Yu at de bit strenj wan? Lɛ wi tɔk bɔt di at ritm irɛgyulariti (Arrhythmia)!

Nɔ wɔri, yu dɔn ɛva fil lɛk se yu at rit dɔn go ɔp wantɛm wantɛm, ɔ i de bit bad bad wan, sɔntɛnde i tan lɛk se i de bit wan strenj we? Dis na sɔntin we kin apin to bɔku pipul dɛn. Tide wi go tɔk bɔt dis at bit we nɔ de bit ɔltɛm, we dɛn kɔl arrhythmia . Sɔntɛnde dɛn kin kɔl dis disritmia .

Fɔ tɔk am simpul wan, wetin na aritmia?

Aritmia na we yu at chenj di ritm ɔ patɛn. Tink bɔt am dis we: wi at tan lɛk pɔsin we sabi ple myuzik, i fɔ bit am ɔltɛm ɛn ɔltɛm. Bɔt sɔntɛnde dis ritm kin kɔmɔt na do. Na da tɛm de wi kin kɔl am aritmia. I kin bigin na difrɛn pat dɛn na di at. Sɔntɛnde, di at kin bit kwik kwik wan, ɔda tɛm dɛn kin bit am smɔl smɔl, ɔ i nɔ kin bit am ɔltɛm.

Nɔmal wan, wi at kin wok di kayn we we rili ɔganayz ɛn we gɛt wanwɔd. Bikɔs, dis at na di wan we de gi wi ɔl bɔdi blɔd, we de gi wi tin fɔ it ɛn ɔksijɛn. So, if ɛni prɔblɛm de na difrɛn pat dɛn na di at, ɔ na di blɔd we di at de pɔmp, dis nɔmal ritm kin ambɔg. Na dat mek fɔ gɛt nɔmal at bit ritm rili impɔtant .

Aw siriɔs dis at ritm disɔda (arrhythmia) de?

Infakt, nɔto ɔl di aritmia dɛn kin denja. Sɔm kayn wae nɔr de kɔz ɛni bad tin ɛn nɔr nid tritmɛnt. Bɔt ɔda wan dɛn de we kin mek pɔsin gɛt at atak ɔ in at nɔ de wok . Bɔrku pan di aritmia kin fɔdɔm sɔmsay bitwin dɛn tu ekstrem tin ya. Na dɔktɔ nɔmɔ go ebul fɔ tɛl yu uskayn kayn aritmia yu gɛt ɛn if i nid tritmɛnt. So, if yu gɛt ɛni dawt, i go fayn fɔ mek yu go to dɔktɔ.

Wetin na di men kayn aritmia?

Dɔktɔ dɛn kin klas di aritmia bay usay dɛn kin bigin na di at.

• Supraventricular Arrhythmias: Dɛn tin ya kin bigin na di ɔpa chɛmba dɛn na yu at, we dɛn kɔl di atria . "Supraventricular" min oba di lכw chεmba dεm na di at, we dεn kכ l di vεntrikl dεm .
• Ventricular Arrhythmias: Dɛn tin ya kin bigin na di lכw chεmba dεm na di at, dat na di atria.
• Bradyaritmias εn jכnkshכnal ritm dεm: dεn kin apin bikoz fכ prכblεm dεm na di at in ilektrikal signal-kכndukt sistεm, lεk di sinoatrial (SA) node , atrioventricular (AV) node , כ His-Purkinje nεtwכk .

Fɔ tɔk am simpul wan, tu kayn at prɔblɛm dɛn de: di wan dɛn we kin bigin na di ɔp pat na di at ɛn di wan dɛn we kin bigin na di ɔda pat dɛn we de dɔŋ. Apat frɔm dat, prɔblɛm dɛn de bak we kin mek di at bit tumɔs.

Aw dis sik kin kɔmɔn?

Ɔlsay na di wɔl, dɛn se bitwin 1.5% ɛn 5% pan pipul dɛm gɛt aritmia. Bɔt i nɔ kin izi fɔ tɔk ɔmɔs pipul dɛn rili gɛt am, bikɔs sɔm pipul dɛn nɔ kin sho ɛni sayn. Insay kɔntri dɛn lɛk Amɛrika, wan kayn arithmia we dɛn kɔl atrial fibrillation na in kin bɔku pas ɔl.

