Yu at kin bigin bit kwik kwik wan wantɛm wantɛm? Sɔntɛnde yu kin fil wan strenj we de flɔt na yu chɛst, ɔ yu at nɔ de wok fayn? If yu dɔn ɛkspiriɛns dis, yu kin gɛt wan sik we dɛn kɔl ‘Atrial Flutter’. Nɔ wɔri, naw tritmɛnt dɛn de we rili fayn fɔ dis. So tide wi go tɔk bɔt wan kayn tritmɛnt we rili fayn ɛn we dɛn kin yuz bɔku bɔku wan, ‘Atrial Flutter Ablation’.
Fɔ tɔk am simpul wan, wetin na Atrial Flutter Ablation?
Bifo wi ɔndastand dis, lɛ wi fɔs luk wetin na ‘Atrial Flutter’. di tu כp chεmba dεm na wi at (atria) na dεn wan dεm we de mek ilektrikal signal dεm we de stat di at bit. Nɔmal wan, dɛn signal ya kin kɔmɔt insay wan we we rili ɔda ɛn we gɛt ritm. bכt pan pכsin we gεt ‘Atrial Flutter’, sכm pan di sεl dεm na dεn כp chεmba dεm ya de bigin fכ kכl ilektrikal signal dεm we nכ de rεgεl, we de kכmכt kwik kwik wan. I tan lɛk wan pan di inschrumɛnt dɛn we de na ɔkestra we de ple rili fast ɛn we nɔ de ple. Dis kin mek di at in ritm kin chaotic ɛn di at kin bigin fɔ bit fast fast.
Atrial Flutter Ablation na tritmɛnt we de no ɛn pwɛl ɔ deaktiv di sɛl dɛn we de mek di ilɛktrik signal dɛn we nɔ de ɔltɛm. afta dis, di signal dεm we nכ de rεgulεr de stכp εn di at de bit nכmal wan bak.
Dɛn kin yuz tu men we dɛn fɔ du dis wok:
- Radiofrequency Ablation: Dis involv fɔ yuz ɔt fɔ pwɛl di sɛl dɛn we gɛt prɔblɛm.
- Cryoablation: dis involv fכ yuz ekstrem kol (friz) fכ deaktiv di sεl dεm.
Dɛn tu we ya de du di sem tin: dɛn de stɔp di signal dɛn we de kɔmɔt na di sɛl dɛn we de ambɔg di at in ritm.
Wetin mek yu nid dis tritmɛnt?
Bɔku tɛm, di dɔktɔ kin tray fɔs fɔ kɔntrol di at we i de bit bay we i de gi am mɛrɛsin. Bɔt sɔntɛnde, di mɛrɛsin dɛn nɔ kin ebul fɔ kɔntrol di sik. Dɔn, sɔm tɛm dɛn kin du wan tritmɛnt we dɛn kɔl ``Cardioversion''. Dis min se yu fɔ gi di at smɔl ilɛktrik shɔk fɔ tray fɔ mek i bit bak.
So, if nɔto mɛrɛsin ɔ di we aw yu de chenj yu at nɔ ebul fɔ kɔntrol yu at rit , yu dɔktɔ kin tɛl yu fɔ pul atrial flutter ablation as di nɛks bɛst ɛn ifektiv sɔlvishɔn.
Aw yu kin pripia bifo yu gɛt tritmɛnt?
Pan ɔl we dis nɔto big ɔpreshɔn, i nid fɔ pripia smɔl.
- Di dɔktɔ go tɛl yu fɔ nɔ it ɔ drink ɛnitin fɔ lɛk siks to et awa bifo di tritmɛnt.
- Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin wae yu de tek naw sɔm dez bifo dis tritmɛnt. Yu dɔktɔ go advays yu klia wan bɔt dis.
- I rili impɔtant: If yu de tek antikoagulant, nɔ stɔp fɔ tek am fɔ ɛni rizin pas yu dɔktɔ tɛl yu fɔ tek am. Dis rili impɔtant.
Aw dis tritmɛnt kin wok?
Bɔku pipul dɛn kin tink bɔt dis as `open-heart surgery`. Bɔt nɔto so i bi. dis dεn de du dis na wan spεshal yunit we dεn de dεdiket כnli fכ at sik (`cardiac catheterization lab`).
Fɔ tɔk am simpul wan, wetin kin apin stɛp bay stɛp na dɛn wan ya:
1. Fɔs, dɛn go gi yu mɛrɛsin fɔ numb yu pen ɛn put yu na slip (`twilight sedation`). Sɔntɛnde, dɛn kin gi yu jenɛral anestezi bak.
2. Dɔn di dɔktɔ go put wan tint nidul tru di skin na yu groin.
3. tru am, dεn de put sεvεra rili fayn, fleksibul tכb dεm (`(Catheters)`) insay wan bכdi vεsεl.
4. dεn de pas כda tin tכb we gεt εlektrod (εlektrod kateta) tru dis tכb to di at.
5. we dεn de yuz dis ilektroyd, dεn de mek wan map fכ no εksεktכ usay di prכblεm ilektrikal signal dεm na di at de kכmכt (`mapping`).
6. we dεn dכn no di prכblεm sεl dεm, dεn de pwεl dεm bay we dεn de sεnd rεdyufrikyuεns εnεji (hεt).
Dis ɔl dis kin tek lɛk tu to 4 awa so .
Wetin kin apin afta dɛn dɔn trit am?
Afta di tritmɛnt dɔn, dɛn go pul ɛni tiub we dɛn bin put insay. Di dɔktɔ we de du di ɔpreshɔn go prɛs di say we dɛn put di nidul fɔ mek di blɔd nɔ kɔmɔt. Dɔn dɛn go tɛl yu fɔ mek yu leg lɔng fɔ siks to et awa .
