Atrial tachycardia

Atrial tachycardia waa nooc ka mid ah xanuunka garaaca wadnaha (arrhythmia) oo lagu garto garaaca wadnaha degdega ah ee ka yimid atria, iyo qolalka sare ee wadnaha. Si ka duwan sida garaaca wadnaha ee caadiga ah ee uu bilaabo node sinoatrial (SA) (wadnaha wadnaha ee dabiiciga ah), tachycardia atrial wuxuu ka soo baxaa diiradda ectopic, taasoo la macno ah dareen koronto oo aan caadi ahayn oo ka yimid goob aan ahayn SA node gudaha atria.

Atrial tachycardia

Haddii aad u malaynayso inaad la kulanto tachycardia atrial ama aad ka walaacsan tahay garaaca wadnahaaga, waa muhiim inaad la tashato dhakhtarkaaga. Dhakhaatiirta wadnaha ee ugu fiican Hyderabad.

Sababaha Atrial tachycardia

Atrial tachycardia waxaa sababi kara arrimo kala duwan iyo xaalado hoose. Qaar ka mid ah sababaha caadiga ah waxaa ka mid ah:

Arrimaha Wadnaha ee Dhismaha:

Cudurada Wadnaha ee Lagu DhashoIsbeddellada qaab-dhismeed ee jira laga bilaabo dhalashada waxay u horseedi karaan shakhsiyaadka tachycardia atrial.

Wadnaha wadnahaCudurada ku dhaca muruqa wadnaha waxa ay bedeli karaan wadooyinka korontada wadnaha.

Cudurka Halbowlaha: socodka dhiigga ee muruqa wadnaha oo yaraada wuxuu u horseedi karaa dhaqdhaqaaq koronto oo aan caadi ahayn.

Dheelitir la'aanta korantada:

Potassium, Calcium, iyo MagnesiumHeerarka aan caadiga ahayn ee electrolytes-yadani waxay carqaladayn karaan hawlaha caadiga ah ee korontada ee wadnaha.

Xaaladaha kale ee Wadnaha:

Qalitaanka WadnahaQaliinadii hore, gaar ahaan kuwa ku lug leh atria, waxay abuuri karaan unug nabar ah oo farageliya waddooyinka caadiga ah ee korontada.

Cudurka 'pericarditis'Caabuqa pericardium wuxuu saameyn karaa dhaqdhaqaaqa korantada ee atria.

Qalabka wadnaha: Tani waxay u horseedi kartaa isbeddel qaabdhismeedka iyo cadaadiska kor u kaca ee wadnaha, kor u qaadida arrhythmias.

Waxyaabaha halista ah ee tachycardia Atrial

Waa kuwan arrimaha halista u ah tachycardia atrial:

- Da'da (dadka waaweyn ayaa halis sare ugu jira)

- Dhiig karka (hypertension)

- Cudurka halbowlaha wadnaha

- Wadne xanuun ama wadna xanuun hore

- Cilladaha wadnaha ee lagu dhasho

- Qalliinka wadnaha

- Cudurada sambabada ee raaga (tusaale, COPD)

- Khamri xad dhaaf ah ama isticmaalka kafeyn

- Sigaarka

- Isticmaalka kiciyeyaasha (tusaale, kokain, amphetamines)

- Isku dheelitir la'aanta korantada

- Hyperthyroidism ama cilladaha kale ee tayroodh

- Xaaladaha bararka (tusaale, pericarditis)

- Heerarka walaaca ama walbahaarka oo sarreeya

- Daawooyinka qaarkood oo saameeya garaaca wadnaha

Calaamadaha Atrial tachycardia

Calaamadaha tachycardia atrial aad ayey u kala duwanaan karaan waxaana ka mid noqon kara:

Wadne garaacDareen degdeg ah, gariiraya, ama garaaca wadnaha.

Dawakhaad ama madax-wareer: Dareemidda daciifnimo ama xasillooni darro.

Neefta oo ku qabataNeefsashada oo ku adkaata ama dareemaya neef-la'aan, gaar ahaan xilliga jimicsiga.