Us sayn dɛn wi kin fil?

Pɔrsin wae gɛt aritmi kin gɛt sɔm kayn sik lɛk:

• At Palpitations: I kin fil lɛk se drɔm de bit insay di chɛst, ɔ lɛk se di at de stɔp wantɛm wantɛm, ɔ i kin fil lɛk se i de bit fast fast.
• Diziz ɔ layt ed.
• Fainting Episodes we de mek pɔsin nɔ ebul fɔ du sɔntin.
• Shortness of Breath: I tan lɛk se yu kin gɛt prɔblɛm fɔ blo ivin if yu tray smɔl.
• Chɛst nɔ kin fil fayn ɔ i kin fil pen.
• Wik ɔ taya.

Sɔmtɛm, hat ritm disɔda kin bi "saylent," we min se i nɔ kin kɔz ɛni sayn. Na dat mek i impɔtant fɔ de chɛk yu dɔktɔ ɔltɛm .

Wetin mek dis kin apin? Wetin na de tin wae kin mek pɔrsin nɔr de blo fayn?

Difrɛn tin dɛn de we kin mek pɔsin nɔ ebul fɔ blo fayn. Sɔm pan dɛn na:

• Coronary Artery Disease: Dis min se di at dɛn we de gi blɔd to di at kin blok.
• Tisu wae de mek yu vɛks na yu at: Dis kin bi bikɔs ɔf tin dɛm wae de mek yu gɛt jɛnɛtiks ɔr tin dɛm wae kin kam leta na yu layf.
• Di ay blɔd prɛshɔn.
• Chenj dεm na di at mכsul (Cardiomyopathy).
• Di prɔblɛm dɛn we kin apin na di at valv.
• Ilɛktrɔlayt imbalans na yu blɔd: Dis na chenj na di amɔnt ɔf sɔl lɛk sɔdiɔm ɛn potashɔm.
• Injuri we pɔsin kin gɛt we i gɛt at atak.
• Di we aw pɔsin kin wɛl afta dɛn dɔn ɔpreshɔn di at.
• Ɔda tin dɛn we kin apin to pɔsin we sik.

Bɔrku tɛm, aritmi kin kam bikɔs ɔf prɔblɛm wit di at, valv, ɔr mɔsul dɛm na di at.

Wetin na di tin dɛm wae kin mek yu gɛt arrhythmia?

Dɛn tin ya kin mek yu gɛt mɔ ritmi:

• Yuz tin dɛn we dɛn mek wit tabak.
• Fɔ drink rɔm.
• Fɔ it drink ɛn it dɛn we gɛt kafinɛ: Tin dɛn lɛk ti, kɔfi, ɛn sɔm sɔft drink dɛn.
• Fɔ tek tin dɛn we de mek pɔsin fil fayn: Tin dɛn lɛk sɔm kol mɛrɛsin ɛn ɛbul sɔpɔtmɛnt.
• Fɔ gɛt ay blɔd prɛshɔn.
• Bɔdi Mas Indeks (BMI) we pas 30.
• Fɔ gɛt ay blɔd shuga: Lɛk dayabitis.
• Slip apnɛa fɔ slip.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

If dɛn nɔ trit di aritmia fayn fayn wan, prɔblɛm dɛn lɛk:

• Di at mɔsul dɛn we wik (Cardiomyopathy).
• Di at we de mek di at nɔ de wok.
• Stroke: I de ambɔg di blɔd we de flɔ na di bren.

Aw dɛn kin no dis aritmia?

Dɔktɔ kin chɛk yu puls ɛn lisin to yu at fɔ no if yu at de bit ɔltɛm.

Afta yu dɔn lisin to yu sayn dɛm ɛn du ɛgzam fɔ yu bɔdi, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ no if yu gɛt arithmia ɛn fɔ no di rizin. Sɔntɛnde, dɛn kin sɛn yu to dɔktɔ we de mɛn di sik dɛn we de mek yu at ritm , we na dɔktɔ we de mɛn yu at ɛn we gɛt spɛshal trenin fɔ di prɔblɛm dɛn we de mek yu at ritm.

