Yu at nɔ de rit ɔltɛm? Lɛ wi tɔk bɔt Atrial Fibrillation (AFib)!

Yu dɔn ɛva fil lɛk se yu at de bit fast ɔ i nɔ de bit ɔltɛm? Yu fil lɛk se fish de strɛch insay yu chɛst ɔ bɔtaflay de flɔt? Nɔ jɔs dismis dɛn tin ya as random. Dis kin bi siriɔs sik wae gɛt fɔ du wit aw yu at de rit. Tide wi de tɔk bɔt wan kayn sik, Atrial Fibrillation, ɔ AFib as wi ɔl no am.

Fɔ tɔk am simpul wan, wetin na Atrial Fibrillation (AFib)?

Okay, mek wi mek dis rili simpul. Yu at gɛt 4 men rum dɛn. di tu כp chεmba dεm dεn kכl dεm di atria , εn di tu lכw chεmba dεm dεn kכl dεm di vεntrikl dεm . nכmal wan, dεn chεmba dεm ya kin kכntrakt insay wan ritm we, akɔdin to wan signal frכm di at in nεchכral ilektrikal sistεm. dat min se di כp chεmba dεm (di atria) de kכntrakt εn pכmp bכdi insay di lכw chεmba dεm (di vεntrikl dεm). Dɔn di chɛmba dɛn we de dɔŋ kin kɔntrakt ɛn pɔmp da blɔd de ɔlsay na di bɔdi. Dis na wetin wi de fil as wi at bit.

Bɔt sɔntin difrɛn kin apin to pɔsin we gɛt AFib. insted fכ wan כda ilektrikal signal we de kכmכt frכm wan ples to di כp chεmba dεm na di at (atria), bכku chaotic, rεpid ilektrikal signal dεm de bigin kכmכt frכm bכku ples dεm di sem tεm.

bikɔs ɔf dɛn chaotic signal ya, di atria dɛn kin bigin fɔ shek instead fɔ kɔntrakt fayn fayn wan. Dis kin mek dɛn nɔ ebul fɔ pɔmp blɔd fayn fayn wan na di say dɛn we de dɔŋ. di lכw chεmba dεm (sεl dεm) we de rεspכnd to dεn chaotic signal dεm frכm di כp chεmba dεm dεn tu de stat fכ bit iregulεr εn kwik. Wi kin fil di bit we dɛn ɔda chɛmba dɛn ya de bit lɛk aw at de bit. So i kin bi bak irɛgyula ɛn kwik kwik wan.

Wetin na di sayn dɛm fɔ pɔrsin wae gɛt AFib?

Nɔto ɔlman wae gɛt AFib kin gɛt dis sik, bɔt bɔrku pipul dɛn go gɛt wan ɔr mɔr pan dɛn sik ya:

AFib na kondishon we yu fɔ fred?

Yɛs. AFib na siriɔs kɔndishɔn we yu fɔ rili wɔri bɔt. E kin siriɔs if yu gɛt sɔm kayn sik ɔr nɔr gɛt dis sik. Bikɔs we di at nɔ de wok fayn, blɔd kin gɛda insay di at, mɔ na di atria, ɛn i kin izi fɔ mek blɔd klɔt.

If blɔd klɔt brok ɛn stɔp na blɔd vesel we de go na di bren, i kin mek pɔsin strok . I kin mek di at wik bak as tɛm de go, ɛn dis kin mek pɔsin gɛt tin dɛn lɛk we at nɔ de wok fayn . So if yu gɛt sayn fɔ AFib, go to yu dɔktɔ wantɛm wantɛm.

Wetin na di kɔz ɛn risk factor dɛm fɔ AFib?

No wan kɔz nɔ de fɔ AFib. Bɔku tin dɛn we kin mek i apin ɛn sɔm tin dɛn we kin mek i gɛt prɔblɛm kin mek i apin.

Men rizin dɛn

• Ɔda at sik dɛn: If yu dɔn ɔlrɛdi gɛt at atak, at valv sik, at pwɛl, ɔ korona at sik, yu risk fɔ gɛt AFib go bɔku.
• Ɔda mɛrɛsin dɛn: Kɔndishɔn lɛk ay blɔd prɛshɔn, fat, dayabitis, haypa tayroyd, krɛse sik, ɛn ɔbstructive sleep apnea kin mek yu gɛt AFib.
• jεnεtik fכktכ dεm: AFib kin tεnd fכ rכn insay famili, we min se jεnεtik inflכεns de (`jεnεtik vεryכnt`).
• Hat ɔpreshɔn: Sɔm pipul kin gɛt AFib ivin afta dɛn dɔn du at ɔpreshɔn fɔ ɔda rizin.

