Yu at kin bit kwik kwik wan? Lɛ wi tɔk bɔt AVNRT (Atrioventricular Nodal Reentrant Tachycardia) !

Sɔntɛnde, yu kin fil lɛk se yu at de bit bad bad wan fɔ natin? Ɔ yu kin fil lɛk se sɔntin de spin na yu chɛst, ɛn i nɔ kin izi fɔ yu fɔ blo? Dis kin kam wit tin dɛm lɛk diziz, tayt smɔl na yu chɛst, ɛn ɔda tin dɛm.Dɛn tin ya nɔto jɔs random tin. Dis kin bi wan sayn fɔ wan sik we dɛn kɔl AVNRT (Atrioventricular Nodal Reentrant Tachycardia) we wi go tɔk bɔt tide. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin na AVNRT (Atrioventricular Nodal Rientrant Tachycardia)?

Fɔ tɔk am simpul wan, AVNRT na wan sik we yu at kin bigin fɔ bit kwik kwik wan bikɔs ɔf smɔl chenj na yu at in ilɛktrik sistɛm. na wan pan wan big grup fכ kכndyushכn dεm we dεn kכl Supraventricular Tachycardia (SVT) , we na di at ritm dεm we de stat na di כp chεmba dεm na di at (di atria). Infakt, AVNRT na di kayn SVT we kɔmɔn pas ɔl.

Nɔmal wan, we wi de rɛst, wi at kin bit bitwin 60 ɛn 100 tɛm insay wan minit. Bɔt pan pɔsin we gɛt AVNRT, wantɛm wantɛm, we nɔ gɛt ɛni wɔnin, di at rit kin jomp frɔm 140 to 280 bit insay wan minit, ɔ ivin fast pas dat. Imajin dat! I kin las fɔ sɔm tɛm, ɛn sɔntɛnde i kin las fɔ lɔng tɛm smɔl.

AVNRT ɛn SVT na kɔndishɔn dɛn we de pan di big kategori fɔ aritmia . Aritmia na ɛni kɔndishɔn we di at nɔ de bit ɔltɛm, we min se i de bit tumɔs, tu slo, ɔ di we we nɔ kɔmɔn.

Udat dɛn kin gɛt AVNRT mɔ?

Fɔ tru, ɛnibɔdi kin gɛt dis sik we dɛn kɔl AVNRT. Bɔt i kin bɔku smɔl pan uman dɛn pas man dɛn. Dɔn bak, yɔŋ pipul dɛn we gɛt wɛlbɔdi ɛn we nɔ gɛt ɔda big sik kin gɛt dis sik bak. So, nɔ tink se, "A gɛt wɛlbɔdi, dis nɔ go apin to mi."

Wetin mek AVNRT kin apin? Wetin kin apin na di at?

Di rit ɛn ritm we wi at de bit, na wan ilɛktrik sistɛm we rili kɔmpleks de kɔntrol am. dis de bigin wit wan spεshal grup fכ mכsul fayb dεm we dεn kכl di Sinoatrial node (SA node) na di כp rayt chεmba (atrium) na di at. dis SA node de akt lεk wi at in nεchכral pesmεka.

insay hat we hεlty, wan ilektrikal signal frכm dis SA node de mek di tu כp chεmba dεm na di at (atria) kכntrakt, we de push bכdi insay di lכw chεmba dεm (veins). afta dat dis ilektrikal signal de travul along spεshal rod dεm to wan ples we dεn kכ l Atrioventricular node (AV node) . dis AV node lεk get bitwin di כp εn lכw chεmba dεm. frכm de, di signal de travul go na di lכw chεmba dεm (vεin dεm) εn mek dεn kכntrakt. Na so nɔmal at kin pɔmp blɔd ɔlsay na di bɔdi ɔdasay.

Bɔt if prɔblɛm de wit dis ilɛktrik sistɛm, di at kin bit ɔltɛm. Dat min se i kin spid, slo, ɔ di ritm kin chaotic. Na dat wi kin kɔl aritmia.

