Prɔblɛm de wit yu at ritm? Dɔn go to wan Ilɛktrofisiɔlɔjis!

Sɔntɛnde yu kin fil lɛk se yu at de bit difrɛn we ɔ difrɛn we? Dɛn tin ya kin apin bikɔs di ilɛktrik sistɛm na di at kin chenj. Na da tɛm de wi nid fɔ go to dɔktɔ we de stɔdi bɔt ilɛktrɔfisiɔlɔji , we na dɔktɔ we spɛshal pan di ilɛktrik wok we de na di at. Wi go tɔk mɔ bɔt dis?

So udat na dis (Electrophysiologist)? Wetin i de du?

Fɔ tɔk am simpul wan, ``Ilektrophysiologist`` na kadyolɔjis we gɛt dip ɔndastandin fɔ di ``ilɛktrikal sistɛm`` na yu at. Yu no, wi at de bit ɛn pɔmp blɔd ɔlsay na di bɔdi bikɔs ɔf dis ilɛktrik sistɛm. I tan lɛk di ``kɔrɛnt`` we de na os. di hat de wok fayn fayn wan nכmכ we dεn ilektrikal signal dεm ``ilεktrik signal dεm`` de travul tru di at insay wan fayn, כda we.

Bɔt sɔntɛnde if prɔblɛm de wit dɛn ilɛktrik signal ya, lɛk we yu at nɔ de bit ɔltɛm (arrhythmia) , yu go nid fɔ go to dɔktɔ we de mɛn ilɛktrɔfisiɔlɔji. Dɔn i kin no di rayt tin we de apin na yu at ɛn trit am. Dɛn kɔl spɛshal dɔktɔ dɛn we de trit prɔblɛm wit di at ritm pan yɔŋ pikin dɛn, lɛk bebi ɛn smɔl pikin dɛn, pikin dɛn ilɛktrɔfisiɔlɔjis.

So, wetin dis `(Electrophysiologist)` dכkta de du mεntal wan na fכ no εn trit prכblεm wit di `(kכndukshכn sistεm)` na yu at. Dat min se, i de luk fɔ rizin dɛn we mek yu at nɔ de bit ɔltɛm, wetin mek di ilɛktrik signal dɛn na yu at nɔ de travul along di nɔmal rod. Sɔm kayn `(Arrhythmia)` de, we nɔr kin rili denja, na jɔs smɔl anɔyntmɛnt. Bɔt sɔm pan dɛn kin mek pɔsin in layf de pan denja . wan `(Cardiac Electrophysiologist)` kin no di difrεns bitwin dεn tu ya.

Dɛn go no wetin de mek yu gɛt ilɛktrik prɔblɛm ɛn usay i de bigin. We dɛn dɔn no di rayt rizin, dɛn kin trit am. fכ egzampl, wit tritmεnt lεk `(Catheter Ablation)`, di tritmεnt de mכr dan 90% saksesful . Bikɔs ɔf dis, `(Electrophysiologist)` dɔktɔ dɛn dɔn ebul fɔ mek bɔku pipul dɛn we dɛn de trit gɛt bɛtɛ layf.

Wetin na di difrɛns bitwin dɔktɔ we de mɛn at ɛn pɔsin we de mɛn ilɛktrɔfisiɔlɔji?

Dis na prɔblɛm bak we bɔku pipul dɛn gɛt. ``Ilektrophysiologist`` na spɛshal trenin kadyolɔjis . Jɛnɛral dɔktɔ we de mɛn di at kin trit difrɛn sik dɛn we kin apin na di at. bכt wan ``Ilektrophysiologist`` spεshal wan we sabi di at in ilektrikal sistεm, we de kכntro di ritm fכ yu at.Dis min se i dɔn go dip smɔl insay dis ilɛktronik sayd ɛn gɛt ɛkspɛriɛns.

Us kayn sik dɛn we pɔsin we de stɔdi bɔt ilɛktrɔfisiɔlɔji kin trit?

