Lɛ wi tɔk bɔt wan Cardiac Event Monitor, we de ɛp yu fɔ no yu at ritm!

Sɔntɛnde yu kin fil tin dɛn lɛk we yu chɛst de flɔt, yu nɔ de blo smɔl, ɔ yu de fɔdɔm? Bɔt we yu go to dɔktɔ, dɛn sayn dɛn de we kin mek yu vɛks nɔ de igen wantɛm wantɛm. Dɔn ivin di dɔktɔ nɔ kin ebul fɔ no wetin rili de apin. Na da tɛm de dis smɔl tin we dɛn kɔl Heart Monitor , ɔ Cardiac Event Monitor, kin kam fayn. Lɛ wi tɔk bɔt am smɔl mɔ tide, nɔto so? Wetin na am, aw i de wok, ɛn us bɛnifit i go gi yu?

Wetin na At Monitor?

Fɔ tɔk am simpul wan, at monita na smɔl ilɛktronik tin we kin rayt yu at rit ɛn yu at ritm . I kin gɛda infɔmeshɔn bɔt aw yu at de du we yu wɛr am ɔ kip am wit yu. Dɔn yu dɔktɔ kin yuz dis infɔmeshɔn fɔ no if ɛnitin de we nɔ fayn na yu at.

Dis tan lɛk ECG (Electrocardiogram) tɛst, bɔt i nɔ big lɛk ECG mashin. Dis monita rili smɔl, i smɔl pas wan dɛk we gɛt kad. Ɛn bikɔs i de wok wit batri, yu kin yuz am fɔ lɛk wan mɔnt so. Dis kin fayn fɔ no di at ritm dɛm we nɔrmal (arrhythmias) we kin apin wan wan tɛm, pas ɛvride.

Us kayn at monita dɛn de?

Difrɛn kayn tin dɛn de we dɛn kin yuz fɔ wach di at. Yu dɔktɔ go ɛp yu fɔ pik di rayt wan fɔ yu. Lɛ wi luk sɔm pan di men kayn dɛn:

• Patch recorder: Dɛn kin yuz dis fɔ wach aw di at de wok fɔ lɛk tu wiks wan tɛm. I gɛt ɔltin na wan pat. I kin stɔp na di skin na di chɛst.
• Simptom event monitor: Dis involv fɔ ataya wan siriɔs sɛns to di skin na yu chɛst. Yu kin on di divays we yu bigin fɔ gɛt dɛn prɔblɛm dɛn de (e.g., chɛst pen, fɔdɔm).
• Lup mɛmori monita: Dis gɛt sɛns bak we dɛn tay pan yu bɔdi. Dis kin on bak we yu gɛt sɔm sayn dɛn. Bɔt sɔntin spɛshal de bɔt dis wan. I kin rεkכd nכto כnli we di sik de sho, bכt i kin rεkכd wan כ tu minit bifo dεn sho, εn wan כ tu minit afta di sεmtin dεm dכn sכmtεm. Dat min se di ilɛktrik wok we yu at de du, we na di sem tin lɛk ECG , dɛn kin rayt am da tɛm de.
• Implanted loop recorders: Dis na difrɛn kayn we smɔl. Dɛn kin put am ɔnda di skin, so dɛn kin yuz am fɔ sɔm ia.

Ustɛm dɛn kin yuz at monita?

Yu dɔktɔ kin se yu fɔ yuz monita lɛk dis if yu sik nɔ de kam bak. Fɔ ɛgzampul, if yu jɔs gɛt dɛn wan tɛm insay di wik ɔ wan tɛm insay di mɔnt.

Tink bɔt dis we: Yu motoka kin mek wan strenj nɔys sɔntɛnde, bɔt we yu kɛr am go na garaj, di nɔys nɔ de igen. Natin nɔ de fɔ sho di mɛkanik. I tan lɛk we yu go to dɔktɔ ɛn da abnɔmal at ritm de kin dɔn da tɛm de.

So, e kin rili ɛp fɔ gɛt divays we go ebul fɔ rikodɔ yu at ritm rayt we yu gɛt sɔm sayn dɛn. Di dɔktɔ kin luk dɛn rikodin dɛn de ɛn no di rayt tin we nɔ rayt.

