Yu at de bit ɔltɛm? Lɛ wi tɔk bɔt Sik Saynɔs Sindrom!

Yu dɔn ɛva fil lɛk se yu at de bit aut ɔf di sink? Sɔntɛnde i kin bit fast fast, ɛn ɔda tɛm dɛn i kin bit fast we pɔsin nɔ go biliv. If yu gɛt dis strenj filin, ɔr if pɔrsin wae de nia yu gɛt dis prɔblɛm, i impɔtant fɔ no bɔt dis sik wae wi de tɔk bɔt tide, wae dɛn kɔl Sick Sinus Syndrome. Nɔ wɔri, lɛ wi tɔk bɔt am simpul wan.

Fɔ tɔk am simpul wan, wetin na Sik Sayn Sindrom?

Tink bɔt wi at lɛk wan grup we de ple myuzik. fכ gi dis ensambl di rayt ritm, dat na fכ mek di at bit fayn, wan sכm nכchral ‘pacemaker’ de. insay mεdikal, wi kin kכl dis di sinoatrial node, כ `SA node`. fכ bi prεsis, dis na di men ilektrikal signal we de tεl di at fכ "bit naw."

naw, insay dis kכndishכn we dεn kכl `Sick Sinus Syndrome`, wetin de apin na di hat in nεchכral pesmaker, di `SA node`, de stכp fכ wok fayn fayn wan. I nɔ ebul fɔ kip di ritm rayt. Dis kin bi mɔ bikɔs ɔf sɔm tin dɛn:

• wan at rit we de slo bad bad wan: dεn kכl dis ``bradycardia''. Di at rit kin slo pas aw i kin bi.
• Alternating between fast and slow: Sɔntɛnde di at kin bit fast fast, dɔn wantɛm wantɛm i kin bigin fɔ bit rili slo bak. Dɛn kin kɔl dis bak ``tachy-brady syndrome``.
• di at bit de stכp fכ sכm tεm: sכmtεm di SA node kin stכp fכ sεnd eni signal fכ lεk tri sεkכnd. Wi kin kɔl dis sayn pɔz ɔ arɛst. Dis tɛm, ɔda pat na di at kin tray fɔ sɛn sayn. Bɔt if dat nɔ wok, yu kin fɔdɔm ɛn nɔ no natin igen.

Dis sik nɔr kin bɔrku, bɔt di chans fɔ mek i apin kin bɔku wit di ej.

Wetin na di sayn dɛm fɔ dis sik?

Bɔrku tɛm, nɔr kin gɛt ɛni sayn fɔ dis sik fɔs. Bɔt if di sayn dɛm apin bikɔs ɔf di at rit we nɔrmal ɔr ay, dɛn kin tan lɛk dis:

Wetin mek dis tin kin apin?

Sɔmtɛm e nɔr kin izi fɔ fɛn rizin fɔ dis, bɔt sɔm tin dɛn de we dɛn no se kin mek dis sik.

• Ej (most common cause): As wi de ol, lεk כltin na wi bכdi, di at in ilektrikal signal sistεm εn di SA node kin wik sכmtεm.
• Hat ɔpreshɔn: di SA node kin pwɛl we dɛn de du di at ɔpreshɔn.
• Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn, at bit we nɔ de bit ɔltɛm (arithmias) (e.g., beta-blɔka, kalsiɔm chanɛl blɔk) kin mek dis sik.
• Ɔda sik dɛn we pɔsin kin gɛt:Dis kin kam bak wit tin dɛm lɛk at sik, at mɔsul dɛm we wik (cardiomyopathy), ɛn tin dɛm we kin apin afta at atak.
• Ɔda sik dɛm we de afɛkt di bɔdi: Sik dɛm lɛk `(Sarcoidosis)` ɛn `(amyloidosis)` kin afɛkt di at bak.
• Prɔblɛm dɛn we dɛn kin bɔn wit: Sɔm pipul dɛn kin bɔn wit dɛn kayn at prɔblɛm ya.

Udat de pan big risk fɔ gɛt dis sik?

Yu kin gɛt smɔl risk fɔ gɛt dis sik if yu:

• If yu dɔn pas 70 ia.
• If dɛn dɔn du ɔpreshɔn pan yu at bifo tɛm.
• If yu de yuz sɔm mɛrɛsin dɛn, lɛk aw wi bin dɔn tɔk bɔt.
• If yu gɛt dayabitis ɔ yu gɛt ay blɔd prɛshɔn.
• If yu dɔn gɛt ɔda mɛrɛsin lɛk rεumatik fiva.
• If tin dɛn de we kin mek pɔsin gɛt jɛnɛtiks.

Yu nɔ tink se dɛn go ebul fɔ ridyus di prɔblɛm?

