Kodi mtima wanu umagunda mofulumira mwadzidzidzi? Tiyeni tiphunzire za (Atrial Flutter) iyi!

Kodi nthawi zina mumamva ngati chifuwa chanu chikugunda mofulumira kwambiri, koma mu kamvekedwe komweko? Zili ngati ng'oma ikugunda mofulumira, koma mu kamvekedwe kabwinobwino. Izi nthawi zina zimatha kuchitika mukakhala ndi nkhawa kapena mantha. Komabe, ngati izi zimachitika kawirikawiri, kapena ngati zikugwirizana ndi zizindikiro zina, zitha kukhala chizindikiro cha matenda a mtima otchedwa `(Atrial Flutter)`. Tiyeni tiwone chomwe chili, chifukwa chake chimachitika, komanso zomwe mungachite nazo.

Kodi `(Atrial Flutter)` ndi chiyani? Mwachidule...

Mwachidule, `(Atrial Flutter)` ndi vuto lomwe zipinda ziwiri zapamwamba za mtima wathu, `atria`, zimayamba kugunda mofulumira kwambiri, koma mofananamo, mwanjira inayake. Madokotala amatcha izi kukhala kugunda kwa mtima kosazolowereka (`supraventricular arrhythmia`) komwe kumayambira m'mbali zakumtunda za mtima.

Taganizirani izi, pamene tikukhala chete, tikupumula, mitima yathu ikugunda pakati pa nthawi 60 ndi 100 pamphindi. Umenewo ndi liwiro la mtima wathanzi. Koma mwa munthu amene ali ndi "Atrial Flutter", mbali zakumtunda za mtima, atria, zimatha kugunda mofulumira kwambiri mpaka nthawi 250 mpaka 350 pamphindi! Kodi mungaganizire liwiro limenelo? Atria ikagunda mofulumira kwambiri, zipinda ziwiri zapansi za mtima, "ventricles", nazonso zimagunda mofulumira kwambiri. Nthawi zina nthawi 150 pamphindi kapena mofulumira kwambiri.

Chifukwa chachikulu cha izi ndi vuto la ma signal amagetsi a mtima. Mtima wathu umagunda pogwiritsa ntchito njira ya ma signal yomwe imagwira ntchito ngati mauthenga amagetsi. Izi zimachitika pakakhala vuto kapena vuto la ma signal awa.

Kodi pali mitundu ya `(Atrial Flutter)`?

Inde, pali mitundu ingapo ikuluikulu ya `(Atrial Flutter)`. Dokotala amatha kudziwa mtundu wake poyang'ana `(ECG)` yanu, kutanthauza graph ya mayeso omwe amayesa momwe mtima ukuyendera.

• `Kuthamanga kwa Atrial Kwachizolowezi` (iyi ndi mtundu wofala kwambiri): Mu izi, zizindikiro zamagetsi zosazolowereka zimayenda mozungulira (mozungulira wotchi, ngati wotchi) mkati mwa atrium yakumanja ya mtima.
• `Reverse Typical Atrial Flutter`: Mu izi, zizindikiro zamagetsi zimayenda mozungulira mozungulira (mozungulira wotchi) mkati mwa atrium yakumanja.
• Kuthamanga kwa Atrial Atypical (izi sizichitika kawirikawiri, makamaka ngati simunachitepo opaleshoni ya mtima kapena ablation, yomwe imawononga minofu ina ya mtima): Pankhaniyi, zizindikiro zamagetsi zachilendo zimatha kuchitika ku atrium yakumanzere kapena yakumanja. Nthawi zina, zizindikirozi zimatha kuyenda mozungulira minofu ya zipsera zomwe zimachitika chifukwa cha opaleshoni ya mtima.

Kodi zizindikiro za `(Atrial Flutter)` ndi ziti?

