Tide wi go tɔk bɔt Pulseless Ventricular Tachycardia, we na wan denja sik we di at de bit so fast dat i nɔ pɔsibul fɔ fil puls!

Yu dɔn ɛva yɛri ɔ si pɔsin fɔdɔm wantɛm wantɛm we i nɔ no natin? Sɔntɛm dɛn de ol dɛn chɛst? I tan lɛk se dɛn de gɛt prɔblɛm fɔ blo. Da tɛm de, wi kin tink se dɛn gɛt at atak, nɔto so? Yɛs, i kin apin. Bɔt tide wi go tɔk bɔt wan sik we kin apin kwik kwik wan ɛn we kin mek pɔsin in layf de pan denja. dat min se di at de bit so fast dat i nכ posbul fכ fil puls, wan kכndyushכn we dεn kכl ``Pulseless Ventricular Tachycardia'' lεk aw dכkta dεn kכl am. Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, i rili simpul fɔ ɔndastand.

So, wetin na dis fast at bit we nɔ gɛt puls? (Vɛntrikular Takikadia we nɔ gɛt puls) .

Fɔ tɔk am simpul wan, yu at gɛt 4 men rum dɛn. di tu sכm chεmba dεm we de tap dεn kכl dεm atria. di tu big, strכng chεmba dεm na di bכtכm dεn kכl dεm di vεntrikl dεm. dis vεntrikl dεm de wok lεk di at in men pכmp dεm. εvri tεm we di at de bit, dεn vεntrikl dεm ya de kכntrakt εn pכmp blכd כlsay na di bכdi εn di lכng dεm. I rili impɔtant, nɔto so?

naw imajin, wetin go apin if dεn vεntrikl dεm ya bigin fכ bit pan wan rεt we yu nכ kin biliv, pas 100 bit pan minit, maybe 200-300? I tan lɛk mashin. We dat apin, dɛn chɛmba dɛn de nɔ kin gɛt tɛm fɔ ful-ɔp wit blɔd fayn fayn wan. Dɛn kin kɔntrakt bak bifo dɛn ful-ɔp. Wetin kin apin da tɛm de? Blɔd nɔ de gɛt pɔmp rawnd di bɔdi. We di blɔd stɔp fɔ flɔ, wi nɔ kin ivin fil puls. Na dat wi kin kɔl pulsless ventricular tachycardia. Tachycardia na we di at de bit tumɔs.

Dis na tin we rili denja. Bikɔs, we di blɔd stɔp fɔ flɔ to di bɔdi, wi ɔgan dɛn nɔ de gɛt ɔksijɛn ɛn it. fכ dat , di כgan dεm na di bכdi kin kכmכt kwik kwik wan (`organ fεil`), di at kin kכmplit inaktiv (`at fεil`), εn di at kin stכp wan wan (`sכdεn kכdiak arεst`). Dis tan lɛk fɛt-fɛt bitwin layf ɛn day.

Dis at bit we de bit kwik kwik wan kin bi wan kayn ɔ pɔlimɔf. Dɔktɔ dɛn kin jɔs no dis wit ECG tɛst.

Yu tink se Ventricular Tachycardia na wan sik we nɔ gɛt puls ɔltɛm?

Nɔ, i nɔ kin apin da we de ɔltɛm. vεntrikul takikardia na eni kכndyushכn we di vεntrikul dεm na di at de bit fast pas 100 bit pan minit. Nɔmal wan, pɔsin we gɛt wɛlbɔdi in at kin bit bitwin 60 ɛn 100 tɛm insay wan minit we i de rɛst.

di siriכs fכ dis ``(Ventricular Tachycardia)`` na difrεn tin dεm de sho am:

• Aw di at de bit fast fast.
• Aw lɔng dis rɔpid puls go las?
• Aw ɔltɛm dis tin kin apin?

Bɔku tɛm dɛn kin trit Ventricular Tachycardia. Bɔt if dɛn nɔ kɔntrol am, ɔ if i apin to pɔsin we gɛt ɔda at prɔblɛm, i kin wɔs ɛn divɛlɔp to Pulseless Ventricular Tachycardia.

Aw dis sik kin kɔmɔn?

