Chii chinonzi Atrial Flutter? Zviratidzo, Zvinokonzera, & Kurapa

Atrial flutter chirwere chekumhanya kwemoyo umo makamuri epamusoro emoyo wako anorova nekukurumidza muenzaniso wakarongeka. Funga nezvazvo sekuti muiti wechisikigo wemoyo wako akabatwa pane imwe nzvimbo inokurumidza, zvichiita kuti atria afambe neanenge 250-350 kurova paminiti panzvimbo ye60-100 yakajairwa.

Iyi mamiriro anoita vanhu vanosvika 200,000 kuAmerica gore rega rega uye anoita akawanda sezvatinokura. Kunyange zvazvo zvinonzwa zvichitya, atrial flutter inorapika zvikuru nekurapa kwakakodzera nekutarisirwa.

Chii chinonzi Atrial Flutter?

Atrial flutter inoitika kana zviratidzo zvemagetsi mumakamuri epamusoro emoyo wako zvakabatwa muloop yakatenderera. Panzvimbo yekutevera nzira yakajairwa, izvi zviratidzo zvinoramba zvichienda-enda, zvichiita kuti atria yako isungane nekukurumidza kupfuura zvayaifanira.

Moyo wako une makamuri mana - maviri epamusoro anonzi atria maviri ari pasi anonzi ventricles. Kazhinji, zviratidzo zvemagetsi zvinoita mu atrium yekurudyi uye zvinopararira munzira yakarongeka kuita kuti moyo wako urove zvakasimba. Ne atrial flutter, iyi sisitimu inokanganiswa.

Mashoko akanaka ndeakuti atrial flutter kazhinji ine muenzaniso unofanotaurwa. Kusiyana nedzimwe nyaya dzekumhanya kwemoyo, inowanzova yakarongeka uye yakarongeka, izvo zvinogona kuita kuti zvive nyore kune vanachiremba kuongorora nekurapa.

Ndeapi Zviratidzo zveAtrial Flutter?

Vanhu vazhinji vane atrial flutter vanonzwa moyo wavo uchikurumidza kana kuona kunzwa kusingafadzi kwemoyo muchipfuva chavo. Unogona zvakare kuona kufema kwenguva pfupi, kunyanya kana uri kushanda kana uri kurara.

Heano zviratidzo zvakajairika zvaunogona kuona:

• Kurova kwemoyo kana kurova kwemoyo kunokurumidza
• Kufema kwenguva pfupi panguva yemabasa akajairika
• Kusagadzikana kwepfupa kana kurwadziwa kwakapfava
• Kunzwa kusinganzwisisiki kana kushaya simba
• Kuneta kwakanyanya kana kushaya simba
• Kunetseka kana kunzwa kusagadzikana

Vamwe vanhu vanonzwawo vakaneta kupfuura kazhinji kana vasingakwanisi kurovedza muviri sezvakaita kare. Unogona kunzwa sekunge uri kushanda nesimba kuti ufemuke, kunyange kana uri kungofamba-famba mumba.

Zvinokosha kucherechedza kuti vamwe vanhu vane atrial flutter havaoni chero zviratidzo. Izvi zvakajairika muvakuru vakura kana vanhu vakave nehosha kwenguva yakareba. Kuongororwa nguva dzose kunogona kubatsira kubata aya matambudziko asinganzwisisiki.

Ndeapi Marudzi eAtrial Flutter?

Kune marudzi maviri makuru e atrial flutter, uye kunzwisisa rudzi rwaunaro kunobatsira chiremba wako kusarudza nzira yekurapa yakakodzera. Musiyano uri pakuti loop yemagetsi inoumbwa kupi mumoyo wako.

Atrial flutter yakajairwa ndiyo rudzi rwakajairika, rinoita anenge 90% yezviitiko. Chiratidzo chemagetsi chinofamba munzvimbo yakatarwa mu atrium yako yekurudyi, zvichiita muenzaniso unofanotaurwa kuti vanachiremba vanogona kuziva nyore nyore pane EKG.

Atrial flutter isingajairwi inosanganisira zvikwangwani zvemagetsi munzvimbo dzakasiyana dzeatria yako. Uyu rudzi runogona kunge rwakaoma kurapa nekuti zvikwangwani zvinogona kuumbwa munzvimbo dzakasiyana, zvichiita kuti muenzaniso usafanotaurwi.

