Tink bɔt yu at lɛk pɔsin we de ple myuzik. We ɔlman de wok togɛda, na di sem tɛm, dɛn kin mek fayn fayn myuzik. bכt sכmtεm, spεshal wan wit kכndishכn lεk at fεil, di tu lכw chεmba dεm na di at, di vεntrikl dεm, kin bigin fכ wok in opכsishכn to wan an, aut of sync. We wan bit, di ɔda wan nɔ de bit, ɛn we di ɔda wan de bit, i nɔ de bit. we dεn pul di tu chεmba dεm na di at, di at nכ kin pכmp bכdi fayn fayn wan. Na da tɛm de wan spɛshal tritmɛnt we dɛn kɔl Cardiac Resynchronization Therapy, ɔ CRT fɔ shɔt, kin ɛp wi.
Fɔ tɔk am simpul wan, wetin na dis CRT?
CRT na tritmɛnt we de mek di at in ritm kam bak to nɔmal. Dɛn kin kɔl am bak Biventricular Pacing. "Biventricular" min "ɔl tu di chɛmba dɛn." dis min se dis tritmεnt de mek di tu lכw chεmba dεm (vεntrikul dεm) na di at de bit tכgeda di sem tεm. Fɔ du dis, yu dɔktɔ go put wan smɔl tin ɔnda di skin na yu chɛst.
Dis difrɛn smɔl frɔm di peshɛnt we dɛn kin yuz ɔltɛm. Pesmɛka we dɛn kin yuz ɔltɛm gɛt wan ɔ tu waya. Bɔt dis CRT divays gɛt tri waya dɛn . Dɛn tri waya ya kin kɔnɛkt to tri patikyula ples dɛn na di at.
- wan waya de go na di כp chεmba na di at (rayt atrium) .
- di sεkכn waya de go na di lכw rayt chεmba na di at (rayt vεntrikl).
- di tכd waya de go na di lכw lεft chεmba na di at (lεft vεntrikl).
Dɛn tri waya ya kin sɛn ilɛktrik signal dɛn we nɔ kin rili klia, ɛn dis kin mek di chɛmba dɛn na di at wok togɛda, ɛn dɛn kin wok togɛda. I tan lɛk se kɔndɔkta sidɔm bifo ɔkestra ɛn gi ɔlman di signal fɔ ple togɛda. dis kin mek di at ebul fכ pכmp bכku bכku wan.
we di tu chεmba dεm na di at (vεntrikul) fכ pכsin we gεt at fεl nכ de wok togeda, di at de wik. CRT de wok bay we i de pul dis "out of sync" εn gi trεnk bak to di at.
Udat rili nid dis CRT tritmɛnt?
Dis tritmɛnt nɔto fɔ ɔlman. Yu dɔktɔ go luk sɔm tin dɛn bifo i tɛl yu fɔ du am.
- Hat Failure Status: I de chɛk if yu gɛt mɔdaret ɔ siriɔs at failure.
- Drug tritmɛnt: Ivin afta yu dɔn yuz di bɛst mɛrɛsin fɔ mek yu at pwɛl, dɛn kin stil si di sayn dɛm (we yu de blo shɔt, yu taya).
- Prɔblɛm fɔ di at ritm: Wan ECG tɛst de luk fɔ dilay we di ilɛktrik signal dɛn de transmit na yu at. Bɔku tɛm dɛn kin advays fɔ du dis, mɔ fɔ pipul dɛn we gɛt wan sik lɛk Lɛft Bɔndɛl Branch Blɔk .
- Di pawa we di at gɛt fɔ pɔmp:Echocardiogram (at skan) go chɛk bak fɔ si if yu at in blɔd-pamp abiliti (ejection fraction) nɔ bɔku.
Fɔ tɔk am simpul wan, dɔktɔ dɛn kin tink bɔt dis tritmɛnt fɔ pipul dɛn we gɛt at sik we at fɔ kɔntrol wit mɛrɛsin ɛn chenj dɛn layf, ɛn we dɛn at nɔ de bit ɔltɛm.
