Flutter Ya Atri
Incamake
Atrial flutter ni ubwoko bw'indwara y'umutima. Icyumba cy'umutima kiri hejuru, cyitwa atria, gikubita vuba cyane.
Atrial flutter ni ubwoko bw'indwara y'umutima, yitwa arrhythmia. Imeze nk'indwara ya atrial fibrillation (AFib). Ariko muri atrial flutter, umutima ukubita mu buryo buteguye kandi budahungabanye kurusha muri AFib. Umuntu ashobora kugira atrial flutter na AFib icyarimwe.
Atrial flutter ishobora kutazigira ibimenyetso. Ariko bamwe bashobora kugira umutima ukubita cyane, ukubita cyane kandi bagahura n'ububabare mu gituza. Kugwa cyangwa hafi kugwa na byo bishobora kubaho. Ivura rya atrial flutter rishobora kuba ririmo imiti n'uburyo bwo kuvura umutima.
Ibimenyetso
Abantu bafite atrial flutter bashobora kutabona ibimenyetso. Umutima udadoda neza ushobora kuboneka mu isuzuma ry’ubuzima ryakozwe ku mpamvu indi. Niba ibimenyetso bya atrial flutter bibayeho, bishobora kuba birimo: Kumva umutima ukubita cyane cyangwa wihuta mu gituza.Kubabara mu gituza.Guta ubwenge cyangwa hafi guta ubwenge.Guhumeka nabi.Kumva unaniwe cyane. Niba wumva umutima wawe ukubita cyane, ukadoda, ukagwa cyangwa ukubita vuba cyane, programa isuzuma ry’ubuzima. Ushobora kubwirwa kujya kwa muganga wamenyereye indwara z’umutima, witwa umutima. Fata ubuvuzi bwihuse bw’ubukene niba ufite ibi bimenyetso: Kubabara mu gituza.Guhumeka nabi.Guta ubwenge. Hamagara buri gihe 911 cyangwa nimero y’ubukene yaho uba niba utekereza ko ushobora kuba ufite ikibazo cy’umutima.
Igihe cyo kubona umuganga
Niba wumva umutima wawe uri gukubita cyane, ukubita nk'aho uri gukubita, ukubita ukareka cyangwa ukubita vuba cyane, hamagara umuganga kugira ngo akurebe. Bashobora kukubwira kujya kwa muganga wita ku ndwara z'umutima, witwa umuganga w'umutima (cardiologist).
Shaka ubufasha bwihuse bw'abaganga niba ufite ibi bimenyetso:
- Kubabara mu gituza.
- Guhumeka nabi.
- Kugwa.
Impamvu
Impinduka mu ikorwa ry'amashanyarazi y'umutima ziterwa na atrial flutter. Ikora ry'amashanyarazi y'umutima rigenzura ukuntu umutima ukomanga. Indwara zimwe na zimwe cyangwa kubaga umutima bishobora guhindura uko ibimenyetso by'amashanyarazi bicamo mu mutima bigatera atrial flutter.
Ukuntu ibimenyetso by'umutima bigenda bituma umutima uhindagurika ukavuza amaraso. Ubusanzwe, uyu muhora ukora neza. Umuvuduko w'umutima usanzwe uri hagati ya 60 na 100 ku munota. Ariko muri atrial flutter, ibice byo hejuru by'umutima bikomanga vuba cyane. Ibi bituma umutima ukomanga vuba, ariko ubusanzwe mu buryo buteguye.
Ingaruka zishobora guteza
Uburwayi bumwe na bumwe bw'ubuzima bwongera ibyago byo kugira atrial flutter. Muri byo harimo:
- Kudakora neza kw'umutima.
- Indwara y'ibinyabutabire by'ubuhumekero, izwi kandi nka COPD.
- Igihombo cy'amaraso mu mwijima, bizwi nka pulmonary embolism.
- Uburwayi bw'umutima umuntu avukana, bizwi nka congenital heart defect.
Izindi mpamvu zongerera ibyago byo kugira atrial flutter ni:
- Gukura.
- Kubagwa umutima vuba aha.
Ingaruka
Ingaruka mbi ya atrial flutter ni atrial fibrillation (AFib). Hagati aho abantu bafite atrial flutter bagera kuri ½ barwara AFib mu myaka itatu. AFib yongera ibyago byo kugira udukoko tw'amaraso n'impanuka z'ubwonko.
Izindi ngaruka mbi za atrial flutter ni:
- Gucika intege kw'umutima.
- Impanuka z'ubwonko.
- Igitero cy'umutima.
Kwirinda
Guhindura imibereho bituma umutima ukomeza kumera neza. Gerageza ibi bintu bikomeza umutima:
- Ntukama.
- Funga ibiryo byiza nk'imbuto, imboga n'ibinyampeke bitagira ibinure. Komeza ugabanye umunyu n'ibinure bituma amaraso akabana.
- Kora imyitozo ngororamubiri byibuze iminota 30 kumunsi, hafi buri munsi w'icyumweru.
- Kora kugira ngo ugire ibiro bikwiye.
- Gabanuka cyangwa ntukoreshe caffeine na alcool.
- Gabanuka kandi ugenzure umunaniro.
- Ryama uyuzuye. Abakuze bagomba kugerageza kuryama amasaha 7-9 buri munsi.
