Yu at kin bit kwik kwik wan? Lɛ wi lan bɔt dis (Junctional Tachycardia)!

Yu ɔ sɔmbɔdi na yu famili, mɔ di yɔŋ pikin, dɔn ɛva gɛt at bit kwik kwik wan we yu nɔ go ebul fɔ imajin? Ɔ yu bin de fred smɔl we dɔktɔ tɛl yu di nem `(Junctional Tachycardia)`? Nɔ wɔri. Dis na tin wae nɔr kin apin so ɔltɛm, bɔt wae yu ɔndastand am simpul wan, yu go fil fayn. Lɛ wi tɔk bɔt am ditayli tide.

Wetin na `(Junctional Tachycardia)`? Fɔ put am rili simpul wan...

Fɔ tɔk am simpul wan, `(Junctional Tachycardia)` na wan kɔndishɔn we di ritm na wi at, dat na di patɛn we wi at de bit, difrɛn smɔl, ɛn i kin apin kwik kwik wan. fכ bi prεsis, wetin de apin ya na dat di at bit nכ de stat frכm di rayt ples, bכt i de stat frכm difrεn ples εn bigin fכ rכn fast fast.

Imajin, wi at gɛt ilɛktrik sistem. Dis na wetin de gi di at di signal fɔ bit di rayt tɛm. nכmal wan, dis signal de stat frכm wan sכmכl ples we dεn kכl `(Sinoatrial node)` na di tכp pat pan di at. I tan lɛk di men switch na wi os. Frɔm de, di ilɛktrik mɛsej de travul ɔlsay na di at ɛn mek di at mɔsul kɔntrakt ɛn bit. Wi kin kɔl dis `(Nɔmal Saynɔs Ritm)`.

כltu, sכmtεm if sכmtin apin to dis `(Sinoatrial node)`, i nכ kin wok fayn fayn wan. jכs lεk sכbstityuyt aktɔ na ple we di men aktɔ sik, כda ples na di at, dat na di `(Atrioventricular node)` we de bitwin di כp εn lכw chεmba dεm na di at (dεn kin kכl dis bak "jכnkshכn" fכ di at), de tek ova di rispכnsibiliti fכ stat di at bit. dis we ya, di at we de bit kwik kwik wan we de stat frכm di jכnkshכn na di at dεn kכl am `(Junctional Tachycardia)`.

Nɔmal wan, we wi de rɛst, wi at kin bit bitwin 60 ɛn 100 tɛm insay wan minit. כltu, pan pכsin we gεt ``Junctional Tachycardia``, di at de bit pas 100 tεm pan minit, sכmtεm i kin bit bכku fast.

Wetin na di men kayn `(Junctional Tachycardia)`?

Dis at ritm abnכmal kin apin tu men we dεm.

1. Praymari ɔ Kɔnjɛnital (Junctional Tachycardia) .

Dis na di kayn we we nɔ bɔku. Sɔm pikin dɛn kin gɛt dis sik we dɛn bɔn dɛn. if dis apin, di lכw chεmba dεm (`vεntrikul dεm`) na di pikin in at kin bit wit rili ay rεt, arawnd 200 to 250 tεm pan minit. Dis na wan sik we rili siriɔs.

2. Sɛkɔndari ɔ Pɔstɔparetiv (Junctional Tachycardia) .

Dis na di kayn we we pipul dɛn kin gɛt mɔ. I kin apin, mɔ pan yɔŋ pikin dɛn we gɛt at prɔblɛm we dɛn bɔn wit afta dɛn dɔn du ɔpreshɔn fɔ kɔrɛkt am. Fɔ ɛgzampul, sɔm pikin dɛn we dɛn kin du ɔpreshɔn fɔ kɔrɛkt wan at sik we dɛn kɔl Tetralogy of Fallot kin gɛt dis sik. I kin apin bitwin 5% ɛn 11% pan di pikin dɛn we dɛn du ɔpreshɔn.

Na `(Jɔnkshɔnal Takikadia)` na `(SVT)`?

Yes, `(Junctional Tachycardia)` na wan kayn `(SVT)`. `(SVT)` tinap fɔ `(Supraventricular Tachycardia)`. dat min se, wan fast at bit we de stat na di כp chεmba dεm na di at (abov di `Ventricles`).

Udat dis tin kin afɛkt mɔ?

Junctional Tachycardia nɔ kin bɔku pan big pipul dɛn. Bɔt i kin apin mɔ pan bebi ɛn smɔl pikin dɛn. As wi bin dɔn tɔk, i kin apin bikɔs ɔf wan tin we dɛn bɔn wit (we nɔ kin apin so ɔltɛm) ɔ afta dɛn dɔn ɔpreshɔn di at.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw wi kin no dɛn?

