Ese ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi bwa Flutter ya Atrial

Flutter ya Atrial ni indwara y'umutima aho ibyumba byo hejuru by'umutima bikubita vuba cyane mu buryo buhoraho. Tekereza ko ari nk'aho umutima wawe ugenzura umuvuduko w'umutima uhagaze ku muvuduko mwinshi, bituma atria akubita hafi 250-350 ku munota aho kuba 60-100 bisanzwe.

Iyi ndwara igera kuri Abanyamerika bagera ku 200.000 buri mwaka kandi ikomeza kwiyongera uko tugenda dukera. Nubwo byumvikana bibi, flutter ya atrial ivurwa cyane hamwe no kwitaho neza no kwitabwaho.

Ese ni iki Flutter ya Atrial?

Flutter ya Atrial ibaho iyo ibimenyetso by'amashanyarazi mu byumba byo hejuru by'umutima bifungirwa mu mpande. Aho gukurikiza inzira isanzwe, ibyo bimenyetso bikomeza kugenda bikikiza, bituma atria yanyu ikubita vuba cyane uko bikwiye.

Umutima wawe ufite ibyumba bine - bibiri byo hejuru byitwa atria na bibiri byo hasi byitwa ventricles. Ubusanzwe, ibimenyetso by'amashanyarazi bitangira muri atria y'iburyo bikwirakwira mu buryo buteguye kugira ngo umutima wawe ukubite neza. Hamwe na flutter ya atrial, uwo muti w'umutima uhungabana.

Inkuru nziza ni uko flutter ya atrial ikunze kugira ishusho isobanutse cyane. Bitandukanye n'izindi ndwara zimwe na zimwe z'umuvuduko w'umutima, ikunze kuba iteguye kandi ihoraho, ibyo bishobora korohereza abaganga kuyimenya no kuyivura.

Ibimenyetso bya Flutter ya Atrial ni ibihe?

Abantu benshi bafite flutter ya atrial bumva umutima wabo ukubita cyane cyangwa bagasanga hari ikintu kibabaza mu gituza. Ushobora kandi kumva ubusembwa, cyane cyane iyo uri gukora imyitozo cyangwa uri kuryama.

Dore ibimenyetso bisanzwe ushobora kugira:

• Umutima ukubita cyane cyangwa ukubita vuba
• Ubusembwa mu gihe cy'imikorere isanzwe
• Kubabara mu gituza cyangwa kubabara gato
• Kumva ucika intege cyangwa ukarwara
• Kumva unaniwe cyangwa udakomeye
• Guhangayika cyangwa kumva utameze neza

Bamwe mu bantu bagaragazwa no kunanirwa kurusha igihe cyose cyangwa badashobora gukora imyitozo nk'uko byari bisanzwe. Ushobora kumva nk'aho uri gukora cyane kugira ngo uhumeke, nubwo uri kugenda gusa mu rugo.

Birakwiye ko tumenya ko hari abantu bafite flutter ya atrial batagira ibimenyetso na kimwe. Ibi birakunda kubaho mu bantu bakuze cyangwa abamaze igihe bafite iyo ndwara. Kwisuzumisha buri gihe bishobora gufasha gufata ibyo bibazo bitavugwa.

Ubwoko bwa Flutter ya Atrial ni ubuhe?

Hari ubwoko bubiri nyamukuru bwa flutter ya atrial, kandi gusobanukirwa ubwoko ufite bifasha muganga wawe guhitamo uburyo bwiza bwo kuvura. Itandukaniro riri aho uruziga rw'amashanyarazi rukorera mu mutima wawe.

Flutter ya atrial isanzwe ni ubwoko busanzwe, bugera kuri 90% by'ibibazo. Ikiranga amashanyarazi gikora mu gice runaka cya atria y'iburyo, bigatuma habaho ishusho isobanutse abaganga bashobora kubona byoroshye kuri EKG.

Flutter ya atrial idasanzwe ijyanye n'imigezi y'amashanyarazi mu bice bitandukanye bya atria yawe. Ubwo bwoko bushobora kuba bigoye kuvura kuko imigezi ishobora gukorera ahantu hatandukanye, bituma ishusho idasobanutse.

Muganga wawe azamenya ubwoko ufite hashingiwe ku bisubizo bya EKG yawe n'ibimenyetso. Aya makuru amufasha gukora gahunda y'ubuvuzi ikwiranye n'imimerere yawe.