Ɔda tin dɛn we kin mek pɔsin gɛt mɔ prɔblɛm

• Ej: Di risk fɔ gɛt AFib de go ɔp smɔl smɔl afta i dɔn ol 65 ia.
• If yu drink pasmak: If yu drink pas di rɔm we yu se yu fɔ drink, mɔ we yu drink pasmak, dat kin mek yu gɛt AFib bad bad wan.
• Nɔr de du ɛksɛsayz: If yu nɔr de ɛksesaiz fayn ɛvride, dat kin mek yu gɛt prɔblɛm bak.
• Fɔ ɛksesaiz pasmak: Nɔ sɔprayz, tumɔs pan ɛnitin nɔr fayn, ɛn ivin fɔ du ɛksɛsayz fɔ lɔng tɛm insay wan de fɔ bɔku ia kin mek sɔm pipul dɛn gɛt mɔ risk fɔ gɛt AFib.

Aw dɔktɔ kin no di AFib kɔrɛkt wan?

We yu go to dɔktɔ, dɛn go aks yu bɔt yu sik ɛn chɛk yu. di men tεst fכ kכnfכm AFib na ECG (Electrocardiogram) .

• ECG (EKG) test: Dis na fɔ rikodɔ di ilɛktrik wok we yu at de du. Di dɔktɔ kin no if yu at ritm nɔ de ɔltɛm ɔ if yu gɛt AFib.

Apat frɔm dat, di dɔktɔ kin tɛl yu fɔ du sɔm ɔda tɛst dɛn.

• Blɔd tɛst: Chɛk tin dɛn lɛk di tayroyd ɔmon lɛvɛl ɛn di kidni we de wok.
• Echocardiogram (Echo): Dis tan lɛk we dɛn de skan di at. i de εp fכ כndastand bכt di sayz fכ di at in chεmba dεm, di wok we di valv dεm de du, εn di at in pawa fכ pכmp.
• Holter Monitor: Sɔntɛnde AFib nɔ kin de ɔltɛm. I kin kam ɛn go. If na so i bi, wan smɔl tin we kin tay na yu bɔdi fɔ 24 ɔ 48 awa kin kɔntinyu fɔ rayt yu ECG. Dis de wach yu at ritm we yu de du yu nɔmal os wok dɛn.

Wetin na di stej dɛm fɔ AFib?

AFib na wan sik wae kin wɔs as tɛm de go, so dɔktɔ dɛn dɔn sheb am to sɔm stej dɛm.

Stej 1: Na risk fɔ AFib

Dɛn pipul ya nɔ gɛt AFib, bɔt dɛn gɛt tin dɛn we kin mek dɛn gɛt dis sik lɛk ay blɔd prɛshɔn, dayabitis, ɛn fɔ fat.

Stej 2: Bifo AFib

Dis pipul dem no get AFib yet. Bɔt ECG ɔ Echo tɛst de sho smɔl chenj dɛn na di at. Dɛn tin ya de sho se i gɛt ay risk fɔ gɛt AFib.

Stej 3: AFib stetɔs (AFib) .

Di moment we ECG kɔnfɔm AFib. Dɛn sheb dis bak to difrɛn pat dɛn.

• Paroxysmal AFib: AFib kin apin εn i kin rεsכlv insεf witout tritmεnt, כltεm insay 7 dez (bכku tεm insay 24-48 awa).
• AFib we de kɔntinyu: AFib de las fɔ pas 7 dez ɛn i nid tritmɛnt fɔ stɔp am.
• AFib we de kɔntinyu fɔ de fɔ lɔng tɛm: AFib de las fɔ pas wan ia.
• Saksesful AFib ablashɔn: Dɛn kin kɔntrol AFib afta ɔpreshɔn ɔ ɔda tritmɛnt.

Stej 4: AFib we go de sote go

Na dis tɛm, di pɔsin ɛn di dɔktɔ disayd togɛda se dɛn nɔ go tray fɔ rivɛns di AFib kɔndishɔn. Di tin we dɛn kin pe atɛnshɔn pan na fɔ kɔntrol di at rit ɛn fɔ mek blɔd nɔ klɔt.

Wetin na di tritmɛnt dɛm fɔ AFib?

Tri men gol dɛn de fɔ AFib tritmɛnt:

1. Fɔ kɔntrol di at rit.

2. Fɔ mek di at ritm bak.

3. Fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk strok.

Bɔku tritmɛnt dɛn de fɔ dis.

