We yu tink bɔt "pesmɛka," yu go mɔs pikchɔ wan divays we tan lɛk smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔt we di sayɛns bɔt mɛrɛsin dɔn go bifo, naw wan tɛknɔlɔji we simpul, we smɔl, ɛn we nɔ gɛt waya. Tide, wi de tɔk bɔt da smɔl mirekul de: wan ‘Leadless Pacemaker.’
Wetin na dis peshɛnt we nɔ gɛt lid?
Fɔ tɔk am simpul wan, na wan rili smɔl tin we gɛt wan yunit. Yu dɔktɔ kin put am dairekt insay yu at. Wetin i de du? Stɔp fɔ mek yu at rit slo.
I nɔ tan lɛk rɛgyula pesmɛka, i nɔ gɛt sɛpret bateri ɔ lid. Ɔltin de insay dis smɔl silinda. di wan ol divays dεn de put am na di rayt vεntrikl na yu at. Imajin, i smɔl pas AAA bateri, i lɔng lɛk 1.5 inch, fɔ tɔk di rayt tin.
Aw dis smɔl tin de wok?
Dis na tin we rili gɛt sɛns. Di dɔktɔ de program am ɛn put am na yu at. afta dat di peshכn de "lisin" to yu at in nεchכral ilektrikal signal dεm.
If yu at rit go dɔŋ wantɛm wantɛm pas di lɛvɛl we yu nid, dis divays kin no am ɛn gi wan rili smɔl ilɛktrik impuls to di at. Dis kin mek di at bigin fɔ bit nɔmal wan bak. Dis min se i de wok nɔmɔ we nid de.
Udat dis fit fɔ?
Bɔku tɛm, dɛn kin nid fɔ mek dɛn peshɛnt fɔ pipul dɛn we gɛt at rit sloslo. insay mεdikal, wi kin kכl dis ``Bradyarrhythmias.'' Dat min se we di at de bit sloslo bikoz fכ wan sik we de na di at in ilektrikal signal sistεm.
Pesmɛka we nɔ gɛt lid kin fayn mɔ fɔ pipul dɛn we gɛt dɛn sik ya:
- Fɔ di wan dɛn we jɔs nid di ɛp fɔ peshɛnt fɔ dɛn at sɔmtɛm.
- fכ dεn wan dεm we gεt kכndyushכn we di at rεt de slo כ stכp (Atrial Fibrillation - Afib).
- Fɔ pipul dɛn we gɛt wan kɔndishɔn we dɛn kɔl `AV block`.
- Fɔ di wan dɛm wae gɛt ``Bradycardia-tachycardia syndrome'', usay di hat rit kin slo sɔmtɛm ɛn sɔmtɛm kin spid.
- Fɔ di wan dɛn we kin gɛt sɔm sayn dɛm lɛk diziz bikɔs ɔf di at rit we slo (`(Bradycardia)` wit di simptom dɛm).
Bɔt dis nɔ fayn fɔ ɔlman. Naw, dɛn de yuz dis divays fɔ pipul dɛn we nid sɔpɔt fɔ peshɛnt fɔ wan chɛmba nɔmɔ na di at.
Yu dɔktɔ go disayd if dis fayn fɔ yu. I go aks yu se:
- Di sik istri
- Di we aw di at de bit
- skan ripot lεk ``(Echocardiogram)`` dεn de egzamin.
Aw a fɔ pripia bifo dɛn du dis ɔpreshɔn?
Dis nɔto big ɔpreshɔn, bɔt yu nid fɔ tek kia ɔf dɛn tin ya bifo i apin.
- Arenj fɔ mek pɔsin kɛr yu go na os afta dɛn dɔn du di ɔpreshɔn.
- Di dɔktɔ go advays yu bɔt ustɛm fɔ stɔp fɔ it ɛn drink bifo yu du di ɔpreshɔn ɛn us mɛrɛsin dɛn fɔ stɔp fɔ tek.
- Nɔ ɛva stɔp fɔ tek yu mɛrɛsin if yu dɔktɔ nɔ advays yu.
Aw fɔ du di ɔpreshɔn stɛp bay stɛp
Dis prɔses kin apin lɛk dis. Bɔku tɛm, i kin tek lɛk 30 minit so.
1. Fɔs, yu groin eria go tingled.
2. Dɔn dɛn kin kɔt wan rili smɔl say na da say de.
3. tru da insishכn de, dεn de put wan tכn tכb we dεn kכl ``Catheter'' insay wan pan yu vein dεm, di ``Femoral Vein''.
4. We di dɔktɔ de luk pan ɛkstrem rayt mashin, i de tek tɛm gayd di tiub ɔlsay te to yu at.
5. dεn kin put dis sכmכl peshכn mεka εn fiks am na di rayt vεntrikl na di at.
6. Dɔn, chɛk fɔ si if i de wok fayn ɛn dɛn dɔn instɔl am fayn.
7. If ɔltin fayn, dɛn go pul di tiub ɛn lɔk di say we dɛn kɔt am.
Afta di ɔpreshɔn, yu go gɛt fɔ de na ɔspitul fɔ wan nɛt. Di nɛks de, dɛn go chɛk di pesmɛka bak ɛn tek ɛkstrem na yu chɛst bifo dɛn sɛn yu na os.
