Yu gɛt prɔblɛm wit yu at ritm? Mek wi tɔk bɔt At Blɔk!

Yu dɔn ɛva gɛt pen na yu chɛst, yu nɔ ebul fɔ blo fayn, ɔ yu dɔn fil se yu at nɔ de bit fayn? Sɔntɛm yu go dɔn fil lɛk se yu ed de tɔn ɔ yu dɔn fɔdɔm. Sɔntɛnde dis kin bi sayn fɔ wan sik we dɛn kɔl ‘at blɔk’, we kin apin we ilɛktrik signal dɛn na di at nɔ de travul fayn fayn wan. Tide, wi go tɔk bɔt dis ditayli, bɔt simpul wan, lɛk se yu de tɔk to yu padi.

Wetin na At Blɔk? Fɔ tɔk am simpul wan...

Tink bɔt am lɛk smɔl motoka we nid kɔrɛnt fɔ wok. Semweso, wi at gɛt ilɛktrik signal sistɛm bak fɔ bit. dis signal dεm de stat frכm di tu כp chεmba dεm na di at (we wi kכl `(Atria)`) εn go na di tu lכw chεmba dεm na di at (`(Ventricles)`). Insay bitwin dɛn ɔpa ɛn ɔda chɛmba dɛn ya, lɛk trafik layt, wan ples de we de kɔntrol di signal dɛn. dεn kכl am di `(AV node)` (atrioventricular node).

Naw, at blɔk na we sɔm kayn tin de ambɔg di we aw ilɛktrik signal dɛn de travul frɔm di tap to di bɔt ɔf di at. Sɔntɛm di signal dɛn kin travul sloslo, ɔ sɔm pan di signal dɛn nɔ kin rich na di chɛmba dɛn we de dɔŋ, ɔ di signal dɛn kin stɔp fɔ travul kpatakpata.

Wetin kin apin da tɛm de? Sɔntɛm di at nɔ go wok fayn. Di at kin bit sloslo, ɛn sɔm bit dɛn kin skip. If i siriɔs, dis kin ambɔg di pɔmp fɔ blɔd ɔlsay na di bɔdi, ɛn dis kin mek i gɛt siriɔs prɔblɛm. Bɔku tɛm dis sik kin apin leta na layf, pas fɔ de we dɛn bɔn am. dis dεn kכl am bak ``Atrioventricular (AV) block`` εn sכmtεm dεn kכl am ``kכndukshכn dizכrd``.

Sɔm kayn at blɔk de?

Yɛs, dɛn at blɔk ya kin kam insay difrɛn we dɛn ɛn difrɛn lɛvul dɛn. Dat min se, dɛn kin sheb dɛn akɔdin to aw di ilɛktrik signal de blok ɛn aw i kin apin.

• fכs digri at blכk: insay dis kes, di ilektrikal signal de travul go na di lכw chεmba dεm na di at (di vεntrikl dεm), bכt i de slo sכmtεm. Smɔl dilɛy de as i de pas tru di AV node. Dis na di kayn blɔk we mild pas ɔl. Bɔku pipul dɛn nɔ kin ivin no se dɛn gɛt am.
• sεkכn digri (inkomplit) at blכk: insay dis, na sכm pan di at in ilektrikal signal dεm nכmכ de rich di lכw chεmba dεm, nכto כl dεm. Tu kayn dis de bak:
• Tayp I, `(Mobitz Tayp I)` ɔ `(Wenckebach in AV blɔk)`: Dis na tayp we nɔ siriɔs smɔl. Di ilɛktrik signal kin slo smɔl smɔl, ɛn leta i kin skip wan at bit.
• Tayp II (Tayp II), `(Mobitz Tayp II)`: Insay dis, pan ɔl we bɔku pan di signal dɛn kin go na di chɛmba dɛn, sɔm tɛm sɔm pan di signal dɛn kin stɔp wantɛm wantɛm. Dɔn di at nɔ kin bit ɔltɛm, i kin bit sloslo pas aw i kin bit. Dis na smɔl tin we siriɔs , ɛn yu kin nid `(Pacemaker)` (smɔl tin we de ɛp fɔ mek di at bit ɔltɛm).
• Tɔd digri at blɔk: Dis na kɔmplit blɔk.di ilektrikal signal dεm frכm di כp chεmba dεm na di at (`(Atria)`) to di lכw chεmba dεm (`(Ventricles)`) nכ de pas. Dis kin afɛkt di we aw di at de pɔmp blɔd to di bɔdi bad bad wan. Dis na rili siriɔs kɔndishɔn , ɛn tritmɛnt ɔlmost ɔltɛm nid fɔ gɛt `(Pacemaker)`.

