Sɔntɛnde yu kin fil se yu at de bit so dat yu kin fred, ɔ i kin tan lɛk se di we aw yu at de bit nɔ de bit? Jɔs lɛk we yu de ple drɔm, yu at kin bigin fɔ bit fast fast, sloslo, ɔ skip wan bit wantɛm wantɛm. Tide wi de tɔk bɔt wan spɛshal tritmɛnt we dɔktɔ dɛn kin yuz pan dɛn kayn tin ya. dis dεn kכl am ‘Kεmikכl Kadiכvεshכn’. Pan ɔl we di nem kɔmplikt smɔl, di minin fɔ dis rili simpul.
Fɔ tɔk am simpul wan, wetin na Kɛmikal Kadiɔvɛnshɔn?
Kεmikכl Kadiכvεshכn na wan we dεn de yuz mεdikeshכn fכ mek di at ritm we nכ nכmal, kam bak to di nכmal ritm. I tan lɛk se trafik polis ɔfisa de kam kɔntrol wan chaotic trafik jam ɛn dayrɛkt di motoka dɛn ɔdasay. Na ya, di ‘trafik polis ɔfisa’ na di mɛrɛsin we di dɔktɔ de gi yu.
Di sakses fɔ dis tritmɛnt dipen pan bɔku tin dɛm, lɛk wetin de mek yu at bit nɔr de bit ɔltɛm, aw lɔng yu dɔn gɛt dis sik, ɛn us kayn mɛrɛsin yu dɔktɔ pik.
Di mɛrɛsin dɛm wae dɛn kin gi fɔ dis tritmɛnt kin mɔs du sɔm tin dɛm:
- I kin opin yu blɔd vesel dɛn smɔl, ɛn mek i izi fɔ mek blɔd flɔ.
- I de mek di at mɔsul dɛn rilaks.
- I de ridyus di lod we de pan di at, dat na di wok we di at de du.
- I de kɔntrol di spid we ilɛktrik signal dɛn we de sho se di at fɔ bit.
Nɔmal wan, wi at bit kin bigin di we we rili ɔganayz. dis ilektrikal signal de initiet bay wan nεchכral pesmaker na di at we dεn kכl di sinoatrial node. afta dat dis signal de travul tru di pat dεm na di at כganayz we, we de mek di at kכntrakt fayn fayn wan εn pכmp blכd. If prɔblɛm de wit di we aw dɛn signal ya de travul, di at ritm kin bi abnɔmal.
we di at in ritm de ambɔg, i nɔ de pɔmp blɔd fayn fayn wan ɔlsay na di bɔdi. Wi bren sɛl dɛn, lɛk ɔl ɔda sɛl dɛn, nid ɔksijɛn. Na di blɔd de kɛr dis ɔksijɛn. So we di blɔd nɔ de flɔ, sɔm sayn dɛn lɛk diziz (vertigo), taya, shɔt briz, ɛn chɛst pen kin apin.
Wetin mek wi nid dis tritmɛnt?
If yu at de bit fast fast ɔ yu nɔ de bit ɔltɛm, yu go nid fɔ yuz kemikal fɔ mek yu at pwɛl. Bɔrku rizin de wae mek yu at nɔr kin rit ɔltɛm. Imajin se yu padi Nimal bigin fɔ fil in chɛst de bit wantɛm wantɛm. Na we i go to dɔktɔ, na in i kam fɔ no se wan bad bad sik dɔn afɛkt in at ritm.
Ɛn bɔku ɔda rizin dɛn de:
- Sɔm mɛrɛsin wae yu kin tek: Sɔm mɛrɛsin kin mek yu hat ritm chenj as sayd ɛfɛkt.
- Infεkshכn: Baktri כ vayral infεkshכn kin afekt di at mכsul.
- At Atak: Hat atak kin pwɛl di at in ilɛktrik sistɛm.
- di chenj dεm we de apin na di strכkchכ fכ di at: di hat sik we dεn kin bכn wit כ di chenj dεm we kin apin leta.
- Pulmonary Embolism: Dis na imejensi.
- Congestive Heart Failure: We di at wik ɛn di ebul we i ebul fɔ pɔmp blɔd de go dɔŋ.
- Lכng sik dεm: Kכndishכn dεm lεk COPD כ Emphysema.
Us kayn at ritm dεm kin trit wit dis mεtכd?