Aw yu kin pripia bifo yu gɛt tritmɛnt?
Bikɔs dis na smɔl ɔpreshɔn, yu nid fɔ rɛdi fɔ am bifo tɛm. Yu dɔktɔ go tɛl yu fɔ du dɛn tin ya:
- Tɛst: Sɔm dez bifo dɛn du di ɔpreshɔn, dɛn go aks yu fɔ mek dɛn du ɛkokadiogram , sɔntɛm dɛn go du MRI skan fɔ di at , ɛn sɔm blɔd tɛst fɔ no di rayt kɔndishɔn na yu at.
- Fastin: Dɛn go advays yu fɔ nɔ it ɔ drink ɛnitin fɔ at le 6 awa bifo dɛn du di ɔpreshɔn.
- Mɛrɛsin: We dɛn de du di ɔpreshɔn, dɛn go gi yu mɛrɛsin fɔ mek yu nɔ fil pen ɛn mek yu slip smɔl, so dat yu nɔ go fil natin.
Aw dɛn kin du di ɔpreshɔn?
Dis prɔses kin tek sɔm awa. Na dis na wetin kin apin:
1. Fɔ put di waya dɛn: Fɔs, di dɔktɔ kin put tri waya dɛn we rili tan tru wan vein na yu sholda, ɔ sɔntɛm na yu shɔl. Dɛn kin tek tɛm du dis we dɛn de wach ɛkstrem rayt mashin.
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. Dis na di say we dɛn go put di CRT divays.
4. Kכnekshכn εn tεst: di כda εnd dεm fכ di tri waya dεm we dεn sεnd to di at dεn kכnekt to dis CRT divays. Dɔn, dɛn kin chɛk if i de wok fayn ɛn if di signal dɛn de go tru fayn fayn wan.
5. Implant di divays: If ɔltin de fayn, dɛn kin put di CRT divays insay di pɔkit we dɛn mek, dɛn kin lɔk di say we dɛn kɔt, ɛn put stich dɛn fayn fayn wan.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tritmɛnt de gi?
Lɛk ɛni mɛrɛsin, CRT gɛt bɛnifit ɛn prɔblɛm dɛn. I impɔtant fɔ tek tɛm tɔk bɔt dɛn tin ya wit yu dɔktɔ.
| Di bɛnifit dɛn we pɔsin kin gɛt we i gɛt tritmɛnt | Risk dɛn we kin apin |
|---|---|
| di at in bכdi fכ pכmp εn di efyushכn de inkrεs. | Infεkshכn kin apin na di say we dεn put di divays. |
| Di sayn dɛm lɛk fɔ blo shɔt, taya, ɛn leg swel kin ridyus. | Blɔd kin kɔmɔt ɔ blɔd kin klɔt. |
| If yu de du tin fɔ yu bɔdi ɛn yu de du ɛksɛsayz, dat go mek yu nɔ gɛt prɔblɛm dɛn igen. | Di waya dɛn we dɛn put insay kin brok ɔ muf kɔmɔt na dɛn ples. |
| De tɛm wae yu kin liv wit hat sik de bɔrku. | Wan alɛji riakshɔn to mɛrɛsin kin apin. |
| If yu gɛt wan sik we blɔd de lik frɔm wan at valv (mitral valv rigurgitation), i go impɔtant to sɔm mak. | Na smɔl tɛm nɔmɔ, at atak ɔ fɔdɔm na in lɔng kin apin. |
Wetin kin apin afta dɛn dɔn trit am?
Yu go nid fɔ de na ɔspitul fɔ lɛk wan de afta di ɔpreshɔn.
- We yu de go na os: Bikɔs dɛn dɔn gi yu slip, yu nɔ go ebul fɔ drayv motoka . So, i impɔtant fɔ mek yu kam wit pɔsin we go kɛr yu go na os.
- di an we de muv: Di an we de na di say we dɛn put di divays (bɔku tɛm na di lɛft an) fɔ de stil ɛn nɔ fɔ es am fɔ lɛk 12 awa so . Dis kin mek di waya dɛn we dɛn put insay kin setul fayn fayn wan na di at.
