka Atrial Flutter? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka atrial flutter kahi maʻi o ka ikaika o ka naʻau kahi e pāʻani wikiwiki ai nā keʻena luna o kou naʻau ma kahi ʻano maʻamau. E noʻonoʻo e like me ka mea hoʻomaka kūlohelohe o kou naʻau e paʻa ana ma kahi hoʻonohonoho wikiwiki, e hoʻokumu ana i ka flutter ʻana o nā atria ma kahi o 250-350 mau pāʻani i kēlā me kēia minuke ma mua o ka maʻamau 60-100.

Hoʻopili kēia kūlana ma kahi o 200,000 mau ʻAmelika i kēlā me kēia makahiki a lilo i mea maʻamau ke ulu mākou. ʻOiai ke kani nui nei, he mea maʻalahi loa ka atrial flutter me ka mālama kūpono a me ka nānā.

He aha ka Atrial Flutter?

Hana ʻia ka atrial flutter i ka wā e hopu ʻia ai nā hōʻailona uila ma nā keʻena luna o kou naʻau i loko o kahi loop pōʻai. Ma kahi o ka hahai ʻana i ke ala maʻamau, ke hele mau nei kēia mau hōʻailona a puni a puni, e hana ana i ka hoʻoikaika ʻana o kāu atria i ka wikiwiki ma mua o ka mea e pono ai.

ʻEhā mau keʻena o kou naʻau - ʻelua mau mea luna i kapa ʻia ʻo atria a ʻelua mau mea lalo i kapa ʻia ʻo ventricles. Ma ke ʻano maʻamau, hoʻomaka nā hōʻailona uila ma ka atria ʻākau a pālahalaha ma kahi ala hoʻonohonoho e hana ai i ka pāʻani mau ʻana o kou naʻau. Me ka atrial flutter, ua haki kēia ʻōnaehana.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka atrial flutter pinepine loa he ʻano hiki ke wānana ʻia. ʻAʻole like me kekahi mau pilikia ʻē aʻe o ka ikaika o ka naʻau, ʻoi aku ka hoʻonohonoho a me ke ʻano maʻamau, hiki ke maʻalahi i nā kauka ke ʻike a mālama.

He aha nā Hōʻailona o ka Atrial Flutter?

He nui nā kānaka me ka atrial flutter e manaʻo i ka holo wikiwiki ʻana o ko lākou naʻau a i ʻole e ʻike i kahi manaʻo flutter ʻoluʻolu ʻole i ko lākou umauma. Hiki paha iā ʻoe ke ʻike i ka pōkole o ka hanu, ʻoi aku hoʻi ke hana nei ʻoe a moe paha.

Eia nā hōʻailona maʻamau loa āu e ʻike ai:

• Nā palpitations naʻau a i ʻole ka holo wikiwiki ʻana o ka naʻau
• Pōkole o ka hanu i nā hana maʻamau
• ʻEha umauma a i ʻole ʻeha māmā
• Manaʻo luhi a i ʻole māmā
• Luhi maʻamau a i ʻole nāwaliwali
• Hopohopo a i ʻole manaʻo maikaʻi ʻole

Ua ʻike kekahi poʻe ua luhi loa lākou ma mua o ka maʻamau a ʻaʻole hiki ke hoʻoikaika kino e like me ka wā ma mua. E like paha ʻoe me ka hana nui ʻana e hanu, ʻoiai ʻoe e hele wale ana i loko o ka hale.

He mea kūpono ke hoʻomaopopo ʻaʻole ʻike kekahi poʻe me ka atrial flutter i nā hōʻailona. ʻOi aku ka maʻamau o kēia i nā poʻe ʻelemakule a i ʻole nā ​​​​poʻe i loaʻa i kēia kūlana no kekahi manawa. Hiki i nā nānā maʻamau ke kōkua i ka hopu ʻana i kēia mau hihia mālie.

He aha nā ʻano o ka Atrial Flutter?

