Lɛ wi fɛn ɔndastand gud gud wan bɔt di ilɛktrik wok we yu at de du? (Ilektrofisioloji Stɔdi - EP Stɔdi)

Yu de fil sɔntin we strenj na yu at, lɛk fɔ flɔt? Sɔntɛnde, dɔktɔ dɛn kin se dɛn nid fɔ du tɛst fɔ no mɔ bɔt aw ilɛktrik de wok na yu at. Na da tɛm de wi kin tɔk bɔt dis ``Ilektrofisiɔlɔji Stɔdi``, ɔ as wi kin kɔl am fɔ shɔt, ``EP Stɔdi``. Nɔ fred, lɛ wi tɔk bɔt dis simpul wan.

Wetin na EP stɔdi?

Fɔ tɔk am simpul wan, EP stɔdi na tɛst we de chɛk di ilɛktrik wok we de na yu at kɔrɛkt wan. Imajin, wi at nid smɔl ilɛktrik signal fɔ bit. We dɛn sayn ya de wok fayn, di at kin bit fayn fayn wan. Sɔntɛnde, sɔntin kin rɔng wit dɛn ilɛktrik signal ya, we min se yu at nɔ kin bit ɔltɛm ( arrhythmia ) . Na da tɛm de dɛn kin yuz EP stɔdi fɔ no wetin na di prɔblɛm ɛn usay di prɔblɛm de.

Dɔktɔ dɛn kin yuz kadyak kateta (we rili tan, smɔl tiub) ɛn kɔmpyuta fɔ du dis. Dɛn kin put dɛn tiub ya insay yu at ɛn mɛzhɔ di ilɛktrik wok we yu at de du frɔm de. I tan lɛk EKG , bɔt dɛn sɛns ya, we dɛn put insay yu at, kin gi bɔku mɔ ditayli ɛn kɔrɛkt infɔmeshɔn pas di sɛns we dɛn put na do na yu chɛst.

Tink bɔt am lɛk bɔs we de go na di rod we i de go ɔltɛm, di rayt tɛm, ɛn we de ɔganayz. Bɔt we yu at bit we nɔ de bit ɔltɛm (ari at) tan lɛk bɔs we nɔ de go na in rɛgyula rod, sɔntɛm i bigin na di rɔng ples, i skip wan stɔp, ɔ i nɔ de go di wan ol rod. Ɔ i kin go rili fast, ɔ i kin go rili slo. Na dɛn kayn sayn dɛn de we nɔ de chenj we dɔktɔ dɛn nid fɔ luk fɔ. Na da tɛm de nɔmɔ dɛn go disayd if dis sik denja ɛn aw fɔ trit am.

Aw yu kin no dis ilɛktrik at aktiviti?

Di lab we dɛn de du dis `(EP Study)` tan lɛk ditektiv in ɔfis. di spεshal dכkta we de du dis na `( Electrophysiologist )` we sabi di hat ritm patεn dεm gud gud wan. i kin no aw difrεn pat dεm na di at de wok frכm di difrεn wev pat dεm pan wan `(EKG)` tep.

Dɛn dɔktɔ ya dɔn stɔdi bɔt EKG wev, aw dɛn fɔ luk nɔmal wan, ɛn wetin i min if wev luk difrɛn. Dɛn kin pe atɛnshɔn gud wan to usay di at bit we nɔ de ɔltɛm bigin ɛn dɔn pan EKG.

Dɔn, dɛn kin tink se, "Okay, dis na wetin i kin bi." Dɔn dɛn kin tɛst am na di EP Lab. SɔmDɛn kin gi drɔgs (lɛk Adenosine, Isoproterenol) fɔ mek di at spid ɛn slo , ɛn afta dat dɛn kin wach aw di at in ilɛktrik aktiviti kin chenj da tɛm de. Dɛn kin du dis akɔdin to wan patikyula plan, nɔto jɔs fɔ gɛs. Frɔm di tin dɛn we dɛn dɔn gɛda, dɛn kin tink bɔt bɔku tin dɛn we kin mek dɛn gɛt di prɔblɛm, dɔn dɛn kin du tɛst te dɛn no ustɛm na di prɔblɛm .

