\u00c7arp\u0131nt\u0131 hissi kalp at\u0131\u015flar\u0131m\u0131z\u0131n normalden farkl\u0131 olarak hissetmemiz durumudur. \u00c7arp\u0131nt\u0131 s\u0131ras\u0131nda kalp at\u0131\u015flar\u0131m\u0131z h\u0131zlanabilir, yava\u015flayabilir ya da d\u00fczensiz olabilir. D\u00fczensiz ve h\u0131zl\u0131 at\u0131ml\u0131 ritim bozukluklar\u0131 aras\u0131nda en s\u0131k rastlan\u0131lan\u0131 atriyal fibrilasyon ad\u0131 verilen \u00e7arp\u0131nt\u0131d\u0131r.\u00a0<\/p>\n
Kalp d\u00f6rt bo\u015fluklu bir organd\u0131r. Kalbin \u00fcst odac\u0131klar\u0131na kulak\u00e7\u0131k yani atriyum, alt odac\u0131klar\u0131na kar\u0131nc\u0131k yani ventrik\u00fcl denir. Atriyal fibrilasyon kalbin kulak\u00e7\u0131\u011f\u0131n\u0131n hastal\u0131\u011f\u0131d\u0131r. Fibrilasyon ise titre\u015fimdir. Dolay\u0131s\u0131yla \u201catriyal fibrilasyon\u201d kalbin \u00fcst odalar\u0131n\u0131n kas\u0131lma yerine titre\u015fti\u011fi anlam\u0131na gelir. Kalbimiz normalde bir Saat gibi dengeli ve d\u00fczenli olarak \u00e7al\u0131\u015f\u0131r. Bu ritme sinus ritmi denilir. Bunun i\u00e7in sa\u011f kulak\u00e7\u0131\u011f\u0131n tavan\u0131ndaki sinus d\u00fc\u011f\u00fcm\u00fcnden \u00e7\u0131kan uyar\u0131lar d\u00fczenli olarak, \u00f6nce kulak\u00e7\u0131klar\u0131, sonra \u00fcst ile alt kat aras\u0131ndaki d\u00fc\u011f\u00fcmden ge\u00e7ip kar\u0131nc\u0131klar\u0131 uyar\u0131r. Atriyal fibrilasyon oldu\u011funda, kulak\u00e7\u0131klar\u0131n bir\u00e7ok yerinden, normalin d\u0131\u015f\u0131nda, d\u00fczensiz uyar\u0131lar \u00e7\u0131kar. Bu uyar\u0131lar\u0131n hepsi kulak\u00e7\u0131k ve kar\u0131nc\u0131k aras\u0131ndaki d\u00fc\u011f\u00fcme gelir. Ancak belli say\u0131da uyar\u0131 a\u015fa\u011f\u0131ya ge\u00e7ip kar\u0131nc\u0131klar\u0131 uyar\u0131p kalp at\u0131m\u0131yla sonlan\u0131r. Ritim bozuldu\u011funda kalp, hem d\u00fczensiz hem de normalden h\u0131zl\u0131 atar. \u0130nsan bedeni belli bir h\u0131zda ve d\u00fczende \u00e7al\u0131\u015fan kalp vurular\u0131na al\u0131\u015f\u0131kt\u0131r. H\u0131zl\u0131 ve d\u00fczensiz ritm insanlar taraf\u0131ndan s\u0131kl\u0131kla hissedilir. Ancak ritim bozuklu\u011fu oldu\u011fu halde baz\u0131 ki\u015filer ritim bozuklu\u011funu hissetmezler. Bu durumda sessiz a. fibrilasyondan bahsedilir. Atriyal fibrilasyonun bir\u00e7ok komplikasyonu bu durumda da olur.\u00a0 \u00a0<\/p>\n
Atriyal fibrilasyon, her t\u00fcrl\u00fc kalp hastal\u0131\u011f\u0131nda g\u00f6r\u00fclebilece\u011fi gibi, kalp normal olsa da di\u011fer baz\u0131 hastal\u0131klarda, bazen de g\u00f6r\u00fcn\u00fcrde hi\u00e7 bir hastal\u0131\u011f\u0131 olmayanlarda da ortaya \u00e7\u0131kabilir. Ya\u015f ilerledik\u00e7e g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 artar. Yetmi\u015f ya\u015f\u0131n\u0131 ge\u00e7mi\u015f her 10 ki\u015fiden iki ya da \u00fc\u00e7\u00fcnde atriyal fibrilasyon g\u00f6r\u00fcl\u00fcr.<\/p>\n
