Sɔntɛnde yu kin fil lɛk se yu at de bit lɛk krayzi? Ɔ yu de fil sɔntin we strenj, lɛk we yu chɛst ebi ebi? Nɔ panik, nɔ kwik fɔ tink se ɔl dis de apin bikɔs ɔf sɔntin we siriɔs. Bɔt sɔmtɛm, dɛn sayn ya kin bi sayn fɔ wan sik we dɛn kɔl Multifocal Atrial Tachycardia (MAT) , we wi go tɔk bɔt tide. So, lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Wetin na di maltifokal atrial takikadia (MAT)?
Fɔ tɔk am simpul wan, multifocal atrial tachycardia (MAT) na wan sik we kin apin we ilɛktrik signal frɔm di tu ɔpa chɛmba dɛn na yu at, we dɛn kɔl atria, de kɔmɔt insay wan chaotic we, frɔm difrɛn say dɛn. Tink bɔt am lɛk se bɔku smɔl "ilɛktrik mɛsej sɛnta" dɛn na dɛn ɔpa chɛmba dɛn ya na yu at kin bigin fɔ wok wan tɛm. Dis kin mek yu at bit fast ɛn nɔ de bit ɔltɛm . Bɔrku tɛm, yu at rit kin pas 100 bit pan minit, bɔt sɔm tɛm, i kin go rich 150 bit pan minit na MAT. Dɛn kin kɔl am bak Chaotic Atrial Tachycardia , we min "chaotic atrial tachycardia."
Wetin na di difrɛns bitwin MAT ɛn Atrial Fibrillation?
dis tu kכndyushכn dεm na abnכmal at ritm dεm we de apin na di כp chεmba dεm na di at, di atria. Infakt, sɔntɛnde, dɛn kin mistek no se pɔsin we gɛt MAT gɛt atrial fibrillation . Bɔt dɔktɔ kin no di difrɛns bitwin dɛn tu bay we i luk yu Ilɛktrokardiogram (EKG) rizɔlt. dεn kin mεnli luk di ‘P wev dεm’ na di EKG, we dεn kin rεkכd we di at in atria dεm kin kכntrakt. Dɛn tu difrɛns bay di we aw dɛn de du tin.
Impɔtant tin na dat, lɛk af pan pipul dɛm wae gɛt MAT kin leta gɛt atrial fibrillation ɔ atrial flutter.
Udat dis tin kin afɛkt mɔ?
Dɛn kin si MAT mɔ pan pipul dɛn we dɔn ol, bɔku tɛm dɛn kin ol lɛk 70 ia so . Bɔt i impɔtant fɔ mɛmba se i kin apin to yɔŋ pikin dɛn bak. Bɔrku tɛm, pipul dɛm wae gɛt MAT na dɛm wae kin sik bad bad wan da tɛm de. Dis min se MAT kin apin bikɔs ɔf ɔda mɛrɛsin we de mek i wɔs pas if pɔsin we gɛt wɛlbɔdi gɛt MAT wantɛm wantɛm.
Dis na wan sik we nɔ kin apin we kin mek pɔsin gɛt at ritm . Dɛn kin si MAT pan less dan 1% pan ɔl di at ritm dizayd (arithmias).
Wetin kin apin to yu bɔdi frɔm MAT?
Tink bɔt yu at lɛk wata pɔmp. I de pɔmp blɔd ɔlsay na yu bɔdi. I jɔs de du in wok fayn if i bit di rayt spid ɛn ritm.
Bɔt pan tin lɛk MAT, di at kin bit kwik kwik wan., di 4 chɛmba dɛn na di at nɔ kin gɛt bɛtɛ tɛm fɔ ful-ɔp wit blɔd. Di blɔd we nɔ gɛt ɔksijɛn kin pas na di at to di lɔng dɛn, i kin tek ɔksijɛn, dɔn i kin kam bak na di at fɔ mek i pɔmp am ɔlsay na di bɔdi. Bikɔs di tɛm bitwin dɛn at bit ya so shɔt, di blɔd we kin ful-ɔp di at chɛmba dɛn wan tɛm nɔ kin pas aw i kin bi. Dat min se di blɔd we de go na yu bɔdi in sɛl dɛn we yu at bit, nɔ kin bɔku bak . Dis kin mek yu bɔdi nɔ gɛt di ɔksijɛn ɛn di tin dɛn we i nid.
