Bɔl we dɛn hit na in chɛst kin mek di at stɔp wantɛm wantɛm? Mek wi lan ekzakli abaut Commotio Cordis!

Yu dɔn ɛva yɛri se bɔl we de muv fast fast nak pɔsin na in chɛst we i de ple kriket ɔ ɛni ɔda spɔt? Dis kin rili mek pɔsin fred, nɔto so? Most of di taim wi tink se na jos smol brus. Bɔt nɔ kin apin so ɔltɛm, i kin bi wan siriɔs sik we kin mek pɔsin in layf de pan denja . Tide, wi go tɔk bɔt wan kayn at sik we nɔ kin apin so ɔltɛm, we kin apin wantɛm wantɛm, ɛn we kin rili patikyula. Dɛn kɔl dis `Commotio Cordis` insay mɛrɛsin. Dis min ``a disturbance of di hat'' na Latin.

Wetin na `Commotio Cordis`? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, `Commotio Cordis` na we pɔsin blo di at, na wan patikyula say, na wan patikyula tɛm, frɔm smɔl, had tin (bɔku tɛm na baysbɔl ɔ ɔki pak), wantɛm wantɛm chenj di nɔmal ritm na di at, we de mek di at bit we nɔ de bi (`ventricular fibrillation`) ɛn mek di at stɔp fɔ bit wantɛm wantɛm (`cardiac arrest`). Imajin, wi at na ɔgan we rili kɔmpleks ɛn we rili ɔganayz. I de bit akɔdin to wan patikyula ilɛktrik signal sistem. insay dis `Commotio Cordis`, di ilektrikal aktiviti na di at de disrupt pan wan rili krichכ mכment bikoz fכ di impak we da eksternal blo de gεt. Dis tan lɛk mashin we de wok fayn we pɔsin kin blo wantɛm wantɛm frɔm di rɔng ples, ɛn dis kin mek i nɔ wok fayn.

Aw kɔmɔn dis kɔndishɔn we dɛn kɔl `Commotio Cordis`?

Infakt, dis na tin we nɔ kin apin so ɔltɛm. Nɔ mek yu fred. Ivin if yu luk ɔlsay na di wɔl, dɛn kin ripɔt less dan 30 kes dɛm fɔ `Commotio Cordis` ɛvri ia. So dis nɔto sik we de ambɔg ɔlman. Bɔt pan ɔl we i nɔ kin apin so ɔltɛm, di damej we i kin mek kin rili bad, so i rili impɔtant fɔ no bɔt dis.

Sɔmbɔdi kin sev frɔm wan kɔndishɔn we dɛn kɔl `Commotio Cordis`?

Yɛs, i rili ebul fɔ du am! Bɔt i nid fɔ go to dɔktɔ wantɛm wantɛm . If dɛn nak pɔsin na in chɛst lɛk dis ɛn fɔdɔm, i rili impɔtant fɔ du `CPR` (Cardiopulmonary Resuscitation) wantɛm wantɛm ɛn `defibrillate` di at yuz wan `AED` (Automated External Defibrillator).

Laki, as pipul dεn dכn no dis kכndyushכn mכr ova tεm, di chans fכ liv dεn dכn bכku bכku wan bikɔs dεn de yus CPR εn AED mashin dεm bכku bכku wan.

Wetin na di sayn dɛm fɔ dis sik?

Di men sayn dɛm fɔ `Commotio Cordis` na:

• Pul ɛn fɔdɔm jɔs lɛk aw dɛn hit yu na yu chɛst. Dis na di men tin.
• Wan abnɔmal at ritm (`Ventricular Fibrillation`). Dis min se di lכw chεmba dεm na di at kin jכs shek insted fכ pכmp blכd fayn fayn wan.
• Kadyak arɛst wantɛm wantɛm (Cardiac Arrest).
• Nɔbɔdi nɔ kin no natin.

Dɛn sayn ya kin kam wantɛm wantɛm. Sɔntɛm no sayn nɔ go de fɔs.

Wetin kin mek `Commotio Cordis`?

