Yu kin fil taya bak we yu taya? Yu at kin slo fɔ bit? Lɛ wi lan bɔt Chronotropic Incompetence!

Sɔntɛnde, yu kin fil lɛk se yu taya pasmak fɔ du ivin di smɔl tin, ɛn yu nɔ kin blo bɛtɛ? Yu nɔ ebul fɔ rɔn ɔ jomp lɛk aw yu bin de du trade, ɛn yu kin fil diziz ivin we yu de klaym stej? Sɔntɛm yu at nɔ de bit di rayt we we yu taya. Tide wi go tok abaut dis kain kondishon. Dɛn kɔl dis (Chronotropic Incompetence) insay mɛdikal sayɛns. Pan ɔl we di nem kɔmplikt smɔl, lɛ wi ɔndastand am simpul wan.

Wetin na dis (Kronotropik Inkɔmpɛtɛns)? Fɔ put am rili simpul wan...

Fɔ tɔk am simpul wan, Chronotropic Incompetence na wan sik wae yu nɔr kin ebul fɔ inkrisayz yu at rit lɛk aw yu nid wae yu de du fyzikal aktiviti, lɛk fɔ du ɛksɛsayz ɔr fɔ wok tranga wan. Naw luk, we wi de du ɛksɛsayz ɔ waka, wi bɔdi nid mɔ ɔksijɛn pas we wi jɔs sidɔm. Dis ɔksijɛn na di blɔd de kɛr go ɔlsay na di bɔdi. So, na di at de pɔmp dis blɔd.

(Chronotropic Incompetence) Di at fɔ pɔsin we gɛt dis nid fɔ gɛt ɔksijɛn we dɔn bɔku nɔ kin ebul fɔ dil fayn wit di we aw di bɔdi nid ɔksijɛn we dɔn bɔku. Dat min se di at nɔ kin ebul fɔ bit fast lɛk aw i nid ɛn pɔmp di blɔd (blɔd we gɛt ɔksijɛn) we di bɔdi nid. Tink bɔt am lɛk di injin fɔ motoka. Jɔs lɛk aw wi kin mek di injin spid mɔ ɛn mɔ we wi want fɔ go fast, na so wi at nid fɔ bit kwik kwik wan we wi taya. If wi nɔ du dat, prɔblɛm dɛn kin kam.

Dis kin mek yu nɔ ebul fɔ du ɛksɛsayz . Dis min se yu nɔ go ebul fɔ du bɔku tin dɛn lɛk ɔda pipul dɛn we yu ej. Sɔntɛm i nɔ kin izi fɔ yu fɔ waka di say dɛn we yu bin de waka we yu nɔ bin de blo ɔ taya.

Wetin na di sayn dɛm fɔ dis sik (Chronotropic Incompetence)?

Bɔrku men sayn dɛm de wae yu kin gɛt pan dis kayn tin:

• Taya : Fɔ fil taya bad bad wan ivin afta yu dɔn du smɔl tin. Fɔ ɛgzampul, yu kin fil taya bad bad wan afta yu dɔn du sɔm wok dɛn na os, kɛr bag, ɔ ivin waka fɔ shɔt tɛm.
• Dispnea ( we yu de blo shɔt ) we yu de du yu bɔdi: I nɔ izi fɔ blo we yu de du tin, yu de swɛt . Yu kin fil se yu nɔ gɛt bɛtɛ briz dat yu nɔ kin ivin ebul fɔ ol tɔk.

Dɛn sayn ya difrɛn frɔm nɔmal taya. If yu de fil so taya ɔ taya dat yu nɔ ebul fɔ ivin du yu wok dɛn we yu de du ɛvride, yu fɔ wɔri.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt Chronotropic Incompetence?