Wetin na di sayn dɛm fɔ MAT?
Bɔrku pipul nɔr kin gɛt ɛni patikyula sayn bikɔs ɔf MAT. Bɔt yu kin gɛt sɔm sayn dɛn fɔ ɔda mɛrɛsin dɛn we kin dɔn mek yu gɛt MAT.
Bɔt sɔmtɛm, MAT kin mek yu gɛt sɔm sayn dɛn lɛk dis:
- Chɛst de pen ɔ tayt
- Palpitations (fɔ fil lɛk se yu at de bit fast) .
- Shot we yu de blo
- Faint, we yu nɔ de no natin
Wetin na di tin dɛn we kin mek pɔsin gɛt MAT?
Bɔrku pipul dɛm wae gɛt MAT (bitwin 60% ɛn 85%) gɛt sik dɛm wae gɛt fɔ du wit dɛn lɔng . Fɔ dɛn wan ya , na di men sik we dɛn kɔl Chronic Obstructive Pulmonary Disease (COPD) na di men tin we kin mek i sik. Imajin, sɔm pipul dɛn kin kɔf ɔltɛm, dɛn kin swɛt, ɛn tin dɛn lɛk dat.
Wi kin kɔl ɔda rizin dɛn:
- Di we aw pɔsin de blo fayn
- Siriv infεkshכn dεm
- Koronari at sik
- At we nɔ de wok fayn
- di lכw lεvεl dεm fכ potashכm, magnεsium כ sכdiכm na di bכdi
- Kansa
- Dayabitis (Dayabetes Mɛlitɔs) .
- Dɛn de du big ɔpreshɔn pan am
- Kidni we nɔ de wok fayn
- Pulmonary embolism (dis nɔ kin apin sote) .
- Hat valv sik (dis bak nɔ kin apin so ɔltɛm) .
Fɔ tɔk am simpul wan, ɛni siriɔs sik we de put big prɛshɔn ɛn strɛs pan di bɔdi kin gɛt di pawa fɔ mek i gɛt MAT.
Aw a go no if a gɛt MAT?
Bɔku tɛm, dɔktɔ dɛn kin no se i gɛt MAT wit wan tɛst we dɛn kɔl Ilɛktrokardiogram (EKG) . Yu go mɔs dɔn si dɛn smɔl smɔl stika dɛn de na yu chɛst ɛn yu an dɛn we de mɛzhɔ di ilɛktrik wok we yu at de du. Na so dɛn kin no am. di patεn pan di EKG na spεsifi k to MAT.
Us ɔda tɛst dɛn kin du fɔ no if pɔsin gɛt MAT?
Fɔ no di kɔrɛkt we aw pɔsin gɛt MAT, i go du fɔ mek dɛn du EKG tɛst .
Bɔt we dɛn dɔn no se yu gɛt MAT, yu dɔktɔ kin ɔda fɔ mek dɛn du ɔda tɛst fɔ no di ɔndalayn mɛdikal kɔndishɔn we mek i gɛt am. Dɛn tin ya kin bi:
- X-ray na di chɛst
- Blɔd tɛst - Fɔ ɛgzampul, fɔ chɛk di bɔdi in sɔl lɛvɛl ɛn if ɛni infɛkshɔn de.
- Na smɔl tɛm nɔmɔ, dɛn kin du ɔltra saund fɔ di at, dat na, dɛn kin du ɛkokadiogram .
Wetin na di tritmɛnt dɛm fɔ MAT?