Atriyal fibrilasyonun en s\u0131k rastlanan nedenlerinin ba\u015f\u0131nda y\u00fcksek tansiyon gelir. y\u0131llar s\u00fcren y\u00fcksek tansiyon, kalp kulak\u00e7\u0131klar\u0131n\u0131 b\u00fcy\u00fct\u00fcr, kalp kapak\u00e7\u0131klar\u0131n\u0131 bozar ve kalp kas\u0131n\u0131 kal\u0131nla\u015ft\u0131r\u0131r, esnekli\u011finin azalmas\u0131na yol a\u00e7ar. Hipertansiyon bu de\u011fi\u015fikler sonucu atriyal fibrilasyon geli\u015fimine zemin haz\u0131rlar.<\/p>\n
Kalp kapaklar\u0131n\u0131n hastal\u0131klar\u0131, \u00f6zellikle mitral kapa\u011f\u0131n iyi a\u00e7\u0131lamamas\u0131 veya iyi kapanamamas\u0131 atriyal fibrilasyonun \u00f6nemli nedenlerindendir. Ayr\u0131ca Aort kapak yetersizli\u011fi ve trik\u00fcspit kapak bozukluklar\u0131 da ritim bozuklu\u011funu art\u0131r\u0131r. Bir ba\u015fka neden kalp damar hastal\u0131\u011f\u0131d\u0131r. \u00d6zellikle kalp krizinde daha s\u0131k g\u00f6r\u00fcl\u00fcr.Atriyal fibrilasyon kronik kalp damar hastal\u0131\u011f\u0131nda s\u0131kl\u0131kla rastlan\u0131r.<\/p>\n
Kalbi b\u00fcy\u00fcten, fonksiyonunu bozan hastal\u0131klarda atriyal fibrilasyon g\u00f6r\u00fcl\u00fcr. Kalp kas\u0131n\u0131n hastal\u0131klar\u0131nda, kas ister incelip zay\u0131flas\u0131n, ister kal\u0131nla\u015fm\u0131\u015f olsun atriyal fibrilasyona s\u0131k rastlan\u0131r. Hangi sebeple olursa olsun kalp yetmezli\u011fi varsa atriyal fibrilasyon riski \u00e7ok y\u00fckselir. Zaten zay\u0131flam\u0131\u015f olan kalbin pompalama i\u015fi daha da zorla\u015f\u0131r. Kalp yetersizli\u011fi ve atriyal fibrilasyonlu hastalarda tedaviye yan\u0131t daha da zorla\u015f\u0131r.\u00a0<\/p>\n
Tiroid bezinin fazla \u00e7al\u0131\u015ft\u0131\u011f\u0131 durumlarda, akci\u011fer hastal\u0131klar\u0131nda, bazen ate\u015fli hastal\u0131klar s\u0131ras\u0131nda da bu \u00e7arp\u0131nt\u0131 ortaya \u00e7\u0131kabilir. Alkol t\u00fcketiminin bir seferde fazla olmas\u0131, yo\u011fun kafeinli besinler t\u00fcketme kalp hastal\u0131\u011f\u0131 olmasa da ritim bozuklu\u011fu riskini art\u0131r\u0131r.<\/p>\n
BEL\u0130RT\u0130LER\u0130<\/p>\n
Atriyal fibrilasyon bazen hi\u00e7 bir belirti vermeyebilir. doktor nab\u0131z sayarken veya kalp dinlerken, d\u00fczensiz ve h\u0131zl\u0131 kalp at\u0131m\u0131n\u0131 tesad\u00fcfen te\u015fhis edebilir. Atriyal fibrilasyon \u00e7arp\u0131nt\u0131, d\u00fczensiz at\u0131m, nefes darl\u0131\u011f\u0131 ve bazen de g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131na yol a\u00e7abilir. Ritim bozuklu\u011fu her zaman h\u0131zl\u0131 olmaz. Kalbin uyar\u0131 \u00e7\u0131karan d\u00fc\u011f\u00fcm\u00fc olan sinus d\u00fc\u011f\u00fcm\u00fcn\u00fcn hastal\u0131\u011f\u0131nda d\u00fc\u015f\u00fck h\u0131zda ritim bozukluklar\u0131na rastlan\u0131l\u0131r. Bu durumda atriyal fibrilasyon ile ba\u015f d\u00f6nmesi, g\u00f6z kararmas\u0131, bay\u0131lma g\u00f6r\u00fclebilir. Ayr\u0131ca ritim bozuklu\u011funun riski yava\u015f ya da h\u0131zl\u0131 olsun hastalar taraf\u0131ndan yorgunluk ve efor kapasitesinde d\u00fc\u015fme g\u00f6r\u00fclebilir.<\/p>\n
