Yu at kin bigin fɔ bit kwik kwik wan? Lɛ wi tɔk bɔt PSVT (Paroxysmal Supraventricular Tachycardia)!

Yu dɔn ɛva si we yu at de bit kwik kwik wan we yu nɔ go ebul fɔ imajin, yu chɛst de bit yu chɛst, ɛn afta dat yu nɔmal fɔ shɔt tɛm? Yu go dɔn tink se dis na jɔs nɔmal tin, ɔ sɔntin we kin apin we yu fred smɔl. Bɔt, sɔntɛnde, i nɔ kin bi so. Tide wi go tɔk bɔt wan kɔndishɔn we dɛn kɔl `Paroxysmal Supraventricular Tachycardia` ɔ `PSVT`, we kin mek di at rit chenj wantɛm wantɛm. Nɔ wɔri, wi go tɔk bɔt dis simpul we we yu go ɔndastand.

Wetin na PSVT?

Fɔ tɔk am simpul wan, `PSVT` na irɛgyulariti na di ritm na wi at, dat na di patɛn we wi at bit (`arrhythmia`). If na so i bi, di at kin bigin fɔ bit kwik kwik wan wantɛm wantɛm. Dɔn, jɔs lɛk aw wantɛm wantɛm, di at rit kin slo bak to in nɔmal rit bak. Wi kin kɔl dɛn at bit ya we kin apin wantɛm wantɛm `paroxysms`. dis kכndyushכn de kכz fכ abnכmal ilektrikal aktiviti we de stat na di tu כp chεmba dεm na di at, we dεn kכl di `atria`. wi kכl di tu lכw chεmba dεm na di at, we dεn kכl di `vεntrikul dεm`. Dɛn 4 chɛmba dɛn ya de wok togɛda fɔ pɔmp blɔd ɔlsay na wi bɔdi.

so, `PSVT` de kכz fכ wan abnכmal ilektrikal aktiviti na dεn atria dεm ya, we de mek dεn kכntrakt rili kwik εn kכntinyu. Bɔt di impɔtant tin na dat `PSVT` nɔto ɔltɛm sik we nid tritmɛnt ɔ we de mek pɔsin in layf de pan denja. Sɔntɛnde, dɛn kin trit am we dɛn nɔ gɛt ɛni tritmɛnt. If nid de, dכkta dεm go rεkomεnd mεdikeshכn, sכm hat tritmεnt, εn rili rεli, wan `pacemaker`. If yu fil sɔntin we strenj bɔt di we aw yu at de bit, i go mɔs bi se yu go to dɔktɔ ɛn mek dɛn chɛk am.

Aw wi at de wok nɔmal wan?

Bifo wi ɔndastand wetin na PSVT, lɛ wi tek wan luk pan aw wi at de wok nɔmal wan. insay hat we hεlty, di at bit de stat insay wan sכm sכm tisu na di atria. wi kכl am di sinoatrial node (SA node). Dis na wetin de akt lɛk di at in natura pacemaker.

dis `SA node` de sεnd ilektrikal signal dεm we de mek di atria kכntrakt εn pכmp bכdi. afta dat dis signal dεm de travul go na di vεntrikl dεm tru wan כda sכm bכndεl sεl dεm we dεn kכl di `atrioventricular node` (AV node). di `AV node` de sεnd ilektrikal signal to di vεntrikl dεm fכ kכntrakt. Dis na aw wi at de bit ɔganayz.

Yu tink se kayn PSVT de?

Yes, bɔku ɔda kɔndishɔn dɛn de ɔnda di brayt kategori we na `PSVT`. dis kin kכz bay di prεsεns fכ mכr dan wan εkstra ilektrikal kכnekshכn frכm di כp chεmba dεm na di at to di lכw chεmba dεm, i kin bi dayrekt כ tru di `AV node`. dis kin mek di at bit fast fast (`tachycardia`). sכmtεm, dis fast at rεt kin stat bak frכm wan `irritable focus` na di כp chεmba dεm na di at.

