Yu gɛt smɔl tin we dɛn put ɔnda yu skin fɔ ɛp fɔ mek yu at bit fayn? Wi kin kɔl dis pesmɛka, bɔt ɔda kayn dɛn de. So dɛn tin ya kin wok bak pan batri. Jɔs lɛk di bateri we de na wi fon, as tɛm de go dis bateri sɛf kin lɔs pawa. Dɔn dɛn nid fɔ chenj am. We yu yɛri dis, yu kin fil se yu de fred, "Ɔda ɔpreshɔn?" Bɔt dis rili nɔto natin fɔ fred. Tide wi go tɔk bɔt ɔltin insay wan rili simpul we, insay wan we we yu go ɔndastand.
Wetin i min fɔ chenj di tin we de na di at?
Fɔ tɔk am simpul wan, dis na smɔl ɔpreshɔn fɔ riples di ilɛktronik divays (Cardiac Implantable Electronic Device - CIED) we de ɛp fɔ kɔntrol yu at in ritm wit nyu wan. Tu men kayn tin dɛn de we dɛn kin yuz fɔ mek tin dɛn:
1. Pesmɛka: I de ɛp fɔ mek di at kɔntinyu fɔ gɛt di rayt ritm we i de bit i nɔ de bit ɔltɛm.
2. ICD (Implantable Cardioverter Defibrillator): We di at rit denja fast, i de no am ɛn gi smɔl ilɛktrik shɔk to di at, we de ɛp fɔ mek i kam bak to nɔmal.
Bɔku tɛm, dis ɔpreshɔn kin gɛt fɔ chenj di batri pat nɔmɔ na di divays. So, i nɔ kin bi big ɔpreshɔn. Bɔku tɛm yu nɔ kin ivin nid fɔ de na ɔspitul. Dɛn kin admit yu na mɔnin, dɛn kin du di ɔpreshɔn, ɛn go na os ivintɛm.
Udat nid fɔ du dis ɔpreshɔn?
Di men rizin fɔ chenj dis divays na bikɔs di batri wik. Bɔt sɔm ɔda rizin dɛn kin de bak. Lɛ wi tek tɛm luk dɛn gud gud wan.
| Rizin fɔ swich divays | Wan simpul ɛksplen |
|---|---|
| Batri layf dɔn dɔn. | Dis na di rizin we bɔku pipul dɛn kin du. Di batri dɛn we de insay dɛn divays dɛn ya kin las fɔ 6 to 10 ia . Bikɔs yu kin go na di klinik ɔltɛm, di dɔktɔ go chɛk di divays ɛn tɛl yu bifo tɛm we di batri de kam day. |
| Nid fɔ mɔ advans ikwipmɛnt | As mɛdikal sayɛns de go bifo, nyu tin dɛn we gɛt mɔ tin dɛn fɔ du de kam. If yu dɔktɔ fil se yu nid nyu tin we go fayn fɔ yu sik, i go tɛl yu fɔ chenj am. |
| Di ikwipmɛnt nɔ de wok fayn | Na smɔl tɛm nɔmɔ, wan divays kin gɛt tɛknikal fɔlt. If na so i bi, dɛn go chenj am bifo i stɔp fɔ wok kpatakpata. |
| Infekshɔn (we nɔ kin bɔku) . | If infεkshכn de na di say we dεn put di divays כ arawnd di say we dεn put am, dεn go nid fכ pul di divays. Dis nɔ kin apin so ɔltɛm. |
Mɛmba se yu go nid fɔ chenj dɛn divays dɛn ya bɔku tɛm insay yu layf. Dat na nɔmal tin.
Us tin dɛn fɔ pripia bifo dɛn du di ɔpreshɔn?
Yu dɔktɔ go gi yu ɔl di tin dɛn we yu nid bifo dɛn du di ɔpreshɔn. Bɔku tɛm, na dis kin apin:
- Aw fɔ no bɔt mɛrɛsin: Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek yu blɔd tan lɛk aspirin, sɔm dez bifo dɛn du yu ɔpreshɔn. Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
- Tɛst: Dɛn go gi yu bɔku tɛst fɔ si if yu fayn fɔ ɔpreshɔn.
- EKG (Electrocardiogram): Luk di ilɛktrik aktiviti we di at de du.
- Echocardiogram: Na fim we de sho aw di at de wok ɛn aw i ebul fɔ pɔmp.
- Blɔd tɛst: Chɛk di jenɛral wɛlbɔdi na yu bɔdi.
Di ɔpreshɔn rili simpul.
As wi bin dɔn tɔk, bɔku tɛm, dis kin min fɔ chenj di batri pat nɔmɔ (di jenɛra). di waya dεm (lid dεm) we kכnekt to di at nכ kin tכch. So dis na smɔl ɔpreshɔn pas fɔ mek dɛn du am big ɔpreshɔn.
Tink bɔt am lɛk we wi de chenj di batri dɛn na wi flashlayt. Bɔt dɛn kin tek tɛm du dis, insay wan ɔpreshɔn rum.
Na di step dɛm fɔ di prɔses:
1. Sedation: Fɔs, dɛn go gi yu wan mild sedative tru wan vein (IV sedation). So yu nɔ go fil ɛni pen, ɛn yu go rilaks, sɔntɛm yu go ivin slip.
