Wi at na rili wɔndaful pɔmp we nɔ de stɔp, nɔto so? Frɔm di de we dɛn bɔn wi te to di de we wi day, dis smɔl ɔgan de pɔmp blɔd ɔlsay na wi bɔdi ɛn nɔ de fel. Bɔt yu no se fɔ mek dis pɔmp wok fayn, i gɛt in yon ilɛktrik sistem? Yes, jos laik di ‘wiring’ sistem fo wi haus. di sכm sכm signal dεm we de kכmכt frכm dis ilektrikal sistεm na dεn wan dεm we de tεl di at fכ "bit naw." Ɔl dis kin apin insay wan ritm we rili ɔganayz ɛn we kin apin ɔltɛm. Bɔt sɔntɛnde, smɔl mistek dɛn kin apin na dis ilɛktrik sistɛm. Na da tɛm de di at bit kin bigin fɔ skip ya ɛn de, spid, ɔ slo. Sɔntɛnde lɛk dis, wi nid pɔsin we gɛt spɛshal no bɔt dis ilɛktrik sistɛm, pas ɔdinari dɔktɔ fɔ ɛp wi. Na dat wi kin kɔl Ilɛktrofisiɔlɔjis .
Fɔ tɔk am simpul wan, udat na dis Ilɛktrofisiɔlɔjis?
Imajin se big prɔblɛm de wit di waya dɛn na yu os, di layt dɛn de ɔn ɛn ɔf, ɛn shɔt sɔrkwit de na sɔm say dɛn. Da tɛm de, yu nɔ de tɔk to ɔdinari ilɛktrishian, bɔt yu de tɔk to ilɛktrishian we sabi du dis wok gud gud wan. Na so i bi. Elektrophysiologist na pɔsin we sabi bɔt di ilɛktrik sistɛm na di at.
Dɛn na dɔktɔ dɛn we de mɛn di at, bɔt dɛn sabi du tin na di ilɛktrik sistɛm we de kɔntrol di at in ritm. Dis ilɛktrik sistɛm na in de mek wi at bit, kɔntrol in spid, ɛn mek i bit ɔltɛm. If prɔblɛm de sɔmsay pan dis, wan Ilɛktrofisiɔlɔjis de fɔ no ustɛm i de, wetin na di prɔblɛm, ɛn trit am.
Wi kin kɔl bak pikin dɛn ilɛktrɔfysiɔlɔjis spɛshal pipul dɛn we de trit at ritm prɔblɛm dɛn na yɔŋ pikin ɛn yɔŋ pipul dɛn.
Wetin na di difrɛns bitwin Kardiɔlɔjis ɛn Ilɛktrofisiɔlɔjis?
Dis na say we bɔku pipul dɛn kin kɔnfyus. So lɛ wi ɔndastand dis simpul wan.
- Dɔktɔ we de mɛn at na dɔktɔ we spɛshal pan ɔl di sik dɛn we gɛt fɔ du wit at. Fɔ ɛgzampul, i kin trit bɔku tin dɛn lɛk ay blɔd prɛshɔn, at atak, at valv prɔblɛm, ɛn at pwɛl. I tan lɛk di ‘Jɛnɛral Dɔktɔ’ na di at.
- Ilɛktrofisiɔlɔjis na dɔktɔ we de mɛn at, bɔt dɛn tren am spɛshal wan pan wan pat nɔmɔ na di at, dat na di ilɛktrik sistɛm ɛn di at ritm .
Fɔ tɔk am simpul wan, ɔl Ilɛktrofisiɔlɔjis na Kadiɔlɔjis. Bɔt nɔto ɔl Cardiologist na Ilectrophysiologist. I tan lɛk se nɔto ɔlman we no bɔt motoka na pɔsin we sabi bɔt di gia bɔks.
If yu at nɔ de bit ɔltɛm (arrhythmia), yu dɔktɔ we de mɛn yu at kin sɛn yu to dɔktɔ we de mɛn yu at.
Us kɔndishɔn dɛn we dɔktɔ we de mɛn ilɛktrɔfisiɔlɔji kin trit?
Dɛn spɛshal pipul ya kin trit bɔku bɔku tin dɛn we kin apin bikɔs ɔf difrɛn difrɛn tin dɛn we nɔ fayn na di at in ilɛktrik sistɛm. Pan ɔl we sɔm pan dɛn tin ya nɔ siriɔs, ɔda wan dɛn kin mek pɔsin in layf de pan denja. So, di ɛkspɛriɛns we Ilɛktrofisiɔlɔjis gɛt impɔtant fɔ no difrɛns bitwin dɛn tin ya ɛn gi di rayt tritmɛnt.