Xabad xanuun ama raaxo la'aanCadaadis, cidhiidhi, ama xanuun laabta ah.

DaalDareen aan caadi ahayn ama daciifnimo.

Walaaca: Dareemidda walwal ama walwal sababtoo ah garaaca wadnaha oo degdeg ah.

Suuxdin (Syncope): miyir beelid degdeg ah, inkasta oo tani ay tahay mid yar.

dhidid: Dhidid badan oo aan sabab cad lahayn.

Ma u baahan tahay ballan?

Ogaanshaha cudurka tachycardia Atrial

Electrocardiogram (ECG):

Nasashada ECG: Aalad muhiim ah oo lagu baadho halka dhaqdhaqaaqa korantada ee wadnaha lagu duubo. Gudaha AT, ECG waxay caadi ahaan muujisaa garaaca atrial ee joogtada ah.

Falanqaynta P-mowjada: Mowjadaha P-mawjadaha (oo ka tarjumaya depolarization atrial) waxay u muuqan karaan kuwo aan caadi ahayn (qaab ahaan ama cabbir ahaan) waxayna inta badan ka duwan yihiin sinus P-mowjadaha, taas oo muujinaysa diiradda ectopic atrial.

Heerka Atrial: Heerarka atrial ayaa inta badan ka dhaqso badan heerka ventricular-ka, oo leh doorsoome AV block.

Kormeeraha Holter:

Aalad la qaadan karo oo uu xidho bukaanku 24-48 saacadood si uu u duubo dhaqdhaqaaqa wadnaha si joogto ah, kaas oo ka caawiya in la ogaado xaaladaha kala go'a ee AT.

Kormeerka Dhacdada:

Si la mid ah kormeeraha Holter laakiin xidhan muddo dheer (toddobaadyo ilaa bilo) oo uu hawlgeliyay bukaanku marka ay calaamaduhu dhacaan.

Daraasadda Electrophysiological (EPS):

Baadhitaan galmo ah oo kateetarka la geliyo wadnaha iyada oo la marinayo xididdada dhiigga si loo sawiro dhaqdhaqaaqa korantada. EPS waxay caawisaa in la aqoonsado meesha saxda ah ee diirada aan caadiga ahayn ee atrial iyo qiimaynta habka tachycardia.

Echocardiogram:

Ultrasound ee wadnaha si loo qiimeeyo qaab dhismeedka iyo shaqada qolalka wadnaha iyo valves. Tani waxay kaa caawin kartaa in la aqoonsado cudurka wadnaha qaab dhismeedka hoose.

Tijaabada Dhiiga:

Tijaabooyin lagu hubinayo isku dheelitir la'aanta elektrolytka, shaqada tayroodh (hyperthyroidism), iyo kuwa kale ee suurtagalka ah inay gacan ka geystaan arrhythmias.

