Yala i dusukun bɛ wuli cogo kura la tuma dɔw la wa? An ka kuma Bigeminy koo la

Tuma dɔw la, yala i b'a sɔrɔ i dusukun bɛ wuli teliyala, walima a bɛ wuli ka gosi fila-fila wa? Disi dimi dɔnin bɛ se ka kɛ a la. Nin koo ninnu man ɲi ka to yen ten. An bɛna kuma nin koo in kun dɔ koo la bi, o min bɛ weele ko (Bigeminy).

(Bigeminy) ye mun ye?

K'a fɔ nɔgɔya la, (Bigeminy) ye dusukun wuli cogo (rhythm) koo ye, min bɛ kɛ cause ye ka dusukun wuli cogo ɲuman tiɲɛ. Nin koo in na, dusukun wuli cogo filanan bɛɛ bɛ wuli sanni a wagati ka se, o min bɛ fɔ a ma ko (premature contraction). O kɔrɔ ye ko, wuli cogo ɲuman kelen, o kɔ a bɛ wuli sanni a wagati, wuli cogo ɲuman kelen, o kɔ wuli sanni a wagati... a bɛ taa o cogo la.

A miiri o cogo la. An ka dusukun bɛ wuli kura fanga (electric signal) la min bɛ bɔ yɔrɔ kelen pe la. A bɛ i n'a fɔ dundun-fɔla min bɛ dundun fɔ teliya kelen na. Fanga in bɛ bɔ sanfɛ ka jigin duguma cogo ɲuman na. Nka (Bigeminy) na, fanga wɛrɛ bɛ bɔ yɔrɔ wɛrɛ la dusukun kɔnɔ, ka taga wuli cogo ɲuman tiɲɛ. Nin bɛ kɛ wuli cogo filanan bɛɛ la. A bɛ i n'a fɔ dundun-fɔla kɔrɔ kɔ, mɔgɔ wɛrɛ bɛ dundun fɔ yɔrɔ wɛrɛ la, u bɛ dundun fɔ fila-fila.

(Bigeminy) suguya bɛ yen wa?

Awɔ, nin (Bigeminy) bɛ se ka daminɛ dusukun yɔrɔ wɛrɛw la. A bɛ suguya fila ye.

1. Atrial Bigeminy: Nin bɛ kɛ dusukun sanfɛ kɔnɔnw (atria) la. Yan, wuli sanni a wagati bɛ fɔ ko (premature atrial contractions).
2. Ventricular Bigeminy: Nin bɛ kɛ dusukun duguma kɔnɔnw (ventricles) la. Yan, wuli sanni a wagati bɛ fɔ ko (premature ventricular contractions).

(Bigeminy) taamasiyɛnw ye mun ye?

Taamasiyɛn tɛ kɛ mɔgɔ bɛɛ la. Mɔgɔ dɔw bɛ se ka (Bigeminy) sɔrɔ nka u tɛ foyi ye. Nka, mɔgɔ minnu bɛ taamasiyɛn sɔrɔ, u bɛ se ka nin koo ninnu sɔrɔ:

• Disi dimi walima disi gɛlɛya.
• Dusukun wuli cogo gɛlɛya (Heart palpitations) - i n'a fɔ dusukun bɛ munu-munu, walima a bɛ wuli fanga la.
• Kunun-kunun walima ɲɛ-maku.
• Tuma dɔw la, haki-bɔ bɛ se ka kɛ (Fainting).
• Ninan wuli cogo teliya (Hyperventilation).
• Sɛgɛn.

I hakili to a la, ni nin taamasiyɛn ninnu bɛ i la, a ka fisa i ka taga dɔgɔtɔrɔso la.

Mun bɛ (Bigeminy) sabati? Kunw ye mun ye?

Dusukun kura fanga gɛlɛya de bɛ (Bigeminy) sabati. Koo caman bɛ se ka kɛ a kun ye. Misali la:

• Kɔrɔlen dusukun banba (Heart attack) sɔrɔli.
• Joli kulu (High blood pressure).
• Joli la, hemoglobin dɔgɔya (Anemia).
• Thyroid gland baara caya (Hyperthyroidism).
• Dusukun fasa gɛlɛya banba (Cardiomyopathy).
• Dusukun kɔnɔ daa gɛlɛya (Mitral valve prolapse).

Jɔn bɛ se ka (Bigeminy) sɔrɔ ka tɛmɛn?

Koo dɔw bɛ yen minnu bɛ se ka (Bigeminy) sɔrɔli caya. An k'u filɛ:

• Dusukun fasa banba (Coronary artery disease).
• Dusukun jɔli (Heart failure).
• Caffeine (kafe, te, dɔw) minni caya.
• Dɔlɔ minni.
• Siga minni.
• Hami (Anxiety).
• Fari kɔnɔ Electrolyte (sokɔ, potassium) caya walima dɔgɔya.
• Sunɔgɔ dɔgɔya.

Yala (Bigeminy) bɛ se ka gɛlɛya wɛrɛ lase wa?