Sɔmtɛm dis sik kin de wae nɔr gɛt ɛni sayn. Bɔt if di sayn dɛn we de sho se yu gɛt dis sik, dɛn kin inklud:

• Palpitations : I kin fil lɛk se sɔmbɔdi de rɔn insay yu chɛst, ɔ lɛk se yu at de skip wan ɔ tu bit.
• Diziz : Yu kin fil diziz ɛn i nɔ kin izi fɔ tinap.
• Fainting : Yu kin lɔs kɔnshɛns wantɛm wantɛm ɛn fɔdɔm.
• Fɔ fil se yu taya bad bad wan : Yu kin fil so taya dat yu nɔ go ebul fɔ du natin.

If dɛn sayn ya de, mɔ pan yɔŋ pikin, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Wetin na di tin dɛm we kin mek pɔsin gɛt `(Junctional Tachycardia)`?

difrεn rizin dεm de we kin intafεr di ``Sinoatrial node`` na wi at fכ jεnarεt ilektrikal signal dεm fayn fayn wan. Dis na di rizin we mek ``Junctional Tachycardia`` de apin.

fכ egzampl, dis kכndyushכn kin apin bikoz fכ di tכksisiti fכ di dכg `(Digoxin)` (brand nem dεm `Cardoxin®` כ `Digitek®`).

Na sɔm ɔda rizin dɛn ya:

• Mayokarditis : Na inflamɛns na di at mɔsul.
• Wan at atak we pɔsin kin gɛt.
• Fɔ riples di at valv ɔ ɔda ɔpreshɔn fɔ di at.
• Hat sik we dɛn kin bɔn wit : Dis na tin we nɔ kin apin so ɔltɛm.
• Kateta ablɛshɔn na tritmɛnt fɔ ɔda at ritm disɔda.
• Laym sik .

Aw fɔ no `(Junctional Tachycardia)`?

di men tεst fכ no dis kכndyushכn na di `(Electrocardiogram - ECG)`. Dis de rikodɔ di ilɛktrik wok we di at de du. Pɔsin we gɛt `(Junctional Tachycardia)` go gɛt ``P wave`` we nɔ de na di ``ECG``. dis ``P wev`` na di signal we di at de stat fכ bit frכm di `(Sinoatrial node).``

Apat frɔm di ECG, yu dɔktɔ go tek yu kɔmplit mɛdikal istri. I kin ɔda bak fɔ mek dɛn du ɔda tɛst dɛn lɛk fɔ tɛst blɔd ɛn fɔ mek dɛn du ɛkokadiogram, we na ɔltra saund fɔ di at.

Aw dɛn kin trit am?

Tritmɛnt de dipen pan de tin wae de mek yu gɛt dis sik ɛn yu sayn dɛm. If di abnɔmal ritm bigin afta dɛn dɔn ɔpreshɔn yu at, yu dɔktɔ kin:

• Kכrekt wan imbalans na di εlektrolayt dεm na di bכdi.
• Chek fɔ si if yu gɛt fiva ɛn if yu gɛt fiva, trit am.
• Fɔ gi mɛrɛsin fɔ mek di at rit slo.

Ɔda tritmɛnt dɛn de:

• Dɛn kin gi mɛrɛsin fɔ mek di at rit slo ɔ fɔ mek i kam bak to nɔmal ritm, lɛk `(Amiodarone)` (brand nem `Cordarone®` ɔ `Pacerone®`).
• di tritmεnt mεtכd dεm we dεn kכl `(Catheter ablation)` כ `(Cryoablation)` na dεn wan ya. insay dis, dεn kin put kateshכn insay di εria na di at we de mek ilektrikal signal dεm we nכ de rεgulεr εn i de pwεl da εria de. `(Cryoablation)` na wan we we de yuz ekstrim kol.
• Overdrive atrial pacing: Na we yu de tray fɔ mek di at in ritm kam bak to nɔmal we yu de yuz sɔntin we de na do lɛk pesmɛka.

Ɛni kɔmplikeshɔn de pan di tritmɛnt?

afta `(Catheter ablation)` tritmεnt, sכmtεm dis abnכmal ritm kin kam bak. כlso, wit `(Catheter ablation)` insay big pipul dεm, risk de fכ `(Atrioventricular block)` (dat na, wan blכk fכ di nεks kכndukt we de kכri di ilektrikal signal afta di `(Sinoatrial node)`). Bikɔs dis risk smɔl, sɔmtɛm dɔktɔ dɛn kin yuz di `(Cryoablation)` we. If `(Ablation)` tritmɛnt nɔ wok afta lɛk tu tɛm, yu kin nid bak fɔ put `(Pacemaker)` (smɔl tin we de kɔntrol di at bit) insay.

Aw lɔng i kin tek fɔ mek pɔsin wɛl frɔm dɛn tritmɛnt ya?

Bɔku tɛm, afta dɛn dɔn pul di kateshɔn, yu kin go na os ɛn bigin fɔ du yu nɔmal tin dɛn bak wantɛm wantɛm. Bɔt yu go nid fɔ wet fɔ sɔm dez bifo yu du ɛnitin we go mek yu taya. Yu dɔktɔ go gi yu patikyula instrɔkshɔn bɔt dis.

Yu tink se di risk fɔ `(Junctional Tachycardia)` kin ridyus?

