Sɔntɛnde, yu kin fil lɛk se yu ed de tɔn, yu chɛst de bit, ɔ yu kin fil lɛk se yu nɔ de no natin fɔ natin? Pan ɔl we wi kin tink se dɛn tin ya na nɔmal tin, sɔntɛnde, i kin gɛt mɔ siriɔs rizin biɛn dɛn sik ya we wi nɔ no. Tide wi de tɔk bɔt wan kayn hat sik wae nɔr kin bɔrku, bɔt kin kin rili impɔtant. Dat na Short QT Syndrome, ɔ SQTS fɔ shɔt.
Fɔ tɔk am simpul wan, wetin na Short QT Syndrome (SQTS)?
Short QT Syndrome (SQTS) na wan sik wae nɔr kin bɔrku, wae gɛt jεnεtik at kכndyushכn. Dis na we wi at nɔ kin rit ɔltɛm. Fɔ tɔk am simpul wan, afta wi at dɔn bit wan tɛm, i kin tek shɔt tɛm fɔ blo fɔ rɛdi fɔ di nɛks bit. I tan lɛk se dɛn de pul rɔba ɛn afta dat dɛn fri am, dɔn i snap bak na in ples. Na pɔrsin wae gɛt SQTS, dis brek, ɔr wɛl bɔdi kin apin kwik ɔr shɔt pas nɔrmal pɔrsin.
dis na wetin wi mεdikal wan dεn kכl "shortening of the QT interval" fכ di at. dis rεpiditi kin mek sכm prכblεm dεm na di at in ilektrikal signal sistεm, we kin mek di at in ritm nכ de rεgεl. Wi kin kɔl dis ``arithmia''. Dis kin mek yu gɛt diziz, yu kin fɔdɔm, ɛn yu kin gɛt pen na yu chɛst. Sɔm kayn bad bad tin ya, di at kin ivin stɔp fɔ bit wantɛm wantɛm (cardiac arrest). So, i rili impɔtant fɔ mek wi no bɔt dis.
Lɛ wi ɔndastand ɛksaktɔli wetin na di QT intaval?
Yu dɔn ɛva du ECG tɛst? Yu go si wan layn grafik na di ripɔt we de go ɔp ɛn dɔŋ. Na so dɔktɔ dɛn kin mɛzhɔ di ilɛktrik wok we wi at de du. Tink bɔt ECG (Electrocardiogram) lɛk mashin we de rayt di ilɛktrik signal dɛn na wi at.
Wi at de bit bay we i de yuz ilɛktrik signal. di כp chεmba dεm (atria) εn di lכw chεmba dεm (mitra) na di at kin kכntrakt εn pכmp bכdi biכs fכ dεn ilektrikal signal dεm ya. dis prכsεs de rεprεsεnt bay di P, Q, R, S, εn T wev dεm pan ECG.
- P wev: dis de kכmכt we di כp chεmba dεm na di at (atria) kכntrakt.
- QRS komplex: dis kin apin we di lכw chεmba dεm (sεl dεm) na di at kin kכntrakt.
- t wev: dis kin apin we di vεntrikl dεm de kam bak to nכmal εn de pripia fכ di nεks kכntrikshכn.
di "QT intaval" na di tεm frכm di biginin fכ di QRS kכmpleks to di εnd fכ di T wev. dis de mכsu aw lכng i tek fכ di lכw chεmba dεm na di at fכ kכntrakt εn afta dat dεn rilaks bak fכ kam bak to nכmal.
nכmal wan, di QT intaval fכ hεlty pכsin de bitwin 0.35 εn 0.45 sekכnd. Bɔt pan pɔsin we gɛt SQTS, dis tɛm nɔ rich 0.34 sɛkɔn. Dis min se di at kin pripia fɔ di nɛks bit fast fast pas aw i bin de tink.
Wetin na di difrɛns bitwin Long QT ɛn Short QT?
Dis impɔtant bak fɔ yu. Wan sik de we dɛn kɔl Short QT ɛn bak Long QT Syndrome.