Daawaynta Atrial tachycardia

Marka ay timaado daaweynta tachycardia atrial, waxaa jira fursado kala duwan oo la heli karo kuwaas oo si wax ku ool ah u maareyn kara xaaladdan. Waxaa muhiim ah in la ogaado in habka daawaynta gaarka ah ay kala duwanaan karto iyadoo ku xiran bukaanka shakhsi ahaaneed kiiskiisa iyo sababaha hoose. Mid ka mid ah ikhtiyaarka daaweynta caadiga ah ee tachycardia atrial waa daawo. Daawooyinka lidka ku ah arrhythmic, sida beta-blockers ama kanaalka kaalshiyamka, ayaa inta badan loo qoraa si ay u gaabiyaan garaaca wadnaha una soo celiyaan laxanka caadiga ah. Daawooyinkani waxay u shaqeeyaan iyagoo xannibaya calaamadaha korantada qaarkood ee wadnaha, ka hortagga dabka degdega ah ee dareenka korantada. Xaaladaha qaarkood, nidaam loo yaqaan kateetarka ablation ayaa laga yaabaa in lagu taliyo. Habkan ugu yar ee soo gelitaanka waxa ku jira dunta tuubo dhuuban (catheter) iyada oo la marinayo xididdada dhiigga ee wadnaha, halkaas oo tamarta shucaaca ama qabow daran loo isticmaalo in lagu burburiyo ama lagu beddelo meelaha dhaqdhaqaaqa korantada ee aan caadiga ahayn ee mas'uulka ka ah kicinta tachycardia atrial. Shakhsiyaadka aan si fiican uga jawaabin daawada ama kateetarka ka saarista, waxqabadyada kale sida ka saarista qalliinka ama dhejinta wadnaha wadnaha ayaa laga yaabaa in la tixgeliyo. Ka-saarista qalliinka waxay ku lug leedahay abuurista unug nabarro ah meelo gaar ah oo wadnaha ah si ay u carqaladeeyaan dariiqyada korantada ee aan caadiga ahayn, halka qalabka garaaca garaaca uu ka caawiyo nidaaminta iyo xakameynta garaaca wadnaha. Waxaa muhiim u ah shakhsiyaadka qaba tachycardia atrial in ay si dhow ula shaqeeyaan bixiyehooda daryeelka caafimaadka si loo go'aamiyo qorshaha daaweynta ugu habboon ee ku salaysan baahiyahooda gaarka ah iyo taariikhda caafimaad. Kormeerka joogtada ah iyo booqashooyinka daba-galka ah ayaa muhiim u ah maaraynta xaaladdan si wax ku ool ah iyo hubinta natiijooyinka ugu wanaagsan ee bukaannada.

Tallaabooyinka Ka Hortagga ah ee Tachycardia Atrial

Daawaynta tachycardia atrial waxay caadi ahaan ku xidhan tahay darnaanta calaamadaha, sababaha hoose, iyo arrimaha bukaanka shakhsi ahaaneed. Waa kuwan qaar ka mid ah qodobbada caadiga ah ee ku saabsan daawaynta:

Daawooyinka :

Xakamaynta heerkaBeta-blockers, kanaalka kaalshiyamka, ama digoxin ayaa laga yaabaa in loo qoro si loo yareeyo garaaca wadnaha.

Xakamaynta laxankaDaawooyinka antiarrhythmic sida flecainide, propafenone, ama amiodarone ayaa laga yaabaa in loo isticmaalo soo celinta garaaca wadnaha ee caadiga ah.

Xinjirowga lidka ku ahBukaanka qaba tachycardia atrial waxay halis ugu jiraan xinjirowga dhiigga, sidaas darteed dawooyinka xinjirowga lidka ku ah sida warfarin ama daawada xinjirowga lidka ku ah afka ee tooska ah (DOACs) ayaa laga yaabaa in loo qoro si loo yareeyo khatarta istaroogga.

Cardioversion:

Xaaladaha qaarkood, wadnaha koronto ayaa laga yaabaa in la sameeyo si loo soo celiyo laxanka sinuska ee caadiga ah. Tani waxay ku lug leedahay gaadhsiinta shoog koronto oo la xakameeyey wadnaha.

Daaweynta Ablation:

Bukaannada aan ka jawaabin daawooyinka ama la kulma dhacdooyin soo noqnoqda oo ah tachycardia atrial ayaa lagu talin karaa in laga saaro kateetarka. Inta lagu jiro nidaamkan, meelo yaryar oo unugyada aan caadiga ahayn ee wadnaha ah ayaa la bartilmaameedsadaa oo la burburiyaa si looga hortago calaamadaha korontada ee aan caadiga ahayn ee keena calaamadaha korontada ee aan caadiga ahayn. arrhythmia.

Aaladaha La-maraagi karo:

Xaaladaha qaarkood, aaladaha la rakibo sida qalabka wadnaha garaaca ama wadnaha wadnaha-defibrillators (ICDs) ayaa lagula talinayaa in lagu maareeyo tachycardia atrial.

Samee & Ha samayn

Marka ay timaaddo maaraynta tachycardia atrial, waxaa jira qaar la sameeyo iyo ma-samaynno kuwaas oo ka caawin kara shakhsiyaadka si wax ku ool ah ula qabsadaan xaaladdan. Markaad raacdo tilmaamahan, shakhsiyaadku waxay xakameyn karaan caafimaadkooda waxayna yareynayaan saameynta tachycardia atrial ee nolol maalmeedkooda.

