Yu at de fil lɛk se i de bit tumɔs? Mek wi lan bɔt A-fib wit RVR! (Atrial Fibrilɛshɔn wit RVR)

Yu dɔn ɛva fil lɛk se yu at de bit lɛk krayzi, ɔ yu fil lɛk se yu gɛt wan strenj filin na yu chɛst? Ɔ yu kin fil lɛk se yu gɛt prɔblɛm fɔ blo ɔ yu ed de tɔn? Sɔntɛm dɛn tin ya nɔto jɔs ɔda tin dɛn. Tide wi go tɔk bɔt dis kayn prɔblɛm we kin apin na di at, dat na, wan kɔndishɔn we di at kin bit irɛgyula ɛn rili kwik, we dɛn kɔl `(Atrial Fibrillation with Rapid Ventricular Rate)` ɔ `(A-fib with RVR)` fɔ shɔt. Nɔr frayd, i rili impɔtant fɔ no bɔt dis.

Wetin na A-fib wit RVR?

Fɔ tɔk am simpul wan, `(A-fib wit RVR)` na wan kɔndishɔn we yu at in ritm, ɔ di we aw yu de bit, kin bi abnɔmal. Wi gɛt tu ɔpa chɛmba dɛn na wi at, we wi kɔl atria. dis `(atria)` na di say we di ilektrikal signal dεm we de tεl di at fכ bit de stat. bכt insay pכsin we gεt `(Atrial Fibrillation)`, dεn ilektrikal signal dεm ya de chaotic, dεn nכ de כda, εn di כp chεmba dεm `(atria)` de stat fכ kכntrakt kwik kwik wan. I tan lɛk se pɔsin de bit drɔm lɛk krayzi.

naw dεn chaotic ilektrikal signal dεm ya de go na di tu lכw chεmba dεm na di at, di vεntrikl dεm. Dɔn di bit we dɛn ventrikl dɛn de bit nɔ kin bi ɔltɛm ɛn i kin rili fast . Na dat dɛn kɔl am ``A-fib wit RVR''. Dat min se di at de bit pas 100 tɛm insay wan minit.

Tink bɔt am lɛk wata pɔmp. If i nɔ de wok fayn, i nɔ go ebul fɔ pɔmp di blɔd we i nid to di bɔdi. Na dat kin apin we yu gɛt `(A-fib wit RVR)`. di at nכ gεt inof tεm fכ fulכp wit bכdi fayn fayn wan, so i nכ kin pכmp inof כksijεn blכd to di bכdi.

Aw dis sik kin kɔmɔn?

Yu kin tink se dis na sik we kin ambɔg smɔl pipul dɛn. bכt infakt, ``Atrial Fibrillation`` na di mכst kכmכn kכ ndyushכn bitwin di at ritm abnכmaliti dεm. If yu luk di statystik na kɔntri lɛk Amɛrika, bɔku bɔku pipul dɛn de sɔfa wit dis sik. Dɛn kin si dis kɔndishɔn mɔ ɛn mɔ bak na Sri Lanka.

Wetin na di sayn dɛm fɔ dis? Aw fɔ no am?

Nɔto ɔlman kin gɛt di sem kayn sik. Sɔm pipul kin gɛt dis sik wae nɔr kin gɛt ɛni sayn. Bɔt sɔm sayn dɛn de we kin apin:

• Hat palpitations : E kin fil lɛk se yu at de bit ɔr de bit insay yu chɛst.
• Diziz : I kin fil lɛk se yu ed de spin, sɔm tɛm dɛn kin te yu nɔ ebul fɔ tinap.
• Pas ɔut: Sɔm pipul kin lɔs kɔnshɛns ɛn fɔdɔm if dis sik tranga.
• Chɛst pen : Di chɛst kin fil lɛk se i de kɔnstrikt ɔ prɛs.
• Shortness of breath : Nɔto jɔs we yu taya smɔl, bɔt ivin we yu jɔs tinap, yu kin fil shɔt fɔ blo.
• Fɔ wɔri ɔltɛm`(Anxiety)`: Yu kin fil frayd ɛn wɔri fɔ natin.
• Taya : I nɔ mata aw yu slip, yu kin fil taya ɛn nɔ gɛt layf.

