Atrial Flutter

Anter

• He aha nā ʻōuli o ka flutter atrial?
• He aha ke kumu o ka flutter atrial?
• Maʻi maʻi ʻaʻai Coronary
• ʻOki kino puʻuwai
• ʻO wai ka mea e makaʻu i ka flutter atrial?
• Pehea e ʻike ʻia ai ka flutter atrial?
• Pehea e mālama ʻia ai ka flutter atrial?
• Nā Lapaʻau
• ʻOki kino
• Nā hoʻoponopono ʻē aʻe
• He aha ka mea e manaʻo ʻia i ka wā lōʻihi?
• Q:
• A:

Hōʻike Overview

ʻO Atrial flutter (AFL) kahi ʻano o ka puʻuwai puʻuwai maʻamau, a i ʻole arrhythmia. Aia ia i ka wā e wikiwiki wikiwiki ai nā keʻena o luna o kou puʻuwai. Ke kuʻi wikiwiki nā keʻena i ka piko o kou puʻuwai (atria) ma mua o nā mea o lalo (ventricles), hoʻonāukiuki ʻia ka puʻuwai o kou puʻuwai.

ʻO Atrial flutter kahi ʻano like me ka fibrillation atrial maʻamau (AFib).

He aha nā ʻōuli o ka flutter atrial?

ʻO ka maʻamau, ʻaʻole ʻike ke kanaka me AFL i ka haʻalulu o ko lākou puʻuwai. Hōʻike pinepine ʻia nā ʻōuli ma nā ʻano ʻē aʻe. Aia kekahi o lākou i:

• wikiwiki o ka puʻuwai
• pokole o ka hanu
• ʻoluʻolu a maule paha
• kaomi a paʻa paha i ka umauma
• dizziness a i ʻole ʻālohilohi
• palpitations puʻuwai
• pilikia i ka hana ʻana i nā hana o kēlā me kēia lā no ka luhi

Hoʻonui pū ka stress i kou puʻuwai puʻuwai, a hiki ke hoʻonui i nā ʻōuli o ka AFL. ʻO kēia mau ʻōuli o ka AFL maʻa mau i nā kūlana ʻē aʻe. ʻO ka loaʻa ʻana o hoʻokahi a ʻoi paha o kēia mau hōʻailona ʻaʻole ia he hōʻailona o ka AFL. Kū mau nā ʻōuli no kekahi mau lā, a i ʻole he mau pule, i ka manawa hoʻokahi.

He aha ke kumu o ka flutter atrial?

Mālama kahi pacemaker maoli (ka sinus sinus) i ka helu o kou puʻuwai. Aia ia i ke atrium kūpono. Hoʻouna ia i nā hōʻailona uila i ka atria ʻākau a me ka hema. 'Thoselelo kēlā mau hōʻailona i ka piko o ka puʻuwai pehea a pehea e ʻaelike ai.

Ke loaʻa iā ʻoe ka AFL, hoʻouna ka piko sinus i ka hōʻailona uila. Akā hele kahi ʻāpana o ka hōʻailona i kahi loop mau ma ke ala e hele a puni ka atrium ʻākau. Hana kēia i ka ʻaelike atria me ka wikiwiki, a ʻo ia ke kumu e hahau wikiwiki ai ka atria ma mua o nā ventricle.

ʻO ka helu maʻamau o ka naʻau he 60 a 100 mau paʻi i kēlā me kēia minuke (bpm). Loaʻa ka puʻuwai o ka poʻe me AFL i ka 250 a 300 bpm.

Hiki i kekahi mau mea ke kumu iā AFL. Pākuʻi ʻia kēia mau mea:

Maʻi maʻi ʻaʻai Coronary

ʻO ka maʻi puʻuwai kahi kumu nui o ka AFL. Kū ka maʻi maʻi aʻa (CAD) ke ālai ʻia nā aʻa o ka puʻuwai e ka pā.

ʻO Cholesterol a me nā momona e pili i nā paia artery ke kumu o ka pā. Hoʻohiohi a pale paha kēia i ke kahe o ke koko. Hiki iā ia ke hōʻino i ka puʻuwai o ka puʻuwai, keena, a me nā kīʻaha koko.

ʻOki kino puʻuwai

Hiki i ka puʻuwai puʻuwai puʻuwai ke puʻuwai i ka puʻuwai. Hiki i kēia ke ālai i nā hōʻailona uila, i hiki ai ke alakaʻi i kahi flutter atrial.

ʻO wai ka mea e makaʻu i ka flutter atrial?

ʻO nā kumu pilikia no ka AFL me kekahi mau lāʻau, nā ʻano e kū nei, a me nā koho nohona. ʻO ka poʻe e makaʻu nei i ka flutter atrial e hoʻomau i:

• uahi
• he maʻi puʻuwai
• ua loaʻa ka puʻuwai puʻuwai
• loaʻa ke koko kiʻekiʻe
• he kūlana kiwikā puʻuwai
• he maʻi pulupulu
• he koʻikoʻi a hopohopo paha
• lawe i nā pilaʻai a i ʻole kekahi mau lāʻau
• inu i ka waiʻona a i ʻole inu inu pinepine
• ua ʻoki ʻia i kēia manawa
• he maʻi kō

Pehea e ʻike ʻia ai ka flutter atrial?