Sɔm pan di kɔmɔn nem dɛm fɔ dɛn kayn takikardia ya na:

• ``Atrioventrikular nodal ri-entrant takikadia (AVNRT)''.
• ``Otכdrכmik rεsiprokεt takikardia (ORT)''.
• ``Antidromik rεsiprokεt takikardia''.
• `Atrial takikadia`
• `Atrial flɔt`

Pan ɔl we i kin tan lɛk se dis na sayɛns smɔl, i impɔtant fɔ mek dɔktɔ dɛn ɔndastand gud gud wan wetin na yu sik ɛn gi yu di tritmɛnt we fit yu pas ɔl.

Aw kɔmɔn tin dis?

Hat ritm dizayd (arrhythmias) kin rili kɔmɔn. Bɔku bɔku pipul dɛn na Sri Lanka ɛn ɔlsay na di wɔl gɛt sɔm kayn sik we dɛn kɔl at ritm disɔda.

Supraventricular tachycardias (SVT) na di kayn at ritm dizayd we kכmכn pas כl, spεshal wan pan yכŋ pikin dεm εn bεlε pikin dεm. Dɛn kin kam bak pan pikin dɛn we gɛt at sik we dɛn bɔn wit.

Wetin mek dis PSVT kin apin? Wetin na di tin dɛn we kin mek i apin?

PSVT (dεn kin kכl am bak ri-εntri takikardia) na wan at ritm dizכrd we de apin na di atria. i kin apin we abnכmal ilektrikal aktiviti de na di atria. dis min se wan εria we de sεns pasmak na di atria כ wan sכt sεkyut na di at in ilektrikal path dεm de mek di ilektrikal signal dεm bigin fכ go insay sεkכl. dis na we di atria kin bigin fכ kכntrakt kwik kwik wan εn kכntinyu.

dis abnכmal ilektrikal signal dεm kin apin if εkstra ilektrikal path (`εkstra path`) de bitwin di atria εn vεntrikl dεm, i kin bi dayrekt כ tru di `AV node`. fכ egzampl, pipul dεm we gεt wan kכndyushכn we dεn kכl `Wolff-Parkinson-White syndrome` gεt dis εkstra path na dεn at. afta dat, if di ilektrikal signal dεm de travul tru dis εkstra path fast pas aw dεn go travul tru di nכmal `AV node`, di at de stat fכ bit tu fast.

Lɛk ɔda at ritm dizayd (arithmias), PSVT kin kɔmɔt frɔm dɛn mama ɛn papa. Dis min se if pɔsin na yu famili gɛt am, yu go gɛt am mɔ. Apat frɔm dat, bɔku ɔda tin dɛn de we kin mek pɔsin gɛt dis sik. Lɛ wi tek wan luk pan wetin dɛn bi:

• We pɔsin de ol: Na bikɔs di at kin chenj we i de ol.
• Anemia: We di bɔdi nɔ gɛt bɛtɛ ɔksijɛn.
• Waid wata ɛn taya pasmak: Dɛn tin ya kin put strɛs pan di at.
• Drink ɛn it dɛn we gɛt kafinɛ: tin dɛn lɛk ti, kɔfi, chɔklɛt, ɛn sɔm ɛnaji drink dɛn.
• Sɔm it dɛn: Sɔm pipul dɛn kin gɛt at at afta dɛn it tin dɛn we gɛt bɔku fat, shuga, ɔ kabɔhaydrɛt. Fɔ ɛgzampul, yu kin fil se yu chɛst de bit afta yu dɔn it ebi ebi it ɔ afta yu dɔn pati.
• Sɔm mɛrɛsin dɛn: Fɔ ɛgzampul, pseudoephedrine, we dɛn kin si na sɔm tin dɛn we kin mek pɔsin nɔ gɛt bɔku bɔku nos.
• Fɔ drink rɔm pasmak.
• Fɔ dɔn gɛt at atak ɔ at pwɛl bikɔs dɛn bin dɔn du am ɔpreshɔn.
• At sik: mɔ di korona at sik (CAD).
• Ay blɔd prɛshɔn (Hypertension).
• Bɔrku strɛs ɛn wɔri: Stret wae kin kam wit tin dɛm lɛk ɛgzam wae gɛt fɔ kam, woke prɔblɛm, ɔr famili prɔblɛm.
• di chenj dεm na di כmon dεm: We uman dεn de mεnopos, כ we uman dεn bεlε. Infakt, di at kin rili kɔmɔn we uman gɛt bɛlɛ.
• Fɔ fat (fat pasmak) ɛn fɔ gɛt bɔku bɔku bɔdi.
• Smok ɛn yuz tin dɛn we dɛn kin yuz fɔ smok.
• Prɔblɛm dɛn we de na di at we de mek pɔsin strɔkchɔ: Fɔ ɛgzampul, di at valv sik.
• Tayroyd prɔblɛm: mɔ `Hyperthyroidism` (ɔva aktiv tayroyd gland).