Fɔ mek dis kɔndishɔn apin, sɔm tin dɛn fɔ kam togɛda. Di men tin we kin mek i blo na di lɛft say na di chɛst, rayt usay di at de, bɔku tɛm na frɔm smɔl tin we nɔ tu strɔng, lɛk baysbɔl, lakrɔs bɔl, ɔ ɔki pak, pan 90 digri angle, wit spid we de lɛk 40-50 mayl pan awa. Tink bɔt lɛda bɔl we de muv fast we yu de ple kriket, ɔ ɛni ɔda spɔt we de at if i nak di bɔdi. Bɔt dis nɔ kin apin ɛni tɛm we dɛn blo am. Di tin we impɔtant pas ɔl na di tɛm we dis blo de apin. wan rili spεsifi k, rili sכm tεm de na wi at in `kadyak saykl`, na tεm we di lכw chεmba dεm (`vεntrikul dεm`) na di at de kכntrakt, pכmp bכdi, εn afta dat dεn de rilaks bak. Na da sem tɛm de dis blo fɔ apin. afta dat, bikoz fכ di impak we da blo de gεt, di at mכsul we fכ rilaks, kin stimulate wan wan, we kin mek di `ventricular fibrillation` kכndishכn we wi bin dכn tכk bכt.

Yu tink se panch kin mek pɔsin gɛt `Commotio Cordis`?

Yes, tiori wan i pɔsibul. Bɔt fɔ dat, dɛn fɔ mit ɔl di kɔndishɔn dɛn we wi bin dɔn tɔk bɔt. Dat min se di blo fɔ de na di lɛft say na di chɛst, na 90 digri angle, wit spid we na 40 mayl pan awa ɔ mɔ, ɛn na da prɛsis tɛm de na di at. Di chans fɔ mek dis apin wit wan blo we dɛn gi na nɔmal fɛt rili smɔl.

Udat de pan ay risk fɔ `Commotio Cordis`?

Pan ɔl we dis sik kin apin to ɛnibɔdi, sɔm pipul dɛn kin gɛt bɔku prɔblɛm:

• Fɔ di wan dɛn we de ple spɔt: Ɛspɛshali fɔ di wan dɛn we de ple spɔt we de yuz had bɔl ɔ ikwipmɛnt, lɛk baysbɔl, lakrɔs, sɔftbɔl, ɔki. Fo wi kontri, i gud fo tek kia fo dis fo kriket tu.
• Fɔ yɔŋ pipul dɛn we nɔ rich 20 ia yet: Dis sik kin afɛkt pipul dɛn we ol lɛk 15. Dis kin bi bikɔs di yɔŋ pipul dɛn chɛst bon sistɛm nɔ dɔn machɔ yet, we kin mek i izi fɔ mek di shɔk we pɔsin blo go pas to di at.
• Fɔ man dɛn: Dis kin apin mɔ pan bɔy pikin dɛn pas gyal pikin dɛn. Dis kin bi bikɔs bɔku tɛm bɔy pikin dɛn kin du mɔ kɔntakt spɔt.

Wetin na di kɔmplikɛshɔn dɛm fɔ `Commotio Cordis`?

Di men ɛn denja kɔmplikeshɔn fɔ dis na fɔ day wantɛm wantɛm bikɔs ɔf at atak.Di Nashɔnal Kadiovaskyuɛl Rɛjista se i pas 220 pipul dɛn we dɔn day pan dis sik frɔm 1996. So, dis nɔto sɔntin we wi fɔ tek am layt.

Aw fɔ no `Commotio Cordis`?

If dɛn bit pɔsin, mɔ yɔŋ pɔsin, na in lɛft say na in chɛst we i de ple spɔt ɛn i fɔdɔm wantɛm wantɛm, dɔktɔ kin sɔprayz se `Commotio Cordis`. Bɔt dis na `diagnosis of exclusion` . Dis min se dɔktɔ dɛn kin luk fɔs fɔ si if ɔda tin dɛn de we kin mek pɔsin gɛt at atak. If dɛn kayn kɔz ya nɔ de, dɛn tink se `Commotio Cordis` kin bi di kɔz. Afta dɛn dɔn gi `CPR` ɛn `defibrillation` wantɛm wantɛm, dɛn kin du dɛn tɛst ya na ɔspitul:

• Ilɛktrokardiogram (EKG): I de chɛk aw di at de wok wit ilɛktrik.
• Blɔd tɛst : Fɔ chɛk fɔ si if yu at pwɛl ɔ ɔda prɔblɛm dɛn.
• Echocardiogram: Na skan fɔ luk aw di at tan ɛn aw i de wok .
• At MRI ɔ CT skan : Gɛt klia pikchɔ dɛn bɔt di at.
• At kateshɔn: Na tɛst fɔ chɛk fɔ tin dɛn lɛk we di blɔd vesel dɛn na di at dɔn blok.