Fɔ tru, dis nɔto sik we de ambɔg ɔlman. Bɔt, wi no se na kɔntri lɛk Amɛrika, na lɛk 350,000 pipul dɛn kin day ɛvri ia bikɔs dɛn at kin day wantɛm wantɛm, mɔ di wan dɛn we dɔn pas 35 ia? bכku pan dεn day dεm de kכz fכ abnכmal at ritm na di vεntrikl dεm (ventricular arrhythmias). So, dis nɔto sɔntin we pɔsin kin tek am layt.

Aw dis at bit kwik kwik wan kin apin if yu nɔ gɛt puls?

Wi at de bit bay we i de yuz wan rili kɔmpleks sistɛm we gɛt ilɛktrik impuls. Jɔs lɛk di waya sistɛm na os, dɛn ilɛktrik impuls ya kin travul tru di at insay wan patikyula rod, ɛn dis kin mek di at in pat dɛn kɔntrakt ɔdasay.

Imajin, wetin yu go du if sɔntin rɔng along di rod fɔ dɛn ilɛktrik signal dɛn ya, ɔ if nyu signal stat na di rɔng ples? Na da tɛm de di at kin bigin fɔ bit krayzi fast ɛn i nɔ kin de ɔltɛm. `(Pulseless Ventricular Tachycardia)` na difεkt na di ilektrikal signal sistεm.

Wetin na di rizin dɛn we mek dɛn de du dis?

Bɔku rizin dɛn de we mek di at in ilɛktrik sistɛm kin ambɔg. Bɔrku tɛm, di men tin wae kin mek yu gɛt dis sik na ɔda strɔkchɔral at sik dɛm. Sɔm pan dɛn na:

• Valvular hat sik: Prɔblɛm wit di valv dɛm we de wok lɛk domɔt na di at.
• Cardiomyopathy: Na sik we de mek di at mɔsul wik ɔ tik.
• Koronari at sik: Di korona at we de gi blɔd to di at de smɔl ɔ blok.
• Hat atak (`myocardial infarction`): Dis na we wan pat pan di hat de damej.
• At nɔ de wok fayn: Na tin we de mek di at nɔ ebul fɔ pɔmp blɔd fayn fayn wan.

Apat frɔm dɛn tin ya, ɔda rizin dɛn kin de:

• jεnεtik sik dεm we de afekt di at ritm: fכ egzampl, kכndishכn dεm lεk `Long QT syndrome` εn `Brugada syndrome`.
• Sɔm mɛrɛsin dɛn: Fɔ ɛgzampul, di antibayɔtik we dɛn kɔl ɛrythromycin ɔ di mɛrɛsin dɛn we de mek pɔsin fil pen lɛk mɛtadɔn. Dɛn tin ya kin afɛkt di ilɛktrik wok we di at de du.
• di ilektrolayt imbalans na di bכdi: If di sכlt dεm na wi bכdi, lεk sכdiכm εn potashכm, inkrεs כ dכn, i kin afekt di wok we di at de du.

Wetin na di sayn dɛm fɔ dis sik?

we pɔsin gɛt ``Pulseless Ventricular Tachycardia'', dat na we di at de bit kwik kwik wan we i nɔ gɛt puls, da pɔsin de:

• Fɔ bi pɔsin we nɔ no natin.
• Nɔ de ansa ɛnitin (`Unresponsive`).
• Witout wan puls we yu nɔ gɛt.

Dis na di stej we denja pas ɔl. Bɔt bifo yu rich dis stej, we di at bigin fɔ bit kwik kwik wan (Ventricular Tachycardia), sɔm sayn dɛn lɛk dis kin apin:

• Chɛst de pen ɔ tayt.
• Diziz we pɔsin kin gɛt.
• Fɔ fil lɛk se yu at de bit fast ɛn yu chɛst de paund (`Heart palpitations`).
• Fɔ fil layt-hɛd ɛn fɔdɔm (`Lightheadedness`).
• Shot we yu de blo.