Us kayn tɛst dɛn kin du?

Dɛn kin du dɛn tɛst ya fɔ no if yu at nɔ de bit ɔltɛm ɛn ɔda tin dɛn we gɛt fɔ du wit am:

• Ilektrokardiogram (ECG ɔ EKG): Dis de rayt di ilɛktrik wok we di at de du.
• Blɔd tɛst: Chɛk yu ilɛktrɔlayt lɛvɛl, ɔ chɛk fɔ si if yu gɛt prɔblɛm wit yu jɛnɛtiks.
• Ambulatory Monitors: Dis na smɔl smɔl tin dɛn we yu kin wɛr fɔ sɔm dez. Dɛn kin rayt yu at ritm we yu de du yu nɔmal tin dɛn. Wan ɛgzampul na di Holter Monitor .
• Stress Test: Dis kin test di hat in wok we yu de du eksasaiz.
• Echocardiogram: Na sawnd wev tɛst fɔ di at. I kin luk aw di at shep, di sayz, ɛn aw i de wok.
• Cardiac Catheterization: Na tεst fכ luk fכ blכk na di at dεm na di at.
• Ilektrofisioloji Stɔdi (EPS): Na tɛst we de luk dip wan pan di at in ilɛktrik sistɛm.
• Tilt Table Test: Na tɛst we dɛn kin du pan pipul dɛn we kin gɛt diziz we dɛn tinap.
• CT skan (Kɔmpyut Tomografi - CT skan).
• At MRI (Hat MRI - Magnɛtik Rɛsɔnans Imej).

Aw dɛn kin trit aritmia?

Di tritmɛnt dipen pan di kayn aritmia we yu gɛt ɛn aw i siriɔs. Sɔntɛnde, dɛn nɔ nid ɛni tritmɛnt. Di tritmɛnt opshɔn dɛm fɔ di at ritm disɔda na:

• Di mɛrɛsin dɛn we dɛn kin yuz.
• Di we aw pipul dɛn de liv dɛn layf kin chenj.
• Di tritmɛnt dɛn we dɛn kin gi.
• Divays dɛn we dɛn kin yuz.
• Ɔpreshɔn.

1. Di mɛrɛsin dɛn we dɛn kin yuz

Bɔku kayn mɛrɛsin de fɔ mɛn di wan dɛn we nɔ de wok fayn. Bikɔs nɔto ɔlman na di sem, yu go nid fɔ tray bɔku kayn mɛrɛsin ɛn dos fɔ fɛn di rayt mɛrɛsin ɛn doz fɔ yu. Sɔm pan dɛn tin ya na:

• Anti-arrhythmic drugs: Dɛn wan ya kin ɛp fɔ mek di aritmia kam bak to nɔmal ritm (Sinus Rhythm) ɔ fɔ mek di aritmia nɔ apin.
• Mɛrɛsin dɛn we de kɔntrol yu at rit.
• Antikoagulant ɔ Antiplatelet tritmɛnt drɔgs: Fɔ ɛgzampul , Warfarin ɔ Aspirin . Dɛn tin ya kin mek di blɔd nɔ kin rɔn.
• Mεdikeshכn dεm wae de trit rεlatεd kכndyushכn dεm wae kin mek yu at ritm dεm nכ rεt.

I rili impɔtant fɔ no dɛn tin ya:

• Di nem dɛm fɔ di mɛrɛsin dɛm we yu de tek.
• Wetin mek yu de tek da mɛrɛsin de?
• Aw ɔltɛm ɛn ustɛm fɔ tek di mɛrɛsin.
• Wetin na di sayd ɛfɛkt dɛm we yu mɛrɛsin kin gɛt?

2. Di we aw pɔsin de liv in layf

Simpul chenj na yu layf kin ɛp fɔ mek yu nɔr gɛt ritmi. Sɔm pan dɛn tin ya na:

• Fɔ kɔntrol di blɔd prɛshɔn ɛn di blɔd shuga lɛvɛl.
• Fɔ avɔyd fɔ yuz tin dɛn we dɛn mek wit tabak.
• Fɔ stɔp fɔ drink rɔm.
• Nɔ it kafinɛ ɛn tin dɛn we de mek pɔsin fil fayn.
• Fɔ mek yu gɛt wɛlbɔdi wet.

