So wo koma bɔ ntɛmntɛm? Momma yensua Atrial Arrhythmia ho ade!

So ɛtɔ mmere bi a wote nka sɛ wo koma rebɔ ntɛmntɛm sen sɛnea wotaa yɛ no? Anaasɛ ɛte sɛ nea wo koma bɔ nyɛ nea ɛkɔ so daa? Ebia wote biribi a ɛyɛ nwonwa nka, wo moma so a ɛyɛ den? Ebia eyinom nyɛ sɛnkyerɛnne biara kɛkɛ. Ɛnnɛ, yɛbɛka tebea pɔtee bi a ɛfa koma a ɛbɔ ho a ebetumi de saa sɛnkyerɛnne ahorow yi aba ho asɛm.

Dɛn ne Atrial Arrhythmia?

Sɛ yɛbɛka no tiawa a, atrial arrhythmia yɛ koma a ɛbɔ a ɛnkɔ so daa. Eyi ba bere a koma no atifi adan (a wɔfrɛ no atria ) no ne ntini a ɛwɔ fam ( ventricles ) no nyɛ adwuma pɛpɛɛpɛ no. Fa no sɛ nnwontofo kuw bi muni biara a ɔbɔ nnwom biako. Dɛn na ɛba saa bere no? Koma no fi ase bɔ ntɛmntɛm dodo anaasɛ ɛbɔ brɛoo dodo. Eyi ma mogya no nkɔ nipadua no nyinaa mu yiye, na ɛno kyerɛ sɛ mogya no ntumi nkɔ nipadua no mu yiye .

Dɛn ne atrial arrhythmia ahorow atitiriw?

Saa tebea yi ahorow pii wɔ hɔ. Ebia nsonsonoe kakra bɛda wɔn ntam. Momma yɛnhwɛ ahorow atitiriw no bi.

1. Atiridiinini a Ɛyɛ Fɛ (Afib) .

Eyi yɛ apɔw-mu-teɛteɛ a ɛtaa ba yiye . Wɔ Afib mu no , koma no atifi (atria) no bɔ ntɛmntɛm yiye, ɛnyɛ nea ɛkɔ so daa, na enni nhyehyɛe biara. Ɔkwan foforo so no, wɔhuruhuruw kɛkɛ. Sɛ wɔansa eyi yiye a, ebetumi ama obi anya tebea horow a asiane wom te sɛ ɔyare a ɛma obi hwe ase .

2. Akwan a Ɛboa Tachycardia / Bypass Tract Tachycardia

Eyi ne bere a anyinam ahoɔden kwan foforo bi ba koma no atifi adan (atria) ne ase dan (ventricles) ntam no. Mpɛn pii no, anyinam ahoɔden nsɛnkyerɛnne fa nea wɔfrɛ no AV node . Nanso, sɛ anyinam ahoɔden nsɛnkyerɛnne no fa ɔkwan foforo yi so ntɛmntɛm dodo a, koma no bɔ ntɛmntɛm dodo. Wolff-Parkinson-White yare no yɛ eyi ho nhwɛso pa.

3. Atrial Flutter a Ɛyɛ Fɛ

Eyi ne bere a anyinam ahoɔden nsɛnkyerɛnne a ɛwɔ koma no atifi (atria) no mu no yɛ ntɛmntɛm dodo. Eyi ma atria no bɔ ntɛmntɛm dodo. Saa tebea yi betumi ne komayare, komayare, ne koma nhyehyɛe mu dɛmdi abom aba.

4. Atiridiinini a Ɛyɛ Den (AT) .

Tachycardia yɛ koma a ɛbɔ ntɛmntɛm. Wɔ AT mu no, anyinam ahoɔden sɛnkyerɛnne bi fi ase wɔ baabi a ɛnteɛ wɔ koma no atifi adan (atria), na ɛma koma no bɔ ntɛmntɛm.

5. AV Nodal Re-entrant Tachycardia (AVNRT) a ɛsan kɔ mu (AVNRT) .

Eyi ba bere a akwan bɛboro biako wɔ hɔ a anyinam ahoɔden nsɛnkyerɛnne fa so fa AV node no mu no . AVNRT yɛParoxysmal Supraventricular Tachycardia (PSVT) yɛ tebea a ɛma koma no bɔ ntɛmntɛm nanso ɛnyɛ daa. Ebetumi aba mpofirim na afei akɔ ntɛmntɛm saa ara.

6. Atiridiinini a Ɛyɛ Ntɛmntɛm (PACs) .

Eyi ne bere a koma no bɔ ntɛm, a ɛkyerɛ sɛ ɛbɔ ntɛm. Mpɛn pii no eyinom nyɛ asiane biara na enhia sɛ wɔsa .