Wetin na di sayn dɛm fɔ PSVT?

PSVT simptom dɛn kin bigin wantɛm wantɛm ɛn stɔp wantɛm wantɛm. Dɛn kin tranga fɔ sɔm pipul dɛm, ɛn dɛn kin tranga fɔ ɔda pipul dɛm. Yu kin fil dis kayn at bit kwik kwik wan afta yu dɔn wok tranga wan, afta yu nɔ slip fayn fɔ wan de, ɔ we yu strɛs bad bad wan.

Di men sayn dɛm wae de sho se yu gɛt dis sik na:

• Wan at we de bit fast ɛn we nɔ de rit ɔltɛm. כltu i kin pas 100 bit pan minit (BPM), bכt sכmtεm i kin rich 250 BPM. Yɔŋ pikin dɛn we gɛt PSVT kin gɛt at rit we pas dat.
• Fɔ fil se yu de blo, yu de paund, ɔ yu de paund na yu chɛst, yu trot, ɔ yu nɛk (`palpitations`). Sɔm pipul se i kin fil lɛk se "drɔm de bit insay di chɛst." Yu kin fil se yu de blo strɔng ɛn kwik kwik wan.
• Di chenj dɛn we kin apin wantɛm wantɛm na di at rit. Yu at kin bit fast fast fɔ sɔm minit ɔ awa, dɔn wantɛm wantɛm yu kin bigin fɔ bit nɔmal wan bak. (Di nɔmal at rit fɔ big pɔsin na bitwin 60 ɛn 100 bit insay wan minit).

We dis `PSVT` kɔndishɔn apin, yu kin gɛt sɔm ɔda sayn dɛm:

• Fɔ fil se yu de wɔri ɛn yu diziz.
• Chɛst pen, nɔr kin fil fayn, ɔr kin fil se yu chɛst tayt.
• I nɔ izi fɔ blo ɔ we yu nɔ de blo fayn (dyspnea).
• Diziz ɛn layt ed, blu yay.
• Nɔr kin no natin (syncope) ɔr kin fɔdɔm.
• Taya pasmak ɔ taya pasmak.
• Vɔmit.

Aw yu go no if yu gɛt PSVT?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt ɛn lisin to yu at wit stetɔskɔp. Dɔn, dɛn go ɔda fɔ mek dɛn tɛst dɛn blɔd. Dis blɔd tɛst de chɛk yu tayroyd fɔ wok ɛn ɔda prɔblɛm dɛn we de na yu blɔd.

Neks, di dɔktɔ go du ilɛktrokardiogram (EKG ɔ ECG). Dis na tɛst we dɛn kin du na di dɔktɔ in ɔfis ɛn i kin tek lɛk 15 minit so. EKG de rεkכd di ilektrikal aktiviti fכ yu at εn yu at rεt tru sεns dεm we de atak yu skin. Sɔntɛnde, if yu gɛt PSVT we yu de du ɛksɛsayz tranga wan, dɛn kin aks yu fɔ du ɛksɛsayz strɛs tɛst.

If di EKG nɔ sho se yu at de bit we nɔ de bit ɔltɛm, yu dɔktɔ go mɔs gi yu wan ambulatory monitor, we dɛn kin kɔl bak Holter monitor ɔ patch monitor, fɔ wɛr fɔ sɔm dez ɔ ivin wan mɔnt. Dis na smɔl tin we yu kin wɛr na yu bɔdi. I de kɔntinyu fɔ rikodɔ yu at rit ɛn ɛni at bit we nɔ de ɔltɛm (if ɛni wan de).

