Yu dɔn ɛva fil lɛk se yu at skip wan bit wantɛm wantɛm, ɔ wantɛm wantɛm fil lɛk se i de bit insay yu chɛst? Sɔmtɛm e nɔrmal fɔ fil smɔl frayd ɛn wɔri wae yu fil lɛk dis. Bɔt bɔku tɛm, i nɔto natin fɔ fred. Tide, wi go tɔk bɔt dis kɔmɔn kɔndishɔn we bɔku pipul dɛn kin gɛt, dat na Premature Atrial Contractions (PACs).
Wetin na dɛn Premature Atrial Contractions (PAC) ya?
Fɔ ɔndastand dis simpul wan, lɛ wi fɔs luk aw wi at de wok. Imajin se yu at na smɔl injin, bɔt i rili pawaful. Fɔ mek dis injin wok fayn, i nid fɔ gɛt ilɛktrik signal dɛn di rayt we. insay di tu chεmba dεm we de כp na wi at (wi kכl dεn ya ``Atria'' insay mεdikal tεm dεm), na di rayt say, na di tכp kכna, wan sכmכl ples de we dεn kכl ``Sinus node''. dis na wetin de wok lεk di at in nεchכral ‘pacemaker’. dat min se i de sεnd ilektrikal signal dεm insay wan we we de sho di ritm εn spid we di at fכ bit.
Naw, Premature Atrial Contractions (PAC) na smɔl disrɔpshɔn to dis nɔmal prɔses. sכmtεm, i de sεnd ilektrikal signal bifo tεm frכm כda say na di כp chεmba na di at, nכto frכm di ``Sinus node''. di wod ''premature'' min ''premature.'' So bikoz fכ dis premature signal, di at de bit wan tεm bifo in nכmal tεm.
Imajin, wetin de apin ya tan lɛk pɔsin we de ple drɔm we i de bit di sem ritm, bɔt wantɛm wantɛm i hit am wan tɛm we i nɔ ritm.
We di at bit kwik, i kin lɔs tumɔs blɔd fɔ pɔmp tru di at da tɛm de. So bɔku tɛm da bit de we dɛn kin bit bifo tɛm kin wik. Dɔn, di at kin tek shɔt briŋ fɔ sɔm sɛkɔn ɛn bit nɔmal wan fɔ di nɛks bit. Bɔt bikɔs ɔf da shɔt brek de, di at kin ful-ɔp wit smɔl mɔ blɔd we di nɛks bit de bit. So dat bit de fil tranga smɔl pas aw i kin bi. Dat had bit na wetin wi kin fil lɛk se wi "mis bit" ɔ "lɛk fɔ paund na di chɛst."
Fɔ tɔk am simpul wan, PAC na ɛkstra, prɛmature at bit we de kɔmɔt na di ɔpa chɛmba dɛn na di at. I kin apun pan pipul dɛm wae gɛt ɛni ej ɛn bɔrku tɛm i nɔr kin du bad.
Wetin na di sayn dɛm fɔ pɔrsin wae gɛt PAC?
Sɔm pipul dɛn nɔ kin gɛt ɛni sayn pan ɔl we dɛn gɛt PAC. Bɔt if dɛn du dat, dɛn kin tan lɛk dis. Lɛ wi luk dis di we we go mek i klia.
| Di sayn we de sho se di sik de | Aw i kin fil |
|---|---|
| Skipped bit | Wan filin lɛk se di at dɔn stɔp fɔ bit fɔ smɔl tɛm. Dis kin bi bikɔs ɔf di shɔt stɔp we kin apin afta di bit bifo tɛm. |
| Wan puls we de paund (Paund/Thump) . | Wan filin we kin apin wantɛm wantɛm na in chɛst. Dis kin bi bikɔs ɔf di strɔng at bit we kin kam afta da stɔp de. |
| Di we aw pɔsin de blo | Fɔ fil se yu at nɔ de bit ɔltɛm ɛn yu at de bit kwik kwik wan. Fɔ sɔm, dis kin fil lɛk ‘paund’ na dɛn chɛst. |
| Ɔda tin dɛn we de apin | Sɔm pipul dɛn kin gɛt smɔl prɔblɛm bak fɔ blo ɔ wɔri. |
| Nɔbɔdi nɔr de si ɛni sayn fɔ si dis sik | Bɔku pipul dɛn gɛt PAC ɛn dɛn nɔ kin ivin no se dɛn gɛt am. Sɔntɛnde, dɛn kin no bɔt dɛn bay we dɛn du ECG fɔ ɔda rizin. |
Wetin mek wi gɛt dɛn PAC ya? Wetin na di rizin dɛn?
