Yu at rit tu ay? Mek wi tɔk bɔt Bradycardia!

Yu don eva fil yu puls en tink se, "Wow, dat rili slo"? Ɔ yu dɔn ɛva gɛt ‘lɔ at rit’ alert frɔm yu smat wach? Sɔntɛm yu jɔs dɔn fil diziz ɛn sɔmbɔdi se, "Mi at rit slo smɔl." Dis slo hat bit na in rili bi wetin wi de tok bɔt tide, wan kɔndishɔn we dɛn kɔl ``Bradycardia'' insay mεdikal tεm.

Fɔ tɔk am simpul wan, wetin na Bradycardia?

Bradycardia, ɔ bradyarrhythmia, na we yu at de bit pas 60 tɛm insay wan minit we yu de rɛst, dat na we yu jɔs tinap, nɔto fɔ rɔn ɔ jomp. Di nɔmal at rit fɔ big pɔsin we gɛt wɛlbɔdi na bitwin 60 ɛn 100 bit insay wan minit. So we i nɔ rich 60, wi kin kɔl am slo at rit, ɔ bradycardia.

Bɔt di tin we impɔtant pas ɔl na ya na dat, ɛvri tɛm we di at rit go dɔŋ pas 60, i nɔto sik ɔ sɔntin fɔ fred. Tink bɔt pɔsin we de du ɛksɛsayz fayn ɛn ple spɔt. Wi de kol dem `(atlet)`. Bikɔs dɛn at dɔn yus fɔ wok fayn fayn wan, dɛn kin ebul fɔ pɔmp di blɔd we di bɔdi nid insay wan bit. So, ilɛksɛf dɛn at bit fast, prɔblɛm nɔ de fɔ di bɔdi. Dɔn bak, i nɔmal fɔ mek di at rit slo smɔl ivin we wi de slip fayn. dis dεn kin kכl am bak `(saynus bradycardia)`. Dat min se di at de bit di we aw i de bit, ɛn i nɔ gɛt ɛni prɔblɛm na di ilɛktrik sistɛm na di at.

Wetin na di sayn dɛm fɔ pɔrsin wae gɛt bradycardia?

Bɔrku pipul, mɔr di atlet dɛm wae wi bin dɔn tɔk bɔt, nɔr kin gɛt bɛtɛ at rit ɛn nɔr kin gɛt ɛni sayn. Dɛn nɔ gɛt ɛni prɔblɛm. Bɔt sɔntɛnde, ivin if no sayn nɔ de, rizin kin de fɔ mek dɛn trit am insay pɔsin in bɔdi.

Bɔt we di at rit slo, we min se di at nɔ ebul fɔ pɔmp inof blɔd we gɛt ɔksijɛn to di bɔdi, sɔm sayn dɛn kin sho. Dis na di sayn dɛm:

Impɔtant: If yu no se yu at nɔ de bit ɛn yu gɛt ɛni wan pan dɛn sik ya, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin mek di at rit kin dכn lεk dis? (Rizin dɛn)

Di at nɔto jɔs bɔl we gɛt mit. I gɛt wan ilɛktrik sistem we rili kɔmpleks insay am. Na dɛn ilɛktrik signal ya de mek di at bit insay wan ritm. Di men tin we kin mek pɔsin gɛt bradycardia na prɔblɛm wit dis ilɛktrik sistɛm. I tan lɛk se wi os intanɛt de slo, ɔ wi TV nɔ de gɛt signal.

Tu men tin dɛn de we de afɛkt dis:

1. Sayn node dysfunction: di hat gεt pat we de wok lεk nεchכral pesmaker. Dɛn kɔl am di sayn node. I de gi di signal to di at fɔ bit wan patikyula rit. we dis node nכ de wok fayn, di hat rεt de slo dכn.

2. di at blכk: dis na we di ilektrikal signal dεm we de kכmכt na di כp chεmba dεm na di at (atria) nכ de travul fayn fayn wan to di lכw chεmba dεm (mitra). Dis de mek wan kayn `trafik blɔk` na di signal pat.

Okay, naw lɛ wi si us ɔda rizin dɛn we mek dis ilɛktrik sistɛm kin ambɔg.

• We pɔsin ol: Afta i dɔn ol 70 ia, di ilɛktrik sistɛm na di at kin wik smɔl bay insɛf.
• Sɔm sik dɛn we pɔsin kin gɛt:
• At sik: Tin dɛm lɛk at atak wae bin dɔn de bifo, kadiomayopathy, ɛn hat sik wae dɛn kin bɔn wit.
• Tayrɔyd we nɔ de wok fayn: We dis ɔmon de dɔŋ, di at rit, lɛk ɔl ɔda tin na di bɔdi, de slo.
• Ilektrolayt imbalans: Dis kכndyushכn kin apin if di ilektrolayt dεm lεk potashכm de inkrεs כ dכn na di bכdi.
• Obstructive sleep apnea: Dis sik, wae yu de blo kin stɔp wae yu de slip, kin mek yu at rit sloslo.
• Infεkshכn: Sɔm infεkshכn, lεk Laym sik εn Chagas sik kin afekt di at mכsul εn mek dis kכndyushכn.
• Ɔda sik dɛm: Sik dɛm wae kin mek yu bɔdi inflamɛns, lɛk rεumatoid at at ɛn lupus.
• Sɔm mɛrɛsin dɛm: Mɛrɛsin dɛm lɛk ``beta-blockers'' ɛn ``calcium channel blockers'' fɔ ay blɔd prɛshɔn, mɛrɛsin fɔ ɔda at ritm prɔblɛm dɛm, ɛn mɛrɛsin fɔ sɔm mental sik dɛm kin mek bak at rit slo as sayd ɛfɛkt.
• Hat ɔpreshɔn: Dis sik kin apin as kɔmplikeshɔn afta sɔm hat ɔpreshɔn.