Wi nɔ kin rili ebul fɔ kɔntrol tin dɛn lɛk jin ɛn ol. Bɔt tin dɛn de we wi kin du. Di tin we impɔtant pas ɔl na fɔ kia fɔ yu at gud gud wan. If yu gɛt tin dɛn lɛk dayabitis ɔ ay blɔd prɛshɔn, kɔntrol dɛn fayn fayn wan. Tɔk to yu dɔktɔ ɔltɛm ɛn aks bɔt di prɔblɛm dɛn we di mɛrɛsin dɛn we yu de tek kin gɛt.

Aw dɛn kin du di diagnosis?

We yu go to dɔktɔ, i go fɔs lisin to di sayn dɛn we yu gɛt ɛn afta dat i go chɛk yu bɔdi. Fɔ kɔnfirm dis kɔndishɔn, klia link fɔ de bitwin yu simptom dɛm ɛn di at rit we de slow slow (bradycardia).

Di dɔktɔ kin du bɔku tɛst fɔ dis:

• ECG (Electrocardiogram): Dis de tɛst di ilɛktrik wok we di at de du.
• Blɔd tɛst: Chɛk fɔ ɔda tin dɛn we kin mek yu gɛt prɔblɛm, lɛk we di minral (ilɛktrɔlayt) dɛn we de na di bɔdi nɔ balans.
• Hat rate monitor: Dɛn kin gi yu smɔl divays fɔ wɛr na os fɔ 24 awa ɔ mɔ. Dis go rikodɔ yu at rit ɔl di de.
• Ilɛktrofisiɔlɔji stɔdi (EP stɔdi): Sɔntɛnde, dɛn kin du spɛshal tɛst we de chɛk di ilɛktrik rod dɛn na di at na ɔspitul.

Wetin na di tritmɛnt dɛn? Na sɔntin we wi fɔ fred?

Natin nɔ de fɔ wɔri bɔt atɔl. Gud tritmɛnt dɛn de fɔ dis. Di tritmɛnt dipen pan if yu gɛt di sik ɔ yu nɔ gɛt di sik.

• If yu nɔr gɛt ɛni sayn: If yu nɔr gɛt ɛni sik, sɔntɛm yu nɔr nid ɛni tritmɛnt. Yu dɔktɔ go de wach yu.
• If na mɛrɛsin mek am:If di kɔz fɔ dis sik na wan mɛrɛsin we yu de tek, yu dɔktɔ kin ebul fɔ chenj di mɛrɛsin ɔr ridyus di doz.
• If sɔm sayn dɛn de: If sɔm sayn dɛn de lɛk fɔ mek yu ed de tɔn ɛn taya pasmak, di tritmɛnt we dɛn kin yuz mɔ na fɔ put pɔsin we de mek yu peshɛnt we go de sote go.

Wetin na dis pesmɛka?

Dis na wan rili smɔl tin we dɛn kin yuz batri fɔ wok. Dɛn kin ɔpreshɔn am ɔnda di skin na yu chɛst tru wan rili smɔl say we dɛn kɔt am. I de kɔntinyu fɔ wach yu at rit. If yu at rit tu fast, di pesmaker kin sɛn smɔl ilɛktrik signal fɔ ɛp yu at fɔ bit nɔmal wan. Dis kin ɛp fɔ mek yu nɔ gɛt di sik dɛn we yu de gɛt ɔlmost ɛn alaw yu fɔ liv nɔmal layf.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm.

• If yu fil se yu nɔ gɛt bɛtɛ maynd ɛn yu nɔ de no natin, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dis na sɔntin we nɔ fɔ delay.
• If yu gɛt di sayn dɛm we wi bin dɔn tɔk bɔt (diziz, chɛst pen, at fɔ blo), go to yu dɔktɔ wantɛm wantɛm.
• If yu dɔn ɔlrɛdi gɛt pesmɛka we dɛn put insay yu bɔdi ɛn yu tink se prɔblɛm de wit am (e.g., yu de swel, yu de fil pen na di say we yu put am, ɔ yu gɛt ol simptom dɛn we de kam bak), tɔk to yu dɔktɔ.

I fayn bak fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Wetin yu tink se de mek dis tin apin to mi?
• A go nid pɔsin we de mek pɔsin in peshɛnt?
• If a gɛt pesmɛka, ɔmɔs tɛm dɛn nid fɔ chɛk mi?

Dis sik kin wɔs as tɛm de go. So, i rili impɔtant fɔ go to dɔktɔ di tɛm we dɛn dɔn sɛtul fɔ chɛk-ap. Da we de, dɛn kin no ɛni chenj kwik kwik wan ɛn gi dɛn di tritmɛnt we dɛn nid.