Dɔktɔ, di infɔmeshɔn frɔm dis at monita kin yuse pan situeshɔn lɛk:

• If yu bin fɔdɔm , yu chɛst de pen, ɔ yu fil se yu ed de tɔn.
• If yu gɛt palpitations , dat min se yu chɛst de bit lawd wan, ɛn yu de fil lɛk se dɛn de bit am.
• If yu dɔn gɛt at atak ɔ strok bifo.
• If yu want fɔ no if yu at de gɛt inof ɔksijɛn.
• If yu want fɔ chɛk if yu at mɛrɛsin de wok fayn.
• Ɛstimat aw ɔltɛm yu at kin go insay wan abnɔmal ritm.
• If yu gɛt pesmɛka ɔ ICD (Implantable Cardioverter Defibrillator) , chɛk fɔ si if i de wok fayn.
• If yu de pan denja fɔ gɛt abnɔmal at ritm, ɔ aritmia .

Wetin yu kin fɛn wit hat monita?

Dis kadyak ivent monita kin ɛp yu dɔktɔ fɔ fɛn ansa to kwɛstyɔn dɛn lɛk:

• Yu at ritm de stedi ɔ i nɔ de rit ɔltɛm?
• Aw strɔng di ilɛktrik signal dɛn we de na yu at gɛt?
• Yu tink se di tɛm we yu at de yuz ilɛktrik signal na nɔmal tin?
• Aw fast yu at de bit?

Aw wan hat monita de wok?

Okay, naw lɛ wi si aw dis smɔl mashin de wok:

1. Sεns dεm we de atak yu chεst de mכsu yu at rεt.

2. dεn sεns dεm ya kin sεnd infכmeshכn bכt yu at ritm to yu kadyak monita, i kin bi tru waya כ wayales.

3. Yu hat monita de rεkכd dεn hat ritm dεm ya.

4. Yu nid fɔ sɛn dis infɔmeshɔn to di dɔktɔ. We dɛn de fɔ du dis, ilɛksɛf na fon ɔ kɔmpyuta.

5. Di dɔktɔ go rivyu di data we yu sɛn ɛn chɛk fɔ ɛni abnɔmal at ritm.

6. Sɔntɛnde, if di dɔktɔ si wan saspek aritmia, i kin kɔl yu ɛn aks yu bɔt di sik dɛn we yu gɛt naw. Ɔ i kin aks yu fɔ kam insay fɔ mek dɛn chɛk yu.

Wetin yu fɔ ɛkspɛkt bifo yu yuz hat monita?

If dɛn gi yu wan hat monita we tay pan yu skin, di dɔktɔ ɔ nɔs go du dɛn tin ya:

• If ia de na di chɛst usay di sɛns go tay, dɛn go sheb am .
• Klin ɛn pripia yu skin fayn fayn wan. If yu skin gɛt ɔyl ɔ swet, dɛn stika strip dɛn de nɔ go stik fayn.
• sεvεra sεns dεm de na di skin na di chεst wit adhesive plastic tep dεm. Di tin we impɔtant pas ɔl na dat if yu gɛt alɛji fɔ di adeziv we de na dɛn tep ya, yu fɔ tɛl yu dɔktɔ bifo tɛm.
• Dɛn go gi yu wan sɛt fɔ sɛns fɔ yuz, ɛn yu go nid fɔ chenj dɛn wit nyu wan dɛn. Di dɔktɔ go tɛl yu ɔmɔs tɛm fɔ chenj dɛn, usay fɔ stik dɛn, ɛn aw fɔ was wit di divays.

Sɔm hat rit monita nɔ nid fɔ wɛr sɛns na yu chɛst. Yu kin wɛr di monita na yu an ɔ ol am na yu chɛst.

Wetin fɔ ɛkspɛkt we dɛn de du at monita tɛst?

Yu nid fɔ wɛr ɔ kɛr divays we de gɛt infɔmeshɔn frɔm sɛns dɛn we de insay yu bɔdi. Dipen pan di kayn kadyak ivent rεkɔda we i bi, yu kin nid fɔ kɛr am na yu an, pɔkit, ɔ wɛr am na yu an.

Sɔm hat monita dɛn kin mek yu push wan bɔtin we yu gɛt sɔm sayn dɛn fɔ rikodɔ yu at ritm. Ɔda wan dɛn kin bigin fɔ rɛkɔd ɔtomɛtik wan we dɛn no se di at ritm nɔ fayn.

Na wan tin we rili impɔtant: Dis monita nɔ de protɛkt yu, bikɔs i nɔ kin gi yu rial-taym monitarin. Di rizulyt kin de afta sɔm wiks. So if yu rili wɔri bɔt yu sik dɛn, duya go na imejensi rum wantɛm wantɛm.

Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Yu dɔktɔ go tɛl yu fɔ du ɛksɛsayz, ɛn yu kin want fɔ si wetin yu at monita de sho. If nɔto dat, du wetin yu kin du. E fayn fɔ kip rεkɔd fɔ wetin yu de du ɛn us sayn dɛm wae yu kin gɛt wae yu de aktif. Dɔn bak, rayt ustɛm yu de tek yu at mɛrɛsin.

Tin dɛm we kin ambɔg di kɔmyunikeshɔn bitwin di sɛns ɛn di monita

Kip yu monita na say we sef frɔm dɛn tin ya, ɔ yu kin gɛt fɔ stɔp fɔ yuz dɛn:

• Ilɛktrik blankit, ilɛktrik tut brɔsh ɛn reza.
• Magnet dɛn we dɛn kin yuz.
• Mobayl fon dɛn.
• Pɔtabl myuzik (MP3) pleya dɛn.
• Maykrowev ɔvin dɛn.
• Kɔmpyuta tablɛt dɛn.
• Di tin dɛn we dɛn kin yuz fɔ no bɔt mɛtal.
• Ples dɛn we gɛt ay vɔlɔt.

Di ilɛktromagnetik wev dɛn we dɛn wan ya de pul kin ambɔg di wok we di monita de du. So tek tɛm wit dis bak.

Wetin fɔ ɛkspɛkt afta yu dɔn du at monita tɛst?

We yu dɔktɔ dɔn gɛt ɔl di infɔmeshɔn we dɛn nid frɔm di kadyak monita, yu go nid fɔ gi am bak. If yu bin gɛt divays we yu kin put insay pɔsin in bɔdi, yu dɔktɔ go pul am ɛn put am bak insay.If yu bin gɛt patch divays, yu go nid fɔ sɛn am bak bay post we yu dɔn fɔ yuz am.

Wetin na di risk dɛm we yu kin yuz fɔ wach yu at?

• Di adeziv we de na di sɛns pat dɛn kin mek yu skin vɛks smɔl , bɔt dis kin go afta yu dɔn pul di pat dɛn.
• If na implanted cardiac event recorder, smɔl risk de fɔ smɔl pen ɔ infɛkshɔn bikɔs ɔf di smɔl ɔpreshɔn we involv fɔ put am ɔnda di skin.

Ɔda pas dat, no pen nɔ de we yu de yuz hat monita. Yu go jɔs fil sɔm sɛns dɛn we dɔn stɔp na yu skin. Natin nɔ de fɔ wɔri bɔt.

Aw di tin dɛn we kin apin kin tan lɛk? Wetin dɛn min?

If yu dɔktɔ nɔ si ɛni big chenj na yu at ritm, dɛn kin tek yu rizɔlt as nɔmal.

Bɔt if yu kadyak ivent monita rizulyt sho abnɔmal at ritm, yu kin gɛt aritmi lɛk dis:

• At blɔk: Ilɛktrik signal dɛn na di at nɔ de travul fayn.
• Difrɛn kayn tachycardia (hat bit kwik kwik wan), we kin bi supraventricular ɔ ventricular .
• Bradycardia (di at rit we de slow slow).
• atrial fibrilashכn: di כp chεmba dεm na di at (atria) de bit igen εn kwik kwik wan.
• Atrial flutter: di כp chεmba dεm na di at de bit kwik kwik wan, bכt insay wan patikyula patεn.

Dɛn nem ya kin bi nyu tin to yu, bɔt di dɔktɔ go ɛksplen dɛn to yu.

Aw lɔŋ i kin tek fɔ gɛt di rizɔlt fɔ di hat monita tɛst?

Dipen pan di kayn kadyak ivent rεkɔda we yu de yuz, i kin tek ɛnisay frɔm sɔm dez to sɔm wiks fɔ gɛt di rizɔlt. Aks yu dɔktɔ ustɛm yu go ebul fɔ ɛkspɛkt di rizɔlt.

If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?

If yu kadyak monita rizulyt nɔrmal, yu dɔktɔ kin disayd fɔ du mɔ tɛst ɔr bigin tritmɛnt wantɛm wantɛm. Dis go ɛp yu fɔ fɛn sɔlv fɔ yu prɔblɛm kwik kwik wan.

Ustɛm a fɔ kɔl di dɔktɔ?