Aw dɛn kin trit `Commotio Cordis`?

Fɔ gɛt mɛrɛsin kwik kwik wan impɔtant fɔ pɔsin we de gɛt `Commotio Cordis`. If yu si dis kayn tin, kɔl 119/1990 wantɛm wantɛm ɛn bigin `CPR` yusɛf. If i pɔsibul, fɛn wan `AED` mashin kwik kwik wan ɛn yuz am. Afta dɛn dɔn gi di pɔsin tritmɛnt kwik kwik wan, dɛn kin admit di pɔsin na ɔspitul ɛn dɛn kin du kɔmplit ɛgzam fɔ chɛk fɔ ɛni ɔda at sik we dɛn nɔ no. Insay ɔspitul, dɛn kin wach aw di at de wok.

Speshal tritmɛnt dɛn

If big pɔsin we gɛt `Commotio Cordis` nɔ no natin ɛn i nɔ ebul fɔ fala di kɔmand, dɔktɔ dɛn kin yuz wan tritmɛnt we dɛn kɔl `therapeutic hypothermia`. Dis kin min fɔ mek di sikman fil fayn, put wan tiub fɔ blo, ɛn fɔ mek di bɔdi in tɛmpracha go dɔŋ to 32-34 digri sɛlshiɔs (89.6-93.2 Fahrenheit) fɔ lɛk 12-24 awa. Dɛn kin du dis bay we dɛn de yuz spɛshal kɔling mashin, ays pak, frɔzɛn `IV` fluid, ɛn kol blankit. Dis kin ɛp fɔ ridyus di rit we di bren de yuz ɔksijɛn ɛn i kin mek i nɔ swel. Dɔn, dɛn kin wam di bɔdi bak smɔl smɔl fɔ sɔm awa.

Di sayd ɛfɛkt dɛn we di tritmɛnt dɛn kin gɛt

Tritmɛnt lɛk `therapeutic hypothermia` kin mek sɔmtɛm sayd ɛfɛkt. Fɔ ɛgzampul:

• `Nimonia`
• Sepsis (blɔd pɔyzin) .
• Di at we nɔ de bit
• Coagulopathy (we di blɔd nɔ ebul fɔ klɔt) .

Aw fɔ ridyus di risk fɔ `Commotio Cordis`?

Pan ɔl we dɛn nɔ go ebul fɔ stɔp dis kpatakpata, tin dɛn de we yu kin du fɔ ridyus di prɔblɛm:

• We yu wɛr tin dɛn fɔ protɛkt yusɛf: We yu wɛr tin dɛn fɔ protɛkt yu chɛst, dat kin mek yu protɛkt yu sɔm tin dɛn. Bɔt, kes dɛn dɔn de we dɛn kɔl ‘Commotio Cordis’ ivin we dɛn bin de wɛr dɛn tin ya.
• Sef spɔt ikwipmɛnt: Yuz tin dɛn lɛk ``sɔft baysbɔl'', mɔ we dɛn mek fɔ yɔŋ pleya dɛn.
• Aw fɔ no ɛn pripia (dis na di tin we impɔtant pas ɔl!):
• I impɔtant fɔ mek dɛn tren kɔch, ticha, ɛn spɔt wokman dɛn fɔ no aw fɔ no `Commotio Cordis` ɛn aw fɔ du `CPR`.
• Wi nid fɔ mek shɔ se di say dɛn we dɛn kin ple spɔt gɛt AED mashin dɛn we pɔsin kin ebul fɔ go ɛn we de wok fayn fayn wan.
• Fɔ gɛt Imejɛnsi Akshɔn Plan (EAP) we dɛn dɔn plan fayn ɛn we dɛn dɔn praktis, impɔtant fɔ mek dɛn gɛt tritmɛnt kwik kwik wan.

Imajin, aw i go rili fil fayn if `AED` de usay yu pikin de ple, ɔ usay yu de ple, ɛn pɔsin we sabi yuz am.

Wetin fɔ ɛkspɛkt if yu ɛkspiriɛns `Commotio Cordis`?

If dɔktɔ dɛn chɛk yu ɛn kɔnfyus se nɔ ɔda prɔblɛm nɔ de wit yu at, yu nɔ go nid ɛni ɔda tritmɛnt afta yu dɔn wɛl frɔm `Commotio Cordis`. Bɔt if dɛn kam fɔ no se yu gɛt wan sik we yu nɔ bin no bifo, we yu bɔn wit ɔ we yu bɔn wit yu bɔdi, yu go nid fɔ gɛt tritmɛnt fɔ dat.

