Yu no bɔt CRT (Cardiac Resynchronization Therapy), we kin mek di at in chɛmba dɛn bit togɛda?

Sɔntɛnde yu kin fil taya fɔ natin, ɔ i nɔ kin izi fɔ yu fɔ blo we yu de klaym stej? Sɔntɛm yu dɔktɔ dɔn tɛl yu se yu at de wok smɔl, we min se yu gɛt wan sik we dɛn kɔl ‘Hat Failure’. di men tin we kin apin pan dis kayn tin na we di chεmba dεm na di at nכ de bit di sem tεm εn di sem ritm. bikɔs ɔf dis, di at nɔ kin ebul fɔ pɔmp di blɔd we di bɔdi nid fayn fayn wan. Dis na di sɔlv fɔ dis prɔblɛm we wi de tɔk bɔt tide, dis spɛshal tritmɛnt we dɛn kɔl CRT.

Fɔ tɔk am simpul wan, wetin na dis CRT tritmɛnt?

CRT na abbrevieshɔn fɔ ‘Cardiac Resynchronization Therapy’. Fɔ tɔk di kɔrɛkt tin, dis na we dɛn kin put spɛshal pesmɛka insay di at tru smɔl ɔpreshɔn. כda nem fכ dis na ‘biventricular pacing’.

Imajin, wi at gɛt tu rum dɛn we de dɔŋ, we wi kin kɔl ventricles . insay hat we hεlth, dεn tu chεmba dεm ya fכ kכntrakt tכgeda, di sem tεm, fכ pכmp bכdi to di bכdi. Bɔt pan tin dɛn lɛk at pwɛl, dɛn tu chɛmba ya kin kɔntrakt difrɛn tɛm. Dɛn kɔl dis ‘dyssynchrony.’ Da tɛm de, wetin dis CRT divays de du na fɔ sɛn smɔl smɔl ilɛktrik signal dɛn fɔ mek dɛn tu chɛmba dɛn ya bit di sem tɛm, insay di sem ritm. Dat min se i de mek di at bit bak.

Aw dis CRT divays de wok?

Yu go mɔs dɔn yɛri bɔt di tin dɛn we dɛn kin yuz fɔ mek yu peshɛnt ɔltɛm. Dɛn gɛt wan ɔ tu lid dɛn. Bɔt dis CRT pesmɛka gɛt tri lid dɛn . Dis na wetin spɛshal.

Imajin, wan pan dɛn tri waya ya kɔnɛkt to di rayt ventricle na di at, ɛn di ɔda wan to di lɛft ventricle. di tכd waya de kכnekt to di rayt atria, we na wan chεmba we de tכp di at. So, dεn de mכnitor di at ritm כltεm tru dεn tri waya dεm ya. If dɛn si sɔntin we nɔ de na di ritm, dat min se if di chɛmba dɛn nɔ de bit togɛda, dis tin kin sɛn smɔl ilɛktrik signal di rayt tɛm ɛn mek dɛn chɛmba dɛn de wok togɛda. I tan lɛk pɔsin we de kɔndɔkt ɔkestra, we de kɔntrol ɔlman to wan ritm.

Wetin na di difrɛns bitwin CRT ɛn ICD?

Yu go dɔn yɛri bak bɔt wan tin we dɛn kɔl ICD. Nɔ kɔnfyus di tu. Dɛn tu ya de du tu wok. Mek wi ɔndastand dis wit wan tebul.

Bɔt ɔda tin de. Sɔm sik pipul dɛn kin gɛt dɛn tu prɔblɛm ya. Dat min se di at chεmba dεm nכ de bit tכgeda, εn di ritm dεm we de mek dεn fast fast we de mek dεn denja. Fɔ dɛn kayn pipul ya, dɔktɔ dɛn kin se dɛn fɔ put dɛn tu tin ya togɛda (CRT-D divays) .

Udat nid dis tritmɛnt?

Tipikli, pipul dεm wae gεt hat ritm dεm we nכ de rεgεl (arrhythmias) nid dis kayn peshכn mεka. Bɔt dɛn kin advays CRT tritmɛnt fɔ pipul dɛn we mit sɔm krayteria. Bɔrku rizin kin de wae mek di at kin wik ɔr nɔr kin rit ɔltɛm.

• Hat Failure: Di at nɔ kin ebul fɔ pɔmp inof blɔd to di bɔdi.
• At damej bikɔs ɔf at atak we i bin dɔn gɛt bifo .
• di at wok kin dכn wit di ej.
• Na bikɔs ɔf sɔm mɛrɛsin dɛn.
• At sik we dɛn bɔn wit .
• Disturbans in di transmishכn fכ ilektrikal signal dεm na di at. Fɔ ɛgzampul, wan kɔndishɔn we dɛn kɔl ‘Bundle Branch Block’ .

Aw dɛn kin du di ɔpreshɔn

Wetin kin apin bifo dɛn du di ɔpreshɔn?