Chiremba wako achaona rudzi rwaunaro zvichienderana nemhedzisiro ye EKG yako nezviratidzo. Iyi ruzivo inovabatsira kugadzira chirongwa chekurapa chakakodzera mamiriro ako chaiwo.

Chii Chinokonzera Atrial Flutter?

Atrial flutter kazhinji inoitika kana paine kushushikana kwakakosha kana kukuvara kune sisitimu yemagetsi yemoyo wako. Izvi zvinogona kuitika nezvikonzero zvakasiyana-siyana, uye kunzwisisa chikonzero kunobatsira kutungamira kurapwa kwako.

Zvinokonzera zvakajairika zvinosanganisira:

• Kuderera kweropa kwakagara kwenguva yakareba
• Coronary artery disease
• Matambudziko emavharuvhu emoyo
• Kuopereta kwemoyo kana maitiro kare
• Cardiomyopathy (tsandanyama yemoyo yakasimba)
• Zvirwere zvemapapu zvakareba senge COPD
• Zvirwere zve thyroid, kunyanya hyperthyroidism
• Sleep apnea

Dzimwe nguva atrial flutter inogona kukonzera zvinhu zvekanguva senge kunwa doro zvakanyanya, kushushikana kwakanyanya, kana mishonga chaiyo. Aya ma triggers kazhinji ari nyore kugadzirisa kana akaonekwa.

Mukadiki, atrial flutter inogona kuitika kune vanhu vane moyo unogara uchitambanudzwa, kunyanya panguva yekurovedza muviri kwakanyanya kana kushushikana kwepfungwa. Vamwe vanhu vangave vane genetic predisposition inoita kuti vave vakakodzera kukura matambudziko ekumhanya.

Rini Unoona Chiremba weAtrial Flutter?

Unofanira kutsvaka rubatsiro rwekurapa kana ukaona kurova kwemoyo kunokurumidza kana kusina kurongeka kunogara kweminiti inopfuura mashoma. Kunyange zvazvo atrial flutter kazhinji haisi ngozi chaiyo yehupenyu, inoda kuongororwa nemunyanzvi nekurapa.

Dana 911 kana enda ku emergency room nekukurumidza kana ukaona kurwadziwa kwepfupa, kufema kwenguva pfupi kwakanyanya, kana kupera simba pamwe nekurova kwemoyo kunokurumidza. Aya maratidzo anogona kuratidza mamiriro akaoma anoda kutarisirwa nekukurumidza.

Rongedza musangano nechikurapa chako mukati memazuva mashoma kana ukaona palpitations dzakagara kwenguva yakareba, kuneta kwakanyanya, kana kufema kwenguva pfupi. Kunyange kana zviratidzo zvichiuya zvichienda, zvinokosha kutaura nachiremba wako.

Usamirira kana uine nhoroondo yezvirwere zvemoyo uye ukawana zviratidzo zvitsva. Chiremba wako anogona kuona kana zvaunonzwa zvine chekuita ne atrial flutter kana imwe mamiriro anoda kutarisirwa.

Ndeapi Zvinokonzera Zvinokonzera Atrial Flutter?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekukura atrial flutter, nekukura kuri chinhu chakakosha. Iyi mamiriro anoita akawanda mushure memakore makumi matanhatu, kunyange zvazvo anogona kuitika pazera ripi zvaro.

Heano zvinokonzera zvikuru zvekufunga nezvazvo:

• Zera rinopfuura makore makumi matanhatu
• Kuderera kweropa
• Chirwere cheshuga
• Chirwere chemwoyo kana kurohwa kwemoyo kare
• Kuopereta kwemoyo kare
• Chirwere chemapapu chakareba
• Sleep apnea
• Zvirwere zve thyroid
• Kunwa doro zvakanyanya
• Kuzvimba

Kuva nechinhu chimwe kana kupfuura chinokonzera hachirevi kuti iwe uchava ne atrial flutter. Vanhu vazhinji vane zvinhu zvakawanda zvinokonzera havambonzwi matambudziko ekumhanya, nepo vamwe vane zvinhu zvishoma zvinokonzera vanokura mamiriro acho.

Zvimwe zvinokonzera zvisingawanzoitika zvinosanganisira mamiriro ezvemagariro, zvirwere zvinopisa, uye kutora mishonga chaiyo. Kana uine hanya nezvemazinga ako engozi, kutaura navanachiremba vako kunogona kukubatsira kunzwisisa mamiriro ako chaiwo zviri nani.

