Imajin se yu de waka na strit ɔ go bay tin na supamakit ɛn sɔmbɔdi nɔ no natin wantɛm wantɛm ɛn fɔdɔm na grɔn. We yu rɔn go, yu si se da pɔsin de nɔ de blo, ɛn dɛn chɛst nɔ de bit. Wi ɔl dɔn si dis na fim dɛn, nɔto so? Dɔn di dɔktɔ dɛn kin kam put wan mashin na dɛn chɛst ɛn gi dɛn wan shɔk, dɔn dɛn kin gɛt layf bak. Dat tritmɛnt wae de sev layf wae wi go tɔk bɔt tide na defibrillation. Dis nɔto jɔs tritmɛnt, i kin bi di disisiv difrɛns bitwin layf ɛn day.
Wetin na difibrilɛshɔn insay simpul wɔd dɛn?
Fɔ tɔk am simpul wan, difibrilɛshɔn na we dɛn de gi wan ilɛktrik kɔrɛnt we dɛn kin kɔntrol ɛn we rili kɔrɛkt to di at. Naw yu kin de tink se, " Wow , dis na shɔk?" Yɛs, na so i bi. Bɔt dɛn nɔ de du dis fɔ du bad to di at, na fɔ sev di at.
Imajin se yu kɔmpyuta hang wantɛm wantɛm ɛn i nɔ ebul fɔ du natin. Wetin wi kin du da tɛm de? Wi kin stat am bak, nɔto so? Na so i bi. we di at nɔ de wok fayn wantɛm wantɛm ɛn i nɔ ebul fɔ pɔmp blɔd fayn fayn wan, dɛn kin gi dis ilɛktrik shɔk fɔ stɔp di at we nɔ de wok fayn fɔ wan sɛkɔn ɛn afta dat i kin gi am chans fɔ bigin wok wit in nɔmal ritm bak. I tan lɛk se yu de "rɛset" di at.
dis tritmεnt nid de spεshal fכ tu hat ritm dεm we de kil we involv di lכw chεmba dεm na di at, di vεntrikl dεm.
1. Ventricular Tachycardia - Pulseless: dis na we di lכw chεmba dεm na di at de bigin fכ bit tu fast, pas 100 bit pan minit. We di at bit so fast, i nɔ kin gɛt tɛm fɔ ful-ɔp wit blɔd fayn fayn wan ɔ fɔ pɔmp am to di bɔdi. Afta sɔm tɛm, dɛn nɔ kin no di puls.
2. Ventricular Fibrillation: Dis na di men tin we kin mek pɔsin gɛt Sudden Cardiac Arrest . Wetin kin apin ya na dat, instead fɔ bit fayn, di at mɔsul kin bigin fɔ shek shek we i nɔ ebul fɔ kɔntrol. I de shek shek lɛk jeli, ɛn dɛn nɔ de pɔmp ɛni blɔd. Bikɔs di bren ɛn ɔda pat dɛn nɔ de gɛt blɔd, di pɔsin kin day insay sɔm minit.
Insay dis kayn tin we kin mek pɔsin in layf de pan denja, di bɛst we fɔ sev pɔsin in layf na fɔ gi am difibrilɛshɔn kwik kwik wan. Ɛni sɛkɔn kin kɔnt.
Udat nid dis tritmɛnt?
Dis tritmɛnt kin nid fɔ tu kayn pipul dɛm. Wan na, as wi bin dɔn tɔk, pɔsin we gɛt at atak wantɛm wantɛm ɛn kɛr am go na ɔspitul, ɔ pɔsin we dɛn drɛg kɔmɔt na pɔblik ples.
Di ɔda grup na di wan dɛn we de pan ay risk fɔ gɛt dis kayn at ritm we de kil pɔsin. Pipul wae bin dɔn gɛt hat atak bifo, wae gɛt wik hat woke, ɔr gɛt wan jenɛtik hat sik kin de pan denja. Fɔ dɛn kayn pipul ya, pasɔnal difibrilator dɛn de we dɛn kin kip nia dɛn ɔltɛm.