1. Di Chenj dɛn we Yu De Layf

Dis na di fawndeshɔn.

• Fɔ mek yu gɛt wɛlbɔdi: If yu fat, i rili impɔtant fɔ lɛ yu lɛf fɔ it bɔku bɔku it dɛn.
• Limit alcohol ɛn avɔyd fɔ smok: Dɛn tin ya de mek di risk ɛn simptom dɛm fɔ AFib bɔku.
• Ɛksesaiz ɔltɛm: Du ɛksɛsayz we fayn fɔ yu, lɛk aw yu dɔktɔ advays yu.
• Fɔ kɔntrol sik dɛn lɛk ay blɔd prɛshɔn ɛn dayabitis: I rili impɔtant fɔ kɔntrol dɛn sik ya fayn fayn wan.

2. Mɛrɛsin we dɛn kin gi

Di dɔktɔ kin gi yu bɔku kayn mɛrɛsin dipen pan yu kɔndishɔn.

• Mɛrɛsin dɛn we de kɔntrol di at rit:dis dεm de εp fכ slo di at rεt (e.g. `Metoprolol`, `Diltiazem`).
• di mεdisin dεm we de kכntro di at ritm: dεn ya de εp fכ mek di ritm we nכ de rεgεl bak to nכmal ritm (`saynus ritm`) (e.g. `Amiodarone`).
• Anticoagulants / Blood Thinners: Dis rili impɔtant . Dɛn kin gi dɛn mɛrɛsin ya fɔ ridyus di risk fɔ gɛt strok. `Warfarin` na wan ol drɔg. Nyu drɔgs (`DOACs`) lɛk `Apixaban` ɛn `Rivaroxaban` dɛnsɛf de yuz bɔku bɔku wan naw. Nɔ ɛva stɔp dɛn mɛrɛsin ya ɔ chenj di doz if yu dɔktɔ nɔ advays yu.

3. Ablashɔn tritmɛnt (Ablashɔn fɔ AFib) .

If i at fɔ kɔntrol AFib wit mɛrɛsin, yu dɔktɔ kin tɛl yu dis tritmɛnt.

• Kateta Ablashכn: insay dis, dεn de put wan tin tכb (kateta) tru wan bכdi vεsεl na di groin insay di at fכ no di εria dεm na di at we de sεnd ilektrikal signal dεm we nכ de rεgul we de mek AFib εn afta dat dεn de dεaktiv dεm yuz כt כ kol pasmak.
• Maze Procedure: Dɛn kin du dis wit opin-at ɔpreshɔn. dεn kin mek sכm sכm pat dεm na di atria dεm fכ mek wan patεn we de stכp di ilektrikal signal dεm we nכ de rεgulכr fכ travul.

4. Ɔda we dɛn fɔ du tin

• Cardioversion: Na tin we de mek di at in ritm bak kwik kwik wan, ilɛksɛf na imejensi ɔ we dɛn dɔn plan, bay we dɛn de gi ilɛktrik shɔk to di chɛst ɔ bay we dɛn gi am mɛrɛsin.
• Left Atrial Appendage (LAA) Closure: Dɛn kin put smɔl tin fɔ lɔk di smɔl pat we tan lɛk sak na di at usay blɔd kin klɔt mɔ. Dis kin fayn fɔ pipul dɛm wae nɔr kin ebul fɔ tek mɛrɛsin wae de mek dɛn blɔd tan.

Aw fɔ liv wit AFib? Yu tink se dɛn go ebul fɔ mɛn am kpatakpata?

Tritmɛnt kin stɔp AFib fɔ apin ɔ mek di ritm kam bak. Bɔt AFib na wan sik we pɔsin kin gɛt we i de liv in layf we nɔ go ebul fɔ mɛn . Ivin if di sayn dɛm dɔn go afta dɛn dɔn trit am, dɛn kin kam bak. Na dat mek i impɔtant fɔ de tɔk to yu dɔktɔ, go de chɛk yu ɔltɛm, ɛn tek yu mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu fɔ tek.

We i kam pan di layf we pɔsin we gɛt AFib de liv, na tru se sɔm stɔdi dɛn dɔn sho se pipul dɛn we gɛt AFib kin gɛt layf we shɔt smɔl pas di jenɛral pipul dɛn. Bɔt dat na jɔs wan statystik. If yu woke wit yu dɔktɔ, chenj yu layf, tek yu mɛrɛsin fayn fayn wan, ɛn mɛn dis sik fayn fayn wan, yusɛf kin liv lɔng, wɛl bɔdi layf.