Wetin mek yu de du dis EP stɔdi?

Wan EP stɔdi kin tɛl yu dɔktɔ bɔku tin bɔt yu at bit we nɔ de bit ɔltɛm . Fɔ ɛgzampul:

• Us kayn at ritm disɔda (arrhythmia) yu gɛt?
• Wetin na di rizin fɔ dis irɛgyulariti?
• Jɔs usay na di at dis prɔblɛm kin bigin?
• Wetin na di rizin we mek bɔku tɛm yu kin fil lɛk yu ed ɛn yu kin gɛt prɔblɛm fɔ drim ?
• Disid wetin na di bɛst tritmɛnt fɔ dis.
• Chek if di mɛrɛsin we yu de tek naw de wok fayn .
• Fɛn ɔut if yu de pan denja fɔ mek yu at day wantɛm wantɛm .

Dɔktɔ kin disayd fɔ du EP Stɔdi we dɛn nɔ ebul fɔ gɛt bɛtɛ infɔmeshɔn frɔm tɛst dɛn lɛk ECG, Holter monita (wan tin we de wach di at ritm we yu de na bed fɔ lɛk wan ɔ tu dez), wan ivin rikoda , wan strɛs tɛst (we de wach di at we yu de du ɛksɛsayz), wan echocardiogram (wan ɔltra saund skan fɔ di at), ɔ wan angiogram (we de wach di at dɛn na di at).

Sɔntɛnde, i kin dipen pan yu kɔndishɔn ɛn di infɔmeshɔn we yu gɛt frɔm di EP Stɔdi, dɛn kin du wan tritmɛnt we dɛn kɔl Catheter Ablation di sem tɛm . dis min se sכm sכm εria dεm na di at we de mek ilektrikal signal dεm we nכ de rεgulεr de dεaktiv tru wan kateshכn (tyub) we dεn put insay di at.

Aw yu fɔ pripia fɔ EP stɔdi?

Sɔm smɔl smɔl tin dɛn de we yu fɔ pripia bifo dis tɛst. Nɔ wɔri, dɛn tin ya na nɔmal tin.

• Arenj fɔ mek sɔmbɔdi go wit yu fɔ go ɛn kam bak na ɔspitul. Yu nɔ go ebul fɔ drayv fɔ 24 awa afta di tɛst.
• If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis tɛst, duya tɔk bɔt am wit di dɔktɔ.
• Tɛl wi if yu gɛt alɛji fɔ lɛtɛks ɔ yu bin dɔn gɛt prɔblɛm wit anestezi bifo .
• Klos we fayn fɔ wɛrKam we yu drɛs.
• Rimov ɔl di mek-ap ɛn nel polish bifo yu kam na ɔspitul.
• Lɛf ɔl di valyu jɔyri lɛk ring, nɛks, ɛn wach na os. Bring yu glas ɛn tin fɔ ɛp yu fɔ yɛri, if yu gɛt am.

Lɛ wi tek tɛm luk bak pan mɛrɛsin ɛn it:

• Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɛn gi yu, we yu nɔ de bay, ɛbul, vaytamɛn) .
• Briŋ yu mɛrɛsin we go du fɔ wan de. Bɔt nɔ tek am te yu dɔn tɔk to yu dɔktɔ.
• Aks yu dɔktɔ us mɛrɛsin yu fɔ tek bifo di tɛst, us mɛrɛsin yu fɔ stɔp, ustɛm fɔ stɔp, ɛn ustɛm fɔ bigin bak . Nɔ stɔp ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.
• If yu gɛt dayabitis, aks aw yu fɔ ajɔst yu dayabitis mɛrɛsin .
• It nɔmal wan di nɛt bifo di tɛst.
• Nɔ it, drink, ɔ chew ɛnitin afta midnayt di nɛt bifo di tɛst. Nɔto ivin chewing gam, mint, ɔ wata. Dis rili impɔtant fɔ mek yu sef.
• If yu fɔ tek mɛrɛsin, tek am wit jɔs wan ɔ tu sip wata.
• Nɔ swɛla wata we yu de brus yu tit.

