Yu at kin bit kwik kwik wan? Mek wi lan bɔt dis (Atrial Flutter)!

Sɔntɛnde yu kin fil lɛk se yu chɛst de bit fast fast, bɔt i de bit di sem ritm? I tan lɛk se drɔm de bit fast, bɔt i de bit am ɔltɛm. Dis kin apun sɔmtɛm wae yu de wɔri ɔr frayd. Bɔt if dis kin apin bɔku tɛm, ɔ if i kam wit ɔda sayn dɛm, i kin bi sayn fɔ wan at sik we dɛn kɔl `(Atrial Flutter)`. Lɛ wi tek tɛm luk wetin i bi, wetin mek i kin apin, ɛn wetin yu kin du bɔt am.

Wetin na `(Atrial Flutter)`? Fɔ put am rili simpul wan...

fכ sכmtεm, `(Atrial Flutter)` na kכndishכn we di tu כp chεmba dεm na wi at, di `atria`, de stat fכ bit bכku bכku wan, bכt di sem we, insay wan spεsifi k patεn. dכkta dεn kכl dis wan abnכmal at ritm (`supraventricular arrhythmia`) we de stat na di כp pat dεm na di at.

Tink bɔt am, we wi jɔs sidɔm, we wi de rɛst, wi at kin bit bitwin 60 ɛn 100 tɛm insay wan minit. Dat na di rit we pɔsin gɛt wɛlbɔdi at. bכt pan pכsin we gεt ``Atrial Flutter``, di כp pat dεm na di at, di atria, kin bit fast lεk 250 to 350 tεm pan minit! Yu kin imajin da spid de? we di atria de bit so fast, di tu lכw chεmba dεm na di at, di ``vεntrikul dεm``, dεn tu gεt fכ bit fast fכ ansa. Sɔntɛnde, 150 tɛm insay wan minit ɔ ivin fast pas dat.

di men rizin fכ dis na we di at in ilektrikal signal dεm nכ de wok fayn. Wi at de bit bay we wi de yuz wan sistem we gɛt sayn dɛn we de wok lɛk ilɛktrik mɛsej. Dis kin apin we prɔblɛm ɔ nɔ de wok fayn na dɛn signal ya.

Yu tink se kayn `(Atrial Flutter)` de?

Yes, difrεn men tכp dεm de fכ `(Atrial Flutter)`. Dɔktɔ kin no ustɛm i bi bay we i luk yu `(ECG)`, dat na di grafik fɔ di tɛst we de mɛzhɔ di wok we di at de du.

• `Typical Atrial Flutter` (dis na di tכp we kכmכn pas כl): insay dis, di abnכmal ilektrikal signal dεm de travul insay wan kכntrכl klokways (kכntrכklכk, lεk kloksayz) patεn insay di rayt atria na di at.
• `Rivas Typical Atrial Flutter`: insay dis, di ilektrikal signal dεm de travul insay wan klokways (kloksayz) patεn insay di rayt atria.
• Atypical Atrial Flutter (dis nɔ kin apin smɔl, mɔ if yu nɔ bin dɔn du at ɔpreshɔn ɔ ablashɔn bifo, we kin pwɛl sɔm pan di at in tisu): Insay dis, di abnɔmal ilɛktrik signal dɛn kin apin na di lɛft ɔ rayt atria. Sɔntɛnde, dɛn sayn ya kin travul rawnd di ska tisu we dɛn kin du bikɔs ɔf di at ɔpreshɔn.

Wetin na di sayn dɛm fɔ `(Atrial Flutter)`?

E fayn fɔ no aw sɔm pipul dɛm wae gɛt Atrial Flutter nɔr kin sho ɛni sayn . Bɔt bɔku pipul dɛn kin gɛt wan ɔ mɔ pan dɛn tin ya:

• Dispnea: Na filin fɔ swɛla ɔr i nɔ izi fɔ blo.
• Diziz: Na filin fɔ spin ɛn i nɔ kin izi fɔ tinap.
• Fɔ taya na yu bɔdi: Fɔ fil se yu taya bad bad wan ɛn yu nɔ ebul fɔ du ɛnitin.
• At palpitations: Na filin we yu at de bit lawd wan ɛn kwik kwik wan frɔm insay yu chɛst. Sɔm pipul dɛn kin fil dis bak na dɛn nɛk ɔ trot.
• Rapid pulse: If yu fil yu puls, i go rili fast.
• Chɛst de pen ɔ tayt: I kin tan lɛk se yu chɛst de kɔnstrikt, ɔ i kin fil pen.
• Fɔ fil lɛk se yu go fɔdɔm (faint): Wantɛm wantɛm yu yay de tɔn blu, ɛn yu fil lɛk se yu go fɔdɔm.
• Layt ed : Na filin wae yu gɛt layt ed ɛn nɔr ebul fɔ kip yu fut na grɔn.

Dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Fɔ sɔm pipul dɛn, dɛn kin kam ɛn go, ɛn fɔ ɔda pipul dɛn, dɛn kin de ɔltɛm.

Wetin mek dis `(Atrial Flutter)` kin apin? Wetin na di tin dɛn we kin mek i apin?

as wi bin se, di men rizin fכ dis na biכs di ilektrikal signal dεm we de na di atria dεm na di at de jεnarεt tu kwik εn plεnti tεm. Dis na di rizin we mek di atria kin bigin fɔ kɔntrakt tumɔs. Bɔku rizin dɛn de we kin mek dis apin:

• di at valv dizayd: We di valv dεm na di at nכ de kכloz כ opin fayn fayn wan.
• Di at sik we dɛn kin bɔn wit: Sɔm pipul dɛn kin bɔn wit sɔm at prɔblɛm dɛn.
• Koronari at sik: Di at we de gi blɔd to di at kin smɔl ɔ blok.
• At nɔ de wok fayn: Na tin we de mek di at nɔ ebul fɔ pamp inof blɔd to di bɔdi.
• Ay blɔd prɛshɔn: I de mek blɔd prɛshɔn go ɔp.
• Tayroyd we de wok pasmak (Hyperthyroidism): I de mek di tayroyd ɔmon dɛn we de kɔmɔt na di bɔdi pasmak.
• Sik dɛn we de na di lɔng: Fɔ ɛgzampul, COPD.
• Wan ɔpreshɔn we dɛn jɔs du na in at.

Udat de pan ay risk fɔ gɛt ``Atrial Flutter''?

di risk fכ divεlכp ``Atrial Flutter`` de inkrεs wit di ej. Dɛn dɔn si bak se man dɛn kin gɛt dis sik pas uman dɛn.

Apat frɔm dat, sɔm ɔda mɛrɛsin ɛn abit dɛn kin mek dis prɔblɛm bɔku bak:

• If yu gɛt ɔda at sik (e.g. at pwɛl, valv sik).
• Di ay blɔd prɛshɔn.
• Tayrɔyd nɔ de wok fayn (espɛshali di haypa tayroyd).
• Dayabitis (`Dayabetis Mɛlitus`).
• Lכng sik dεm (e.g. Krכnik Obstrכktiv Pulmonari Disiz - `COPD`, `Pulmonary Embolism`).
• Yuz rɔm pasmak (`Alcohol use disorder`).
• Obstruktiv slip apnɛa.
• Fat.

Wetin na di kɔmplikɛshɔn dɛm we kin apin bikɔs ɔf `(Atrial Flutter)`?

We yu gɛt `(Atrial Flutter)`, yu at nɔ de wok fayn fayn wan. Tink bɔt am lɛk asembli layn na faktri. Blɔd de kɔmɔt na wan chɛmba to di ɔda wan bifo i kɔmɔt na di at.

Bɔt we yu gɛt `(Atrial Flutter)`, i tan lɛk se di fɔs wok steshɔn na dis `assembly line` de rɔn tu fast. Bikɔs di atria dɛn na di at de bit so, dɛn nɔ gɛt tɛm fɔ ful-ɔp wit blɔd fayn fayn wan. כlso, כl di bכdi we de na di atria nכ de gεt tεm fכ muv to di lכw chεmba dεm (`vεntrikul dεm`). Dis kin mek , di bɔdi nɔ kin gɛt inof blɔd we dɛn kin pɔmp.

Dis kin mek wi gɛt tu men prɔblɛm dɛn:

1. Risk fɔ mek blɔd klɔt ɛn strok ɔ at atak: Bikɔs tɛm nɔ de fɔ mek ɔl di blɔd kɔmɔt dɔŋ frɔm di atria, sɔm blɔd kin de na di atria. Dis blɔd we kin de na wan ples kin tɔn to blɔd. If dɛn blɔd klɔt ya travul go na di bren, dɛn kin mek pɔsin paralayz, ɛn if i stɔp na di at na di at, i kin mek pɔsin gɛt at atak. Dis na di kɔmplikeshɔn we denja pas ɔl we na `(Atrial Flutter)`.

