Yu dɔn ɛva fil lɛk se yu at de bit rili fast, ɔ rili slo, ɔ sɔntɛm yu de skip bit dɛn we yu nɔ de bit? Na nɔmal tin fɔ fil fɔ fred smɔl we yu fil sɔntin lɛk dis. Bɔku pipul dɛn dɔn gɛt dis ɛkspiriɛns sɔm tɛm na dɛn layf. insay mεdikal, wi kin kכl dis abnכmaliti na di at in ritm ‘Arrhythmia’ (dεn kin kכl am ‘arrhythmia’). So no fred, tide wi go tok abaut evritin fo simpul we we yu go andastan.
Wetin rili na aritmia?
Fɔ tɔk am simpul wan, aritmia na at bit we nɔ de bit ɔltɛm. Dɛn kin kɔl dis bak ‘dysrhythmia’.
Imajin se wi at tan lɛk pɔsin we de drɔm na wan band. Di siŋ kin jɔs saund fayn if i bit di drɔm dɛn di rayt tiun ɛn di rayt spid. Na di sem tin kin apin to wi at. I nid fɔ bit di rayt we ɛn ɔganayz ritm. Na da tɛm de nɔmɔ i go ebul fɔ pɔmp di rayt blɔd we gɛt ɔksijɛn to di wan ol bɔdi.
Insay aritmia, dis ritm kin ambɔg.
- Sɔntɛm di at de bit kwik kwik wan .
- Sɔntɛm di at kin bit smɔl smɔl .
- Ɔ dɛn kin ple am irɛgyula , we nɔ gɛt wan bit.
Dɛn kayn tin ya kin bigin na difrɛn pat na di at.
Dis na siriɔs tin we wi fɔ fred?
I mek sɛns fɔ aks dis kwɛstyɔn. Fɔ tru, bɔku kayn aritmia de. Sɔm kayn dɛn nɔ de du bad ɛn dɛn nɔ nid fɔ gɛt tritmɛnt. Bɔt sɔm kayn dɛn kin rili siriɔs. Dɛn kin ivin mek in at nɔ de wok wantɛm wantɛm. Difrɛn kayn aritmia de bak we kin fɔdɔm bitwin dɛn tu ekstrem ya.
Di tin we impɔtant pas ɔl na dat na yu dɔktɔ nɔmɔ go tɛl yu uskayn kayn aritmia yu gɛt, if i nid tritmɛnt, ɛn wetin fɔ du if nid de. So, i rili impɔtant fɔ go to dɔktɔ pas fɔ no yusɛf.
Wetin na di men kayn aritmia?
Dɔktɔ dɛn kin klas di aritmia bay usay dɛn kin bigin na di at. Lɛ wi tɔk dis simpul wan. Di at gɛt 4 men chɛmba dɛn, tu de ɔp ɛn tu de dɔŋ.
| Tayp fɔ aritmia | Fɔ tɔk am simpul wan... |
|---|---|
| Supraventrikular Aritmia dɛn we de mek pɔsin gɛt | Dɛn tin ya kin bigin na di ɔpa chɛmba dɛn na di at (atria) . ‘Supraventricular’ min ‘abov di lכw chεmba dεm’. |
| Ventrikulכr Aritmi dεm | dis dεm de bigin na di lכw chεmba dεm (vεntrikul dεm) na di at. |
| Bradyaritmia dɛn we de na di bɔdi | Dɛn tin ya kin apin bikɔs ɔf prɔblɛm dɛn we de wit di at in ilɛktrik signal sistɛm, we kin mek di at bit tumɔs . dis kin bi fכ prכblεm wit di at in nεchכral pesmaker (SA node) כ wit di path dεm we de kכri signal (lεk di AV node). |
Atrial Fibrillation na di kayn aritmi wae dɛn kin si na Sri Lanka ɛn ɔlsay na di wɔl. I de pan di Supraventricular tayp.
Us sayn dɛm wae pɔrsin wae gɛt arrhythmia kin gɛt?
Sɔm pipul kin gɛt arrhythmia wae nɔr kin gɛt ɛni sayn. Wi kin kɔl dis "saylent" aritmia. Bɔt if di sayn dɛn kin apin, dɛn kin gɛt:
| Di sayn we de sho se di sik de | Aw i kin fil |
|---|---|
| Di at we de blo | Fɔ fil se yu at de bit tranga wan, yu chɛst de bit, yu chɛst de jomp. |
| Diziz ɔ Laythɛd | Diziz ɔ vertigo . |
| Faint episod dɛn | Wantɛm wantɛm, i kin lɔs in kɔnshɛns ɛn fɔdɔm. |
| Shot we yu de blo | Fɔ fil shɔt fɔ blo, lɛk we yu de klaym stej. |
| Diskɔmfɔt na di chɛst | Fɔ fil pen ɔr nɔr de fil fayn, lɛk wae yu chɛst tayt. |
| Wik ɔ taya | Fɔ fil taya pasmak ɛn nɔ gɛt layf fɔ natin. |
Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
I nɔ kin izi fɔ no wan patikyula tin we kin mek pɔsin nɔ gɛt ritmi. Bɔku tin dɛn de we kin mek i apin. Lɛ wi luk di men tin dɛm wae kin mek wi gɛt dis sik ɛn di tin dɛm wae kin mek wi gɛt dis sik.
