Mwoyo wako unorova nekukurumidza here? Ngatidzidzei nezve (Atrial Flutter) iyi!

Dzimwe nguva unonzwa sekuti chipfuva chako chiri kurova nekukurumidza, asi mumutinhimira mumwe chete here? Zvakafanana nengoma ichirira nekukurumidza, asi mumutinhimira wakajairika. Izvi zvinogona kuitika dzimwe nguva kana uchinetseka kana kutya. Zvisinei, kana izvi zvikaitika kakawanda, kana zvichiperekedzwa nezvimwe zviratidzo, zvinogona kunge zviri chiratidzo chechirwere chemwoyo chinonzi `(Atrial Flutter)`. Ngationei kuti chii, nei zvichiitika, uye zvaunogona kuita nezvazvo.

Chii chinonzi `(Atrial Flutter)`? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, `(Atrial Flutter)` chirwere apo makamuri maviri epamusoro emwoyo wedu, `atria`, anotanga kurova nekukurumidza, asi nenzira imwecheteyo, nenzira chaiyo. Vanachiremba vanoti izvi ishamhu yemoyo isina kujairika (`supraventricular arrhythmia`) inotanga muzvikamu zvepamusoro zvemoyo.

Funga nezvazvo, patinenge takangogara pasi, takazorora, mwoyo yedu inorova pakati pe60 ne100 paminiti. Ndiko kumhanya kwemoyo une hutano. Asi mumunhu ane "Atrial Flutter", zvikamu zvepamusoro zvemoyo, atria, zvinogona kurova nekukurumidza kusvika 250 kusvika 350 paminiti! Ungafungidzira kumhanya ikoko here? Atria painorova nekukurumidza kudaro, makamuri maviri epasi emoyo, "ventricles", anofanirawo kurova nekukurumidza mukupindura. Dzimwe nguva 150 paminiti kana kutomhanya zvakanyanya.

Chikonzero chikuru cheizvi idambudziko remagetsi emoyo. Mwoyo yedu inorova tichishandisa sisitimu yezviratidzo zvinoshanda semashoko emagetsi. Izvi zvinoitika kana paine dambudziko kana kutadza kushanda zvakanaka kwezviratidzo izvi.

Kune mhando dze `(Atrial Flutter)` here?

Ehe, kune mhando dzakawanda huru dze `(Atrial Flutter)`. Chiremba anogona kuziva kuti rudzii rwacho nekutarisa `(ECG)` yako, kureva girafu yebvunzo inoyera mashandiro emoyo.

• `Kuputika kweAtrial Kwakajairika` (iyi ndiyo mhando inonyanya kuzivikanwa): Muizvi, zviratidzo zvemagetsi zvisina kujairika zvinofamba nenzira inopokana newachi (inopokana newachi, seyachi) mukati meatrium yekurudyi yemoyo.
• `Reverse Typical Atrial Flutter`: Muizvi, masaini emagetsi anofamba nedenderedzwa rewachi (rewachi) mukati meatrium yekurudyi.
• Kuputika kweAtrial Atypical (izvi hazviwanzoitiki, kunyanya kana usati wambovhiyiwa mwoyo kana kubvisa tsinga, izvo zvinoparadza mamwe ematishu emwoyo): Muizvi, masaini emagetsi asingawanzoitiki anogona kuitika muatrium yekuruboshwe kana kurudyi. Dzimwe nguva, masaini aya anogona kufamba-famba mumatishu emavanga anokonzerwa nekuvhiyiwa kwemoyo.

Ndezvipi zviratidzo zve `(Atrial Flutter)`?

Zvinoshamisa kuti vamwe vanhu vane Atrial Flutter havaratidzi zviratidzo . Zvisinei, vanhu vazhinji vanogona kusangana nechimwe kana kupfuura chezvinotevera:

• Kushaya simba: Kunzwa kudzipwa kana kufema zvakaoma.
• Dzungu: Kunzwa kutenderera uye kuoma kumira.
• Kuneta mumuviri: Kunzwa kuneta zvakanyanya uye kusakwanisa kuita chero chinhu.
• Kurova kwemoyo: Kunzwa kwemoyo wako uchirova zvine ruzha uye nekukurumidza kubva mukati mechipfuva chako. Vamwe vanhu vanogonawo kunzwa izvi mumutsipa kana pahuro.
• Kurova kwemwoyo nekukurumidza: Kana ukanzwa kurova kwemoyo wako, kuchakurumidza zvikuru.
• Kurwadziwa kwechipfuva kana kuti kuomarara: Zvinganzwa sekunge chipfuva chako chiri kuvharika, kana kuti zvinganzwa kurwadza.
• Kunzwa sekunge uchafenda (kufenda): Kamwe kamwe maziso ako anoshanduka kuita bhuruu, uye unonzwa sekunge uchafenda.
• Kusagadzikana : Kunzwa sekuti une musoro wakareruka uye usingakwanise kumira wakatsiga.