Atriyal fibrilasyon hastalarda \u00e7e\u015fitli bi\u00e7imlerde g\u00f6zlenir. Bir k\u0131sm\u0131nda atriyal fibrilasyon \u00e7arp\u0131nt\u0131 ataklar\u0131 \u015feklinde g\u00f6r\u00fcl\u00fcr. Di\u011ferlerinde ancak uzun s\u00fcrede d\u00fczelen ve hastanede tedavi gerektiren sekildedir. Hastalar\u0131n daha ufak bir grubunda ise atriyal fibrilasyon s\u00fcreklidir.<\/p>\n
Atriyal fibrilasyon sonucu kas\u0131lma i\u015flevini yitiren kulak\u00e7\u0131klar, i\u00e7lerinde toplanan kan\u0131 kar\u0131nc\u0131klara pompalayamaz. Kar\u0131nc\u0131klar, sadece kapaklar a\u00e7\u0131l\u0131nca pasif olarak akan kan\u0131 v\u00fccuda ve akci\u011ferlere pompalamakla yetinmek zorunda kal\u0131r. Kalbin i\u00e7indeki kan\u0131n daha yava\u015f ve daha c\u0131l\u0131z akmas\u0131na yol a\u00e7ar. B\u00f6ylelikle kulak\u00e7\u0131klar i\u00e7inde kan birikir ve tam bo\u015falamaz. Kar\u0131nc\u0131klar tam dolamad\u0131\u011f\u0131 i\u00e7in v\u00fccuda ihtiyac\u0131 olan kan\u0131 g\u00f6nderemez. Hastalar taraf\u0131ndan hissedilen yorgunlu\u011fun \u00f6nemli nedenlerinden biri de budur. Kalp h\u0131zl\u0131 artt\u0131\u011f\u0131ndan, kar\u0131nc\u0131klar\u0131n dolu\u015f s\u00fcresi k\u0131sal\u0131p, kalbin at\u0131m ba\u015f\u0131na pompalanan kan daha da azalaca\u011f\u0131ndan, \u00e7evre dokulara g\u00f6nderilen kan giderek daha da azal\u0131r.<\/p>\n
Atriyal fibrilasyonda, kan dura\u011fanla\u015ft\u0131\u011f\u0131ndan kolay p\u0131ht\u0131la\u015f\u0131r. Daha \u00e7ok sol kulak\u00e7\u0131kta geli\u015fen p\u0131ht\u0131dan kopacak par\u00e7alar\u0131n v\u00fccudun herhangi bir yerine, \u00f6zelikle beyine ve bacak damarlar\u0131na gitmesi, damar t\u0131kan\u0131kl\u0131klar\u0131 ve inmeye neden olabilece\u011finden p\u0131ht\u0131 olu\u015fmas\u0131n\u0131 \u00f6nlemek son derece \u00f6nemlidir. Kalp hastal\u0131\u011f\u0131 olmayan insanlarda, atriyal fibrilasyonun ilk belirtisi, kalpten kaynaklanan bir p\u0131ht\u0131n\u0131n birden bire yaratt\u0131\u011f\u0131 fel\u00e7 olabilir. \u00c7e\u015fitli ara\u015ft\u0131rmalar, inme ge\u00e7iren her 6\u20137 hastadan birinde, atriyal fibrilasyonun varl\u0131\u011f\u0131n\u0131 g\u00f6stermi\u015ftir. \u0130nme riski kalp kapak \u00f6zellikle de mitral kapak daralmalar\u0131nda \u00e7ok s\u0131kt\u0131r. Ayr\u0131ca ya\u015f art\u0131k\u00e7a inme riski artar. Kalp yetersizli\u011fi, koroner kalp hastal\u0131\u011f\u0131, hipertansiyon ve yetmi\u015f ya\u015f\u0131n\u0131 a\u015fan ki\u015filerde inme riski artar.<\/p>\n
TEDAV\u0130<\/p>\n
Atriyal fibrilasyonun tedavisi hekimlerin de\u011ferlendirme ve y\u00f6nlendirmesi ile olur. Ana ba\u015fl\u0131klar ile tedavi \u015funlar\u0131 i\u00e7ermelidir:\u00a0\u00a0 <\/p>\n
1-Hastan\u0131n atriyal fibrilasyonu aral\u0131kl\u0131 ya da s\u00fcrekli \u015fekilde g\u00f6r\u00fclmesi durumunda tedavi yakla\u015f\u0131m\u0131 farkl\u0131d\u0131r.<\/p>\n
