Yu kin ɛva fil lɛk se yu at de rɔn wantɛm wantɛm, ɔ yu de skip wan bit? Sɔntɛm yu notis wan strenj tin na yu chɛst, we kin kam wit smɔl diskɔmfɔt. Dis na signal dɛn we yu nɔ fɔ ignore. Tide, na Nirogi Lanka, lɛ wi fɛn wan tin we kin mek wi gɛt dis sik: wan sik we dɛn kɔl Bigeminy .
Wetin na Bigeminy?
Fɔ tɔk am simpul wan, Bigeminy na smɔl tin we de ambɔg yu at in nɔmal ritm. Insay dis kɔndishɔn, ɛvri sɛkɔn at bit na ɛkstra bit we kin kam bifo tɛm pas aw dɛn bin de tink—na tin we dɛn kɔl prɛmature kɔntrakshɔn . Yu ritm de fala wan patɛn: nɔmal bit, dɔn yu de bit ɛkstra bit, dɔn yu bit ɔda nɔmal bit, dɔn yu de bit ɔda ɛkstra bit, ɛn so de go.
Tink bɔt am dis we: yu at nɔmal fɔ kɔntrol bay ilɛktrik signal frɔm wan "pesmɛka" eria, lɛk aw lida drɔma de kip wan stedi bit fɔ wan band. Insay Bigeminy, wan ilɛktrik signal de stat frɔm difrɛn pat na di at , we de ambɔg da stedi patɛn de. I tan lɛk se sɛkɔn drɔma, we tinap ɔdasay na di fil, bigin fɔ bit dɛn drɔm wan chenj wit di lida drɔma, ɛn dis de ambɔg di ritm.
Difrɛn kayn Bigeminy dɛn de?
Yes, Bigeminy kin kכmכt frכm difrεn pat dεm na di at, we kin mek i gεt tu praymar klasification dεm:
1. Atrial Bigeminy: dis kin apin na di at in כp chεmba dεm we dεn kכl di atria. na ya, di ekstra bit dεm de apin as di atria kכntrikshכn dεm bifo tεm .
2. Vεntrikul Bigemini: dis kin apin na di at in lכw chεmba dεm, di vεntrikul dεm. insay dis kes, dεn kin no di εkstra bit dεm as prεmature vεntrikulכr kכntrikshכn dεm .
Wetin na di sayn dɛm fɔ Bigeminy?
Nɔto ɔlman kin gɛt dis sik; sɔm kin gɛt Bigeminy we dɛn nɔ ɛva no. Bɔt if yu gɛt sɔm sayn dɛn, yu kin notis:
- Chɛst de pen ɔ yu de fil se yu tayt.
- At palpitations ( Hat awareness) – di filin se yu hat de skip wan bit ɔr de paund wan wan.
- Diziz ɔ layt ed.
- Wan wan tɛm we pɔsin kin fɔdɔm .
- Fɔ brith kwik ɔ dip (Hyperventilation).
- Taya ɔ taya ɔltɛm.
Mɛmba se: If yu de gɛt dɛn sik ya, i impɔtant fɔ go to dɔktɔ kwik kwik wan.
Wetin kin mek Bigeminy?
Bigemini de kכmכt frכm di irεgulεriti dεm na di at in ilektrikal signal. Bɔku ɔndalayn kɔndishɔn dɛn kin mek dis apin, lɛk:
- Wan istri bɔt pɔsin we gɛt at atak .
- Ay blɔd prɛshɔn ( blɔd prɛshɔn ).
- Anemia (we di ɛmoglobin nɔ bɔku ɔ di blɔd nɔ bɔku ).
- Tayroyd gland we de wok pasmak ( Haypatayroydizm ) .
- Cardiomyopathy , na sik we di at mɔsul dɛn kin wik.
- Mitral valve prolapse , na wan prɔblɛm wit wan pan di at in valv dɛn.
in shot, apat frכm di signal dεm we de kכmכt na yu at in nεchכral pesmaker, כda hat sεl dεm kin bigin fכ sεnd signal dεm we dεn nכ alaw, כ i kin bi se sɔntin de we de ambɔg di nכmal rod dεm fכ ilektrikal impuls dεm.