3. Di we aw dɛn kin mɛn pipul dɛn

Apat frɔm mɛrɛsin, sɔm pipul dɛn kin nid ɔda tritmɛnt fɔ trit ɔ stɔp di at we nɔ de rit ɔltɛm. Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu ɛn i go tɔk to yu bɔt di gud ɛn bad tin dɛn we dɛn tritmɛnt ya gɛt.

• Cardioversion: Dɛn kin gi ilɛktrik shɔk fɔ mek di at wok togɛda ɛn fɔ mek di at gɛt di nɔmal ritm bak.
• kateta Ablashכn: dεn de yuz kateshכn fכ gi hכy frikכnshכn ilektrikal enεji to wan sכm εria na di tisu dεm na di at, we de "diskonekt" di abnכmal ritm path. Dis prosidur kin trit bɔku kayn SVT (Supraventricular Tachycardia) , Atrial Flutter , Atrial Fibrillation, ɛn sɔmAtrial ɛn Ventricular Tachycardias kin trit.
• Pulmonary Vein Isolation: Dis na wan kayn ablation bak. ska tisu ring dεm dεn de mek fכ aylכt εria dεm we kin de mek atria fibrilεshכn . Dis kin ɛp fɔ pipul dɛm wae gɛt atrial fibrillation ɔltɛm, paroxysmal, ɔr persistent atrial fibrillation.

4. Divays dɛn

We dɛn de du wan prɔsidyu we dɔktɔ we de mɛn di at kin du na wan ilɛktrɔfisiɔlɔji lab, dɛn kin put sɔm tin dɛn insay pɔsin in bɔdi. Di tin dɛm wae dɛn kin yuse fɔ trit pɔrsin wae gɛt hat ritm disorder na:

• Permanent Pacemaker: Dis divays de sɛn smɔl smɔl ilɛktrik impuls to di at mɔsul, we de ɛp fɔ mek di at rit nɔmal ɛn mek di at nɔ bit tumɔs.
• Implantable Cardioverter Defibrillator (ICD): Dis divays de wach aw yu at de rit ɔltɛm. we i no se di at ritm we rili fast, we nכ nכmal, i de gi shכk to di at mכsul fכ εp fכ mek i kam bak to nכmal ritm. Dis divays de trit tu at ritm dɛm we de mek pɔsin in layf de pan denja we dɛn kɔl Ventricular Tachycardia ɛn Ventricular Fibrillation .
• Biventricular (BV) Pacemakers and Defibrillators: Dɛn kin kɔl am bak Cardiac Resynchronization Therapy (CRT) , dɛn divays ya kin ɛp fɔ mek di kɔntrakshɔn dɛn na yu lɛft ventricle sinkroniz. apat frכm di lid dεm (sכm sכm waya dεm) we de go na di rayt say na di at, wan lid de bak we de go na di lεft vεntrikl. dis kin nid fכ pipul dεm we gεt at fεil εn we di lεft vεntrikl de kכntrakt we nכ kכdכnayt.

5. Ɔpreshɔn

Pipul wae gɛt dis maynia sik kin nid fɔ gɛt ɔpreshɔn fɔ dɛn at fɔ dɛn rizin ya:

• Trit wan at sik wae kin de mek de arrhythmia. Fɔ ɛgzampul, dɛn kin du ɔpreshɔn pan di valv ɔ dɛn kin du ɔpreshɔn fɔ baypas di korona at .
• Maze Procedure: Dɛn kin yuz dis fɔ trit atrial fibrillation we dɛn nɔ kin ebul fɔ kɔntrol wit mɛrɛsin ɔ tritmɛnt we nɔto ɔspitul.
• Sɔntɛnde, dɔktɔ kin put biventricular pacemaker leads (smɔl waya) na yu at bay we i de yuz minimal invasive ɔ ɔpreshɔn tɛknik.

Ɛni sayd ɛfɛkt ɛn kɔmplikeshɔn de fɔ di tritmɛnt?