Bɔku tɛm, nɔ patikyula kɔz nɔ de fɔ PAC. Bɔt sɔm tin dɛn de we kin mek pɔsin gɛt dis sik. Sɔm pan dɛn na:
- Di tin dɛn we kin mek pɔsin liv in layf:
- Kafin pasmak: Fɔ drink bɔku tin lɛk kɔfi, ti, ɛn sɔm sɔft drink dɛn.
- Yuz rɔm: Fɔ drink rɔm.
- Yuz tin dɛn we dɛn mek wit tabak: Tin dɛn lɛk sigrɛt ɛn drink.
- Stress: Fɔ wɔri pasmak, fɔ gɛt prɛshɔn.
- Taya ɛn nɔr de slip fayn: Fɔ fil taya pasmak ɛn nɔr de slip fayn.
- Rizin dɛn fɔ mɛn pipul dɛn:
- Minral imbalans na di bɔdi:di lεvεl dεm we di εlektrolayt dεm lεk potashכm כ magnεsium de dכn כ inkrεs na di bכdi.
- di strכkchכral hat prכblεm dεm: kכndishכn dεm lεk we di blכd vεsul dεm we de gi bכdi de blok to di at (Coronary Artery Disease) כ di at mכsul we de tik (Hypertrophic Cardiomyopathy).
- Damej to di at: Na bikɔs ɔf wan kɔz lɛk at atak we i bin dɔn gɛt bifo.
- Tayrɔyd prɔblɛm: Di chenj na di tayroyd ɔmon lɛvɛl.
- Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn we dɛn kin gi fɔ at sik ɔ fɔ gɛt maynd sik.
- Yuz drɔgs we nɔ rayt.
If yu gɛt PAC ɔltɛm, yu dɔktɔ go tray fɔ luk fɔ dɛn tin ya we kin mek yu gɛt dis sik.
Udat de pan big risk fɔ gɛt dis sik?
Pan ɔl we PAC kin apin to ɛnibɔdi, sɔm pipul dɛn kin gɛt ay risk fɔ gɛt am mɔ ɛn mɔ.
- Pipul dɛn we lɔng
- Uman dɛn we gɛt bɛlɛ
- Pipul dɛn we gɛt sik we de ambɔg dɛn at ɛn blɔd
- Pipul dɛn we nɔ de du ɛksɛsayz (di wan dɛn we nɔ de du ɛksɛsayz) .
- Pipul wae gɛt ay blɔd prɛshɔn (especially systolic prɛshɔn) .
- Pipul dɛn we gɛt dayabitis
- Pipul dɛn we nɔ gɛt bɛtɛ kɔlɔstrel (HDL kɔlɔstrel) .
- Pipul dɛn wae gɛt krɛse sik (COPD) .
- Pipul dɛn we nɔ de drink inof wata
- Pipul dɛn we de smok
- Pipul dɛn we de it bɔku bɔku kafin ɔ tin dɛn we de mek dɛn fil fayn
- Pipul wae nɔr kin gɛt bɛtɛ slip ɛn de ɔnda bɔrku strɛs
Ɛni kɔmplikeshɔn de we kin apin bikɔs ɔf di PAC dɛn?
Bɔku tɛm, PAC dɛn nɔ kin du bad. Bɔt if pɔsin gɛt PAC bɔku tɛm , i kin bi sayn fɔ wan mɔ siriɔs at ritm prɔblɛm we dɛn kɔl `Atrial Fibrillation (Afib)` insay di fyuchu.