A kin bigin fɔ ple bak?

Afta dɛn dɔn ɛgzamin yu at gud gud wan, inklud EKG, Echocardiogram, MRI ɔ CT skan fɔ di at, ɛn strɛs tɛst, yu kin ebul fɔ go bak fɔ ple spɔt. Bɔt if yu dɔktɔ si ɛni prɔblɛm wit yu at, ɔ if smɔl ɔ big risk de fɔ mek yu gɛt Commotio Cordis bak, dɛn kin advays yu fɔ avɔyd spɔt dɛn we gɛt fɔ du wit impak we kin pwɛl yu chɛst.

Wetin na di fiuja lukin-grɔn fɔ di `Commotio Cordis` sityueshɔn?

`Commotio Cordis` na di sɛkɔn big tin we kin mek yɔŋ atlet dɛn day wantɛm wantɛm na dɛn at. di fכs wan na `haypertrofik kadyomayopathy` (haypertrofik kadiomyopathy). If dɛn trit am kwik kwik wan, di rεt we de liv na lɛk 59%. Dat min se i pas wan pan ɔl tu pipul dɛn we dɛn go ebul fɔ sev. Bɔt di wan dɛn we nɔ de gɛt `CPR` kwik, ɔ di wan dɛn we gɛt at sik we dɛn bɔn wit, gɛt smɔl chans fɔ liv.

Aw a kin kia fɔ misɛf?

If yu dɔktɔ we de mɛn yu at se natin nɔ bad wit yu at, yu nɔ go nid fɔ gɛt kia fɔ fala yu. Bɔt if dɛn fɛn at sik we yu nɔ bin no bɔt, yu fɔ rili gɛt tritmɛnt fɔ am. Ivin if yu nɔ gɛt ɛni prɔblɛm wit yu at, i go fayn fɔ mek yu chɛk am wan tɛm insay di ia.

Ustɛm a fɔ go na di imejensi rum (ER)?

If dɛn dɔn no se yu gɛt at sik, yu kin nid fɔ gɛt tritmɛnt kwik kwik wan bak. If yu gɛt ɛni wan pan dɛn sik ya, tɛl pɔsin we de nia yu fɔ kɔl 119/1990 wantɛm wantɛm:

• Chɛst de pen
• Fɔ fil lɛk se yu at de bit fast (`at palpitations`)
• Shot we yu de blo
• Layt ed we pɔsin kin gɛt
• Fɔ pas aut

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks di dɔktɔ kwɛstyɔn dɛn lɛk:

• A gɛt ɛni at prɔblɛm we nid fɔ gɛt tritmɛnt?
• A kin ple kɔmpitishɔn spɔt bak?
• Wetin a fɔ du fɔ mek a nɔ pwɛl mi chɛst mɔ?

We dɛn bit yu na yu chɛst, dat kin mek yu fil bad. Bɔt di chans fɔ liv afta `Commotio Cordis` de bɔku tide pas aw i bin de trade. If dɛn go to dɔktɔ kwik kwik wan, bɔku pipul dɛn kin wɛl. If yu dɔktɔ no se yu gɛt at sik, fala dɛn instrɔkshɔn dɛn di rayt we. `CPR` trenin ɛn di we aw `AED` mashin dɛn de kin briŋ big pis na dɛn maynd to di wan dɛn we de tek pat pan spɔt we de pan denja fɔ `Commotio Cordis`.

Mɛsej we dɛn kin kɛr go na os

Okay, so a op se yu get gud andastan fo di `Commotio Cordis` we wi tok abaut tide. Mɛmba se dis nɔ kin apin so ɔltɛm, bɔt i kin rili denja if i apin.

Di tin we impɔtant pas ɔl na dat, if pɔsin nak in chɛst wantɛm wantɛm we i de ple spɔt, nɔ tek am layt. Gi ɛp kwik kwik wan (CPR, yuz AED, fɔ go na ɔspitul).

As kɔch, mama ɛn papa, ɛn pleya, fɔ no bɔt dis, fɔ gɛt CPR trenin if nid de, ɛn fɔ chɛk fɔ AED na spɔt ples dɛn kin ɛp fɔ sev layf. Mek wi ple sef, stay helti!

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` commotio cordis, hat atak, chɛst pen, spɔt injuri, sɔdɛn kadyak arest, ventricular fibrillation, CPR, AED, kadyak arɛst, kadiɔpulmonari risasayshɔn