Aw dɛn kin trit PSVT?

Dipen pan yu ɔl yu wɛl bɔdi ɛn di sayn dɛm, yu nɔ go nid ɛni tritmɛnt. If yu gɛt at ritm we nɔ de ɔltɛm (wan `arithmia`), dɛn go rifer yu to `cardiologist`. I kin tɛl yu fɔ du dɛn tin ya:

• Nɔ drink rɔm ɛn kafin (ti, kɔfi, sɔm sɔft drink dɛn). Dɔn bak, stɔp fɔ tek sɔm mɛrɛsin dɛn we gɛt pseudoephedrine, lɛk dekongestant.
• Slip fayn ɛn rɛst.
• Drink bɔku wata fɔ mek yu gɛt di rayt wata.
• Gɛt ɛp fɔ ridyus strɛs ɛn wɔri, ɛn du ɛksashɔn fɔ rilaks.
• If yu fat pasmak (we fat pasmak), lɔs yu wet ɛn kɔntinyu fɔ gɛt wɛlbɔdi.
• If yu de smok, stɔp am kpatakpata.

Dɔn bak, we yu gɛt dis `PSVT` kɔndishɔn, yu kin aks yu dɔktɔ bɔt sɔm we dɛn fɔ slo yu at rit fɔ sɔm tɛm. Dɛn kɔl dɛn tin ya `Vagal maneuvers`. Ɛgzampul dɛn:

• Splash kol wata na yu fes wan tɛm.
• Fɔ kɔf insay wan spɛshal we.
• Klos yu yay ɛn put prɛshɔn pan yu yaylid dɛn jisnɔ.

Impɔtant: Nɔ ɛva tray dɛn `vagal maneuvers` ya fɔ yusɛf, if yu nɔ tren yu fayn fayn wan. Yu fɔ rili go to yu dɔktɔ ɛn du dɛn jɔs lɛk aw i tɛl yu.

• Di `Valsalva maneuver` na ɔda kayn we. We yu de du dis, yu kin blo, pinch yu nos, ol am lɛk se yu ful-ɔp, dɔn yu kin blo kwik kwik wan, lɛk se yu de blo balyɔn. Dis kin mek yu at rit smɔl bak.

If yu at kin chenj ɔltɛm, if dɛn kin mek yu nɔ fil fayn, ɔ if yu gɛt ɔda at prɔblɛm, yu dɔktɔ kin tɛl yu fɔ trit yu. Dɛn kayn tritmɛnt ya na:

• `Ablashɔn kateta`: .Dis involv fɔ mek smɔl damej pan di pat pan di at in tisu we de sɛn ilɛktrik signal dɛn we nɔ de ɔltɛm. dis na tritmεnt we de involv fכ put sכm sכm tכb (kateta) tru wan vein, we dεn nכ mek big say.
• `Carotid sinus massage`: pan dis, di dכkta de put jכntכl prεshכn pan wan spεshal ples na yu nεk fכ slo yu at rεt. Na dɔktɔ nɔmɔ fɔ du dis, ɛn yu nɔ fɔ du am na os.
• Divays dεm: sכmtεm dεn kin rεkomεnd fכ put divays lεk `Implantable Cardioverter Defibrillator (ICD), `subcutaneous ICD` כ `permanent pacemaker` insay di at.
• ilektrikal kadyovεshכn: insay dis, dεn de gi di at sef ilektrikal shכk (jolt dεm fכ εnεji), we de stכp di ritm we nכ de rεgul εn alaw di at fכ bit nכmal wan.
• Mεdikeshכn dεm: Mεdikeshכn dεm de we kin mek di at ritm bak εn fכ mek di at ritm irεgulεri.

Aw fɔ ridyus di risk fɔ gɛt PSVT?