• If yu gɛt ɛni kwɛstyɔn bɔt aw fɔ yuz yu at monita, ɔ if ɛnitin nɔ klia bɔt di instrɔkshɔn dɛn we yu dɔktɔ dɔn gi yu, mek shɔ se yu tɔk to yu dɔktɔ.
• If yu fil lɛk se yu gɛt at atak, kɔl 1990 (Sri Lanka in imejensi ambulans savis) wantɛm wantɛm. If yu gɛt sɔm sayn dɛm lɛk bad bad pen na yu chɛst, i nɔ izi fɔ blo, ɔ pen we de rayt dɔŋ yu lɛft an, nɔ delay.

Wetin na di difrɛns bitwin kadyak ivent monita ɛn Holter monita?

If yu gɛt sɔm sayn dɛn ɔltɛm, yu dɔktɔ kin tɛl yu fɔ wɛr Holter monita . Dis na at mכnitor bak, bכt i de rεkכd yu at ritm kכntinyu fכ 24 כ 48 awa.

If di dɔktɔ gɛt inof infɔmeshɔn frɔm di Holter monita fɔ no yu kɔndishɔn kɔrɛkt wan, den yu nɔ go nid fɔ yuz kadyak ivent monita.

Bɔt if di dɔktɔ nɔ gɛt inof infɔmeshɔn fɔ no di sik kɔrɛkt wan ivin afta yu dɔn yuz di Holter monita, den yu kin nid fɔ yuz kadyak ivent monita.

Udat kin gi yu wan at monita?

Yu dɔktɔ we de mɛn yu at , we na dɔktɔ we spɛshal pan at sik, go se yu fɔ yuz wan tin we de wach aw yu at pwɛl. I go yuz di infɔmeshɔn we i gɛda fɔ mek pɔsin no if i gɛt di sik.

I siriɔs if a fɔ wɛr hat monita?

Yɛs, sɔntɛnde dis kin bi siriɔs sik. If dɔktɔ tɛl yu fɔ wɛr tin fɔ wach yu at, bɔku tɛm i de tray fɔ no wetin de mek yu gɛt di sik lɛk we yu de fɔdɔm. Sɔm at ritm dɛm wae nɔr fayn kin denja pas ɔda wan dɛm. Bɔt yu dɔktɔ we de mɛn yu at nɔ go ebul fɔ tɛl yu ustɛm yu gɛt te i luk di rizɔlt fɔ yu at monita.

Pan ɔl we fɔ wɛr kadyak ivent monita kin tan lɛk smɔl prɔblɛm, i fayn bikɔs i kin ɛp yu fɔ gɛt lɔng tɛm rilif frɔm yu sik dɛn. If yu de fil les smɔl fɔ wɛr dis at monita, mɛmba se i de gi yu dɔktɔ di infɔmeshɔn we dɛn nid fɔ no yu sik. Na da tɛm de nɔmɔ dɛn go ebul fɔ gi yu di tritmɛnt we yu nid.

Tin dɛn fɔ mɛmba frɔm dis atikul (Take-Home Message)

So, dis kadyak ivent monita wae wi bin tok bɔt tide na wan rili impɔtant divays wae de ɛp fɔ no prɔblɛm wit yu at.

• Dis kin no di chenj dεm we de apin na di at ritm we nɔr de si klia wan ɛn we at fɔ no.
• Dis na big ɛp fɔ di dɔktɔ fɔ ɔndastand di rayt tin we kin mek yu gɛt di sik ɛn gi yu di tritmɛnt we fit pas ɔl.
• No big risk nɔ de fɔ yuz dis, pan ɔl we sɔm smɔl smɔl prɔblɛm dɛn de, di bɛnifit dɛn pas dɛn fa fawe.
• I rili impɔtant fɔ yuz dis divays jɔs lɛk aw yu dɔktɔ tɛl yu ɛn fɔ kip trak fɔ yu sik dɛn.

If yu dɔktɔ advays yu fɔ yuz monita lɛk dis, nɔ fred am. Tink bɔt am as big ɛp fɔ yu wɛlbɔdi. If yu gɛt ɛni kwɛstyɔn, aks yu dɔktɔ. A de wish yu fɔ wɛl kwik kwik wan!

` At Monitor, Kadyak Ivint Monitor, Hatbit, At Ritm, Aritmia, EKG, Holter Monitor, At Sik, Palpitashɔn, At Monitɔ, Kadyak Ivint Monitor, Aritmia