N'zodabwitsa kuti anthu ena omwe ali ndi Atrial Flutter sasonyeza zizindikiro zilizonse . Komabe, anthu ambiri angakumane ndi chimodzi kapena zingapo mwa izi:

• Kupuma movutikira: Kumva ngati munthu akupuma movutikira kapena kuvutika kupuma.
• Chizungulire: Kumva ngati ukuzungulira komanso kuvutika kuyima.
• Kutopa thupi: Kumva kutopa kwambiri komanso kusatha kuchita chilichonse.
• Kugunda kwa mtima: Kumva mtima wanu ukugunda mokweza komanso mwachangu kuchokera mkati mwa chifuwa chanu. Anthu ena angamvenso izi m'khosi kapena pakhosi pawo.
• Kugunda kwa mtima mwachangu: Ngati mukumva kugunda kwa mtima kwanu, kudzakhala kofulumira kwambiri.
• Kupweteka pachifuwa kapena kukakamira: Zingamveke ngati chifuwa chanu chikuchepa, kapena zingamve kupweteka.
• Kumva ngati ukukomoka (kukomoka): Mwadzidzidzi maso ako amasintha kukhala abuluu, ndipo ukumva ngati ukukomoka.
• Kusadzidalira : Kumva ngati uli ndi mutu wopepuka komanso wosakhoza kuima pansi.

Zizindikiro zimenezi zimatha kusiyana malinga ndi munthu. Kwa anthu ena, zimabwera ndi kupita, pomwe kwa ena, zimatha kukhala zosatha.

N’chifukwa chiyani `(Atrial Flutter)` imeneyi imachitika? Kodi zimayambitsa chiyani?

Monga tanenera kale, chifukwa chachikulu cha izi ndichakuti zizindikiro zamagetsi mu atria ya mtima zimapangidwa mwachangu kwambiri komanso pafupipafupi. Ichi ndichifukwa chake atria imayamba kuchepa kwambiri. Pali zifukwa zingapo zomwe zingayambitse izi:

• Matenda a ma valve a mtima: Pamene ma valve omwe ali mumtima sakutseka kapena kutseguka bwino.
• Matenda a mtima obadwa nawo: Anthu ena amabadwa ndi zilema zina za mtima.
• Matenda a mitsempha ya mtima: Kuchepa kapena kutsekeka kwa mitsempha yomwe imapereka magazi kumtima.
• Kulephera kwa mtima: Matenda omwe mtima umalephera kupompa magazi okwanira kupita m'thupi.
• Kuthamanga kwa magazi: Kuthamanga kwa magazi kokwera.
• Chithokomiro chogwira ntchito mopitirira muyeso (Hyperthyroidism): Kutulutsa mahomoni a chithokomiro mopitirira muyeso.
• Matenda a m'mapapo: Mwachitsanzo, COPD.
• Opaleshoni ya mtima yaposachedwa.

Ndani ali pachiwopsezo chachikulu cha matenda a "Atrial Flutter"?

Chiwopsezo cha matenda a "Atrial Flutter" chimawonjezeka ndi ukalamba. Zapezekanso kuti amuna ndi omwe ali ndi mwayi waukulu wopeza matendawa kuposa akazi.

Kuphatikiza apo, matenda ena ndi zizolowezi zina zingayambitsenso chiopsezo ichi:

• Ngati muli ndi matenda ena a mtima (monga kulephera kwa mtima, matenda a valve).
• Kuthamanga kwa magazi.
• Kulephera kugwira ntchito kwa chithokomiro (makamaka hyperthyroidism).
• Matenda a shuga (`Diabetes Mellitus`).
• Matenda a m'mapapo (monga Matenda Osatha a M'mapapo Oletsa Kutsekeka - `COPD`, `Pulmonary Embolism`).
• Kugwiritsa ntchito mowa mopitirira muyeso ('Matenda ogwiritsira ntchito mowa').
• Kulephera kugona mokwanira.
• Kunenepa kwambiri.

Kodi ndi mavuto otani omwe angabwere chifukwa cha `(Atrial Flutter)`?

Mukakhala ndi `(Atrial Flutter)`, mtima wanu sugwira ntchito bwino. Ganizirani ngati mzere wolumikizirana mufakitale. Magazi amatuluka kuchokera mchipinda chimodzi kupita ku china asanatuluke mumtima.

Koma mukakhala ndi `(Atrial Flutter)`, zimakhala ngati malo oyamba ogwirira ntchito pa `assembly line` iyi akuyenda mofulumira kwambiri. Chifukwa atria ya mtima ikugunda mofulumira kwambiri, alibe nthawi yodzaza ndi magazi moyenera. Komanso, magazi onse mu atria alibe nthawi yosamukira ku zipinda zapansi (`ventricles`). Zotsatira zake , thupi sililandira magazi okwanira.

