Atrial fibrillation ko motsi

Atrial fibrillation ko flutter shine nau'in nau'in bugun zuciya mara kyau. Bugun zuciya yana da sauri kuma galibi ba shi da tsari.

Lokacin aiki da kyau, ɗakuna huɗu na ƙwaƙwalwar zuciya (matsi) cikin tsari cikin tsari.

Siginonin lantarki suna shiryar da zuciyarka don tsinkayar jini daidai don bukatun jikinka. Siginonin suna farawa ne a yankin da ake kira kumburin sinoatrial (wanda kuma ake kira kumburin sinus ko kumburin SA).

A cikin fibrillation na atrial, tasirin wutar lantarki na zuciya ba na yau da kullun bane. Wannan saboda sinoatrial node baya sarrafa zafin zuciya.

• Sassan zuciya ba zasu iya yin kwangila cikin tsari ba.
• A sakamakon haka, zuciya ba za ta iya fitar da isasshen jini don biyan bukatun jiki ba.

A cikin motsin jirgi, ƙyauren (ƙananan ɗakunan zuciya) na iya bugawa cikin sauri, amma a cikin tsari na yau da kullun.

Wadannan matsalolin na iya shafar maza da mata. Sun zama gama gari da yawan shekaru.

Abubuwan da ke haifar da fibrillation na atrial sun hada da:

• Yin amfani da giya (musamman shan giya)
• Ciwon jijiyoyin jini
• Ciwon zuciya ko tiyatar da ke kewaye da kai
• Ciwon zuciya ko faɗaɗa zuciya
• Ciwon bawul na zuciya (mafi yawan lokuta mitral valve)
• Hawan jini
• Magunguna
• Rashin glandar thyroid (hyperthyroidism)
• Ciwon mara
• Ciwon sinus na rashin lafiya

Wataƙila ba ku san cewa zuciyarku ba ta bugawa a cikin tsari na al'ada ba.

Kwayar cutar na iya farawa ko tsayawa kwatsam. Wannan shi ne saboda fibrillation na atrial na iya tsayawa ko farawa da kansa.

Kwayar cutar na iya haɗawa da:

• Maganin bugun jini wanda ke jin saurin, tsere, bugawa, juzu'i, mara tsari, ko jinkiri
• Jin azancin bugun zuciya (bugun zuciya)
• Rikicewa
• Dizziness, lightheadedness
• Sumewa
• Gajiya
• Rashin iya motsa jiki
• Rashin numfashi

Mai ba da sabis na kiwon lafiya na iya jin bugun zuciya mai sauri yayin sauraron zuciyar ku tare da stethoscope. Pularfin bugun ku na iya jin sauri, mara daidai, ko duka biyun.

Bugun zuciya na yau da kullun shine 60 zuwa 100 a kowane minti daya. A cikin fibrillation na atrial ko flutter, bugun zuciya na iya zama 100 zuwa 175 a kowane minti daya. Ruwan jini na iya zama al'ada ko ƙasa.

ECG (gwajin da ke rikodin ayyukan lantarki na zuciya) na iya nuna fibrillation na atrial ko atrial flutter.

Idan hargitsin zuciyarku wanda bai dace ba ya zo ya tafi, maiyuwa kuna buƙatar saka saka idanu na musamman don gano matsalar. Mai saka idanu yana rikodin abubuwan da ke cikin zuciya a cikin wani lokaci.

• Abun kulawa (3 zuwa 4 makonni)
• Holter Monitor (gwajin awa 24)
• Mai rikodin madauki (ƙara saka idanu)

Gwaje-gwajen don gano cututtukan zuciya na iya haɗawa da:

• Echocardiogram (duban dan tayi na zuciya)
• Gwaji don bincika wadatar jinin tsokar zuciya
• Gwaji don nazarin tsarin lantarki na zuciya

Ana amfani da magani na bugun zuciya don dawo da zuciya cikin yanayin al'ada yanzun nan. Akwai hanyoyi biyu don magani:

• Wutar lantarki na girgiza zuciyar ka
• Magunguna da aka bayar ta jijiya

Ana iya yin waɗannan jiyya azaman hanyoyin gaggawa, ko shirya tun kafin lokaci.

Ana amfani da magungunan yau da kullun da ake amfani da su don:

• Rage bugun zuciya mara tsari - Waɗannan ƙwayoyi na iya haɗawa da masu hana beta, masu toshe tashar calcium, da digoxin.
• Hana rigakafin atrial daga dawowa -- Wadannan kwayoyi suna aiki sosai a cikin mutane da yawa, amma suna iya samun mummunan sakamako. Atrial fibrillation ya dawo cikin mutane da yawa, koda yayin da suke shan waɗannan magunguna.