Zviratidzo izvi zvinogona kusiyana kubva pamunhu kusvika pamunhu. Kune vamwe vanhu, zvinouya zvoenda, nepo kune vamwe, zvinogona kugara zviripo.

Sei `(Atrial Flutter)` iyi ichiitika? Ndezvipi zvikonzero?

Sezvatakambotaura, chikonzero chikuru cheizvi ndechekuti masaini emagetsi ari mu atria yemoyo anoitika nekukurumidza uye kakawanda. Ndosaka atria ichitanga kudhonza zvakanyanya. Pane zvikonzero zvakawanda zvinogona kukonzera izvi:

• Matambudziko emavharuvhu emwoyo: Kana mavharuvhu ari mumoyo asingavharike kana kuvhurika zvakanaka.
• Matambudziko emwoyo anokonzerwa nekusakwana: Vamwe vanhu vanoberekwa vaine zvimwe zvirwere zvemwoyo.
• Chirwere chetsinga dzeropa: Kudzikira kana kuvharika kwetsinga dzinopa ropa kumoyo.
• Kukundikana kwemoyo: Chirwere chekuti moyo haugone kupomba ropa rakakwana mumuviri.
• Kukwira kweropa: Kuwedzera kweropa.
• Kushanda zvakanyanya kwethyroid (Hyperthyroidism): Kuburitsa mahormone ethyroid zvakanyanya.
• Zvirwere zvemapapu: Semuenzaniso, COPD.
• Kuvhiyiwa kwemoyo kwakaitwa nguva pfupi yadarika.

Ndiani ari panjodzi huru yekubatwa ne "Atrial Flutter"?

Njodzi yekubatwa ne "Atrial Flutter" inowedzera nekukura. Zvakaonekwawo kuti varume ndivo vanowanzobatwa nechirwere ichi kupfuura vakadzi.

Pamusoro pezvo, mamwe matambudziko ehutano netsika zvinogonawo kuwedzera njodzi iyi:

• Kana uine zvimwe zvirwere zvemwoyo (semuenzaniso kutadza kwemoyo, chirwere chevharuvhu).
• Kukwira kweropa.
• Kusashanda zvakanaka kwe thyroid (kunyanya hyperthyroidism).
• Chirwere cheshuga (`Diabetes Mellitus`).
• Zvirwere zvemapapu (semuenzaniso Chirwere Chisingaperi Chekudzivirira Mapupa - `COPD`, `Pulmonary Embolism`).
• Kushandisa doro zvakanyanya ('Doro rinoshandiswa zvisina kunaka').
• Kusakwanisa kufema zvakanaka pakurara.
• Kufuta zvakanyanya.

Ndezvipi zvinetso zvinogona kuitika nekuda kwe `(Atrial Flutter)`?

Kana uine `(Atrial Flutter)`, mwoyo wako haushande zvakanaka. Funga nezvazvo semuchina wekugadzira zvinhu mufekitori. Ropa rinoyerera richibva mukamuri rimwe kuenda kune rimwe risati rabuda mumoyo.

Asi kana uine `(Atrial Flutter)`, zvinoita sekunge nzvimbo yekutanga yekushanda pane iyi `assembly line` iri kumhanya zvakanyanya. Nekuti atria yemoyo iri kurova nekukurumidza, haina nguva yekuzadza neropa nemazvo. Zvakare, ropa rese riri muatria harina nguva yekufamba kuenda kumakamuri epasi (`ventricles`). Nekuda kweizvozvo , muviri haupombi ropa rakakwana.