2-Atriyal fibrilasyonla g\u00f6r\u00fclen belirtilerin s\u0131kl\u0131\u011f\u0131 ve yo\u011funlu\u011fu tedavi \u015feklini de\u011fi\u015ftirir. \u00d6rne\u011fin h\u0131zl\u0131 ritimdeki atriyal fibrilasyonda kalp h\u0131z\u0131n\u0131 d\u00fc\u015f\u00fcrecek tedaviler verilirken, yava\u015f ritimdeki atriyal fibrilasyonda kalp pili tedavisi gerekebilir.<\/p>\n
3-Atriyal fibrilasyona yol a\u00e7an hastal\u0131klar\u0131n varl\u0131\u011f\u0131 tedavi yakla\u015f\u0131m\u0131nda farkl\u0131l\u0131klar yarat\u0131r. \u00d6rne\u011fin tiroid hastal\u0131\u011f\u0131 olan atriyal fibrilasyonlu hastan\u0131n \u00f6ncelikli tedavisi tiroid hastal\u0131\u011f\u0131n\u0131n \u00f6n\u00fcne ge\u00e7mektir.<\/p>\n
4-Atriyal fibrilasyon s\u0131ras\u0131nda h\u0131zl\u0131 ritmin h\u0131z\u0131n\u0131n azalt\u0131lmas\u0131 gereklidir. Ancak ritim bozuklu\u011fu \u00e7ok h\u0131zl\u0131 ve hastan\u0131n tansiyonunu d\u00fc\u015f\u00fcrecek kadar rahats\u0131zl\u0131k yarat\u0131yorsa elektriksel olarak \u015fok yapmak gerekebilir.<\/p>\n
5-Atriyal fibrilasyonda p\u0131ht\u0131 geli\u015fimini \u00f6nlemek i\u00e7in kan suland\u0131r\u0131c\u0131 ila\u00e7lara ihtiya\u00e7 vard\u0131r. Bu ila\u00e7lar\u0131n se\u00e7imi, kullan\u0131m \u015fekli, kullan\u0131m s\u00fcresi hekimlerin karar\u0131 ve hastan\u0131n iste\u011fi ile belirlenir.<\/p>\n
6-\u0130la\u00e7 tedavilerine diren\u00e7li a. fibrilasyonda kalp i\u00e7inde uygulanacak katater ablasyonu tedavisi de umut vericidir. <\/p>\n
HAZIRLAYAN; Do\u00e7. Dr. \u0130zzet ERD\u0130NLER<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00c7arp\u0131nt\u0131 hissi kalp at\u0131\u015flar\u0131m\u0131z\u0131n normalden farkl\u0131 olarak hissetmemiz durumudur. \u00c7arp\u0131nt\u0131 s\u0131ras\u0131nda kalp at\u0131\u015flar\u0131m\u0131z h\u0131zlanabilir, yava\u015flayabilir ya da d\u00fczensiz olabilir. D\u00fczensiz ve h\u0131zl\u0131 at\u0131ml\u0131 ritim bozukluklar\u0131 aras\u0131nda en s\u0131k rastlan\u0131lan\u0131 atriyal fibrilasyon ad\u0131 verilen \u00e7arp\u0131nt\u0131d\u0131r.\u00a0 Kalp d\u00f6rt bo\u015fluklu bir organd\u0131r. Kalbin \u00fcst odac\u0131klar\u0131na kulak\u00e7\u0131k yani atriyum, alt odac\u0131klar\u0131na kar\u0131nc\u0131k yani ventrik\u00fcl denir. Atriyal fibrilasyon kalbin kulak\u00e7\u0131\u011f\u0131n\u0131n hastal\u0131\u011f\u0131d\u0131r. Fibrilasyon ise titre\u015fimdir. Dolay\u0131s\u0131yla[Devam\u0131n\u0131 Oku…]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[22524],"tags":[23146,23150],"_links":{"self":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13225"}],"collection":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/comments?post=13225"}],"version-history":[{"count":0,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/posts\/13225\/revisions"}],"wp:attachment":[{"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/media?parent=13225"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/categories?post=13225"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/gncz.net\/index.php\/wp-json\/wp\/v2\/tags?post=13225"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}