Yu at de bit kwik kwik wan? Dis kin bi CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia)!

Sɔntɛnde, we yu taya bad bad wan, ɔ we yu fil big tin na yu at, lɛk fɔ gladi bad bad wan, fɔ fil bad, ɔ fɔ fred, yu at kin bit kwik kwik wan wantɛm wantɛm ɛn yu chɛst kin tayt? Sɔntɛm yu yay dɛn kin tɔn blu ɛn yu kin fil lɛk se yu ed de tɔn? Nɔ sɔprayz, dɛn tin ya kin apin ivin to smɔl pikin. Tide wi go tɔk bɔt wan spɛshal kɔndishɔn we kin apin na di at ritm, we nɔ kin apin smɔl bɔt we rili impɔtant fɔ no bɔt.

Wetin na CPVT (Katekolaminεrjik Polimכrfik Vεntrikulכr Takikardia)?

Fɔ tɔk am simpul wan, CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia) na wan sik we kin apin na di at in ritm. Insay dis, di pat dɛn we de dɔŋ na yu at, dat na di say dɛn we de dɔŋ na di at, ɔ lɛk aw dɔktɔ dɛn kin kɔl dɛn, di ventricles , kin bigin fɔ bit kwik kwik wan ɛn nɔmal wan we yu de du ɛksɛsayz, ple, ɔ fil bɔku strɛs, lɛk fɔ gladi pasmak, fɔ fred, ɔ fɔ gladi.

Tink bɔt am dis we: wi at tan lɛk wata pɔmp. Na di wan we de pɔmp blɔd ɔlsay na di bɔdi. So, we dis at de bit tu fast, dat na, insay wan abnɔmal ritm, i kin at fɔ pɔmp blɔd fayn fayn wan ɛn sɛn am to ɔl di pat dɛn na di bɔdi. Dis na di besik tin we kin apin na CPVT.

Aw kכmכn dεn kכl dis kכndyushכn CPVT?

Fɔ tru, dis sik we dɛn kɔl CPVT nɔ kin bɔku . Akɔdin to di wan dɛn we sabi bɔt mɛrɛsin, dɛn se na lɛk wan pan ɛvri tɛn tawzin (10,000) pipul dɛn nɔmɔ gɛt dis sik. So, sɔntɛm nɔto ɔlman dɔn yɛri bɔt am.

Wetin mek dis CPVT kin apin? Wetin na di kɔz?

Bɔku pipul dɛn gɛt kwɛstyɔn, "Wetin mek dis kin apin?" Di men rizin fɔ CPVT na we wi de chenj wi jin dɛn, we na wan muteshon . Yu no, na dɛn jin ya de kɔntrol ɔltin na wi bɔdi.

• Bɔrku tɛm, yu kin gɛt dis jɛnɛtik chenj frɔm yu mama ɔr yu papa, ɔr ɔl tu.
• Bɔt rili smɔl, dat na, rili smɔl, dis jɛnɛtik chenj kin apin na nyu pɔsin in bɔdi randomly , we nɔ gɛt ɛni jɛnɛtik inflɔwɛns frɔm di mama ɛn papa.

So, dis jεnεtik chenj de mek prכblεm na di we aw dεn de kכntro di kalsiכm ayכn dεm insay di at sεl dεm. Dat na di men rizin wae mek de hat de bit fast fast wae de hat de strɛs ɔr wae yu de du ɛksesaiz.

Wetin na di sayn dɛm fɔ CPVT? Aw wi kin no am?

Di sayn dɛm fɔ CPVT kin bigin we dɛn smɔl, bɔku tɛm bitwin 7 ɛn 12 ia.Bɔku tɛm, di sayn dɛm kin fɔs apin afta we i dɔn rɔn ɛn ple bɔku , ɔ we pɔsin gɛt strɔng filin , lɛk gladi, fred, vɛks, ɔ gladi gladi.

Na sɔm tin dɛm wae kin bi sayn dɛm fɔ CPVT:

• I pas wan ɔdinari pɔsinYu kin fɔdɔm bɔku tɛm, ɔ yu kin fil lɛk yu ed de tɔn ɔ yu nɔ gɛt bɛtɛ ed. Sɔntɛnde, yu kin lɔs natin wantɛm wantɛm fɔ no rizin ɛn yu kin fɔdɔm.
• At palpiteshɔn na wan we we yu kin fil wantɛm wantɛm, we kin rili fast, we kin mek yu fil lɛk se sɔmbɔdi de rɔn insay yu chɛst.
• Sɔm pipul dɛn kin ivin gɛt tin dɛn lɛk we dɛn kin gɛt sik . dis kin apin biכs di bכdi we de rich na di bren de dכn we di at nכ de pכmp blכd fayn fayn wan.