Izi zingayambitse mavuto awiri akuluakulu:

1. Kuopsa kwa magazi kuundana ndi sitiroko kapena matenda a mtima: Popeza palibe nthawi yokwanira kuti magazi onse atuluke mu atria, magazi ena amakhalabe mu atria. Magazi awa omwe amakhala pamalo amodzi amatha kukhala magazi kuundana. Ngati magazi kuundanawa apita ku ubongo, angayambitse ziwalo zopuwala, ndipo ngati atakhazikika m'mitsempha ya mtima, angayambitse matenda a mtima. Ichi ndi vuto loopsa kwambiri la `(Atrial Flutter)`.

2. Matenda a mtima ndi kulephera kwa mtima: Mtima ukapitiriza kugunda mofulumira kwambiri, minofu ya mtima imatha kutopa ndi kufooka. Komanso, zipinda zapansi pa mtima sizimakhala ndi nthawi yokwanira yodzaza bwino, kotero kuchuluka kwa magazi omwe mtima umapopa kumachepa. Ngati izi zipitirira, mtima ukhoza kulephera kugwira ntchito.

Chofunika kwambiri: Kuthamanga kwa Atrial si chinthu chongopeka. Ngati sichinachiritsidwe bwino, chingayambitse mavuto aakulu.

Kodi mumazindikira bwanji kugwedezeka kwa atrium?

Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, dokotala angakuyezeni ndipo, ngati kuli kofunikira, angakuyezeni zina mwa izi:

• Electrocardiogram (ECG kapena EKG): Iyi ndi njira yofunika kwambiri yoyezera mtima. Imalemba momwe mtima wanu umagwirira ntchito. Ngati muli ndi vuto la mtima, mizere yomwe ili pa graph idzawonekera munjira inayake , monga momwe imagwirira ntchito pogwiritsa ntchito chitsulo kapena chitsulo chozungulira .
• `Echocardiogram` (Echo): Izi zili ngati kusanthula mtima. Kungathe kuwona ngati magazi amaundana mu atria ya mtima. Kungathenso kuwona momwe ma valve a mtima alili komanso momwe minofu ya mtima imagwirira ntchito, pakati pa zinthu zina.
• Kuyezetsa magazi: Kuyezetsa kumeneku kumathandiza kuona ngati chithokomiro chili ndi ntchito yochuluka, kusalingana kwa ma electrolyte m'magazi, kapena mavuto ena.
• Mayeso a ntchito ya m'mapapo: Izi zimachitika kuti zione momwe mapapo akugwirira ntchito, chifukwa matenda ena a m'mapapo amathanso kukhudza kayendedwe ka mtima.
• ``Chowunikira cha Holter'' kapena ``Chowunikira chochitika'':Nthawi zina mukapita kwa dokotala, kugunda kwa mtima mofulumira kumatha. Ngati zimenezo zitachitika, mungapemphedwe kuvala chipangizo chaching'ono chomwe chimajambulira kugunda kwa mtima wanu kwa masiku angapo.

Kodi mankhwala a `(Atrial Flutter)` ndi ati?

Pochiza matenda a atrial flutter, choyamba kuchita ndikuchiza vuto lomwe limayambitsa matendawa. Mwachitsanzo, ngati pali vuto la chithokomiro, limachiritsidwa. Kuphatikiza apo, pali mankhwala enaake a matenda a atrial flutter. Izi zitha kuphatikizapo mankhwala ndi njira zina.

Anthu ambiri amatha kuthana ndi vutoli ndi mankhwala. Monga mankhwala ena aliwonse, pali zotsatirapo zake, koma zoopsa zake nthawi zambiri zimakhala zochepa poyerekeza ndi zabwino zake. Ngati mankhwala sagwira ntchito, dokotala wanu angakupatseni njira zina.

Mankhwala

Mitundu ikuluikulu ya mankhwala operekedwa a `(Atrial Flutter)` ndi awa:

• Mankhwala ochepetsa kugunda kwa mtima: Izi zikuphatikizapo mankhwala otchedwa ``Calcium channel blockers'' ndi ``Beta-blockers.`` Mankhwalawa amagwira ntchito powongolera kugunda kwa mtima.
• Mankhwala oletsa kupweteka kwa mtima: Mankhwalawa amayesa kuletsa kuthamanga kwa mtima komanso kosasinthasintha ndikubwezeretsa ku kayendedwe kabwinobwino.
• Mankhwala oletsa magazi kuundana kapena ochepetsa magazi: Izi ndizofunikira kwambiri. Mankhwalawa amaperekedwa kuti aletse magazi kuundana omwe atchulidwa pamwambapa kuti asapangike ndikuyambitsa zinthu monga ziwalo zopuwala.