Wetin fɔ ɛkspɛkt di de fɔ di EP stɔdi?

Dɛn go du yu tɛst na wan spɛshal rum we dɛn kɔl Ilɛktrophysiology Lab (EP Lab) ɔ Catheterization Lab .

Afta dɛn dɔn le yu na bed, di dɔktɔ ɛn di tim we de de go du dɛn tin ya:

• Dɛn go put wan intravenɔs (IV) layn (we fiba salin layn) na yu an ɔ yu an. Dis na di say we dɛn go gi yu mɛrɛsin ɛn wata we dɛn de du di tɛst.
• If nid de, dɛn go sheb yu armpit, yu an, ɔ yu nɛk ɛn klin am wit sɔlvushɔn we de kil di sik.
• Dɛn go kɔba yu frɔm yu nɛk to yu fut wit klos we nɔ gɛt stɛriyl.
• Fɔ mek yu an dɛn nɔ tɔch di say dɛn we dɛn dɔn kil di sik, dɛn kin put bɛlt rawnd yu wes ɛn es yu an dɛn ɔp.

Wetin kin apin we dɛn de du di EP stɔdi?

Naw na di tɛm we impɔtant pas ɔl. Na dɛn tin ya di dɔktɔ go du:

• Yu groin, nek, ɔ an (we dɛn put di kateshɔn) go numb wit spɛshal mɛrɛsin.
• Dɔn, dɛn kin put sɔm pan dɛn kateshɔn ya (tin tiub dɛn) insay wan big vein na yu groin, nɛk, ɔ yu an.
• we yu yuz `Fluoroscopy` (dis lεk `X-ray` vidio) εn `Ultrasound` mashin, dεn kateshכn ya de gayd prεsis insay yu at, insay in chεmba dεm. Dɛn kin yuz dɛn kateshɔn ya fɔ no ɛn rayt di ilɛktrik wok we di at de du. dis de mek yu ebul fכ כndastand di `Kכndukshכn Sistem`, di sistεm we ilektrikal signal dεm de travul tru na yu at.
• Tru wan kateshɔn, .Wan tin we dɛn kɔl pesmɛka kin sɛn smɔl smɔl ilɛktrik signal dɛn fɔ mek yu at bit kwik kwik wan. Dis tɛm ya, yu kin fil se yu at de bit kwik kwik wan.
• dipכnt pan yu kכndishכn, if fכlt kכnεkshכn dεm de we de mek ilektrikal signal dεm we nכ de rεgulεr, dεn kin dεaktiv dεm yuz wan prosidכs we dεn kכl `Catheter Ablation` .

Di tin we impɔtant pas ɔl na dat if yu fil ɛnitin we nɔ fayn ɔ we strenj we yu de du di EP Stɔdi, tɛl di dɔktɔ ɔ nɔs we de de.

If yu gɛt at bit we nɔ de bit ɔltɛm, yu dɔktɔ go gi yu mɛrɛsin tru yu IV fɔ si aw dɛn de kɔntrol am fayn fayn wan. If nid de, dɛn kin gi yu smɔl ilɛktrik impuls bak tru wan pat na yu chɛst fɔ ɛp fɔ mek yu at ritm bak.

