Atrial fibrillation ma ọ bụ flutter

Atrial fibrillation ma ọ bụ flutter bụ a nkịtị ụdị nke ndiiche obi otiti. Oge obi dị ngwa ngwa ma bụrụ nke na - adịghị agbanwe agbanwe.

Mgbe ị na-arụ ọrụ nke ọma, ụlọ 4 nke nkwekorita obi (pịgharịa) n'ụzọ a haziri ahazi.

Ihe ngosi eletriki na-eduzi obi gị iji mee ka ọbara kwesịrị ekwesị maka mkpa ahụ gị. Ihe ngosi ndị a na-amalite na mpaghara akpọrọ sinoatrial node (nke a na-akpọkwa mmehie mmehie ma ọ bụ ọnụ SA).

Na atri fibrillation, mkpali eletriki nke obi adịghị adi mgbe niile. Nke a bụ n'ihi na sinoatrial ọnụ ahụ anaghịzi achịkwa ụda obi.

• Akụkụ obi agaghị enwe ike ịgbakọ na usoro a haziri ahazi.
• N'ihi ya, obi enweghị ike ịmịnye ọbara zuru ezu iji gboo mkpa ahụ.

N'elu atrial, ventricles (obere ime ụlọ obi) nwere ike iti ngwa ngwa, mana na usoro oge niile.

Nsogbu ndị a nwere ike ịbịara ụmụ nwoke na ụmụ nwanyị. Ha na-adịkarịwanye na-eto eto.

Ihe ndị na-akpatakarị fibrillation nke atrial gụnyere:

• Mmanya na-a useụ (karịsịa ị drinkingụbiga mmanya ókè)
• Ọrịa akwara ọbara
• Mgbu obi ma ọ bụ ịwa obi na-agabiga
• Obi na odida ma obu obi sara mbara
• Ọrịa ọrịa obi (nke na-abụkarị valvụ mitral)
• Ọbara mgbali elu
• Ọgwụ
• Overactive thyroid gland (hyperthyroidism) ntụ ọka
• Ọrịa
• Ọrịa mmehie na-arịa ọrịa

O nwere ike ịbụ na ị maghị na obi gị anaghị akụ ụfụfụ na etu o kwesịrị.

Mgbaàmà nwere ike ịmalite ma ọ bụ kwụsị na mberede. Nke a bụ n'ihi na fibrillation nke atrial nwere ike ịkwụsị ma ọ bụ bido n'onwe ya.

Mgbaàmà nwere ike ịgụnye:

• Pulse na-enwe mmetụta ọsọ ọsọ, ọduọ, paụnd, fluttering, oge ufodu, ma ọ bụ kwa ngwa ngwa
• Mmetụta nke inwe mmetụta obi (palpitations)
• Mgbagha
• Dizzziness, isi ọwụwa
• Da mba
• Ike ọgwụgwụ
• Enweghị ike mmega ahụ
• Iku ume ọkụ ọkụ

Onye nlekọta ahụike nwere ike ịnụ ụda obi ọkụ ọkụ mgbe ị na-eji stethoscope na-ege obi gị ntị. Ọkpụkpụ gị nwere ike ịdị ngwa ngwa, enweghị nsogbu, ma ọ bụ ha abụọ.

Mkpụrụ obi nkịtị bụ 60 ka 100 na-akụ kwa nkeji. Na atrial fibrillation ma ọ bụ flutter, obi ọnụego nwere ike ịbụ 100 ka 175 kwaa kwa nkeji. Ọbara nwere ike ịdị nkịtị ma ọ bụ dị ala.

ECG (ule nke na-edekọ eletriki nke obi) nwere ike igosi fibrillation ma ọ bụ atrial flutter.

Ọ bụrụ na ụda obi gị na-adịghị mma na-abịa ma na-aga, ọ nwere ike ịdị mkpa ka ị na-eyi ihe nyocha pụrụ iche iji chọpụta nsogbu ahụ. Nyochaa na-edekọ ụda obi maka oge.

• Nyochaa mmemme (izu 3 ruo 4)
• Nyochaa Holter (ule 24)
• Akụkụ akaghị-edekọ (agbatị nlekota)

Nyocha iji chọpụta ọrịa obi nwere ike ịgụnye:

• Echocardiogram (ihe omimi nke obi)
• Ule iji nyochaa ọbara nke akwara obi
• Ule iji mụọ usoro eletriki obi

A na-eji ọgwụgwọ kadioversion eme ka obi laghachi n’otu ozigbo ozigbo. Enwere nhọrọ abụọ maka ọgwụgwọ:

• Ọdụdọ na-eju gị obi
• Ọgwụ enyere site na akwara

Enwere ike ịme ọgwụgwọ ndị a dịka ụzọ mberede, ma ọ bụ atụmatụ tupu oge eruo.

