Sɔntɛnde yu at ritm kin go insay strenj we dɛn? Lɛ wi tɔk bɔt Idioventricular Rhythm!

Sɔntɛnde yu kin fil lɛk se sɔntin de we difrɛn smɔl bɔt di we aw yu at de bit? Sɔntɛm i tu fast smɔl, ɔ i kin fil lɛk se i de bit insay wan rili strenj we? Nɔr wɔri, bɔrku tɛm dis nɔr kin bi siriɔs prɔblɛm. כltu, i imכtant fכ yu fכ no dis kכndyushכn we wi go tכk bכt tide, we dεn kכl `Idioventricular Rhythm`.

Wetin na `Idioventricular Rhythm`? Lɛ wi ɔndastand am simpul wan!

fכ simpul wan, ``Idioventricular Rhythm`` na hat ritm we di lכw chεmba dεm na yu at, di ``ventrikl`` , de bit sloslo pas nכmal. tink bɔt am, di ``natural pacemaker``, כ ``sinoatrial node``, de na di כp chεmba dεm na wi at. if dis peshכn nכ de wok fayn, di sεl dεm na di lכw pat pan di at kin tink se, "Okay, lε wi mek di at bit." Bɔt, dɛn kin jɔs mek i bit slo smɔl.

nכmal wan, insay dis ``Idioventricular Rhythm'', di at de bit less dan 50 tεm pan minit .

כltu, כda sכm difrεns de, dεn kכl am `Accelerated Idioventricular Rhythm (AIVR).` dεn di hat rεt de bitwin 50 εn 110 bit pan minit. dis difrεn frכm di kכndyushכn we dεn kכl `Ventricular Tachycardia` (Ventricular Tachycardia), usay di at de bit fast fast (mכr dan 100 bit pan minit), nכto so?

Dis nɔ fɔ kɔnfyus wit ɔda prɔblɛm dɛn we gɛt fɔ du wit at ritm, nɔto so?

Yɛs, bɔku ɔda tin dɛn de we gɛt fɔ du wit di at ritm. fכ dat, dis `Idioventricular Rhythm` kin kכnfyus wit כda wan. Dat na `Junctional Rhythm`.

• Idioventricular Rhythm: dis de bigin na di lכw chεmba dεm na di at, di vεntrikl dεm.
• di jכnkshכnal ritm: dis de bigin na di jכnkshכn bitwin di כp εn lכw chεmba dεm na di at (we de asosiet wit di AV node).

Yu bin si di difrɛns? Pan ɔl we ɔl tu di ritm dɛn kin bigin na di rɔng ples na di at, di tu say dɛn we dɛn kin bigin fɔ ple difrɛn.

Udat dɛn go mɔs afɛkt dis kayn tin?

pan ɔl we ɛnibɔdi kin gɛt wan sik we dɛn kɔl ``Idioventricular Rhythm,'' sɔm pipul dɛn kin gɛt am mɔ. Dɛn na:

• Pipul wae gɛt kɔmplit ɔr siriɔs at blɔk.
• Pipul dεm we gεt prכblεm wit di at in nεchכral pesmaker, lεk `saynus arrest` כ `sinoatrial nodal block`.
• Pipul wae don get `hat atak`.
• Pipul wae de yuse sɔm mɛrɛsin (especially wae de fɔ hat sik) ɛn drɔgs wae nɔr de na di lɔ.
• Na smɔl tɛm nɔmɔ, i kin apin bak pan pipul dɛn we gɛt at prɔblɛm we dɛn bɔn wit.

Aksεlerεt Idioventrikular Rithm (AIVR) kin apin sכmtεm pan atlet dεm we gεt hεlty. Bɔt, dɛn kin si am mɔ pan pipul dɛm wae gɛt ɔda ɔndalayn at sik, lɛk:

• Ischemic cardiomyopathy (ICM) na we di at mכsul de wik bikɔs di bכdi we de gi di at de blok.
• `Ryumatic hat sik` (dεmεj to di hat valv dεm afta wan trot infεkshכn).
• dilated cardiomyopathy (dilated cardiomyopathy - di at mכsul de wik εn i de big).
• `Akyu korona sindrom` (akyu korona sindrom - we di bכdi de intarap wan wan tεm to di at).
• `Akyu mayokarditis` (akyu inflameshn/swel na di at mכsul).

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Ɔ yu nɔ de fil natin atɔl?