Dɛn kin yuz kεmikכl kכdiכvεshכn fכ trit difrεn abnכmal at ritm dεm, inklud:
| Abnɔmal at ritm nem (Aritmia Nem) . | Simpul ɛksplen |
|---|---|
| Atrial Fibrilɛshɔn (Afib) . | wan kכmכn kכndyushכn we di כp chεmba dεm na di at (atria) de bit bכku bכku wan εn i nכ de bit. |
| Atrial Flutter we de flɔt | di כp chεmba dεm na di at de bit fast fast, bכt insay wan ritm we כganayz pas di Afib. |
| Supraventrikulכr Takikardia (SVT) . | Wan at bit we rili kwik we kin bigin na di ɔp pat na di at. |
| Ventrikulכr Takikardia (VT) . | di at bit kwik kwik wan we de stat na di lכw chεmba dεm (vεntrikul dεm) na di at. Dis kin rili siriɔs. |
Di difrɛns bitwin Ilɛktrik Kadiɔvɛshɔn ɛn dis
Yu go mɔs dɔn si am na di fim dɛn, usay dɛn kin gi shɔk to di chɛst fɔ mek di at bigin bak. Dɛn kɔl am ‘Ilɛktrik Kadiɔvɛnshɔn.’ I involv fɔ sɛn wan kɔntrol ilɛktrik shɔk to di at fɔ ‘riset’ di ilɛktrik sistɛm. Chemical Cardioversion involv fɔ gi mɛrɛsin fɔ du di sem tin.
Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu bay aw yu sik. Fɔ ɛgzampul, if yu blɔd prɛshɔn rili smɔl, yu dɔktɔ go disayd fɔ du ilɛktrik we fɔ mek yu at pwɛl.
Wetin kin apin bifo tritmɛnt ɛn aw wi fɔ pripia?
Yu dɔktɔ go gi yu sɔm instrɔkshɔn bifo dis tritmɛnt. I rili impɔtant fɔ fala dɛn di rayt we.
1. Nɔ it ɛn drink: Dɛn go aks yu fɔ avɔyd fɔ it ɔ drink ɛnitin fɔ lɛk 8 awa bifo di tritmɛnt.
2. Chɛk fɔ Blɔd Klɔt: If yu at nɔ de rɛgyula fɔ pas tu dez, chans de fɔ mek smɔl smɔl blɔd klɔt insay yu at. If yu at rit kam bak to nɔmal wan wantɛm afta dis tritmɛnt, if di klot brok ɛn stɔp na wan blɔd vesel na yu bren, i kin mek yu gɛt siriɔs sik lɛk strok. Fɔ chɛk fɔ da risk de, yu dɔktɔ kin aks yu fɔ mek dɛn du spɛshal skan we dɛn kɔl Transesophageal Echocardiogram (TEE) . Dis min se yu fɔ put smɔl tiub dɔŋ yu trot ɛn luk klia wan na yu at bak fɔ si if ɛni blɔd de klɔt.
3. Antikoagulant: Fɔ ridyus di risk fɔ mek blɔd klɔt we wi bin dɔn tɔk bɔt, dɛn go aks yu fɔ bigin tek blɔd tin fɔ it lɛk 3 wik bifo di tritmɛnt. Yu go nid fɔ kɔntinyu fɔ tek dɛn mɛrɛsin ya fɔ lɛk 4 wik afta yu dɔn gɛt tritmɛnt.
4. Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek: I impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk di mɛrɛsin dɛn we yu de tek fɔ mek yu nɔ fil pen, vaytamɛn dɛn, ɛn ɛbul mɛrɛsin dɛn we yu nɔ de bay. Sɔm mɛrɛsin kin miks wit di mɛrɛsin wae dɛn kin gi fɔ dis tritmɛnt.
Wetin kin apin we dɛn de trit am?
Dis nɔto sɔntin we yu go ebul fɔ du na os. Dɛn go admit yu na ɔspitul ɛn gi yu dis tritmɛnt ɔnda sɔpɔtishɔn ɔltɛm.
- Usay: Dɛn go admit yu na di ɔspitul in intensiv kia yunit (ICU) ɔ wan ɔda wɔd we tan lɛk dis usay dɛn go ebul fɔ wach yu gud gud wan. Nɔ wɔri, dis na fɔ yu sef. Bikɔs yu nid fɔ de wach yu gud gud wan fɔ si if yu at chenj we dɛn de gi yu di mɛrɛsin.
- Monitoring: Dɛn go put wan IV layn (kanula) na yu an ɛn dɛn go kɔnɛkt wan monita to am. Dis go kɔntinyu fɔ wach yu ECG (ilɛktrik aktiviti na di at), blɔd prɛshɔn, ɛn ɔksijɛn lɛvɛl.
- Aw fɔ gi di mɛrɛsin:Dɛn go gi yu di mɛrɛsin ɔ as pil fɔ tek bay mɔt ɔ dairekt insay wan vein tru wan IV layn na yu an. Sɔntɛnde, if di fɔs doz nɔ wok, dɛn kin gi yu ɔda doz.
- Sefty: Dɔktɔ ɛn nɔs wokman dɛn de rayt de wit yu. Dɛn gɛt ikwipmɛnt bak lɛk difibrilator nia dɛn if ɛni ɔda abnɔmal ritm de. So yu de na say we rili sef.
Us mɛrɛsin dɛn kin yuz fɔ dis?
Di mɛrɛsin we yu dɔktɔ go gi yu go dipen pan di kayn abnɔmal at ritm we yu gɛt. Dɛn kin yuse sɔm pan dɛn mɛrɛsin ya fɔ mɛn ay blɔd prɛshɔn ɛn kɔnjɛstiv at fayl.