Impɔtant: If yu pikin in diziz wantɛm wantɛm we i de ple, rɔn, ɔ jomp, ɔ if i kɔmplen se i nɔ izi fɔ blo, nɔ jɔs ignore am. I impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Aw dɔktɔ kin no di kɔrɛkt we aw i gɛt CPVT?

If yu ɔ yu pikin gɛt dɛn sik ya, dɔktɔ go du bɔku tɛst fɔ no if yu gɛt CPVT.

• Echocardiogram - echo test: Dis tan lɛk ɔltra saund skan fɔ di at. I de yuz sawnd wev fɔ si klia wan aw yu at shep, aw di at wɔl dɛn de wok fayn, if di valv dɛn de wok fayn, ɛn aw blɔd de flɔ.
• ECG (Electrocardiogram): Dis tɛst de tek wan grafik fɔ yu at in ilɛktrik signal, ɔ at ritm. Pɔsin we gɛt CPVT nɔ kin sho ɛni big chenj pan ECG we dɛn de na nɔmal stet.
• Ɛksesaiz Strɛs Tɛst: Dis na rili impɔtant tɛst fɔ no CPVT. We yu de rɔn pan tredmil ɔ rayd baysikul, dɛn kin kɔntinyu fɔ wach yu at rit ɛn ECG. Pipul wae gɛt CPVT kin gɛt abnɔmal fast at bit we dɛn de du dis ɛgzampul.
• Ɔda tɛst dɛn we yu kin du fɔ tek pikchɔ: Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ luk yu at dip wan, lɛk fɔ mek yu tek MRI (Magnetic Resonance Imaging ), fɔ put kateshɔn pan yu at , ɔ fɔ mek yu tek yu at .
• Jεnεtik Tεst: Dɛn tεst ya de luk fכ spεsifi k jεnεtik chenj dεm (mכtεshכn) we de mek CPVT insay blכd sεmpl. Dis kin kɔnfirm di sik ɛn no if ɔda pipul dɛn na di famili de pan denja.

Sɔntɛnde, yu dɔktɔ kin gi yu smɔl mashin we yu kin wɛr fɔ sɔm dez ɔ wik. Dɛn kɔl dis ambulatory monita ɔ Holter monita.I de rayt di ilɛktrik wok we yu at de du ɔlsay na di de (24, 48, ɔ ivin lɔng pas dat) we yu de du yu wok dɛn ɛvride ɛn du yu nɔmal wok dɛn na os. Dis kin gi yu dɔktɔ gud aidia bɔt aw yu at de bit, ivin we yu nɔ gɛt ɛni sayn.

Wetin na di tritmɛnt dɛm fɔ CPVT?

If di at bigin fɔ bit tumɔs kwik kwik wan, dat na if i go insay wan stet we gɛt ventricular tachycardia (Ventricular Tachycardia) , i kin mek i day. If dɛn kayn tin ya, dɛn kin nid fɔ gɛt ilɛktrik shɔk (Cardioversion ɔ Defibrillation) fɔ mek di at in ritm kam bak to nɔmal. Bɔku tɛm dɛn kin du dis as imejensi tritmɛnt.

Bɔt fɔ lɔng tɛm, di men gol fɔ trit CPVT na fɔ mek di at nɔ ritm fast pasmak ɛn fɔ mek i kɔntinyu fɔ gɛt nɔmal ritm. Yu tritmɛnt plan kin gɛt wan ɔ mɔ pan dɛn tin ya:

• Di mɛrɛsin dɛn we dɛn kin yuz:
• Beta-blok dεm: (e.g. Lopressor®, Corgard®) Dɛn mεdikal ya de wok bay we dεn de ridyus di ifekt dεm we כmon dεm lεk adrenaline de gi pan di at. Dis kin ɛp fɔ kɔntrol di at rit frɔm we i de go ɔp we i de du ɛksɛsayz ɔ strɛs. Dis na di men kayn mɛrɛsin we dɛn kin gi fɔ CPVT.
• Calcium Channel Blockers: (e.g. Cardizem®, Procardia®) Sɔntɛnde dɛn kin gi dis mɛrɛsin wit beta-blɔka.
• Ɔda mɛrɛsin dɛn we dɛn kin yuz fɔ kɔntrol di at ritm: Dɛn kin gi sɔm pipul dɛn ɔda mɛrɛsin dɛn lɛk flecainide.
• Implantable Cardioverter Defibrillator (ICD): Dis na smɔl tin we dɛn kin yuz batri we dɛn kin du ɔpreshɔn pan ɔnda di skin na di chɛst. I de kɔntinyu fɔ wach aw di at de rit. If di at in ritm nɔ de rigul wantɛm wantɛm, di divays kin mek ilɛktrik shɔk insɛf fɔ mek i kam bak. Bɔku tɛm, dɔktɔ dɛn kin se dɛn fɔ yuz ICD fɔ pipul dɛn we gɛt ay risk ɛn we i nɔ kin izi fɔ kɔntrol dɛn at wit mɛrɛsin nɔmɔ.
• Left Cardiac Sympathetic Denervation (LCSD): Dis na ɔspitul we de pul sɔm pan di nerv dɛn we de go na di at. Dis kin mek di at nɔ wok fayn ɛn i kin mek di at nɔ gɛt bɔku denja. Dɛn kin tink bɔt dis ɔpreshɔn fɔ pipul dɛn we gɛt ICD we kin shɔk bɔku tɛm ɔ we nɔ de ansa fayn to mɛrɛsin.

Apat frɔm dat, yu go nid fɔ mek sɔm impɔtant chenj dɛn na yu layf .

• Fɔ du ɛksɛsayz we yu de tray tranga wan , lɛk fɔ rɔn fast ɔ fɔ es wet, fɔ smɔl.
• Fɔ yɔŋ pikin we gɛt CPVT, i bɛtɛ fɔ de fa frɔm kɔmpitishɔn spɔt , bikɔs di gladi gladi ɛn prɛshɔn we pɔsin kin gɛt we i win kɔmpitishɔn kin mek di at bit fast fast.
• I rili impɔtant bak fɔ praktis aw fɔ ridyus strɛs.

Wi kin mek dis CPVT nɔ apin?

Bikɔs na wan jenɛtik muteshɔn de mek CPVT, rili no we nɔ de fɔ mek i nɔ apin kpatakpata . Na bikɔs i nɔto sɔntin we wi go ebul fɔ kɔntrol.

Bɔt we dɛn dɔn no se CPVT, if dɛn de manej am fayn, dat na if dɛn yuz di mɛrɛsin we di dɔktɔ gi am kɔrɛkt wan, dɛn kin chenj dɛn layf lɛk aw dɛn tɛl am, ɛn dɛn kin go to di dɔktɔ ɔltɛm, ivin pɔsin we gɛt CPVT kin liv bɔku pan di nɔmal, ay kwaliti layf.

If dɛn dɔn no se pɔsin na yu famili gɛt CPVT, i impɔtant fɔ tink bɔt fɔ tɛst di jenɛtiks ɛn fɔ advays ɔda pipul dɛn na yu famili, mɔ di pikin dɛn. Wan pɔsin we de advays yu bɔt yu jɛnɛtiks kin ɛp yu fɔ ɔndastand di sik fayn fayn wan, tɔk bɔt di chans we yu pikin dɛn gɛt fɔ gɛt am, ɛn tɔk bɔt impɔtant tin dɛn lɛk wetin yu go du bɔt am.

Wetin dɛn kin du fɔ avɔyd prɔblɛm dɛn we kin apin bikɔs ɔf CPVT?

If dɛn nɔ kɔntrol CPVT fayn, sɔm denja kɔmplikeshɔn dɛn kin apin. Yu kin du dɛn tin ya fɔ ridyus yu risk:

• Tɔk to yu dɔktɔ ɛn mek wan sef ɛksɛsayz plan we go wok fɔ yu. Yu nɔ nid fɔ stɔp fɔ du ɛksasaiz ɔltogɛda, bɔt yu fɔ no us ɛksesaiz dɛn we gud ɛn wetin nɔ fayn.
• Limit drink dɛn we gɛt kafinɛ lɛk kɔfi, ti, sɔm chɔklɛt, ɛn sɔm sɔft drink dɛn as yu ebul, bikɔs kafin na tin we de mek yu at pwɛl ɛn i kin mek yu at bit mɔ ɛn mɔ.
• Ɔltɛm pe atɛnshɔn to di sayn dɛn we yu gɛt . If yu fil diziz, yu chɛst tayt, ɔ yu gɛt prɔblɛm fɔ blo, nɔ ignore ɛni wan pan dɛn sayn ya. Kɔl yu dɔktɔ wantɛm wantɛm.
• Nɔ ɛva mis wan de fɔ tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek, tek am di rayt tɛm ɛn di rayt doz .
• I rili impɔtant fɔ go to dɔktɔ di rayt tɛm ɛn du di tɛst dɛn we yu nid. Dis na sɔntin we yu fɔ du ɔl yu layf.

