We yu pikin de ple ɔ slip, yu dɔn ɛva fil se i tan lɛk se in at de bit kwik kwik wan? Ɔ sɔntɛnde i kin tan lɛk se i de bit fast fast? Sɔntɛm if dɛn big smɔl, dɛn go tɛl yu se, "Mama, mi chɛst de bit rili fast" ɔ "I tan lɛk se drɔm de bit na mi chɛst." Na nɔmal tin fɔ mek mama ɔ papa fred smɔl we dɛn yɛri ɔ si sɔntin lɛk dis. Bɔt nɔ wɔri, bɔku tɛm dis nɔ kin siriɔs. Tide wi de tɔk bɔt dɛn chenj ya na di at ritm we kin apin to pikin dɛn, we na wan sik we dɛn kɔl aritmia insay mɛrɛsin.
Fɔ tɔk am simpul wan, wetin na aritmia?
Aritmi, simpul wan, na ɛni chenj na di nɔmal, rɛgyula ritm na wi at. Dis kin apin to big pipul ɛn smɔl pikin dɛn bak.
Bɔku tin dɛn de we kin apin na ya:
- Yu pikin in at de bit fast pas aw i fɔ bit .
- Di at kin bit fast pas aw i kin bit .
- I kin tan lɛk se at bit de kam na di rod .
- Fɔ gɛt ɛkstra at bit .
Bɔrku tɛm, dis sik nɔr kin nid ɛni spɛshal tritmɛnt. Bɔt, sɔm tɛm dɛn de, i kin rili siriɔs. So, i rili impɔtant fɔ mek wi no bɔt dis.
Aw wi at de wok? Wan shɔt ɛksplen
Bifo wi ɔndastand wetin na aritmi, lɛ wi tek wan simpul luk pan aw wi at de wok fɔ kip ritm. Tink bɔt di at lɛk smɔl ‘ɛnjin rum’. I gɛt wan spɛshal ilɛktrik sistem. Dis na wetin de kɔntrol di rit ɛn ritm na di at.
Jɔs lɛk di waya sistɛm na os, dis kin wok bak stɛp bay stɛp:
1. di fכs signal: כl di at bit de bigin wit ilektrikal signal we de kכmכt frכm wan sכm sכm sεl dεm we de na di כp rayt say na di at. Wi kin kɔl dis di ``Sinoatrial node`` ɔ ``SA node``. Dis na di at in natura ‘pacemaker.''
2. di כp chεmba dεm de kכntrakt: dis ilektrikal signal de mek di tu כp chεmba dεm na di at (di `Atria`) kכntrakt, we de pכmp di bכdi insay di tu lכw chεmba dεm (di `Ventricles`).
3. di signal de go dכn: Dis signal de go to כda grup fכ sεl dεm. dεn kכl am di ``Atrioventricular node`` כ ``AV node``. Dis na lɛk ``waya`` we de kɛr ilɛktrishɔn frɔm ɔp to dɔŋ.
4. di lכw chεmba dεm de kכntrakt: di AV node de sεnd כda signal to di tu lכw chεmba dεm na di at (di vεntrikl dεm). We di tu chɛmba dɛn we de dɔŋ gɛt da signal de, dɛn kin kɔntrakt, ɛn dɛn kin pɔmp blɔd kɔmɔt na di at to di ɔda pat dɛn na di bɔdi.
5. Rɛst ɛn stat bak: Fɔ dɔn, di tu chɛmba dɛn kin rilaks, ɛn nyu at bit kin bigin wit di nɛks ilɛktrik signal.
we dis prכsεs de apin fayn fayn wan, di at de bit rεgulεr rεt εn ritm. Bɔt if disrɔpshɔn ɔ prɔblɛm de ɛnisay na dis ilɛktrik sistɛm, dat min se aritmia kin apin.
Aw kɔmɔn tin fɔ mek pikin dɛn gɛt aritmia?
Infakt, aritmia kin rili kɔmɔn pan pikin dɛn ɛn bɔku tɛm i nɔ kin bad . Dat min se natin nɔ de fɔ wɔri bɔt. Bɔt lɛk aw wi bin dɔn tɔk, na smɔl tɛm nɔmɔ, dis sik kin siriɔs ɔ ivin put in layf pan denja. Na dat mek i impɔtant fɔ no bɔt di sayn dɛm.