Ndeapi Matambudziko Anogona Kuitika eAtrial Flutter?

Kunyangwe atrial flutter pachayo isingawanzova ngozi nekukurumidza, inogona kutungamira kumatambudziko akakomba kana isina kurapwa. Ngozi inonyanya kunetseka ndeyekuumbwa kwema clots eropa mumakamuri emoyo wako.

Kana atria yako ichikurumidza, ropa harifambe kuburikidza nazvo sezvinofanira. Iyi kuyerera kwakaderera kweropa kunogona kubvumira clots kuumbwa, izvo zvinogona kufamba kuenda kuuropi hwako uye kukonzera stroke.

Mamwe matambudziko anogona kuitika anosanganisira:

• Stroke nekuda kwema clots eropa
• Kukundikana kwemoyo kubva pakurova kwemoyo kwakanyanya kwenguva yakareba
• Cardiomyopathy (kushaya simba kwetsandanyama yemoyo)
• Kuderedzwa kwekurovedza muviri uye hupenyu hwakanaka
• Kuenderera mberi kuenda ku atrial fibrillation

Ngozi yematambudziko inowedzera kana atrial flutter isina kutarisirwa zvakanaka kana uine mamwe mamiriro emoyo. Nekudaro, nekurapa kwakakodzera, vanhu vazhinji vanogona kuderedza zvikuru aya njodzi.

Mukadiki, kumhanya kwemoyo kunokurumidza kunogona kutungamira kune mamiriro anonzi tachycardia-induced cardiomyopathy, umo tsandanyama yemoyo inoshaya simba kubva pakushanda zvakanyanya kwenguva yakareba. Nenzira yakanaka, iyi mamiriro kazhinji anoita nani kana kumhanya kwemoyo kunokurumidza kuchikwaniswa.

Atrial Flutter Inoziviswa Sei?

Kuziva atrial flutter kazhinji kunotanga ne electrocardiogram (EKG), iyo inorekodha basa remagetsi remoyo wako. Iyi bvunzo inogona kazhinji kuziva muenzaniso we "sawtooth" wakajeka kuti atrial flutter inoumba pane EKG tracing.

Chiremba wako anogona kukubvunza nezvezviratidzo zvako, nhoroondo yekurapa, uye mishonga ipi yaunotora. Vachaongororawo moyo wako uye vatarisa pulse yako kuti vazive kumhanya kwemoyo wako uye rhythm.

Kuongororwa kuwedzerwa kunogona kusanganisira:

• Holter monitor (24-48 awa rekodhi yekumhanya kwemoyo)
• Event monitor (kutarisa kwenguva refu kwemoyo)
• Echocardiogram (ultrasound yemoyo wako)
• Kuongororwa kweropa kuti uone basa re thyroid uye mazinga e electrolyte
• Chest X-ray kuti uongorore moyo wako nemaphuphu

Dzimwe nguva atrial flutter inouya ichienda, zvichiita kuti zviome kubata pane EKG yakajairwa. Ndosaka chiremba wako angakurudzira kupfeka monitor yemoyo kwemazuva kana mavhiki kuti ubate zviitiko kana zvikaitika.

Muimwe nguva, chiremba wako angada kuita ongororo ye electrophysiology, iyo inosanganisira kutema tambo diki mumoyo wako kuti uongorore zviratidzo zvemagetsi zvakanyanya. Iyi bvunzo kazhinji inosara kune vanhu vanofunga nezvekurapa kwakati.

Kurapa kweAtrial Flutter Chii?

Kurapa kwe atrial flutter kunotarisa pane zvinangwa zviviri zvikuru: kudzora kumhanya kwemoyo wako uye kudzivirira ma clots eropa. Chiremba wako acashanda newe kuti uwane nzira inoshanda zvakanaka kune mamiriro ako chaiwo.

Mishonga kazhinji ndiyo nzira yekutanga yekurapa. Mishonga yekudzora kumhanya senge beta-blockers kana calcium channel blockers inogona kubatsira kudzikisa kumhanya kwemoyo wako, nepo blood thinners ichideredza njodzi yekuumbwa kwe clots.