Insay dis ɛgzam, yu mɛdikal tim go yuz difrɛn inschrumɛnt dɛn:

• Fluoroscopy: Na big X-ray mashin we de ɔp yu. Dis kin mek di dɔktɔ kɔntinyu fɔ si di kateshɔn insay yu at pan ɛkstrem rayt skrin.
• `Defibrillator / Pacemaker / Cardioverter`: Dis kin kכnekt to wan pat na yu bak εn wan pat na yu chεst. I kin gi ilɛktrik puls fɔ mek di at bit sloslo ɔ fɔ stɔp wan denja ritm.
• Ilɛktrokardiogram (EKG): Dis kin kɔnɛkt to sɔm stika pat dɛn na yu chɛst, ɛn bak to kateshɔn dɛn we de insay yu at. I de mek pikchɔ bɔt di ilɛktrik signal dɛn we de pas na yu at.
• Intracardiac Echocardiogram: Dis na smɔl ɔltra saund. I de ɛp fɔ gayd di kateshɔn kɔrɛkt wan we dɛn de du di tɛst.
• Blɔd Prɛshɔn Monitɔ: Dɛn kin tay dis pan wan kɔf na yu an ɛn de wach yu blɔd prɛshɔn ɔl di tɛm we dɛn de du di tɛst.
• Oximeter Monitor: Dis na smɔl klip we yu kin put pan yu finga. I de mɛzhɔ di lɛvɛl we ɔksijɛn de na yu blɔd.

Wetin fɔ ɛkspɛkt afta di tɛst?

Afta di EP Stɔdi dɔn, di dɔktɔ go pul di kateshɔn na yu groin, an, ɔ nɛk ɛn put prɛshɔn pan di say fɔ shɔt tɛm fɔ stɔp di blɔd. Dɔn:

• Yu go nid fɔ de na bed fɔ lɛk wan to 4 awa so . If dɛn bin put di kateshɔn tru di groin, yu fɔ kip yu leg stret as yu ebul ɛn yu nɔ fɔ muv am.
• Dipen pan di fɔs rizɔlt fɔ yu tɛst, yu kin nid fɔ de na ɔspitul if nid de .
• Dɛn kin put smɔl stɛriyl bandej (dresin) oba di kateshɔn. Dɛn kin pul am di nɛks de. Bɔku tɛm, dɛn nɔ kin nid fɔ stich.
• Di say we yu wund fɔ klin ɛn dray .
• Afta di tɛst, yu kin it ɛn tek mɛrɛsin.
• Yu kin bigin fɔ du yu nɔmal tin dɛn bak di de afta di tɛst.Bɔt yu go gɛt fɔ stɔp tin dɛn lɛk fɔ es wet fɔ lɛk wan wik so.

Ɛni risk de we dis kin apin?

EP stכdi na jεnarali wan tεst we rili sef. Bɔt lɛk ɛni ɔda mɛrɛsin, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Dɛn tin ya na:

• Infεkshכn כ bכdi de bכn na di say we dεn put di kateshכn.
• Di at we nɔ de bit ɔltɛm (Aritmia) .
• Blɔd klɔt kin fɔm na di kateshɔn ɛn i kin stɔp na wan blɔd vesel.
• Injury to blɔd vesel, at valv, ɔ at chɛmba.
• Wan at atak we pɔsin kin gɛt.
• Strok.

Bɔt nɔ wɔri, yu dɔktɔ dɛn de du dis EP Stɔdi na say we dɛn kin kɔntrol fayn fayn wan. Ɛn dɛn de tek spɛshal step fɔ mek yu nɔ gɛt bɔku prɔblɛm dɛn. If yu gɛt ɛni kwɛstyɔn bɔt di prɔblɛm ɛn bɛnifit dɛn we dis tɛst gɛt, tɔk to yu dɔktɔ.

Wetin na di bɛnifit dɛn we EP stɔdi kin gɛt?

Yu kin gɛt dɛn bɛnifit ya frɔm wan `(EP Study)`:

• Yu go gɛt ansa to yu kwɛstyɔn dɛn bɔt wetin nɔ fayn wit yu at ritm.
• Sɔntɛm if dɛn kin sɔlv di prɔblɛm wit ``Catheter Ablation'', wi kin fri frɔm fɔ kɔntinyu fɔ tek sɔm mɛrɛsin dɛn.
• Yu kwaliti layf go bɛtɛ.
• Fɔ sɔm at ritm dizayd, fɔ trit dɛm wit ``Catheter Ablation'' kin bi wan opshɔn we nɔ dia pas ``Arrhythmia'' ɔpreshɔn.