Atiridiinini a ɛnyɛ adwuma yiye abu so dɛn?

Koma mu ntini mu yare abu so ankasa sen sɛnea ebia wubesusuw . Nnipa ɔpepem pii a wɔwɔ wiase nyinaa nya apɔw-mu-teɛteɛ a ɛnyɛ den bi. Eyinom mu nea abu so sen biara ne atrial fibrillation (Afib), a yɛadi kan aka ho asɛm no. Saa nsakrae nketenkete a asiane biara nni ho a ɛba koma a ɛbɔ mu, anaa PACs (Premature Atrial Contractions) , no yɛ biribi a ɛkame ayɛ sɛ yɛn nyinaa behyia wɔ yɛn asetra mu bere bi.

Dɛn nti na saa atrial arrhythmia yi ba?

Nea ɛde tebea yi ba titiriw ne anyinam ahoɔden nsɛnkyerɛnne a ɛnteɛ a efi ase wɔ koma no atifi adan (atria) mu. Saa nsɛnkyerɛnne a ɛnteɛ yi betumi afi awosu mu (a ɛkyerɛ sɛ obi wɔ w’abusua mu na wo nso wubetumi anya bi), anaasɛ ebetumi afi akwahosan ho haw afoforo anaa komayare mu aba.

Esiane akwahosan ho haw ne komayare nti:

• Anemia , a ɛkyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ nni hɔ.
• Cardiomyopathy yɛ yare a ɛba koma ntini mu.
• Asikreyare (Asikreyare) .
• Koma a ɛsɛe a efi komayare anaa komayare a atwam mu ba.
• Komayare , komayare (CAD) , ne komayare .
• Mogya mmoroso (Hypertension) .
• Sɛ nhwɛso no , nyarewa a efi ahurututu mu ba , Chronic Obstructive Pulmonary Disease (COPD) .
• Koma no nhyehyɛe ho haw ahorow, sɛ nhwɛso no, koma no mu ntini mu yare .
• Thyroid ho haw ahorow, titiriw hyperthyroidism .

Esiane asetra mu nneɛma nti:

Saa nneɛma yi nso betumi ama asiane a ɛwɔ hɔ sɛ obi benya atrial arrhythmia no ayɛ kɛse:

• Nsu a ɛho ntew wɔ nipadua no mu .
• Nsã ne nnuan a caffeine wom (te sɛ tii ne kɔfe).
• Ebia nnipa binom koma bɛbɔ bere a wɔadi nnuan a srade, asikre, anaa carbohydrates pii wom akyi.
• Nnuru bi, sɛ nhwɛso no , pseudoephedrine, a wohu wɔ atiridii nnuru bi mu.
• Nsã a wɔnom boro so .
• Mu duru a ɛboro so ne kɛseyɛ mmoroso.
• Adwennwen ne dadwen a emu yɛ den .
• Nsakrae a ɛba nkwaadɔm mu, sɛ nhwɛso no, bere a obi agyae brayɛ anaa bere a ɔyem no. Koma a ɛbɔ bere a wɔyem no abu so yiye na mpɛn pii no ɛnyɛ asiane biara.
• Sigaretnom ne tawa ho nneɛma a wɔde di dwuma .

Wobɛyɛ dɛn ahu sɛ wowɔ Atrial Arrhythmia? Dɛn ne sɛnkyerɛnne ahorow no?

Ɛtɔ mmere bi a, saa tebea yi betumi aba a enni sɛnkyerɛnne biara. Nanso, sɛnkyerɛnne ahorow a ɛtaa ba no bi ni:

• Ɛte sɛ nea wo koma rebɔ ntɛmntɛm yiye nanso ɛwɔ nnyigyei biako mu . Wo moma so rebɔ, te sɛ nea woatu mmirika nkyɛe.
• Koma a ɛbɔ daa . Ebia ɛbɛyɛ te sɛ nea wo koma atu mmirika, agyae bɔ, mpofirim ara ɛbɔ ntɛmntɛm, anaasɛ ɛbɔ brɛoo.
• Koko mu yaw , ɛnyɛ dɛ, anaasɛ ɛyɛ den.
• Ahome a ɛyɛ tiaa .
• Sɛ wote nka sɛ wo ho ayɛ wo yaw anaasɛ w’adwene atu afra.
• Ɔtotɔ piti / syncope .
• Ɔbrɛ a ɛtra so , nkate a ɛma obi te nka sɛ nkwa nnim.
• Sɛ wote nka sɛ worebɔ wo koko, wo menewa, anaa wo kɔn mu (koma a ɛbɔ) .
• Akwaa a ɛho ahonhon (edema), titiriw nan, anan, ne anan .