Insay AVNRT, sɔntin de we dɛn kɔl ɛkstra, smɔl ilɛktrik path (reentrant circuit) nia di AV node. Dis kin bi sɔntin we de de we dɛn bɔn am. sכmtεm, bikoz di at kכntrikshכn bifo tεm, di ilektrikal signal de go insay dis εkstra path εn bigin fכ go rawnd insay sεkכl. Tink bɔt am lɛk shɔt sɔrkwit we de na smɔl ilɛktrik sɔrkwit. Na da tɛm de di at kin bigin fɔ bit kwik kwik wan, ɛn i kin de da we de.

Bikɔs bɔku pipul dɛn na sɔm famili dɛn gɛt dis sik, dɛn kin tink se AVNRT kin kɔmɔt frɔm dɛn mama ɛn papa, bɔt dɛn nɔ dɔn no yet di rayt jɛnɛtik kɔz.

Wetin na di sayn dɛm fɔ AVNRT?

AVNRT nɔto kɔntinyu kɔndishɔn. Na wan episodik kɔndishɔn . Dis min se di at bit kin kam wantɛm wantɛm ɛn afta dat i kin stɔp fɔ shɔt tɛm. Sɔm pipul dɛn kin gɛt dɛn kayn sik ya fɔ lɔng lɔng tɛm, bɔt i kin tek sɔm tɛm fɔ no di rayt tin we de apin.

Dɛn tin ya na di sayn dɛm wae kin kam pan pɔrsin:

• Diskɔmfɔt na di nɛk ɔ chɛst , na filin fɔ mek yu swɛla.
• Diziz , sɔmtɛm na filin fɔ layt ed.
• wan at bit we rili fast (arawnd 140-280 bit pan minit).
• Palpitations - Dis na di filin wae yu hat de bit. Wi kin fil dis difrɛn we dɛn.
• Polyuria - Dis min se yu de pas yu urine bɔku tɛm ɛn bɔku bɔku wan. Dis kin kam bikɔs sɔm ɔmon dɛn kin chenj na di bɔdi we di at de bit fast fast.
• I nɔ izi fɔ yu fɔ blo , fɔ fil lɛk se yu de swɛla.

Aw dɛn palpiteshɔn ya kin fil?

Pipul wae gɛt AVNRT kin diskraib dis hat ritm lɛk:

• I kin fil lɛk se sɔntin de go ɔp ɛn dɔŋ insay di chɛst (flip-flopping) .
• Flut layt, lɛk bɔtaflay we de flay.
• Filin fɔ tayt ɔ ful-ɔp na yu nɛk ɔ trot.
• Lɛk fɔ nak drɔm lawd wan.
• Di at de bit fast lɛk we i de rɔn (Racing) .

Na smɔl tɛm nɔmɔ, insay siriɔs kes dɛm, AVNRT kin mek yu gɛt mɔ siriɔs simptom ɛn kɔmplikeshɔn. Fɔ ɛgzampul:

• Chɛst pen .
• Kɔnfyus .
• Nɔr kin no natin (Syncope) .
• Lɔw blɔd prɛshɔn (Hypotension) .
• Shok - Dis na tin we nɔ kin apin so ɔltɛm.

Aw dɔktɔ dɛn kin no se pɔsin gɛt AVNRT?

Fɔ no if yu gɛt AVNRT ɔ ɔda aritmia, dɔktɔ go du dɛn tin ya:

1. Aks bɔt yu mɛdikal istri: Dɛn go aks yu kwɛstyɔn bɔt ɛni sik we yu bin dɔn gɛt bifo, ɛni sayn we yu dɔn gɛt dis biɛn tɛm, ɛn ɛni mɛrɛsin, vaytamɛn, sɔpɔtmɛnt, ɛn drɔgs we yu de tek.

2. Fɔ ɛgzam fɔ yu bɔdi:Dɛn go mɛzhɔ tin dɛn lɛk aw yu de blo, yu blɔd prɛshɔn, ɛn yu at rit. Dɛn go lisin to yu at bak wit stetɔskɔp.

3. Ilɛktrokardiogram (EKG): Dis na di tɛst we impɔtant pas ɔl. EKG de mɛzhɔ di ilɛktrik wok we yu at de du, lɛk aw lɔng ɛn aw lɔng ɛni at bit. I kin rili ɛp fɔ kɔnfɔm se yu gɛt di sik, mɔ if yu kin gɛt EKG we yu at de bit fast fast.