"Frequent" nɔ gɛt wan patikyula minin. Akɔdin to sɔm stɔdi dɛm, dɛn kin tek pas 500 PAC insay 24 awa as "frɛkuɛnt".
Atrial Fibrillation (Afib) na wan kכndyushכn we di כp chεmba dεm na di at de bit tu fast εn i rεgulεr we dεn nכ de kכntrכl. Dis kin mek yu gɛt siriɔs sik lɛk strok. Na dat mek i impɔtant fɔ go to dɔktɔ if yu de gɛt bɔku PAC.
Aw dɔktɔ kin no bɔt dis sik?
If yu nɔ gɛt ɛni PAC we yu go to dɔktɔ, i nɔ go ebul fɔ no dɛn wit stetɔskɔp. So, bay di sayn dɛm we yu gɛt, yu dɔktɔ kin tɛl yu fɔ du dɛn tɛst ya.
| Tɛst | Wetin i de du? |
|---|---|
| ECG tɛst (Ilektrokardiogram) . | di mכst bεsik tεst we de rεkכd di ilektrikal aktiviti fכ di at. If dɛn rayt wan PAC da tɛm de, dɛn kin mek di diagnosis. |
| Temporary hat monita | Dis kin bi wan ‘Holter monitor’. Yu go gɛt fɔ wɛr dis smɔl tin fɔ wan de, tu ɔ ivin tu wiks. We yu de du yu nɔmal tin dɛn we yu kin du ɛvride, i go kɔntinyu fɔ rayt yu at ritm. |
| Ikokardiogram tɛst | Dis na skan fɔ di at. I de ɛp fɔ chɛk fɔ ɛni prɔblɛm wit di strɔkchɔ pat dɛn na di at, lɛk di valv ɛn mɔsul dɛn. |
| Blɔd tɛst dɛn | Chek di lεvεl dεm fכ di εlektrolayt dεm (potashכm, magnεsium) εn di tayroyd כmon na di bכdi. |
Aw dɛn kin trit PAC dɛn?
Dis na di tin wae impɔtant pas ɔl: Bɔrku tɛm, PAC nɔr nid ɛni tritmɛnt. Bɔku tɛm, dɛn kin go fɔ dɛnsɛf.
Bɔt if yu sik dɛn rili bad, ɔ if PAC kin apin bɔku tɛm, yu dɔktɔ kin disayd fɔ trit yu.
- Di we aw pɔsin de liv in layf: Dis na di fɔs tin we yu fɔ tray fɔ du. Bɔku pipul dɛn kin gɛt fridɔm bay we dɛn nɔ de drink bɔku kafin ɛn rɔm, dɛn kin lɛf fɔ smok, dɛn kin slip fayn, ɛn dɛn kin kɔntrol dɛn strɛs.
- Di mɛrɛsin dɛn we dɛn kin yuz:
- Beta-blockers: Dis kayn mɛrɛsin na di fɔs tin we yu kin pik. Dɛn kin ridyus di at rit ɛn di pawa we i kin gɛt fɔ kɔntrakt, ɛn dɛn kin kɔntrol di sayn dɛm.
- Antiarrhythmics: Na spɛshal mɛrɛsin wae de kɔntrol aw di at de rit. Dɛn kin gi dɛn tin ya nɔmɔ if beta-blɔka dɛn nɔ ebul fɔ kɔntrol am.
- Kateta we dɛn kin pul: .Dis nɔ kin apin so ɔltɛm. insay dis, dεn kin put wan tin tכb (kateta) insay di at tru di groin כ di an, εn wan rili sכm pat pan di at we de kכmכt di abnכmal ilektrikal signal dεm de pwεl.
Ɛni bad tin de we di tritmɛnt kin du?
Yɛs. Jɔs lɛk ɛni tritmɛnt, sɔm bad tin dɛn de we kin apin to am. Beta-blɔka kin mek yu taya ɛn mek yu ed de tɔn. Di mɛrɛsin dɛn we de mek pɔsin nɔ gɛt ritm gɛt difrɛn difrɛn sayd ɛfɛkt dɛn, so yu dɔktɔ fɔ de wach dɛn gud gud wan. Pan ɔl we bɔku tɛm fɔ pul kateshɔn na tin we nɔ kin mek pɔsin gɛt bɔku prɔblɛm, i kin rili smɔl, lɛk we blɔd kin klɔt ɛn we blɔd kin kɔmɔt.
