I-Atrial Flutter vs. Atrial Fibrillation

-Delile

• Ukubuka konke
• Izimpawu
• I-AFib
• I-atrial flutter
• Izimbangela
• Ukwelashwa
• Ukuthatha
• Umehluko omkhulu
  

Ukubuka konke

I-Atrial flutter ne-atrial fibrillation (i-AFib) zombili izinhlobo ze-arrhythmias. Zombili zenzeka lapho kunezinkinga ngezibonakaliso zikagesi ezenza inkontileka yamagumbi enhliziyo yakho. Lapho inhliziyo yakho ishaya, uzwa lawo magumbi esenkontileka.

I-Atrial flutter ne-AFib zombili zibangelwa lapho izimpawu zikagesi zenzeka ngokushesha kunokujwayelekile. Umehluko omkhulu phakathi kwalezi zimo zombili ukuthi lo msebenzi kagesi uhlelwe kanjani.

Izimpawu

Abantu abane-AFib noma i-atrial flutter kungenzeka bangaboni zimpawu. Uma izimpawu zenzeka, ziyefana:

Umehluko omkhulu ezimpawu ukwenzeka njalo kwenani lokushaya kwenhliziyo. Sekukonke, izimpawu ze-atrial flutter zivame ukuba nzima kakhulu. Kukhona namathuba amancane okwakhiwa kwamagundane nokushaywa unhlangothi.

I-AFib

Ku-AFib, amakamelo amabili aphezulu enhliziyo yakho (i-atria) athola amasiginali kagesi angahlelekile.

I-atria ishaye ngaphandle kokuhlangana namagumbi amabili aphansi enhliziyo yakho (ama-ventricles). Lokhu kuholela esigqi senhliziyo esisheshayo futhi esingajwayelekile. Ukushaya kwenhliziyo okujwayelekile ukushaya okungu-60 kuya kwayi-100 ngomzuzu (bpm). Ku-AFib, isilinganiso senhliziyo sisuka ku-100 kuye ku-175 bpm.

I-atrial flutter

Ku-flutter ye-atrial, i-atria yakho ithola amasiginali kagesi ahlelekile, kepha amasiginali ashesha kunokujwayelekile. I-atria ishaya kaningi kunama-ventricles (kufika ku-300 bpm). Kuphela njalo ukushaya kwesibili kufika kuma-ventricles.

Izinga lokushaya lokushaya elicishe libe ngu-150 bpm. I-Atrial flutter idala iphethini ethize ye- “sawtooth” esivivinyweni sokuxilonga esaziwa njenge-electrocardiogram (EKG).

Qhubeka ufunde: Isebenza kanjani inhliziyo yakho »

Izimbangela

Izici zobungozi ze-atrial flutter ne-AFib ziyefana kakhulu:

Abantu abanomlando we-atrial flutter nabo banengozi eyengeziwe yokuthuthukisa i-atrill fibrillation esikhathini esizayo.

Ukwelashwa

Ukwelashwa kwe-AFib ne-atrial flutter kunezinhloso ezifanayo: Buyisela isigqi esijwayelekile senhliziyo futhi uvimbele amahlule egazi. Ukwelashwa kwalezi zimo zombili kungabandakanya:

Imithi, kufaka phakathi:

• ama-calcium channel blockers kanye ne-beta-blockers ukulawula izinga lokushaya kwenhliziyo
• amiodarone, propafenone, ne-flecainide ukuguqula isigqi sibuyele kokujwayelekile
• imishanguzo yokuncipha igazi efana ne-non-vitamin K oral anticoagulants (NOACs) noma i-warfarin (Coumadin) ukuvimbela isifo sohlangothi noma isifo senhliziyo

Ama-NOAC manje anconywe ngaphezu kwe-warfarin ngaphandle kokuthi umuntu abe ne-mitral stenosis elinganiselayo noma ene-valve yenhliziyo yokufakelwa. Ama-NOAC afaka phakathi i-dabigatran (Pradaxa), i-rivaroxaban powder (i-Xarelto), i-apixaban (i-Eliquis) ne-edoxaban (i-Savaysa).

Ukuphazamiseka komzimba kagesi: Le nqubo isebenzisa ukushaqeka kukagesi ukusetha kabusha isigqi senhliziyo yakho.

Ukukhishwa kwepayipi: Ukususwa kwepayipi kusetshenziswa amandla e-radiofrequency ukuqeda indawo engaphakathi kwenhliziyo yakho edala isigqi senhliziyo esingajwayelekile.

Ukwehlukaniswa kwamanani we-Atrioventricular (AV): Le nqubo isebenzisa amagagasi omsakazo ukuqeda i-AV node. I-AV node ixhuma i-atria nama-ventricles. Ngemuva kwalolu hlobo lokususa, uzodinga i-pacemaker ukugcina isigqi esijwayelekile.

Ukuhlinzwa kweMaze: Ukuhlinzwa kweMaze ukuhlinzwa kwenhliziyo okuvulekile. Udokotela ohlinzayo usika noma ashe amancane e-atria yenhliziyo.

Imithi imvamisa iyindlela yokuqala yokwelashwa kwe-AFib. Kodwa-ke, ukukhishwa kwemali ngokuvamile kubhekwa njengokwelapha okungcono kakhulu kwe-atrial flutter. Noma kunjalo, ukwelashwa kwe-ablation kuvame ukusetshenziswa kuphela lapho imithi ingakwazi ukulawula izimo.

Ukuthatha

Kokubili i-AFib ne-atrial flutter kuhilela ukushesha kukagesi okuvamile enhliziyweni. Kodwa-ke, kunokwehluka okumbalwa okuyinhloko phakathi kwale mibandela emibili.

Umehluko omkhulu

• E-atrial flutter, imizwa kagesi ihlelwe. E-AFib, imishanguzo kagesi inesiphithiphithi.
• I-AFib ivame kakhulu kune-atrial flutter.
• Ukwelashwa kwe-Ablation kuphumelela kakhulu kubantu abane-atrial flutter.
• Ku-flutter ye-atrial, kunephethini ye- "sawtooth" ku-ECG. Ku-AFib, ukuhlolwa kwe-ECG kukhombisa isilinganiso esingajwayelekile se-ventricular.
• Izimpawu ze-atrial flutter zivame ukuba nzima kakhulu kunezimpawu ze-AFib.
• Abantu abane-atrial flutter banomkhuba wokuthuthukisa i-AFib, noma ngabe sebelashiwe.

Zombili lezi zimo zinengozi eyengeziwe yokushaywa unhlangothi. Noma ngabe une-AFib noma i-atrial flutter, kubalulekile ukuthola ukuxilongwa kusenesikhathi ukuze uthole ukwelashwa okufanele.