- Short QT Syndrome (SQTS): di QT intaval na abnכmal sכt (lεs dan 0.34 sekכnd). Di at kin wɛl tumɔs kwik kwik wan .
- Long QT Syndrome (LQTS): di QT intaval de abnכmal lכng (i pas 0.45 sekכnd). Di at kin tek lɔng tɛm fɔ mek i wɛl.
Dɛn tu tin ya kin mek yu at ritm prɔblɛm.
Udat kin gɛt dis sik? Wetin na di tin dɛn we kin mek i apin?
SQTS na wan kɔndishɔn we nɔ kin apin so ɔltɛm . No rayt statystik nɔ de fɔ no ɔmɔs pipul dɛn na di wɔl gɛt am. Na sik we pɔsin kin gɛt we i kam pan jɛnɛtiks. Dis min se dɛn kin gɛt am frɔm mama ɛn papa to pikin dɛn. Ɔ i kin apin to pɔsin we nɔ gɛt ɛni famili histri, as nyu jin muteshon.
Sɔm stɔdi dɔn sho se bɔku tɛm dɛn sik ya kin apin insay di fɔs ia we pikin dɔn liv. Dɔn, di sik kin kam bak we pɔsin big, we i ol bitwin 20 ɛn 40 ia.
Wetin na di men sayn dɛm fɔ dis?
Nɔto ɔlman we gɛt SQTS go gɛt di sik. Sɔm pipul dɛn kin liv nɔrmal layf ɛn nɔr kin gɛt ɛni sayn. Bɔt if di sayn dɛn kin apin, dɛn kin tan lɛk dis.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| Atrial Fibrilɛshɔn (AFib) . | Dis na di sayn wae kin kam pan pɔrsin. di ilektrikal signal dεm we de na di כp chεmba dεm na di at (atria) kin disrupt, we kin mek di at de bit bכku bכku wan εn i nכ de bit rεgulεr. |
| Di at we de blo | Fɔ fil lɛk se yu at de bit lawd wan ɛn kwik kwik wan, ɔ lɛk se sɔntin de flɔt insay yu chɛst. |
| Diziz ɛn Faint | We di at nɔ de wok fayn, di blɔd we de flɔ na di bren kin go dɔŋ. Dis kin mek yu gɛt diziz, yu yay blu, ɛn nɔr kin no natin (syncope). |
| Wan Kadyak Arest Wantɛm wantɛm | Dis na di sik we siriɔs ɛn denja pas ɔl. di at kin stכp fכ bit wan wan bikoz fכ di denja ritm disturbans dεm na di lכw chεmba dεm na di at (ventricular fibrillation כ ventricular tachycardia). Dis na imejensi we nid fɔ gɛt tritmɛnt kwik kwik wan. |
I sɔri fɔ no se sɔm pipul dɛn (lɛk tu pan fayv pipul dɛn) kin fɔs no se dɛn gɛt SQTS afta dɛn dɔn gɛt at atak wantɛm wantɛm.
Aw fɔ no di sik?
If yu gɛt dɛn sik ya, yu dɔktɔ go aks yu fɔs bɔt yu sik ɛn chɛk yu. Dɔn, if dɛn sɔprayz se yu gɛt SQTS, dɛn go ɔda dɛn tɛst ya:
- ECG (Electrocardiogram): Dis na di tɛst we impɔtant pas ɔl. I de mɛzhɔ yu QT intaval. If i nɔ rich 0.34 sɛkɔn, ɛn if yu gɛt ɔda sayn dɛn, dɛn kin sɔprayz se yu gɛt SQTS.
- Jεnεtik Tεst: Dis kin kכnfכm if jεnεtik mכtεshכn dεm de we de mek SQTS.
Di tin we impɔtant pas ɔl na dat jɔs bikɔs di QT intaval pan ECG dɔn shɔt smɔl, dɛn nɔ kin se ɔlman gɛt SQTS. Wi nɔ go ebul fɔ tɔk bak se risk de fɔ mek yu at stɔp wantɛm wantɛm. Di diagnosis fɔ rili bi bay dɔktɔ we gɛt ɛkspɛriɛns pan dis eria.