Bɔrku tɛm, pipul dɛm wae gɛt MAT kin nid fɔ gɛt tritmɛnt fɔ di ɔndalayn kɔndishɔn wae mek dɛn gɛt di MAT . Fɔ ɛgzampul, if yu gɛt siriɔs lɔng infɛkshɔn ɛn yu gɛt MAT, dɔktɔ dɛn go tray fɔs fɔ trit da infekshɔn de. Wae dɛn dɔn trit di ɔndalayn kɔndishɔn, bɔku tɛm di MAT go sɔlv fɔ insɛf.
If yu gɛt MAT, yu kin dɔn ɔlrɛdi go na ɔspitul fɔ wan siriɔs sik, lɛk we yu nɔ ebul fɔ blo fayn. Dɔn dɔktɔ dɛn go gi di tritmɛnt we dɛn nid fɔ da sik de.
Bɔt sɔntɛnde, dɛn kin nid tritmɛnt fɔ kɔntrol di at rit. Dis kin inklud dɛn tin ya:
- di beta-blכk dεm lεk mεtoprolol (Lopressor® כ Toprol®XL), de wok bay we dεn de kכntrכl di at rεt.
- Fɔ gi magnɛsiɔm ɛn potashɔm sɔl if dɛn nɔ de na di bɔdi.
- Di wan dɛn we de blok di kalsiɔm chanɛl , lɛk verapamil (Verelan® ɔ Calan®) ɔ diltiazem (Diltzac® ɔ Cardizem®), kin ɛp bak fɔ kɔntrol di at rit.
Na smɔl tɛm nɔmɔ, dat na if ɔda tritmɛnt dɛn nɔ ebul fɔ kɔntrol am, dɛn kin yuz tritmɛnt dɛn lɛk AV node ablation (we de mek pat pan di at in ilɛktrik signal pawa nɔ wok) ɛn pesmɛka (we na tin we dɛn put fɔ mek di at bit ɔltɛm).
Ɛni bad tin de we di tritmɛnt kin du?
Sɔm mɛrɛsin dɛn we dɛn kin gi fɔ MAT kin mek pɔsin gɛt sayd ɛfɛkt lɛk:
- Diziz we pɔsin kin gɛt
- Ed de at
- Bɛlɛ we nɔ fayn, lɛk nɔs (Upset stomach) .
- Rɔnbɛlɛ
- Banbɛlɛ
If yu gɛt ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ . I kin ebul fɔ chenj di mɛrɛsin ɔ gi am difrɛn mɛrɛsin.
Aw yu go ridyus di risk fɔ gɛt MAT?
Di men tin we kin mek pɔsin gɛt MAT na we ɔda mɛrɛsin dɛn kin wɔs, mɔ di sik we dɛn kin gɛt na di lɔng ɔ at sik. So, if yu ebul fɔ kɔntrol yu lɔng sik we yu dɔn gɛt (lɛk COPD, asma) ɔ at sik fayn fayn wan , dat min se if yu tek yu mɛrɛsin dɛn lɛk aw yu dɔktɔ tɛl yu fɔ du am di rayt tɛm ɛn dɛn kin chɛk yu ɔltɛm, yu kin ridyus di prɔblɛm we yu gɛt fɔ gɛt MAT.
Wetin kin apin to pɔsin we gɛt MAT? Wetin na di tumara bambay?
Yu go ebul fɔ go na os frɔm di ɔspitul afta dɛn dɔn trit di ɔndalayn kɔndishɔn we mek di MAT fayn fayn wan. Di kɔndishɔn insɛf, MAT, kin sɔlv we dɛn trit di ɔndalayn kɔz.
Bɔt di prɔgnosis fɔ pɔsin we gɛt MAT na di kayn we aw di ɔndalayn mɛdikal kɔndishɔn tranga pas di MAT insɛf.Bikɔs di ɔndalayn kɔndishɔn dɛm we de mek MAT (lɛk di lɔng we nɔ de wok fayn, siriɔs infɛkshɔn) kin mek dɛn layf de pan denja sɔm tɛm, bitwin 30% ɛn 60% pan di pipul dɛm we gɛt MAT kin day we dɛn de na ɔspitul. Mɛmba se, bɔrku tɛm nɔr kin bi bikɔs ɔf di MAT insɛf, bɔt na di ɔndalayn, siriɔs sik wae mek i day.