Ese Flutter ya Atrial iterwa n'iki?

Flutter ya Atrial ikunze kubaho iyo hari ikibazo cyangwa ikibazo mu mikorere y'amashanyarazi y'umutima wawe. Ibi bishobora kubaho kubera impamvu zitandukanye, kandi gusobanukirwa intandaro bifasha kuyobora uburyo bwawe bwo kuvura.

Intandaro zisanzwe zirimo:

• Umuvuduko ukabije w'amaraso umaze imyaka
• Indwara y'imitsi y'umutima
• Ibibazo by'amavuta y'umutima
• Imyitozo yo kubaga cyangwa kuvura umutima
• Cardiomyopathy (imikaya y'umutima idakomeye)
• Indwara z'ibihaha zidakira nk'umuriro wa COPD
• Indwara ya thyroid, cyane cyane hyperthyroidism
• Apnea yo kuryama

Rimwe na rimwe flutter ya atrial ishobora guterwa n'ibintu by'igihe gito nko kunywa inzoga nyinshi, umunaniro ukabije, cyangwa imiti imwe. Ibyo bintu bitera iyo ndwara bikunze koroshye kubikemura iyo bimenyekanye.

Mu bihe bidasanzwe, flutter ya atrial ishobora kubaho mu bantu bafite imitima ikomeye, cyane cyane mu bihe by'imyitozo ikomeye cyangwa umunaniro ukabije. Bamwe mu bantu bashobora kugira uburwayi bwo kuvukana bubatuma bashobora kurwara ibibazo by'umuvuduko w'umutima.

Ni ryari ukwiye kujya kwa muganga kubera Flutter ya Atrial?

Ugomba gushaka ubufasha bw'abaganga niba ufite umutima ukubita cyane cyangwa udahoraho ukamara iminota irenga mike. Nubwo flutter ya atrial isanzwe idahita itera akaga, isaba isuzuma n'ubuvuzi by'abaganga.

Hamagara 911 cyangwa ujye kwa muganga ako kanya niba ufite ububabare mu gituza, ubusembwa bukabije, cyangwa gucika intege hamwe n'umutima ukubita vuba. Ibyo bimenyetso bishobora kugaragaza ikibazo gikomeye gisaba ubufasha bw'ako kanya.

Tegura gahunda yo kujya kwa muganga mu minsi mike niba ubona ubusembwa buhoraho, kunanirwa kudakunze, cyangwa ubusembwa buke. Nubwo ibimenyetso bije bikagenda, birakwiye kubivuga n'umuganga wawe.

Ntugatege amatwi niba ufite amateka y'ibibazo by'umutima kandi ugira ibimenyetso bishya. Muganga wawe ashobora kumenya niba ibyo urimo kumva bifitanye isano na flutter ya atrial cyangwa ikindi kibazo gisaba kwitabwaho.

Ibyago byo kurwara Flutter ya Atrial ni ibihe?

Ibintu byinshi bishobora kongera amahirwe yawe yo kurwara flutter ya atrial, uko ukura ari cyo gikomeye. Iyo ndwara ikomeza kwiyongera nyuma y'imyaka 60, nubwo ishobora kubaho mu myaka yose.

Dore ibyago by'ingenzi byo kumenya:

• Imyaka irenga 60
• Umuvuduko ukabije w'amaraso
• Diabete
• Indwara y'umutima cyangwa gufatwa n'indwara y'umutima
• Imyitozo yo kubaga umutima
• Indwara z'ibihaha zidakira
• Apnea yo kuryama
• Indwara ya thyroid
• Kunywamo inzoga nyinshi
• Urukundo

Kugira ikintu kimwe cyangwa byinshi mu byago ntibisobanura ko uzahita urwara flutter ya atrial. Abantu benshi bafite ibyago byinshi ntibagira ibibazo by'umuvuduko w'umutima, mu gihe abandi bafite ibyago bike barwara iyo ndwara.

Ibindi byago bidafite akamaro cyane birimo uburwayi bumwe na bumwe bwo kuvukana, indwara z'umuriro, no gufata imiti imwe. Niba ufite impungenge ku rwego rw'ibyago byawe, kubivuga n'umuganga wawe bishobora kugufasha gusobanukirwa neza imimerere yawe.

Ingaruka zishoboka za Flutter ya Atrial ni izihe?