| Divays Tayp | Aw i de wok |
|---|---|
| Difibrilator we dɛn kin wɛr we dɛn kɔl Kadiɔvata | Dis na tin we yu kin wɛr ɔnda yu klos, lɛk vest. Di sɛns dɛn we de pan am de tɔch yu skin ɛn de wach yu at ɔltɛm. If wan denja ritm apin, i kin no am insɛf ɛn gi di ilɛktrik shɔk we nid. |
| Difibrilator (ICD) we dɛn kin put insay pɔsin in bɔdi (ICD) . | Dis na smɔl tin we dɛn kin put ɔnda di skin na di chɛst afta dɛn dɔn du smɔl ɔpreshɔn. Di waya dɛn we de kɔmɔt de kin kɔnɛkt to di at. I tan lɛk pɔsin we de mek pɔsin in peshɛnt, bɔt i dɔn go bifo mɔ. I kin kɔntrol di at rit if i slo, ɛn i kin no ɛn gi ilɛktrik shɔk we go sev layf if i gɛt wan ritm we denja fast. |
Di ilɛktrik shɔk we de kɔmɔt frɔm ICD kin fil sɔmtɛm se i nɔ de fil pen, ɛn sɔntɛnde i kin fil lɛk shap pen, lɛk pɔsin we de kik yu na yu chɛst. Bɔt da tɛm de, i kin sev yu layf.
Wetin kin apin bifo ɛn we dɛn de trit di fibrilashɔn?
Imajin se dɛn drɛg pɔsin wantɛm wantɛm ɛn kɛr am go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU). Di dɔktɔ dɛn ɛn di wan dɛn we de wok na di nɔs dɛn kin jomp fɔ du sɔntin wantɛm wantɛm.
Bifo dɛn trit am
Te di difibrilator rɛdi, di mɛdikal tim go kɔntinyu fɔ gi CPR (Cardiopulmonary Resuscitation) , we min se dɛn go kɔmpreshɔn di chɛst ɛn mek dɛn yuz atifishal briz .Fɔ tray fɔ mek sɔm blɔd flɔ to di bren ɛn ɔda pat dɛn bay we yu de gi blɔd.
We di mashin dɔn rɛdi, bifo dɛn sɛn di ilɛktrik shɔk, di pɔsin we de in chaj ala lawd wan se, "Klia!" Dat min se "Ɔlman klia!" Da tɛm de, nɔbɔdi nɔ fɔ tɔch di pɔsin ɔ di bed we di pɔsin de pan. If dɛn tɔch am, kɔrɛnt kin pas na da pɔsin de in bɔdi, ɛn dis kin mek aksidɛnt apin.
We dɛn de du tritmɛnt
Insay ɔspitul, di dɔktɔ kin fala dɛn tin ya.
| Fut mak | Tɔk bɔt |
|---|---|
| 1. Fɔ Ataya Padul ɔ Pad | Dɛn kin put tu mɛtal divays (padul) ɔ pad dɛn we dɛn kin tay lɛk stika fɔ gi ilɛktrik shɔk na di pɔsin in chɛst na tu patikyula say dɛn. dεn kin put wan dכn di rayt sכlda εn di כda wan dכn di lεft nipl. Fɔ mek di skin nɔ bɔn, dɛn kin put wan jel we de kɔndukt ilɛktrik pan dɛn tin ya. |
| 2. Fɔ gi ilɛktrik shɔk | Di mashin de chaj di pawa we i nid, ɛn di dɔktɔ kin prɛs di bɔtin dɛn na di tu pedal dɛn wan tɛm. Dɛn kin pres wan bɔtin na di mashin we dɛn kɔl pad. na dis tεm ya, wan ilɛktrik kכrant kin pas na di chεst εn go na di at. |
| 3. Fɔ gi layf bak to di at | Dis ilɛktrik shɔk de stɔp di at in chaotic, shek shek aktiviti fɔ wan sɛkɔn. dis kin gi di at in nכmal peshכn chans fכ tek kכntrכl bak εn bigin fכ bit insay nכmal ritm. |
AED dɛn na pɔblik ples dɛn
Yu go dɔn si AED (Automated External Defibrillator) na pɔblik ples dɛn lɛk aypɔt, big stɔ, ɛn stediɔm.Wan bɔks bin de hang na di wɔl. Dis na ɔtomɛtik difibrilator we dɛn mek fɔ ɛnibɔdi fɔ yuz. If pɔsin fɔdɔm, ɔl wetin yu fɔ du na fɔ briŋ dis mashin ɛn tay di tu pad dɛn na di pɔsin in chɛst. afta dat di mashin de analכz di at ritm εn disayd if i fכ gi "shכk" כ nכ. If nid de, i kin chaj ɔtomɛtik wan ɛn gi wan vɔys instrɔkshɔn, "Pres di bɔtin naw." Dis min se ivin pɔsin we nɔ no bɔt mɛrɛsin kin ɛp fɔ sev in layf.
Wetin kin apin afta dɛn dɔn trit am?