Aw dɔktɔ kin fɛn dis?

We yu go to dɔktɔ, i go aks yu fɔs bɔt yu sik dɛn ditayli. I go aks yu tin dɛm lɛk aw lɔng yu dɔn gɛt dɛn prɔblɛm ya, aw lɔng dɛn dɔn te, ɛn ustɛm dɛn kin wɔs (e.g., we yu de du ɛksɛsayz, we yu de chenj yu pozishɔn). So, if yu ebul, i go rili ɛp yu fɔ rayt dɛn tin ya na notbuk.

Dɔn dɛn go chɛk yu ɛn if nid de, dɛn go tɛl yu fɔ du sɔm tɛst dɛn lɛk:

• ECG (Electrocardiogram): Dis na di tɛst we impɔtant pas ɔl. I de sho di ilɛktrik wok we yu at de du fɔ lɛk wan minit so. Bɔt if yu nɔ ebul fɔ mek dɛn du dis we yu de gɛt di sik, dɛn nɔ go rayt di prɔblɛm na di ECG.
• Ambulatory Monitoring: Dis tan lɛk smɔl ECG mashin we yu kin kɛr go na os. I kin tay pan yu bɔdi fɔ 24, 48, ɔ ivin lɔng awa. I de kɔntinyu fɔ rikodɔ yu at ritm we yu de du yu wok dɛn ɛvride.
• Blɔd tɛst: Chɛk tin dɛn lɛk di bɔdi sɔl lɛvɛl ɛn di tayroyd ɔmon lɛvɛl.
• Echocardiogram: Dis na `skan` fɔ di at. i de εp fכ si tin dεm lεk di strכkchכ fכ di at εn di wok we di valv dεm de du.
• Ɛksesaiz strɛs tɛst: Dɛn kin tek ECG we yu de du ɛksɛsayz fɔ si aw yu at de ansa we yu strɛs.
• Slip stɔdi: Dɛn kin advays yu fɔ du dis tɛst if yu tink se yu gɛt slip apnea.

Wetin na di tritmɛnt dɛm fɔ Bradycardia?

Di tritmɛnt dipen pan wetin mek yu at de bit sloslo ɛn aw i de afɛkt yu bɔdi.

1. Chenj di mɛrɛsin: If dis sik na bikɔs ɔf mɛrɛsin we yu de tek fɔ ɔda sik, yu dɔktɔ kin ebul fɔ ridyus di doz ɔ gi yu ɔda mɛrɛsin. Nɔ ɛva stɔp ɔ chenj di mɛrɛsin dɛn fɔ yusɛf.

2. Fɔ trit di sik we de ɔnda am: If na tayroyd prɔblɛm, dɛn kin gi am mɛrɛsin fɔ trit am, ɛn if na sɔl imbalans, fɔ kɔrɛkt am kin mɛn di sik kpatakpata.

3. Imejɛnsi mɛrɛsin: If di sik wɔs ɛn yu go na ɔspitul, dɛn kin gi yu mɛrɛsin lɛk atropine tru IV ( saline ) fɔ mek di at rit go ɔp wantɛm wantɛm.

4. Permanent Pacemaker: If di at in ilɛktrik sistɛm wik fɔ ɔltɛm bikɔs ɔf ol ɔ ɔda tin we nɔ go mɛn, di bɛst sɔlv na fɔ instɔl pesmaker. Dis na smɔl tin we tan lɛk batri. Dɛn kin put am ɔnda di skin na di chɛst tru smɔl ɔpreshɔn. εni tεm we di at rεt dכn dכn dכn di lεvεl we i want, dis divays de sεnd sכm sכm ilektrikal signal fכ mek di at in ritm bak.

Ustɛm yu fɔ go to dɔktɔ? Ustɛm na imejensi?

I nɔ mata if yu gɛt bradycardia ɔ yu nɔ gɛt am, i fayn fɔ mek ɔlman gɛt mɛdikal chɛk-ap at le wan tɛm insay di ia. I kin ɛp fɔ no sɔm prɔblɛm dɛn bifo di sayn dɛn de sho.

Bɔt pan dɛn tin ya, yu fɔ go to dɔktɔ wantɛm wantɛm . If i pɔsibul, go dairekt to ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) .