Yu dɔn ɛva fil se yu at de bit fast fast wantɛm wantɛm fɔ natin, ɔ yu dɔn fil wan strenj tin we de flɔt lɛk bɔtaflay na yu chɛst? Dɛn kayn chenj ya na di at ritm (di at bit we nɔ de bit ɔltɛm) na sɔntin we pɔsin fɔ wɔri bɔt sɔntɛnde. Tide, wi go tɔk bɔt wan spɛshal tritmɛnt we dɔktɔ dɛn kin yuz fɔ trit dɛn kayn at bit ya we nɔ de bit ɔltɛm.
Fɔ tɔk am simpul wan, wetin na Kɛmikal Kadiɔvɛnshɔn?
Fɔ tɔk am simpul wan, kεmikכl kכdכvεshכn na di yus כf mεdikeshכn fכ mek yu at in ritm we nɔrmal fast ɔr irεgulεr ritm bak to nכmal ritm. Di sakses fɔ dis tritmɛnt dipen pan wetin mek yu at bit nɔ de bit ɔltɛm, aw lɔng i dɔn de de, ɛn di kayn mɛrɛsin we yu dɔktɔ pik.
Wi kin kɔl dis bak Pharmacologic Cardioversion. Di mɛrɛsin dɛm wae dɛn kin gi wae dɛn de gi dis tritmɛnt kin du sɔm men tin dɛm:
- I de mek yu blɔd vesel dɛn rilaks.
- I de mek di at mɔsul dɛn rilaks.
- I de ridyus di wok we di at de du.
- I de kɔntrol di spid we ilɛktrik signal dɛn de tɛl di at fɔ bit.
Tink bɔt wi at lɛk os we gɛt kɔmpleks ilɛktrik sɔrkwit. I gɛt wan men swich, we insay mɛrɛsin wi kin kɔl di sinoatrial node. Di ilɛktrik signal we de mek di at bit de bigin de. afta dat da signal de travul tru di כp chεmba dεm na di at (Atria) εn i de rich כda jכnkshכn (Atrioventricular node). fכ finish, dis signal de rich di lכw chεmba dεm na di at (Ventricles). if eni mistek de na dis signal path, di hat ritm kin disturb.
we di hat ritm nכ de rεgεl, i nכ de pכmp inof bכdi כlsay na di bכdi. Ɛvri sɛl na wi bɔdi, mɔ di bren, nid fɔ gɛt ɔksijɛn ɔltɛm frɔm di blɔd. We blɔd nɔ de flɔ dis kayn we, yu kin gɛt sɔm sayn dɛn lɛk we yu de tɔn, taya, yu nɔ de blo fayn, ɛn yu chɛst de pen .
Wetin mek dɛn kin yuz dis tritmɛnt ɛn fɔ us sik dɛn?
If yu at bit tu fast ɔ nɔ de bit ɔltɛm, yu kin nid fɔ yuz kemikal fɔ mek yu at bit. Bɔku rizin dɛn de we mek yu at nɔ kin rit ɔltɛm.
- Sɔm pan di mɛrɛsin dɛn we yu kin yuz
- Infεkshכn kכndishכn dεm lεk nyumonia
- At atak
- Chenj dεm na di strכkchכ na di at
- Pɔlmonari ɛmbolizm
- Kɔnjɛstiv at we nɔ de wok fayn
- Lɔng sik dɛn lɛk COPD ɔ Emphysema
Kεmikכl Kadiכvεshכn dεn kin yus mεntal fכ trit dεn kכndyushכn dεm ya we nכ de bit di at we nכ de bit rεgulεr:
| Nem fɔ di mɛdikal kɔndishɔn (Inglish Tɛm) . | Simpul ɛksplen |
|---|---|
| Atrial Fibrilɛshɔn (Afib) . | atrial fibrillation na wan kכndyushכn we di כp chεmba dεm na di at de bit bכku bכku wan εn i nכ de bit. Dis na di sik wae kin kam wae pɔrsin nɔr de bit ɔltɛm. |
| Atrial Flutter we de flɔt | di כp chεmba dεm na di at de bit fast bכt sכmtεm rεgulεr pas we i de bit fכ fibrilashכn. |
| Supraventrikulכr Takikardia (SVT) . | wan at bit we de bit kwik pasmak we de bigin oba di lכw chεmba dεm na di at. |
| Ventrikulכr Takikardia (VT) . | di at bit kwik kwik wan we de stat na di lכw chεmba dεm na di at. Sɔntɛnde, dis kin denja. |
Wetin kin apin bifo dɛn trit am?
Yu dɔktɔ go disayd us tritmɛnt go fayn fɔ yu (mɛdikeshɔn ɔ ilɛktrik kadiɔvashɔn). If yu blɔd prɛshɔn rili smɔl, yu dɔktɔ kin pik fɔ yuz ilɛktrik fɔ mek yu at pwɛl.
- Fɔ it ɛn drink: Dɛn go advays yu fɔ lɛf fɔ it ɔ drink fɔ lɛk 8 awa bifo dis tritmɛnt.
- Tɛst: If yu at nɔ de bit ɔltɛm (atrial arrhythmia) fɔ pas tu dez, yu dɔktɔ kin du wan tɛst we dɛn kɔl Transesophageal Echocardiogram (TEE) . Dis na fɔ chɛk fɔ si if blɔd dɔn klɔt insay di at. Dis kin mek yu gɛt strok if di klot brok we dɛn de trit am.