Njira Zachipatala

Ngati mankhwala okha sakwanira, mungathenso kuchita zinthu monga:

• Kusinthasintha kwa mtima: Izi zimaphatikizapo kubwezeretsa mwadzidzidzi kugunda kwa mtima kukhala kwabwinobwino, kaya ndi mankhwala kapena pogwedeza pang'ono pachifuwa. Izi zimachitika pansi pa mankhwala oletsa kupweteka, kuti musamve kupweteka kulikonse.
• Kuchotsa Catheter: Iyi ndi njira yovuta pang'ono. Mu izi, chubu chopyapyala (catheter) chimayikidwa kudzera mu mtsempha wamagazi wopita kumtima, kupeza malo ang'onoang'ono a minofu mumtima omwe amayambitsa zizindikiro zamagetsi zosazolowereka, ndikuwononga pogwiritsa ntchito ma radiofrequency kapena cryoablation. Izi zimaletsa zizindikiro zosazolowereka.
• Kusintha kwa Pacemaker kapena Implantable Cardioverter Defibrillator (ICD): Ngati muli kale ndi chipangizo chotere chomwe chaikidwa mumtima mwanu, mutha kuyesa kulamulira kugwedezeka kwa atrium mwa kusintha makonda ake.

Kodi pali zovuta zilizonse pa chithandizochi?

Kawirikawiri, mavuto ang'onoang'ono amatha kuchitika chifukwa cha mankhwala monga ``(Catheter Ablation)```. Mwachitsanzo:

• Matenda
• Kutuluka magazi
• Kuwonongeka kwa mtsempha wamagazi
• Magazi amaundana
• Stroke (yosowa kwambiri)

Komabe, zoopsa zimenezi nthawi zambiri zimakhala zochepa kwambiri. Dokotala wanu adzakufotokozerani bwino izi.

Kodi chithandizochi chili ndi mphamvu yotani?

• `Kusintha kwa mtima`: Izi zili ndi chiwopsezo cha pakati pa 70% ndi 90%. Izi zikutanthauza kuti anthu 70-90 mwa anthu 100 aliwonse adzayambanso kugunda kwa mtima.
• Kuchotsa Catheter: Kwa anthu ena, chiopsezo cha kubwerezabwereza kwa atrial pambuyo pa kuchotsedwa kwa catheter ndi chochepera 5%. Komabe, kuchuluka kwa kupambana kumeneku kumatha kusiyana kutengera mtundu wa kusuntha kwa atrial ndi matenda a wodwalayo. Muzochitika zovuta monga kusuntha kwa atrial kosazolowereka, kuchuluka kwa kupambana kumatha kufika pa 70%.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo?

Mukamaliza kuchotsa zinyalala, nthawi zambiri muyenera kusamala pang'ono pa sabata yoyamba. Mudzauzidwa kuti musachite chilichonse monga kunyamula zolemera kapena kuyendetsa galimoto kwa pafupifupi sabata imodzi. Pambuyo pake, pang'onopang'ono mutha kubwerera ku zochita zanu zachizolowezi.

Kodi Atrial Flutter ingapewedwe?

Zinthu zina zomwe zimayambitsa matenda, monga ukalamba, sizingalamuliridwe. Komabe, zinthu monga kuchepetsa kumwa mowa zingathandize kuchepetsa chiopsezochi. Ndikofunikanso kupeza chithandizo choyenera chamankhwala pa matenda ena omwe angayambitse kugwedezeka kwa mtima (monga kuthamanga kwa magazi, matenda a shuga, ndi mavuto a chithokomiro).

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi `(Atrial Flutter)`?

Matenda a Atrial Flutter ndi matenda omwe nthawi zambiri amakhala ovuta kuwachiza kwathunthu ndipo amakhala ndi chiopsezo chachikulu cha mavuto monga sitiroko, choncho muyenera kuonana ndi dokotala wanu kuti mukakumanenso ndi dokotala nthawi zonse. Ndikofunikira kuti musaphonye nthawi yokumana ndi dokotala, chifukwa matenda a Atrial Flutter amatha kubwereranso. Izi zingayambitse anthu ena kugonekedwa m'chipatala pafupipafupi.

Kodi ndiyenera kudzisamalira bwanji?

