Wetin de apin to yu at ritm? Mek wi chɛk am frɔm os. Ɔltin bɔt (Ambulatory Monitors)!

Sɔntɛnde, yu kin fil se sɔntin nɔ rayt na yu at? Sɔntɛm di dɔktɔ bin chɛk yu ɛn tɛl yu se i nid fɔ wach aw yu at de wok fɔ sɔm dez. Na da tɛm de dɛn smɔl smɔl tin ya we dɛn kɔl ``Ambulatory Monitors'' kin kam fayn. So, lɛ wi tɔk bɔt dis ditayli, rili simpul, tide.

Wetin na Ambulatory Monitor? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, ambulatory monitor na smɔl tin we de rayt di ilɛktrik aktiviti ɔ at ritm na yu at fɔ lɔng tɛm, we yu de na os ɔ we yu de du wetin yu de du ɛvride. Tink bɔt am lɛk ECG we yu kin gɛt na ɔspitul, bɔt i kin de wit yu fɔ sɔm dez, sɔm tɛm dɛn kin de fɔ sɔm wiks. Dis impɔtant bikɔs sɔm kayn hat sik nɔr kin sho sɔm kayn sik ɔltɛm. Dat min se dɛn nɔ kin de we yu go to dɔktɔ. Na fayn we fɔ no prɔblɛm dɛn we kin kam wantɛm wantɛm ɛn ausayd di ɔspitul .

Us kayn at kכndyushכn dεm dεn kin no wit dis mכnitor?

dis `ambulatory monitor` na in dεn kin yuz fכ no `(Arrhythmia)` כ di hat bit we nכ de rεgulεr. pan ɔl we sɔm irɛgyulariti dɛn kin izi fɔ no wit wan `(ECG)` we dɛn du na ɔspitul, dis monita kin gɛda wan big rɛnj ɛn mɔ data. So, i kin ɛp fɔ no di tin dɛn we nɔ rayt we yu nɔ go no, we kin apin wantɛm wantɛm, ɔ we kin las fɔ shɔt tɛm nɔmɔ .

Na sɔm pan di kayn wae dɛn wae kin kam pan pɔrsin wae gɛt dis maynia sik:

• `(Bradyarrhythmia)` (Bradycardia): Dis na di at bit we nɔrmal. Fɔ tɔk di kɔrɛkt tin, i kin tan lɛk se di at de bit tumɔs.
• Tachyarrhythmia: Dis na we di at de bit kwik kwik wan. Imajin se yu at de bit lɛk aw at de bit we de rɔn.
• Supraventricular aritmia: "Supra" min ɔp. "Ventricle" de tכk bכt di tu lכw chεmba dεm na di at. dis de tכk bכt di tin dεm we nכ de rεgεl na di tu כp chεmba dεm na di at, di lεft atria εn di rayt atria.
• Ventricular arrhythmia: dis na tin dεm we nכ de apin na di tu lכw chεmba dεm na di at.

Udat dɛn go put an pan dis invɛstishɔn? Udat go ɛp yu?

Bɔku mɛdikal pɔblisha dɛn de insay dis tɛst we dɛn de du. Fɔ ɛgzampul, tɛknishian dɛn, nɔs dɛn, ɛn dɔktɔ dɛn. Bɔt, na spɛshal pɔsin kin analayz di data we dɛn dɔn gɛda ɛn mek di diagnosis. Dis kin bi dɔktɔ we de mɛn at ɔ pɔsin we de stɔdi bɔt ilɛktrɔfisiɔlɔji.

Aw dis ambulatory monita de wok? I wɔndaful, nɔto so?

Ɔl dɛn ambulatory monita ya de wok bikɔs wi at gɛt in yon ilɛktrik sistɛm. Imajin, na signal dɛn we de kɔmɔt na dis ilɛktrik sistɛm de kɔntrol di at bit. na dεn ilektrikal signal dεm ya de mek di fכ chεmba dεm na di at kכntrakt כganayz wan we de kכntinyu. Dis na wetin de mek di at ebul fɔ pɔmp blɔd di rayt we ɛn i de wok fayn fayn wan.