Udat de pan big risk fɔ Bigeminy?
Sɔm tin dɛm wae kin mek yu liv yu layf ɛn sɔm kayn tin wae kin mek yu gɛt Bigeminy:
- Koronari at sik .
- At we nɔ de wok fayn .
- If pɔsin it bɔku bɔku kafinɛ(ti, kɔfi, ɛnaji drink dɛn).
- We pɔsin de drink rɔm.
- Yuz tin dɛn we dɛn mek wit tabak .
- Wɔri wɔri ɔ strɛs we nɔ de dɔn.
- imbalans na di bכ di ilektrolayt dεm (lεk di sכdiכm כ potashכm lεvεl).
- Di we aw pɔsin nɔ de slip fayn.
Bɔku pan dɛn tin ya de we yu ebul fɔ kɔntrol. Wi go tɔk bɔt aw fɔ manej dɛn tin ya insay wan atikul we gɛt fɔ kam.
Bigeminy kin mek pɔsin gɛt prɔblɛm dɛn?
Yɛs, sɔm tɛm dɛn de, we pɔsin nɔ kin gɛt Bigemy, dat kin mek di at mɔsul wik, we na wan sik we dɛn kɔl cardiomyopathy . Bɔt gud nyus de: if dɛn trit Bigeminy fayn fayn wan—fɔ ɛgzampul, tru wan tin we dɛn kɔl kateta ablashɔn —bɔku tɛm di kadyomayopathy kin bɛtɛ bad bad wan.
Aw dɛn kin no se Bigeminy gɛt am?
We yu go to dɔktɔ, dɛn go fɔs lisin to yu at wit stetɔskɔp. If dɛn detekt di ɔltɛm patɛn fɔ wan nɔmal bit ɛn wan ɛkstra bit, dɛn kin sɔspɛkt Bigeminy ɛn rikɔmɛnd fɔ mek dɛn tɛst mɔ fɔ kɔnfɔm.
Us tɛst dɛn dɛn kin du?
Di kɔmɔn tɛst dɛn we dɛn kin du fɔ no di sik na:
- Ilektrokardiogram (EKG): Dis na di praymar tɛst fɔ evaluate di at in ilɛktrik aktiviti ɛn bɔku tɛm i kin no Bigeminy.
- Holter monitor: Na pɔtabl EKG divays we yu kin wɛr fɔ 24 to 48 awa fɔ rikodɔ yu at in aktiviti we yu de du yu ɛvride, bikɔs Bigeminy nɔ kin apia pan shɔt, statik EKG.
- Blɔd tɛst : Dɛn kin yuz am fɔ chɛk di ilɛktrɔlayt lɛvɛl ɛn di tayroyd ɔmon lɛvɛl, bikɔs i nɔ balans kin mek dis sik.
- Echocardiogram: na ultrasound "scan" fכ yu hat fכ si in saiz, shep, valv fכnshכn, εn mכsul dεm hεlth.
- Stress test: Fɔ no aw yu at de biev we yu de tray tranga wan, bɔku tɛm we yu de waka pan tredmil.
Yu tink se ɔlman we gɛt Bigeminy nid tritmɛnt?
Dis na impɔtant tin: if yu EKG sho Bigeminy bɔt yu nɔ gɛt ɛni sayn, i go mɔs bi se yu nɔ nid ɛni patikyula tritmɛnt. Bɔt if yu gɛt sayn dɛn, i rili nid fɔ gɛt tritmɛnt.
Aw dɛn kin trit Bigeminy?
If yu gɛt sɔm sayn dɛn, yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu at ritm fayn. If yu gɛt di sik dɛn we de sho se yu gɛt dis sik de kɔntinyu ɔ if yu gɛt di sik we dɛn kɔl cardiomyopathy, dɛn kin sɛn yu fɔ wan spɛshal tin we dɛn kɔl catheter ablation . If yu fil ɛni pen na yu chɛst ɔ yu gɛt siriɔs prɔblɛm, duya go to dɔktɔ kwik kwik wan (911 ɔ yu lokal imejensi nɔmba).