Hoʻomaka nā kauka e kānalua iā AFL inā piʻi ka puʻuwai o kāu puʻuwai ma luna o 100 bpm. He mea nui kāu moʻolelo ʻohana i ka wā e hoʻāʻo ana kāu kauka e hōʻoia iā AFL. ʻO ka mōʻaukala o ka maʻi puʻuwai, nā pilikia hopohopo, a me ke kahe kiʻekiʻe e hiki ke hoʻopili i kāu makaʻu

Hiki i kāu kauka mālama mua ke hōʻoia iā AFL. E hāʻawi ʻia ʻoe i kahi kauka lāʻau no ka hoʻāʻo ʻana.

Hoʻohana ʻia nā hoʻokolohua he nui e hōʻoia a hōʻoia iā AFL:

• Nā polokalamu uila hoʻohana i ka ultrasound e hōʻike i nā kiʻi o ka puʻuwai. Hiki iā lākou ke ana i ke kahe o ke koko ma o kou puʻuwai a me nā kīʻaha koko.
• Nā uila uila hoʻopaʻa i nā mana uila o kou puʻuwai.
• EP (electrophysiology) hoʻopaʻa haʻawina he ala invasive hou aku e hoʻopaʻa i ka mele naʻau. Hoʻopili ʻia kahi catheter mai nā aʻa o kou ʻūlū i kou puʻuwai. Hoʻokomo ʻia nā uila i mea e nānā ai i ka haʻalulu o ka naʻau i nā wahi like ʻole.

Pehea e mālama ʻia ai ka flutter atrial?

ʻO ka pahuhopu nui a kāu kauka e hoʻihoʻi i ka puʻuwai o kou puʻuwai i ka maʻamau. Pili ka mālama ʻana i ke ʻano o kou ʻano. Hiki i nā pilikia olakino ʻē aʻe ke hoʻopili i ka lapaʻau AFL.

Nā Lapaʻau

Hiki i nā lāʻau lapaʻau ke hoʻolohi a hoʻoponopono i ka helu o kou puʻuwai. Pono paha kekahi mau lāʻau e noho i kahi haukapila pōkole ke hoʻoponopono kou kino. ʻO nā laʻana o kēia mau lāʻau e pili ana i nā blockers channel calcium, beta-blockers, a me digoxin.

Hiki ke hoʻohana ʻia nā lāʻau ʻē aʻe e hoʻohuli i ka ritle flutter atrial i hope i kahi sinus sinus maʻamau. ʻO Amiodarone, propafenone, a me flecainide nā laʻana o kēia ʻano lāʻau.

Hiki ke hoʻohana ʻia nā mea lahilahi o ke koko, e like me ka non-vitamin K oral anticoagulants (NOACs) i mea e pale aku ai i ke kūkulu ʻia ʻana o ka ʻōpū i loko o kou aʻa. Hiki i ke kāʻei ke hōʻeha a hōʻeha puʻuwai paha. Loaʻa i ka poʻe me AFL ka nui o ka makaʻu o ke kahe o ke koko.

ʻO Warfarin ka anticoagulant i kuhikuhi ʻia ma ke ʻano maʻamau, akā ʻoi aku ka maikaʻi o nā NOAC no ka mea ʻaʻole pono e nānā ʻia me nā hoʻokolohua koko pinepine a ʻaʻohe o lākou ʻike i nā pilina meaʻai.

ʻOki kino

Hoʻohana ʻia ka ablication therapy ke hiki ʻole ke kāohi ʻia ka AFL ma o ka lāʻau. Hoʻopau ia i ka puʻuwai puʻuwai e hoʻokumu ana i ka ritme abnormal. Pono ʻoe i pacemaker ma hope o kēia ʻoki ʻana e kaohi i kou puʻuwai puʻuwai. Hiki ke hoʻohana ʻia kahi pacemaker me ka ʻole o ka hoʻopau ʻana.

Nā hoʻoponopono ʻē aʻe

Hoʻohana ka Cardioversion i ka uila e hoʻokūʻiwa i ka haʻalulu o ka puʻuwai i ka maʻamau. Kapa ʻia ia defibrillation. Hoʻokomo nā hoe a i ʻole nā ​​pākuʻi i ka umauma i ka haʻalulu.

He aha ka mea e manaʻo ʻia i ka wā lōʻihi?

Kūleʻa pinepine ka lāʻau i ka mālama ʻana iā AFL. Eia nō naʻe, hiki i ke ʻano ke hana hou i kekahi manawa ma hope o ka hoʻomaʻamaʻa ʻana ma muli o ke kumu o kāu AFL. Hiki iā ʻoe ke hoʻohaʻahaʻa i ka makaʻu o ka hoʻi hou ʻana ma o ka hōʻemi ʻana i kou koʻikoʻi a lawe ʻana i kāu mau lāʻau i kauoha ʻia.

Q:

He aha nā hana pale e hiki ai iaʻu ke hana e pale aku i ka hoʻomohala ʻana iā AFL?

A:

ʻO Atrial flutter kahi arrhythmia maʻamau akā pili pū ʻia me kekahi ʻano olakino e like me ka puʻuwai puʻuwai, maʻi puʻuwai, ʻalekohola, maʻi ʻaʻai, ka maʻi thyroid, a i ʻole maʻi maʻi maʻi mau. ʻO ke ala ʻoi loa e pale aku ai i ka flutter atrial e hoʻāʻo a pale i ka hoʻomohala ʻana i kēia mau ʻano olakino ma mua. Mālama i kahi ʻano olakino olakino me ka papaʻai kaulike maikaʻi a me ka hoʻoikaika kino maʻamau, ka hōʻole ʻana i ka nui o ka waiʻona, a me ka haʻalele ʻana i ka puhipaka inā ʻoe puhaka e kōkua.