Na sɔm pan di men kayn mɛrɛsin dɛn we dɛn kin yuz:
- Adenosin we dɛn kɔl
- Amiodarone we gɛt di sik
- Prokainamid we dɛn kɔl
- Ibutilide we dɛn kɔl
- Beta-blɔk dɛn - ɛgz. Mɛtoprolɔl we dɛn kɔl
- Kכlsyכm chεnal blכk dεm - fכ egzampl. Diltiazem we dɛn kɔl dil
- Flekainide we dɛn kɔl
- Propafenɔn we dɛn kɔl
Ɛni wan pan dɛn mɛrɛsin ya kin wok difrɛn we, so na yu dɔktɔ nɔmɔ go ebul fɔ pik di mɛrɛsin we go fayn fɔ yu.
Wetin kin apin afta dɛn dɔn trit am?
Afta dɛn dɔn gi yu di mɛrɛsin ɛn yu at rit dɔn kam bak to nɔmal, dɛn kin kip yu na ɔspitul fɔ ɔda 24 to 48 awa ɔnda wach fɔ mek shɔ se ɔltin stebul. Afta dat, yu kin go na os.
Bɔrku pipul kin ripɔt se dɛn kin fil taya ɛn nɔr kin fil fayn wit di mɛrɛsin wae dɛn kin gi dɛn. Dis na nɔmal tin, bɔt if yu gɛt ɛni big prɔblɛm, duya tɛl yu dɔktɔ.
Wetin na di prɔblɛm ɛn bɛnifit dɛn we dis tritmɛnt kin gi?
Lɛk ɛni tritmɛnt, bɛnifit ɛn bad tin dɛn de we kin apin to am. Yu dɔktɔ go jɔs tɛl yu dis tritmɛnt if di bɛnifit dɛn pas di prɔblɛm dɛn we i go gɛt.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk/Kɔmplikeshɔn dɛn |
|---|---|
| Fɔ ebul fɔ briŋ di at bit bak to di nɔmal ritm. | Wan nyu ritm we nɔ kɔmɔnI kin apin ɔ i kin wɔs. |
| Ridyus pan di sayn dɛm lɛk diziz, taya, ɛn shɔt briz. | Smɔl risk de fɔ mek di blɔd klɔt brok ɛn mek yu gɛt strok (dɛn kin ridyus dis if yu tek blɔd tin fɔ mek yu blɔd tan). |
| Wan ɔda we fɔ du tin pas Ilɛktrik Kadiɔvɛshɔn (di we aw dɛn kin gi pɔsin shɔk). | Sɔm sayd ɛfɛkt lɛk fɔ nɔs ɛn taya kin apin. |
| Sɔm mɛrɛsin dɛn kin tek sɔm mɔnt fɔ wok. | |
| If di tritmɛnt nɔ wok , dɛn kin nid ɔda tritmɛnt dɛn lɛk Ilɛktrik Kadiɔvɛnshɔn ɔ Kateta Ablashɔn. |
Ustɛm yu nid fɔ go to dɔktɔ kwik kwik wan?
We yu go na os afta yu dɔn gɛt tritmɛnt, i rili impɔtant fɔ no bɔt ɛnitin we nɔ kɔmɔn. If yu si ɛni wan pan di sayn dɛm we de dɔŋ ya, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm ɔ kɔl 1990.
- Di at we de blo
- Diziz bad bad wan
- If yu yay blu ɛn yu fil layt (Lightheadedness) .
- Wik
- Fɔ swet pasmak wantɛm wantɛm (Sweatiness) .
- Alɛji riakshɔn lɛk rash ɛn it
- Chɛst de pen
- I nɔ kin izi fɔ yu fɔ blo
Bifo ɛn afta di tritmɛnt, tek ɔl di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek ɛksaktɔli ɛn di rayt tɛm. If yu gɛt ɛni dawt bɔt aw fɔ tek yu mɛrɛsin, aks yu dɔktɔ bak fɔ mek i klarify.
Mɛsej we dɛn kin kɛr go na os
- Kεmikכl kכdiכvεshכn na tritmεnt wae de yus mεdikeshכn fכ mek di at in ritm bak nכmal.
- Dɛn kin du dis fɔ mek shɔ se yu sef, na ɔspitul, ɔnda dɔktɔ we de kia fɔ yu ɔltɛm.
- Bifo yu trit yu, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn ɛn Ayurveda mɛrɛsin dɛn.
- Jɔs lɛk ɔl di tritmɛnt dɛn, sɔm prɔblɛm dɛn de, bɔt yu dɔktɔ de gi yu dis tritmɛnt bikɔs di bɛnifit dɛn pas di prɔblɛm dɛn fa fawe.
- Afta yu dɔn trit yu, i rili impɔtant fɔ tek mɛrɛsin, mɔ di wan dɛn we de mek yu blɔd tan, jɔs lɛk aw dɛn tɛl yu fɔ tek am.
- Go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni imejensi sik lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ blo, ɔ yu ed de tɔn bad bad wan.
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