Wetin a kin du fɔ kɔntrol PAC ɛn ridyus di risk?
Bɔku tin dɛn de we yu kin du fɔ ridyus ɛn kɔntrol yu PAC dɛn.
- Ɛksesaiz ɔltɛm .
- Limit drink dɛn we gɛt kafinɛ lɛk kɔfi, ti, ɛn chɔklɛt.
- Ridyus ɔ stɔp fɔ drink rɔm ɔltogɛda.
- If yu de smok, stɔp.
- Drink bɔku wata. Nɔ mek yu nɔ gɛt wata na yu bɔdi.
- Gɛt inof slip ɛvride.
- Manej di strɛs. Tin dɛn lɛk yoga ɛn fɔ tink gud wan kin ɛp.
- Kɔntrol di blɔd prɛshɔn ɛn di kɔlɔstrel lɛvɛl.
Ustɛm a fɔ go to dɔktɔ?
Bɔku tɛm, if PAC kin apin wan wan tɛm, natin nɔ de fɔ wɔri bɔt. Bɔt if dis kayn tin apin, yu fɔ rili go to yu dɔktɔ.
- If yu sik dɛn de wɔs.
- If di frikshɔn fɔ PAC dɛn de go ɔp.
- If dɛn sayn ya kam wit pen na yu chɛst, yu nɔ de blo bad bad wan, yu ed de tɔn, ɔ yu fɔ fɔdɔm, yu fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu dɔn ɔlrɛdi gɛt at sik ɛn yu gɛt PAC.
Sɔm kwɛstyɔn dɛn we yu kin gɛt bak
PAC ɛn Atrial Fibrillation (Afib) na di sem tin?
Nɔ, dɛn tin ya na tu difrɛn tin dɛn. PAC dεm na wan, hat bit bifo tεm. Afib na siriכs kכndyushכn we di כp chεmba dεm na di at de bit insay wan ritm we nכ de rεgεl εn kwik kwik wan. Bɔt fɔ gɛt PAC bɔku tɛm kin mek di risk fɔ gɛt Afib bɔku.
Na sɔntin we fɔ wɔri bɔt we PAC dɛn de divɛlɔp we uman gɛt bɛlɛ?
Bɔku tɛm, nɔto so. i kכmכn fכ PAC dεm we de apin we uman bεlε bikoz fכ di chenj dεm na di כmon dεm εn di bכdi vכlyum. Bɔrku tɛm, dɛn kin go fɔ dɛnsɛf ɛn nɔr kin nid tritmɛnt. Bɔt if yu de wɔri bɔt dis, tɔk to yu dɔktɔ.
Wetin na di difrɛns bitwin PAC ɛn PVC (Premature Ventricular Contractions)?
Di difrɛns na usay di prɛmature ilɛktrik signal de stat. di PAC dεm de stat na di כp chεmba dεm na di at (Atria) . di PVC dεm de stat na di lכw chεmba dεm na di at (Ventricles) . De sayn dɛm fɔ dɛn tu kin fiba.
Mɛsej we dɛn kin kɛr go na os
- Premature Atrial Contractions (PAC) na wan sik wae kin pasmak, bɔrku tɛm nɔr kin du bad.
- Di men sayn dɛm na tin dɛm lɛk fɔ skip wan bit ɛn fil tayt chɛst.
- Di tin dɛn we pɔsin kin liv in layf lɛk kafinɛ, rɔm, smok, strɛs, ɛn nɔ slip kin afɛkt dis.
- Bɔku pipul dɛn nɔ nid tritmɛnt. Di chenj dɛn we pɔsin kin chenj in layf nɔmɔ kin mek i fil fayn.
- If yu sik kin kam ɔltɛm, i kin tranga, ɔr ɔda sayn dɛn kin kam wit am, lɛk we yu de fil pen na yu chɛst, mek shɔ se yu go to yu dɔktɔ.
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