Apat frɔm dat, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst fɔ no mɔ bɔt yu at:

• Blɔd tɛst: Chɛk fɔ ɔda prɔblɛm dɛn we kin afɛkt yu at (e.g., tayroyd prɔblɛm, anemia).
• Echocardiogram (Echo): Dis kin tek pikchɔ fɔ di at (lɛk ɔltra saund) fɔ chɛk fɔ ɛni prɔblɛm wit di at in strɔkchɔ ɔ di we aw i de pɔmp blɔd.
• Holter monitor ɔ ɔda ambulatory monitor: Dis na smɔl tin we yu kin wɛr fɔ sɔm dez. I de kɔntinyu fɔ rikodɔ yu at ritm we yu de du yu wok dɛn ɛvride. If aritmia nɔ de we dɛn de du EKG, dɛn kin kech am wit dis kayn divays.
• Ɛksesaiz strɛs tɛst: Dɛn kin wach yu at rit we yu de rɔn pan tredmil ɔ rayd bayk we nɔ de muv. Sɔm pipul dɛn kin gɛt dis kayn at bit kwik kwik wan we dɛn de du ɛksɛsayz.
• ilektrofisiolojikal (EP) stכdi εn kadyak map: Dis na mכr komplεks tεst. I involv fɔ pas wan tin waya (kateta) tru wan vein insay di at fɔ sho klia wan usay di aritmia de bigin ɛn aw i de apin. Bɔku tɛm dɛn kin du dis tɛst bifo wan tritmɛnt we dɛn kɔl kateshɔn ablashɔn.

Us tritmɛnt dɛn de fɔ AVNRT?

Pan ɔl we bɔku pipul dɛn gɛt AVNRT, nɔto ɔlman nid tritmɛnt. Ɛspɛshali if di sayn dɛn kin apin wan wan tɛm nɔmɔ ɛn i nɔ kin mɔna yu tumɔs, i nɔ kin nid fɔ gɛt tritmɛnt. Bɔt yu wɛlbɔdi tim kin rifer yu fɔ tritmɛnt pan dɛn kayn tin ya:

• If yu de pan denja fɔ gɛt siriɔs prɔblɛm dɛn .
• If yu gɛt sɔm sayn dɛm wae de ambɔg yu ɛvride layf , lɛk wae yu nɔr de slip.
• If AVNRT kin apin bɔku tɛm ɔ fɔ lɔng tɛm .

Bɔku we dɛn de fɔ trit pɔsin:

1. Vagal maneuvers: Sɔntɛnde yu kin stɔp dis kwik at bit wit simpul tin dɛn we yu kin du na os. Fɔ ɛgzampul, fɔ kɔf, fɔ ol yu briz (Valsalva maneuver), ɛn put yu fes insay kol wata . Yu dɔktɔ go sho yu aw fɔ du dɛn tin ya.

2. Ilɛktrik kadiɔvɛnshɔn: .Dis min se yu fɔ put padul ɔ pat na yu chɛst ɛn mek yu at gɛt ilɛktrik shɔk. Dis kin ɛp fɔ mek yu at ritm bak lɛk aw i bin de. Bɔku tɛm, dɛn kin du dis we tin nɔ izi fɔ du.

3. Mɛrɛsin: Bɔku kayn mɛrɛsin de we kin kɔntrol di at rit ɛn ritm. fכ egzampl, Adenosine injεkshכn (dis na injεkshכn we dεn gi insay wan vein, we de slo di rεt kwik kwik wan), Antiarrhythmic drugs (speshal dεm we dεn gi fכ aritmia), Calcium channel blockers , εn Beta-blockers . Dɛn fɔ tek dɛn tin ya jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek.

4. Kateta ablashɔn: Bɔku tɛm dɛn kin tek dis as di wangren tritmɛnt fɔ AVNRT. insay dis, we sכm kayn we lεk di EP stכdi we wi bin dכn tכk bכt, dεn de pas wan tin kateshכn tru wan vein na di leg כ an to di at, di rεentrant sεkyut de de, εn dεn de mek wan sכm sכm ska we dεn de yuz rεdyufrikyuεnsi εnεji כ krayoablεshכn. Dis kin stɔp di abnɔmal ilɛktrik signal fɔ go tru di at, ɛn di aritmia kin stɔp. Dis na tritmɛnt we kin wok fayn.