Di tebul we de dɔŋ ya de sho sɔm pan di men tin dɛn we kin apin to pɔsin ɛn di simpul we aw dɛn kin ɛksplen am.
| Di Nem fɔ di Kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Atrial Fibrilɛshɔn (AFib) . | di כp chεmba dεm na di at (atria) de bit rili fast εn i nכ de bit, lεk se dεn de shek shek. Dis kin mek yu gɛt tin dɛn lɛk strok. |
| Atrial Flutter we de flɔt | i lεk AFib sכmtεm, bכt na ya di כp chεmba dεm na di at de bit fast fast, bכt sכmtεm mכr rεgulεr. |
| Supraventrikulכr Takikardia (SVT) . | Wan at bit we rili kwik we kin bigin na di ɔp pat na di at ɛn kam wantɛm wantɛm ɛn afta dat i kin stɔp jɔs lɛk aw i kin stɔp. |
| Ventrikulכr Takikardia (VT) . | wan at bit we rili kwik εn we kin mek i denja we de bigin na di lכw chεmba dεm (vεntrikul dεm) na di at. |
| Vεntrikulεr Fibrilεshכn (VFib) . | Wan sik we kin rili mek pɔsin in layf de pan denja we di ɔda pat dɛn na di at kin shek shek we pɔsin nɔ ebul fɔ kɔntrol, ɛn dis kin mek di at nɔ de wok wantɛm wantɛm. |
| At Blɔk | wan blכk כ delay na di at in ilektrikal signal dεm we dεn de travul frכm di כp chεmba dεm to di lכw chεmba dεm. Dis kin mek di at bit kwik kwik wan. |
| Sik Saynɔs Sindrɔm we pɔsin kin gɛt | di wik we di sayn node, we na di at in nεchכral pesmaker, de wok. Dis kin mek di at bit fast ɔ slo. |
Wetin mek dɛn de rifer yu to Ilɛktrofisiɔlɔjis?
Bɔku tɛm, yu famili dɔktɔ ɔ yu dɔktɔ we de mɛn yu at go sɛn yu to dɔktɔ we de mɛn yu ilɛktrɔfisiɔlɔji. Bɔku rizin dɛn kin de fɔ dis.
- If yu no se yu at de bit fast pas aw i fɔ bi (Tachycardia) ɔ slo pas aw i fɔ bi (Bradycardia) .
- If ECG tɛst sho se yu at nɔ de bit ɔltɛm .
- If yu kin fɔdɔm ɔltɛm ɔ yu kin gɛt sinkɔp , chɛk fɔ si if di tin we kin mek yu gɛt prɔblɛm na di at in ilɛktrik sistɛm.
- If pɔsin na yu famili gɛt histri fɔ day wantɛm wantɛm, chɛk fɔ si if yu de pan denja.
Imajin, we yu go si yu dɔktɔ, i luk ECG ɛn se, "Smɔl abnɔmal tin de na yu at ritm, lɛ wi luk insay dis mɔ ɛn sho yu to spɛshal pɔsin we no bɔt dis." Na da tɛm de dɛn kin rifer yu to Ilɛktrofisiɔlɔjis.
Us tɛst dɛn dɔktɔ ya kin du?
Fɔ no di rayt tin we nɔ fayn wit di at in ilɛktrik sistɛm, wan dɔktɔ we de stɔdi bɔt ilɛktrɔfisiɔlɔji kin yuz difrɛn tɛst dɛn. Bɔku pan dɛn tin ya na simpul tɛst dɛn we nɔ de ambɔg pɔsin.
| Test Nem | Wetin yu de du wit dis? |
|---|---|
| Ilɛktrokardiogram (EKG/ECG) . | Dis na di tɛst we pas ɔl. Sɛns, lɛk stika, kin tay na yu chɛst ɛn yu an ɛn fut, ɛn dɛn kin rayt di ilɛktrik wok we yu at de du da tɛm de. |
| Holter Monitor fɔ di wan dɛn we de wok | Dis na smɔl mashin. Dɛn go aks yu fɔ wɛr am fɔ lɛk 24 ɔ 48 awa so. I go kɔntinyu fɔ rikodɔ yu at bit as yu de du yu wok dɛn ɛvride. |
| Ivent Monitor fɔ di tin dɛn we de apin | I tan lɛk Holter monita, bɔt yu kin wɛr am fɔ sɔm dez ɔ wik. We yu fil se yu gɛt di sik, yu kin prɛs wan bɔtin ɛn rayt yu at rit da tɛm de. |
| Ikokardiogram (Echo) . | Dis tan lɛk we dɛn de du ɔltra saund skan fɔ di at. I kin luk aw di at tan, di valv dεm, εn aw di at de wok. |
| Tilt Tebul Tɛst | Wan tɛst fɔ pipul dɛn we kin fɔdɔm bɔku tɛm. Dɛn kin put yu na bed ɛn dɛn kin wach yu blɔd prɛshɔn ɛn yu at rit as dɛn de tɔn di bed smɔl smɔl fɔ mek yu tinap. |
| Ilɛktrofisiɔlɔji Stɔdi (EP Stɔdi) . | Dis na di tɛst we dip pas ɔl. fayn fayn waya dεm (kateshכn) dεn de pas tru wan vein na di leg כ an insay di at, we de mek wan map fכ di at in ilektrikal sistεm fכ sho di εksakכt say we di prכblεm de. |
Us simptom dɛn a fɔ go to ilɛktrɔfisiɔlɔjis fɔ?