Wetin na di sayn dɛm fɔ dis?

De sayn dɛm fɔ hat blɔk kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, i kin dipen pan aw di blɔk kin tranga ɛn aw i kin afɛkt aw di at de wok.

Di sayn dɛm we dɛn kin si bɔku tɛm na:

• Chɛst de pen
• Taya, taya
• I nɔ kin izi fɔ yu fɔ blo
• Fɔ fil lɛk se yu at de bit fast (palpitations) .
• Di rεt we yu de blo de go ɔp
• Vɔmit
• Diziz, fil lɛk se yu de spin.
• Lɔs fɔ no natin (fɔ fɔdɔm) .

Bɔt pipul dɛm wae gɛt fɔs digri at blɔk nɔr kin gɛt ɛni sayn. Sɔntɛnde, dɛn kin no am we dɔktɔ du ilɛktrokardiogram (EKG) we dɛn de chɛk am ɔltɛm.

Insay tɔd digri at blɔk, di sayn dɛm kin rili bad, as di at rit kin slo bad bad wan. If yu gɛt siriɔs sik, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin na de tin wae kin mek pɔrsin gɛt at blɔk?

Bɔku tin dɛn de we kin mek pɔsin in at blɔk. Sɔm pan di men tin dɛn we kin mek i apin na:

• At atak
• Koronari atεri sik (CAD) .
• Di sik we de na di at mɔsul (`Cardiomyopathy`) .
• Di sik dɛn we kin mek pɔsin gɛt at valv
• Di damej we dɛn nɔ ɛksplen to di at in ilɛktrik signal sistɛm
• Prɔblɛm dɛn we kin apin we dɛn bɔn wit at strɔkchɔral
• At damej we dɛn de du ɔpreshɔn pan opin at
• Sayd ifekt dɛm fɔ sɔm mɛrɛsin dɛm (e.g., mɛrɛsin dɛm lɛk `(Beta-blockers)`, `(Digitalis)`, `(Calcium channel blockers)`)
• We pɔsin de gɛt pɔyzin
• Obstruktiv slip apnɛa
• Tayrɔyd sik
• Sɔm infɛkshɔn, fɔ ɛgzampul `(Lyme disease)`
• Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf
• Di tin dɛn we de apin na di jɛnɛtiks

Udat de pan denja pas ɔl fɔ dis?

Yu kin gɛt mɔ risk fɔ gɛt at atak if:

• If yu gɛt ɔda at sik, lɛk korona at sik ɔ at valv sik.
• If dɛn bɔn yu wit at abnɔmaliti.
• If yu gɛt sik we de afɛkt di at, lɛk `(Rheumatic heart disease)` ɔ `(Sarcoidosis)`.
• if yu ``vagus nerve'' (na nεv we de εp fכ kכntrכl yu at rεt) de bi ova aktif εn slo yu hat rεt.
• If yu de tek mɛrɛsin wae de slo di at in ilɛktrik signal. Dis kin inklud mɛrɛsin fɔ at sik ɛn ay blɔd prɛshɔn (e.g., `(Beta-blockers)`, `(Diuretics)`, `(Calcium channel blockers)`, `(Digoxin)`), mɛrɛsin fɔ at bit we nɔ de bit ɔltɛm (`(Antiarrhythmics)`), mɔsul rilaksant, slip pils, ɛn mɛrɛsin fɔ pwɛl hat ɛn maynd sik.

Us prɔblɛm dɛn dis kin mek?