Sarudzo dzekurapa dzakajairika dzinosanganisira:

• Mishonga yekudzora kumhanya (beta-blockers, calcium channel blockers)
• Mishonga yekudzora rhythm (antiarrhythmics)
• Blood thinners (anticoagulants)
• Cardioversion (reset yemagetsi kana kemikari yekumhanya)
• Catheter ablation (maitiro ekubvisa zvikwangwani zvisina kujairika)
• Kuisa pacemaker (mumamiriro ezvinhu chaiwo)

Catheter ablation yave yakakurumbira zvikuru pakurapa atrial flutter nekuti inogona kazhinji kupa kurapa kwenguva refu. Panguva iyi maitiro, chiremba wako anoshandisa simba re radiofrequency kugadzira tsoka diki inovhara nzira isina kujairika yemagetsi.

Mwero wekubudirira kwe ablation mu atrial flutter yakajairwa wakakwira kwazvo, kazhinji unopfuura 95%. Kupora kazhinji kunongororwa, nevanhu vazhinji vachienda kumba zuva rimwe chete kana mushure meusiku humwe muchipatara.

Maitiro Ekutarisira Iwe Pachako Kumba neAtrial Flutter?

Kutarisira atrial flutter kumba kunosanganisira kutora mishonga yako sezvakarayirwa uye kuita shanduko dzehupenyu dzinosimudzira hutano hwemoyo wako. Kuenderera mberi nechirongwa chako chekurapa ndicho chinhu chikuru chekudzivirira zviratidzo nematambudziko.

Kutora mishonga yako chaizvo sezvakarayirwa kwakakosha, kunyange kana uchinzwa zvakanaka. Usasiye zvikamu kana kurega kutora blood thinners usati wataura nachiremba wako, sezvo izvi zvingawedzera njodzi yako yestroke.

Kushanduka kwehupenyu kunogona kubatsira kunosanganisira:

• Kudzikisa kunwa doro
• Kutarisira kushushikana kuburikidza nematekiniki ekusununguka
• Kuita kurovedza muviri kwakajairwa, kwakanyanya sezvakabvumirwa nachiremba wako
• Kuchengetedza uremu hwakakodzera
• Kuwana hope dzakakwana uye kurapa sleep apnea kana iripo
• Kudzivisa caffeine yakanyanya
• Kutarisa kuderera kweropa nguva dzose

Cherechedza zvinokonzera zviratidzo zvako uye edza kudzivisa aya mamiriro kana zvichibvira. Vamwe vanhu vanonzwa kuti zvimwe zvekudya, kushushikana, kana kushaya hope zvinogona kukonzera zviitiko.

Chengetedza dhiari yezviratidzo kuti ikubatsire iwe nechikurapa chako kuziva maitiro. Tora zvinyorwa kana zviratidzo zvichiitika, nguva yakareba zvavanogara, uye zvawaiita pavakatanga. Iyi ruzivo inogona kukosha pakugadzirisa chirongwa chako chekurapa.

Unofanira Kugadzirira Sei Musangano Wako Wechikurapa?

Kugadzirira musangano wako kunogona kukubatsira kuita zvakanyanya panguva yako nechikurapa chako. Uya ne rondedzero yemishonga yako yese, kusanganisira mishonga yekutengesa uye zvinowedzerwa, sezvo zvimwe zvinogona kukanganisa kumhanya kwemoyo wako.

Nyora zviratidzo zvako usati wasvika, kusanganisira pavakatanga, kazhinji zvavanoitika, uye zvinoita kuti zvive nani kana zvakanyanya. Iva wakajeka nezvekuti zviratidzo zvinokanganisa sei mabasa ako ezuva nezuva.

Mibvunzo yekufunga kubvunza chiremba wako:

• Nderudzi rwei atrial flutter rwandine?
• Ndeapi maitiro ekurapa akanakira mamiriro angu?
• Ndingatora blood thinners kwenguva yakareba sei?
• Ndeapi mabasa andinofanira kudzivisa?
• Rini ndinofanira kukudanira nezvezviratidzo?
• Ndini munhu anokodzera ablation?

Uya nemhuri kana shamwari kumusangano wako kana zvichibvira. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro panguva yekukurukura nezvemaitiro ekurapa.

Usanetseka kubvunza chiremba wako kuti adzokorore kana kujeka chero chinhu chisinganzwisisiki. Zvakakosha kuti unzwe wakasununguka nechirongwa chako chekurapa uye unoziva zvaunofanira kutarisira kuenda mberi.