2. Cardiomyopathy ɛn Hat Failure: We di at kɔntinyu fɔ bit tumɔs, di at mɔsul kin taya ɛn wik. כlso, di lכw chεmba dεm na di at nכ gεt tεm fכ fulכp fayn, so di bכdi we di at de pכmp de dכn. If dis kɔntinyu, di at kin go na say we di at nɔ de wok fayn.

Di tin we impɔtant pas ɔl: Atrial Flutter nɔto sɔntin fɔ tek am layt. If dɛn nɔ trit am fayn, i kin mek i gɛt siriɔs prɔblɛm dɛn.

Aw yu kin no se atrial flutter?

If yu gɛt di sayn dɛn we wi dɔn tɔk bɔt, dɔktɔ kin chɛk yu ɛn if nid de, i kin du sɔm pan dɛn tɛst ya:

• Ilɛktrokardiogram (ECG ɔ EKG): Dis na di tɛst we impɔtant pas ɔl. I de rayt di ilɛktrik wok we yu at de du. If yu gɛt atrial flutter, di layn dɛn na di grafik go apia insay wan patikyula patɛn , lɛk sawtut patɛn ɔ pikɛt fɛns patɛn .
• `Echocardiogram` (Echo): Dis na lεk we dεn de skan di at. I kin chɛk fɔ si if blɔd dɔn klɔt na di atria dɛn na di at. I kin chɛk bak aw di at valv dɛn de ɛn aw di at mɔsul de wok, ɛn ɔda tin dɛn.
• Blɔd tɛst: Dɛn tɛst ya kin ɛp fɔ no if tayroyd gland de wok pasmak, di ilɛktrɔlayt dɛn we de na di blɔd nɔ balans, ɔ ɔda prɔblɛm dɛn de.
• di tεst dεm fכ di lכng fכnshכn: dεn kin du dεn tin ya fכ si aw di lכng dεm de wok fayn, biכs sכm lכng sik dεm kin afekt di at ritm bak.
• ``Holter monita'' ɔ ``Ivent monitɔ'':Sɔntɛnde we yu go to dɔktɔ, di at we de bit kwik kwik wan kin go. If dat apin, dɛn kin aks yu fɔ wɛr smɔl tin we de rayt yu at bit fɔ sɔm dez.

Wetin na di tritmɛnt dɛm fɔ `(Atrial Flutter)`?

We yu de trit atrial flutter, di fɔs tin fɔ du na fɔ trit di ɔndalayn kɔndishɔn we de mek i gɛt am. Fɔ ɛgzampul, if tayroyd prɔblɛm de, dɛn kin trit dat. Apat frɔm dat, sɔm patikyula tritmɛnt dɛn de fɔ atrial flutter. Dɛn tin ya kin inklud mɛrɛsin ɛn aw fɔ du tin.

Bɔrku pipul kin ebul fɔ mɛn dis sik wit mɛrɛsin. Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm kayn bad bad tin dɛn de we kin apin to am, bɔt di prɔblɛm dɛn kin smɔl we yu kɔmpia am to di bɛnifit dɛn we i kin gɛt. If di mɛrɛsin nɔ wok, yu dɔktɔ kin tɛl yu fɔ du ɔda tin dɛn.

Di mɛrɛsin dɛn we dɛn kin yuz

Di men kayn mɛrɛsin dɛm we dɛn kin gi fɔ `(Atrial Flutter)` na:

• di mεdikeshכn dεm we de mek di at rεt rεt: dεn ya inklud mεdikeshכn dεm we dεn kכl ``Calcium channel blockers'' εn ``Beta-blockers.'' dεn ya de wok bay we dεn de kכntrכl di rεt we di at de bit.
• Antiarrhythmic drugs: Dɛn drɔgs ya kin tray fɔ stɔp di ritm we de na di at kwik kwik wan ɛn we nɔ de ɔltɛm ɛn mek i kam bak to di nɔmal ritm.
• Anticoagulants ɔ blɔd thinners: Dis rili impɔtant. Dɛn kin gi dɛn mɛrɛsin ya fɔ mek di blɔd we wi bin dɔn tɔk bɔt nɔ fɔm ɛn mek tin dɛn lɛk paralayz.

