Wi at na ɔgan we rili wɔndaful. I nɔ jɔs de bit, i gɛt in yon ilɛktrik sistɛm fɔ kɔntrol di at bit. Tink bɔt am lɛk di waya sistɛm na wi os. di sכm sכm ilektrikal signal dεm we de kכmכt frכm dis sistεm de tεl di chεmba dεm na di at fכ kכntrakt di rayt tεm. Bɔt sɔntɛnde, fɔ difrɛn rizin dɛn, dis ilɛktrik sistɛm kin mɛs smɔl. Na da tɛm de dis smɔl, bɔt rili impɔtant tin we dɛn kɔl "pacemaker" kin kam ɛp wi.
So, wetin na dis pesmaker?
Fɔ tɔk am simpul wan, pesmɛka na smɔl ilɛktronik tin we dɛn kin du ɔpreshɔn pan yu bɔdi fɔ sɔpɔt di ilɛktrik sistɛm na yu at. i tan lεk sכm sכm "kכndukta" we de εp fכ rεgεl yu at in ritm we i nכ de fכ sink.
Imajin se di ilɛktrik sistɛm na yu at wik. Dɔn di at in chɛmba dɛn nɔ kin kɔntrakt di rayt tɛm. Sɔntɛm dɛn kin bit tu fast, ɔ tu slo, ɔ di ritm kin ambɔg kpatakpata. Dis kin mek di at nɔ ebul fɔ pamp inof blɔd to di wan ol bɔdi.
di pesmaker de wach aw di at in nεchכral ilektrikal sistεm de wok. if i si eni abnכmaliti, di peshכn de sεnd כt rili sכft ilektrikal signal dεm we de tεl di at se, "Okay, naw na di tεm fכ kכntrakt." Dis kin ɛp fɔ mek di at bit ɔltɛm.
Wetin na di sayn dɛm we de sho se yu go nid fɔ gɛt peshɛnt mɛka?
Yu dɔktɔ go disayd if yu nid pɔsin fɔ mek yu peshɛnt ɔ yu nɔ nid am. Bɔt if yu gɛt dɛn sik ya, i impɔtant fɔ go to dɔktɔ ɛn tɔk bɔt dɛn.
Mɛmba se nɔto ɔlman we gɛt dɛn kayn sik ya go nid fɔ gɛt mashin fɔ mek yu peshɛnt, bɔt i impɔtant fɔ no bɔt dɛn tin ya ɛn go to dɔktɔ.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| Chɛst pen (Angina) . | Chɛst tayt ɔ pen we kin kam bikɔs blɔd nɔ kin rich na di at. |
| At bit kwik kwik wan (Tachycardia) . | Di at de bit fast pas 100 tɛm insay wan minit fɔ natin. |
| Di at bit sloslo (Bradycardia) . | di at de bit sכmtεm sכmtεm, i de bit lεs dan 60 bit insay wan minit. |
| At we nɔ de bit ɔltɛm (Aritmia) . | Di at bit kin fil lɛk se i nɔ de bit ɔltɛm, sɔntɛnde i kin skip wan bit, ɔ i kin gɛt ɛkstra bit. |
| Di we aw pɔsin de blo | filin we yu de fil tayt na di chεst, lεk se di at de "struggle" כ "rolling stones." |
| I nɔ kin izi fɔ yu fɔ blo | Fɔ fil taya ɛn nɔ ebul fɔ blo fayn, mɔ we yu de du smɔl smɔl wok dɛn ɔ we yu de waka. |
| Diziz, layt ed, lɔs kɔnshɛns | Fɔ fil lɛk yu ed layt, yu de nɔs, ɔ yu de fɔdɔm fɔ natin. |
| Di anklɛ, leg, ɛn bɛlɛ kin swel | swεla na di εria dεm lεk di lεg εn di ankכl dεm bikoz fכ di wata we de kכmכt na di bכdi. |
If yu gɛt dɛn sik ya, i kin bi bikɔs ɔf prɔblɛm wit yu at ritm. Fɔ ɛgzampul, pipul dɛm wae gɛt histri wae gɛt hat blok ɔr hat atak kin nid bak fɔ gɛt pacemaker.
Ɔmɔs kayn pesmɛka dɛn de?