ʻElua mau ʻano nui o ka atrial flutter, a ʻo ka hoʻomaopopo ʻana i ke ʻano āu e loaʻa ai e kōkua i kāu kauka e koho i ke ala lapaʻau maikaʻi loa. Aia ka ʻokoʻa ma kahi e hana ai ka loop uila i kou naʻau.

ʻO ka atrial flutter maʻamau ka ʻano maʻamau loa, e pili ana i ka 90% o nā hihia. Holo ka hōʻailona uila a puni kahi wahi kikoʻī i kou atrium ʻākau, e hana ana i kahi ʻano i hiki ke ʻike maʻalahi ʻia e nā kauka ma ka EKG.

Hoʻopili ka atrial flutter atypical i nā kaapuni uila ma nā wahi like ʻole o kou atria. Hiki ke paʻakikī ke mālama i kēia ʻano no ka mea hiki i nā kaapuni ke hana i nā wahi like ʻole, e hana ana i kahi ʻano ʻaʻole i wānana ʻia.

E hoʻoholo kāu kauka i ke ʻano āu e loaʻa ai ma muli o nā hopena EKG a me nā hōʻailona. E kōkua kēia ʻike iā lākou e hana i ka papahana lapaʻau maikaʻi loa no kou kūlana kikoʻī.

He aha ka mea e hoʻokumu ai i ka Atrial Flutter?

Hoʻomohala pinepine ʻia ka atrial flutter ke loaʻa kekahi pilikia a i ʻole ka hōʻino i ka ʻōnaehana uila o kou naʻau. Hiki i kēia ke hana no nā kumu like ʻole, a ʻo ka hoʻomaopopo ʻana i ke kumu e alakaʻi i kāu lapaʻau.

ʻO nā kumu maʻamau loa e komo pū ana:

• Ke koko kiʻekiʻe i loaʻa no nā makahiki
• Ka maʻi artery coronary
• Nā pilikia o ka valve naʻau
• Nā hana a i ʻole nā ​​​​kaʻina hana naʻau ma mua
• Cardiomyopathy (naʻau nāwaliwali)
• Nā maʻi māmā lōʻihi e like me COPD
• Nā maʻi thyroid, ʻoi aku ka hyperthyroidism
• Sleep apnea

I kekahi manawa, hiki i ka atrial flutter ke hoʻonāukiuki ʻia e nā kumu manawa pōkole e like me ka inu nui ʻana o ka waiʻona, ka pilikia nui, a i ʻole kekahi mau lāʻau lapaʻau. He maʻalahi pinepine ka mālama ʻana i kēia mau mea hoʻonāukiuki ma hope o ka ʻike ʻia.

I nā hihia kakaikahi, hiki ke loaʻa ka atrial flutter i nā kānaka me nā naʻau olakino loa, ʻoi aku hoʻi i nā manawa o ka hoʻoikaika kino a i ʻole ka manaʻo koʻikoʻi. Loaʻa paha i kekahi poʻe kahi predisposition genetic e hoʻolilo iā lākou i mea ʻoi aku ka maʻalahi o ka hoʻomohala ʻana i nā pilikia rhythm.

I ka Wā e ʻIke Ai i ke Kauka no ka Atrial Flutter?

Pono ʻoe e ʻimi i ka mālama lapaʻau inā loaʻa iā ʻoe ka puʻuwai wikiwiki a i ʻole kūpono ʻole e lōʻihi ma mua o kekahi mau minuke. ʻOiai ʻaʻole pinepine ka atrial flutter he mea weliweli koke i ke ola, pono ia i ka loiloi a me ka mālama ʻana mai ka poʻe loea.

Kāhea i ka 911 a i ʻole hele i ka lumi ulia koke i ka wā e loaʻa ai iā ʻoe ka ʻeha umauma, ka hanu pōkole nui, a i ʻole ka hiolo ʻana me ka puʻuwai wikiwiki. Hiki i kēia mau hōʻailona ke hōʻike i kahi kūlana koʻikoʻi e pono ai ka mālama koke.

