Flutter Yoyeserera

Zamkati

• Kodi zizindikiro za flutter atrial ndi ziti?
• Nchiyani chimayambitsa flutter flut?
• Mitsempha ya Coronary
• Opaleshoni ya mtima
• Ndani ali pachiwopsezo cha flutter atrial?
• Kodi matenda a atrial flutter amapezeka bwanji?
• Kodi atrial flutter amathandizidwa bwanji?
• Mankhwala
• Opaleshoni
• Njira zochiritsira zina
• Kodi tingayembekezere chiyani pakapita nthawi?
• Funso:
• Yankho:

Chidule

Atrial flutter (AFL) ndi mtundu wamavuto amtima, kapena arrhythmia. Zimachitika pomwe zipinda zapamwamba za mtima wanu zimamenya kwambiri. Zipinda zomwe zili pamwamba pamtima mwanu (atria) zimamenya mwachangu kuposa zapansi (ma ventricles), zimapangitsa kuti mtima wanu usakhale wogwirizana.

Flutter ya Atrial ndiyofanana ndi matenda a atrial fibrillation (AFib).

Kodi zizindikiro za flutter atrial ndi ziti?

Nthawi zambiri, munthu yemwe ali ndi AFL samva kugwedezeka kwa mtima wawo. Zizindikiro nthawi zambiri zimawonekera m'njira zina. Ena mwa iwo ndi awa:

• kuthamanga kwa mtima
• kupuma movutikira
• kumverera mopepuka kapena kukomoka
• kupanikizika kapena kukakamira pachifuwa
• chizungulire kapena mutu wopepuka
• kugunda kwa mtima
• kuvuta kuchita zochitika za tsiku ndi tsiku chifukwa cha kutopa

Kupsinjika kumakwezanso kugunda kwa mtima wanu, ndipo kumatha kukulitsa zizindikiritso za AFL. Zizindikiro za AFL ndizofala m'malo ena ambiri. Kukhala ndi chimodzi kapena zingapo mwa izi sizizindikiro za AFL nthawi zonse. Zizindikiro nthawi zambiri zimatenga masiku, kapena milungu, nthawi.

Nchiyani chimayambitsa flutter flut?

Wopanga pacemaker wachilengedwe (sinus node) amalamulira kugunda kwa mtima wanu. Ili mu atrium yoyenera. Imatumiza zisonyezo zamagetsi kumanzere kumanja ndi kumanzere. Zizindikirozi zimafotokozera pamwamba pamtima momwe angapangire mgwirizano.

Mukakhala ndi AFL, sinus node imatumiza chizindikiro chamagetsi. Koma gawo lina la chizindikirocho limayenda mozungulira mopitilira njira yozungulira atrium yoyenera. Izi zimapangitsa mgwirizano wa atria mwachangu, zomwe zimapangitsa kuti atria igunde mwachangu kuposa ma ventricles.

Kugunda kwamtima ndikumenyedwa kwa 60 mpaka 100 pamphindi (bpm). Anthu omwe ali ndi AFL ali ndi mitima yomwe imagunda 250 mpaka 300 bpm.

Zinthu zingapo zimatha kuyambitsa AFL. Izi zikuphatikiza:

Mitsempha ya Coronary

Matenda a mtima ndi omwe amachititsa AFL. Matenda a mitsempha ya mitima (CAD) amapezeka mitsempha ya mtima itatsekedwa ndi chikwangwani.

Cholesterol ndi mafuta omwe amamatira pamakoma amitsempha amadzaza chipika. Izi zimachepetsa kapena kupewa kuyenda kwa magazi. Zitha kuwononga minofu ya mtima, zipinda, ndi mitsempha yamagazi.

Opaleshoni ya mtima

Kuchita opaleshoni yotseguka kumatha kuwononga mtima. Izi zitha kulepheretsa zikwangwani zamagetsi, zomwe zimatha kuyambitsa flutter ya atrial.

Ndani ali pachiwopsezo cha flutter atrial?

Zowopsa za AFL zimaphatikizapo mankhwala ena, zomwe zidalipo, komanso zosankha pamoyo wawo. Anthu omwe ali pachiwopsezo cha flutter atrial amakonda:

• kusuta
• ali ndi matenda amtima
• ndadwala mtima
• khalani ndi kuthamanga kwa magazi
• khalani ndi valavu yamtima
• ali ndi matenda am'mapapo
• kukhala ndi nkhawa kapena nkhawa
• imwani mapiritsi azakudya kapena mankhwala ena aliwonse
• Kumwa mowa mwauchidakwa kapena kumwa kwambiri
• anachitidwapo opaleshoni yaposachedwapa
• kukhala ndi matenda ashuga

Kodi matenda a atrial flutter amapezeka bwanji?

