I-Atrial Flutter vs. iAthri Fibrillation

Umxholo

• Ushwankathelo
• Iimpawu
• AFib
• Iflutter yeArial
• Oonobangela
• Unyango
• Ukuthatha
• Umahluko ophambili
  

Ushwankathelo

I-Atrial flutter kunye ne-atrial fibrillation (AFib) zombini ezi ntlobo ze-arrhythmias. Zombini zenzeka xa kukho iingxaki ngeempawu zombane ezenza ikhontrakthi yamagumbi entliziyo yakho. Xa intliziyo yakho ibetha, uziva la magumbi esenza isivumelwano.

I-atrial flutter kunye ne-AFib zombini zibangelwa xa iimpawu zombane zivela ngokukhawuleza kunesiqhelo. Umahluko omkhulu phakathi kwezi meko zimbini kukuba uhlelwe njani lo mbane.

Iimpawu

Abantu abane-AFib okanye i-atrial flutter abanako ukufumana naziphi na iimpawu. Ukuba iimpawu zenzeka, ziyafana:

Umahluko omkhulu kwiimpawu kukuhamba rhoqo kwenqanaba lokubetha. Ngokubanzi, iimpawu ze-atrial flutter zihlala zincinci. Kukwakho namathuba amancinci okubumbana kunye nokubetha.

AFib

Kwi-AFib, amagumbi amabini aphezulu entliziyo yakho (atria) afumana imiqondiso yombane engalungelelaniswanga.

I-atria ibetha ngokulungelelanisa namagumbi amabini asezantsi entliziyo yakho (ii-ventricles). Oku kukhokelela kwisingqi sentliziyo esikhawulezayo nesingaqhelekanga. Inqanaba lentliziyo eliqhelekileyo li-60 ukuya kwi-100 beats ngomzuzu (bpm). Kwi-AFib, inqanaba lentliziyo lisusela kwi-100 ukuya kwi-175 bpm.

Iflutter yeArial

Kwi-atrial flutter, i-atria yakho ifumana imiqondiso yombane, kodwa imiqondiso iyakhawuleza kunesiqhelo. I-atria ibetha rhoqo ngaphezulu kwee-ventricles (ukuya kuthi ga kwi-300 bpm). Kuphela ukubetha kwesibini kuphela kungena kwii-ventricles.

Isiphumo sokubetha kwempembelelo sijikeleze i-150 bpm. I-Atrial flutter yenza ipateni ethile ye- "sawtooth" kuvavanyo lokuqonda isifo olubizwa ngokuba yi-electrocardiogram (EKG).

Qhubeka ufunda: Isebenza njani intliziyo yakho »

Oonobangela

Imiba yomngcipheko we-atrial flutter kunye ne-AFib iyafana:

Abantu abanembali ye-atrial flutter banomngcipheko okhulayo wokuphucula i-atriki fibrillation kwixa elizayo.

Unyango

Unyango lwe-AFib kunye ne-atrial flutter ineenjongo ezifanayo: Buyisela isingqisho esiqhelekileyo sentliziyo kunye nokuthintela amahlwili egazi. Unyango lwezi meko zombini lunokubandakanya:

Amayeza, kubandakanya:

• i-calcium channel blockers kunye ne-beta-blockers ukulawula izinga lentliziyo
• amiodarone, propafenone, kunye ne-flecainide yokuguqula isingqisho sibuyele esiqhelweni
• amayeza okucoca igazi njenge-non-vitamin K yomlomo anticoagulants (NOACs) okanye warfarin (Coumadin) ukuthintela ukubetha okanye ukubetha kwentliziyo

I-NOACs ngoku ziyacetyiswa ngaphezulu kwe-warfarin ngaphandle kokuba umntu une-mitral stenosis enobunzima okanye une-valve yentliziyo yokufakelwa. I-NOACs zibandakanya i-dabigatran (Pradaxa), i-rivaroxaban powder (i-Xarelto), i-apixaban (i-Eliquis) kunye ne-edoxaban (i-Savaysa).

Ukutsalwa kwentliziyo ngombane: Le nkqubo isebenzisa umothuko wombane ukuseta kwakhona isingqisho sentliziyo yakho.

Ukucinywa kwecatheterUkupheliswa kwe-catheter kusetyenziswa amandla e-radiofrequency ukutshabalalisa indawo engaphakathi kwentliziyo yakho ebangela isigqi sentliziyo esingaqhelekanga.

I-Atrioventricular (AV) yokunciphisa ixabiso: Le nkqubo isebenzisa amaza erediyo ukutshabalalisa i-AV node. I-AV node idibanisa i-atria kunye ne-ventricles. Emva kolu hlobo lokupheliswa, uyakufuna i-pacemaker ukugcina isingqisho esiqhelekileyo.

Utyando lweMazeUtyando lweMaze lutyando lwentliziyo oluvulekileyo. Ugqirha wenza ukusika okuncinci okanye ukutshisa kwi-atria yentliziyo.

Amayeza aqhelekileyo njengonyango lokuqala lwe-AFib. Nangona kunjalo, i-ablation ihlala ithathwa njengonyango olulungileyo kwi-atrial flutter. Okwangoku, unyango lwe-ablation lusetyenziswa kuphela xa amayeza engakwazi ukulawula iimeko.

Ukuthatha

Zombini i-AFib kunye ne-atrial flutter zibandakanya ngokukhawuleza kunamandla oqhelekileyo ombane entliziyweni. Nangona kunjalo, kukho umahluko ophambili phakathi kwezi meko zimbini.

Umahluko ophambili

• Kwi-atrial flutter, iimpembelelo zombane zilungelelaniswe. Kwi-AFib, iimpembelelo zombane ziyaphazamiseka.
• I-AFib ixhaphake kakhulu kune-atrial flutter.
• Unyango lwe-Ablation luphumelele ngakumbi kubantu abane-atrial flutter.
• Kwi-atrial flutter, kukho ipatheni ye- "sawtooth" kwi-ECG. Kwi-AFib, uvavanyo lwe-ECG lubonisa inqanaba elingaqhelekanga le-ventricular rate.
• Iimpawu ze-atrial flutter zihlala zincinci kuneempawu ze-AFib.
• Abantu abane-atrial flutter banomdla wokukhulisa i-AFib, kwanasemva konyango.

Zombini iimeko zinomngcipheko okhulayo wokubetha. Ingaba unayo i-AFib okanye i-atrial flutter, kubalulekile ukuba ufumane ukuxilongwa kwangaphambili ukuze ufumane unyango olufanelekileyo.