Di tin dɛn we kin mek pɔsin nɔ gɛt ritmi
- Coronary artery disease ( we di at in blɔd vesel dɛn kin blok ) .
- Di ay blɔd prɛshɔn
- di chenj dεm we de apin na di at mכsul (`Cardiomyopathy`) .
- Di prɔblɛm dɛn we kin apin na di at valv
- Injury frɔm wan at atak we yu bin dɔn gɛt bifo
- Ilektrolayt imbalans na di blɔd
- Di prɔses fɔ wɛl afta dɛn dɔn ɔpreshɔn di at
- Ɔda sik dɛn (fɔ ɛgzampul, tayroyd prɔblɛm) .
Factor dɛm wae de mek di risk bɔku
- Yuz tin dɛn we dɛn kin yuz fɔ smok (smok) .
- Fɔ drink pasmak
- Fɔ it pasmak drink ɛn it dɛn we gɛt kafinɛ (ti, kɔfi, kola) .
- Yuz tin dɛn we de mek pɔsin fil fayn, lɛk sɔm mɛrɛsin dɛn we de mek pɔsin kol
- Di ay blɔd prɛshɔn
- Ɔvawej (BMI pas 30) .
- Dayabitis ɔ di blɔd shuga we bɔku
- Snor ɛn slip apnɛa
Wetin na di siriɔs tin dɛn we kin apin if dɛn nɔ trit dɛn?
If dɛn nɔ trit am fayn, sɔm kayn aritmia kin mek yu gɛt siriɔs prɔblɛm.
- di at mכsul we de wik (`Cardiomyopathy`): we di at de bit rεgulεr fכ lכng tεm, di at mכsul kin wik εn in ebul fכ pכmp bכdi kin dכn.
- Di at nɔ de stɔp: Sɔm siriɔs ventricular arrhythmia kin mek di at stɔp fɔ bit wantɛm wantɛm.
- Strɔk: Insay sɔm aritmia, lɛk atrial fibrillation, blɔd kin klɔt na di at. If dis blɔd klɔt travul go na di bren ɛn blok wan blɔd vesel, i kin mek pɔsin paralayz.
Aw dɔktɔ kin no dis?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt ɛn chɛk yu. Dɛn kin chɛk yu puls ɛn lisin to yu at wit stetɔskɔp fɔ chɛk fɔ ɛni at bit we nɔ de bit ɔltɛm.
Afta dat, dɛn kin ɔda difrɛn tɛst fɔ no if pɔsin gɛt di sik ɛn fɔ no di tin we mek i gɛt di sik.
| Tɛst | Na jɔs... |
|---|---|
| ECG (Ilɛktrokardiogram) . | Test we de rayt di ilɛktrik wok we di at de du. Dis na di bɛsis tɛst we dɛn kin yuz fɔ no if pɔsin gɛt aritmia. |
| Blɔd tɛst dɛn | Chek tin dɛm lɛk di bɔdi sɔl lɛvɛl ɛn di tayroyd ɔmon dɛm. |
| Ambulatory Monitor (ɛgz., Holter monitɔr) . | Dɛn kin put smɔl tin na yu bɔdi fɔ kɔntinyu fɔ rikodɔ yu at ritm fɔ 24 awa ɔ mɔ. |
| Ikokardiogram (Echo) . | Wan at skan. Dis kin luk pan tin dεm lεk di sayz, shep, εn di wok we di valv dεm de du. |
| Tɛst fɔ Strɛs | Fɔ tek ECG we yu de du ɛksɛsayz (we yu de waka pan tredmil). Dis kin ɛp fɔ no di aritmia we kin apin we yu de du ɛksɛsayz. |
| Ilɛktrofisiɔlɔji Stɔdi (EPS) . | Wan spɛshal tɛst we de stɔdi di at in ilɛktrik sistɛm dip wan. |
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan di kayn aritmia we yu gɛt ɛn aw i siriɔs. Sɔntɛnde, dɛn nɔ nid ɛni tritmɛnt. If dɛn nid fɔ gɛt tritmɛnt, bɔku tin dɛn de we yu kin du.