If yu ɔr pɔrsin wae yu sabi gɛt dɛn kayn sik ya, nɔr ignore dɛm. I impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Aw yu kin no bɔt dis? (`Diagnosis`) .

infakt, `(Pulsless Ventricular Tachycardia)` na `mεdikal imejensi`. So, nɔto ɔltɛm tɛm de fɔ mek yu no di sik kɔrɛkt wan bifo yu kɛr pɔsin go na ɔspitul. If pɔsin nɔ no natin wantɛm wantɛm, ɛn puls nɔ de we yu de chɛk fɔ si if i gɛt puls, yu fɔ kɔl di 1990 ambulans savis wantɛm wantɛm ɛn if i pɔsibul, yu fɔ bigin `CPR (Cardiopulmonary Resuscitation).` Dis min se yu fɔ prɛs di chɛst ɛn gi yu mɔt-to-mɔt briz.

Afta dɛn dɔn kɛr dɛn go na ɔspitul, di dɔktɔ dɛn kin du ECG ɛn ɔda tɛst dɛn fɔ no if pɔsin gɛt dis sik.

Wetin na di tritmɛnt dɛm fɔ dis?

If dis kayn imejensi apin ausayd ɔspitul, di fɔs tin fɔ du na fɔ du CPR bay di wan dɛn we de wok na di ambulans ɔ pɔsin we dɛn dɔn tren. Pantap dat:

• Defibrillation: Yu go mɔs dɔn si am na fim, usay yu kin gi shɔk to di chɛst. Na dat de stɔp di at bit we nɔ de ɔltɛm ɛn tray fɔ mek i bit nɔmal wan bak.
• supliment oksijεn: I de mek di כksijεn lεvεl na di bכdi go כp.
• Fɔ gi yu mɛrɛsin: Dɛn kin gi mɛrɛsin fɔ mek yu blɔd prɛshɔn go ɔp ɛn fɔ mek yu at rit fayn.

Di men gol na fɔ mek di at bit nɔmal wan bak kwik kwik wan. Dɔn, dɛn kin asɛs di bɔdi fɔ ɛni damej we di imejensi dɔn mek. Fɔ mek i nɔ pwɛl, mɔ di bren, sɔm tɛm dɛn kin yuz di tritmɛnt we dɛn kɔl haypotɛmia. If dis na bikɔs ɔf at atak, dɛn kin trit dis bak kwik kwik wan.

Fɔ sɔm pipul dɛn, dɔktɔ dɛn kin se dɛn fɔ yuz smɔl tin we dɛn kɔl Implantable Cardioverter Defibrillator (ICD) we dɛn kin put ɔnda di skin fɔ wach aw dɛn at de bit ɛn if nid de, fɔ kɔrɛkt di ritm bay we dɛn de gi dɛn ilɛktrik shɔk. Dis ICD tan lɛk tin we de kip layf fɔ di at. I de wach di at in ritm 24/7 ɛn if i si prɔblɛm, i de gi shɔk fɔ kɔrɛkt am. Stɔdi dɔn sho se dɛn tin ya kin rili wok fɔ ridyus di day we di at kin day wantɛm wantɛm.

Aw wi go protɛkt wisɛf frɔm dis denja? (Prɛvenshɔn) .

Di bɛst tin fɔ du na fɔ tray fɔ mek dis tin nɔ apin bifo i apin. Fɔ fala ``at-hɛlth layf stayl`` kin protɛkt yu frɔm bɔrku at sik dɛm. Na sɔm tin dɛn we yu kin du fɔ du dis:

• Fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi: Fɔ it tin dɛn we nɔ gɛt bɔku sɔl, ɔyl, shuga, ɛn kɔlɔstrel, ɛn we gɛt bɔku frut ɛn vɛjitebul.
• Fɔ kɔntrol strɛs: Kip yu maynd rilaks tru tin dɛn lɛk fɔ tink gud wan ɛn tin dɛn we yu lɛk fɔ du.
• Ɛksesaiz ɔltɛm: Sɔntin lɛk fɔ waka, rɔn, ɔ swim fɔ at le 30 minit insay di de.
• Fɔ stɔp fɔ drink rɔm ɛn fɔ yuz kafinɛ pasmak.
• Fɔ mek yu gɛt wɛlbɔdi bɔdi wet.
• If yu gɛt sik dɛn lɛk blɔd prɛshɔn ɛn dayabitis, kɔntrol dɛn fayn fayn wan.
• Fɔ lɛf fɔ smok ɛn fɔ smok kpatakpata.