Wetin na di gud ɛn bad tin dɛn we de apin?
Lɛk ɛni mɛrɛsin, gud ɛn bad tin dɛn de. Yu dɔktɔ go tɔk bɔt dɛn tin ya wit yu ɛn ɛp yu fɔ pik wetin bɛtɛ fɔ yu.
| Di gud tin dɛn we pɔsin kin du | Di bad tin dɛn we kin apin |
|---|---|
| Bikɔs waya (lid) nɔ de, di risk fɔ mek di waya brok ɔ gɛt infɛkshɔn kin smɔl pasmak. | Na wan sɛl nɔmɔ na di at go ebul fɔ ɛp. |
| Bikɔs dɛn nɔ de mek ɛni ɔspitul pɔkit ɔnda di skin na di chɛst, i nɔ de mek i fil fayn ɔ i nɔ gɛt skata. | If di at stɔp wantɛm wantɛm, i nɔ go ebul fɔ gɛt layf bak (defibrillated). |
| Di tɛm we dɛn kin tek fɔ ɔpreshɔn nɔ kin bɔku. | I kin swel ɔ blɔd de kɔmɔt na di say we dɛn kɔt am. |
| No ristrikshɔn nɔ de fɔ di ɔpa bɔdi aktiviti dɛn afta dɛn dɔn ɔpreshɔn. | Risk de wae nɔr kin bɔrku fɔ mek yu at pwɛl. |
| I smɔl lɛk 90% pas wan tipik pesmɛka. | I dia pas tradishɔnal pesmɛka dɛn. |
| MRI skan nɔ bad fɔ tɛst. | Risk de rare fɔ mek di divays fɔdɔm na in ples. |
Sɔm ɔda impɔtant tin dɛn we yu fɔ no
Aw lɔng dis go las?
Bɔku tɛm, di batri kin las bitwin 5 ɛn 15 ia. We di batri dɔn, di dɔktɔ kin ɔf di ol pesmɛka ɛn put nyu wan rayt nia am. I nɔ go bi prɔblɛm if di ol wan stil de.
Aw lɔng i kin tek fɔ mek i wɛl?
Bɔku tɛm yu kin bigin fɔ du yu nɔmal tin dɛn bak afta lɛk tu wiks so.
A kin go fɔ mek dɛn du MRI skan?
Yɛs. Bɔku tɛm, dɛn tin ya nɔ bad fɔ MRI skan. Bɔt i impɔtant fɔ tɔk to yu dɔktɔ ɛn kɔnfɔm bifo yu go fɔ am.
Ustɛm a fɔ go to di dɔktɔ bak? Us sayn dɛn a fɔ ripɔt wantɛm wantɛm?
Yu fɔ go to di dɔktɔ pan wan patikyula schedule. Fɔ si if di pesmɛka de wok fayn, if di bateri fayn, ɛn if yu de wɛl fayn fayn wan.
- Insay 24 awa afta dɛn du di ɔpreshɔn
- Insay wan mɔnt
- Dɔn ɛvri 3, 6, ɔ 12 mɔnt.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm.
- If infekshɔn de (rɛd, swel, pus) ɔ blɔd de kɔmɔt na di say we dɛn kɔt am.
- If yu anklɛ ɔ yu fut swel.
- If yu gɛt sɔm sayn dɛm (lɛk diziz) we bin de bifo dɛn put di peshɛnt mɛka bak.
- If yu fil fɔdɔm ɔ yu ed de tɔn wantɛm wantɛm.
- If yu gɛt prɔblɛm fɔ blo.
Na nɔmal tin fɔ fil smɔl frayd ɛn fred we yu tink bɔt fɔ gɛt mɛrɛsin insay yu bɔdi. Bɔt nɔto yu wan, bɔku bɔku pipul dɛn ɔlsay na di wɔl de liv nɔmal layf wit pesmɛka. Pesmɛka we nɔ gɛt lid nɔto di bɛst sɔlv fɔ ɔlman, ɛn tradishɔnal pesmɛka kin bɛtɛ fɔ sɔm pipul dɛn. So tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. I go ɛp yu fɔ pik di bɛst tin fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Pesmɛka we nɔ gɛt lid na wayales, rili smɔl tin we dɛn kin put dairekt insay di at.
- Dɛn kin yuse dis mɔ fɔ pipul dɛm wae gɛt slo hat rit (bradycardia).
- Di ɔpreshɔn rili simpul. Dɛn kin put am tru wan smɔl say we dɛn kɔt am na di groin.
- We yu kɔmpia am wit di peshɛnt mɛka dɛn we dɛn kin yuz ɔltɛm, di risk fɔ gɛt prɔblɛm dɛn lɛk infɛkshɔn we gɛt fɔ du wit waya ɛn we kin brok kin smɔl pasmak.
- Yu dɔktɔ na di bɛst pɔsin fɔ disayd if dis fayn fɔ yu, so tɔk to am opin wan bɔt am.
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