Aw a go ridyus dis sik we de apin?

No we nɔ de we dɛn dɔn pruv fɔ mek dɛn nɔ gɛt AVNRT. Bɔt if yu gɛt dis sik, yu go si se sɔm tin dɛn kin mek dis at bit kwik kwik wan. Wi kin kɔl dɛn tin ya "triggers."

We yu avɔyd dɛn trig ya, yu kin ridyus di frɛkuɛns fɔ AVNRT atak.

Dis na de trig wae kin afekt bɔrku pipul dɛm:

• Rum
• Kafin - we de insay kɔfi, ti, ɛn sɔm sɔft drink dɛn.
• Sɔm kayn ɛksɛsayz (yu fɔ tɔk to yu dɔktɔ bɔt dis).
• Sɔm ɛbul sɔpɔtmɛnt dɛn .
• Drug dɛn we nɔ rayt (Drɔg dɛn we dɛn kin yuz fɔ ɛnjɔy dɛnsɛf) .
• Fɔ smok ɔ yuz tin dɛn we dɛn kin yuz fɔ smok .
• Strɛs .

Wetin na di fiuja fɔ pipul dɛn we gɛt AVNRT?

Na smɔl tɛm nɔmɔ, AVNRT kin mek siriɔs prɔblɛm dɛn, lɛk we di at kin stɔp wantɛm wantɛm. Bɔt fɔ bɔku pipul dɛn, i nɔ kin mek dɛn layf de pan denja . If dɛn de manej pipul dɛn fayn fayn wan, dɛn kin liv nɔmal layf.

A gɛt AVNRT, aw a fɔ tek kia ɔf misɛf?

Fɔ fala dɛn advays ya go ɛp yu fɔ manej yu AVNRT kɔndishɔn:

• Nɔ yuz mɛrɛsin dɛn we yu nɔ de bay ɔ yu nɔ go to dɔktɔ.
• Kɔntinyu fɔ go to dɔktɔ dɛn, lɛk yu dɔktɔ we de mɛn yu at, fɔ mek dɛn chɛk yu.
• Tek ɔl di mɛrɛsin dɛn we dɛn tɛl yu fɔ tek di rayt tɛm ɛn di rayt tɛm.
• Fɛn ɔut wetin de trig yu AVNRT ɛn tray fɔ avɔyd dɛn.
• If yu notis ɛni chenj na yu simptom (e.g., dɛn wɔs pas aw yu bin de bifo, dɛn kin apin mɔ), tɛl yu dɔktɔ bɔt am.

A kin du ɛksɛsayz if a gɛt AVNRT?

Ɛksesaiz rili impɔtant fɔ mek yu at gɛt wɛlbɔdi. Bɔku pipul dɛn we gɛt AVNRT kin du ɛksɛsayz . Bɔt i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt us kayn ɛksesaiz go fayn fɔ yu ɛn if ɛnitin de we dɛn nɔ fɔ du.

Ustɛm a fɔ go to dɔktɔ wantɛm wantɛm fɔ AVNRT?

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

• Chɛst pen .
• If di at de bit dɔn de go bifo fɔ lɔng tɛm ɔ i de apin bɔku tɛm .
• Fɔ fil lɛk yu ed layt, yu ed de tɔn, ɔ yu nɔ gɛt bɛtɛ maynd .
• I nɔ kin izi fɔ yu fɔ blo bad bad wan .

Fɔ dɔn, mɛmba dis.

AVNRT na wan kɔmɔn at ritm disɔda. Insay dis kɔndishɔn, di at kin bigin fɔ bit wantɛm wantɛm pas aw i kin bit. Pan ɔl we i nɔ kin mek pɔsin in layf de pan denja bɔku tɛm, sɔm sayn dɛn kin ambɔg am. If yu gɛt ɛni wan pan dɛn sik ya, nɔ shem fɔ go to dɔktɔ. Bɔrku we de fɔ mɛn dis sik ɛn gɛt tritmɛnt if nid de. Tek kia ɔf yu at ɛn kɔntinyu fɔ gɛt wɛlbɔdi!