Hoʻonohonoho i kahi manawa me kāu kauka i loko o kekahi mau lā inā ʻike ʻoe i nā palpitations mau, ka luhi maʻamau, a i ʻole ka hanu pōkole iki. ʻOiai inā hele mai a hele aku nā hōʻailona, ​​pono lākou e kūkākūkā me kāu mea hoʻolako mālama ola.

Mai kali inā loaʻa iā ʻoe ka mōʻaukala o nā pilikia naʻau a hoʻomohala i nā hōʻailona hou. Hiki i kāu kauka ke hoʻoholo inā pili ka mea āu e ʻike nei i ka atrial flutter a i ʻole kekahi kūlana ʻē aʻe e pono ai ka nānā.

He aha nā Kumu Hōʻeha no ka Atrial Flutter?

He nui nā mea hiki ke hoʻonui i kou hiki ke hoʻomohala i ka atrial flutter, me ka makahiki ʻo ia ka mea nui loa. Liʻiliʻi loa ka maʻi ma hope o 60 mau makahiki, ʻoiai hiki ke loaʻa i kēlā me kēia makahiki.

Eia nā kumu pilikia nui e makaʻala ai:

• 60 mau makahiki a keu aku
• Ke koko kiʻekiʻe
• Maiʻa
• Maʻi naʻau a i ʻole nā ​​hoʻouka naʻau ma mua
• ʻOihana naʻau ma mua
• Maʻi māmā lōʻihi
• Apnea hiamoe
• Nā maʻi thyroid
• Hoʻohana nui ʻana i ka waiʻona
• Momona

ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha nā mea pilikia ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ka atrial flutter. He nui nā kānaka me nā mea pilikia he nui ʻaʻole loa e ʻike i nā pilikia rhythm, ʻoiai ʻo nā poʻe ʻē aʻe me nā mea pilikia liʻiliʻi e loaʻa i ke kūlana.

ʻO kekahi mau mea pilikia liʻiliʻi ʻē aʻe e komo pū ana i kekahi mau kūlana genetic, nā maʻi inflammatory, a me ka lawe ʻana i nā lāʻau lapaʻau kikoʻī. Inā loaʻa iā ʻoe nā manaʻo e pili ana i kou pae pilikia, ʻo ka kūkākūkā ʻana me kāu kauka e kōkua iā ʻoe e hoʻomaopopo maikaʻi i kou kūlana pilikino.

He aha nā pilikia hiki ke loaʻa i ka Atrial Flutter?

ʻOiai ʻaʻole pinepine ka weliweli koke o ka atrial flutter, hiki iā ia ke alakaʻi i nā pilikia nui inā waiho ʻia me ka mālama ʻole. ʻO ka pilikia nui loa ka hoʻokumu ʻana o nā clots koko i nā keʻena o kou naʻau.

Ke lele wikiwiki kou atria, ʻaʻole holo ka koko ma o lākou e like me ka pono. Hiki i kēia kahe koko lohi ke ʻae i nā clots e hoʻokumu, a laila hiki ke hele i kou lolo a hoʻokumu i ka hahau.

ʻO nā pilikia ʻē aʻe e hiki ke loaʻa pū kekahi:

• Hahau ma muli o nā clots koko
• Hāʻule naʻau mai ka wikiwiki o ka naʻau lōʻihi
• Cardiomyopathy (ka nāwaliwali o ka ʻiʻo naʻau)
• Hoʻemi ʻia ka hoʻomanawanui hoʻoikaika kino a me ke ola maikaʻi
• Hoʻomau i ka atrial fibrillation

Hoʻonui ka pilikia o nā pilikia inā ʻaʻole mālama pono ʻia ka atrial flutter a i ʻole inā loaʻa iā ʻoe nā kūlana naʻau ʻē aʻe. Eia naʻe, me ka mālama kūpono, hiki i ka hapa nui o nā kānaka ke hoʻemi nui i kēia mau pilikia.