If dɛn nɔ trit di at blɔk fayn fayn wan, i kin mek i gɛt prɔblɛm dɛn we kin mek i day. Dɛn tin ya na:

• Hat fεil (di at nɔ ebul fכ pכmp inof bכdi to di bכdi) .
• At bit we nɔ de bit ɔltɛm (`Aritmia`) .
• At atak
• Sudden cardiac arrest (at de stɔp wantɛm wantɛm) .

Aw fɔ no if pɔsin gɛt at blɔk?

Fɔ no if yu gɛt at prɔblɛm, yu dɔktɔ go du dɛn tin ya:

• Dɛn go rivyu yu mɛdikal istri.
• Aks bɔt yu famili in wɛlbɔdi istri.
• Dɛn go aks kwɛstyɔn bɔt yu jenɛral wɛl bɔdi, aw yu de it, aw yu de du ɛksɛsayz, ɛn aw yu de fil.
• Dɛn kin aks bɔt di mɛrɛsin dɛn we yu de tek (di wan dɛn we yu dɔktɔ gi yu ɛn di wan dɛn we yu bay na di famasi).
• Dɛn kin aks if yu de smok ɔ yu de yuz ɔda drɔgs.
• Dɛn go lisin to yu at ɛn chɛk aw yu at de bit.
• Chek fɔ sayn dɛm fɔ hat atak (e.g., swel na di leg ɛn ankles).

Yu dɔktɔ we de mɛn yu at kin sɛn yu bak to dɔktɔ we de mɛn yu at (we sabi bɔt ilɛktrik wok na di at).

Us kayn tɛst dɛn go du?

Fɔ no dis sik kɔrɛkt wan, yu kin du dɛn tɛst ya:

• Blɔd tɛst dɛn
• Tɛst dɛn we dɛn kin du fɔ tɛst dɛn jɛnɛtiks
• Ilɛktrokardiogram (EKG) .
• Ambulatory monitor (na smɔl tin we de rayt yu at rit fɔ sɔm dez) .
• Loop recorder (na divays we de wach aw at bit fɔ lɔng tɛm) .
• εlektrofisioloji stכdi (wan spεshal mεtכd we de εgzamin di at in ilektrikal sistεm) .
• Eksεsayz strεs tεst (`Eksεsayz strεs tεst` - de luk aw di at de wok we yu de du εksεsayz)

Aw dɛn kin trit am?

Di tritmɛnt fɔ at blɔk kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Dɛn kin put yu na ɔspitul fɔ wach yu at. Fɔ mek yu ebul fɔ kɔntrol yu sik, yu dɔktɔ we de mɛn yu at go tink bɔt dɛn tin ya:

• Us kayn at blɔk yu gɛt?
• Aw i siriɔs?
• Aw i kin afɛkt di we aw yu at de wok?
• Wetin na yu sayn dɛm?

Sɔmtɛm, at blɔk kin go wae yu chenj de mɛrɛsin wae yu de tek ɔr trit ɔda at sik. Bɔt ɔda pipul dɛn kin nid pɔsin we de mek di at, fɔ sɔm tɛm ɔ fɔ ɔltɛm, fɔ sɛn ilɛktrik signal to di at.

• Fɔs digri ɔbstrɔkshɔn: I go mɔs bi se yu nɔ go nid tritmɛnt.
• Sɛkɔn digri blok: If yu gɛt Tayp I, sɔntɛm yu nɔ go nid tritmɛnt. Bɔt if yu gɛt sɔm sayn dɛn, yu kin nid fɔ yuz mashin fɔ mek yu at bit fɔ sɔm tɛm ɔ fɔ ɔltɛm fɔ mek yu at bit fayn.
• Tɔd digri blok: Pipul dɛn we gɛt dis kayn tin kin nid fɔ gɛt peshɛnt mɛka.

If yu nid pesmɛka, yu dɔktɔ go tɛl yu bɔt am, di kayn we we bɛtɛ fɔ yu, ɛn wetin fɔ ɛkspɛkt bifo dɛn put di pesmɛka, we dɛn de put am, ɛn afta dɛn put am.

Wetin na di kɔmplikɛshɔn/sayd ɛfɛkt dɛm fɔ di tritmɛnt?