Di praymar gol fɔ mɛrɛsin fɔ Bigeminy na fɔ rigul yu at rit. Bɔt mɛmba se nɔto ɔltɛm mɛrɛsin kin pul di sik ɔ ɔl di sayn dɛn we gɛt fɔ du wit am kpatakpata. Fɔ di wan dɛn we nɔ kin gɛt rilif tru mɛrɛsin, dɛn kin advays fɔ du wan we dɛn kɔl kateta ablashɔn , we kin bost se dɛn kin gɛt sakrifays we na 75% ɔ pas dat.
Kɔmɔn mɛrɛsin ɛn di we aw dɛn kin trit am
Di tipik tritmɛnt opshɔn dɛn na:
- Beta-blɔka: Fɔ ɛp fɔ manej di at ritm ɛn rit.
- Potashכm chanεl blכk dεm: Lεk amiodarone (Cordarone® כ Pacerone®).
- di kכlsiכm chεnal blכk dεm: Fכ sכpכt stedi at fכ wok.
- Catheter ablation: na minimally invasive prosidur we wan tin, fleksibul tyub de gayd insay yu at fɔ deaktiv di spεsifi k εria dεm we de mek di ilektrikal signal dεm we nכ de rεgεl.
Sɔm sayd ɛfɛkt ɔ prɔblɛm dɛn de we kin apin?
Pan ɔl we ɔl di mɛrɛsin dɛn kin gɛt di pɔtnɛshɛl fɔ sayd ɛfɛkt, dɛn kin jɔs ebul fɔ kɔntrol dɛn we dɛn wej dɛn wit di bɛnifit dɛn we dɛn kin gɛt fɔ mɛn dɛn. If yu gɛt sɔntin we de mɔna yu, duya tɔk to yu dɔktɔ. Di kɔmɔn sayd ɛfɛkt dɛm fɔ Bigeminy mɛrɛsin na:
- Diziz we pɔsin kin gɛt
- Layt ed we pɔsin kin gɛt
- Taya
- Bɛlɛ we nɔ fayn
- Ɛd we de at
Di prɔblɛm dɛn we kin kam we dɛn pul di kateshɔn nɔ kin bɔku, bɔt lɛk ɛni ɔda we aw dɛn kin du am, smɔl smɔl prɔblɛm dɛn de we pɔsin fɔ no bɔt, lɛk:
- Sik we de prɛd
- Blɔd we de kɔmɔt
- Injury to di blɔd vesel ɔ di at tisu
- Blɔd we de klɔt
- Strok
Taymlayn fɔ Rikavari
ful rεkכvεshכn afta dεn pul di katesh כn kin tek sεvεra wik. I kɔmɔn fɔ stil gɛt smɔl smɔl tin dɛn we de apin to Bigeminy insay dis tɛm we i de mɛn.
Aw fɔ Ridyus di Risk fɔ Bigeminy
Yu kin rili lɔs yu risk fɔ Bigeminy bay we yu de manej sɔm layf stayl factor dɛm. Tink bɔt dɛn tin ya:
- Manej ay blɔd prɛshɔn fayn fayn wan.
- Limit ɔ avɔyd kafin , ivin ti ɛn kɔfi.
- Ristrikt ɔ nɔ drink rɔm.
- Mek shɔ se yu slip fayn ɛn rɛst ɛvri nɛt.
- Manej fɔ wɔri tru tɛknik lɛk fɔ tink gud wan ɔr yoga.
- Stɔp fɔ yuz ɔl di tin dɛn we dɛn kin yuz fɔ smok (sigrɛt, ɛn ɔda tin dɛn) ɔltogɛda.
Dɛn chenj ya we yu kin chenj yu layf kin tan lɛk se na smɔl tin, bɔt dɛn kin rili afɛkt yu at wɛlbɔdi fɔ lɔng tɛm.
Wetin a go du if a gɛt Bigeminy?