Us kayn aritmia kin apin pan pikin dɛm?
Bɔku kayn aritmia de we kin apin to big pipul ɛn pikin dɛn. Lɛ wi jɔs put dɛn insay kategori.
| Tayp fɔ aritmia | Fɔ tɔk am simpul wan... |
|---|---|
| di kayn dεm we de stat na di כp chεmba dεm na di at (Atria) . | |
| Supraventrikulכr Takikardia (SVT) . | Dis na di kayn we we dɛn kin si pan pikin dɛn. Di at rit kin bi fast pasmak wantɛm wantɛm. I kin bigin lɛk se dɛn dɔn flip layt switch, dɔn i kin stɔp wantɛm wantɛm. I kin kam bak bikɔs ɔf di sik dɛn we dɛn bɔn wit lɛk Wolff-Parkinson-White syndrome . |
| Atrial Flutter we de flɔt | Pan ɔl we di at de bit fast fast pan dis, wan patikyula patɛn ɛn ɔda tin de fɔ am. |
| Atrial Fibrilashɔn we pɔsin kin gɛt | Di at de bit rili fast ɛn i nɔ de bit ɔltɛm, insay wan chaotic we. Bɔt dis nɔ kin apin so ɔltɛm pan pikin dɛn. |
| Premature Atrial Kontrakshɔn (PAC) . | Wan at we de bit bifo tɛm. Dis kin fil lɛk ‘ɛkstra bit’ ɔ ‘mis bit’. |
| di kayn dεm we de stat na di lכw chεmba dεm na di at (vεntrikul dεm) . | |
| Premature Ventricular Kontrakshכn (PVC) dεm . | dis na di sem lεk di wan we bin de bifo, bכt dis εkstra bit de stat na di lכw chεmba dεm na di at. |
| Ventrikulכr Takikardia (V-tach) . | Dis na siriɔs kɔndishɔn. di at de bit tu fast bikoz fכ ilektrikal signal dεm we de kכmכt na di lכw chεmba dεm na di at. |
| Ventrikulεr Fibrilεshכn | Dis na tin we rili denja. Insted fכ kכntrakt εn pכmp blכd fayn fayn wan, di lכw chεmba dεm na di at kin shek. |
| Ɔda kayn dɛn | |
| Bradikardia we gɛt di sik | Dis min se di at rit kin fast pas aw i kin bi. If di pikin nɔ gɛt ɛni ɔda sayn, bɔku tɛm dis nɔ kin denja. |
| At Blɔk | we di ilektrikal signal we de travul frכm di tכp to di bכtכm pat pan di at de delay כ komplit blכk. |
So wetin na Saynɔs Aritmia?
Yu kin fred fɔ yɛri dis wɔd. Bɔt `Sinus Arrhythmia` nɔto rili mɛdikal kɔndishɔn. Na wan kɔmplit nɔmal ɛn wɛl bɔdi kɔndishɔn we dɛn kin si pan pikin dɛm.
Dis na we di pikin in at rit de go ɔp smɔl we i de blo ɛn i de go dɔŋ smɔl we i de blo. Dis na sayn fɔ se yu at gɛt gud wɛlbɔdi. I nɔ nid ɛni tritmɛnt.
Wetin na di sayn dɛm wae de sho se pikin gɛt arrhythmia?
Di sayn dɛm kin difrɛn bad bad wan dipen pan di kayn aritmia we pikin gɛt. Sɔm pikin dɛn nɔ kin sho ɛni sayn atɔl. Di kɔmɔn sayn dɛm na:
- Fɔ fil pen na yu chɛst ɔ yu nɔ de fil fayn.
- Diziz , layt ed, ɔr fɔdɔm (syncope).
- Short brith ɔr i nɔ kin izi fɔ blo (dyspnea).
- Fɔ fil se yu taya ɔ yu wik bad bad wan.
- Palpitations na filin wae de hat de bit fast fast . Dɛn kin fil lɛk bɔtaflay we de flay na di chɛst, lɛk we domɔt de opin, ɔ lɛk di sawnd we di at de bit lawd wan.
Aw smɔl pikin go ɔndastand dɛn tin ya?
Pikin we dɛn jɔs bɔn ɔ smɔl pikin we nɔ ebul fɔ tɔk nɔ go ɔndastand dɛn tin ya. So na fɔ no dɛn sayn ya we de pan dis kayn pikin:
* I nɔ izi fɔ drink ɔ nɔ want fɔ drink milk .