Yu nɔ tink se i wɔndaful? Dis ilɛktrik wok na wi at so strɔng dat i izi fɔ no bay tin dɛn we dɛn put ɔp ɔ dɔŋ di skin.

dis na wetin wi kכmכn fכ kכl `(ECG)`, we de rεkכd dis ilektrikal aktiviti. Bɔt na fɔ shɔt tɛm. If prɔblɛm de na wan patikyula pat na di at, di ilɛktrik we de na da pat de kin chenj. Na we dɔktɔ we dɔn tren de luk dɛn chenj dɛn de, i go ebul fɔ no aw difrɛn pat dɛn na di at de wok. Dɛn kin du `(ECG)` na ɔspitul ɔ klinik, insay sɔm minit.

Ambulatory monitors de wok di sem we. Bɔt dɛn tin ya kin wach aw yu at de du fɔ sɔm dez, wik, ɛn sɔntɛnde fɔ lɔng tɛm . Dɛn kin rayt wetin yu at de du we yu de slip, wok, ɔ du wetin yu de du ɛvride.

Us kayn ambulatory monita dɛn de? Uswan we rayt fɔ yu?

Mɔs pan di ambulatory monita dɛn na pɔtabl divays dɛn we yu kin kɛr go. Dɛn kin mɛzhɔ yu at rit bay we dɛn de yuz tin dɛn we dɛn kɔl ilɛktrɔd. Dɛn kin tay dɛn ilɛktrɔd ya na yu skin wit wan spɛshal adeziv. Bɔku pan dɛn monita dɛn ya na lɛk di sayz ɛn wet we pɔsin kin yuz ɔltɛm na fon.

### Ekstanshal Monitɔ dɛn

• `(Holter monitor): dεn kin yus dis mכst fכ rεkכd di at aktiviti fכ wan כ tu de. Bɔt sɔm monita dɛn we tan lɛk dis kin rikodɔ data fɔ wan ɔ tu wik.
• Ivent monita: Dɛn divays ya de rikodɔ di at aktiviti nɔmɔ we chans de fɔ mek di at bit i nɔ de bit ɔltɛm. Sɔm monita dɛn kin aktiv we yu fil di sayn dɛm. כda wan dεm jכs "lisin" to yu at ritm εn stat fכ rεkכd כtomatכk we dεn detekt se yu at de bit we nכ de bit. Tu men kayn dɛn de:
• `(Looping)`: Dɛn divays ya gɛt `mɛmori lɔp`. Dat min se, dɛn kin kip sɔm minit dɛn we dɔn pas ɛn sɔm minit dɛn we go kam tumara bambay na dis mɛmori. We dɛn nɔ yuz `activated`, dɛn kin ɛras di ol data as dɛn de ad nyu data. If yu `aktiv`, sɔm minit dɛn we bin dɔn pas ɛn sɔm minit afta `aktiv`, dɛn kin kip am fɔ si leta.
• `(Non-looping)`: Dɛn wan ya de ɔlrɛdi rikodɔ fɔ wan patikyula tɛm afta `aktiveshɔn`. Sɔm pan dɛn monita ya de alaw yu fɔ lɛf di `ilɛktrod` dɛn pan. we di simptom dεm apin, yu kin ataya di `εlektrod dεm` εn `aktiv` di monita fכ rεkכd di at ritm.
• `(Rial-taym monita)` (Rial-taym monita): Dɛn tin ya rili fiba `(Ivint monita)`. Bɔt dɛn tin ya kin sɛn data bɔt aw di at de wok to say we dɛn de wach so dat dɔktɔ go si am wantɛm wantɛm. Dɛn tin ya kin sɛn data ɔtomɛtik wan we dɛn detekt wan abnɔmal tin, ɔ dɛn kin `aktiv` fɔ sɛn data we yu fil di simptom dɛm. Dɛn tin ya kin rili yusful pan kes dɛm we siriɔs abnɔmal tin de ɛn nid fɔ gɛt dɔktɔ advays kwik kwik wan.

### Ɔda spɛshal monita kayn dɛn

Tu ɔda kayn monita dɛn de we de wok lɛk di wan dɛn we wi dɔn tɔk bɔt, bɔt dɛn difrɛn smɔl:

• Patch recorder: Dɛn tin ya tan lɛk pat we yu kin stik pan yu skin. Bɔt, dɛn gɛt ɔl wetin yu nid fɔ no, rayt, ɛn kip wetin yu at de du. Dɛn kin wɛr dɛn fɔ lɛk tu wiks so. Dɛn smɔl so yu nɔ go ebul fɔ si dɛn ɔnda T-shirt.
• Implantable loop recorders: Dis na rili smɔl tin dɛn we dɛn kin put ɔnda di skin. Dɛn kin wach aw dɛn at de wok fɔ lɔng tɛm, sɔntɛm te to tu ia. Dɛn kin rikodɔm ɔtomɛtik ɔ we di pɔsin we wɛr dɛn aktiv dɛn. Yu kin dawnlod di data wayales wan na klinik ɔ dɔktɔ in ɔfis. Di big bɛnifit fɔ dis na dat yu nɔ nid fɔ wɔri fɔ aktiv am, ɛn i nɔ de kɔz ɛni prɔblɛm we yu de was ɔ swim.