If yu gɛt wan ɔr mɔr pan dɛn sik ya, i rili impɔtant fɔ tɔk to yu dɔktɔ bɔt dɛn. I go rifer yu to ilɛktrɔfisiɔlɔjis if nid de.
- Di we aw di at kin blo:Palpitations na wetin wi kɔl di filin we wi at de bit. I kin fil lɛk se wi at de rɔn insay wi chɛst, lɛk se i de bit kwik kwik wan ɛn stɔp, ɔ lɛk se i de skip wan bit.
- Fɔ blo shɔt: Fɔ fil lɛk se yu gɛt prɔblɛm fɔ blo ivin wit smɔl smɔl tin dɛn we yu de du.
- Chest pen ɔ diskɔmfɔt: Na filin fɔ tayt ɔ kɔnstrikt na di chɛst.
- Diziz ɔr Faint: Dis sik kin kɔmɔt frɔm wae yu fil layt wae yu tinap wantɛm wantɛm te yu nɔr no natin.
- Taya: Fɔ fil taya pasmak ɔltɛm fɔ no rizin.
Bikɔs bɔku tɛm dɛn sayn ya kin fiba, di ɛkspɛriɛns we wan ilɛktrɔfisiɔlɔjis gɛt impɔtant fɔ no ustɛm na di prɔblɛm.
Aw dɛn kin trit prɔblɛm wit di at ritm?
Di bɛst tin na dat tide, tritmɛnt dɛn de we rili fayn fɔ bɔku pan di prɔblɛm dɛn we gɛt fɔ du wit di at ritm. We ilɛktrɔfisiɔlɔjis dɔn no di sik we yu gɛt kɔrɛkt wan, dɛn go tɛl yu di tritmɛnt we fit yu pas ɔl.
| Di we aw dɛn de trit am | Wetin kin apin wit dis? |
|---|---|
| Mɛrɛsin we dɛn kin gi | Pil dɛn we de kɔntrol di at bit, we de mek i slo, ɔ we de mek blɔd nɔ klɔt. |
| Kateta we dɛn kin pul | di EP stכdi fכnshכn se di εria na di at we de sεnd di rכng ilektrikal signal dεm de kכmכt bay we dεn de yuz enεji lεk redio frikכnshכn fכ mek wan sכm sכm ska. Dɔn di rɔng sayn dɛn kin stɔp fɔ kam. Dis na tritmɛnt wae kin pas 90%. |
| Pesmɛka we de mek pɔsin peshɛnt | Wan smɔl ilɛktronik tin we de ɛp pipul dɛn we gɛt at bit we rili slo fɔ mek dɛn kɔntinyu fɔ du tin we nɔmal. Dɛn kin ɔpreshɔn am ɔnda di skin. |
| Difibrilator (ICD) we dɛn kin put insay pɔsin in bɔdi (ICD) . | Dis kin lεk peshכn sכmtεm, bכt wetin spεshal bכt dis wan na dat i kin dεtekt wan rili fast at bit (lεk VT כ VFib) we kin mek yu layf de pan denja, εn gi ilektrikal shכk to di at fכ mek i kam bak to nכmal. |
| Di we aw pɔsin kin chenj di at | We i gɛt imejensi, dɛn kin gi ilɛktrik shɔk bay we dɛn put ‘padul’ na do na di chɛst fɔ mek di at bit bak kwik kwik wan ɛn we nɔ de bit ɔltɛm. |
If yu nid fɔ go to Ilɛktrofisiɔlɔjis, nɔ fred. Dɛn na spɛshal pipul dɛn we tren gud gud wan pan dis wok ɛn dɛn de wok tranga wan fɔ mek yu layf bɛtɛ. Tɔk to dɛn bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Gɛt ɔndastandin klia wan bɔt yu sik ɛn tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Ilektrofisiɔlɔjis na dɔktɔ we de mɛn at ɛn we spɛshal pan di at in ilɛktrik sistɛm ɛn di at ritm.
- If yu gɛt sɔm sayn dɛm lɛk we yu at de bit fast, sloslo, nɔr de bit ɔltɛm, ɔr yu de fɔdɔm ɔltɛm, dat kin bi sayn fɔ se yu at in ilɛktrik sistɛm nɔ fayn.
- Nɔ ignore di sayn dɛm lɛk dis. Mek shɔ se yu tɔk to yu dɔktɔ bɔt am.
- Tide, tritmɛnt dɛn de we rili fayn fɔ di at bit we nɔ de bit ɔltɛm (arrhythmias), frɔm mɛrɛsin to ablation ɛn pacemakers.
- Nɔ fred fɔ go to dɔktɔ we de mɛn ilɛktrɔfisiɔlɔji. Dɛn de de fɔ ɛp yu. Lisin to yu kwɛstyɔn dɛn ɛn mek shɔ se yu ɔndastand ɔltin klia wan.
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