Za'a iya amfani da hanyar da ake kira cirewar yanayin yanayin rediyo don tabo wurare a cikin zuciyarka inda ake haifar da matsalolin bugun zuciya. Wannan na iya hana siginar lantarki mara kyau wanda ke haifar da fibrillation ko motsi daga motsi a cikin zuciyar ku. Kuna iya buƙatar bugun zuciya bayan wannan aikin. Duk mutanen da suke fama da cutar atrial fibrillation zasu buƙaci koyon yadda ake sarrafa wannan yanayin a gida.

Mutanen da ke da fibrillation na atrial mafi yawanci suna buƙatar shan magungunan sikirin jini. Wadannan kwayoyi tare anyi amfani dasu don rage kasadar kamuwa da gudan jini wanda ke tafiya a cikin jiki (kuma hakan na iya haifar da bugun jini, misali). Halin zuciya mara kyau wanda ke faruwa tare da fibrillation na atrial yana sa saurin jini ya iya zama.

Magungunan sikanin jini sun hada da heparin, warfarin (Coumadin), apixaban (Eliquis), rivaroxaban (Xarelto), edoxaban (Savaysa) da dabigatran (Pradaxa). Hakanan za'a iya ba da magungunan antiplatelet kamar su asfirin ko clopidogrel. Koyaya, masu rage jini suna kara damar jini, saboda haka ba kowa bane zai iya amfani dasu.

Wani zaɓi na rigakafin bugun jini ga mutanen da ba za su iya amintar da waɗannan magunguna ba shine na'urar Watchman, wacce FDA ta amince da ita kwanan nan. Wannan karamin abun fasali ne na kwandon da aka sanya shi a cikin zuciya don toshe yankin zuciyar inda mafi yawan dasassu suke. Wannan yana iyakance clots kafawa.

Mai ba da sabis ɗinku zai yi la’akari da shekarunku da sauran matsalolin kiwon lafiya yayin yanke shawarar waɗanne hanyoyin rigakafin bugun jini ne mafi kyawu a gare ku.

Jiyya na iya sarrafa wannan cuta sau da yawa. Mutane da yawa tare da fibrillation na atrial suna yin kyau sosai tare da magani.

Atrial fibrillation yana da niyyar dawowa kuma yayi muni. Yana iya dawowa cikin wasu mutane, koda da magani.

Makircin da ya karye ya tafi zuwa kwakwalwa na iya haifar da bugun jini.

Kirawo mai ba ku sabis idan kuna da alamun rashin saurin motsi ko saurin motsi.

Yi magana da mai ba ka sabis game da matakai don magance yanayin da ke haifar da fibrillation da tashin hankali. Guji yawan shan giya.

Fibilillation na auricular; A-fib; Afib

• Atrial fibrillation - fitarwa
• Mai bugun zuciya - fitarwa
• Shan warfarin (Coumadin, Jantoven) - abin da zaka tambayi likitanka

• Zuciya - sashi ta tsakiya
• Zuciya - gaban gani
• Jijiyoyin zuciya na baya
• Jijiyoyin zuciya na baya
• Gudanar da tsarin zuciya

Janairu CT, Wann LS, Calkins H, et al. 2019 AHA / ACC / HRS ta ƙaddamar da sabuntawa na 2014 AHA / ACC / HRS jagorar don kula da marasa lafiya tare da fibrillation na atrial: rahoto na Kwalejin Kwalejin Cardiology ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka a kan Sharuɗɗan Ayyukan Clinical da Rungiyar Rhythm Society a haɗin gwiwa tare da Society of Thoracic Surgeons. Kewaya. 2019; 140 (6) e285. PMID: 30686041 pubmed.ncbi.nlm.nih.gov/30686041.

Meschia JF, Bushnell C, Boden-Albala B, et al. Sharuɗɗa don rigakafin farko na bugun jini: sanarwa ga ƙwararrun likitocin kiwon lafiya daga Heartungiyar Zuciya ta Amurka / Stungiyar Baƙin Amurka. Buguwa 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838.

Morady F, Zipes DP. Atrial fibrillation: siffofin asibiti, hanyoyin, da gudanarwa. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald ta Cutar Cutar: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 38.

Zimetbaum P. raarfin ƙwaƙwalwar zuciya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 58.