- Speshal Kad: Dɛn go gi yu wan spɛshal kad, we gɛt ɔl di tin dɛn bɔt dis divays. I rili impɔtant fɔ kip dis kad na yu walet ɔltɛm.
- Fɔ wɛl: Yu kin bigin fɔ du tin dɛn we yu nɔ bin de du insay sɔm dez, bɔt i nɔ fayn fɔ drayv ɔ es ebi ebi tin fɔ lɛk wan wik so.
- Richɛk: Bifo dɛn sɛn yu na os, dɛn kin tek ɛkstrem rayt ɔ ECG fɔ chɛk if di waya dɛn de.
Wetin na di difrɛns bitwin CRT ɛn ICD?
Dis na sɔntin we kin mek bɔku pipul dɛn kɔnfyus. CRT ɛn ICD na tu kayn divays dɛn.
- CRT (Cardiac Resynchronization Therapy): As wi bin dɔn tɔk, dɛn kin yuz dis fɔ mek di at bit di sem we . Dat min se i de mek di at in chɛmba dɛn wok togɛda, insay wan ritm. Na wan advans vɛshɔn fɔ wan pesmɛka.
- ICD (Implantable Cardioverter-Defibrillator): Dis kin du sɔntin we difrɛn. If di at de bit fast fast we denja, i kin no am ɛn gi smɔl ilɛktrik shɔk fɔ mek i go bak to nɔmal . Dis na tin we de sev pipul dɛn layf.
Bɔt bɔku tɛm, pipul dɛn we gɛt at sik kin gɛt dɛn tu prɔblɛm ya. Na dat mek dɔktɔ dɛn kin put wan tin we gɛt ɔl tu di tin dɛn we dɛn kin du, we na CRT-D (CRT with Defibrillator) .
Ustɛm fɔ tɔk to di dɔktɔ
Afta yu dɔn put CRT divays insay yu bɔdi, sɔm tin dɛn de we yu nid fɔ tek tɛm wit.
Mɔtalman, if yu gɛt fiva wik ɔ ivin sɔm mɔnt afta di ɔpreshɔn, ɔ if di say we dɛn put di divays rɛd, swel, ɔ pen , dat kin bi sayn fɔ se yu gɛt di sik. Kɔl yu dɔktɔ wantɛm wantɛm.
Apat frɔm dat, yu fɔ atɛnd di klinik de dɛn we dɛn dɔn sɛtul.
- Di fɔs fɔlɔp go bi lɛk wan mɔnt afta dɛn dɔn du di ɔpreshɔn.
- Afta dat, dɛn go aks fɔ si yu wan ɔ tu tɛm insay di ia.
Na dɛn klinik dɛn ya, di dɔktɔ kin chɛk aw di divays de, in batri, ɛn di waya dɛn. I kin chɛk bak aw yu at dɔn wok fayn bikɔs ɔf dis divays.
Mɛsej we dɛn kin kɛr go na os
- CRT na spɛshal tritmɛnt fɔ pipul dɛn we nɔ de bit ɔltɛm bikɔs dɛn at nɔ de wok fayn.
- Dis min se yu fɔ yuz wan pesmɛka we gɛt tri spɛshal waya dɛn fɔ mek di tu say dɛn we de dɔŋ di at wok togɛda, insay di sem ritm.
- Dis tritmɛnt kin ridyus di sayn dɛm lɛk wae yu nɔr de blo fayn ɛn i kin mek yu layf bɛtɛ.
- Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm dɛn de we kin apin, so mek shɔ se yu tɔk to yu dɔktɔ bɔt di gud ɛn bad tin dɛn bifo yu du di ɔpreshɔn.
- Afta dɛn dɔn put di divays, i rili impɔtant fɔ atɛnd di de dɛn we dɛn dɔn plan fɔ go na di klinik ɛn fala di instrɔkshɔn dɛn we di dɔktɔ tɛl yu.
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