Nubwo flutter ya atrial ubwayo idahita itera akaga, ishobora gutera ingaruka zikomeye niba idakurikiranwe. Icyago gikomeye ni ukubura amaraso mu byumba by'umutima wawe.

Iyo atria yawe ikubita vuba, amaraso ntayinyuramo neza nk'uko bikwiye. Uko kugenda gake kw'amaraso bishobora gutuma amaraso abura, ibyo bishobora kujya mu bwonko bituma habaho impanuka.

Ibindi bibazo bishoboka birimo:

• Impanuka kubera amaraso abura
• Gucika intege kw'umutima kubera umuvuduko w'umutima uhoraho
• Cardiomyopathy (kugenda nabi kw'imikaya y'umutima)
• Kugabanuka kw'ubushobozi bwo gukora imyitozo ngororamubiri n'imibereho myiza
• Kujya muri atrial fibrillation

Ibyago by'ingaruka zikomeye byiyongera niba flutter ya atrial idakurikiranwe neza cyangwa niba ufite izindi ndwara z'umutima. Ariko, hamwe no kuvurwa neza, abantu benshi bashobora kugabanya cyane ibyo byago.

Mu bihe bidasanzwe, umuvuduko mwinshi w'umutima ushobora gutera indwara yitwa tachycardia-induced cardiomyopathy, aho imikaya y'umutima igenda idakomeye kubera gukora cyane igihe kirekire. Ibyiza ni uko iyo ndwara ikunze kumera neza iyo umuvuduko w'umutima ugendera neza.

Ese Flutter ya Atrial imenyekanwa gute?

Kumenya flutter ya atrial bikunze gutangira hamwe na electrocardiogram (EKG), igaragaza ibikorwa by'amashanyarazi y'umutima wawe. Iyo isuzuma ishobora kugaragaza ishusho ya "sawtooth" isanzwe flutter ya atrial ikora kuri EKG.

Muganga wawe azakubaza ibibazo ku bimenyetso byawe, amateka yawe y'ubuzima, n'imiti ukoresha. Azumva umutima wawe kandi azagenzura umuvuduko w'umutima wawe kugira ngo amenye umuvuduko w'umutima wawe n'uburyo ukubita.

Ibindi bizamini bishobora kuba birimo:

• Holter monitor (amajwi y'umuvuduko w'umutima amara amasaha 24-48)
• Event monitor (kugenzura umuvuduko w'umutima igihe kirekire)
• Echocardiogram (isuzumwa ry'umutima wawe hakoreshejwe amajwi)
• Ibizamini by'amaraso kugira ngo hagenzurwe imikorere ya thyroid n'ibintu by'amashanyarazi
• X-ray y'igituza kugira ngo hagenzurwe umutima wawe n'ibihaha

Rimwe na rimwe flutter ya atrial iza ikagenda, bigatuma bigoye kuyibona kuri EKG isanzwe. Niyo mpamvu muganga wawe ashobora kugusaba kwambara ikintu kigenzura umutima iminsi cyangwa ibyumweru kugira ngo afate igihe cyayo iyo ibaye.

Mu bihe bimwe na bimwe, muganga wawe ashobora gushaka gukora isuzuma rya electrophysiology, aho gushyira imigozi mito mu mutima wawe kugira ngo asuzume neza ibimenyetso by'amashanyarazi. Iyo isuzuma rikunze gukoreshwa ku bantu bateganya kuvurwa.

Ubuvuzi bwa Flutter ya Atrial ni ubuhe?

Ubuvuzi bwa flutter ya atrial bugendera ku ntego ebyiri nyamukuru: kugenzura umuvuduko w'umutima wawe no gukumira amaraso kubura. Muganga wawe azakorana nawe kugira ngo abone uburyo bukubereye.

Imiti ikunze kuba uburyo bwa mbere bwo kuvura. Imiti igenzura umuvuduko nk'ibyiciro bya beta cyangwa calcium channel blockers bishobora gufasha kugabanya umuvuduko w'umutima wawe, mu gihe imiti igabanya amaraso igabanya ibyago byo kubura amaraso.