Yɛs, i go dipen pan yu at kɔndishɔn, yu dɔktɔ go pik di kayn pesmɛka we go fayn fɔ yu. Dɛn tin ya kin gɛt wan, tu, ɔ tri lid mɔ.
| Di kayn we aw pɔsin kin yuz peshɛnt | Tɔk bɔt |
|---|---|
| Pesmɛka we nɔ gɛt lid | Dis na rili smɔl, lɛk wan big vaytamɛn kapsul. No waya nɔ de. Dɛn kin put am insay di at tru wan kateshɔn ɛn tay am na di insay wɔl na di at. |
| Pesmɛka we gɛt wan chamba | Dis gɛt wan waya nɔmɔ. I kin kɔnɛkt to wan chɛmba na di at. |
| Pesmɛka we gɛt tu chɛmba | Dis gɛt tu waya dɛn we de kɔnɛkt to tu chɛmba dɛn na di at. |
| Biventrikular Pesmɛka | I gɛt tri waya dɛn. tu de kכnekt to di lכw chεmba dεm na di at (vεntrikul) εn wan to di כp rayt chεmba (rayt atrium). Dɛn kin yuz am fɔ Kadyak Risinkronizashɔn Tɛrapi (CRT). |
Wetin na di difrɛns bitwin peshɛnt ɛn ICD?
Yu dɔktɔ kin tɔk to yu bak bɔt wan ICD (Implantable Cardioverter Defibrillator), we fiba di peshɛnt mɛka, bɔt i difrɛn smɔl.
- Pesmɛka kin jɔs sɛn ilɛktrik signal fɔ kɔntrol di at in ritm. I nɔ kin ebul fɔ gi ilɛktrik shɔk to di at.
- ICD kin wok bak lɛk peshɛnt mɛka. apat frכm dat, if di hat rεt de bi fast we de mek i day (e.g., vεntrikul takikardia), i kin no am εn gi strכng ilektrikal shכk to di at fכ mek di ritm kam bak.
Yu tink se dis na big ɔpreshɔn? Aw yu kin mek dɛn fit yu peshɛnt?
Dis nɔto big ɔpreshɔn we dɛn kin du fɔ mek pɔsin in at opin. Wit di teknɔlɔji we de tide, dɛn ɔpreshɔn ya dɔn rili go bifo. Nɔr kin pen pasmak, ɛn yu kin wɛl kwik ɛn kam bak to yu nɔrmal layf. Tri men we dɛn de fɔ du am.
1. 1. 1. .Kateta-based aprɔch: Dɛn kin yuz dis fɔ pesmɛka dɛn we nɔ gɛt lid. sכm sכm tכb (kateta) dεn de put insay wan vein tru di groin, εn dεn de gayd di peshכn mεka tru am εn put am insay di at. Bɔku tɛm, dis kin tek lɛk wan awa.
2. Transvenous aprɔch: Dis na di we aw dɛn kin yuz mɔ. dεn kin mek sכm sכm pat כnda di kכlabon כ insay di skin na di nεk, εn dεn kin put di waya dεm we de mek di peshכn (lid dεm) insay di at tru wan vein. Dɛn kin du dis ɔnda ɛkstrem rayt (fluoroscopy) gayd. afta dεn put di waya dεm na di rayt ples dεm na di at, dεn de put di peshכn divays insay wan sכmכl "pכket" we dεn mek כnda di skin na di כp chεst.
3. Epikardial aprɔch: Dɛn kin du dis pan pikin dɛn ɔ we dɛn de du ɔda ɔpreshɔn pan dɛn at. Dɛn kin kɔt smɔl say na di chɛst ɛn put waya dɛn na do na di at. di peshכn divays dεn de put am כnda di skin na di bכdi.
Bɔku tɛm, dɛn ɔpreshɔn ya kin tek bitwin tu ɛn fayv awa. Yu dɔktɔ go ɛksplen us we fɔ du am bɛtɛ fɔ yu.
Lɛk ɔltin, yu tink se ɛni risk de? (Kɔmplikeshɔn dɛn) .
Jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de. Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm. Yu dɔktɔ go tɛl yu bɔt dɛn tin ya.
- Alɛji: Alɛji kin apin to di mɛrɛsin we dɛn yuz ɔ di mɛtal we dɛn mek di pesmɛka wit.
- Blɔd we de rɔtin: Fɔ mek yu nɔ gɛt dis prɔblɛm, yu dɔktɔ kin gi yu mɛrɛsin we go mek yu blɔd nɔ klɔt.
