Atrial Flutter vs. Atrial Fibrillation

Zamkati

• Chidule
• Zizindikiro
• AFib
• Flutter yamatenda
• Zoyambitsa
• Chithandizo
• Kutenga
• Kusiyana kwakukulu
  

Chidule

Flutter ya atrial ndi atrial fibrillation (AFib) ndi mitundu yonse ya arrhythmias. Zonsezi zimachitika pakakhala zovuta ndi zizindikilo zamagetsi zomwe zimapangitsa zipinda zamtima wanu kuti zizigwirizana. Pamene mtima wanu ukugunda, mukumva zipindazi zikugwirizana.

Flutter ya Atrial ndi AFib zonse zimachitika pomwe zizindikiritso zamagetsi zimachitika mwachangu kuposa zachilendo. Kusiyanitsa kwakukulu pakati pazikhalidwe ziwirizi ndi momwe magetsi amathandizira.

Zizindikiro

Anthu omwe ali ndi AFib kapena atrial flutter sangakhale ndi zizindikiro zilizonse. Ngati zizindikiro zimachitika, ndizofanana:

Kusiyanitsa kwakukulu kwa zizindikilo kumakhala pafupipafupi. Ponseponse, zizindikilo za atrial flutter zimakhala zochepa kwambiri. Palinso mwayi wochepa wopangika ndi kugundana.

AFib

Ku AFib, zipinda ziwiri zapamwamba mumtima mwanu (atria) zimalandila magetsi osagwirizana.

Atria imagunda molumikizana ndi zipinda ziwiri pansi pamtima mwanu (ma ventricles). Izi zimabweretsa kuthamanga kwachangu komanso kosasintha kwa mtima. Kugunda kwamtima ndikumenyedwa kwa 60 mpaka 100 pamphindi (bpm). Ku AFib, kugunda kwa mtima kumayambira 100 mpaka 175 bpm.

Flutter yamatenda

Mu flutter ya atria, atria yanu imalandira ma sign magetsi, koma ma signwo amakhala othamanga kuposa masiku onse. Atria imamenya pafupipafupi kuposa ma ventricles (mpaka 300 bpm). Kumenya kokha kwachiwiri kumangodutsa ma ventricles.

Zotsatira zake zimayenda mozungulira 150 bpm. Flutter ya Atrial imapanga dongosolo lenileni la "sawtooth" pamayeso azomwe amadziwika kuti electrocardiogram (EKG).

Pitilizani kuwerenga: Momwe mtima wanu umagwirira ntchito »

Zoyambitsa

Zowopsa za flutter atrial ndi AFib ndizofanana:

Anthu omwe ali ndi mbiri ya flutter atrial amakhalanso ndi chiopsezo chowonjezeka chokhala ndi mafinya amtsogolo mtsogolo.

Chithandizo

Chithandizo cha AFib ndi atrial flutter chili ndi zolinga zomwezo: Kubwezeretsani mawonekedwe abwinobwino amtima ndikupewa kuundana kwamagazi. Kuchiza kwa zinthu zonsezi kungaphatikizepo:

Mankhwala, kuphatikizapo:

• calcium channel blockers ndi beta-blockers kuti athetse kugunda kwa mtima
• amiodarone, propafenone, ndi flecainide kuti musinthe mawonekedwe kuti abwerere mwakale
• mankhwala ochepetsa magazi monga non-vitamin K oral anticoagulants (NOACs) kapena warfarin (Coumadin) kupewa kupwetekedwa mtima kapena matenda amtima

Ma NOAC tsopano amalimbikitsidwa pa warfarin pokhapokha munthuyo atakhala ndi mitral stenosis yozama kapena ali ndi valavu yamtima yopangira. NOACs zimaphatikizapo dabigatran (Pradaxa), rivaroxaban powder (Xarelto), apixaban (Eliquis) ndi edoxaban (Savaysa).

Kutulutsa kwamphamvu kwamagetsi: Njirayi imagwiritsa ntchito kugwedezeka kwamagetsi kuti ikonzenso mtima wanu.

Kuchotsa patheter: Kuchotsa patheter kumagwiritsa ntchito mphamvu ya radiofrequency kuwononga dera lomwe lili mkati mwa mtima wanu lomwe likuyambitsa kugunda kwamtima kosazolowereka.

Kuchotsa pamtundu wa Atrioventricular (AV): Njirayi imagwiritsa ntchito mawailesi kuwononga njira ya AV. Node ya AV imagwirizanitsa atria ndi ma ventricles. Pambuyo pa kuchotsedwa kwa mtundu uwu, mufunika pacemaker kuti mukhale ndi chizolowezi chokhazikika.

Kuchita opaleshoni ya Maze: Kuchita opaleshoni ya Maze ndi opaleshoni ya mtima. Dokotalayo amadula pang'ono kapena kuwotcha mu atria yamtima.

Mankhwala nthawi zambiri amakhala mankhwala oyamba a AFib. Komabe, kuchotsa mimba nthawi zambiri kumatengedwa ngati chithandizo chabwino kwambiri cha flutter atrial. Komabe, mankhwala opatsirana pogwiritsa ntchito mankhwalawa amagwiritsidwa ntchito pokhapokha ngati mankhwala sangathe kuwongolera zomwe zachitika.

Kutenga

AFib ndi flutter ya atrial imakhudza mwachangu kuposa momwe zimakhalira zamagetsi mumtima. Komabe, pali zosiyana zazikulu zochepa pakati pazikhalidwe ziwirizi.

Kusiyana kwakukulu

• Mu flutter ya atrial, zikhumbo zamagetsi zimapangidwa mwadongosolo. Ku AFib, zikhumbo zamagetsi ndizosokonekera.
• AFib ndiyofala kwambiri kuposa atrial flutter.
• Thandizo la Ablation limayenda bwino kwambiri kwa anthu omwe ali ndi atrial flutter.
• Mu flutter ya atrial, pali mtundu wa "sawtooth" pa ECG. Ku AFib, mayeso a ECG akuwonetsa kuchuluka kwa ma ventricular osasinthasintha.
• Zizindikiro za atrial flutter zimakhala zochepa kwambiri kuposa zizindikiro za AFib.
• Anthu omwe ali ndi atrial flutter amakonda kukhala ndi AFib, ngakhale atalandira chithandizo.

Zonsezi zimakhala ndi chiopsezo chowonjezeka cha stroke. Kaya muli ndi AFib kapena flutter atrial, ndikofunikira kuti mupeze matendawa mwachangu kuti mudzalandire chithandizo choyenera.