• Chofunika kwambiri ndikukhala ndi nthawi yokumana ndi dokotala wanu. Chaka chilichonse, dokotala wanu adzayesa chiopsezo chanu cha sitiroko, poganizira matenda ena omwe muli nawo. Ngati chiopsezo chanu chili chachikulu, mungapemphedwe kuti mupitirize kumwa mankhwala oletsa magazi kuundana.
• Imwani mankhwala omwe mwapatsidwa pa nthawi yake.
• Sinthani moyo wanu kukhala wabwino (monga kusiya kusuta fodya, kuchepetsa kumwa mowa, kudya zakudya zabwino, kuchita masewera olimbitsa thupi).

Ndiyenera kupita kwa dokotala liti?

Muyenera kuonana ndi dokotala nthawi ndi nthawi. Pakadali pano, ngati muli ndi vuto la ziwengo chifukwa cha mankhwala aliwonse omwe mwapatsidwa, kapena ngati zizindikiro zanu zisintha, zikuipiraipira, kapena ngati muyamba zizindikiro zatsopano, onani dokotala nthawi yomweyo.

Kodi ndiyenera kupita ku chipinda chodzidzimutsa liti (ER)?

Ngati kugunda kwa mtima wanu kumathamanga kuposa 150 beats pa mphindi (zomwe mungamve poyang'ana kugunda kwa mtima wanu) pamene mukupuma, muyenera kupeza chithandizo chamankhwala mwachangu, ndipo ngati kuli kofunikira, pitani ku chipinda chadzidzidzi. Komanso, ngati mukumva kupweteka kwambiri pachifuwa, kuvutika kupuma kwambiri, kapena kutaya chikumbumtima, muyenera kupita kuchipatala nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mungathe kufunsa mafunso ngati awa mukakumana ndi dokotala:

• Kodi ndili ndi vuto la `(Atrial Flutter)` kapena mtundu wina wa vuto la mtima?
• Kodi chithandizo chabwino kwambiri kwa ine ndi chiti? Kodi ubwino ndi kuipa kwake ndi kotani?
• Kodi chiopsezo changa cha sitiroko ndi chiyani? Kodi ndingachite chiyani kuti ndichepetse?
• Ndi zizindikiro ziti zomwe ndiyenera kuda nkhawa nazo kwambiri?
• Ndi kusintha kotani komwe ndiyenera kusintha pa moyo wanga?

Kodi `(Atrial Flutter)` ndi yoopsa?

Matenda a Atrial Flutter si matenda oopsa, koma ndi matenda oopsa. Monga tafotokozera kale, ngati sachiritsidwa, angayambitse mavuto oopsa monga sitiroko, matenda a mtima, kapena kulephera kwa mtima.

Ndizachibadwa kumva kusasangalala mtima wanu ukagunda mofulumira kwambiri. Koma musadandaule, dokotala wanu angapereke chithandizo chabwino cha `(Atrial Flutter)`. Mankhwalawa angathandize kuchepetsa chiopsezo cha mavuto oopsa awa. Ichi ndichifukwa chake ndikofunikira kwambiri kusunga nthawi yanu yokumana ndi dokotala wanu ndikutsatira malangizo ake. Dokotala wanu adzakuthandizani kusankha chithandizo chabwino kwambiri cha vuto lanu.

Ndiye, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera munkhaniyi?

• Kugunda kwa mtima ndi vuto lomwe zipinda zapamwamba za mtima zimagunda mofulumira kwambiri, koma mwanjira inayake.
• Zizindikiro zake zingakhale monga kuvutika kupuma, chizungulire, komanso kulimba pachifuwa. Anthu ena sangakhale ndi zizindikiro zilizonse.
• Choopsa kwambiri ndi chiopsezo cha magazi kuundana ndikupanga zinthu monga sitiroko .
• Izi zitha kuzindikirika mosavuta ndi ECG.
• Pali mankhwala monga mankhwala ndi ``(Ablation)''.
• Ngakhale mutalandira chithandizo, ndikofunikira kwambiri kuonana ndi dokotala kuti akuthandizeni pa moyo wanu wonse.
• Ngati kugunda kwa mtima wanu kopumula kuli kopitirira kugunda 150 pamphindi, funsani upangiri wa dokotala nthawi yomweyo.

Ngati muli ndi mafunso ena okhudza izi, musaope kulankhula ndi dokotala wanu. Iye adzakufotokozerani zonse bwino.

Kuthamanga kwa Atrial , Kugunda kwa Mtima, Matenda a Mtima, ECG, Atrium, Maselo, Kufa ziwalo, Kugunda kwa Mtima, Kulephera kwa Mtima, Kuchotsedwa kwa Catheter