Yu dɔn ɛva si pɔsin we yu sabi nɔ no natin wantɛm wantɛm? Ɔ yu dɔn yɛri se pɔsin we gɛt wɛlbɔdi de day we dɛn de slip? Di tin we kin mek dɛn kayn tin ya apin kin bi wan sik we pɔsin kin gɛt we i ayd we bɔku pipul dɛn nɔ ivin yɛri bɔt. Tide wi de tɔk bɔt wan kayn siriɔs ɛn impɔtant sik we wi fɔ no, we na Brugada Syndrome.
Wetin na Brugada Sindrom?
Fɔ tɔk am simpul wan, dis na prɔblɛm wit di ilɛktrik sistɛm na wi at. Wi at de bit lɛk ilɛktrik signal sistem. insay dis sik, i nכ de na di ilektrikal signal dεm we de go na di lכw chεmba dεm na di at (vεntrikul dεm).
Dis kin mek di at bit fast fast, i kin tan lɛk se i de shek shek. dis dεn kכl am `Vεntrikulכr fibrilεshכn (v-fib)` insay mεdikal tεm dεm. We dis kin apin, di at nɔ kin ebul fɔ pɔmp blɔd fayn fayn wan na di bɔdi. Ɛspɛshali we di blɔd nɔ de flɔ na di bren, i kin mek pɔsin fɔdɔm.
De tin wae denja pas ɔl bɔt dis sik na dat e kin mek yu at day wantɛm wantɛm. Bɔku tɛm dis kin apin we di pɔsin de rɛst, mɔ we i de slip. Risach dɔn sho se Brugada sindrom na di kɔz fɔ lɛk 4% pan di wan dɛn we kin day wantɛm wantɛm bikɔs dɛn at kin day ɔlsay na di wɔl.
Bɔt dis na tin we nɔ kin apin so ɔltɛm. Na avrej, bitwin 3 ɛn 5 pan 10,000 pipul dɛm gɛt dis sik.
Wetin na di sayn dɛm fɔ dis sik?
Pan ɔl we di sayn dɛm fɔ Brugada sindrom kin apia pan ɛni ej, dɛn kin bɔku pasmak arawnd di ej 40. I sɔprayz fɔ no se pas 70% pan pipul dɛm wae gɛt dis sik nɔr kin sho ɛni sayn . Sɔmbɔdi wae gɛt dis sik kin gɛt dɛn tin ya:
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Faint/Synkɔp we pɔsin kin gɛt | Di at we nɔ de rit ɔltɛm, dat kin mek di blɔd nɔ de go na di bren, ɛn dis kin mek i nɔ no natin wantɛm wantɛm ɛn i kin fɔdɔm. |
| Diziz we pɔsin kin gɛt | Fɔ fil se yu gɛt diziz. |
| Di at we de blo | Fɔ fil se yu at de bit, yu de fil lɛk se di at de spin insay di chɛst. |
| I nɔ kin izi fɔ yu fɔ blo | I nɔ kin izi fɔ yu fɔ blo, mɔ na nɛt. |
| Di Kadiak Arest | Dis kin bi di fɔs sayn . Dis na di rizin we mek sɔm pipul dɛn kin day we dɛn de slip. |
Wetin de mek dis tin wɔs?
I impɔtant fɔ no bɔt sɔm tin dɛm wae kin mek yu gɛt ɔr mek pɔrsin gɛt Brugada sindrom.
- Fiva: Fiva na wan pan di men ɛnimi dɛm fɔ dis sik. If yu gɛt Brugada sindrom, i impɔtant fɔ tek mɛrɛsin lɛk paracetamol as yu gɛt fiva, lɛk aw yu dɔktɔ tɛl yu.
- Di wata we nɔ de na di bɔdi: We wata nɔ de na di bɔdi.
- Fɔ drink pasmak: Fɔ drink bɔku rɔm wan tɛm.