Uburyo busanzwe bwo kuvura burimo:

• Imiti igenzura umuvuduko (beta-blockers, calcium channel blockers)
• Imiti igenzura umuvuduko w'umutima (antiarrhythmics)
• Imiti igabanya amaraso (anticoagulants)
• Cardioversion (gusubiza umuvuduko w'umutima hakoreshejwe amashanyarazi cyangwa imiti)
• Catheter ablation (uburyo bwo gukuraho imigezi idasanzwe)
• Kwinjiza pacemaker (mu bihe bimwe na bimwe)

Catheter ablation imaze kuba ikunzwe cyane mu kuvura flutter ya atrial kuko ishobora gutanga igisubizo kirambye. Muri uwo muti, muganga wawe akoresha ingufu za radiofrequency kugira ngo akore inenge nto ibuza inzira idasanzwe y'amashanyarazi.

Igipimo cy'ubuvuzi bwa ablation muri flutter ya atrial isanzwe ni cyinshi cyane, kirenze 95%. Kugira ngo umuntu akire birakunda kuba byoroshye, abantu benshi bagataha umunsi umwe cyangwa nyuma y'ijoro rimwe mu bitaro.

Uko wakwitaho iwawe ufite Flutter ya Atrial

Kwita kuri flutter ya atrial iwawe birimo gufata imiti yawe nk'uko yagenewe no guhindura imibereho yawe ifasha ubuzima bw'umutima wawe. Kugira umuhate mu gahunda yawe yo kuvura ni ingenzi mu gukumira ibimenyetso n'ingaruka.

Guta imiti yawe nk'uko yagenewe ni ingenzi, nubwo wumva umeze neza. Ntucikire imiti cyangwa uhagarike gufata imiti igabanya amaraso utabanje kuvugana n'umuganga wawe, kuko bishobora kongera ibyago byo kugira impanuka.

Guhindura imibereho bishobora gufasha birimo:

• Kugabanya kunywa inzoga
• Kwita ku munaniro hakoreshejwe uburyo bwo kuruhuka
• Gukora imyitozo ngororamubiri isanzwe nk'uko muganga wawe yabyemeje
• Kugira ibiro bikwiye
• Kuryama bihagije no kuvura apnea yo kuryama niba ibayeho
• Kwirinda caffeine nyinshi
• Kugenzura umuvuduko w'amaraso yawe buri gihe

Witondere icyo giterwa n'ibimenyetso byawe kandi ugerageze kwirinda ibyo bihe bishoboka. Bamwe mu bantu bagaragazwa n'uko ibiryo bimwe na bimwe, umunaniro, cyangwa kudasinzira bihagije bishobora gutera ibyo bibazo.

Kora ibitabo by'ibimenyetso kugira ngo ufashe wowe na muganga wawe kumenya ibintu. Andika igihe ibimenyetso byabaye, igihe byamaze, n'icyo wakoraga igihe bitangira. Aya makuru ashobora kuba afite akamaro mu guhindura gahunda yawe yo kuvura.

Uko wakitegura kujya kwa muganga

Kwitunganya mbere yo kujya kwa muganga bishobora kugufasha gukoresha neza igihe cyawe na muganga wawe. Zana urutonde rw'imiti yawe yose, harimo imiti yo mu maduka n'ibindi, kuko bimwe bishobora kugira ingaruka ku muvuduko w'umutima wawe.

Andika ibimenyetso byawe mbere yo kujya kwa muganga, harimo igihe byatangiye, uko kenshi bibaho, n'icyo biba byiza cyangwa biba bibi. Jya ugaragaza uko ibyo bimenyetso bigira ingaruka ku mirimo yawe ya buri munsi.

Ibibazo byo gutekereza kubabaza muganga wawe:

• Ni ubwoko ki bwa flutter ya atrial mfite?
• Ni uburyo ki bwiza bwo kuvura bukundira?
• Nzamara igihe kingana iki mfata imiti igabanya amaraso?
• Ni ibikorwa ibihe nakwirinda?
• Ni ryari nakwitabaza kubera ibimenyetso?
• Ese ndi umukandida wa ablation?

Zana umuntu wo mu muryango cyangwa inshuti yawe niba bishoboka. Bashobora kugufasha kwibuka amakuru akomeye no kugufasha mu biganiro ku bijyanye n'uburyo bwo kuvura.

Ntuzuyaze gusaba muganga wawe gusubiramo cyangwa gusobanura ikintu udasobanukiwe. Ni ingenzi ko wumva utekanye na gahunda yawe yo kuvura kandi ukamenya icyo witeze mu gihe kizaza.