- Divays ɔ waya we nɔ fayn: Sɔntɛnde, waya kin muf smɔl frɔm usay dɛn put am. Na dat mek i fayn fɔ avɔyd fɔ strɛs pasmak pan di limb fɔ sɔm tɛm afta dɛn dɔn du di ɔpreshɔn.
- Intafɛreshɔn frɔm ɛksternal divays dɛm: Yu nid fɔ tek tɛm we yu de go nia sɔm divays dɛm we gɛt strɔng ilɛktrik ɔ magnɛtik fil (e.g. MRI mashin dɛm). Bɔt naw dɛn dɔn mek nyu pesmɛka dɛn fɔ mek dɛn nɔ ebul fɔ du dis. Yu dɔktɔ go gi yu advays bɔt dis.
Tin dɛn fɔ no bɔt fɔ liv wit pesmɛka
Afta yu dɔn gɛt peshɛnt, yu kin liv nɔmal, aktif layf. Bɔt, sɔm tin dɛn de we wi fɔ mɛmba.
Aw lɔng pesmɛka batri kin las?
Dis dipen pan di kayn pesmɛka ɛn aw i de wok fayn. Na avrej, di batri kin las fɔ lɛk 10-15 ia so . Yu dɔktɔ go aks yu fɔ kam na di klinik ɔltɛm. Dɔn, dɛn go chɛk di peshɛnt ɛn di bateri ɔl tu. We na di tɛm fɔ chenj di batri, dɛn kin du am wit wan ɔpreshɔn we rili simpul ɛn we smɔl pas fɔ put di pesmɛka fɔs.
Tin dɛn we yu kin du fɔ gɛt wɛlbɔdi
Di layf we pɔsin we gɛt peshɛnt mashin kin liv, kin dipen pan in ɔl wɛlbɔdi. If yu liv wɛl bɔdi layf, yu kin ɛkspɛkt fɔ liv nɔmal layf ɔr nɔrmal layf.
- Tek yu mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu fɔ tek am: If yu dɔktɔ dɔn tɛl yu ɔda mɛrɛsin dɛn apat frɔm yu peshɛnt mɛka, tek dɛn jɔs di rayt tɛm ɛn fɔ di tɛm we dɛn tɛl yu fɔ tek. Nɔ fred fɔ aks if yu gɛt ɛni kwɛstyɔn.
- Go na di klinik dɛn di rayt tɛm: Dis rili impɔtant. Di dɔktɔ go chɛk yu wɛlbɔdi ɛn aw di peshɛnt mɛka de wok dis tɛm.
- Lisin to yu bɔdi: If yu puls rit de ɔltɛm ausayd di nɔmal rɛnj we yu dɔktɔ dɔn gi yu (tu lɔw ɔ tu ay), kɔl yu dɔktɔ wantɛm wantɛm.
If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm:
* If yu gɛt ɛni prɔblɛm fɔ blo.
* If yu gɛt mɔ wet wantɛm wantɛm ɔ yu leg ɔ yu anklɛ dɛn swel.
* If yu gɛt diziz, yu de fɔdɔm, ɔ yu kɔnfyus.
* If di sayn dɛn we yu bin gɛt bifo dɛn put di peshɛnt mɛka de kam bak.
Na nɔmal tin fɔ fil smɔl frayd ɛn wɔri we dɛn tɛl yu se yu nid peshɛnt bikɔs ɔf yu at prɔblɛm. Bɔt mɛmba se dis na sɔntin we dɛn de du fɔ mek yu layf bɛtɛ ɛn fɔ protɛkt yu. Tɔk to yu dɔktɔ bɔt ɛnitin we de mɔna yu. Da we de, yu go ɔndastand mɔ ɛn gɛt kolat na yu maynd.
Mɛsej we dɛn kin kɛr go na os
- Pesmɛka na smɔl ilɛktronik tin we de ɛp fɔ kɔrɛkt di at bit we nɔ de bit ɔltɛm.
- I impɔtant fɔ go to dɔktɔ if yu gɛt sɔm sayn dɛn lɛk we yu de tɔn, yu nɔ de blo fayn, ɔ yu at de bit fast ɔ sloslo.
- Dis nɔto big ɔpreshɔn we dɛn kin du fɔ mek pɔsin in at opin, ɛn dɛn kin du am fayn fayn wan wit di tɛknɔlɔji we de naw.
- Pesmɛka de mek yu liv nɔmal, aktif layf bak.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs afta dɛn dɔn du di ɔpreshɔn ɛn go na di klinik dɛn di rayt tɛm.
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