2. Wan smɔl kɔt:Dɛn kin kɔt smɔl say na di skin usay dɛn fɔ put di divays. Bɔku tɛm, dɛn kin mek dis say we dɛn kɔt am oba di sem say usay dɛn bin dɔn du di ɔpreshɔn we dɛn bin dɔn du bifo.
3. Fɔ pul di ol wan: Dɔn di dɔktɔ tek tɛm pul di ol jenɛra frɔm di waya dɛn we de go na di at ɛn pul am.
4. Fɔ instɔl di nyu wan: Tek di nyu jenɛra ɛn kɔnɛkt am to dɛn waya dɛn de.
5. Stich di say we dɛn kɔt: Afta dɛn dɔn put di nyu tin ɔnda di skin, dɛn kin lɔk di say we dɛn kɔt wit wan sutura we kin sɔlv ɔ wan spɛshal kayn glu.
Lɛ wi lan bak bɔt di Leadless Pacemaker.
Naw wan nyu kayn pesmɛka de we rili smɔl ɛn we nɔ gɛt waya. I de implant am dairekt insay di at. If yu gɛt wan lɛk dis, di we aw dɛn kin chenj am difrɛn smɔl. Yu kin mek dɛn lɛf di ol wan na in ples ɛn put nyu wan insay, ɔ yu kin mek dɛn put smɔl tiub (kateta) insay wan vein na yu leg, pul di ol wan kɔmɔt, ɛn put nyu wan.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we pɔsin kin gɛt we i du ɔpreshɔn?
Jɔs lɛk ɛni ɔda mɛrɛsin, bɛnifit dɛn de ɛn smɔl smɔl prɔblɛm dɛn de.
| Bɛnifit dɛn | Risk - I rili smɔl |
|---|---|
| Di divays gɛt garanti fɔ wok fayn fayn wan. | Wan alɛji riakshɔn to wan mɛrɛsin we de mek pɔsin fil fayn. |
| I kin protɛkt yu frɔm di denja at ritm. | Blɔd we de kɔmɔt pasmak ɔ we blɔd de klɔt frɔm di say we dɛn kɔt am. |
| Sɔntɛnde, dis kin ivin sev pipul dɛn layf. | Infekshɔn na di say we dɛn kɔt am. |
Di tin we impɔtant pas ɔl na dat dis ɔpreshɔn rili sef ɛn i nɔ gɛt bɛtɛ risk . So nɔ fred am we yu nɔ nid fɔ fred.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Yu go wɛl kwik kwik wan pas aw yu go imajin.
- Fɔs de:Gɛt sɔm rɛst di de we dɛn go du di ɔpreshɔn.
- Fɔs wik: Nɔ es ebi ebi tin ɛn du tin dɛn we de mek yu an taya (fɔ ɛgzampul, fɔ es tin dɛn wit yu an dɛn na di sayd usay dɛn put di divays) fɔ sɔm dez.
- Pen ɛn swel: Sɔm swel ɛn sɔri kin de rawnd di say we dɛn kɔt fɔ sɔm dez. Dis na nɔmal tin. Di dɔktɔ go gi yu di mɛrɛsin we yu nid fɔ dis.
Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt dɛn tin ya we yu go na os:
- Aw fɔ kip di say we dɛn kɔt klin ɛn aw fɔ kia fɔ am te i wɛl.
- Tin dɛn we yu fɔ tink bɔt we yu de bay nyu divays.
- Ustɛm yu go ebul fɔ bigin fɔ du yu nɔmal tin dɛn bak?
Wach fɔ dɛn sayn ya: Ustɛm fɔ kɔl di dɔktɔ
If yu gɛt ɛni prɔblɛm afta dɛn dɔn du yu ɔpreshɔn, i impɔtant fɔ no am kwik kwik wan. Wach fɔ di sayn dɛm we de kam biɛn ya. If yu gɛt ɛni wan pan dɛn tin ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Kategori fɔ di simptom dɛn | Ficha dɛn we yu fɔ luk fɔ |
|---|---|
| Jɛnɛral wɔnin sayn dɛn |
|
| Sayn dɛn we de sho se di divays nɔ de wok fayn |
|
Mɛsej we dɛn kin kɛr go na os
- Fɔ chenj di divays we dɛn kin put insay di at (CIED) na simpul tin ɛn bɔku tɛm i nɔ kin izi fɔ du, ɛn bɔku tɛm dɛn kin nid fɔ chenj in bateri.
- Di batri dɛn we de insay dɛn divays ya nid fɔ chenj ɛvri 6-10 ia. Dat na nɔmal tin.
- Fɔ wɛl afta dɛn dɔn ɔpreshɔn yu kin rili kwik, ɛn bɔku tɛm yu kin go na os di sem de.
- Bifo ɛn afta dɛn du di ɔpreshɔn, du wetin yu dɔktɔ tɛl yu fɔ du.
- If yu gɛt sɔm sayn dɛn lɛk pen na yu chɛst, fiva, at fɔ blo, ɔ yu ed de tɔn, nɔ de te ɛn tɛl yu dɔktɔ wantɛm wantɛm.
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