Di we aw fɔ mɛn pipul dɛn

If mɛrɛsin nɔmɔ nɔ go du fɔ yu, yu kin du tin dɛn bak lɛk:

• Cardioversion: Dis kin min fɔ mek di at rit bak wantɛm wantɛm to nɔmal wan, ilɛksɛf na wit mɛrɛsin ɔ bay we yu gi smɔl ilɛktrik shɔk to di chɛst. Dɛn kin du dis ɔnda anestezi, so yu nɔ go fil ɛni pen.
• Catheter Ablation: Dis na tritmɛnt we kɔmpleks smɔl. insay dis, dεn de put wan tin tכb (kateta) tru wan bכdi we de go na di at, i de fכn di sכmכl εria na di tisu na di at we de mek di ilektrikal signal dεm we nכ nכmal, εn i de pwεl am bay we i de yuz redio frikכnshכn כ krayoablashכn. Dis kin stɔp di abnɔmal signal dɛn.
• Pacemaker or Implantable Cardioverter Defibrillator (ICD) Adjustment: If yu dɔn ɔlrɛdi gɛt dis kayn divays we dɛn put na yu at, yu kin tray fɔ kɔntrol atrial flutter bay we yu chenj in sɛtin.

Ɛni kɔmplikeshɔn de pan di tritmɛnt?

Na sכm tεm, sכm sכm kכmplikεshכn kin apin frכm tritmεnt lεk ``(Catheter Ablation)``. Fɔ ɛgzampul:

• Sik we de prɛd
• Blɔd we de kɔmɔt
• Damej to wan blɔd vesel
• Blɔd we de klɔt
• Stroke (we nɔ kin apin so ɔltɛm) .

Bɔt bɔku tɛm, dɛn prɔblɛm ya kin rili smɔl. Yu dɔktɔ go ɛksplen dis to yu gud gud wan.

Aw dis tritmɛnt kin wok fayn?

• `Cardioversion`: Dis gεt sakses rεt bitwin 70% εn 90%. Dat min se 70-90 pan 100 pipul dɛm go gɛt dɛn at bit bak to nɔmal.
• Catheter Ablation: Fכ sכm pipul dεm, di risk fכ atrial flutter fכ kam bak afta dεn dכn kateta ablεshכn sכmtεm sכmtεm 5%. כltu, dis sakses rεt kin difrεn dipכnt pan di kayn atrial flutter εn di sikman in kכndishכn. insay komplex kes dεm lεk atypical atrial flutter, di sakses rεt kin hכy lεk 70%.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Afta yu dɔn pul di bɔdi, bɔku tɛm yu nid fɔ tek tɛm smɔl fɔ di fɔs wik. Dɛn go tɛl yu nɔ fɔ du ɛnitin lɛk fɔ es wet ɔ fɔ drayv fɔ lɛk wan wik so. Afta dat, yu kin go bak smɔl smɔl fɔ du tin dɛn we yu nɔ bin de du.

Yu tink se dɛn kin mek Atrial Flutter nɔ apin?

Sɔm tin dɛn we kin mek pɔsin gɛt dis sik, lɛk di ej we pɔsin dɔn ol, nɔ kin ebul fɔ kɔntrol am. Bɔt tin dɛn lɛk fɔ stɔp fɔ drink rɔm kin ɛp fɔ ridyus dis prɔblɛm. I impɔtant bak fɔ gɛt di rayt mɛrɛsin fɔ ɔda mɛrɛsin dɛn we kin mek yu at at pwɛl (lɛk ay blɔd prɛshɔn, dayabitis, ɛn tayroyd prɔblɛm).

Wetin a fɔ ɛkspɛkt if a gɛt `(Atrial Flutter)`?

Atrial Flutter na wan sik wae kin tranga fɔ wɛl ɔl ɛn kin gɛt bɔrku risk fɔ gɛt prɔblɛm lɛk strok, so yu go nid fɔ go to yu dɔktɔ fɔ fala-ap apɔntinmɛnt ɔlsay na yu layf. I impɔtant fɔ mek yu nɔ mis dɛn apɔntinmɛnt ya, bikɔs Atrial Flutter kin kam bak. Dis kin mek sɔm pipul dɛn kin go na ɔspitul bɔku tɛm.

Aw a fɔ kia fɔ misɛf?

