Multifocal atrial tachycardia

Multifocal atrial tachycardia (MAT) saurin bugun zuciya ne. Yana faruwa ne yayin da aka aika sigina da yawa (motsin lantarki) daga zuciya ta sama (atria) zuwa ƙananan zuciya (ventricles).

Zuciyar mutum tana ba da motsi na lantarki, ko sigina, waɗanda ke gaya mata ta doke. A ka'ida, waɗannan siginan suna farawa ne a wani yanki na ɗakin dama na sama wanda ake kira kumburin sinoatrial (sinus node ko SA node) Wannan kumburi ana ɗauke dashi azaman "mai saurin bugun zuciya." Yana taimakawa wajen sarrafa bugun zuciya. Lokacin da zuciya ta gano sigina, sai ta kankama (ko ta buga).

Bugun zuciya na yau da kullun ga manya yakai kimanin 60 zuwa 100 a kowane minti daya. Bugun zuciya na yau da kullun ya fi sauri a cikin yara.

A cikin MAT, wurare da yawa a cikin alamun wuta na atria a lokaci guda. Yawancin sigina suna haifar da saurin zuciya. Mafi yawan lokuta yakan zama tsakanin 100 zuwa 130 a cikin minti ɗaya ko fiye a cikin manya. Saurin bugun zuciya yana sa zuciya yin aiki sosai kuma ba ta motsa jini da kyau. Idan bugun zuciya yana da sauri sosai, akwai ɗan lokaci don ɗakin zuciyar ya cika da jini tsakanin bugawa. Sabili da haka, ba'a isa isasshen jini zuwa kwakwalwa da sauran jiki tare da kowane raguwa ba.

MAT an fi samunta a cikin mutane masu shekaru 50 zuwa sama. Ana ganinta sau da yawa a cikin mutane masu yanayin da ke rage adadin oxygen a cikin jini. Waɗannan sharuɗɗan sun haɗa da:

• Ciwon huhu na nimoniya
• Ciwon cututtukan huhu na ƙarshe (COPD)
• Ciwon zuciya mai narkewa
• Ciwon huhu
• Rashin huhu
• Ciwon mara na huhu

Kuna iya kasancewa cikin haɗari mafi girma ga MAT idan kuna da:

• Ciwon zuciya
• Ciwon suga
• Yi aikin tiyata a cikin makonni 6 da suka gabata
• Dara yawan maye a kan theophylline
• Sepsis

Lokacin da bugun zuciya bai kai 100 ba a kowane minti daya, ana kiran arrhythmia da "yawo mai bugun zuciya."

Wasu mutane na iya samun alamun bayyanar. Lokacin da bayyanar cututtuka ta faru, zasu iya haɗawa da:

• Matsan kirji
• Haskewar kai
• Sumewa
• Jin motsin zuciya yana bugawa ba bisa ka'ida ba ko kuma sauri (bugun zuciya)
• Rashin numfashi
• Rage nauyi da rashin cin nasara a jarirai

Sauran alamun da zasu iya faruwa tare da wannan cuta:

• Numfashin numfashi lokacin kwanciya
• Dizziness

Gwajin jiki yana nuna bugun zuciya mara ɗari bisa ɗari sama da 100 a minti ɗaya. Ruwan jini na al'ada ne ko kaɗan. Zai iya zama alamun rashin yaduwar wurare.

Gwaje-gwajen don tantance MAT sun haɗa da:

• ECG
• Nazarin ilimin lantarki (EPS)

Ana amfani da masu lura da zuciya don yin rikodin bugun zuciya mai sauri. Wadannan sun hada da:

• 24-saka idanu Holter saka idanu
• Ableaura, rikodin madauki na dogon lokaci waɗanda ke ba ku damar fara yin rikodin idan bayyanar cututtuka ta faru

Idan kana asibiti, za'a rinka sanya sautin zuciyarka awowi 24 a rana, akalla da farko.

Idan kana da yanayin da zai iya haifar da MAT, ya kamata a fara magance wannan yanayin da farko.

Jiyya don MAT ya haɗa da:

• Inganta matakan iskar oxygen
• Bada magnesium ko potassium ta jijiya
• Dakatar da magunguna, kamar theophylline, wanda zai iya ƙara yawan bugun zuciya
• Shan magunguna dan rage bugun zuciya (idan yawan bugun zuciya yayi sauri), kamar masu toshe tashoshin calcium (verapamil, diltiazem) ko beta-blockers

Ana iya sarrafa MAT idan an bi da yanayin da ke haifar da bugun zuciya da sauri.

Matsaloli na iya haɗawa da:

• Ciwon zuciya
• Ciwon zuciya mai narkewa
• Rage aikin famfo na zuciya

Kira mai ba da sabis na kiwon lafiya idan:

• Kuna da saurin buguwa ko rashin daidaituwa tare da sauran alamun cutar MAT
• Kuna da MAT kuma alamomin ku sun kara muni, kar ku inganta da magani, ko kuma ku sami sabon alamun

Don rage haɗarin tasowa MAT, magance cututtukan da ke haifar da shi kai tsaye.

Tachycardia mai rikitarwa

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

Olgin JE, Zipes DP. Hyarfin tashin hankali. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 37.

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