Izvi zvinogona kukonzera matambudziko makuru maviri:

1. Njodzi yekugwamba kweropa uye sitiroko kana kurwara nemoyo: Nekuti hapana nguva yakakwana yekuti ropa rese ribude kubva muatria, rimwe ropa rinoramba riri muatria. Ropa iri rinogara panzvimbo imwe rinogona kuva magwamba eropa. Kana magwamba aya eropa achienda kuuropi, anogona kukonzera kuoma mitezo, uye kana akanamatira mutsinga dzemwoyo, anogona kukonzera kurwara nemoyo. Iri ndiro dambudziko rine njodzi zvikuru re `(Atrial Flutter)`.

2. Cardiomyopathy uye Heart Failure: Kana mwoyo ukaramba uchirova nekukurumidza, tsandanyama dzemwoyo dzinogona kuneta uye kushaya simba. Uyewo, makamuri epasi emwoyo haana nguva yekuzara zvakanaka, saka huwandu hweropa rinopombwa nemoyo hunoderera. Kana izvi zvikaramba zvichiitika, mwoyo unogona kupinda muchimiro chekushaya simba kwemoyo.

Chinhu chinonyanya kukosha: Atrial Flutter haisi chinhu chekurerutsa. Kana ikasarapwa zvakanaka, inogona kukonzera matambudziko akakomba.

Unoona sei atrial flutter?

Kana uine zviratidzo zvataurwa pamusoro apa, chiremba anogona kukuongorora uye, kana zvichidikanwa, oita mimwe yemiedzo inotevera:

• Electrocardiogram (ECG kana EKG): Iyi ndiyo bvunzo inonyanya kukosha. Inonyora mashandiro emagetsi emwoyo wako. Kana uine atrium flutter, mitsetse iri pagirafu ichaonekwa muchimiro chakati , senge sawtooth pattern kana picket fence pattern .
• `Echocardiogram` (Echo): Izvi zvakafanana nekuongororwa kwemoyo. Zvinogona kutarisa kana ropa rakagwamba mu atria yemoyo. Zvinogonawo kutarisa mamiriro emavharuvhu emwoyo uye mashandiro emhasuru yemwoyo, pakati pezvimwe zvinhu.
• Kuongororwa kweropa: Kuongororwa uku kunobatsira kuona kana thyroid gland iri kushanda zvakanyanya, kusaenzana kwema electrolytes muropa, kana zvimwe zvinetso.
• Kuongororwa kwebasa remapapu: Izvi zvinoitwa kuti zvionekwe kuti mapapu ari kushanda zvakanaka sei, sezvo zvimwe zvirwere zvemapapu zvichigonawo kukanganisa rhythm yemoyo.
• ``Holter monitor'' kana ``Event monitor'':Dzimwe nguva paunoenda kuna chiremba, kurova kwemoyo nekukurumidza kunogona kupera. Kana izvozvo zvikaitika, unogona kukumbirwa kupfeka kamuchina kadiki kanorekodha kurova kwemoyo kwemazuva mashoma.

Ndeapi marapirwo e `(Atrial Flutter)`?

Pakurapa atrial flutter, chinhu chekutanga chekuita kurapa chirwere chiri kukonzera chirwere ichi. Semuenzaniso, kana paine dambudziko rethyroid, rinorapwa. Pamusoro pezvo, kune nzira dzakananga dzekurapa atrial flutter. Izvi zvinogona kusanganisira mishonga nemaitiro.

Vanhu vazhinji vanogona kugadzirisa dambudziko iri nemishonga. Sezvinongoita mimwe mishonga, pane zvimwe zvinogona kukonzera migumisiro yakaipa, asi njodzi dzacho dzinowanzova diki kana tichienzanisa nezvakanakira. Kana mishonga isingashande, chiremba wako anogona kukupa mamwe maitiro.

Mishonga

Mhando huru dzemishonga inopiwa ye `(Atrial Flutter)` ndeiyi:

• Mishonga inoderedza kurova kwemoyo: Iyi inosanganisira mishonga inonzi ``Calcium channel blockers'' uye ``Beta-blockers.'' Iyi inoshanda nekudzora kurova kwemoyo.
• Mishonga inorwisa arrhythmic: Mishonga iyi inoedza kumisa kumhanya kwemoyo uye kuita kuti mwoyo udzokere padanho rakajairika.
• Mishonga inorwisa ropa kuti riome kana kuti inoderedza ropa: Izvi zvakakosha zvikuru. Mishonga iyi inopihwa kudzivirira kuumbwa kweropa rataurwa pamusoro apa uye kukonzera zvinhu zvakaita sekuoma kwemuviri.