Fɔ sɔm dez bifo dɛn du di ɔpreshɔn, yu dɔktɔ go tɛl yu fɔ du bɔku tɛst fɔ chɛk aw yu at de wok ɛn aw i tan. Fɔ ɛgzampul, dɛn kin aks yu fɔ mek dɛn du MRI skan fɔ yu at ɔ fɔ du Transthoracic Echocardiogram (TTE) . Dɛn go gi yu anestezi fɔ mek yu nɔ fil ɛni pen we dɛn de du di ɔpreshɔn. Dɛn kin put yu bak fɔ slip.

We dɛn de du ɔpreshɔn...

1. Fɔs, di dɔktɔ kin put tri spɛshal waya dɛn na sɔm patikyula say dɛn na yu at, i kin pas tru wan vein we de na yu sholda ɔ sɔntɛm na yu shɔl.

2. Nεks, dεn kin mek sכm sכm pat na di skin dכn dכn di sכlda fכ mek wan sכmכl pכket fכ ol di peshכn divays (sכmכl bכks we gεt di batri εn sεkyutri).

3. Dɔn dɛn kin kɔnɛkt di waya dɛn we dɛn kin sɛn to di at to dis divays ɛn chɛk fɔ si if i de wok fayn.

4. If ɔltin fayn, dɛn kin put di divays insay di pɔkit we dɛn mek, ɛn dɛn kin lɔk di say we dɛn kɔt di skin wit stich dɛn we kin sɔlv.

Wetin kin apin afta dɛn dɔn du di ɔpreshɔn?

• Yu go nid fɔ de na ɔspitul fɔ sɔm awa ɔ fɔ wan nɛt.
• Bikɔs dɛn dɔn anestez yu, nɔ drayv go na os. Yu go nid fɔ go wit ɔda pɔsin.
• Dɛn kin tɛl yu fɔ mek yu lɛft an nɔ muf tumɔs fɔ lɛk 12 awa afta di ɔpreshɔn te di waya dɛn setul na dɛn ples.
• Dɛn go gi yu wan spɛshal kad. I gɛt ditil dɛn bɔt di divays we dɛn put insay yu. I rili impɔtant fɔ kip dis kad wit yu ɔltɛm . Dis na tin we dɛn nid fɔ du na ples dɛn lɛk aypɔt.
• Yu kin nid fɔ tek ɛkstrem rayt fɔ mek shɔ se di waya dɛn de na di rayt ples, ɔ yu kin nid fɔ du EKG (ilɛktrokadiogram) fɔ chɛk yu at ritm.

Benefit ɛn risk dɛm fɔ CRT tritmɛnt

Di bɛnifit dɛn we pɔsin kin gɛt we i gɛt tritmɛnt

If dis tritmɛnt wok fayn, yu kwaliti fɔ liv kin bɛtɛ pasmak.

• di bכdi we di at de pכmp to di bכdi de bכku.
• Di efyushɔn we di at de du de go ɔp.
• Di sayn dɛm lɛk we yu nɔ de blo fayn ɛn we yu taya kin go dɔŋ.
• I de ridyus di risk fɔ gɛt abnɔmal at ritm.
• Di tɛm fɔ liv kin go ɔp.
• Ivin di tin dεm lεk mitral regurgitation, usay bכdi de fכlכ bak tru wan at valv, kin bεtε.
• Di ebul fɔ du ɛksɛsayz kin bɛtɛ.

Yu nɔ tink se risk de pan dis?

• Di waya dɛn we dɛn dɔn instɔl kin brok ɔ muf kɔmɔt na dɛn ples.
• Infekshɔn na di say we dɛn de du di ɔpreshɔn.
• Blɔd we de klɔt .
• Alɛji fɔ anestetik ɔ ɛni ɔda tin.
• Fɔ gɛt ɔda at prɔblɛm, lɛk at atak (we nɔ kin apin so ɔltɛm).

Fɔ wɛl ɛn fɔ go to dɔktɔ

Yu kin bigin fɔ du tin dɛn we yu nɔ bin de du bak insay sɔm dez afta dɛn dɔn du yu ɔpreshɔn. Bɔt dɔktɔ dɛn advays yu fɔ nɔ du ɛnitin lɛk fɔ drayv ɔ fɔ es wet fɔ wan ɔ tu wiks . di batri we de insay dis implanted pesmaker kin las fכ lεk 7-10 ia. We di batri wik, dɛn kin chenj am wit ɔda smɔl ɔpreshɔn.

Ustɛm yu fɔ go to dɔktɔ?

Yu go gɛt fɔl-ap apɔntinmɛnt lɛk wan mɔnt afta dɛn du di ɔpreshɔn. Afta dat, yu go gɛt fɔ go to dɔktɔ wan ɔ tu tɛm insay di ia. Dɛn go chɛk di divays, di batri, ɛn di waya dɛn na kɔmpyuta fɔ mek shɔ se dɛn de wok fayn.

I rili impɔtant: If yu gɛt fiva, ɔ if di say we dɛn put di divays rɛd, swel, ɔ pen, wik ɔ mɔnt afta dɛn du di ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm. Dis kin bi sayn fɔ se pɔsin gɛt di sik.