If yu nɔ gɛt ɛni sayn (nɔ de gɛt di sayn dɛm), yu nɔ go nid ɛni patikyula intavɛnshɔn ɛn yu kin liv nɔmal layf. Bɔt if yu gɛt di sayn dɛn, yu dɔktɔ go advays yu fɔ avɔyd kafin ɛn rɔm, gi yu mɛrɛsin, ɔ tɔk bɔt aw yu go pul di kateshɔn.
Outlook
Yu fɔ si tin fɔ lɔng tɛm de dipen pan yu ɔl yu at wɛl bɔdi ɛn di tin dɛm wae de mek yu gɛt dis sik. Fɔ pipul dɛm wae gɛt ɔda hat sik, Bigeminy kin sav as mak fɔ inkris risk; bɔt fɔ di wan dɛn we gɛt wɛlbɔdi at, di risk nɔ kin bɔku pas di jenɛral pipul dɛn. If yu gɛt asymptomatic Bigeminy, yu lukin-grɔn kin jɔs fayn. No nid nɔ de fɔ mek pipul dɛn alam we nɔ rayt.
Fɔ Tek Kia fɔ Yusɛf
Fɔ mek yu gɛt di bɛst rizɔlt, fala yu dɔktɔ in advays strikt wan. Stay kɔnsistɛns wit di mɛrɛsin we dɛn gi yu ɛn kɔntinyu fɔ du tin we go ɛp yu at:
- Tek mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu fɔ tek.
- Yu fɔ tink bɔt di tin dɛn we yu de it: Ridyus di kafin, it dɛn we gɛt ɔyl, ɛn di shuga we pasmak.
- Lɛf fɔ smok: Dis rili impɔtant fɔ mek yu at wɛl.
- Fɔ drink rɔm pasmak.
- Ɛksesaiz ɔltɛm: Ɔltɛm go to yu dɔktɔ bifo yu bigin ɛni nyu fitnɛs rijim.
- Yu fɔ put rɛst ɛn slip fɔs.
- Manej di strɛs: Ɛnjɔy di tin dɛn we yu lɛk fɔ du, fɔ spɛn tɛm wit ɔda pipul dɛn, ɔ fɔ du tin dɛn we yu de tink bɔt.
Ustɛm yu fɔ go to dɔktɔ?
Atɛnd ɔl di apɔntinmɛnt dɛn we yu kin gɛt ɔltɛm fɔ fala yu. Kɔntakt yu wɛlbɔdi prɔvayda wantɛm wantɛm if:
- Yu notis nyu sayn dɛm ɔ if di sayn dɛm wae dɔn de chenj.
- Yu sayn dɛn kin wɔs .
- Yu kin gɛt bad bad tin dɛn we kin apin to yu we yu de tek yu mɛrɛsin.
- If yu gɛt pen na yu chɛst, yu nɔ de blo fayn, ɔ yu fil se yu nɔ gɛt bɛtɛ trɛnk, kɔl 911 ɔ go na di imejensi dipatmɛnt we de nia yu wantɛm wantɛm.
Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ
We yu go fɛn di nɛks tɛm, yu kin aks:
- Aw bɔku a fɔ stɔp fɔ it kafin?
- Aw ɔltɛm a nid fɔ gɛt fɔl-ap apɔntinmɛnt?
- Yu kin tɛl yu sɔm patikyula we dɛn fɔ mek a nɔ strɛs?
- Yu tink se tin dɛn ɔ program dɛn de fɔ ɛp mi fɔ lɛf fɔ smok?
- Yu tink se i sef fɔ mek a du ɛksɛsayz nɔmal wan?
- Us patikyula chenj dɛn we a kin chenj di it we impɔtant pas ɔl fɔ mi?
Faynal Notis
Fɔ gɛt diagnosis fɔ Bigeminy kin fil bad, bɔt na sik we pɔsin kin ebul fɔ manej. Mɛmba se bɔrku pipul dɛm wae nɔr gɛt ɛni sik nɔr nid ɛni tritmɛnt atɔl. Wok klos wit yu Nirogi Lanka kia tim, atɛnd yu apɔntinmɛnt, ɛn fala yu tritmɛnt plan. Fɔ put yu at wɛlbɔdi fɔs na di impɔtant tin we yu go du.