Dɛn sayn ya kin rili smɔl sɔm tɛm, ɛn kin rili bad ɔda tɛm. So if yu gɛt ɛnitin lɛk dis, i go fayn fɔ mek yu go to dɔktɔ .

Wetin mek dis de apin? Wetin na di rizin dɛn?

difrεn tin dεm de we kin mek `A-fib wit RVR`. Di men wan dɛn na:

• Koronari at sik : Dis min se di at we de gi blɔd to di at kin blok.
• Ay blɔd prɛshɔn : Wi ɔl no di wɔd "hay blɔd prɛshɔn".
• At nɔ de wok fayn : Di at nɔ kin ebul fɔ pɔmp inof blɔd to di bɔdi.
• Obstructive sleep apnea: Fɔ stɔp fɔ blo we yu de slip we yu de snor.
• Hat ɔpreshɔn : Dis risk kin de fɔ sɔm dez ɔr wik afta sɔm hat ɔpreshɔn.

Udat de pan denja pas ɔl fɔ dis?

Sɔm pipul dɛn kin gɛt dis sik. Si if yu de insay dis kategori:

• Pipul wae dɔn pas 50 ia : Dis risk kin go ɔp wae pɔrsin de ol.
• Pipul wae gɛt bɔdi mas indeks (BMI) we pas 30 : Dis min se dɛn gɛt bɔku bɔku bɔdi fɔ dɛn ayt.
• Pipul dɛn we gɛt obstructive sleep apnea.
• Pipul wae de drink bɔrku rɔm : De risk kin bɔrku if yu de drink bɔrku rɔm ɛvride ɔr ɔltɛm.
• Pipul wae de drink pasmak kafin : I nɔr fayn bak fɔ drink tumɔs kɔfi ɔ ti insay di de.
• If sɔmbɔdi na yu famili dɔn gɛt ``A-fib'' : I kin gɛt jɛnɛtik inflɔwɛns bak.

Mɛmba: Fɔ gɛt wan ɔ mɔ pan dɛn risk factor ya nɔ min se yu go rili divɛlɔp ``A-fib wit RVR''. Bɔt, i impɔtant fɔ no bɔt dɛn tin ya.

Us prɔblɛm dɛn dis kin mek?

If dεn nכ trit `A-fib wit RVR` fayn, sכm denja kכmplikεshכn kin apin.

• di tεm we de dכn fכ di lכw chεmba dεm na di at fכ fulכp wit blכd.
• Di at mɔsul nid mɔ ɔksijɛn .
• Cardiomyopathy : Na wan sik we di at mɔsul kin wik ɛn big.
• Strɔk : Strɔk kin apin if blɔd klɔt fɔm na di at ɛn travul go na di bren, we kin blok wan at. Dis na di prɔblɛm we denja pas ɔl .
• Lɔw blɔd prɛshɔn .
• Kɔnjɛstiv at we nɔ de wok fayn .

Na dat mek i impɔtant fɔ no bɔt dis sik ɛn go to tritmɛnt kwik kwik wan.

Aw dɛn kin no dis? Us tɛst dɛn dɛn kin du?

If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, we yu go to dɔktɔ, i go chɛk yu, aks yu bɔt yu mɛdikal istri, dɔn ɔda fɔ du bɔku tɛst fɔ no if yu gɛt di sik.

Di tɛst dɛn we dɛn kin du mɔ na:

• Ilektrokardiogram (ECG ɔ EKG) : Dis de rikodɔ di ilɛktrik aktiviti we di at de du. I kin no klia wan if `(A-fib wit RVR)` de.
• Echocardiogram : Dis tan lɛk ɔltra saund skan fɔ di at. i kin chεk if di at in chεmba dεm εn di valv dεm de wok fayn fayn wan, εn aw di at big.
• Cardiac CT scan ɔ MRI scan : Dɛn tin ya kin gi mɔ ditayla infɔmeshɔn bɔt di strɔkchɔ na di at.
• Blɔd tɛst : Dɛn tin ya kin ɛp fɔ no tin dɛn lɛk tayroyd prɔblɛm ɛn chenj na di ilɛktrɔlayt dɛn na di blɔd.

Wetin na di tritmɛnt fɔ dis?

Di gud nyus na dat, ifektiv tritmɛnt dɛn de fɔ A-fib wit RVR. Yu dɔktɔ gɛt tu men gol: fɔ kɔntrol yu sik dɛn, ɛn fɔ mek di prɔblɛm dɛn we wi dɔn tɔk bɔt nɔ apin.