Us kayn fiuja pɔsin we gɛt CPVT kin ɛkspɛkt?

If dɛn nɔ trit CPVT, i kin mek pɔsin gɛt wɛlbɔdi prɔblɛm ɛn i kin gɛt prɔblɛm dɛn. Sɔm prɔblɛm dɛn lɛk we di at kin stɔp wantɛm wantɛm , kin mek pɔsin in layf de pan denja.

Bɔt, di gud nyus na dat, wit di rayt tritmɛnt ɛn wɛlbɔdi layf, bɔku pipul dɛn we gɛt CPVT kin gɛt nɔmal at ritm, ridyus di risk fɔ dɛn prɔblɛm ya bad bad wan, ɛn liv gladi, fulfil layf.

If yu gɛt CPVT, yu go nid fɔ gɛt kia fɔ yu layf ɔl fɔ mek shɔ se yu at ritm nɔmal.I nid fɔ du dat. Dat min se yu fɔ go to dɔktɔ ɔltɛm ɛn du di tɛst dɛn we yu nid. If CPVT simptom dɛn kam bak, lɛk fɔ fil diziz afta yu dɔn du ɛksɛsayz, kɔntak yu dɔktɔ wantɛm wantɛm ɛn nɔ de te.

Tin dɛn fɔ aks yu dɔktɔ

If yu ɔ yu pikin gɛt dɛn sik ya, ɔ if dɛn dɔn ɔlrɛdi no se yu gɛt CPVT, i go rili ɛp yu fɔ aks yu dɔktɔ klia wan bɔt dɛn tin ya:

• Wetin na di tin we kin mek pɔsin gɛt dɛn sik ya? Na CPVT dis?
• Us ɔda tɛst dɛn mi ɔ mi pikin fɔ gɛt fɔ kɔnfɔm fɔ shɔ if a gɛt CPVT?
• Wetin na di bɛst tritmɛnt opshɔn fɔ CPVT? Us tritmɛnt bɛtɛ fɔ mi/mi pikin?
• Wetin na di bɛnifit ɛn sayd ɛfɛkt dɛn we dɛn tritmɛnt ya kin gɛt?
• Wetin yu fɔ du bitwin yu go to dɔktɔ, fɔ kɔntrol di sayn dɛm na os, ɔr if yu gɛt imejensi?
• Us chenj a nid fɔ mek na mi layf (di it, ɛksesaiz)?
• Yu tink se ɔda pipul dɛn na di famili de pan denja? Yu tink se dɛn fɔ tɛst dɛnsɛf?

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

So, pan ɔl we di kɔndishɔn we wi dɔn tɔk bɔt fɔ lɔng tɛm, CPVT (Catecholaminergic Polymorphic Ventricular Tachycardia), kin tan lɛk se i de mek pɔsin fred smɔl, di tin we impɔtant pas ɔl na fɔ no am kwik ɛn mek dɛn trit am fayn.

If yu no di sik fayn fayn wan, trit yu lɛk aw yu dɔktɔ tɛl yu fɔ du, ɛn sɔm simpul chenj dɛn na yu layf, ivin pɔsin we gɛt CPVT kin liv layf we nɔmal, aktif, ɛn fulfil layf. Mɛmba se if yu gɛt sɔm sayn dɛn, i impɔtant fɔ go to dɔktɔ kwik kwik wan ɛn nɔ pe atɛnshɔn to dɛn. Nɔto yu wan de pan dis joyn, ɛn dɔktɔ dɛn de we sabi du dɛn wok ɛn pipul dɛn we sabi bɔt wɛlbɔdi biznɛs we go ɛp ɛn kia fɔ yu. So nɔ fred, fes dis wit kɔrej.

` CPVT, hat ritm, hat bit, vεntrikulכr takikadia, jεnεtik mכtεshכn, strכk, kadyak arest wan wan, pikin hεlth