Icyo ukwiye kumenya cyane kuri Flutter ya Atrial

Flutter ya atrial ni indwara y'umuvuduko w'umutima ivurwa kandi igira abantu benshi, cyane cyane uko bakura. Nubwo isaba kwitabwaho n'abaganga, abantu benshi bafite flutter ya atrial bashobora kubana ubuzima busanzwe, bukora neza hamwe no kuvurwa neza.

Ikintu cy'ingenzi cyo kwibuka ni uko isuzuma rya vuba n'ubuvuzi bishobora gukumira ingaruka zikomeye nk'impanuka. Niba ufite ibimenyetso nk'umutima ukubita cyane cyangwa ubusembwa, ntuzategereze gushaka ubufasha bw'abaganga.

Uburyo bwa none bwo kuvura, cyane cyane catheter ablation, butanga ibipimo byiza byo kugenzura flutter ya atrial. Abantu benshi basanga imibereho yabo irushaho kuba myiza iyo imimerere yabo igenzurwa neza.

Gukorana bya hafi n'itsinda ry'abaganga bawe no gukurikiza gahunda yawe yo kuvura biguha amahirwe meza yo gucunga flutter ya atrial neza. Hamwe n'uburyo bukwiye, iyo ndwara ntigomba kugabanya ubushobozi bwawe bwo kwishimira ubuzima no gukora imyitozo ngororamubiri.

Ibibazo Bikunze Kubazwa Kuri Flutter ya Atrial

Ese flutter ya atrial ishobora gukira yonyine?

Flutter ya atrial ntabwo ikunda gukira burundu idakurikiranwe, nubwo ibibazo bishobora kuza bikagenda. Nubwo bimwe mu bibazo bishobora guhagarara byonyine, iyo ndwara isanzwe isaba kuvurwa n'abaganga kugira ngo hirindwe ingaruka n'ibibazo by'igihe kizaza. Nubwo ibimenyetso bihagarara, ibyago byo kugira impanuka bikomeza kuba byinshi udafite ubuvuzi bukwiye.

Ese flutter ya atrial ni kimwe na atrial fibrillation?

Flutter ya atrial na atrial fibrillation bifitanye isano ariko ni indwara zitandukanye. Flutter ya atrial ifite ishusho iteguye, ihoraho hamwe n'umuvuduko w'umutima uba hafi 150 ku munota, mu gihe atrial fibrillation ari ubusembwa budahoraho kandi budasobanutse. Zombi zongera ibyago byo kugira impanuka kandi zisaba uburyo bwo kuvura bumeze kimwe, nubwo flutter ya atrial ikunze gusubiza neza catheter ablation.

Ese nshobora gukora imyitozo ngororamubiri niba mfite flutter ya atrial?

Abantu benshi bafite flutter ya atrial igenzurwa neza bashobora gukora imyitozo ngororamubiri mu mutekano, ariko ugomba kubanza kubona uruhushya rwa muganga wawe. Tangira buhoro kandi witondere uko wumva mu gihe cy'imyitozo. Kwirinda imyitozo ikomeye ikugiraho ingaruka, ikugiraho ubusembwa, cyangwa ikugiraho ububabare mu gituza. Muganga wawe ashobora kugufasha kumenya urwego rw'imyitozo ikubereye hashingiwe ku mimerere yawe.

Ese nzagomba gufata imiti igabanya amaraso iteka ryose?

Igihe cyo gufata imiti igabanya amaraso kigendera ku byago byawe byo kugira impanuka n'uburyo bwo kuvura. Bamwe mu bantu bashobora gukenera kuvurwa iteka ryose, mu gihe abandi bashobora guhagarika nyuma yo kuvurwa neza kwa ablation. Muganga wawe azahora asuzuma ibyago byawe kandi agahindura imiti yawe uko bikwiye. Ntuzigere uhagarika gufata imiti igabanya amaraso utabanje kuvugana n'umuganga.

Ese catheter ablation ifite icyo imaze kuri flutter ya atrial?

Catheter ablation ifite icyo imaze cyane kuri flutter ya atrial isanzwe, igipimo cy'ubuvuzi kirenze 95%. Abantu benshi bagira iterambere rikomeye cyangwa gukira burundu ibimenyetso nyuma y'uwo muti. Ibyago by'ingaruka nto, kandi igihe cyo gukira birakunda kuba gito. Ariko, igipimo cy'ubuvuzi gishobora kuba gito kuri flutter ya atrial idasanzwe cyangwa niba ufite izindi ndwara z'umutima.