Aw dɛn kin trit am?
SQTS na wan dɔktɔ we de mɛn dɛn at de trit am. Bɔku tritmɛnt dɛn de we yu kin gɛt. Yu dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu sik.
1. Implantable Cardioverter Defibrillator (ICD): Dis na smɔl tin. Dɛn kin ɔpreshɔn am ɔnda di skin na di chɛst nia di at. I tan lɛk smɔl tin we de protɛkt di at. Dis mashin de wach aw di at de rit ɔltɛm. If wan ritm we denja ɛn we nɔ de ɔltɛm apin, i kin no am ɛn gi smɔl ilɛktrik shɔk to di at, ɛn dis kin mek di ritm kam bak. Dis na di tritmɛnt we dɛn kin abop pan pas ɔl fɔ big pipul dɛn.
2. Mεdikeshכn dεm: Dεn de gi anti-arithmia dεm we dεn kin gi fכ kכntrכl di at ritm. fכ egzampl, wan dכg we dεn kכl kinidin de εp fכ nכmal di QT intaval. Yu dɔktɔ kin gi yu ɔda mɛrɛsin dɛn bak, lɛk beta-blɔka.
Aw dis tin we de apin kin afɛkt yu layf?
Dis na sɔntin we rili impɔtant. Sɔm pipul dɛm wae gɛt SQTS kin gɛt risk fɔ day kwik kwik wan. Dɛn se dis risk kin rili ay bitwin di ej dɛm we de bitwin 0-1 ɛn 20-40 ia. We dis sik afɛkt di pikin we dɛn jɔs bɔn, sɔm tɛm dɛn kin kɔl am Sudden Infant Death Syndrome (SIDS).
Bɔt dis nɔ min se ɔlman we gɛt SQTS gɛt dis risk.
Bɔrku pipul dɛn kin liv nɔrmal, wɛl bɔdi layf wit di rayt tritmɛnt (especially ICD implantation) ɛn fala dɛn dɔktɔ in instrɔkshɔn. Sɔm pipul dɛn nɔr kin ɛva gɛt dis sik. Bikɔs dis na tin we nɔ kin apin so ɔltɛm, dɛn stil de du risach. So di bɛst tin we yu go du na fɔ tɔk to yu dɔktɔ we de mɛn yu at ɛn manej yu layf di we we go fit yu sik.
Wi go ebul fɔ avɔyd dis prɔblɛm?
Bikɔs SQTS na jɛnɛtik kɔndishɔn, no we nɔ de fɔ mek wi nɔ apin. Na sɔntin we wi nɔ ebul fɔ kɔntrol.
Bɔt if dɛn no se yu gɛt SQTS, di bɛst tin we yu go du na fɔ go to yu dɔktɔ we de mɛn yu at ɔltɛm ɛn go de chɛk yu ɔltɛm. I go de wach yu at wɛlbɔdi ɔltɛm ɛn gi yu di advays ɛn tritmɛnt we yu nid fɔ mek yu nɔ gɛt siriɔs prɔblɛm dɛn lɛk we yu at go stɔp wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Short QT Syndrome (SQTS) na wan jεnεtik kכndyushכn we rili rεs we de mek di at ritm de fast abnכmal.
- Sɔm sayn dɛm lɛk fɔ gɛt diziz, fɔ fɔdɔm, ɛn fɔ fil pen na yu chɛst. Sɔm bad bad tin dɛn kin apin bak we di at kin stɔp wantɛm wantɛm.
- Dɔktɔ kin no dis sik tru ECG tɛst ɛn jenɛtik tɛst.
- Dis kכndyushכn kin kכmכt fayn fayn wan wit ICD divays implantεshכn εn mεdikeshכn.
- If yu gɛt dis sik ɔr gɛt dɛn kayn sik ya, nɔr frayd fɔ go to dɔktɔ we de mɛn yu at ɛn gɛt advays. If yu de manej yu fayn fayn wan, yu go ebul fɔ liv nɔmal layf.
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