Afta yu gi di ilɛktrik shɔk, ɔltin nɔ dɔn. Neks, di mɛdikal tim kin du CPR bak wantɛm wantɛm fɔ tu minit . Dɔn dɛn kin chɛk fɔ si if di at de blo ɛn fɔ si if di at ritm dɔn kam bak to nɔmal.
If di at ritm nɔr dɔn kam bak to nɔmal yet, dɛn kin gi wan ɔ mɔ shɔk, ɛn dɛn kin gi am mɛrɛsin lɛk adrenaline (epinephrine) ɔ amiodarone .
If di at dɔn bigin fɔ bit bɔt di pɔsin stil nɔ no natin, dɛn kin yuz tritmɛnt haypotɛmia fɔ ridyus di bren we de pwɛl. Wae di sikman stebul, dεn kin du tεst lεk kadyak kateshכn fכ no wetin mek di kכndyushכn de.
Aw lɔng i kin tek fɔ mek i wɛl?
Fɔ wɛl afta yu at dɔn stɔp wantɛm wantɛm ɛn tritmɛnt fɔ difibrilɛshɔn na lɔng waka we kin tek mɔnt, sɔm tɛm dɛn kin tek sɔm ia. Na big prɔblɛm, pan bɔdi ɛn maynd.
- Di bɔdi nɔ kin fil fayn: Bɔku pipul dɛn kin fil taya. We dɛn de du CPR, di rib dɛn na di chɛst kin brok, we kin mek pɔsin fil pen. Sɔm pipul dɛn kin gɛt prɔblɛm bak fɔ waka ɔ dɛn kin gɛt sik we dɛn kɔl seizure.
- Rihabiliteshɔn: I kin tranga fɔ go wok ɔ du tin dɛn we pɔsin kin du ɛvride nɔmal wan. So, tritmɛnt dɛn lɛk ɔkupeshɔn tɛrapi, fizik tɛrapi, ɛn tɔk tɛrapi kin nid fɔ de.
Taym ɛn peshɛnt rili impɔtant fɔ dis waka. Famili sɔpɔt bak impɔtant.
Ustɛm yu nid fɔ go to dɔktɔ?
If yu si pɔsin de fɔdɔm wantɛm wantɛm sɔnsay, kɔl 1990 wantɛm wantɛm ɛn kɔl ambulans. Dat na di tin we impɔtant pas ɔl we yu go ebul fɔ du.
Pɔsin wae dɔn sev frɔm hat atak kin gɛt bɔrku risk fɔ gɛt ɔda at atak. So, di dɔktɔ go trit di ɔndalayn kɔz ɛn bɔku tɛm i go se yu fɔ put ICD divays insay pɔsin fɔ protɛkt am tumara bambay.
If yu gɛt ICD:
- Tek di mɛrɛsin dɛn we di dɔktɔ tɛl yu lɛk aw dɛn tɛl yu fɔ tek.
- Mek shɔ se yu go na klinik fɔ si if di ICD de wok fayn fayn wan.
- Di ICD bateri kin nid fɔ chenj ɛvri 5-7 ia. Yu dɔktɔ go tɛl yu bak bɔt dis.
Pan ɔl we dis na lɔng waka, if yu gɛt di rayt mɛdikal kia ɛn rihabiliteshɔn, yu kin go bak to nɔmal layf.
Mɛsej we dɛn kin kɛr go na os
- Difibrilashɔn na ilɛktrik shɔk tritmɛnt we de sev layf we dɛn kin gi fɔ mek i gɛt di nɔmal ritm bak to di at ritm we kin mek pɔsin in layf de pan denja.
- Taym na di men tin fɔ mek pɔsin in at nɔ de wok. If yu du CPR te dɛn gɛt difibrilator, dat kin mek di chans fɔ sev pɔsin in layf bɔku.
- AED dɛn we de na pɔblik ples dɛn, dɛn mek am fɔ mek ɛnibɔdi yuz am. Fɔ fala di instrɔkshɔn dɛn we dɛn gi yu.
- Bɔku tɛm, pɔsin we dɔn sev we in at dɔn stɔp wantɛm wantɛm, dɛn kin put wan ICD divays insay fɔ mek i go protɛkt am tumara bambay. Dis nid fɔ mek dɔktɔ de wach am ɔltɛm.
- If pɔsin fɔdɔm bifo yu, kɔl di imejensi mɛdikal savis wantɛm wantɛm. If yu du sɔntin kwik kwik wan, dat go sev pɔsin in layf.
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