Dɛn kin yuz dɛn tin ya mɔ as tritmɛnt:

• Balancing Electrolytes : Bikɔs if di ilɛktrɔlayt dɛn lɛk potassium ɛn magnesium na di bɔdi go ɔp ɔ dɔŋ, dat kin afɛkt di at ritm, dɛn kin yuz tritmɛnt fɔ mek dɛn kɔntinyu fɔ de fayn fayn wan.
• Mɛrɛsin : Di men tritmɛnt fɔ dis na mɛrɛsin.

Us mɛrɛsin/tritmɛnt dɛn kin yuz?

Bɔku kayn mɛrɛsin dɛn de we dɛn kin gi fɔ `A-fib wit RVR`:

• Beta-blɔka : Fɔ ɛgzampul, mɛtoprolɔl (Lopressor® ɔ Toprol®XL). Dɛn tin ya kin wok bay we dɛn kin mek di at rit smɔl ɛn mek di prɛshɔn we de pan di at nɔ bɔku.
• Kalsiɔm chanɛl blɔk dɛn : Fɔ ɛgzampul, diltiazem (Diltzac® ɔ Cardizem®). Dis kayn mɛrɛsin de mek di at rit slo bak bay we i de kɔntrol di kalsiɔm we de go insay di at mɔsul sɛl dɛn.
• Antiaritmik : Fɔ ɛgzampul, amiodarone (Pacerone® ɔ Cordarone®) ɔ digoxin (Lanoxin® ɔ Cardoxin®). Dɛn tin ya kin ɛp fɔ mek di at gɛt bak di ritm we nɔ de ɔltɛm.

Di tin we impɔtant pas ɔl! we yu gεt `(A-fib)`, chans de fכ mek bכdi kכlכt insay di at. if dεn blכd kכlכt dεm ya travul go na di bren, wan `(Stroke)` kin apin. So, dɛn kin gi dɛn antikɔagulant , ɔ wetin wi kɔl "blɔd tinna", ɔlmost ɔltɛm.

Fɔ sɔm pipul dɛn we nɔ kin ebul fɔ kɔntinyu fɔ tek dɛn mɛrɛsin ya we kin mek dɛn blɔd tan, dɛn kin du spɛshal tin we dɛn kɔl left atrial appendage closure fɔ mek blɔd nɔ klɔt.

Sɔntɛnde, i nɔ kin izi fɔ kɔntrol dis sik wit mɛrɛsin nɔmɔ. If dɛn kayn tin ya apin, dɛn kin nid ɔda we dɛn fɔ trit am:

• Catheter ablation : dis involv fכ fכn di εria dεm na di at usay di erratic ilektrikal signal dεm de kכmכt, εn pas wan sכmכl kateshכn (tin tכb) tru di leg כ an insay di at, we de ‘disable’ di εria dεm we di erratic signal dεm de kכmכt. Dɔn di sayn dɛn we nɔ de chenj kin stɔp fɔ kam.
• Pacemaker : Sɔm pipul dɛn kin put smɔl tin ɔnda dɛn skin fɔ kɔntrol dɛn at rit. Dɛn kɔl dis pesmɛka. I de sɛn ilɛktrik signal to di at, mɔ we di at rit slo.
• Ilektrikal kadyovεrshכn : Dis na fכ gi sכm tεm anεsthεtik εn gi wan ilektrikal shכk we dεn kכntrol na do to di at, we de mek di at in ritm bak wantɛm wantɛm.
• Maze procedure : Dis na wan we we kɔmplikt smɔl. dεn kin mek sכm sכm pat dεm na di atria dεm fכ mek di kכrekt rod dεm fכ di ilektrikal signal dεm fכ travul. Bɔku tɛm, dɛn kin du dis we dɛn de du ɔda ɔpreshɔn pan dɛn at.

Ɛni bad tin de we di tritmɛnt kin du?

As wit eni mεdikal tritmεnt, sכm sayd ifekt כ komplikashכn kin apin wit dis `(A-fib wit RVR)` tritmεnt. Bɔt, dɛn nɔ kin apin to ɔlman, ɛn bɔku tɛm dɛn kin smɔl.