1. Di mɛrɛsin dɛn we dɛn kin yuz
Bɔku kayn mɛrɛsin dɛn de. Nɔto ɔl di mɛrɛsin dɛn na di sem. Yu dɔktɔ go ɛp yu fɔ fɛn di rayt mɛrɛsin ɛn di doz fɔ yu.
- Antiarrhythmic drugs: Na mɛrɛsin dɛn we dɛn kin gi fɔ mek di ritm we nɔ de ɔltɛm kam bak to nɔmal (saynus ritm) ɔ fɔ mek i nɔ gɛt aritmia.
- Mεdisin dεm we de kכntrכl di at rεt: Mεdisin dεm we dεn kin gi fכ kכntrכl di at bit fast fast.
- Anticoagulant/antiplatelet drugs: Na mεdikeshכn dεm we dεn gi fכ ridyus di risk fכ blכd kכlכt (e.g. warfarin, aspirin).
2. Di we aw pɔsin de liv in layf
Dɛn tin ya rili impɔtant.
- Fɔ kɔntrol blɔd prɛshɔn ɛn dayabitis.
- Fɔ lɛf fɔ smok kpatakpata.
- Fɔ stɔp fɔ drink rɔm.
- Ridyus ɔ stɔp fɔ yuz kafin ɛn tin dɛn we de mek pɔsin fil fayn.
- Fɔ mek yu gɛt wɛlbɔdi wet.
3. Spɛshal Tɛrapi dɛn
- Cardioversion: Na di dεlivεri fכ wan kכntroled ilektrikal shכk to di at fכ mek di at ritm nכmal bak.
- Catheter Ablation: Dɛn kin pas wan tin tiub (catheter) tru wan vein na di leg ɔ an to di at ɛn wan smɔl pat pan di at tisu we de mek di aritmia nɔ de wok wit ay frikshɔn ilɛktrik ɛnaji.
4. Divays dɛn we dɛn kin wɛr na di bɔdi
- Permanent Pacemaker: Na tin we dɛn kin gi pipul dɛn we gɛt at bit we rili slo (bradycardia). I de sɛn smɔl smɔl ilɛktrik signal dɛn fɔ mek di at rit nɔmal.
- Implantable Cardioverter Defibrillator (ICD): Dis na tin we de kɔntinyu fɔ wach aw di at de rit. if i detekt wan rili fast, abnכmal ritm (ventricular tachycardia/fibrillation) we kin mek yu layf de pan denja, i de gi shכk to di at fכ mek di ritm kam bak.
5. Ɔpreshɔn
Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ trit di at sik we de ɔnda am (valv sik, di at dɛn we dɔn blok) we de mek di at nɔ de wok fayn. di Maze prosidur na wan spεshal כpεrayshכn fכ atrial fibrilεshכn.
Ustɛm a fɔ go to di dɔktɔ? Us tɛm a fɔ go na di ETU?
If yu gɛt aritmi, i impɔtant fɔ go na di klinik di rayt tɛm ɛn mek dɛn chɛk yu lɛk aw yu dɔktɔ se. Bɔt sɔntɛnde, yu nid fɔ go to dɔktɔ kwik kwik wan.
Kɔl yu dɔktɔ if yu sik dɛn (e.g., chɛst pen, diziz) de wɔs ɔr de apin mɔr, pas fɔ wet te di de we yu kin go na di klinik.
Di tin dɛn we kin apin we yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm:
If yu gɛt ɛni wan pan dɛn sik ya, nɔ west tɛm ɛn go wantɛm wantɛm na di ETU (Emergency Treatment Unit) na di ɔspitul we de nia yu.
- I nɔ kin izi fɔ yu fɔ blo bad bad wan
- Chɛst de pen
- Diziz bad bad wan
- Fɔ mek pɔsin nɔ ebul fɔ du natin
Mɛsej we dɛn kin kɛr go na os
- Aritmia na we yu at nɔ de bit ɔltɛm. Dɛn tin ya nɔ kin siriɔs ɔltɛm, bɔt sɔm kayn dɛn kin denja.
- If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen na yu chɛst, yu ed de tɔn, yu nɔ de blo fayn, ɔ yu nɔ de no natin, mek shɔ se yu go to dɔktɔ.
- Simpul chenj na yu layf (fɔ lɛf fɔ smok, fɔ stɔp fɔ drink rɔm, ɛn fɔ kɔntrol yu wet) kin ɛp fɔ kɔntrol di we aw yu de fil we nɔ de wok fayn.
- If dɛn dɔn gi yu mɛrɛsin, nɔ ɛva stɔp fɔ tek am ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
- If na imejensi (bɔku pen na yu chɛst, i nɔ izi fɔ blo, yu nɔ de no natin), go na di ETU wantɛm wantɛm.
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