Na dis na wan tin we de mek wi sɔprayz! Bɔrku tɛm, pipul dɛm wae gɛt `Idioventricular Rhythm` nɔr kin gɛt ɛni simptom . Yɛs, na tru. Imajin, sɔm pipul dɛn nɔr kin ivin no se dɛn gɛt dis sik, ɛn dɛn kin diskɔba am bay chans we dɛn du `ECG` fɔ ɔda tin.

Bɔt sɔm pipul dɛn kin gɛt sɔm sayn dɛn. If dɛn du dat, dɛn kin gɛt:

• Taya: Yu kin jɔs fil taya.
• Diziz: Yu kin fil lɛk se yu ed de spin ɛn yu kin fil lɛk se yu nɔ de balans igen.
• Faint/Loss of consciousness: Sɔm pipul kin lɔs kɔnshɛns wantɛm wantɛm ɛn fɔdɔm. Dis na sayn we rili siriɔs.
• At de bit: Yu kin fil se yu at de bit fast fast, lɛk se i de bit lawd wan insay yu chɛst.

Mɛmba se nɔto ɔlman kin gɛt dɛn sik ya. Bɔt if yu kin gɛt dɛn bɔku tɛm, i go fayn fɔ mek yu go to dɔktɔ.

Wetin mek dis `Aksilerεt Idioventrikular Ritm (AIVR)` de apin? Wetin na di tin dɛn we kin mek i apin?

sεvεra spεsifi k kכz dεm de fכ di `Accelerated Idioventricular Rhythm (AIVR)` we wi bin dכn tכk bכt, we na kכndishכn we di at de bit pan rεt bitwin 50-110 bit pan minit. Dɛn tin ya na:

• Mayokarditis (inflameshɔn na di at mɔsul).
• Afta we i gɛt at atak.
• Sɔm kayn `cardiomyopathies` (cardiomyopathy - at mɔsul sik).
• Afta we dɛn gi layf bak (fɔ ɛgzampul, afta at atak, we dɛn gi layf bak wit `CPR`).
• wan rili ay lεvεl fכ di ilektrolayt potashכm na di bכdi.
• Tɔksisiti we kin kam we yu tek tumɔs pan di at mɛrɛsin `Digoxin (Digitek® ɔ Cardoxin®)`.

Aw dɔktɔ kin fɛn dis?

If yu gɛt dɛn sik ya, ɔ fɔ ɛni ɔda rizin, we yu si dɔktɔ, i go fɔs chɛk yu gud gud wan (`physical exam`). Dɔn i go aks bɔt yu mɛdikal istri ɛn yu famili istri.

apat frכm dat, dεn kin du dεn tεst dεm ya fכ no if dis `Idioventricular Rhythm` kכndishכn de:

• Ilɛktrokardiogram (ECG/EKG): Dis na di tɛst we impɔtant pas ɔl. I de rayt di ilɛktrik wok we di at de du. insay Idioventricular Rhythm, di ECG sho se di lכw chεmba dεm na di at de bit insay rεgulεr ritm, bכt di כp chεmba dεm (atria) nכ de rεgul כ nכ de.
• `Holter monitor`: Dis na lɛk smɔl `ECG` mashin. Bɔt yu fɔ wɛr am fɔ 24 ɔ 48 awa. E kin wach aw yu hat ritm de chenj wae yu de du yu evride aktiviti. sכmtεm, dεn abnכmal ritm ya nכ kin sho insay di sכt tεm we i tek fכ gεt `ECG`.

Wetin na di tritmɛnt dɛn? Yu tink se dis rili na sɔntin we wi fɔ fred?

Na dis na di gud nyus! fכ bכku pipul dεm, wan kכndyushכn we dεn kכl ``Idioventricular Rhythm'' nכ denja (``benign``) εn i nכ nid εni spεshal tritmεnt. Bɔku tɛm, i kin jɔs go fɔ insɛf.

Bɔt if yu dɔktɔ disayd fɔ trit am, bɔku tɛm i go bi bay we i de trit di prɔblɛm we de ɔnda di sik we mek i gɛt di sik. Fɔ ɛgzampul:

• If na wan mɛrɛsin mek dis sik, stɔp ɔ chenj da mɛrɛsin de.
• If prɔblɛm de wit aw di at de wok (e.g. at blɔk), trit am.

Naw, if di `Accelerated Idioventricular Rhythm (AIVR)` de kɔntinyu, ɛn yu blɔd prɛshɔn sɛf de drɔp, den di dɔktɔ kin du dɛn tin ya fɔ mek yu at ritm nɔmal bak:

• Fɔ gi mɛrɛsin lɛk `Atropine (Atreza® ɔ Sal-Tropine®)` ɔ `isoproterenol`.
• yus spεshal divays (e.g., wan tεmporari pesmaker) fכ mek di ritm fכ di כp chεmba dεm na di at kam bak.