Madokotala amayamba kukayikira AFL ngati kugunda kwa mtima kwanu kupuma kupitilira 100 bpm. Mbiri ya banja lanu ndiyofunika pamene dokotala akuyesera kupeza AFL. Mbiri ya matenda amtima, nkhawa, komanso kuthamanga kwa magazi zimatha kukhudza chiwopsezo chanu.

Dokotala wanu wamkulu amatha kudziwa AFL. Mwinanso mungatumizidwe kwa katswiri wa matenda a mtima kuti mukayesedwe.

Mayeso angapo amagwiritsidwa ntchito pozindikira ndikutsimikizira AFL:

• Zojambulajambula gwiritsani ntchito ultrasound kuti muwonetse zithunzi za mtima. Amathanso kuyeza kutuluka kwa magazi kudzera mumtima mwanu komanso mumitsempha yamagazi.
• Ma electrocardiograms lembani mawonekedwe amagetsi amtima wanu.
• EP (electrophysiology) maphunziro ndi njira yovuta kwambiri kujambula nyimbo za mtima. Catheter imachotsedwa pamitsempha ya kubuula kwanu kulowa mumtima mwanu. Maelekitirodi amaikidwamo kuti aziona momwe mtima ukugwirira ntchito m'malo osiyanasiyana.

Kodi atrial flutter amathandizidwa bwanji?

Cholinga chachikulu cha dokotala wanu ndikubwezeretsa mtima wanu kukhala wabwinobwino. Chithandizo chimadalira kukula kwa matenda anu. Mavuto ena azovuta atha kukhudzanso chithandizo cha AFL.

Mankhwala

Mankhwala amatha kuchepetsa kapena kuwongolera kugunda kwa mtima wanu. Mankhwala ena angafunike kukhala mchipatala mwachidule thupi lanu likasintha. Zitsanzo za mankhwalawa ndi monga calcium channel blockers, beta-blockers, ndi digoxin.

Mankhwala ena atha kugwiritsidwa ntchito kutembenuza mayendedwe a atrial flutter kuti abwerere m'chiyambi cha sinus. Amiodarone, propafenone, ndi flecainide ndi zitsanzo za mitundu iyi ya mankhwala.

Ochepetsa magazi, monga non-vitamin K oral anticoagulants (NOACs), atha kugwiritsidwa ntchito popewa kupangika kwa magazi m'mitsempha yanu. Kutseka kumatha kuyambitsa matenda opha ziwalo kapena mtima. Anthu omwe ali ndi AFL ali ndi chiopsezo chowonjezeka chaphokoso lamagazi.

Warfarin wakhala anticoagulant mwachizolowezi, koma ma NOAC tsopano amasankhidwa chifukwa safunika kuyang'aniridwa ndi kuyesa magazi pafupipafupi ndipo alibe chakudya chodziwika bwino.

Opaleshoni

Thandizo la Ablation limagwiritsidwa ntchito pomwe AFL singathe kuwongoleredwa kudzera mu mankhwala. Imawononga minofu yamtima yomwe imayambitsa kayendedwe kosazolowereka. Mungafunike pacemaker pambuyo pa opaleshoniyi kuti muchepetse kugunda kwanu. Wopanga pacem angagwiritsidwenso ntchito popanda kuchotsa.

Njira zochiritsira zina

Kutaya mtima kumagwiritsa ntchito magetsi kuti asokoneze kuthamanga kwa mtima kubwerera mwakale. Amatchedwanso defibrillation. Zikwangwani kapena zigamba zogwiritsidwa ntchito pachifuwa zimayambitsa mantha.

Kodi tingayembekezere chiyani pakapita nthawi?

Mankhwala nthawi zambiri amapambana pochiza AFL. Komabe, vutoli nthawi zina limatha kuonekanso mukalandira chithandizo kutengera chifukwa cha AFL yanu. Mutha kuchepetsa chiopsezo chobwereranso pochepetsa kupsinjika kwanu ndikumwa mankhwala anu malinga ndi momwe mukufunira.

Funso:

Kodi ndi njira ziti zodzitetezera zomwe ndingachite kuti ndipewe AFL?

Yankho:

Flutter flutter ndi yachilendo arrhythmia koma imalumikizidwa ndi matenda ena monga mtima kulephera, matenda amtima, uchidakwa, matenda ashuga, matenda a chithokomiro, kapena matenda am'mapapo. Njira yabwino yopewera flutter atrial ndikuyesera kupewa kupewa izi. Kukhala ndi moyo wathanzi ndi zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi pafupipafupi, kupewa kumwa mowa kwambiri, komanso kusiya kusuta mukasuta kungakuthandizeni.