Nɔto wan rizin de fɔ dis kayn tin, bɔt bɔku tin dɛn kin mek i apin. Lɛ wi si wetin dɛn bi:

• Sɔm kayn drɔgs:Sɔm mɛrɛsin dɛn, mɔ di wan dɛn fɔ ay blɔd prɛshɔn ɛn at sik (beta-blockers), kin mek di at rit slo .
• Sayn node dysfunction: Di sayn node na di say we wi at kin bigin fɔ bit. I de wok lɛk di at in natura pacemaker. If prɔblɛm de wit dis no, dɛn nɔ go kɔntrol di at rit fayn fayn wan.
• di tin dεm we de apin na di kכndukshכn: fכ mek di at bit, di ilektrikal signal dεm nid fכ travul fayn fayn wan na di at. If blɔk ɔ prɔblɛm de na di rod dɛn we dɛn signal ya de travul , di at kin rit ɔltɛm ɔ i kin slo.
• di lεft vεntrikul dεm we nכ de wok fayn: Wi at gεt fכ men chεmba dεm. di lεft vεntrikl na wan pan dεn tin ya. I de pɔmp blɔd ɔlsay na di bɔdi. if di lεft vεntrikl nכ de wok fayn, i nכ kin pכmp inof bכdi to di bכdi.
• Ischemic heart disease : Dis kin bi bak wan tin we kin mek dis sik, bikɔs di blɔd vesel dɛm we de gi di at kin blok, we kin mek di at mɔsul nɔ gɛt di ɔksijɛn ɛn di nyutriɛnt dɛm we i nid.
• At nɔ de wok fayn: Kɔndishɔn lɛk we wata de gɛda kin apin we di at nɔ ebul fɔ pɔmp blɔd fɔ mit di bɔdi in nid.
• Hat sik we dɛn kin bɔn wit: Sɔm pipul dɛn kin bɔn wit sɔm at prɔblɛm dɛn. dis kכndishכn dεm kin kכntribyut bak fכ divεlכpmεnt fכ Chronotropic Incompetence leta in layf.

Us tin wae kin mek pɔrsin gɛt dis sik?

Sɔm pipul dɛn kin gɛt dis sik smɔl. Na sɔm tin dɛn we kin mek dis apin:

• Fɔ pipul dɛn we gɛt at prɔblɛm .
• Fɔ pipul dɛn we fat pasmak .
• (Diabetes Mellitus) Ɔ fɔ di wan dɛn we gɛt dayabitis.
• Fɔ di wan dɛn we gɛt sik dɛn we nɔ de mɛn na dɛn lɔng lɛk COPD (Chronic obstructive pulmonary disease) .
• Fɔ di wan dɛn we gɛt ay blɔd prɛshɔn .
• Fɔ di wan dɛn we gɛt HIV .
• Pipul wae gɛt di Epstein-Barr vayrɔs (dis na vayrɔs wae kin mek yu gɛt fiva ɛn trot at).
• Fɔ di wan dɛn we gɛt (Lɔng COVID) kɔndishɔn, we min di wan dɛn we gɛt di sik fɔ lɔng tɛm afta dɛn dɔn gɛt COVID-19.

If yu gɛt dɛn tin ya we kin mek yu gɛt prɔblɛm, i go fayn fɔ mek yu wach smɔl.

Aw dɔktɔ dɛn kin no dis sik (Chronotropic Incompetence)?

Dɔktɔ go no dis sik if yu at nɔ ebul fɔ rich wan patikyula lɛvul. Tipikli, dכkta dεn kin sכspεkt dis kכndyushכn if yu hat rεt nכ de inkrεs to bitwin 70% εn 85% pan yu ej -prεdikt maksimal hat rεt (APMHR) we yu de du maksimal fכshal aktiviti.

Wan kɔmɔn fɔmula we dɛn kin yuz fɔ fɛn yu ej-aprɔpriet maksimal at rit (APMHR) na: 220 we yu pul yu ej . Bɔt nɔto dis wangren we, dɔktɔ dɛn kin yuz ɔda we dɛn ɛn fɔmula dɛn bak. Fɔ ɛgzampul, if yu at rit nɔ ebul fɔ rich 80% pan yu at rit rizɔv , dɛn kin yuz am fɔ no se yu gɛt Chronotropic Incompetence .