Aw a kin kia fɔ misɛf?
If yu gɛt MAT ɛn dɛn dɔn trit di ɔndalayn kɔndishɔn, yu dɔktɔ kin tɛl yu fɔ kɔntinyu fɔ tek beta-blɔka ɔ kalsiɔm chanɛl blɔk fɔ sɔm tɛm. Bɔt dis kin apin to lɛk 25% pan pipul dɛm wae gɛt MAT.
Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. I rili impɔtant fɔ go na di klinik dɛn di de dɛn we dɛn dɔn sɛtul ɛn tek yu mɛrɛsin kɔrɛkt wan.
Ustɛm a fɔ go to dɔktɔ? Us kwɛstyɔn dɛn a fɔ aks?
Yu go nid fɔ gɛt fɔlɔp apɔntinmɛnt fɔ di kɔndishɔn we mek yu gɛt MAT. If na sik we de te (fɔ ɛgzampul, COPD), yu go nid fɔ go to yu dɔktɔ ɔltɛm fɔ mek shɔ se dɛn de kɔntrol am fayn fayn wan.
Nɔ shek fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- "Dɔkta, aw lɔŋ a nid fɔ tek dis mɛrɛsin we dɛn bin dɔn gi mi?"
- "Yu fit explein likl bit abaut wetin di fiuja go hol fo mi, giv mai situeshɔn?"
- "A kin get dis MAT kondishon bak?"
Bɔrku pipul dɛm wae gɛt MAT nɔr kin gɛt dis sik, so e kin sɔprayz fɔ no se dɛn gɛt dis sik. Bɔt di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ trit di ɔndalayn kɔndishɔn (bɔku tɛm na lɔng sik) we de mek di at bit nɔr de bit. Du wetin yu dɔktɔ tɛl yu fɔ du, ɛn mek shɔ se yu aks kwɛstyɔn if ɛnitin de we yu nɔ ɔndastand. As yu ɔndalayn kɔndishɔn de bɛtɛ, yu at we nɔ de bit ɔltɛm go bɛtɛ bak.
Mɛsej we dɛn kin kɛr go na os
Okay, so na wan simpul we fɔ mɛmba wetin wi dɔn tɔk bɔt:
- MAT na wan sik we di at de bit kwik kwik wan ɛn i nɔ de bit ɔltɛm bikɔs ɔf di chaotic ilɛktrik signal dɛn we de kɔmɔt na di ɔp pat dɛn na di at.
- Dis kin apin bɔrku tɛm pan pipul dɛm wae gɛt ɔda siriɔs mɛrɛsin, mɔr lɛk wae dɛn gɛt bɔrku bɔrku sik (lɛk COPD).
- Bɔrku pipul nɔr kin gɛt sɔm patikyula sayn dɛm fɔ MAT, bɔt dɛn kin gɛt sayn dɛm fɔ de ɔndalayn sik.
- Dɛn kin no MAT kɔrɛkt wan tru EKG.
- Di tritmɛnt de men wan fɔ di ɔndalayn sik we mek di MAT. Dɔn di MAT sɛf go impɔtant to big pat.
- Sɔmtɛm dɛn kin gi mɛrɛsin (Beta-blockers, Calcium channel blockers) fɔ kɔntrol di at rit.
- Di sik we mek i gɛt am, na in de sho aw MAT siriɔs.
- I rili impɔtant fɔ fala di dɔktɔ dɛn advays ɛn go fɔ du tɛst we dɛn dɔn plan fɔ du.
If yu ɔ pɔsin we yu sabi gɛt prɔblɛm lɛk dis, nɔ fred fɔ go to dɔktɔ ɛn gɛt advays. Di kwik we dɛn no se i gɛt am ɛn trit am, na di mɔ i go fayn.
` At palpitations, hat sik, takikardia, MAT, lכng sik, EKG, difεlεns fכ brith











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