Aw yu go ebul fɔ avɔyd dis if yu dɔn ɔlrɛdi gɛt at sik?

If yu dɔn gɛt at sik, nɔ panik. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in tritmɛnt plan di rayt we. Tek yu mɛrɛsin dɛn di rayt tɛm, ɛn go to yu dɔktɔ ɔltɛm fɔ mek dɛn chɛk yu. If yu du dɛn tin ya kɔrɛkt wan i kin ridyus di risk fɔ mek yu at sik wɔs ɛn gɛt wan denja kɔndishɔn lɛk `(Pulseless Ventricular Tachycardia)`.

Wetin na de prognosis fɔ pɔrsin wae gɛt dis sik? (Prɔgnosis) .

Infakt, di prɔgnosis de sho aw lɔng i tek fɔ mek di at stɔp fɔ bit ɛn di puls fɔ kam bak. If i let pas 15 minit, di chans fɔ liv kin ridyus to 5%. Dat min se ɛni sɛkɔn valyu. Na dat mek wi se, if pɔsin fɔdɔm ɛn nɔ no natin, du sɔntin wantɛm wantɛm.

Wetin na di sayd ɛfɛkt dɛm we dis kin gɛt? (Kɔmplikeshɔn dɛn) .

If di at stɔp fɔ bit ɛn kɔt di blɔd we de go na di bren fɔ pas 3-5 minit, di bren kin pwɛl fɔ ɔltɛm. Apat frɔm dat, ɔda prɔblɛm dɛn kin apin we kin mek pɔsin in layf de pan denja. Dɛn tin ya na:

• At we nɔ de wok fayn.
• כda כgan dεm we de fεil (`Organ failure`) - lεk di kidni dεm εn di liva.
• Di prɔblɛm we pɔsin kin gɛt we i de blo.
• Blɔd kin klɔt ɔlsay na di bɔdi.

Yu mɛdikal tim go du dɛn bɛst fɔ mek dɛn nɔ gɛt dɛn prɔblɛm ya ɛn ɛp yu fɔ wɛl kwik kwik wan.

Ustɛm yu fɔ go to dɔktɔ?

Di simptom dɛm fɔ `(Ventricular Tachycardia)` we dɛn bin dɔn tɛl yu bɔt bifo tɛm, dat na:

• Chɛst de pen
• Diziz we pɔsin kin gɛt
• Fɔ fil lɛk se yu at de bit fast fast
• Fɔ fil lɛk se yu nɔ gɛt bɛtɛ ed ɛn yu de fɔdɔm
• I nɔ kin izi fɔ yu fɔ blo

If yu gɛt sɔntin lɛk dis, nɔ ignore am. Go to dɔktɔ wantɛm wantɛm. biכs i kin bi sayn fכ wan denja kכndyushכn we dεn kכl `(Pulseless Ventricular Tachycardia)`.

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

`(Pulseless Ventricular Tachycardia)` na wan sik we rili siriɔs, we de mek pɔsin in layf de pan denja. I nid fɔ gɛt tritmɛnt kwik kwik wan. Pan ɔl we di chans fɔ mek i wɛl nɔ bɔku, na sik we pɔsin kin ebul fɔ avɔyd.

Di tin we impɔtant pas ɔl na fɔ fala di we aw yu de liv yu at. If yu gɛt ɛni at sik, fala yu dɔktɔ in advays ɛn go de chɛk yu ɔltɛm. If yu gɛt ɛni kwɛstyɔn ɔr dawt bɔt yu at wɛl bɔdi, nɔr frayd fɔ tɔk to yu dɔktɔ. Na in na di bɛst pɔsin we de gayd yu.

So, lɛ wi ɔl tek kia ɔf wi at. Lɛ wi kɔntinyu fɔ gɛt wɛlbɔdi!

`Pulseless Ventricular Tachycardia, At palpitations, Hat bit kwik kwik wan, Pulseless, Kadyak arɛst wantɛm wantɛm, CPR, Defibrillation, At sik