Di sayd ɛfɛkt ɛn kɔmplikeshɔn kin difrɛn difrɛn wan bay di tritmɛnt. Sɔm pan dɛn na:

• Di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt ritmi:
• Alɛji we pɔsin kin gɛt
• Diziz we pɔsin kin gɛt
• Ɛd we de at
• Blɔd we de kɔmɔt
• Bɛlɛ we nɔ fayn
• Di wan dɛn we de chenj di at:
• Embolizayshɔn fɔ di blɔd we de klɔt
• Brus na di skin
• Rash na di skin
• Kateta Ablashɔn:
• Blɔd we de kɔmɔt
• Blɔd we de klɔt
• Strok
• Sik we de prɛd
• Injury to wan vein ɔ at tisu
• Pulmonari Vein Isoleshɔn: .
• Alɛji to wan day (if yu yuz am) .
• Sik we de prɛd
• Injury to yu hat, esophagus ɔ yu vein
• Strok
• Divays dɛn:
• Divays nɔ de wok fayn
• Sik we de prɛd
• Blɔd we de kɔmɔt
• Lɔng we dɔn fɔdɔm
• Ɔpreshɔn:
• Blɔd we de kɔmɔt
• Sik we de prɛd
• Strok
• At atak
• Nid fɔ wan pesmɛka

Aw lɔng e kin tek fɔ fil fayn afta yu dɔn gɛt tritmɛnt?

I kin tek sɔm tɛm fɔ fɛn di rayt mɛrɛsin ɛn di doz fɔ yu aritmia. Dipen pan di prosidur ɔ di ɔpreshɔn, fɔ wɛl kin tek wik ɔ mɔnt. If yu gɛt wan prɔsidyu lɛk Catheter Ablation ɔ Pulmonary Vein Isolation , yu kin stil gɛt aritmia fɔ sɔm wiks we yu de wɛl. Yu dɔktɔ go tɛl yu wetin fɔ ɛkspɛkt bay di patikyula tin we de apin to yu.

Aw fɔ ridyus di risk fɔ mek yu nɔ gɛt ritmi?

Yu kin du dɛn tin ya fɔ ridyus yu risk fɔ gɛt arrhythmia:

• Stɔp fɔ yuz tin dɛn we dɛn kin mek wit tabak.
• Limit fɔ drink rɔm.
• Limit ɔ stɔp fɔ drink kafinɛ. Sɔm pipul dɛn kin fil lɛk se dɛn gɛt kafinɛ. Dɛn kin gɛt mɔ sayn dɛn we dɛn de it tin dɛn we gɛt kafinɛ (ti, kɔfi, kola, sɔm mɛrɛsin dɛn we dɛn nɔ kin bay na kɔt).
• Nɔ tek tin dɛn we de mek pɔsin fil fayn. Tek tɛm wit tin dɛn we de mek pɔsin kɔf ɛn kol mɛrɛsin ɛn ɛbul ɔ nyutrishɔn sɔpɔtmɛnt dɛn. Sɔm pan dɛn mɛrɛsin ya kin gɛt tin dɛn we kin mek di at nɔ de rit ɔltɛm. Rid di lɛbl ɛn aks yu dɔktɔ us mɛrɛsin bɛtɛ fɔ yu.
• Kɔntrol di ay blɔd prɛshɔn.
• Tray fɔ mek yu gɛt wɛlbɔdi wet.
• Kɔntrol di shuga we yu gɛt na yu blɔd.
• Gɛt tritmɛnt fɔ slip apnɛa.
• Nɔ du tin dɛn we tan lɛk se dɛn de mek yu nɔ gɛt ritmi.

Wetin a fɔ ɛkspɛkt if a gɛt aritmia?

Dipen pan di kayn hat ritm disɔda wae yu gɛt, yu kin gɛt sɔm kayn sik wae nɔr kin pasmak ɔr wae yu nɔr kin gɛt ɛni sayn atɔl. Sɔntɛm yu nɔ go nid tritmɛnt, bɔt sɔm pipul dɛn kin nid mɛrɛsin ɔ fɔ du ɔpreshɔn. Wit tritmɛnt fɔ hat ritm disɔda, bɔrku pipul kin liv ful layf. Sɔm pipul dɛm wae gɛt mɔr siriɔs aritmi kin go na di at arɛst , ɛn dɛn kin liv ɔr nɔr kin liv.