Wetin fɔ ɛkspɛkt bifo di tɛst? Aw fɔ pripia?

Dɔktɔ, we kin bi spɛshal pɔsin, go ɛksplen di tin dɛn we yu kin du fɔ tɛst yu ɛn tɛl yu di kayn monita we go fayn fɔ yu. Dis go tek tɛm tink bɔt tin dɛn lɛk di wok we yu de du ɛn wetin yu lɛk.

### Aw fɔ pripia fɔ di tɛst

I fayn fɔ shaw bifo di tɛst. Dipen pan di monita we yu de yuz, i kin tek wan ɔ tu dez bifo yu shawa bak afta yu dɔn pul di ilɛktrɔd dɛn. Ilɛk wetin apin, i impɔtant fɔ mek di skin na yu chɛst klin.

• Nɔ put ɛni ɔyl, loshan, ɔ krim pan di skin na di chɛst. dis kin mek di ilektroyd dεm nכ de atak di skin fayn fayn wan εn i kin mek di at nכ wok fayn fayn wan.
• Dɔn bak, wɛr shit we izi fɔ wɛr ɛn pul. Da we de, i go izi fɔ mek dɛn tay di ilɛktrɔd dɛn.

Wetin kin apin di de we dɛn instɔl di monita?

Wan tɛknishian ɔ ɔda pɔsin we de wok fɔ di wɛlbɔdi biznɛs go ɛksplen to yu aw fɔ yuz di divays, aw fɔ yuz am, ɛn aw fɔ pul ɛn tay di ilɛktrɔd dɛn bak, i go dipen pan di divays, afta yu dɔn was ɔ swim.

Dɛn go tɛl yu bak aw fɔ de fa frɔm tin dɛn we go ambɔg di monita, lɛk sɔm ilɛktronik tin dɛn ɛn divays dɛn we gɛt magnet. Dɛn kin gi yu wan list fɔ dɛn kayn divays dɛn de, ɔ yu kin aks fɔ wan.

Insay monita dɛn we de yuz ilɛktrɔd, dɛn kin klin di say dɛn we di ilɛktrɔd dɛn tay wit alkol. If ia de na da say de, dɛn kin pul dɛn. Na da tɛm de nɔmɔ di ilɛktrɔd dɛn go ebul fɔ adhe fayn fayn wan ɛn dɛn go gɛt klia signal.

Aw i de we yu wɛr di monita? Wetin a fɔ tek tɛm wit?

Ambulatory monitor tests na rili sef ɛn nɔ gɛt pen . Bɔku tɛm, ɔl wetin yu fɔ du na fɔ wɛr ɛn yuz di monita lɛk aw dɛn tɛl yu. Di wan dɛn we de kia fɔ yu wɛlbɔdi biznɛs, lɛk di tɛknishian ɛn nɔs dɛn, go tɛl yu ɔl wetin yu nid fɔ no we yu wɛr di monita.

Wetin yu kin du we di tɛm fɔ tɛst dɔn?

We di tɛst dɔn, yu kin pul di ilɛktrɔd dɛn (if di divays gɛt dɛn) ɛn gi di divays bak. wit ekstenal monita, yu kin gεt sכm sכm sכm it כ rεd (skin iritashכn) fכ fכ dez usay dεn bin put di εlektrod dεm. Dis kin dɔn insay sɔm dez. If dis apin, yu kin aks yu dɔktɔ if ɛnitin de we yu go du fɔ ɛp am fɔ wɛl kwik kwik wan.

Ɛni risk de wit dɛn divays dɛn ya? Mek wi bi aware likl.

in jεnarכl, di mכst kכmכn sayd ifekt fכ ambulatory monita na di skin iritashכn כ rεd . Dis kin bi bikɔs ɔf di adeziv we dɛn kin yuz fɔ tay di ilɛktrɔd dɛn na di skin. If yu gɛt sɛnsitiv skin ɔ yu no (ɔ yu tink se yu gɛt alɛji fɔ adhesives, yu fɔ tɛl yu dɔktɔ bifo yu put di ilɛktrɔd dɛn.