- Sɔm mɛrɛsin dɛm: Mɛrɛsin dɛm lɛk `Sodium channel blockers` we dɛn kin yuz fɔ sɔm at kɔndishɔn dɛm, ɛn mɛrɛsin fɔ mental sik dɛm lɛk `Lithium` ɛn `Tricyclic antidepressants`.
- Drugs: Drugs lɛk kɔkɛyn ɛn marijuana.
If dɔktɔ kɔnfirm se yu gɛt dis sik, mek shɔ se yu aks yu dɔktɔ fɔ wan list fɔ di mɛrɛsin dɛn we yu nɔ fɔ tek. We yu de tek mɛrɛsin fɔ ɛni ɔda sik, tɛl di dɔktɔ se yu gɛt Brugada sindrom.
Wetin mek dis sik kin apin?
Bɔrku tɛm, lɛk 70% pan di kes dɛm, dɛn nɔ kin fɛn ɛni patikyula kɔz fɔ dis sik. Bɔt fɔ sɔm pipul dɛn, na in jɛnɛtiks. Fɔ tɔk am simpul wan, na tin we pɔsin gɛt frɔm in mama ɛn papa.
- Di tin dɛn we kin mek wi gɛt jɛnɛtiks: We pas 18 jin dɛn na wi bɔdi chenj, dat kin mek dis apin. pan dεn wan ya, di mכst kכmכn na di mכtεshכn na di jin `SCN5A`. di chenj dεm we de apin na dεn jin dεm ya de mek dεn nכ de tכn pan di transmishכn fכ ilektrikal signal dεm na di at.
- Heredity: If wan mama ɔ papa gɛt di jin muteshon we gɛt fɔ du wit dis sik, 50% chans de fɔ mek pikin gɛt am.
Udat dɛn de pan denja pas ɔlman?
- Fɔ man dɛm: Dis sik kin kam pan man dɛm lɛk 8-10 tɛm pas uman dɛm.
- Famili istri: If pɔsin na yu famili gɛt Brugada sindrom, ɔ if pɔsin day wantɛm wantɛm we i yɔŋ, yu kin de pan denja bak.
- Na Eshia kɔmɔt: Dɛn dɔn si se dis sik kin bɔku smɔl pan pipul dɛm na Eshia kɔntri dɛm pas na Wɛstɛn kɔntri dɛm.
Aw fɔ no di sik kɔrɛkt wan?
Afta yu dɔn lisin to yu sik ɛn yu famili histri, yu dɔktɔ go ɔda fɔ du sɔm tɛst fɔ no if yu gɛt dis sik.
| Tɛst | Wetin yu de du wit am? |
|---|---|
| Ilɛktrokardiogram (EKG) . | Test we de sho di ilɛktrik aktiviti we di at de du na wan layn grafik. Dɔktɔ dɛn kin luk fɔ wan patikyula patɛn na dis patɛn we gɛt fɔ du wit dis sik. Sɔntɛnde dis patɛn nɔ kin si ɔltɛm, so i kin nid fɔ du di EKG bɔku tɛm. |
| EKG tɛst wit drɔgs (Drug Challenge Test) . | If nכmal EKG sho wan patεn we dεn saspek, dεn injεkt wan spεshal dכg insay wan vein fכ tray fכ sho di Brugada patεn we ayd. Dɛn kin du dis na say we sef, lɛk usay dɛn kin kia fɔ pipul dɛn we sik bad bad wan na ɔspitul. |
| Tɛst fɔ Jɛnɛtiks | Dɛn kin yuz wan sɛmpul fɔ yu saliva ɔ blɔd fɔ no if yu gɛt wan chenj na yu jɛnɛtiks we gɛt fɔ du wit dis sik. If pɔsin na yu famili gɛt dis sik, ɔda pipul dɛn kin gɛt dis tɛst bak. |
| Ilɛktrofisiɔlɔji (EP Tɛst) . | Dɛn kin du dis tɛst if di sik stil nɔ klia afta ɔda tɛst. dis involv fכ put wan rili fayn kanula (kateta) tru wan vein na di leg insay di at εn mכsu di ilektrikal aktiviti insay di at. |
Aw dɛn kin trit am?
