Atrial Flutter vs. Atrial Fibrillation

Anter

• Hōʻike Overview
• Nā ʻōuli
• AFib
• Autial flutter
• Nā Kumu
• Lapaʻau
• ʻO ka lawe lawe ʻana
• Nā ʻokoʻa nui
  

Hōʻike Overview

ʻO Atrial flutter a me atrial fibrillation (AFib) nā ʻano ʻelua o nā arrhythmia. Kū lākou ʻelua ke loaʻa nā pilikia me nā hōʻailona uila e ʻaelike ai nā keʻena o kou puʻuwai. Ke kuʻi kou puʻuwai, ke manaʻo nei ʻoe e ʻaelike ana kēlā mau keʻena.

Hoʻokumu ʻia nā Atrial flutter a me AFib ke holo wikiwiki nā hōʻailona uila ma mua o ka maʻamau. ʻO kaʻokoʻa nui loa ma waena o nā kūlana ʻelua i ka hoʻonohonoho ʻana o kēia hana uila.

Nā ʻōuli

ʻAʻole paha ʻike ka poʻe me AFib a i ʻole flutter atrial i kekahi mau ʻōuli. Inā kū nā ʻōuli, like lākou:

ʻO ka ʻokoʻa nui o nā ʻōuli ka maʻa mau o ke ana o ka lāʻau. ʻO ka maʻamau, ʻo nā ʻōuli o ka flutter atrial e emi ana i ka nui o ke koʻikoʻi. ʻOi aku ka liʻiliʻi o ka loaʻa o ka ʻōpala a me ka hahau.

AFib

I ka AFib, loaʻa nā lumi uila ʻelua o kou puʻuwai (atria) i nā hōʻailona uila i hoʻonohonoho ʻole ʻia.

Ua kuʻi ka atria mai ka hoʻohui ʻana me nā keʻena ma lalo o kou puʻuwai (ventricles). ʻO kēia ke alakaʻi nei i kahi puʻuwai puʻuwai wikiwiki a kaulike ʻole. ʻO ka helu maʻamau o ka naʻau he 60 a 100 mau paʻi i kēlā me kēia minuke (bpm). Ma AFib, ʻo ka helu o ka puʻuwai mai 100 a 175 bpm.

Autial flutter

I ka flutter atrial, loaʻa i kāu atria nā hōʻailona uila i hoʻonohonoho ʻia, akā ʻoi aku ka wikiwiki o nā hōʻailona ma mua o ka maʻamau. Hoʻopiʻi pinepine ke atria ma mua o nā ventricle (a i 300 bpm). ʻO nā kekona kekona wale nō ke komo i nā ventricle.

ʻO ka hopena pulse hopena ma kahi o 150 bpm. Hoʻokumu ʻo Atrial flutter i kahi hiʻohiʻona "sawtooth" kikoʻī ma kahi hōʻike diagnostic i ʻike ʻia he electrocardiogram (EKG).

E heluhelu mau: Pehea e hana ai kou puʻuwai »

Nā Kumu

Kūlike like nā mea pilikia no ka flutter atrial a me AFib:

ʻO ka poʻe me ka mōʻaukala o ka flutter atrial kekahi i hoʻonui i ka makaʻu o ka hoʻomōhala atrial fibrillation i ka wā e hiki mai ana.

Lapaʻau

Loaʻa nā pahuhopu like i ka mālama ʻana no AFib a me atrial flutter: E hoʻihoʻi i ka leʻa maʻamau o ka puʻuwai a pale i ke kahe o ke koko. Hoʻopili ʻia ka hana no nā kūlana ʻelua:

Nā lāʻau, e like me:

• nā poloka kalika a me nā beta-blockers e hoʻoponopono i ka helu o ka puʻuwai
• amiodarone, propafenone, a me flecainide e hoʻohuli i ka haʻina i ka maʻamau
• nā lāʻau lapaʻau lahilahi o ke koko e like me ka non-vitamin K oral anticoagulants (NOACs) a i ʻole warfarin (Coumadin) e pale ai i ka hahau a me ka puʻuwai puʻuwai

Paipai ʻia nā NOAC ma luna o warfarin ke ʻole ke ʻano o ke kanaka a hiki i nā stenosis mitral koʻikoʻi a i ʻole he ʻūpā puʻuwai puʻuwai. Aia nā NOAC i ka dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis) a me edoxaban (Savaysa).

Uila cardioversion: Hoʻohana kēia kaʻina hana i kahi haʻalulu uila e hoʻonohonoho hou i ka mele o kou puʻuwai.

Hoʻokiʻoki catheter: Hoʻohana ka hoʻopau ʻana o ka catheter i ka ikehu radiofrequency e luku ai i ka wahi i loko o kou puʻuwai e hoʻokumu ana i ka puʻuwai puʻuwai maʻamau.

Atrioventricular (AV) node hoʻopau: Hoʻohana kēia hana i nā nalu lekiō e hoʻopau i ka piko AV. Hoʻohui ka piko AV i ka atria a me nā ventricle. Ma hope o kēia ʻano hoʻopau, pono ʻoe i kahi pacemaker e mālama i kahi mele maʻamau.

ʻOki kino o Maze: ʻO ke kīʻaha ʻo Maze kahi ʻoki puʻuwai puʻuwai. Hana ke kaukoki i nā ʻoki liʻiliʻi a i ʻole ke kuni i ka atria o ka puʻuwai.

ʻO ka lāʻau lapaʻau ka lapaʻau mua loa no AFib. Eia nō naʻe, noʻonoʻo pinepine ʻia ka hoʻopau ʻana i ka lapaʻau maikaʻi loa no ka flutter atrial. Eia nō naʻe, hoʻohana pinepine ʻia ka hoʻomaʻemaʻe hoʻopau inā ʻaʻole hiki i nā lāʻau ke kāohi i nā kūlana.

ʻO ka lawe lawe ʻana

Hoʻopili ʻo AFib a me atrial flutter i ka wikiwiki ma mua o nā impulses uila i ka puʻuwai. Eia nō naʻe, aia kekahi mauʻokoʻa nui ma waena o nā kūlana ʻelua.

Nā ʻokoʻa nui

• I ka flutter atrial, hoʻonohonoho ʻia nā impulses uila. I AFib, he piʻipiʻi nā uila uila.
• ʻOi aku ka maʻamau o ka AFib ma mua o ka flutter atrial.
• ʻOi aku ka kūleʻa o ka Ablada therapy i nā poʻe me ka flutter atrial.
• I ka flutter atrial, aia kahi hiʻohiʻona "sawtooth" ma kahi ECG. I ka AFib, hōʻike ka hōʻike ECG i kahi kōmi ventricular kō ʻole.
• ʻOi aku ka liʻiliʻi o nā ʻōuli o ka flutter atrial ma mua o nā ʻōuli o AFib.
• Loaʻa i ka poʻe me ka flutter atrial ke hoʻomohala iā AFib, ʻoiai ma hope o ka lāʻau.

Hāpai nā kūlana ʻelua i ka hoʻonui ʻia o ka maʻi ahulau. Inā loaʻa iā ʻoe ʻo AFib a i ʻole flutter atrial, he mea nui e kiʻi wawe i kahi hōʻailona i hiki iā ʻoe ke kiʻi i ka lāʻau kūpono.