Samee	Ha sameyn
Do raadso daryeel caafimaad haddii aad isku aragto calaamadaha sida garaaca wadnaha, dawakhaad, neefta oo ku dhegta, ama xabad xanuun.	Ha sameyn iska dhaaf calaamadaha; faragelinta hore waa muhiim.
Do raac qorshaha daawaynta bixiyaha xanaanada caafimaadkaaga oo u qaado daawooyinka sida laguu qoray.	Ha sameyn jooji qaadashada daawooyinka laguu qoray adigoon la tashan daryeel bixiyahaaga.
Do ilaali qaab nololeed caafimaad leh, oo ay ku jiraan jimicsi joogto ah iyo cunto dheeli tiran, si loo maareeyo arrimaha khatarta ah ee hoose.	Ha sameyn Isticmaal xaddi xad-dhaaf ah oo kafeyn ah ama aalkolo, taasoo kicin karta tachycardia.
Do ku celceli farsamooyinka maareynta cadaadiska, maadaama walaacu uu ka sii dari karo tachycardia.	Ha sameyn samee dhaqdhaqaaqyo adag adiga oo aan ogolaansho ka haysan daryeel bixiyahaaga.
Do Fuuqbaxa joog, maadaama fuuqbaxu uu kicin karo ama ka sii dari karo tachycardia.	Ha sameyn Isticmaal kiciyeyaasha ama kiciyayaasha miiska aan la iibsan adiga oo aan la tashan bixiyaha xanaanada caafimaadkaaga.
Do la soco garaaca wadnahaaga iyo cadaadiska dhiiggaaga si joogto ah haddii uu kugula taliyo bixiyaha xanaanada caafimaadkaaga.	Ha sameyn Isticmaal tubaakada ama daawooyinka madadaalada, taas oo kordhin karta khatarta tachycardia.
Do Tixgeli farsamooyinka nasashada sida neefsashada qoto dheer ama yoga si ay kaaga caawiso maareynta walaaca.	Ha sameyn iska dhaaf calaamadaha digniinta ama dib u dhigista raadinta gargaar caafimaad inta lagu jiro xanuunka tachycardia.

Haddii aad aamminsan tahay inaad isku aragto tachycardia atrial ama aad ka welwelsan tahay laxanka wadnahaaga, waa muhiim inaad la tashato Cisbitaalka Wadnaha ugu Fiican Hyderabad.

Su'aalaha Badiya La Weydiiyo

Waa maxay Atrial Tachycardia?

Atrial tachycardia waa xaalad lagu garto garaaca wadnaha oo aan caadi ahayn oo ka soo jeeda atria, qolalka sare ee wadnaha. Xaaladdani waxay keeni kartaa calaamado kala duwan waxaana laga yaabaa inay u baahato faragelin caafimaad si loo maareeyo habboon.

Maxaa sababa Atrial Tachycardia?

Waxaa jira dhowr arrimood oo gacan ka geysan kara horumarinta tachycardia atrial. Mid ka mid ah sababaha caadiga ah waa dariiqyada korantada ee wadnaha oo aan caadi ahayn, taas oo carqaladeyn karta hab-socodka caadiga ah oo keeni kara garaaca wadnaha oo degdeg ah. Tani waxay noqon kartaa cillado aan caadi ahayn oo lagu dhasho ama xaalado la helay sida cudurrada wadnaha ama qalliinnada wadnaha ee hore. Sababta kale ee suurtogalka ah ee tachycardia atrial waa kicinta xad-dhaafka ah ee habka korontada ee wadnaha.

Waa maxay arrimaha khatarta ah ee la xidhiidha Atrial Tachycardia?

Dhowr arrimood ayaa gacan ka geysta horumarinta tachycardia atrial. Hal arrin oo halis ah ayaa ah da'da, maadaama dhacdooyinka xaaladdan ay u badan tahay inay kordhiso da'da sii kordheysa. Intaa waxaa dheer, shakhsiyaadka leh taariikhda cudurrada wadnaha ama cilladaha qaabdhismeedka wadnaha waxay halis sare ugu jiraan inay yeeshaan tachycardia atrial. Waxyaabaha kale ee halista ah waxaa ka mid ah hypertension (dhiig karka), buurnaanta, sonkorowga, iyo cilladaha tayroodh. Xaaladahan waxay carqaladayn karaan dareenka korantada ee caadiga ah ee wadnaha, taasoo u horseedi karta laxan aan caadi ahayn sida tachycardia atrial.