Dɔktɔ dɛn kin ridyus di risk fɔ gɛt Junctional Tachycardia bay we dɛn gi sɔm mɛrɛsin dɛn bifo ɔ we dɛn de du di ɔpreshɔn. Fɔ ɛgzampul:

• `(Magnesium)`
• `(Propranolol)` (brand nem dɛn `Inderal®XL` ɔ `InnoPran®XL`)
• `(Dexmedetomidine)` (Dεn kin yus dis sכmtεm we dεn de du at כpεrayshכn pan yכŋ pikin dεm)

Wetin pɔsin we gɛt `(Junctional Tachycardia)` kin ɛkspɛkt?

Wae dεn dכn fכnshכn di kכz fכ dis abnכmal ritm εn trit, di sayn dεm go bεtεh sכmtεm. Bɔt yu go nid fɔ de na ɔspitul te yu ``Junctional Tachycardia`` kɔndishɔn bɛtɛ.

di autkam (`Outlook`) fכ dis kכndishכn de difrεn frכm tכp to di tכp.

• Praymari ɔ Kɔnjɛnital (Junctional Tachycardia) .I nɔ kin izi fɔ trit di sik. i kin mek bak siriכs kכndyushכn dεm lεk `(Hat fεil)` (at fεil), `(Kכmplit at blכk)` (kכmplit blכk fכ di at in ilektrikal signal dεm), εn `(Ventricular fibrillation)` (di bit we dεn nכ kכntro di lכw chεmba dεm na di at). If dɛn nɔ trit am, 9% chans de fɔ mek pɔsin day. Bɔt if dis ritm bigin afta di fɔs siks mɔnt we i dɔn liv, di tin we go apin go bɛtɛ pasmak.
• Sɛkɔndari ɔ Pɔstɔparetiv Jɔnkshɔn Takikadia kin apin tu to tri dez afta dɛn du di ɔpreshɔn, bɔt bɔku tɛm i kin dɔn insay wan wik. I kin mek yu blɔd prɛshɔn go dɔŋ, yu ed kin tɔn, ɛn yu nɔ kin no natin.

Ustɛm a fɔ go to di dɔktɔ?

Yu fɔ go to yu dɔktɔ fɔ wan fɔlɔp apɔntinmɛnt insay tu wiks afta yu dɔn go na os frɔm ɔspitul. Yu fɔ kɔntinyu fɔ gɛt tritmɛnt bak fɔ di ɔndalayn kɔndishɔn we mek di jɔnshɔnal takikadia.

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

If yu dɔn pul di kateshɔn, go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya na di say we dɛn put di kateshɔn (bɔku tɛm na di groin):

• If i swel wantɛm wantɛm.
• If di blɔd nɔ stɔp ivin afta yu dɔn prɛs ɛn ol am.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu kam fɔ no se yu ɔ yu pikin gɛt dis sik, na nɔmal tin fɔ gɛt bɔku kwɛstyɔn. Nɔ fred fɔ aks yu dɔktɔ bɔt dɛn tin ya:

• Us kayn Junctional Tachycardia mi pikin/mi gɛt?
• Wetin na di bɛst tritmɛnt fɔ mi sik?
• Chans de fɔ mek mi ɔda pikin dɛnsɛf gɛt dis sik?

If yu pikin gɛt Junctional Tachycardia, aks yu dɔktɔ bɔt di sayn dɛm ɛn ɔndastand am. Dɔn, if sɔntin lɛk dis apin bak, yu kin no am kwik kwik wan. Nɔ fred fɔ aks kwɛstyɔn bɔt di tritmɛnt we yu pikin de gɛt ɛn di prɔblɛm dɛn we i kin gɛt. If yu no ɔl dɛn tin ya, dat go ɛp yu fɔ disayd fɔ du di bɛst tin fɔ yu pikin in wɛlbɔdi.

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

Nɔ fred we yu yɛri di nem `(Junctional Tachycardia)`. Dis na prɔblɛm wit di at in ritm, bɔt:

• Dɛn kin no dis. dis kin bi tru tεst lεk `ECG`.
• Tritmɛnt dɛn de. dipכnt pan di kכz, dεn kin kכntro am wit mεdikeshכn כ mεtכd lεk ``(Ablation)``.
• Bɔku tɛm, di kayn we we kin apin, mɔ afta dɛn dɔn du di ɔpreshɔn, na fɔ shɔt tɛm nɔmɔ. I go bɛtɛ insay sɔm dez.
• Tɔk opin wan wit yu dɔktɔ. Tɔk to yu dɔktɔ bɔt ɔl yu kwɛstyɔn ɛn fred ɛn fil fri.

Di tin we impɔtant pas ɔl na fɔ mɛmba se nɔto yu wangren de. Dɔktɔ ɛn pipul dɛn we de kia fɔ yu wɛlbɔdi biznɛs kin rɛdi ɔltɛm fɔ ɛp yu.

Wi de wish yu ɛn yu famili gud wɛlbɔdi!

` At bit, At sik, Takikadia, Pikin dɛn at sik, ECG, Kadyak Ɔpreshɔn, Jɔnkshɔnal Takikadia