Atrial Flutter vs. Atrial Fibrillation

Wadatacce

• Bayani
• Kwayar cututtuka
• AFib
• Jirgin atrial
• Dalilin
• Jiyya
• Takeaway
• Babban bambance-bambance
  

Bayani

Rialararrawar atrial da fibrillation na atrial (AFib) duka nau'ikan arrhythmias ne. Dukansu suna faruwa yayin da akwai matsaloli tare da sigina na lantarki wanda ke sanya kwancen zuciyar ku kwangila. Lokacin da zuciyar ku ta buga, kuna jin waɗannan ɗakunan kwangilar.

Atrial flutter da AFib duka ana haifar dasu lokacin da siginonin lantarki ke faruwa da sauri fiye da yadda aka saba. Babban bambanci tsakanin yanayin biyu shine yadda aka tsara wannan aikin lantarki.

Kwayar cututtuka

Mutanen da ke da AFib ko kuma suna yin sama ba za su iya fuskantar wata alama ba. Idan bayyanar cututtuka ta faru, suna kama da:

Babban bambancin bayyanar cututtuka shine cikin yanayin bugun jini na yau da kullun. Gabaɗaya, alamomin saurin tashin hankali suna da rauni sosai. Hakanan akwai ƙaramar damar samuwar jini da kuma shanyewar jiki.

AFib

A cikin AFib, manyan dakunan ku guda biyu na zuciyar ku (atria) suna karɓar siginonin lantarki mara tsari.

Atria ta bugu daga daidaituwa tare da ƙasan kujeru biyu na zuciyar ku (ventricles). Wannan yana haifar da saurin zuciya da rashin tsari. Bugun zuciya na yau da kullun shine 60 zuwa 100 a kowane minti (bpm). A cikin AFib, bugun zuciya ya fara daga 100 zuwa 175 bpm.

Jirgin atrial

A cikin bala'in motsa jiki, atria tana karɓar siginonin lantarki masu tsari, amma alamun suna da sauri fiye da yadda aka saba. Atria tana ta bugawa fiye da yadda ake yin kwakwalwa (har zuwa 300 bpm). Kawai kowane bugun daki biyu ne yake ratsawa zuwa ga ventricles.

Sakamakon bugun bugun jini ya kusan 150 bpm. Atrial flutter yana haifar da takamaiman tsarin "sawtooth" akan gwajin ganowar wanda aka sani da electrocardiogram (EKG).

Ci gaba da karatu: Yadda zuciyar ku take aiki »

Dalilin

Abubuwan haɗarin haɗarin tashin hankali da AFib suna kamanceceniya:

Mutanen da ke da tarihin juzu'in atrial suma suna da haɗarin fuskantar saurin ɓarna a nan gaba.

Jiyya

Jiyya don AFib da ƙazantar motsa jiki suna da manufa iri ɗaya: Maido da halayyar yau da kullun da hana ƙwanjin jini. Jiyya ga duka yanayi na iya ƙunsar:

Magunguna, gami da:

• masu toshe tashoshin calcium da kuma beta-blockers don daidaita bugun zuciyar
• amiodarone, propafenone, da flecainide don juyawar yanayin zuwa yadda yake
• magunguna masu rage jini irin su wadanda basu da sinadarin bitamin K wadanda suke hana yaduwar kwayoyin cuta (NOACs) ko warfarin (Coumadin) don hana bugun jini ko bugun zuciya

Ba a ba da shawarar NOACs ba a kan warfarin sai dai idan mutum yana da matsakaiciyar matsananciyar rauni ko kuma yana da bawul na zuciya. NOACs sun hada da dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis) da edoxaban (Savaysa).

Cardioarfafa wutar lantarki: Wannan aikin yana amfani da wutar lantarki don sake saita yanayin zuciyarka.

Kashe catheter: Cushewar catheter yana amfani da kuzarin rediyo don halakar da yankin da ke cikin zuciyarka wanda ke haifar da rashin lafiyar zuciya mara kyau.

Atrioventricular (AV) cirewar kumburi: Wannan aikin yana amfani da raƙuman rediyo don lalata kumburin AV. AV kumburi ya haɗa atria da ventricles. Bayan wannan nau'in zubar da ciki, zaku buƙaci na'urar bugun zuciya don kula da amo na yau da kullun.

Yin tiyata: Tiyatar Maze tiyata ce a cikin zuciya. Likita yana yin ƙananan yanka ko ƙonewa a cikin ciwon zuciya.

Magunguna yawanci shine magani na farko don AFib. Koyaya, zubar da ciki galibi ana ɗauka shine mafi kyawun magani don tashin hankali. Duk da haka, ana amfani da maganin zubar da ciki kawai lokacin da magunguna ba za su iya sarrafa yanayin ba.

Takeaway

Dukkanin AFib da ƙawancen atrial sun haɗa da sauri fiye da motsin lantarki na yau da kullun a cikin zuciya. Koyaya, akwai wasu manyan bambance-bambance tsakanin yanayin biyu.

Babban bambance-bambance

• A cikin motsi na atrial, abubuwan motsi na lantarki suna cikin tsari. A cikin AFib, abubuwan motsawar lantarki suna da rikici.
• AFib yafi kowa fiye da tashin hankali.
• Magungunan cire ciki ya fi nasara a cikin mutanen da ke fama da tashin hankali.
• A cikin bala'in atrial, akwai tsarin "sawtooth" akan ECG. A cikin AFib, gwajin ECG yana nuna ƙimar ventricular ba daidai ba.
• Alamun tashin hankalin atrial suna da rauni sosai fiye da alamun AFib.
• Mutanen da ke da motsi a jiki suna da halin haɓaka AFib, koda bayan magani.

Duk yanayin biyu suna da haɗarin bugun jini. Ko kana da AFib ko kuma atrial flutter, yana da mahimmanci ka sami ganewar asali da wuri don ka sami maganin da ya dace.