- Mɛrɛsin: Bɔt ɔl di mɛrɛsin dɛn we yu de tek, ivin di mɛrɛsin dɛn we yu nɔ de bay, vaytamɛn dɛn, ɛn ivin Sinhala mɛrɛsin dɛn.Yu fɔ tɛl yu dɔktɔ. Dɛn kin aks yu bak fɔ bigin tek antikɔagulant tri wik bifo tritmɛnt fɔ ridyus di risk fɔ mek yu blɔd klɔt.
Wetin kin apin we dɛn de trit am?
Dɛn kin du dis tritmɛnt na di intensiv kia yunit (ICU) na ɔspitul ɔ na spɛshal rum we dɛn dɔn put fɔ am. Dis na bikɔs smɔl risk de fɔ ɔda kayn at bit we nɔ de bit ɔltɛm we dɛn gi yu di mɛrɛsin, so yu nid fɔ wach yu gud gud wan.
Nɔto yu wan de dis tɛm. Dɔktɔ ɛn nɔs dɛn de nia yu, ɛn dɛn de kɔntinyu fɔ wach yu blɔd prɛshɔn ɛn yu at rit (ECG). Ɔl di tin dɛn we yu nid (lɛk difibrilator) dɔn rɛdi if ɛnitin apin.
Dɛn kin gi yu di mɛrɛsin as pil we yu kin swɛla ɔ tru IV insay wan vein na yu an . Sɔntɛnde, if di fɔs doz fɔ mɛrɛsin nɔ wok, dɛn kin gi am ɔda doz.
Mɛrɛsin dɛn we dɛn kin yuz bɔku tɛm
Di kayn mɛrɛsin we dɛn go gi yu go difrɛn difrɛn wan bay aw yu sik. Sɔm pan di mɛrɛsin dɛn we dɛn kin yuz mɔ na:
- Amiodarɔn (Kɔdarɔn®) .
- Prokainamid we dɛn kɔl
- Ibutilide we dɛn kɔl
- Flekainide we dɛn kɔl
- Prɔpafenɔn (Rythmol®) .
- Sotalol (Betapace®) we dɛn kɔl .
- Beta-blɔka dɛn lɛk mɛtoprolɔl (Lopressor®) .
- Kalsiɔm chanɛl blɔk dɛn lɛk diltiazem (Cardizem®) .
- Adenosin (Adenocard®) we dɛn kɔl .
Wetin na di gud ɛn bad tin dɛn we di tritmɛnt gɛt?
Dɛn kin kip yu na ɔspitul fɔ wach fɔ 24 to 48 awa afta dɛn dɔn trit yu. Sɔm pipul dɛn kin fil taya smɔl ɔr nɔr kin fil fayn fɔ dis mɛrɛsin.
Di bɛnifit dɛn we yu kin gɛt:
- Dɛn kin mek di at bit bak to di nɔmal ritm.
- Di sayn dɛm lɛk diziz ɛn taya kin ridyus.
- Dɛn kin yuz am as ɔda we fɔ mek dɛn nɔ yuz ilɛktrik we fɔ mek dɛn at pwɛl.
Risk ɛn Kɔmplikɛshɔn dɛn:
- Di biginin fɔ nyu at bit we nɔ de bit ɔltɛm ɔ we di wan we dɔn de, de wɔs.
- Blɔd we de klɔt kin brok ɛn mek pɔsin gɛt strok .
- Sayd ɛfɛkt dɛm lɛk fɔ nɔs ɛn taya.
- Sɔm mɛrɛsin dɛn kin tek sɔm mɔnt fɔ wok.
- If dis tritmɛnt nɔ wok, yu kin nid fɔ yuz ɔda tritmɛnt dɛn lɛk ilɛktrɔkɔnvulsiv tɛrapi ɔ fɔ pul kateshɔn.
- Mɛrɛsin nɔr de woke fayn fɔ ɔlman. Sɔntɛnde, di lɔng tɛm sakrifays rɛt na lɛk 50%.
Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni wan pan dɛn tin ya we nɔ kɔmɔn afta yu dɔn yuz kemikal fɔ mek yu at pwɛl, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm:Ɔ kɔl di ambulans savis pan 1990. Nɔ tek dɛn tin ya layt.
- Di at we de blo
- Diziz bad bad wan
- Layt ed we pɔsin kin gɛt
- We di bɔdi wik
- Swet we pɔsin kin swet wantɛm wantɛm
- Chɛst de pen
- I nɔ kin izi fɔ yu fɔ blo
- Alɛji simptom dɛm lɛk ayv
Tek ɔl di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek, bifo ɛn afta tritmɛnt, ɛksaktɔli ɛn di rayt tɛm. If yu gɛt ɛni kwɛstyɔn, nɔ ɛva fred fɔ aks yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Kεmikכl kכdiכvεshכn na tritmεnt we de yuz mεdikeshכn fכ mek di at bit we nכ de bit rεgulεr bak to nכmal.
- Na yu dɔktɔ nɔmɔ go disayd if dis tritmɛnt fayn fɔ yu.
- Dɛn kin du dis na ɔspitul, ɔnda strikt dɔktɔ, so nid nɔ de fɔ fred.
- Pan ɔl we dis kin gi bɔku bɛnifit, i kin mek wi gɛt sɔm prɔblɛm dɛn ɛn sɔm bad bad tin dɛn bak.
- If yu gɛt sɔm sayn dɛn lɛk we yu de fil pen na yu chɛst, yu ed de tɔn bad bad wan, ɔ yu nɔ ebul fɔ blo afta yu dɔn trit yu, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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