A na-eji ọgwụ ụbọchị eji n'ọnụ eme ihe:

• Mee ka obi ghara iru gị ala - ọgwụ ndị a nwere ike ịgụnye beta-blockers, calcium channel blockers, na digoxin.
• Gbochie fibrillation nke atrial ka ọ ghara ịlaghachi -- Ọgwụ ndị a na-arụ ọrụ nke ọma n’ọtụtụ mmadụ, mana ha nwere ike ịnwe nnukwu nsogbu. Atrial fibrillation na-alaghachi n'ọtụtụ mmadụ, ọbụlagodi mgbe ha na-a medicinesụ ọgwụ ndị a.

Enwere ike iji usoro akpọrọ nhichapụ rediofrequency n'akụkụ obi gị ebe nsogbu ọgbụgba obi na-ebute. Nke a nwere ike igbochi mgbaàmà eletrik na-adịghị ahụkebe nke na-eme ka fibrillation ma ọ bụ flutter na-agagharị n'obi gị. May nwere ike ịchọrọ obi obi mgbe usoro a gachara. Ndị niile nwere fibrillation nke atrial ga-achọ ịmụ otu esi ejikwa ọnọdụ a n'ụlọ.

Ndị mmadụ nwere ọrịa atrial fibrillation ga-adịkarị mkpa ịnara ọgwụ ndị na-adịchaghị mma nke ọbara. Ndị ọgwụ ndị a ejiri iji belata ihe ize ndụ nke ịmepụta mkpụkọ ọbara nke na-agagharị n'ime ahụ (na nke nwere ike ibute ọrịa strok, dịka ọmụmaatụ). Uche obi na-adịghị agbanwe agbanwe nke na-eme na fibrillation nke atrial na-eme ka mkpụkọ ọbara nwee ike ịmalite.

Ọgwụ ndị na-eme ka ọbara dị obere gụnyere heparin, warfarin (Coumadin), apixaban (Eliquis), rivaroxaban (Xarelto), edoxaban (Savaysa) na dabigatran (Pradaxa). A pụkwara ide ọgwụ ndị na-eme ka ọgwụ na-ada ada dị ka ọgwụ aspirin ma ọ bụ clopidogrel. Agbanyeghị, ndị na-eme ka ọbara dị ọcha na-eme ka ohere ịgba ọbara nwee, yabụ na ọ bụghị mmadụ niile nwere ike iji ha.

Nhọrọ mgbochi ọrịa strok ọzọ maka ndị na-enweghị ike ị medicinesụ ọgwụ ndị a n'enweghị nsogbu bụ Ngwa Nche, nke FDA kwadoro n'oge na-adịbeghị anya. Nke a bụ obere nkata nke etinyere n'ime obi iji gbochie mpaghara nke obi ebe ọtụtụ mkpụkọ na-etolite. Nke a na-egbochi mkpụkọ mkpụkọ akpụ.

Onye na-eweta gị ga-atụle afọ gị na nsogbu ahụike ndị ọzọ mgbe ị na-ekpebi ụzọ mgbochi ọrịa strok kacha mma maka gị.

Ọgwụ nwere ike ịchịkwa nsogbu a. Ọtụtụ ndị nwere fibrillation nke atrial na-eme nke ọma na ọgwụgwọ.

Atrial fibrillation na-alaghachi ma na-akawanye njọ. Ọ nwere ike ịlaghachikwute ụfọdụ ndị, ọbụlagodi na ọgwụgwọ.

Nkata ndị na-agbaji na-aga ụbụrụ nwere ike ịkpata ọrịa strok.

Kpọọ onye na-eweta gị ma ọ bụrụ na ị nwere mgbaàmà nke atri fibrillation ma ọ bụ flutter.

Gwa onye na - enye gị ọrụ gbasara usoro iji gwọọ ọnọdụ nke na-akpata fibrillation na ngagharị. Zere ị drinkingụbiga mmanya ókè.

Auricular fibrillation; A-fịb; Afib

• Atrial fibrillation - ihapu
• Obi pacemaker - ihapu
• Inweta warfarin (Coumadin, Jantoven) - ihe ị ga-ajụ dọkịta gị

• Obi - ngalaba site n'etiti
• Obi - echiche dị n'ihu
• Posterior obi akwara
• Teriorlọ akwara obi dị n’azụ
• Conduction nke obi

Jenụwarị CT, Wann LS, Calkins H, et al. 2019 AHA / ACC / HRS lekwasịrị anya nke usoro 2014 AHA / ACC / HRS maka njikwa nke ndị ọrịa nwere atrial fibrillation: akụkọ nke American College of Cardiology / American Heart Association Task Force on Clinical Guidelines and the Heart Rhythm Society in mmekota na Society of Thoracic Surgeons. Mgbaghari. Ezigbo. 2019; 140 (6) e285. PMID: 30686041 pubmed.ncbi.nlm.nih.gov/30686041.

Meschia JF, Bushnell C, Boden-Albala B, et al. Ọzọ Ntuziaka maka mgbochi mbụ nke ọrịa strok: nkwupụta maka ndị ọkachamara ahụike sitere na American Heart Association / American Stroke Association. Ọkụ. 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838.

Morady F, Zipes DP. Atrial fibrillation: usoro nlekọta ahụike, usoro, na njikwa. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 38.

Zimetbaum P. Supraventricular gbasara obi arrhythmias. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 58.