Maitiro Ekurapa

Kana mushonga wega usina kukwana, unogona zvakare kuita zvinhu zvakaita se:

• Kuchinja kwemoyo: Izvi zvinosanganisira kudzorera kurova kwemoyo kamwe kamwe, kungave nemishonga kana nekurova chipfuva nemagetsi. Izvi zvinoitwa pasi peanesthesia, saka hauzonzwi kurwadziwa.
• Kubvisa Catheter: Uku kurapa kwakaoma zvishoma. Mukuita izvi, chubhu yakatetepa (catheter) inopinzwa nepatsinga yeropa inoenda kumoyo, inowana nzvimbo diki yenyama iri mumoyo iri kukonzera masaini emagetsi asina kujairika, uye inoiparadza uchishandisa radiofrequency kana cryoablation. Izvi zvinomisa masaini asina kujairika.
• Kugadziriswa kwePacemaker kana Implantable Cardioverter Defibrillator (ICD): Kana uine mudziyo wakadaro wakatoiswa mumoyo mako, unogona kuedza kudzora atrial flutter nekuchinja marongero awo.

Pane matambudziko aripo here pakurapwa?

Kashoma, matambudziko madiki anogona kuitika kubva mukurapwa kwakadai sekuti ``(Catheter Ablation)``. Semuenzaniso:

• Utachiona
• Kubuda ropa
• Kukuvadzwa kwetsinga yeropa
• Kugwamba kweropa
• Kurohwa (kashoma)

Zvisinei, njodzi idzi dzinowanzova shoma. Chiremba wako achakutsanangurira izvi zvakakwana.

Kurapa uku kunoshanda sei?

• `Kuchinja kwemoyo`: Izvi zvine mwero wekubudirira uri pakati pe70% ne90%. Izvi zvinoreva kuti vanhu 70-90 pavanhu 100 vachawana kurova kwemoyo kwakafanana.
• Kubviswa kweCatheter: Kune vamwe vanhu, njodzi yekuti atrial flutter idzoke zvakare mushure mekubviswa kwecatheter isingasviki 5%. Zvisinei, mwero uyu wekubudirira unogona kusiyana zvichienderana nerudzi rweatrial flutter uye mamiriro emurwere. Muzviitiko zvakaoma zvakaita seatrial flutter isingawanzoitiki, mwero wekubudirira unogona kusvika pa70%.

Zvinotora nguva yakareba sei kuti munhu apore mushure mekurapwa?

Mushure mekubviswa kweropa, unofanirwa kungwarira zvishoma kwevhiki yekutanga. Uchaudzwa kuti usaite chero chinhu chakadai sekusimudza zvinorema kana kutyaira kweinenge vhiki. Mushure meizvozvo, unogona kudzokera zvishoma nezvishoma kumabasa ako enguva dzose.

Kuputika kweAtrial kunogona kudzivirirwa here?

Zvimwe zvinhu zvinokonzera njodzi, zvakaita sezera, hazvigone kudzorwa. Zvisinei, zvinhu zvakaita sekudzora kunwa doro zvinogona kubatsira kuderedza njodzi iyi. Zvakakoshawo kuwana kurapwa kwakakodzera kwemamwe mamiriro ezvinhu anogona kukonzera atrial flutter (senge BP, chirwere cheshuga, uye matambudziko ethyroid).

Chii chandinofanira kutarisira kana ndiine `(Atrial Flutter)`?

Atrial Flutter chirwere chinowanzova chakaoma kurapa zvachose uye chine njodzi huru yematambudziko akadai sestroke, saka uchafanira kuona chiremba wako kuti akupe nguva yekutevera muhupenyu hwako hwese. Zvakakosha kuti usapotsa nguva iyi, sezvo Atrial Flutter inogona kudzoka zvakare. Izvi zvinogona kukonzera kuti vamwe vanhu vagare muchipatara nguva nenguva.

Ndinofanira kuzvitarisira sei?