Aw lɔng di aritmia de las impɔtant bak. Aritmia wae nɔr de du bad kin kam ɛn go dipen pan de kɔz. Bɔt pipul dɛn we gɛt ɔda kayn aritmia – mɔ di wan dɛn we de pan denja fɔ mek dɛn at pwɛl – kin nid tritmɛnt fɔ ɔl dɛn layf.

Aw a kin kia fɔ misɛf?

If yu gɛt at ritm disɔda, i kin fayn fɔ no aw fɔ tek yu puls . Yu puls na yu at rit, we na di nɔmba we yu at de bit insay wan minit. Di puls rit kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Yu at kin slo we yu de rɛst ɛn i kin go ɔp we yu de du ɛksɛsayz. Nɔmal at rit (we yu de rɛst) de bitwin 60 ɛn 100 bit pan minit. If yu gɛt fitnɛs traka ɔ smartwatch , yu kin yuz am fɔ wach yu at rit.

I impɔtant bak fɔ mek shɔ se yu fambul ɛn padi dɛn no aw fɔ no di sayn dɛm fɔ yu aritmia. Yu go fil fayn if dɛn lan aw fɔ du CPR (Cardiopulmonary Resuscitation) .

Wetin na de tin wae yu nɔr kin ebul fɔ it ɔr drink wit dis sik?

If yu gɛt aritmia, yu fɔ stɔp fɔ drink rɔm ɛn kafin, ɛn dɛn ɔl tu kin mek yu nɔ gɛt ritmi.

Ustɛm a fɔ go to mi dɔktɔ?

I go tɛl yu aw ɔltɛm yu fɔ go to yu dɔktɔ. If yu sik de wɔs ɔr de wɔs bitwin di apɔntinmɛnt dɛm, tɔk to yu dɔktɔ .

Yu fɔ go to dɔktɔ ɔltɛm fɔ dɛn tin ya:

• Si if yu tritmɛnt fɔ aritmia de wok.
• Pripia yu mɛrɛsin fayn fayn wan.
• Si aw di divays dɛn we dɛn put insay di bɔdi de wok fayn fayn wan.
• Mek shɔ se yu gɛt wɛlbɔdi ɛn yu nɔ gɛt ɛni ɔda prɔblɛm wit yu mɛrɛsin.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

Go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn tin ya:

• Trobul fɔ blo.
• Chɛst de pen.
• Diziz we pɔsin kin gɛt.
• Faint episod dɛn.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Sɔm kwɛstyɔn dɛn we yu go want fɔ aks yu dɔktɔ:

• Us kayn aritmia a gɛt?
• A nid tritmɛnt?
• Wetin na di bɛst tritmɛnt fɔ mi?
• Wetin a fɔ du fɔ mek a ebul fɔ kia fɔ mi divays?

Bɔku we dɛn de we yu at kin bit ɔltɛm. Sɔm pan dɛn at bit ya we nɔ de bit ɔltɛm, we dɛn kɔl aritmia, nɔ kin mek yu gɛt ɛni sayn. I impɔtant fɔ go to yu dɔktɔ if yu gɛt sɔm sayn dɛm lɛk fɔ taya pasmak ɔr yu chɛst de pen. Yu dɔktɔ kin ɛp yu fɔ disayd di bɛst tritmɛnt fɔ yu, bɔt yu kin ɛp yusɛf bak bay we yu chenj di rayt we aw yu de liv yu layf.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

If yu at bit nɔr de bit ɔltɛm, ɔr at at pwɛl, nɔr kin siriɔs fɔ sɔm pipul dɛm, bɔt i kin mek ɔda pipul dɛn layf de pan denja. So if yu chɛst tayt, i nɔ izi fɔ yu fɔ blo, ɔ yu de tɔn diziz ɔltɛm, mek shɔ se yu go to dɔktɔ. If dɛn no am kwik ɛn trit dɛn fayn, bɔku pipul dɛn kin liv nɔmal layf. Nɔ panik, di tin we impɔtant pas ɔl na fɔ no.

` At bit, Aritmia, At sik, Chɛst Pen, ECG, At Tritmɛnt, At bit Irɛgyulariti