Wan dɔktɔ we de mɛn di at kin trit bɔku pan di at prɔblɛm dɛn we gɛt fɔ du wit di we aw di at de rit. Bɔrku pan dɛn kayn tin ya kin bi wae yu at nɔr kin bit ɔltɛm ɔr yu at kin bit kwik kwik wan . Sɔm tin kin denja pas ɔda wan dɛn. Na sɔm pan di at ritm kɔndishɔn dɛm:

• Atrial Fibrillation : pan dis kכndyushכn, i kin tan lεk se di כp chεmba dεm na di at (atria) de shek insted fכ bit fayn fayn wan.
• Atrial Flutter : Dis na bit bak we de bit kwik kwik wan we nɔ de apin ɔltɛm na di atria.
• Atrial Tachycardia : Na di at bit kwik kwik wan we de bigin na di atria.
• At Blɔk : Di at de bit rili fast bikɔs di ilɛktrik signal dɛn na di at nɔ de travul fayn.
• Wolff-Parkinson-White Syndrome : Dis na wan sik we di at gɛt ɛkstra ilɛktrik path, we kin mek di at bit fast fast.
• Ventricular fibrillation : Dis na wan sik we rili denja. di lכw chεmba dεm (sεl dεm) na di at de shek shek we dεn nכ de bit fayn. Dɛn nid fɔ gɛt tritmɛnt wantɛm wantɛm.
• Ventricular Tachycardia : Na di at bit kwik kwik wan we de stat na di ventricles. Dis kin denja bak.
• Supraventricular Tachycardia (SVT) : Na grup we de bit kwik kwik wan we de bigin oba di vεntrikl dεm.
• Premature Atrial Contractions (PACs) : Na ekstra, ali bit frɔm di atria.
• Prεmature Ventricular Contractions (PVCs) : Na εkstra, εli bit frכm di vεntrikul dεm.
• Sick Sinus Syndrome : I de wik di wok we di at in nεchכral pesmaker de du.
• Long QT Syndrome : Denja aritmi kin apin bikɔs di at in ilɛktrik sistɛm kin tek tu lɔŋ fɔ kam bak to nɔmal.

Fɔ us rizin dɛn de rifer mi to Ilɛktrofisiɔlɔjis?

If yu dɔktɔ tink se prɔblɛm de na yu at in ilɛktrik sistɛm, i kin sɛn yu to ilɛktrɔfisiɔlɔjis. Fɔ ɛgzampul, if yu at de bit fast pas aw i fɔ bit, ɔ i de bit kwik kwik wan, ɔ if i nɔ de bit ɔltɛm.Yu kin de si ``Cardiac Electrophysiologist''. Tink bɔt am, sɔntɛnde yu kin jɔs fil lɛk se yu chɛst de bit, ɔ yu kin fil lɛk yu ed de tɔn, ɔ yu kin fil lɛk se yu nɔ de no natin igen. Dɛn tin ya kin kam bak bikɔs yu gɛt prɔblɛm wit yu at ritm.

Us kayn tɛst dɛn we dɔktɔ we de stɔdi bɔt ilɛktrɔfisiɔlɔji kin du?

Wan dɔktɔ we de stɔdi bɔt ilɛktrɔfisiɔl kin du difrɛn tɛst dɛn fɔ ɛp fɔ no wetin mek yu gɛt prɔblɛm. Sɔm pan dɛn tɛst ya na fɔ rɛkɔd di ritm, ɛn ɔda wan dɛn na fɔ tek pikchɔ dɛn na di at. Bɔku pan dɛn tɛst ya nɔ kin ambɔg pɔsin . Sɔm kin nid fɔ put smɔl kanula (IV) insay wan vein na yu an. Sɔm pan dɛn tɛst ya na:

• ilektrofisioloji stכdi (EPS) : dis involv fכ pas tכn waya dεm (kateshכn) insay di at fכ kכl di ilektrikal aktiviti fכ di at.
• Tilt Table Test : Dɛn kin du dis fɔ si if yu fil fɔdɔm we yu tinap.
• Ilɛktrokardiogram (ECG/EKG) : Na simpul tɛst we de rayt di ilɛktrik wok we di at de du.
• Holter Monitor : Na smɔl tin we kin kɔntinyu fɔ rikodɔ yu at bit fɔ 24 ɔ 48 awa.
• Event Monitor : Na divays we de mek yu ebul fɔ rikodɔ we yu gɛt sɔm sayn dɛn. Dɛn fɔ yuz dis fɔ sɔm dez ɔ sɔm wiks.
• Transthoracic Echocardiogram (TTE) : Na ɔltra saund tɛst fɔ di at.
• Transesophageal Echocardiogram (TEE) : Dis na εko tεst bak, bכt insay dis tεst, dεn kin pas wan sכm sכm tכb tru di εsophagus fכ gεt klia imej dεm fכ di at.
• Computed Tomography (CT) Scan : CT skan kin mek yu gɛt ditayla pikchɔ dɛn bɔt di at.
• Hat MRI : Fɔ gɛt imej dɛn fɔ di at bay we yu de yuz Magnɛtik Rɛsɔnans Imej.

Ustɛm a fɔ go to dɔktɔ we de mɛn ilɛktrɔfisiɔlɔji?

I bɛtɛ fɔ go to Cardiac Electrophysiologist if yu gɛt dɛn sik ya:

• Shot we yu de blo
• Chɛst de pen
• At de bit - Dis min se yu kin fil yu chɛst de bit, sɔmtɛm i nɔ de bit ɔltɛm.

Imajin, ivin we yu jɔs tinap, yu de fil lɛk se yu gɛt prɔblɛm fɔ blo, yu chɛst de fil tayt, ɔ yu at bigin fɔ bit wantɛm wantɛm. Sɔntɛnde lɛk dɛn tɛm ya, yu fɔ rili go to dɔktɔ.

Bɔku prɔblɛm dɛn we gɛt fɔ du wit at ritm gɛt di sem kayn sayn dɛn, so di ɛkspɛriɛns we wan ilɛktrɔfysiɔlɔjis gɛt impɔtant fɔ no ustɛm yu gɛt di kayn at ritm we nɔ fayn.

Yu nid fɔ gɛt riferal fɔ go to ilɛktrɔfisiɔlɔjis?

I go mɔs bi se na yɛs. Yu kin nid fɔ gɛt riferal fɔ go to ilɛktrɔfisiɔlɔjis. Pan ɔl we yu inshɔrans kɔmni nɔ go nid fɔ rifer yu, yu famili dɔktɔ ɔ ɔda spɛshal pɔsin go rifer yu to ilɛktrɔfisiɔlɔjis if dɛn tink se yu gɛt prɔblɛm wit yu at ritm.

Wetin yu fɔ ɛkspɛkt we yu go to dɔktɔ we de mɛn ilɛktrɔfisiɔlɔji?

Fɔs, di ilɛktrɔfisiɔlɔjis go aks bɔt yu mɛdikal istri ɛn tɔk bɔt di sik dɛn we yu gɛt naw. Dɛn go nid fɔ gɛt wan list fɔ ɔl di mɛrɛsin dɛn we yu de tek, ivin di mɛrɛsin dɛn we yu nɔ de bay. Wan dɔktɔ we de mɛn yu at kin ebul fɔ du wan kwik tɛst, lɛk ECG, na di say we yu de, ɔ sɛn yu go na os wit wan tin, lɛk wan tin we de wach di tin dɛn we de apin, we de rayt aw yu at de bit fɔ sɔm dez.

If yu dɔn ɔlrɛdi du dɛn tɛst ya, wan dɔktɔ we de stɔdi bɔt ilɛktrɔfisiɔlɔji kin du ɔda tɛst fɔ ɛp yu fɔ no if yu gɛt di sik. Afta dɛn dɔn no di sik, ilɛktrɔfisiɔlɔjis kin bigin fɔ trit am. Sɔntɛnde, dɛn kin gi tritmɛnt na di sem apɔntinmɛnt. Di tritmɛnt kin inklud fɔ tek mɛrɛsin ɔ fɔ put divays insay pɔsin in bɔdi.

Aw dɔktɔ dɛn kin trit prɔblɛm dɛn we gɛt fɔ du wit at ritm?