No standad, universally accepted kriteriɔn stil nɔ de fɔ dis. So, di dɔktɔ go kam to wan kɔnklushɔn bay di tin we de apin to yu.

Us tɛst dɛn kin du fɔ dis?

If yu dɔktɔ sɔspɛkt dis sik, dɛn kin ɔda fɔ du sɔm tɛst dɛn:

• Kɔntinyu fɔ monita di at ritm: Dis na smɔl tin we yu kin wɛr. I kin wach aw yu at rit de chenj ɔl di de as yu de du yu nɔmal tin dɛn.
• Ɛksesaiz (EKG – Ilɛktrokardiogram) tɛst: Insay dis tɛst, dɛn kin wach yu at rit (EKG) we yu de waka pan tredmil ɔ rayd bayk we nɔ de muv. Yu dɔktɔ go chɛk fɔ si if yu at rit de go ɔp to di lɛvɛl we yu dɔktɔ de ɛkspɛkt.
• Mεtabolik εksεsayz strεs tεst (CVST): Dis na tεst bak we dεn kin du pan tredmil כ bayk. Bɔt i de mɛzhɔ bak ɔmɔs ɔksijɛn yu bɔdi de yuz we yu de du ɛksɛsayz. Dis kin gi yu gud aidia nɔto jɔs yu at bɔt yu lɔng dɛn bak.

Wetin na di tritmɛnt dɛm fɔ Chronotropic Incompetence?

Dɔktɔ dɛn kin fala bɔku we dɛn fɔ trit dis sik. Di men wan dɛn na:

• Fɔ du tin wit yu bɔdi: Nɔ sɔprayz! Pan ɔl we i nɔ kin izi fɔ du ɛksɛsayz, wan tritmɛnt fɔ dis na fɔ du ɛksɛsayz smɔl smɔl lɛk aw yu dɔktɔ tɛl yu fɔ du. Dis kin mek yu ebul fɔ du bɔku tin dɛn smɔl smɔl.
• Pesmɛka: Sɔm pipul dɛn nid fɔ gɛt wan smɔl ilɛktronik tin we dɛn kɔl pesmɛka we dɛn put ɔnda di skin nia di at. Dis kin ɛp di at fɔ bit kwik kwik wan we yu strɛs.
• Biventrikular pesmɛka ɔ Kadyak Risinkronizashɔn Tɛrapi (CRT):Dis na spɛshal kayn peshɛnt bak. i de wok bay we i de mek di tu lכw chεmba dεm (sεl dεm) na di at bit tכgeda insay wan ritm. I kin fayn fɔ pipul dɛn we gɛt sɔm kayn at prɔblɛm.

Yu dɔktɔ go disayd us tritmɛnt we fayn fɔ yu. Dis go dipen pan bɔku tin, lɛk aw yu de fil, aw yu de fil, ɛn ɔda tin dɛn we yu de gɛt.

Wetin yu kin ɛkspɛkt we yu de liv wit dis sik?

Big pipul dɛm wae gɛt kronotropic incompetence kin gɛt mɔ taya ɛn shɔt briz pas aw dɛn bin de ɛkspɛkt we dɛn de du nɔmal ɛvride aktiviti ɔr de du ɛksɛsayz. Fɔ ɛgzampul, dɛn kin fil taya afta dɛn dɔn was sɔm klos dɛn ɛn afta dat i nɔ kin izi fɔ dɛn fɔ go ɔp di os.

Sɔntɛm, pɔsin kin fɔdɔm if di at rit nɔ kin du fɔ gi di bren inof blɔd.

Stɔdi dɔn sho se big pipul dɛn we fat ɛn we nɔ ebul fɔ du di wok we dɛn kɔl chronotropic incompetence kin gɛt mɔ risk fɔ gɛt at atak ɔ at pwɛl. Wan ɔda stɔdi sho se pipul dɛm wae gɛt dis sik kin gɛt mɔr risk fɔ gɛt atrial fibrillation (Afib) . dεn sho bak se fכ gεt kronotropik inkכmpεtεns in ad pan di at fεil nכ gud fכ כvala sכvayvεns. Sɔm stɔdi dɔn sho bak se wan link de bitwin dis sik ɛn di ridyus layf.