I nā hihia kakaʻikahi, hiki i nā helu puʻuwai wikiwiki loa ke alakaʻi i kahi kūlana i kapa ʻia ʻo ka cardiomyopathy i hoʻoulu ʻia e ka tachycardia, kahi e nāwaliwali ai ka ʻiʻo puʻuwai mai ka hana nui loa no ka manawa lōʻihi loa. Maikaʻi, hoʻomaikaʻi pinepine kēia kūlana ke kaohi ʻia ka helu puʻuwai wikiwiki.

Pehea ka Hōʻoia ʻana o ka Atrial Flutter?

ʻO ka hōʻoia ʻana o ka atrial flutter e hoʻomaka pinepine me ka electrocardiogram (EKG), kahi e hoʻopaʻa ai i ka hana uila o kou puʻuwai. Hiki i kēia hoʻokolohua ke ʻike pinepine i ke ʻano

Hoʻomaka pinepine ʻia ka lāʻau lapaʻau ma ke ʻano he laina mua o ka mālama. Hiki i nā lāʻau lapaʻau hoʻomalu wikiwiki e like me nā beta-blockers a i ʻole nā ​​calcium channel blockers ke kōkua i ka hoʻomāmā ʻana i kou wikiwiki o ka naʻau, ʻoiai e hōʻemi ana nā mea hoʻohilahila koko i kou pilikia o ka hoʻokumu ʻana i nā clots.

ʻO nā koho mālama maʻamau e komo pū me:

• Nā lāʻau lapaʻau hoʻomalu wikiwiki (beta-blockers, calcium channel blockers)
• Nā lāʻau lapaʻau hoʻomalu rhythm (antiarrhythmics)
• Nā mea hoʻohilahila koko (anticoagulants)
• Cardioversion (hoʻonohonoho hou ʻana i ka rhythm uila a kemika paha)
• Catheter ablation (ka hana e kāpae ai i nā kaapuni kūpono ʻole)
• Hoʻokomo pacemaker (ma nā hihia kūikawā)

Ua lilo ka catheter ablation i mea kaulana loa no ka mālama ʻana i ka atrial flutter no ka mea hiki pinepine ke hāʻawi i ka ho'ōla mau loa. I loko o kēia kaʻina hana, e hoʻohana ana kāu kauka i ka ikehu radiofrequency e hana i kahi ʻeha liʻiliʻi e pale ai i ke ala uila kūpono ʻole.

He kiʻekiʻe loa ka helu holomua no ka ablation ma ka atrial flutter maʻamau, pinepine ma mua o 95%. Maʻalahi ka ho'ōla, me ka hapa nui o nā kānaka e hele ana i ka home i ka lā like a ma hope paha o hoʻokahi pō ma ka haukapila.

Pehea e mālama ai iā ʻoe iho ma ka home me Atrial Flutter?

ʻO ka mālama ʻana i ka atrial flutter ma ka home e pili ana i ka lawe ʻana i kāu mau lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia a me ka hana ʻana i nā loli nohona e kākoʻo ana i kou olakino naʻau. ʻO ka kūpaʻa me kāu papahana mālama ʻana ka mea nui e pale aku ai i nā hōʻailona a me nā pilikia.

He mea nui ka lawe ʻana i kāu mau lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia, ʻoiai inā ʻoluʻolu ʻoe. Mai haʻalele i nā doses a mai ho'ōki i ka lawe ʻana i nā mea hoʻohilahila koko me ka ʻole o ke kamaʻilio ʻana me kāu kauka mua, no ka mea hiki ke hoʻonui i kou pilikia stroke.

ʻO nā hoʻololi nohona e hiki ke kōkua e komo pū me:

• Kūʻokoʻa i ka inu waiʻona
• Hoʻokele i ke kaumaha ma o nā hana hoʻomaha
• E hana mau i ka hoʻoikaika kino kūpono, e like me ka ʻae ʻana a kāu kauka
• Mālama i ke kaumaha olakino
• E loaʻa ka hiamoe lawa a mālama i ka hiamoe apnea inā loaʻa
• Pale i ka caffeine nui
• Nānā mau i kou koko koko

E makaʻala i nā mea e hoʻonāukiuki i kou mau hōʻailona a ho'āʻo e pale aku i kēia mau kūlana i ka hiki. Ua ʻike kekahi poʻe he mau meaʻai, ke kaumaha, a i ʻole ka nele o ka hiamoe e hoʻonāukiuki i nā hanana.