• Di tin we impɔtant pas ɔl na fɔ kip yu fɔlɔp apɔntinmɛnt wit yu dɔktɔ. Ɛvri ia, yu dɔktɔ go chɛk yu if yu gɛt strok, ɛn i go tink bɔt yu ɔda sik dɛn we yu gɛt. If yu risk bɔku, dɛn kin aks yu fɔ kɔntinyu fɔ tek antikoagulant.
• Tek di mɛrɛsin we dɛn gi yu di rayt tɛm.
• Mek chenj na yu layf fayn fayn wan (e.g., lɛf fɔ smok, stɔp fɔ drink rɔm, it fayn it, ɛksesaiz).

Ustɛm a fɔ go to mi dɔktɔ?

Yu fɔ go to yu dɔktɔ ɔltɛm. Insay da tɛm de, if yu gɛt alɛji fɔ ɛni mɛrɛsin we dɛn gi yu, ɔ if yu sik chenj, wɔs, ɔ if yu gɛt nyu sik, go to yu dɔktɔ wantɛm wantɛm.

Ustɛm a fɔ go na di imejensi rum (ER)?

If yu at bit fast pas 150 bit pan minit (we yu kin fil bay we yu luk yu puls) we yu de rɛst, yu fɔ go to dɔktɔ wantɛm wantɛm, ɛn if nid de, go na imejensi rum. Dɔn bak, if yu gɛt bad bad pen na yu chɛst, i nɔ izi fɔ yu fɔ blo, ɔ yu nɔ de no natin, yu fɔ rili go na ɔspitul wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin tink bɔt fɔ aks kwɛstyɔn dɛn lɛk dis we yu de mit wit di dɔktɔ:

• A gɛt `(Atrial Flutter)` ɔ ɔda kayn at ritm disɔda?
• Wetin na di bɛst tritmɛnt fɔ mi? Wetin na di gud ɛn bad tin dɛn we de apin?
• Wetin na di risk we a kin gɛt fɔ gɛt strok? Wetin a go du fɔ ridyus am?
• Us sayn dɛn we a fɔ wɔri bɔt mɔ?
• Us chenj dɛn a nid fɔ mek na mi layf?

Yu tink se `(Atrial Flutter)` denja?

Atrial Flutter nɔto wan sik we de mek pɔsin in layf de pan denja, bɔt na siriɔs sik. As wi bin dɔn tɔk bifo tɛm, if dɛn nɔ trit am, i kin mek i gɛt prɔblɛm dɛn we go mek i day, lɛk strok, at atak, ɔ at pwɛl.

Na nɔmal tin fɔ mek yu nɔ fil fayn we yu at de bit tumɔs. Bɔt nɔ wɔri, yu dɔktɔ kin gi yu gud tritmɛnt fɔ `(Atrial Flutter)`. Dɛn tritmɛnt ya kin ridyus di risk fɔ gɛt dɛn denja kɔmplikeshɔn ya. Na dat mek i rili impɔtant fɔ kip yu apɔntinmɛnt wit yu dɔktɔ ɛn fala in instrɔkshɔn. Yu dɔktɔ go ɛp yu fɔ disayd di bɛst tritmɛnt fɔ yu sik.

So, wetin na di tin dɛn we wi fɔ mɛmba frɔm dis stori?

• atrial flutter na wan kכndyushכn we di כp chεmba dεm na di at de bit rili kwik, bכt insay wan spεshal patεn.
• Di sayn dɛm kin bi wae yu nɔr de blo fayn, yu gɛt diziz, ɛn yu chɛst kin tayt. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl.
• Di tin we denja pas ɔl na di risk fɔ mek blɔd klɔt ɛn mek tin dɛn lɛk strok .
• Dis kin izi fɔ no wit ECG.
• Tritmɛnt dɛn de lɛk mɛrɛsin ɛn ``(Ablation)''.
• Ivin afta yu dɔn gɛt tritmɛnt, i rili impɔtant fɔ go to dɔktɔ fɔ mek dɛn fala yu ɔl yu layf.
• If yu at we yu de rɛst pas 150 bit pan minit, go to dɔktɔ wantɛm wantɛm.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ tɔk to yu dɔktɔ. I go ɛksplen ɔltin to yu gud gud wan.

` Atrial Flutter, At bit, At sik, ECG, Atrium, Sεl dεm, Paralayz, At bit, At fεil, Kateta Ablashכn