Dis nɔ min fɔ mek yu fred, bɔt fɔ ɛnkɔrej yu fɔ no bɔt dis tin ɛn tek di step dɛn we yu nid.

Yu tink se dɛn kin mek dɛn nɔ gɛt Chronotropic Incompetence?

Sɔm pan di tin dɛn we kin mek pɔsin gɛt dis sik, lɛk aw pɔsin kin bɔn wit at sik, wi nɔ kin ebul fɔ kɔntrol am. Bɔt sɔm tin dɛn de we wi kin du fɔ ridyus di prɔblɛm we wi gɛt:

• If yu gɛt ɛni at ɔ lɔng sik, i impɔtant fɔ gɛt di rayt tritmɛnt fɔ am .
• I rili impɔtant fɔ mek yu bɔdi wet fayn . We pɔsin fat, dat kin mek i gɛt bɔku sik dɛn.
• If yu gɛt sik dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn, i impɔtant fɔ kɔntrol dɛn fayn fayn wan .

If yu tek kia ɔf dɛn tin ya, i go ɛp yu fɔ protɛkt yusɛf frɔm Chronotropic Incompetence , bɔt i go ɛp yu bak frɔm bɔku ɔda sik dɛn.

Aw a kin kia fɔ misɛf?

Liv wit Chronotropic Incompetence min se yu bɔdi de put sɔm limit pan wetin yu kin du. Fɔ peshɛnt rili impɔtant dis tɛm. Nɔ panik, tray fɔ adap to dis kɔndishɔn smɔl smɔl.

• Tɔk to yu dɔktɔ bɔt if yu nid fɔ chenj sɔm pan di mɛrɛsin dɛn we yu de tek, ɔ if yu nid fɔ mek yu peshɛnt .
• If di dɔktɔ dɔn put wan tin na yu chɛst (e.g., peshɛnt mɛka), .Yu nid fɔ ɔndastand gud gud wan aw i de wok.
• Mek shɔ se yu kip apɔntinmɛnt fɔ fala yu dɔktɔ fɔ mek shɔ se yu divays de wok fayn.
• If yu dɔktɔ dɔn gi yu wan plan fɔ mek yu ebul fɔ du mɔ ɛn mɔ smɔl smɔl, fala dɛn instrɔkshɔn dɛn de kɔrɛkt wan . Nɔ go ɔltin.

Na nɔmal tin fɔ fil bad ɛn fil bad we yu nɔ ebul fɔ du di tin dɛn we yu bin de ebul fɔ du trade. I kin rili mek yu at pwɛl fɔ fil taya ivin we yu jɔs de es sɔm klos. Bɔt yu nɔ nid fɔ fes dis tin yu wan. Yu mɛdikal tim de rɛdi ɔltɛm fɔ ɛp yu.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to yu dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Yu kin tɛl mi wetin kin mek dis sik (Chronotropic Incompetence) ?
• Wetin a go du fɔ liv fayn fayn wan wit di sik we a gɛt?
• Wetin a go ɛkspɛkt frɔm di peshɛnt we yu dɔn put insay mi? (If dɛn put pesmɛka insay pɔsin in bɔdi)
• Ɛni program ɔ we dɛn de we go ɛp mi fɔ du mɔ fɔ du tin dɛn?

Apat frɔm dɛn kwɛstyɔn ya, aks yu dɔktɔ bɔt ɛnitin we yu gɛt na yu maynd ɔ ɛni dawt we yu gɛt.

Fɔ dɔn, mɛmba!

(Chronotropic Incompetence) na wan sik wae de mek yu nid sɔm kayn kia. Bɔt if yu gi yu di rayt advays, tritmɛnt, ɛn yu de gi yu layf to Gɔd , yu go ebul fɔ liv gud layf ivin wit dis sik. Nɔ fred. Lisin to wetin yu dɔktɔ se ɛn du wetin yu du. Wi de wish yu fɔ wɛl kwik kwik wan!