I nɔ go pɔsibul fɔ mek dɛn nɔ gɛt PSVT ɔltogɛda. Bɔt yu kin ridyus di prɔblɛm we yu gɛt if yu fala di kayn we aw yu de liv yu layf ɛn gɛt wɛlbɔdi. Na sɔm tin dɛm wae yu kin du fɔ ridyus yu risk:

• Fɔ fala di it we go ɛp yu at ( we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga, ɛn we gɛt bɔku vɛjitebul, frut, ɛn grɛn).
• If yu gɛt tin (`triggers`) we yu no se de mek dis `PSVT` kɔndishɔn, de fa frɔm dɛn.
• Ɛksesaiz fayn, kɔntinyu fɔ du tin, ɛn tray fɔ mek yu bɔdi fayn.
• If yu fat pasmak, lɛf fɔ it bɔku bɔku it dɛn, tɔk to yu dɔktɔ, ɛn kɔntinyu fɔ gɛt wɛlbɔdi.
• If yu gɛt ay blɔd prɛshɔn (haypa prɛshɔn), kɔntrol am.
• Mek yu gɛt wɛlbɔdi kɔlɔstrel lɛvɛl.
• If yu de smok, stɔp am kpatakpata.
• If yu ɔ yu pikin gɛt at sik we de mek i gɛt mɔ PSVT, tɔk to yu dɔktɔ bɔt am. I go gi yu patikyula advays bɔt aw fɔ gɛt wɛlbɔdi ɛn fɔ mek yu nɔ gɛt at sik.

Wetin kin apin to pɔsin we gɛt PSVT? Wetin na di tumara bambay?

De luk fɔ pɔrsin wae gɛt PSVT de dipen pan sɔm tin dɛm, lɛk yu ej ɛn yu ɔl wɛl bɔdi. Yu kin ɛp fɔ kɔntrol yu sik dɛn bay we yu de chenj yu layf ɛn it.

As tɛm de go, PSVT kin mek di at mɔsul wik. If i siriɔs, PSVT kin mek yu nɔ no natin ɛn ivin mek yu at stɔp wantɛm wantɛm. So, if yu gɛt PSVT, i rili impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ wach yu at wɛlbɔdi.

Di gud nyus na dat , bɔku tɛm, dɛn kin wɛl PSVT kɔmplit wan wit wan tritmɛnt we dɛn kɔl kateshɔn ablashɔn.

Ustɛm a fɔ si dɔktɔ bɔt PSVT?

If yu gɛt ɛnitin we de mɔna yu bɔt yu at rit, ɔ if yu gɛt sayn dɛn we de sho se yu at nɔ de bit ɔltɛm (arrhythmia), mek shɔ se yu tɔk to dɔktɔ. If dɛn dɔn no se yu gɛt PSVT, i rili impɔtant fɔ go to yu dɔktɔ we de mɛn yu at ɔltɛm.

If dɛn tin ya apin, go to dɔktɔ wantɛm wantɛm:

• If yu fil taya pasmak wantɛm wantɛm fɔ no rizin.
• If yu fil se yu nɔ ebul fɔ du natin ɔ yu nɔ no natin igen.
• If yu gɛt pen na yu chɛst, i nɔ izi fɔ blo, ɔ yu nɔ de blo fayn.

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

Paroxysmal Supraventricular Tachycardia (PSVT) kin mek yu fred we i apin. Bɔt bɔku tɛm, i nɔ kin mek pɔsin in layf de pan denja ɔ i nɔ kin mek pɔsin in layf de pan denja. Bɔt if yu gɛt ɛnitin fɔ wɔri bɔt ɔ kwɛstyɔn bɔt yu at rit, i go fayn ɔltɛm fɔ go to dɔktɔ fɔ mek dɛn chɛk yu ful wan fɔ mek shɔ se no siriɔs wɛlbɔdi prɔblɛm nɔ de.

Pan ɔl we PSVT nɔ kin nid tritmɛnt ɔltɛm, tritmɛnt dɛn de we yu kin gɛt if yu nid dɛn. If yu de du tin, nɔr de du tin lɛk kafinɛ ɛn rɔm, fala wɛl bɔdi layf, ɛn go to yu dɔktɔ we de mɛn yu at di rayt tɛm, yu kin ridyus yu risk fɔ gɛt prɔblɛm dɛn frɔm PSVT. So, tek kia ɔf yu at, bikɔs na yu layf blɔd!

` At palpiteshɔn, at bit kwik kwik wan, PSVT, Paroxysmal Supraventricular Tachycardia, aritmia, at sik, chɛst pen, takikardia