* Fɔ de fil ɔltɛm we yu nɔ de rɛst ɔ kray fɔ natin.
* Chenj di we aw yu de blo.
* Skin kɔlɔ kin chenj (blu ɔ pale).
Nɔr kin ɔltɛm, di fɔs sayn kin bi wae pɔrsin kin fil lɛk wae pɔrsin kin fil lɛk wae pɔrsin kin fil, ɔr kin day wantɛm wantɛm.
Wetin kin mek pikin dɛn gɛt aritmia?
Bɔrku tɛm, pikin dɛm wae gɛt kɔndishɔn lɛk SVT nɔr kin gɛt ɔda strɔkchɔral prɔblɛm wit dɛn at. Bɔt sɔm tin dɛn de we kin mek ɔda kayn aritmia gɛt.
- At sik we dɛn bɔn wit .
- Sik dɛm lɛk cardiomyopathy , we kin mek di at mɔsul tik ɛn big.
- Jεnεtik kכndishכn dεm , fכ egzampl, lכng QT sεndrכm.
- Fiva, wata we de kɔmɔt na yu bɔdi, strɛs, we yu nɔ de slip, ɔ tin dɛn we de mek yu bɔdi wam.
- Vayral ɔ baktriyal infɛkshɔn dɛn .
- ilektrolayt imbalans na di bכdi in ilektrolayt dεm (e.g. potashכm, sכdiכm).
- Sɔm mɛrɛsin dɛn , mɔ di wan dɛn we dɛn kin gi pikin dɛn we de na say dɛn we dɛn kin kia fɔ pipul dɛn we sik bad bad wan.
Aw dɔktɔ kin no bɔt dis sik?
Bɔku tɛm, dɔktɔ kin no dis we dɛn de chɛk am ɔltɛm ɔ we i de trit ɔda sik. If yu gɛt ɛnitin fɔ wɔri bɔt yu pikin in sik, mek shɔ se yu tɔk to yu dɔktɔ bɔt am.
Di dɔktɔ go aks bɔt di pikin ɛn in famili in mɛdikal istri, lisin to di pikin in at, ɛn tɛl am fɔ du sɔm tɛst dɛn lɛk dis if nid de.
| Tɛst | Fɔ tɔk am simpul wan, wetin yu de du wit dis? |
|---|---|
| Blɔd tɛst | Dɛn kin chɛk fɔ si if infekshɔn, sɔl nɔ balans, ɔ ɔda kemikal chenj dɛn na di bɔdi. |
| Ikokardiogram (Echo) . | Dis tan lɛk we dɛn de skan di at. I de yuz sawnd wev fɔ luk di kayn we aw di at tan ɛn aw i de wok. |
| Ilɛktrokardiogram (ECG) . | Dis na tɛst we rili simpul ɛn we nɔ de mek pɔsin fil pen. Dɛn kin put smɔl smɔl stika dɛn na di pikin in chɛst ɛn rayt di ilɛktrik wok we di at de du. |
| Holter Monitor fɔ di wan dɛn we de wok | Dis na lɛk ‘24 awa ECG’. Dɛn kin aks di pikin fɔ wɛr smɔl tin ɛn fɔ de na in nɔmal pozishɔn ɔl di de. Dis kin mek dɛn ebul fɔ si aw dɛn at kin chenj ɔl di de. |
| Ilɛktrofisiɔlɔjik Stɔdi (EPS) . | Dis na spɛshal tɛst. Dɛn kin pas wan tint tiub tru wan blɔd vesel na di leg ɔ an to di at, ɛn di dɔktɔ kin fɛn di rayt say we di ilɛktrik signal we nɔ nɔmal de kɔmɔt. |
Aw dɛn kin trit aritmia?
Sɔm aritmia nɔ nid ɛni tritmɛnt. Di dɔktɔ go se fɔ wach di pikin in kɔndishɔn fɔ sɔm tɛm.
Ɔda kes dɛm, dɛn kin trit di ɔndalayn kɔndishɔn we de mek di aritmia. Fɔ ɛgzampul, if na bikɔs ɔf infekshɔn, dɛn kin gi am antibayɔtik. If na di sɔl we nɔ balans na di bɔdi, dɛn kin gi am mɛrɛsin fɔ kɔrɛkt am.
sכm pikin dεn kin gi tablεt lεk `beta-blockers` כ `calcium channel blockers` fכ kכntro dεn at ritm.