Wan EP stɔdi kin jɔs sef. Di risk fɔ day pan dis kin rili smɔl, na lɛk 1 pan ɛvri 5,000 pipul dɛn.

Aw a go gɛt di rizɔlt? Wetin a go du nɛks?

Afta di tɛst, di dɔktɔ go tɛl yu di fɔs rizɔlt . Bay dɛn rizɔlt dɛn de, dɛn go disayd if yu go ebul fɔ go na os ɔ if yu nid fɔ de na ɔspitul. Di dɔktɔ kin aks yu fɔ kam bak difrɛn de fɔ tɔk mɔ bɔt di rizɔlt fɔ di EP Stɔdi ɛn yu tritmɛnt mɔ.

If di rizɔlt sho ɛnitin we nɔ kɔmɔn, yu dɔktɔ kin ebul fɔ trit am wantɛm wantɛm wit ``Catheter Ablation''. If nɔto so, dɛn kin nid fɔ plan ɔda tritmɛnt ɔ gi yu mɛrɛsin. Sɔm pipul kin nid ɔda tritmɛnt, lɛk ``Pacemaker' ', ivin afta dɛn dɔn du ``Catheter Ablation''.

Us tɛm yu nid fɔ go to dɔktɔ?

We yu go na os afta di tɛst, yu fɔ rili kɔl yu dɔktɔ if yu gɛt ɛni wan pan dɛn sayn ya:

• If di say we di kateshɔn de rɛd, i swel, ɔ i gɛt ɛni wata we de kɔmɔt insay.
• If yu gɛt numbness ɔ ɛni strenj sɛns na di an ɔ leg usay dɛn put di kateshɔn.
• Na di an ɔ leg usay dɛn put di kateshɔnIf yu finga dɛn kol, yu nɔ de fil fayn, ɔ chenj dɛn kɔlɔ.
• If yu go de vɔmit.
• If yu gɛt pen na yu chɛst .

Kɔl 1990 fɔ imejensi tritmɛnt, ɔ go na di ɔspitul we de nia yu, if yu gɛt ɛni wan pan dɛn tin ya:

• If di blɔd nɔ stɔp ivin afta yu dɔn prɛs ɛn ol di say we di kateshɔn de.
• If di swɛlin we de rawnd di wund go bɔku wantɛm wantɛm.

Sɔm ɔda kwɛstyɔn dɛn fɔ yu.

Wi de wek we wi de du di EP stɔdi?

Yɛs. Dɛn de gi yu mɛrɛsin tru IV fɔ mek yu kol ɛn mek yu fil slip smɔl. Bɔt yu nɔ de slip ɔl.

Aw lɔŋ EP stɔdi kin tek?

Bɔku tɛm i kin tek lɛk wan to 4 awa so .

Di EP stɔdi de mek pɔsin fil pen?

Dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn so yu nɔ fɔ fil ɛni pen. Bɔt yu kin fil lɛk se yu de pinch smɔl na di skin usay dɛn put di kateshɔn.

Di tin dɛn we impɔtant pas ɔl fɔ mek yu mɛmba

We dɛn aks yu fɔ du EP stɔdi, i kin tan lɛk se na big tin pas ɛni ɔda at tɛst we yu dɔn du bifo. Bɔt yu dɔktɔ de ɔda am fɔ wan rizin. I de du am fɔ no di rayt tin we de apin na yu at ɛn fɔ ɛp yu . EP stכdi involv fכ put instrכmεnt dεm na yu at, bכ t na sef tεst. I de gi yu dɔktɔ di infɔmeshɔn we i nid fɔ trit yu at bit we nɔ de bit ɔltɛm.

Mɛmba se di mɛdikal tim go du dɛn bɛst fɔ mek yu fil fayn we dɛn de du di tɛst. Tɔk to dɛn bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dis go ɛp yu fɔ fil fri mɔ.

` At rit, EP stכdi, hat sik, kateta, kadyak ilektrikal aktiviti, aritmia, hat tεst