If yu gɛt pesmɛka fɔ sɔm tɛm ɔ fɔ ɔltɛm, yu kin gɛt sɔm bad bad tin dɛn lɛk:

• Prɔblɛm dɛn we de wit divays programin
• Ikwipmɛnt nɔ de wok fayn
• Sik we de prɛd
• Blɔd we de klɔt
• At pwɛl hat

Aw lɔng e kin tek fɔ wɛl frɔm dis tritmɛnt?

Afta yu dɔn gɛt pesmɛka, yu go nid fɔ de na ɔspitul fɔ lɛk wan nɛt so. Yu fɔ ebul fɔ bigin yu nɔmal tin dɛn bak insay sɔm dez ɔ wik. Aks yu dɔktɔ bɔt wetin nɔ fɔ du afta dɛn dɔn du di ɔpreshɔn.

Yu tink se dɛn go ebul fɔ avɔyd at atak?

Yu kin avɔyd sɔm pan de tin wae kin mek yu at pwɛl, lɛk at sik.

Tin dɛn we yu kin du fɔ mek yu at ɛn bɔdi gɛt wɛlbɔdi as yu ebul:

• Liv layf we go mek yu at pwɛl. Dat min se yu fɔ it tin dɛn we go ɛp yu at, yu fɔ du ɛksɛsayz ɔltɛm , yu fɔ slip fayn ɛvri nɛt, yu nɔ fɔ gɛt strɛs, yu nɔ fɔ drink rɔm, ɛn yu nɔ fɔ smok ɛn yuz drɔgs.
• Tɔk to yu dɔktɔ bɔt di mɛrɛsin ɛn sɔpɔtmɛnt dɛn we yu de tek. I kin chɛk fɔ si if ɛnitin we yu de tek de chenj di nɔmal lɛvɛl fɔ sɔm tin dɛn na yu bɔdi (lɛk potashɔm, kalsiɔm, ɛn magnɛsiɔm, we impɔtant fɔ di at in ilɛktrik sistɛm). Yu dɔktɔ kin ajɔst yu mɛrɛsin dɛn if nid de.

Wetin kin apin if a gɛt at blɔk?

If yu gɛt fɔs digri at blɔk, aks yu dɔktɔ we de mɛn yu at ɔ yu ilɛktrofisiɔlɔjis if yu nid fɔ mek ɛni chenj na yu layf ɔ di mɛrɛsin dɛn we yu de tek. Dis kayn hat blɔk bɔrku tɛm nɔr kin ambɔg yu nɔrmal aktiviti dɛm.

Bɔku tɛm, if yu gɛt mashin we de mek yu peshɛnt, dat nɔ kin rili stɔp yu fɔ tek pat pan spɔt ɛn tin dɛn we yu lɛk fɔ du. Bɔt i rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ mek shɔ se yu peshɛnt mɛka de wok fayn.

Aw lɔŋ at blɔk kin las?

Aw lɔng yu at blɔk go las de dipen pan di tin we mek yu at blɔk. If yu chenj di mɛrɛsin we de mek yu at blɔk wit ɔda mɛrɛsin, dat kin sɔlv di prɔblɛm. Bɔt if na ɔda tin mek di at blɔk, i go mɔs bi se na sik we pɔsin kin gɛt fɔ ɔl in layf.

Wetin na de lukin-grɔn fɔ at blɔk?

At blɔk na wan sik wae kin mɛk pɔrsin fil bad. If dɛn nɔ trit am, di at blɔk bad bad wan kin mek di at stɔp wantɛm wantɛm. Bɔt mɔ, di at blɔk we dɛn nɔ trit kin mek pɔsin in ed tɔn ɔ fɔdɔm.

Wit tritmɛnt, yu sityueshɔn kin dipen pan yu ej ɛn ɔda mɛrɛsin wae yu gɛt.