Wetin wi go du fɔ ridyus dis prɔblɛm?

Pan ɔl we Idioventricular Rhythm nɔ kin bad bɔku tɛm, di risk fɔ gɛt dɛn kayn tin ya kin ridyus smɔl if wi tek stɛp fɔ mek wi at gɛt wɛlbɔdi.

• Ɛksesaiz ɔltɛm ɛn it tin dɛn we go ɛp yu at (we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga, i gɛt bɔku frut ɛn vɛjitebul).
• Tray fɔ mek di ilɛktrɔlayt lɛvɛl na yu bɔdi (espɛshali di potashɔm) nɔmal . I impɔtant fɔ it fayn fayn tin dɛn fɔ dis.

Wetin kin apin if yu gɛt `Idioventricular Rhythm`? Wetin wi fɔ ɛkspɛkt?

Bak, fɔ bɔrku pipul, dis nɔr denja ɛn i go sɔlv if yu nɔr gɛt tritmɛnt. Bɔt if yu de gɛt at pwɛl at ɔltɛm ɛn dis abnɔmal ritm de kɔntinyu we i nɔ de kam bak to nɔmal, yu fɔ rili go to dɔktɔ.

Ustɛm yu fɔ go to dɔktɔ?

bכku tεm, yu nכ nid fכ du εnitin spεshal fכ `Idioventricular Rhythm`. I go go fɔ insɛf. Bɔt if dis sik nɔr de bɛtɛ fɔ insɛf ɛn yu gɛt sɔm kayn sik lɛk fɔ lɛ yu nɔr de fil fayn, go to dɔktɔ wantɛm wantɛm.

Di tin we impɔtant pas ɔl: If yu tink se yu de gɛt sayn dɛm fɔ `Hat Atak` (e.g. bad bad pen na di midul pan yu chɛst, i nɔ izi fɔ blo, yu de vɔmit, yu de swet pasmak), kɔl 1990 wantɛm wantɛm ɛn kɔl ambulans!

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

If yu dɔktɔ tɛl yu se yu gɛt ``Idioventricular Rhythm'', i fayn fɔ aks dɛn kwɛstyɔn ya:

• "Dɔkta, yu kin tɛl mi ɛksaktɔli wetin de kɔz mi `Idioventricular Rhythm`?"
• "If a nid tritmɛnt fɔ dis, wetin na di bɛst tritmɛnt fɔ mi?"

pan ɔl we `Idioventricular Rhythm` nɔ kin bi big prɔblɛm, ɔda abnɔmal at ritm kin bi denja. So, if yu fil wan strenj at bit, if yu gɛt tin lɛk diziz, go to dɔktɔ we yu nɔ de te. If yu dɔktɔ tɛl yu fɔ bigin ɔ stɔp fɔ tek ɛni mɛrɛsin, fala dɛn instrɔkshɔn dɛn de kɔrɛkt wan. Dɔn bak, i rili impɔtant fɔ go fɔ `fɔl-ap` tɛst pan di de dɛn we dɛn dɔn sɛtul.

Mɛsej we dɛn kin kɛr go na os

Okay, so lɛ wi mɛmba yu smɔl bɔt sɔm impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt:

• Idioventricular Rhythm na di at ritm we de bigin na di lכw chεmba dεm (sεl dεm) na di at εn i kin slo.
• Bɔrku tɛm, dis nɔr kin denja, ɛn bɔrku pipul nɔr kin ivin sho sɔm kayn sik.
• Bɔt if dis sik kɔntinyu fɔ de wit sɔm sayn dɛn lɛk fɔ nɔs , yu fɔ rili go to dɔktɔ.
• Bɔrku tɛm, tritmɛnt kin adrɛs di ɔndalayn kɔndishɔn wae mek i kam, ɛn sɔmtɛm dɛn kin mɛn am wit mɛrɛsin.
• Ɔltɛm fala yu dɔktɔ in instrɔkshɔn ɛn atɛnd di chɛk-ap we dɛn dɔn sɛtul.

I rili impɔtant fɔ tek kia ɔf yu at. A op se dis infɔmeshɔn go ɛp yu!

` Idioventricular Rhythm, hat ritm, slo hat rit, Akselerated Idioventricular Rhythm, hat sik simptom, ECG, Holter monita