E mālama i kahi moʻolelo hōʻailona e kōkua iā ʻoe a me kāu kauka e ʻike i nā ʻano. E hoʻomaopopo i ka wā e loaʻa ai nā hōʻailona, ​​pehea ka lōʻihi o ko lākou mau ʻana, a me kāu hana i ka wā i hoʻomaka ai lākou. He waiwai nui kēia ʻike no ka hoʻoponopono ʻana i kāu papa hana lapaʻau.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā kauka?

Hiki i ka hoʻomākaukau ʻana no kāu kūkā ke kōkua iā ʻoe e hoʻohana pono i kou manawa me kāu kauka. E lawe mai i ka papa inoa o kāu mau lāʻau āpau, me nā lāʻau lapaʻau ma luna o ka pākaukau a me nā mea hoʻohui, ʻoiai hiki i kekahi ke hoʻopilikia i kou wikiwiki o ke koko.

E kākau i kou mau hōʻailona ma mua o kāu kipa, me ka wā i hoʻomaka ai lākou, pehea ka pinepine o ko lākou loaʻa ʻana, a me nā mea e hoʻomaikaʻi ai a ʻoi aku ka maikaʻi ʻole paha. E kūikawā e pili ana i ke ʻano o ka hopena o nā hōʻailona i kāu mau hana i kēlā me kēia lā.

Nā nīnau e noʻonoʻo e nīnau i kāu kauka:

• He aha ke ʻano o ka atrial flutter aʻu i loaʻa ai?
• He aha nā koho lapaʻau maikaʻi loa no koʻu kūlana?
• Pehea ka lōʻihi e pono ai iaʻu e lawe i nā mea hoʻohaʻahaʻa koko?
• He aha nā hana e pono iaʻu e pale aku ai?
• I ka wā hea e kāhea aku ai au iā ʻoe e pili ana i nā hōʻailona?
• He moho wau no ka ablation?

E lawe mai i kahi lālā ʻohana a hoaaloha paha i kāu kūkā inā hiki. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo i ka wā o nā kūkākūkā e pili ana i nā koho lapaʻau.

Mai kānalua e noi i kāu kauka e hana hou a wehewehe paha i kekahi mea āu ʻaʻole i maopopo. He mea nui ia e ʻoluʻolu ʻoe me kāu papa hana lapaʻau a ʻike i ka mea e manaʻo ai e hele mai.

He aha ka mea nui e pili ana i ka flutter atrial?

ʻO ka flutter atrial kahi kūlana o ka ikaika o ka naʻau e hiki ke mālama ʻia, a nui nā kānaka i loaʻa, ʻoi aku hoʻi i ka wā e ʻelemakule ai. ʻOiai e pono ai ka nānā ʻana o nā kauka, hiki i ka hapa nui o nā kānaka me ka flutter atrial ke ola i nā ola maʻamau a hana nui me ka mālama kūpono.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua ʻana a me ka mālama ʻana e pale aku i nā pilikia nui e like me ka hahau. Inā ʻike ʻoe i nā hōʻailona e like me ka holo wikiwiki ʻana o ka naʻau a i ʻole ka hanu ʻole, mai kali e ʻimi i ka mālama ola.

ʻO nā hana hou, ʻoi aku hoʻi ka catheter ablation, hāʻawi i nā kūleʻa maikaʻi loa no ka kaohi ʻana i ka flutter atrial. Nui nā kānaka i ʻike i ka hoʻomaikaʻi nui ʻana o ko lākou ola ma hope o ka mālama pono ʻana i ko lākou kūlana.