Aw a fɔ kia fɔ misɛf? (Ɛspɛshali if yu gɛt pesmɛka)

If yu gɛt pesmɛka, mɛmba dɛn tin ya:

• Stay away frɔm magnɛtik divays ɛn ɛni divays we de pul ilɛktrik fil. Dis min se yu fɔ de at le 6 inch frɔm mobayl fon. Fɔ ɛgzampul, nɔ kip yu mobayl fon na yu shit pɔkit.
• We yu de go tru sikyɔriti chɛk-point (e.g. aypɔt, kɔt), tɛl di wan dɛn we de skrin se yu gɛt pesmɛka ɛn yu fɔ avɔyd stik we yu kin ol wit yu an. Ɔltɛm, kɛr kad wit yu we de sho di kayn pesmɛka we yu gɛt.
• Tɛl ɔl yu wɛlbɔdi biznɛs pipul dɛm (dɔktɔ, dɛntist) se yu gɛt peshɛnt mɛka. Sɔm mɛrɛsin dɛn lɛk magnɛtik rɛsɔnans imej (MRI) tɛst kin ambɔg yu peshɛnt mɛka. Afta sɔm kayn ɔpreshɔn, yu dɔktɔ go nid fɔ riprogram yu peshɛnt mɛka.

Ustɛm yu nid fɔ go to dɔktɔ?

If yu gɛt pesmɛka, yu dɔktɔ we de mɛn yu at go chɛk am wan wan tɛm fɔ mek shɔ se i kɔntinyu fɔ wok fayn. Dɛn kin wach yu frɔm fa, bɔt yu go stil nid fɔ go to yu pɔsin ɛvri ia usay yu dɔktɔ go chɛk yu peshɛnt mɛka ɛn mek ɛni ajɔstmɛnt we yu nid.

Kɔl yu dɔktɔ if yu gɛt ɛni wan pan dɛn sik ya:

• Diziz ɔ fɔdɔm
• Chɛst de pen
• At de bit ɔ skip bit
• Wik
• I nɔ kin izi fɔ yu fɔ blo
• Di fut, ankles, ɔ leg dɛn kin swel

Ustɛm yu nid fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt at atak ɔ yu at nɔ de wok, yu nid fɔ go to dɔktɔ wantɛm wantɛm. Mek yu fambul ɛn yu wokmet no bɔt dis risk (ɛn de sayn dɛm). Dɔn dɛn kin kɔl 1990 (ɔ yu lokal imejensi nɔmba).

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Us kayn at blɔk a gɛt?
• A nid tritmɛnt?
• Wetin na di bɛst tritmɛnt fɔ mi?
• If mi pikin gɛt at sik we dɛn bɔn wit, mi pikin dɛn we go kam bak go gɛt am?

Na nɔmal tin fɔ fil fɔ fred we yu gɛt chɛst pen ɔ yu gɛt prɔblɛm fɔ blo. Bɔt we dɛn no se yu gɛt at blɔk, yu kin ɔndastand wetin mek yu de gɛt dɛn sik dɛn de. Di gud nyus na dat fɔ di wan dɛn we nid tritmɛnt, mɛrɛsin ɔ peshɛnt kin ɛp fɔ mek yu at bit nɔmal wan. We yu de tɔk bɔt yu tritmɛnt plan, mek shɔ se yu aks yu dɔktɔ bɔt ɛnitin we nɔ klia.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

At blɔk na prɔblɛm wit di at in ilɛktrik sistɛm. I kin kɔmɔt frɔm we i nɔ at to we i kin rili bad. If yu gɛt sɔm sayn dɛn, mɔ we yu de fil pen na yu chɛst, yu nɔ de blo fayn, ɔ yu de fɔdɔm, go to dɔktɔ wantɛm wantɛm.

Laki, tritmɛnt dɛn de fɔ dis. Sɔm pipul dɛn kin gɛt fridɔm we dɛn chenj di mɛrɛsin, ɛn ɔda wan dɛn kin liv nɔmal layf wit peshɛnt mɛka. Di tin we impɔtant pas ɔl na fɔ tek kia ɔf yu at, fala yu dɔktɔ in instrɔkshɔn, ɛn aks yu dɔktɔ if yu gɛt ɛni kwɛstyɔn. Nɔto yu wan de, ɛn dɔktɔ dɛn de we go ɛp yu fɔ du dis waka.

` At Blɔk, At bit, Pesmɛka, At Simptom, At Sik, At Wɛlbɔdi