Waa maxay calaamadaha Atrial Tachycardia?

Mid ka mid ah calaamadaha asaasiga ah ee tachycardia atrial waa garaaca wadnaha oo si degdeg ah loo dareemo. Shakhsiyaadka waxaa laga yaabaa inay dareemaan garaaca wadnaha oo ka sarreeya 100 garaac daqiiqaddii, xitaa markay nasanayaan. garaaca wadnaha ee degdega ah wuxuu u horseedi karaa garaaca wadnaha, halkaas oo qofku dareemo garaaca wadnaha u gaar ah ama lulaya laabta. Calaamadaha kale ee caanka ah waxaa ka mid ah neefta oo ku dhegta, dawakh ama madax-furnaan, laabta oo xanuun ama xanuun, iyo daal. Shakhsiyaadka qaarkood waxa kale oo laga yaabaa inay la kulmaan miyir-beel ama qaybo suuxdin u dhow oo loo yaqaan syncope.

Sidee lagu ogaadaa Atrial Tachycardia?

Electrocardiogram ayaa inta badan loo isticmaalaa qalabka lagu baadho si loo hubiyo tachycardia atrial. Tijaabada aan fiicneyn waxay diiwaangelisaa dhaqdhaqaaqa korantada ee wadnaha, taas oo u oggolaanaysa dhakhaatiirta inay falanqeeyaan garaaca wadnaha oo ay ogaadaan wax kasta oo aan caadi ahayn. Xaaladaha tachycardia atrial, ECG wuxuu muujin karaa garaaca wadnaha oo degdeg ah oo joogto ah oo ka yimid atria. Marka lagu daro ECG, farsamooyinka kale ee ogaanshaha sida kormeerka Holter, duubayaasha dhacdooyinka, iyo daraasadaha elektiroonigga ah ayaa laga yaabaa in la isticmaalo si loo sii qiimeeyo loona xaqiijiyo joogitaanka tachycardia atrial.

Waa maxay fursadaha daawaynta ee Atrial Tachycardia?

Daawooyinka lidka ku ah arrhythmic, sida beta-blockers ama kanaalka kaalshiyamka, ayaa inta badan loo qoraa si ay u gaabiyaan garaaca wadnaha una soo celiyaan laxanka caadiga ah. Daawooyinkani waxay u shaqeeyaan iyagoo xannibaya calaamadaha korantada qaarkood ee wadnaha, ka hortagga dabka degdega ah ee dareenka korantada.

Waa maxay hababka ka hortagga Atrial Tachycardia?

Hal ka hortag oo wax ku ool ah waa ilaalinta qaab nololeed caafimaad leh. Tan waxaa ka mid ah ka qayb qaadashada dhaqdhaqaaq jireed oo joogto ah, cunista cunto dheellitiran, iyo maaraynta heerarka walbahaarka. Jimicsiga joogtada ahi waxa uu caawiyaa in uu wanaajiyo caafimaadka wadnaha iyo xididdada dhiigga iyo in la yareeyo suurtogalnimada garaaca wadnaha ee aan caadiga ahayn sida tachycardia atrial. Arrin kale oo muhiim ah oo ka hortag ah ayaa ah ka fogaanshaha kiciyeyaasha kuwaas oo gacan ka geysan kara bilawga tachycardia atrial. Kiciyeyaashani way ku kala duwanaan karaan qof ilaa qof laakiin caadi ahaan waxaa ka mid ah isticmaalka khamriga xad dhaafka ah, qaadashada kafeyn, sigaar cabista, iyo daawooyinka qaarkood. Aqoonsiga iyo ka fogaanshaha kiciyeyaashan waxay si weyn u yareeyn kartaa khatarta ah inaad la kulanto dhacdooyinka tachycardia atrial.