Kupima
Ushobora gukorerwa ibizamini kugira ngo barebe umutima wawe kandi barebe ibibazo by'ubuzima bishobora gutera umutima guhora udadakikira. Ibipimo bya atrial flutter bishobora kuba birimo:
- Ibizamini bya Laboratwari. Ibizamini by'amaraso n'impiswi bikorwa kugira ngo barebe ibibazo by'ubuzima cyangwa ibintu bishobora kugira ingaruka ku mutima cyangwa ku mutima guhora udadakikira. Niba itsinda ry'abaganga bawe ritekereza ko ufite atrial flutter, ushobora gukorerwa ibizamini by'amaraso kugira ngo barebe umwijima wawe, umwijima wawe, n'impyiko zawe.
- Electrocardiogram (ECG cyangwa EKG). Iki kizamini cyihuse kigenzura ibikorwa by'amashanyarazi y'umutima. Gishobora kwerekana uburyo umutima udadakikira cyangwa uko udadakikira. Ibice bito bito byitwa ba sensor zirahambirwa ku gatuza, rimwe na rimwe no ku maboko cyangwa amaguru. Imisatsi ihuza ibyo bice n'ikoranabuhanga, ryerekana cyangwa ricapa ibyavuye mu bizamini.
- Holter monitor. Iki gikorwa cya ECG gifite igikoresho gishobora kwambarwa umunsi umwe cyangwa irenga kugira ngo gikurikirane ibikorwa by'umutima mu bikorwa bya buri munsi.
- Implantable loop recorder. Niba ibimenyetso by'umutima guhora udadakikira bitaba kenshi, iki gikorwa gishobora gushyirwa munsi y'uruhu mu gice cy'igituza. Iki gikorwa gikurikirana ibikorwa by'amashanyarazi y'umutima buri gihe. Gishobora kubona imiterere y'umutima idakikira.
- Echocardiogram. Iki kizamini gikoresha amajwi kugira ngo gifate amafoto y'umutima udadakikira. Kwereka imiterere y'umutima n'amavavu y'umutima. Byerekana kandi uko amaraso acengera mu mutima.
- Ibizamini byo gukora imyitozo. Ibi bizamini bikunze kuba birimo kugenda kuri treadmill cyangwa gusiganwa kuri velo itari mu nzira mu gihe ibikorwa by'umutima birimo gukorwa. Ibizamini byerekana uko umutima uhangana n'imyitozo. Niba udashobora gukora imyitozo, ushobora guhabwa imiti yongera umuvuduko w'umutima nk'uko imyitozo ikora. Rimwe na rimwe, echocardiogram ikorwa mu gihe cy'ikizamini cyo gukora imyitozo.
- CT scan y'ibihaha. Ushobora gukenera iki kizamini kugira ngo urebe niba hari umuvuduko w'amaraso mu bihaha, bishobora gutera atrial flutter.
- Ubushakashatsi bwa Electrophysiological (EP). Iki kizamini kigaragaza aho ibimenyetso bidafatika by'umutima bitangirira mu mutima. Muganga yimura imiyoboro imwe cyangwa irenga yoroshye binyuze mu mubiri w'amaraso, akenshi mu kibuno, ajya mu bice bitandukanye by'umutima. Ba sensor bari ku mpera y'imiyoboro bandika ibimenyetso by'amashanyarazi y'umutima.
Uburyo bwo kuvura
Ubuvuzi bwa flutter ya atriyum biriwe ku buzima bwawe rusange n'uburemere bw'ibimenyetso byawe. Ubuvuzi bushobora kuba burimo imiti cyangwa uburyo bwo kuvura umutima.
Niba ufite flutter ya atriyum, umuganga wawe ashobora kuguha imiti kugira ngo:
- Ugenzure umuvuduko w'umutima.
- Kwirinda imikaya y'amaraso niba ufite kandi AFib.
Niba imiti idagenzura flutter ya atriyum, umuganga w'umutima ashobora kugerageza gusubiza umuvuduko w'umutima wawe hakoreshejwe uburyo bwitwa cardioversion.
Cardioversion ishobora gukorwa mu buryo bubiri:
- Cardioversion ikoresha amashanyarazi. Ibipapuro cyangwa ibikoresho byo ku gatuza byohereza amashanyarazi ku mutima kugira ngo asubize umuvuduko wawo. Ubu buvuzi bukunze gukoreshwa ku bantu bafite flutter ya atriyum idakomeye. Nyuma ya cardioversion ikoresha amashanyarazi, ushobora kuba ukeneye imiti yo kugenzura umuvuduko w'umutima wawe ubuzima bwawe bwose.
- Cardioversion ikoresha imiti. Imiti itangwa mu mutsi cyangwa mu kanwa ikoreshwa mu gusubiza umuvuduko w'umutima.
Cardioversion ikorwa mu bitaro nk'uburyo bwo kuvura buteganijwe. Ariko ishobora gukorwa mu bihe byihutirwa.
Ablation ya Radiofrequency ni ubundi buryo bwo kuvura flutter ya atriyum. Umuganga wawe w'umutima ashobora kugutekerezaho ubu buryo niba ufite ibibazo byinshi bya flutter ya atriyum. Ariko ishobora gukoreshwa ibindi bihe. Ubu buvuzi bukoresha imiyoboro mito, ndende, yitwa catheters n'ingufu z'ubushyuhe kugira ngo bahangane n'ibikomere bito mu mutima. Ibimenyetso by'umutima ntibishobora kunyura muri ibyo bikomere. Rero ibyo bikomere bihagarika ibimenyetso bibi by'amashanyarazi biterwa n'umuvuduko w'umutima udakomeye.
Ablation ya Radiofrequency yagaragaje ko itera kunoza ubuzima bw'abantu bafite flutter ya atriyum.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.