ʻO ka hana pili pono me kāu hui olakino a me ka hahai ʻana i kāu papahana mālama e hāʻawi iā ʻoe i ka manawa maikaʻi loa e hoʻokele pono ai i ka flutter atrial. Me ke ala kūpono, ʻaʻole pono kēia kūlana e kaupalena i kou hiki ke leʻaleʻa i ke ola a noho hana.

Nā nīnau pinepine e pili ana i ka Flutter Atrial

Hiki i ka flutter atrial ke hele wale ma luna o kona iho?

ʻAʻole pinepine ka flutter atrial e hoʻonā loa me ka ʻole o ka mālama ʻana, ʻoiai paha e hele mai a hele aku nā hanana. ʻOiai paha e pau kekahi mau hanana ma luna o lākou iho, pono ka mālama ʻana o nā kauka i ke kūlana kumu e pale aku ai i nā pilikia a me nā hanana hou aʻe. ʻOiai inā nalowale nā ​​hōʻailona, ​​ke kiʻekiʻe mau ka pilikia o ka hahau me ka ʻole o ka mālama kūpono.

Ua like anei ka flutter atrial me ka fibrillation atrial?

ʻO ka flutter atrial a me ka fibrillation atrial nā kūlana pili akā ʻokoʻa. Loaʻa i ka flutter atrial kahi ʻano hoʻonohonoho hou aku, maʻamau me nā helu naʻau ma kahi o 150 mau kuʻi i kēlā me kēia minuke, ʻoiai ʻoi aku ka haunaele a me ka maʻamau ʻole o ka fibrillation atrial. Hoʻonui nā kūlana ʻelua i ka pilikia o ka hahau a pono nā mālama like, ʻoiai ʻoi aku ka maikaʻi o ka pane ʻana o ka flutter atrial i ka catheter ablation.

Hiki iaʻu ke hoʻoikaika inā loaʻa iaʻu ka flutter atrial?

ʻO ka hapa nui o nā kānaka me ka atrial flutter i kaohi maikaʻi ʻia e hiki ke hana kino me ka palekana, akā pono ʻoe e loaʻa ka ʻae mai kāu kauka ma mua. Hoʻomaka mālie a makaʻala i kou manaʻo i ka wā o ka hana kino. Pale aku i ka hana kino ikaika e hoʻoilihune ai ʻoe, pōkole ka hanu, a i ʻole e hōʻeha i ka umauma. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo i nā pae hana kino kūpono ma muli o kou kūlana kūikawā.

E pono anei iaʻu ke lawe i nā mea hoʻonāwaliwali koko mau loa?

ʻO ka lōʻihi o ka lāʻau lapaʻau hoʻonāwaliwali koko e hilinaʻi ana i kāu mau kumu pilikia stroke a me ka pane i ka lāʻau lapaʻau. Pono paha kekahi poʻe i ka anticoagulation mau loa, ʻoiai hiki i nā poʻe ʻē aʻe ke hoʻōki ma hope o ka mālama ablation holomua. E loiloi mau kāu kauka i kou pilikia a hoʻoponopono i kāu mau lāʻau lapaʻau e like me ia. Mai hoʻōki i nā mea hoʻonāwaliwali koko me ka ʻole o ka nānā ʻana o ke kauka.

Pehea ka holomua o ka catheter ablation no ka atrial flutter?

He holomua loa ka catheter ablation no ka atrial flutter maʻamau, me nā helu holomua pinepine e ʻoi aku ma mua o 95%. ʻO ka hapa nui o nā kānaka e ʻike i ka hoʻomaikaʻi nui ʻana a i ʻole ka hoʻopau piha ʻana o nā hōʻailona ma hope o ke kaʻina hana. He haʻahaʻa ka pilikia o nā pilikia, a he pōkole ka manawa hoʻōla. Eia naʻe, hiki ke haʻahaʻa nā helu holomua no ka atrial flutter maʻamau ʻole a i ʻole inā loaʻa iā ʻoe nā kūlana naʻau ʻē aʻe.