• Frɔm mɛrɛsin : Sɔm pipul dɛn kin gɛt ed pen, blɔd prɛshɔn kin smɔl, dɛn kin gɛt diziz, ɛn dɛn bɛlɛ kin at.
• di we aw dεn kin du tin lεk we dεn pul di kateshכn kin mek di kadyak tamponade כ, rεli rεli, hat atak.
• Sɔntɛnde, di wan dɛn we de mek pɔsin in peshɛnt nɔ kin wok fayn.
• di at palpitεshכn כ ``A-fib'' kin kam bak fכ sεvεra mכnt afta di Maze prosidכs .

Yu dɔktɔ go tɛl yu bɔt dis. Nɔr nid fɔ wɔri, bikɔs dɔktɔ dɛn kin tray ɔltɛm fɔ stɔp dɛn prɔblɛm ya.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Dis rili dipen pan di tritmɛnt we yu de gɛt. Sɔm mɛrɛsin dɛn lɛk di mɛrɛsin dɛn we dɛn kin put insay yu bɛlɛ (IV) kin ɛp fɔ mek yu at rit slo ɛn bigin fɔ fil fayn insay sɔm minit . Ɔda tritmɛnt dɛn kin tek lɔng tɛm fɔ wok. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.

Aw a go ridyus dis risk?

difrεn tin dεm de we yu kin du fכ ridyus yu risk fכ divεlכp `(A-fib wit RVR)`. Dɛn tin ya nɔr kin fayn fɔ de sik, bɔt fɔ yu ɔl wɛl bɔdi:

• Ɛksesaiz wit mɔdaret paz fɔ at le 150 minit insay di wik : fɔ waka, bayk, ɔ swim fayn.
• It tin dɛn we go ɛp yu at: Put vɛjitebul, frut, ligɛm, ɔl gren, ɛn fish insay yu it. Ridyus ɔyl, sɔl, ɛn shuga.
• Limit alcohol consumption : I bɛtɛ fɔ ridyus am as yu ebul.
• Nɔ tek tin dɛn we dɛn kin yuz fɔ smok ɔltogɛda : If yu de smok, lɛf fɔ smok.
• If yu gɛt ɔda sik dɛn lɛk ay blɔd prɛshɔn, ay kɔlɔstrel, slip apnɛa, ɔ dayabitis, kɔntrol dɛn fayn fayn wan.

If a gɛt `(A-fib wit RVR)`, wetin a fɔ ɛkspɛkt?

Fɔ no se yu gɛt `(A-fib wit RVR)` kin mek yu shɔk smɔl. Bɔt mɛmba se dis na kɔndishɔn we yu kin ebul fɔ kɔntrol ɛn yu kin liv fayn layf . Di impɔtant tin na fɔ mek yu gɛt di fayn fayn abit dɛn we yu bin dɔn tɔk bɔt, tek di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ du, ɛn go to spɛshal tritmɛnt if nid de.

If dɛn nɔ trit am, i kin mek i gɛt siriɔs sik lɛk at sik, at pwɛl, ɔ strok. Dɛn dɔn sho se tritmɛnt dɛn lɛk fɔ pul kateshɔn kin wok fayn pan bɔku pipul dɛn. Di Maze prosidur gɛt 80% to 90% sakses rɛt, ɛn i kin gi lɔng tɛm rilif frɔm di simptom dɛm.

Aw lɔng dis tin go las?

``(A-fib wit RVR)`` na wan kכndyushכn we kin te sכmtεm fכ ia. Fɔ sɔm pipul dɛm, de frɛkuɛns ɛn aw fɔ tek dis sik kin go ɔp as tɛm de go. Na dat mek i impɔtant fɔ kɔntinyu fɔ fala yu dɔktɔ in advays ɛn go de chɛk yu ɔltɛm.

Aw a kin kia fɔ misɛf?

Yu wɛlbɔdi de na yu an. Mɛmba dis:

• Tek ɔl di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek ɛksaktɔli ɛn di rayt tɛm. Nɔ mis wan de.
• Si yu dɔktɔ pan di apɔntinmɛnt dɛn we dɛn dɔn sɛtul fɔ fala yu. I rili impɔtant fɔ si aw yu de du.
• Ɛksesaiz ɔltɛm. Ivin sɔntin we simpul lɛk fɔ waka ɛvride kin mek yu layf bɛtɛ ɛn ɛp yu fɔ du di wok dɛn we yu kin du ɛvride izi wan.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sik ya bak, ɔ if yu gɛt nyu wan, go to dɔktɔ wantɛm wantɛm:

• Chɛst de pen.
• If yu at rit pas 100 bit pan minit we yu de rɛst.
• Diziz we pɔsin kin gɛt.
• I nɔ kin izi fɔ yu fɔ blo.