Wan dɔktɔ we de mɛn yu prɔblɛm kin no bɔt yu prɔblɛm ɛn no di bɛst tritmɛnt fɔ yu. I kin simpul lɛk fɔ bigin fɔ tek nyu mɛrɛsin. Ɔda pipul dɛn kin nid wan tin we go ɛp dɛn fɔ mek dɛn at bit nɔmal wan. Na sɔm pan di men tritmɛnt dɛn ya:

• Mɛrɛsin : Dɛn kin gi yu dɛn tin ya ɛvride, ɔ dɛn kin gi yu insay yu bɛlɛ (IV) we yu gɛt ɛnitin fɔ du wit am.
• Pacemakers : Dɛn wan ya de yuz ilɛktrik impuls fɔ kɔrɛkt wan prɔblɛm we de na di at in ilɛktrik sistɛm. Bɔrku tɛm dɛn kin yuse dɛn fɔ pipul dɛm wae nɔr de bit ɔltɛm.
• Implantable Cardioverter Defibrillators (ICDs) : Dɛn wan ya kin ɛp fɔ stɔp di denja aritmia bay we dɛn kin gi ilɛktrik shɔk to yu at we yu nid am.
• Cardioversion : Dis na fɔ gi ilɛktrik shɔk to yu at yuz ɛksternal divays fɔ mek yu at rit bak to nɔmal.
• Kateta we dɛn kin pul: Insay dis, dכkta de mek sכm sכm ska dεm na di rod dεm usay ilektrikal signal dεm we nכ de travul insay di at. dis de stכp di iregכl signal dεm fכ travul εn stכp di abnכmal at ritm dεm. Dis na tritmɛnt we rili fayn.

Us kayn trenin pɔsin we sabi bɔt ilɛktrɔfisiɔlɔji gɛt?

Dis na gud tin bak fɔ no. ``Ilektrophysiologist`` na spɛshal pɔsin we tren bad bad wan . Afta mɛdikal skul, dɛn kin du rɛzidɛns na ``Jɛnɛral Intanɛt Mɛdisin``. Dɔn dɛn kin du wan feloship pan ``Cardiovascular Disease``, ɛn afta dat wan ɔda ia ɔ tu spɛshal trenin pan ``Klinik Kadiak Ilɛktrophysiology.`` So yu kin si aw dɛn de dediket fɔ bi ɛkspɛkt pan dis fild? So yu kin abop pan dɛn.

Usay dɔktɔ dɛn we de stɔdi bɔt ilɛktrɔfisiɔlɔji kin wok?

Di wan dɛn we de stɔdi bɔt ilɛktrofisiɔlɔji kin wok na prayvet prɛktis wit ɔda dɔktɔ dɛn we de mɛn di at. Dɛn kin wok bak na ɔspitul dɛn. di spεshal lab usay dεn de du tεst dεn kכl am εlektrofysioloji lab כ EP lab. Sɔntɛnde dɛn kin kɔl am kateshɔn lab ɔ Cath lab.

Fɔ dɔn, sɔm tin dɛn fɔ mek yu mɛmba

If yu kin gɛt prɔblɛm wit yu bɔdi ɔltɛm, yu chɛst kin pen, ɔ yu nɔ kin ebul fɔ blo fayn, yu kin go to dɔktɔ we de mɛn ilɛktrɔfisiɔlɔji fɔ no wetin de mek yu nɔ ebul fɔ blo fayn. If yu nɔ shɔ bɔt tɛst ɔ tritmɛnt we dɛn go du fɔ yu, nɔ fred fɔ aks kwɛstyɔn . Di dɔktɔ go ɛksplen ɔltin to yu.

Mɛmba se fɔ go to spɛshal pɔsin kin bi nyu tin fɔ yu. Bɔt ``Ilektrophysiologist`` dɔktɔ dɛn na ɛkspɛkt fɔ ɔndastand ɛn trit at ritm prɔblɛm. So yu kin abop pan dɛn fɔ kia fɔ yu at wɛlbɔdi. Nɔr wɔri, yu kin kɔntrol bɔrku pan dɛn sik ya if yu gɛt di rayt tritmɛnt.

` At ritm, ilɛktrɔfisiɔlɔjis, at bit, at sik, pesmɛka, kateshɔn ablashɔn, ECG, kadyak ilɛktrik sistɛm, aritmia, kadiɔlɔjis