Ivin afta yu dɔn go na os, yu fɔ kɔntinyu fɔ tek yu antikɔagulant (blɔd thinners) lɛk aw yu dɔktɔ tɛl yu, ɛn yu nɔ fɔ mis wan doz. If yu gɛt ɛni blɔd we pasmak, kɔl yu dɔktɔ wantɛm wantɛm.
Aw dis tritmɛnt kin wok fayn? Ɛn wetin na di prɔblɛm dɛn we kin apin?
Dis na di big prɔblɛm fɔ bɔku pipul dɛn. Di gud nyus na dat ``(Atrial Flutter Ablation)`` na tritmɛnt we gɛt sakses rɛt we pas 90% . Bɔrku pipul dɛn at bit kin kam bak to nɔrmal afta dis. Bɔt, na smɔl nɔmba pan pipul dɛm (lɛk 4%-6%) gɛt chans fɔ mek dis sik kam bak.
As wit ɛni mɛdikal prɔsidyu, na rili smɔl risk de insay, bɔt di chans fɔ gɛt kɔmplikeshɔn nɔ pas 1%.
| Risk/Kɔmplisiti | Simpul ɛksplen |
|---|---|
| At Blɔk | Disrɔpshɔn pan di at in ilɛktrik signal transmishɔn. |
| Strok | bכdi we de kכlכt we de travul go na di bren εn blok am (dεn gi am antikoagulant fכ mek dis nכ apin). |
| Di Pɛrfɔreshɔn na di Kadyak | Aksidɛntal damej pan di at wɔl we dɛn de trit am (rili rare). |
| Sik we de prɛd | Infεkshכn na di say we dεn put di nidul. |
| Blɔd we de kɔmɔt | Blɔd we de kɔmɔt pasmak frɔm di say we dɛn pank am. |
Mɛmba se dɛn tin ya kin apin we nɔ kin apin so ɔltɛm. Yu mɛdikal tim dɔn tren fayn fayn wan fɔ kɔntrol dɛn prɔblɛm ya.
Aw lɔng i kin tek fɔ mek i wɛl?
Wan ɔda gud tin bɔt dis na dat di tɛm fɔ wɛl kin rili shɔt.
- Yu kin bigin fɔ du tin dɛn we yu kin du ɔltɛm jɔs afta yu rich na os.
- Bɔt i bɛtɛ fɔ lɛ yu nɔ du tin dɛn we de mek yu strɛs lɛk fɔ tich yu bɔdi ɛn fɔ es wet fɔ lɛk tri dez so .
Dipen pan di advays we yu dɔktɔ we de mɛn yu at go gi yu, yu go nid fɔ kɔntinyu fɔ tek mɛrɛsin dɛn we de mek yu blɔd tan, fɔ shɔt tɛm ɔ fɔ lɔng tɛm.
Ustɛm yu nid fɔ go to dɔktɔ?
I rili impɔtant fɔ mek dɛn no bɔt dis gud gud wan. Yu fɔ no bɔt di sayn dɛm we de dɔŋ ya.
| Insay kes dɛm we dɛn nid fɔ gɛt imejensi mɛdikal kia - kɔl 1990 ɔ go na di ETU wantɛm wantɛm! | |
|---|---|
| - If di wund frɔm di sting swel wantɛm wantɛm ɛn kwik kwik wan. | - If di blɔd we de kɔmɔt na di wund nɔ ebul fɔ stɔp. |
| - If yu gɛt siriɔs pen na yu chɛst. | - If yu gɛt sɔm sayn dɛm fɔ paralayz lɛk wae yu nɔr de tɔk fayn, yu nɔr de tɔk fayn, ɔ yu wik na wan say na yu bɔdi. |
| Ustɛm fɔ kɔl yu dɔktɔ | |
| - I nɔ izi fɔ blo | - If yu fil se yu de diziz ɔ yu de fɔdɔm. |
| - If yu fil numbness na di leg we inju | - If swel ɔ brus de go ɔp rawnd di wund |
| - If yu at bit fil abnɔmal bak | - Bɛlɛ de at ɔ yu nɔs |
If yu at bit ɔltɛm, dat kin mek yu at pwɛl. Bɔt naw, rili gud ɛn fayn tritmɛnt dɛn de fɔ am. Atrial Flutter Ablation na wan pan dɛn kayn tritmɛnt ya we rili fayn. Di bɛst pɔsin fɔ no if dis tritmɛnt fayn fɔ yu na yu dɔktɔ. Tɔk to am gud gud wan bɔt am ɛn aks ɔl yu kwɛstyɔn dɛn.
Mɛsej we dɛn kin kɛr go na os
- Atrial Flutter Ablation na tritmɛnt fɔ at bit we nɔ de bit ɔltɛm we kin wok pas 90%.
- Dis nɔto ɔpreshɔn fɔ mek pɔsin in chɛst big. Dɛn kin du am bay we dɛn put wan tint tiub tru wan blɔd vesel na di groin.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo ɛn afta di tritmɛnt, mɔ we i kam pan tin dɛn we de mek yu blɔd tan.
- Di tɛm we pɔsin kin wɛl kin rili shɔt. Yu kin go bak to nɔmal layf insay sɔm dez.
- Yu fɔ no bɔt di imejensi sayn dɛm lɛk we yu de blɔd bɔku, we yu de fil pen na yu chɛst, ɛn we yu de swel wantɛm wantɛm. If ɛni wan pan dɛn tin ya apin, go to dɔktɔ wantɛm wantɛm.
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