Insay kes dɛm we siriɔs smɔl, lɛk disSɔntɛm dɛn nid fɔ du sɔm patikyula tin dɛn:
- Ablashɔn: Insay dis, dɛn kin pwɛl smɔl smɔl sɛl dɛn na di at we de mek di at nɔ de wok fayn bay we dɛn de yuz ɔt ɔ ay tɛmpracha ɛnaji.
- Cardioversion: Dis na prosidur we de mek di hat in ritm kam bak bay we yu de gi yu wan kɔntrol ilɛktrik shɔk to di at.
- Implanted Device: Na divays, lɛk pesmɛka ɔ implantable cardioverter defibrillator (ICD), we dɛn kin put ɔnda di skin fɔ kɔntrol di at in ritm.
Sɔm tin dɛn de we yu kin du na os we yu gɛt di sik?
Yɛs. Ɛspɛshali we yu at bit kwik kwik wan lɛk SVT, sɔm simpul tin dɛn de we yu kin tray bifo yu go to dɔktɔ. I bɛtɛ fɔ aks yu dɔktɔ fɔ advays bifo yu du dɛn tin ya.
- Tray fɔ fos fɔ kɔf ɔ klia yu trot.
- Fɔ put ays pak ɔ klos we dɛn sok insay kol wata na di pikin in fes.
- Valsalva maneuver: Dis kin min fɔ pinch di pikin in nos, lɔk dɛn mɔt, ɛn tray fɔ blo. I tan lɛk se yu de blo balyɔn. Dis kin mek di prɛshɔn we de insay di chɛst go ɔp ɛn ɛp di at rit fɔ kam bak to nɔmal.
Impɔtant: If yu pikin de chok, in chɛst de pen bad bad wan, ɔ i nɔ izi fɔ blo, nɔ tray dɛn tin ya ɛn kɛr dɛn go na di ɔspitul we de nia am wantɛm wantɛm na di Imejɛnsi Dipatmɛnt (ETU) .
Aw dis tin go afɛkt yu fɔ lɔng tɛm?
Dis na di big kwɛshɔn we de na ɛvri mama ɛn papa in maynd: wetin go bi di fiuja fɔ pikin we gɛt aritmia?
- Di gud nyus na dat, bɔrku kayn aritmia pan pikin dɛm nɔr de du bad ɛn nɔr de kɔz wɛl bɔdi prɔblɛm fɔ lɔng tɛm.
- Sɔm pikin dɛn kin gro pas dis sik as dɛn de ol .
- Ɔda pipul dɛn kin kɔntinyu fɔ gɛt dis sik, bɔt dɛn kin liv nɔmal layf we dɛn nɔ gɛt ɛni tritmɛnt.
- Ivin pikin dɛn we gɛt siriɔs aritmia kin gɛt tritmɛnt fayn fayn wan .
Na smɔl tɛm nɔmɔ, if dɛn nɔ trit am , siriɔs aritmi kin mek blɔd klɔt (we kin mek pɔsin gɛt strok if i travul go na di bren), at kin pwɛl, ɔ ɔda prɔblɛm dɛn. Na dat mek i impɔtant fɔ go to dɔktɔ pas fɔ ignore di sayn dɛm.
Mɛsej we dɛn kin kɛr go na os
- Aritmia na pikin dɛm na wan sik wae kin pasmak ɛn bɔrku tɛm nɔr kin du bad, so nɔr panik.
- If yu pikin gɛt sɔm sayn dɛn lɛk in chɛst pen, in ed de tɔn, i de fɔdɔm, ɔ in at nɔ de bit fayn, nɔ ignore am. Fɔ tru, yu go si dɔktɔ.
- ‘Sinus Arrhythmia’ na nכmal, hεlty kכndyushכn we di at rεt de chenj wit di brith. I nɔto sik.
- Ivin siriɔs kɔndishɔn dɛn kin mɛn fayn fayn wan wit di rayt diagnosis ɛn tritmɛnt.
- If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt yu pikin in kɔndishɔn, aks yu dɔktɔ fɔ mek i no am klia wan.
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