Ɔkwan bɛn so na nnuruyɛfo hu saa tebea yi?

Sɛ wo tie wo yare no ho sɛnkyerɛnne ahorow na watie wo koma wie a, wo duruyɛfo bedi kan ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu . Mpɛn pii no eyi yɛ mogya a wɔkan koraa (CBC) . Eyi hwɛ sɛ mogya a ɛtɔ kɔ nipadua no mu, vitamin a enni nipadua no mu, anaa thyroid ho haw bi.

Afei, sɔhwɛ a edi hɔ a ebehia sɛ woyɛ ne electrocardiogram (EKG anaa ECG) . Nea ɛka eyi ho ne sɛ wode nneɛma a ɛma wohu nneɛma a ɛtoatoa so bata wo honam ani de kyerɛw wo koma no anyinam ahoɔden dwumadi, anaa sɛnea wo koma bɔ no. Wobetumi ayɛ eyi wɔ oduruyɛfo adwumayɛbea na egye bɛyɛ simma 15.

Fa no sɛ bere a wokɔɔ oduruyɛfo nkyɛn no, na wunnyaa saa koma bɔ a ɛnteɛ no. Sɛ ɛte saa a, anka wɔrenkyerɛw wɔ EKG no so. Wɔ tebea a ɛte saa mu no, oduruyɛfo no betumi aka akyerɛ wo sɛ fa ambulatory monitor di dwuma , sɛ nhwɛso no , Holter monitor . Eyi yɛ afiri ketewaa bi a wotumi fa so. Ɛsɛ sɛ wohyɛ no bɛyɛ dapɛn biako. Saa bere yi mu no, wɔbɛkyerɛw wo koma bɔ ne biribiara a ɛnkɔ so pɛpɛɛpɛ wɔ so.

Dɛn ne ayaresa ahorow a wɔde sa atrial arrhythmia?

Sɛ wohu sɛ wowɔ komayare a ɛnyɛ den a, wɔde wo bɛkɔ koma ho oduruyɛfo nkyɛn.Wogyina w’akwahosan nyinaa ne sɛnea wo koma bɔ no so na ɛkyerɛ ayaresa.

Nsakrae a ɛba asetra kwan ne adidi mu:

Wobetumi de nsakrae a ɛnyɛ den yi adi apɔw-mu-teɛteɛ ahorow pii so:

• Gyae anaa to ano hye wɔ nsa, caffeine, ne nnuru bi (e.g., nnuru a wɔde yɛ awɔw a pseudoephedrine wom).
• Nom nsu pii na amma wo ho atɔ wo.
• Mmoa a wɔbɛsrɛ sɛ wɔmma adwennwen ne dadwen so tew, apɔw-mu-teɛteɛ a wɔde gye wɔn ahome ne akwan a wɔfa so home kɔ akyiri a wɔde sua .
• Sɛ woyɛ kɛse mmoroso a, ɛho hia sɛ wobɛtew wo mu duru so na woakɔ so ayɛ kɛse .
• Gyae sigaretnom ne tawa ho nneɛma a wɔde di dwuma koraa .

Aduruyɛ mu ayaresa:

Apɔw-mu-teɛteɛ ahorow bi hwehwɛ sɛ wɔde aduruyɛ sa yare de ka asetra mu nsakrae ho. Sɛ wowɔ arrhythmia bɛboro biako a, ebia wubehia ayaresa bɛboro biako. Ayaresa atitiriw no bi ni:

• Catheter Ablation: Eyi nyɛ kɛse te sɛ oprehyɛn. Ɛsɛe ntini ketewaa bi a ɛwɔ koma no mu a ɛresoma anyinam ahoɔden nsɛnkyerɛnne a ɛnkɔ so daa. Eyi ma nnyigyei a ɛnyɛ ne kwan so no gyae.
• Mfiri: Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔde mfiri te sɛ implantable cardioverter-defibrillator (ICD) , subcutaneous ICD, anaa pacemaker hyɛ koma no mu na ama wɔatumi ahwɛ sɛnea koma no bɔ no so.
• Electrical Cardioversion: Eyi hwehwɛ sɛ wɔde anyinam ahoɔden a wɔde bɔ koma no (wosow) a ahobammɔ wom, na wogyae nnyigyei a ɛnyɛ ne kwan so no na wɔsan de kɔ sɛnea ɛte daa.
• Nnuru: Nnuru bi wɔ hɔ a wɔde ma sɛnea ɛbɛyɛ a koma no bɛbɔ daa anaasɛ esiw nea ɛnkɔ so daa ano (nnuru a ɛma koma no yɛ den). Afei nso, wobetumi ama nnipa a wɔwɔ Afib nnuru a ɛma mogya yɛ mmerɛw na ama asiane a ɛwɔ hɔ sɛ wobenya akisikuru no so atew.