Wit implantable loop recorders, sɔm sayd ifekt ɔ kɔmplikeshɔn kin apin – bɔt bɔku pan dɛn na smɔl smɔl tin dɛn:

• Pen ɔ diskɔmfɔt na di say we dɛn put am: Dis kin bɛtɛ fɔ insɛf insay sɔm dez.
• Infεkshכn: Na sכm tεm, infεkshכn kin kam na di say we di divays de. Dɛn kin trit dis wit antibayɔtiks. Bɔt sɔntɛnde, dɛn kin nid fɔ muf di divays go na ɔda say.
• Alɛji: Wan ɔda tin we nɔ kin apin so ɔltɛm na we pɔsin alɛji to sɔntin we dɛn yuz fɔ mek di divays. If dis apin, dɛn go nid fɔ pul di divays ɛn yuz difrɛn kayn monita.
• Pɔr signal: Sɔntɛnde, dɛn tin ya nɔ kin ebul fɔ pik ilɛktrik aktiviti na sɔm pat dɛn na di at fayn fayn wan. If dat apin, dɛn go nid fɔ muf di divays go ɔda say usay i go gɛt klia signal.

Aw dɛn kin gɛt di rizɔlt? Wetin dɛn de tɛl wi?

Afta yu dɔn gi di monita bak, di tɛknishian dɛn ɛn ɔda mɛdikal wokman dɛn go dawnlod di data ɛn ad am to yu mɛdikal fayl fɔ mek yu dɔktɔ rivyu am. Afta di dɔktɔ dɔn luk di data, i go ebul fɔ no if i gɛt di sik. Dɔn, i go dipen pan wetin yu want ɛn di we aw di klinik de du tin, dɛn go tɛl yu bay fon ɔ ɔda we. Da tɛm de, di dɔktɔ go ɛksplen wetin di rizɔlt sho ɛn wetin yu nid fɔ du nɛks. Sɔntɛnde, dɛn kin aks yu fɔ kam bak fɔ mek dɛn go fala yu ɔ if nid de, dɛn kin aks yu fɔ go to ɔda spɛshal pɔsin.

Ustɛm yu fɔ kɔl di dɔktɔ? Una fɔ no bɔt dɛn tin ya.

Yu dɔktɔ ɛn in wokman dɛn go tɛl yu ustɛm fɔ kɔl dɛn ɔfis. Dɛn kin gi yu spɛshal fon nɔmba bak fɔ 24 awa fɔ kɔl if yu gɛt ɛni kwɛstyɔn bɔt di monita.

If yu gɛt implantable loop recorder (ILR) ɛn yu gɛt ɛni wan pan dɛn tin ya we de sho se yu gɛt infekshɔn , yu fɔ kɔl yu dɔktɔ in ɔfis wantɛm wantɛm:

• Fɔ gɛt fiva, fil kol ɛn shek shek.
• Fɔ fil wam wam we yu tɔch di say we dɛn put di divays.
• Swel ɔ rɛd de na da say de.
• Wan wata we tan lɛk pus ɔ blɔd we de kɔmɔt na di say we dɛn kɔt am.

Aw lɔng i kin tek fɔ no di rizɔlt fɔ di tɛst?

Di tɛm we i kin tek fɔ si di tin dɛn we kin apin kin difrɛn. I dipen pan di kayn monita we dɛn yuz, di tɛm we dɛn de monita, ɛn di klinik ɛn di dɔktɔ in schedule. Yu kin aks dɛn aw lɔng i go tek fɔ gɛt rizɔlt.

Mɛsej we dɛn kin kɛr go na os

So, dis ``ambulatory monitor'' na rili imכtant εn sef tεst. Na mɔtalman, i kin rili ɛp fɔ no di at ritm irɛgyulariti we kin apin wantɛm wantɛm ɛn we kin apin nɔmɔ na ɛvride layf. If yu dɔktɔ tɛl yu fɔ du dis tɛst, no rizin nɔ de fɔ mek yu fred am. A op se dis atikul dɔn mek yu ɔndastand am mɔ. If yu gɛt ɛni kwɛstyɔn, tɔk to yu dɔktɔ ɛn no mɔ. Stay wit wɛlbɔdi!

` At sik, ambulatory monita, hat rit, aritmi, Holter monita, hat test, ECG