Chii Chinhu Chikuru Chekutora Nezve Atrial Flutter?

Atrial flutter chirwere chekumhanya kwemoyo chinorapika chinoita vanhu vazhinji, kunyanya sezvo vanokura. Kunyange zvazvo ichida kutarisirwa kwekurapa, vanhu vazhinji vane atrial flutter vanogona kurarama hupenyu hunowanzoitika, hunoshanda nekurapa kwakakodzera.

Chinhu chakakosha chekuyeuka ndechekuti kuongororwa nekukurumidza nekurapa kunogona kudzivirira matambudziko akakomba senge stroke. Kana uri kuona zviratidzo senge moyo unokurumidza kana kufema kwenguva pfupi, usamirira kutsvaka kurapwa kwekurapa.

Kurapa kwazvino, kunyanya catheter ablation, kunopa mwero wakakwira wekubudirira pakudzora atrial flutter. Vanhu vazhinji vanoona kuti hupenyu hwavo hunovandudzika zvikuru kana mamiriro avo akatarisirwa zvakanaka.

Kushanda pedyo nechikwata chako chekurapa uye kutevera chirongwa chako chekurapa kunokupa mukana wakakura wekutarisira atrial flutter zvichibvira. Nenhanho yakakodzera, iyi mamiriro haafanire kudzora kugona kwako kufarira hupenyu uye kuramba uchishanda.

Mibvunzo InowanzoBvunzwa Nezve Atrial Flutter

Atrial flutter inogona kuenda pachayo here?

Atrial flutter haina kupera zvachose pasina kurapwa, kunyange zvazvo zviitiko zvingauya zvichienda. Kunyange zvazvo zvimwe zviitiko zvingarega zvichiita zvisina basa, mamiriro acho anowanzodiwa kutarisirwa kwekurapa kudzivirira matambudziko nezviitiko zvenguva yemberi. Kunyange kana zviratidzo zvikapera, njodzi yestroke inoramba yakakwira pasina kurapwa kwakakodzera.

Atrial flutter yakafanana ne atrial fibrillation here?

Atrial flutter ne atrial fibrillation zvine hukama asi mamiriro akasiyana. Atrial flutter ine muenzaniso wakarongeka, wakarongeka nekurova kwemoyo kazhinji kuri pamativi e150 kurova paminiti, nepo atrial fibrillation iri yakawanda uye isina kurongeka. Mamiriro maviri anoita kuti njodzi yestroke iwedzere uye anoda kurapwa kwakafanana, kunyange zvazvo atrial flutter kazhinji inopindura zviri nani ku catheter ablation.

Ndingarovedza muviri here kana ndine atrial flutter?

Vanhu vazhinji vane atrial flutter yakatarisirwa zvakanaka vanogona kurovedza muviri zvakachengeteka, asi unofanira kuwana mvumo kubva kuchiremba wako kutanga. Tanga zvishoma nezvishoma uye tarisa kuti unonzwa sei panguva yekurovedza muviri. Dzivisa kurovedza muviri kwakanyanya kunokonzera kuti unzwe kusinganzwisisiki, kufema kwenguva pfupi, kana kurwadziwa kwepfupa. Chiremba wako anogona kukubatsira kuona mazinga ekurovedza muviri akakodzera zvichienderana nemamiriro ako chaiwo.

Ndichada kutora blood thinners nekusingaperi here?

Nguva yekurapa kwe blood thinner inotsamira pane zvinokonzera njodzi yestroke uye kupindura kurapwa. Vamwe vanhu vangada anticoagulation yehupenyu hwese, nepo vamwe vangakwanisa kurega mushure mekubudirira kwe ablation treatment. Chiremba wako achaongorora njodzi yako nguva dzose uye agadzirise mishonga yako zvakakodzera. Usamborega kutora blood thinners pasina kutarisirwa kwekurapa.

Catheter ablation inobudirira sei ye atrial flutter?

Catheter ablation inobudirira kwazvo ye atrial flutter yakajairwa, nemwero wekubudirira kazhinji unopfuura 95%. Vanhu vazhinji vanoona kuvandudzwa kukuru kana kubviswa kwakakwana kwezviratidzo mushure mekuita. Njodzi yematambudziko yakaderera, uye nguva yekupora kazhinji pfupi. Nekudaro, mwero wekubudirira ungave wakaderera kune atrial flutter isingajairwi kana uine mamwe mamiriro emoyo.