Ɔkwan bɛn so na wobetumi atew asiane a ɛwɔ hɔ sɛ atiridiinini a ɛnyɛ den no so?

Ebia ɛrentumi nyɛ yiye sɛ yebesiw eyi ano koraa, nanso yebetumi atew asiane a ɛwɔ hɔ no so denam apɔwmuden a yɛbɛkɔ so atra hɔ na yɛasi gyinae a nyansa wom so.

• Aduan a ɛma koma nya ahoɔden akyi a wobedi .
• Apɔw-mu-teɛteɛ yiye na kɔ so yɛ nnam .
• Sɛ woyɛ kɛse mmoroso a, ɛho hia sɛ wobɛtew wo mu duru so na woakɔ so ayɛ kɛse .
• Sɛ wowɔ mogya mmoroso (hypertension) a, di so .
• Cholesterol dodow a wɔbɛhyɛ so .
• Wo ne wo duruyɛfo nkasa na yɛ nhyehyɛe sɛ wubegyae sigaretnom ne tawanom.

Sɛ wowɔ komayare anaa akwahosan ho haw afoforo a ɛma asiane a ɛwɔ hɔ sɛ wubenya komayare a ɛnyɛ den yi yɛ kɛse a, wo ne wo duruyɛfo nka ho asɛm. Ɔbɛkyerɛkyerɛ anammɔn afoforo a wubetumi atu mu.

Dɛn ne obi a ɔwɔ Atrial Arrhythmia no anidaso? (Nsusuwii) .

Eyi gyina nneɛma ahorow bi so ankasa. Apɔw-mu-teɛteɛ a ɛnyɛ den ko a wowɔ ne w’akwahosan nyinaa betumi adi dwuma bi. Nnipa pii betumi de asetra mu nsakrae ne wɔn aduan mu nsakrae adi wɔn yare no ho sɛnkyerɛnne ahorow ho dwuma. Ayaresa a wɔde sa atrial arrhythmia betumi aboa wo ma woanya asetra a ahoɔden wom wɔ ne nyinaa mu . Nea ɛho hia sen biara ne sɛ wobɛkɔ wo duruyɛfo nkyɛn daa akɔhwɛ sɛnea wo koma akwahosan te na wo ne no yɛ adwuma na ama woanya apɔwmuden.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn wɔ atrial arrhythmia ho?

Sɛ wowɔ wo koma bɔ ho haw bi, anaasɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm no bi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn . Sɛ wunim dedaw sɛ wowɔ atrial arrhythmia a, kɔ wo koma ho ɔyaresafo nkyɛn daa.

Nsɛnkyerɛnne a ɛsɛ sɛ wɔhwɛ so ntɛm:

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a hwehwɛ aduruyɛfo afotu ntɛm ara :

- a ɛyɛ koko mu yaw .

- a wotaa totɔ piti .

- a ewo mpofirim anaasɛ wontumi nkyerɛkyerɛ mu anaasɛ ɔbrɛ .

- a ehohoro wo nan, wo nan anaase wo nansoaa mu .

- a ɛyɛ ɔhaw wɔ ahomegye mu .

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Ɛtɔ mmere bi a atrial arrhythmia betumi de akwahosan ho haw ahorow a emu yɛ den te sɛ ɔyare a ɛma obi hwe ase aba. Nanso asɛmpa no ne sɛ wobetumi adi tebea yi so yiye denam ayaresa a ɛfata ne asetra mu nsakrae a wɔyɛ so .

Sɛ wowɔ komayare ho sɛnkyerɛnne ahorow, titiriw sɛ wowɔ komayare anaa akwahosan tebea bi te sɛ mogya mmoroso ho abakɔsɛm a, nntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn . Sɛ wudi aduan a ɛma koma nya ahoɔden akyi na wokɔ so yɛ nnam a, wubetumi atew asiane a ɛwɔ hɔ sɛ wobɛma wo koma no ayɛ basaa no so na woakura akwahosan nyinaa mu yiye . Kae sɛ wo koma ne w’agyapade a ɛsom bo sen biara!

` Atrial arrhythmia, koma a ɛbɔ denneennen, koma a ɛbɔ, komayare, atrial fibrillation, koma akwahosan, koma a ɛbɔ a ɛnteɛ