Brugada sindrom nɔr kin ebul fɔ wɛl ɔl. Bɔt dɛn kin gi tritmɛnt fɔ mek di at nɔ day wantɛm wantɛm. Di men gol fɔ tritmɛnt na fɔ stɔp di denja at ritm irɛgyulariti (ventricular arrhythmias) fɔ apin ɛn fɔ kɔntrol am if i apin.
Di men ɛn di tritmɛnt we go wok fayn pas ɔl na fɔ put wan ICD divays insay pɔsin in bɔdi .
- ICD (Implantable Cardioverter Defibrillator): Dis na smɔl tin. I tan lɛk pɔsin we de mek pɔsin in peshɛnt. Dɛn kin put am ɔnda di skin, nia di at, na di chɛst wit smɔl ɔpreshɔn. I de kɔntinyu fɔ wach aw di at de rit. If di at in ritm chenj bad bad wan, dis divays kin no am ɛn gi smɔl ilɛktrik shɔk fɔ mek di ritm kam bak. Dis na tin we de sev pipul dɛn layf.
- Mεdikeshכn dεm: Sכm mεdikeshכn dεm, lεk `Quinidine`, kin kכntro di at ritm dεm we nכ de rεgεl. Bɔt, dɛn tin ya nɔ fayn fɔ ɔlman.
- Ablashɔn: Insay sɔm spɛshal kes dɛm, na tritmɛnt we de fɛn usay di ilɛktrik signal dɛm we nɔ de ɔltɛm de na di at ɛn pwɛl dɛn wit redio wev.
Dɔktɔ dɛn kin disayd if dɛn fɔ trit di wan dɛn we nɔ gɛt ɛni sayn bay di EKG rɛkɔd, famili istri, ɛn ɔda tɛst rizɔlt dɛn. Bikɔs sɔntɛnde di fɔs sayn na we pɔsin day wantɛm wantɛm , i impɔtant fɔ no di prɔblɛm ɛn trit am di we aw i de.
Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)?
If yu gɛt wan sik we yu at pwɛl wantɛm wantɛm (cardiac arrest), yu go nid fɔ go to dɔktɔ wantɛm wantɛm. Bikɔs yu nɔ go ebul fɔ kɔl fɔ ɛp da tɛm de, i rili impɔtant fɔ mek dɛn tɛl yu famili ɛn di wan dɛn we yu lɛk bɔt dis.
If yu de pan denja fɔ mek yu at pwɛl, tɛl yu fambul ɛn yu tayt padi dɛn fɔ lan aw fɔ du CPR (cardiopulmonary resuscitation). If ɛnitin apin, kɔl 1990 ɛn kɔl ambulans. Dis awareness kin sev yu layf.
Mɛsej we dɛn kin kɛr go na os
- Brugada syndrome na siriɔs sik wae kin apun na di at in ilɛktrik sistɛm ɛn kin ivin mek pɔrsin day wantɛm wantɛm.
- Fiva na wan big tin wae kin mek dis sik wɔs. If yu gɛt fiva, ridyus am kwik kwik wan.
- If pɔsin na yu famili dɔn day wantɛm wantɛm we yu yɔŋ ɔ yu nɔ kin no natin bɔku tɛm, go to dɔktɔ wantɛm wantɛm ɛn du EKG tɛst.
- Fɔ put ICD divays na di bɛst tritmɛnt fɔ sev pipul dɛn layf frɔm dis sik.
- If yu gɛt dis sik, na fɔ no ɔltɛm bɔt di list fɔ di mɛrɛsin dɛn we yu dɔktɔ gi yu we nɔ fayn fɔ yu fɔ yuz.
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