• Chinhu chinonyanya kukosha ndechekugara uchitevera nguva yako nachiremba wako. Gore rega rega, chiremba wako achaongorora njodzi yako yekubatwa nestroke, achifunga nezvemamwe matambudziko ako ehutano. Kana njodzi yako iri yakakura, unogona kukumbirwa kuti urambe uchitora mishonga inorwisa ropa.
• Inwa mushonga wakanyorwa nenguva.
• Shandura mararamiro ane hutano (semuenzaniso, kurega kusvuta, kunwa doro zvishoma, kudya chikafu chine hutano, kurovedza muviri).

Ndinofanira kuona chiremba wangu rini?

Unofanira kuona chiremba wako nguva nenguva. Panguva iyi, kana uine allergy yemushonga waunopiwa, kana zviratidzo zvako zvikachinja, zvikatowedzera kuipa, kana ukava nezviratidzo zvitsva, enda kuna chiremba wako nekukasika.

Ndinofanira kuenda kuchipatara panguva ipi (ER)?

Kana kurova kwemoyo wako kuchikurumidza kupfuura kurova kwe150 paminiti (izvo zvaunogona kunzwa nekutarisa kurova kwemoyo wako) paunenge wakazorora, unofanira kutsvaga rubatsiro rwechiremba nekukasika, uye kana zvichidikanwa, enda kuchipatara chekukurumidzira. Uyewo, kana uchinzwa kurwadziwa kwakanyanya pachipfuva, kuoma kufema zvakanyanya, kana kurasikirwa nepfungwa, unofanira kuenda kuchipatara nekukasika.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Unogona kufunga nezvekubvunza mibvunzo yakaita seiyi paunenge uchisangana nachiremba:

• Ndine `(Atrial Flutter)` here kana kuti imwe mhando yechirwere chemoyo chinokonzeresa kurova kwemoyo?
• Ndeipi nzira yakanakisisa yekurapa? Ndezvipi zvakanakira nezvakaipira?
• Ngozi yangu yekubatwa nestroke ndeyei? Ndingaitei kuti ndiideredze?
• Ndezvipi zviratidzo zvandinofanira kunyanya kunetseka nazvo?
• Ndezvipi zvandinofanira kuchinja muhupenyu hwangu?

`(Atrial Flutter)` ine njodzi here?

Atrial Flutter haisi chirwere chinouraya, asi chirwere chakakomba. Sezvatakambokurukura, kana chikasarapwa, chinogona kukonzera matambudziko anouraya, akadai sestroke, kurwara nemoyo, kana kutadza kushanda zvakanaka kwemoyo.

Zvakajairika kunzwa kusagadzikana kana kurova kwemoyo wako kuchikurumidza. Asi usazvidya mwoyo, chiremba wako anogona kupa mushonga wakanaka we `(Atrial Flutter)`. Kurapa uku kunogona kuderedza njodzi yekusangana nematambudziko aya ane njodzi. Ndosaka zvichikosha kugara uchisangana nachiremba wako uye kutevedzera mirairo yake. Chiremba wako achakubatsira kusarudza mushonga wakanakira chirwere chako.

Saka, ndezvipi zvinhu zvatinofanira kurangarira kubva munyaya iyi?

• Kuputika kwemoyo (atrial flutter) chirwere chinoitika apo makamuri epamusoro emoyo anorova nekukurumidza, asi nenzira yakatarwa.
• Zviratidzo zvinogona kusanganisira kunetseka kufema, dzungu, uye kuoma kwechipfuva. Vamwe vanhu vanogona kunge vasina zviratidzo zvachose.
• Chinhu chine njodzi huru injodzi yekuumbwa kweropa rinogwamba zvichikonzera zvinhu zvakaita sestroke .
• Izvi zvinogona kuonekwa zviri nyore neECG.
• Kune mishonga yakaita semishonga uye ``(Ablation)''.
• Kunyangwe mushure mekurapwa, zvakakosha zvikuru kuona chiremba kuti akutevere muhupenyu hwako hwese.
• Kana kurova kwemoyo wako kwekuzorora kuchipfuura kurova kwe150 paminiti, tsvaga rubatsiro rwechiremba nekukasika.

Kana muine mimwe mibvunzo nezvenyaya iyi, musatya kutaura nachiremba wenyu. Iye achakutsanangurirai zvese zvakakwana.

` Kufamba-famba kweAtrial, Kurova kwemoyo, Chirwere chemoyo, ECG, Atrium, Masero, Kuoma mitezo, Kurova kwemoyo, Kukundikana kwemoyo, Kubviswa kweCatheter