Awɔ, tuma dɔw la (Bigeminy) bɛ se ka dusukun fasa dɔgɔya. O tɔgɔ ye ko (Cardiomyopathy). Nka kibaru ɲuman bɛ yen. Ni (Bigeminy) furakɛra ɲuman, misali la ni (catheter ablation) ye, o banba bɛ se ka nɔgɔya.

(Bigeminy) bɛ dɔn cogo di? (Diagnosis)

Ni i tagara dɔgɔtɔrɔso la, dɔgɔtɔrɔ bɛna i dusukun lamɛn ni stetoskopi ye. Ni a mɛnna ko wuli cogo ɲuman ani wuli sanni a wagati bɛ mɛn, dɔgɔtɔrɔ bɛ se ka sikisiki (Bigeminy) koo la. O kɔ, a bɛna weele ka sɛgɛsɛgɛli dɔw kɛ.

Sɛgɛsɛgɛli jumɛnw bɛ kɛ?

• Electrocardiogram (EKG): Nin ye sɛgɛsɛgɛli fɔlɔ ye min bɛ dusukun kura fanga filɛ. A bɛ se ka (Bigeminy) dɔn.
• Holter monitor: Nin ye EKG masin fitini ye. I bɛ a don lɛrɛ 24 walima 48, ka dusukun wuli cogo sɛbɛn.
• Joli sɛgɛsɛgɛli (Blood tests): Ka Electrolyte ani thyroid filɛ.
• Echocardiogram: Nin ye dusukun jatebɔ ye, k'a cogo, a bonya, a kɔnɔ daaw filɛ.
• Stress test: I bɛ wuli walima boli k'i dusukun baara filɛ.

Yala bɛɛ bɛ furakɛli mako sɔrɔ wa?

Ni i ka EKG b'a jira ko (Bigeminy) bɛ i la, nka taamasiyɛn foyi tɛ i la, i mako tɛ furakɛli kɛrɛnkɛrɛnnen na. Nka, ni taamasiyɛn bɛ i la, i mako bɛ furakɛli la.

(Bigeminy) bɛ furakɛ cogo di?

Ni taamasiyɛn bɛ i la, dɔgɔtɔrɔw bɛ se ka fura di i ma. Tuma dɔw la, ni (Cardiomyopathy) bɛ i la, (catheter ablation) bɛ se ka kɛ.

Fura ani furakɛli cogow

• Beta-blockers
• Potassium channel blockers - misali amiodarone.
• Calcium channel blockers
• Catheter ablation - nɛgɛ fitini bɛ don dusukun kɔnɔ ka fanga kura bɔ yɔrɔ tiɲɛ.

Furakɛli tiɲɛniw bɛ yen wa?

Fura bɛɛ bɛ se ka tiɲɛni dɔ sɔrɔ. (Bigeminy) furaw bɛ se ka lase:

• Kunun-kunun
• Ɲɛ-maku (Lightheadedness)
• Sɛgɛn
• Kɔnɔ dimi (Upset stomach)
• Kunkolo dimi (Headaches)

(Catheter ablation) kɔ, tiɲɛni bɛ kɛ dɔɔni, nka a bɛ se ka lase:

• Bana (Infection)
• Joli bɔli (Bleeding)
• Joli fasa tiɲɛni
• Joli kulu (Blood clots)
• Fari dimi (Stroke)

I bɛ i yɛrɛ tanga (Bigeminy) ma cogo di?

• Joli kulu (High blood pressure) kɔrɔsi.
• Caffeine minni dɔgɔya.
• Dɔlɔ minni dɔgɔya walima a ban.
• Sunɔgɔ ɲuman sɔrɔ.
• Hami (Anxiety) kɔrɔsi. Yoga walima to-i-yɛrɛ-la bɛ se ka dɛmɛ kɛ.
• Siga ani sira bɔlɔn ban.

Mɔgɔ minnu bɛ ni (Bigeminy) ye, u ka kɛnɛya bɛ di? (Outlook)

(Bigeminy) kɛnɛya bɛ bɔ dusukun banba wɛrɛw la. Ni dusukun banba wɛrɛ tɛ i la, saya degun tɛ i la ka tɛmɛn mɔgɔ wɛrɛ kan. Ni taamasiyɛn tɛ i la, koo ɲuman de bɛ i ɲɛfɛ. Siran koo tɛ.

N bɛ n yɛrɛ kɔrɔsi cogo di?

K'i ka dɔgɔtɔrɔ ka fɔtaw sira tagama. Fura minnu di i ma, i k'u min a wagati la.

N bɛ dɔgɔtɔrɔso taga wagati juman?

Ni nin koo ninnu bɛ kɛ, i ka taga dɔgɔtɔrɔso la joona (weli 112):

• Ni taamasiyɛn kura bɛ kɛ.
• Ni i ka taamasiyɛn bɛ juguya.
• Ni i ka fura bɛ tiɲɛni lase i ma.
• Ni disi dimi juguba, ninan gɛlɛya, walima haki-bɔ bɛ kɛ.

Koo nafama

Ni i dusukun bɛ wuli kura fanga la, a bɛ se ka i kɛnɛya gɛlɛya. Nka, dɔgɔtɔrɔw bɛ se ka i dɛmɛ. I k'i ka dɔgɔtɔrɔ lamɛn.