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

If yu gɛt dɛn sik ya, yu fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) we yu nɔ go te :

• Di sayn dɛm fɔ strok : I kin at bad bad wan wantɛm wantɛm, yu nɔ kin si fayn, i nɔ kin izi fɔ tɔk, i nɔ kin izi fɔ waka, ɛn wan say na yu fes kin drɔp.
• Blɔd we de kɔmɔt pasmak bikɔs ɔf di tin dɛn we de mek blɔd tan: Vɔmit rɛd, pas rɛd ɔ blak stɔl, pas rɛd urine.
• Chɛst pen ɔ ɔda sayn dɛm we de sho se yu gɛt at atak ɔ yu at atɔl : I nɔ de blo bɛtɛ, yu bɛlɛ nɔ de fil fayn, ɛn yu de swet.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to yu dɔktɔ, yu kin aks dɛn kwɛstyɔn ya fɔ ɔndastand yu sik klia wan:

• Aw ɔltɛm a fɔ si di dɔktɔ (fɔl-ɔp)?
• Aw lɔng i kin tek fɔ si di tin dɛn we kin apin we pɔsin chenj in layf?
• Us mɛrɛsin yu kin rɛkɔmɛnd fɔ mi? Wetin na di rizin fɔ dat?
• Yu tink se a fɔ gɛt tritmɛnt lɛk fɔ chenj mi at, fɔ pul mi at, ɔ fɔ mek a yuz mazi?

If yu fil se yu at nɔ de bit ɔltɛm, dat kin mek yu at pwɛl. כltu, ifektiv tritmεnt dεm de fכ dis kכndyushכn we dεn kכl ``A-fib wit RVR''. Yu dɔktɔ kin ɛp yu fɔ pik di tritmɛnt we go fayn fɔ yu. If yu go to yu dɔktɔ di rayt tɛm ɛn tek di mɛrɛsin we dɛn tɛl yu fɔ tek, yu go ɛp fɔ protɛkt yu wɛlbɔdi.

Mesej we yu kin kɛr go na os: Di tin dɛn we impɔtant pas ɔl we yu fɔ mɛmba

Okay, so lɛ wi sɔma sɔm pan di tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• ``(A-fib wit RVR)`` na kכndishכn we di at in ritm nכ de rεgεl εn i de bit bכku fast.
• If yu gɛt sɔm sayn dɛn lɛk we yu chɛst tayt, yu ed de tɔn, ɔ yu nɔ ebul fɔ blo , mek shɔ se yu go to dɔktɔ.
• Dis kin kam bikɔs ɔf bɔku tin dɛn lɛk ay blɔd prɛshɔn ɛn at sik.
• Strɔk na wan pan di prɔblɛm dɛn we kin mek yu gɛt prɔblɛm wit dis, so i rili impɔtant fɔ tek mɛrɛsin we de mek yu blɔd tan.
• Difrɛn we dɛn de fɔ trit am, lɛk fɔ tek mɛrɛsin ɛn fɔ pul di kateshɔn.
• We yu chenj yu layf fayn fayn wan (we yu de it fayn, du ɛksɛsayz, ɛn lɛf fɔ smok) kin ɛp yu fɔ kɔntrol dis sik.
• Tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am. Fɔ fala di dɔktɔ pan di de dɛn we dɛn dɔn sɛtul.
• If yu gɛt sayn dɛn we de wɔn yu kwik kwik wan (stroke simptom, ebi blɔd de kɔmɔt, yu chɛst de pen bad bad wan) , go na ɔspitul wantɛm wantɛm.

Nɔto yu wan de. Bɔrku pipul de liv wit dis sik. If yu trit yu di rayt we ɛn yu de liv yu layf di rayt we, yusɛf go ebul fɔ liv fayn layf. Nɔ fred fɔ tɔk to yu dɔktɔ dɛn ɛn sɔlv yu prɔblɛm dɛn.

` At palpiteshɔn, at sik, A-fib, RVR, at bit kwik kwik wan, chɛst pen, strok