Sɔdɛn Aritmik Day Sindrom (SAD) .

Yu dɔn ɛva yɛri bɔt pɔsin we bin yɔŋ ɛn gɛt wɛlbɔdi ɛn day wantɛm wantɛm? Yu dɔn ɛva tink bɔt aw dat go apin? Sɔntɛnde, i kin bi bikɔs ɔf wan sik we wi go tɔk bɔt tide we dɛn kɔl Sudden Arrhythmic Death Syndrome (SADS) . Dis na tin we rili siriɔs, bɔt i impɔtant fɔ no bɔt am.

Wetin na Sɔdan Kadyak Day Sindrom (SADS)?

Fɔ tɔk am simpul wan, dis na at prɔblɛm. Bɔku tɛm, na sɔntin we yu kin gɛt , we min se dɛn kin pas am frɔm wan jɛnɛreshɔn to ɔda jɛnɛreshɔn. Wetin kin apin pan dis na dat prɔblɛm de wit di ilɛktrik sistɛm na yu at. Tink bɔt am, wi at de wok lɛk smɔl jenɛra. Na di ilɛktrik signal dɛm we de mek di at bit fayn fayn wan. So, we prɔblɛm de wit dis sistɛm, di at in ritm kin bi abnɔmal . If dɛn nɔ trit dis fayn, yu kin ivin gɛt fɔ day wantɛm wantɛm. Na dat mek i denja.

Wetin na di men kayn SADS?

Bɔku kayn SADS de. Ɛni wan pan dɛn gɛt smɔl difrɛns. Lɛ wi luk sɔm pan di men kayn dɛn:

• Brugada sεndrכm: Dis na kכndyushכn we di lכw chεmba dεm na di at we dεn kכl atria, de divεlכp di at bit kwik kwik wan we nכ de bit (polymorphic ventricular tachycardia).
• Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT): dis na kכndyushכn bak we di at sεl dεm de bit kwik εn i nכ de bit. Dis kכndyushכn kin apun spεshal wan wae yu de tray tranga wan na yu bכdi כ wae yu de strεs na yu maynd.
• Long QT syndrome (LQTS): Dis na we yu at mɔsul de tek lɔng tɛm fɔ rɛdi fɔ di nɛks bit, dat na fɔ richaj (ripolarize ɔ richaj). I tan lɛk se batri de tek lɔng tɛm fɔ chaj. if yu luk pan EKG, di difrεns bitwin di Q εn T wev dεm dεn kכl am QT intaval. we dis tεm tu lכng, di at sεl dεm kin bigin fכ bit tu fast (ventricular tachycardia) כ tu irכgεl (ventricular fibrillation).
• Short QT syndrome (SQTS): Dis na di opɔsite fɔ lɔng QT. I min se di at sɛl dɛn kin tek tumɔs tɛm fɔ rɛdi fɔ di nɛks bit. dis kin mek di כp chεmba dεm na di at (atrial fibrillation) de bit rεgulεr, כ di lכw chεmba dεm (ventricular tachycardia) de bit kwik kwik wan, כ fכ shek rεgulεr (ventricular fibrillation).
• Timothy syndrome: Dis na wan sik we nɔ kin apin so ɔltɛm. Na wan kayn lɔng QT sindrom bak.
• Wolff-Parkinsɔn-Wayt sindrom (WPW):dis na we dεn de mek wan εkstra, abnכmal rod fכ ilektrikal signal dεm fכ travul bitwin di כp chεmba dεm (atria) εn di lכw chεmba dεm (mitra). dis na apat frכm di nכmal rod, we kin mek di at bit tu fast (tachycardia).

Aw kɔmɔn dis SADS kɔndishɔn ya?

Dɛn tin ya nɔ kin bɔku, bɔt dɛn nɔ kin de bak. Fɔ ɛgzampul, dɛn se di lɔng QT sindrom (LQTS) we wi bin dɔn tɔk bɔt kin afɛkt lɛk wan pan ɛvri 2,000 pikin dɛn we dɛn jɔs bɔn. Brugada sindrom nɔr kin pasmak, i kin afɛkt less dan 1% pan di pipul dɛm. Di sik we dɛn kɔl CPVT kin afɛkt lɛk wan pan ɛvri tɛn tawzin pipul dɛn.

Bɔt, ɔl togɛda, na lɛk 200,000 pipul dɛn kin day bikɔs dɛn at kin stɔp wantɛm wantɛm (SCA) ɛvri ia na Amɛrika nɔmɔ. Dɛn ripɔt bak se lɛk 4,000 pikin ɛn yɔŋ pipul dɛn kin day pan dɛn SADS kɔndishɔn ya ɛvri ia. So, dat nɔto smɔl tin, nɔto so?

Wetin na di sayn dɛm fɔ SADS?

Pan ɔl we bɔku difrɛn kayn SADS de, sɔm sayn dɛn de we kin apin. Bɔt sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl.

Di sayn dɛn we kin apin:

• Yu kin fɛnɔt ɔr yu kin fil lɛk yu de fil we yu de du ɛksɛsayz, ɔ we yu rili gladi ɔr de fred.
• Chɛst kin pen we yu de du ɛksɛsayz.
• Yu kin gɛt shɔt briz we yu de du ɛksɛsayz.

Naw lɛ wi luk di difrɛn sayn dɛm wae gɛt fɔ du wit ɛni kayn SADS.

Brugada sindrom simptom dɛm

Pan ɔl we bɔku pipul dɛn nɔ kin gɛt dis sik, sɔm kin gɛt:

• Di at kin stɔp, mɔ we yu de slip.
• Fɔ mek pɔsin nɔ ebul fɔ du natin.
• Kɔnvulshɔn we pɔsin kin gɛt.
• Wan we aw pɔsin de blo we nɔmal.

Simptom dεm fכ katekolaminεrjik polimכrfik vεntrikulכr takikadia (CPVT) .

Nɔr sayn nɔr kin de te yu hat atak, bɔt sɔm pipul dɛn kin fil lɛk se dɛn nɔr de fil fayn we dɛn de du ɛksɛsayz.

Simptom dɛm fɔ Lɔng QT Sindrom (LQTS) .

Na lɛk af pan pipul dɛm wae gɛt LQTS nɔr gɛt di sik. Bɔt sɔm pipul dɛn:

• Wan patikyula aritmi we dɛn kɔl Torsades de Pointes kin mek pɔsin gɛt at atak.
• Fɔ mek pɔsin nɔ ebul fɔ du natin.
• Kɔnvulshɔn we pɔsin kin gɛt.

Simptom dɛm fɔ Short QT Syndrome (SQTS) .

Na lɛk 40% pan di pipul dɛm wae gɛt dis sik nɔr kin gɛt ɛni sayn. Bɔt ɔda wan dɛn:

• Di we aw pɔsin de blo .
• Fɔ mek pɔsin nɔ ebul fɔ du natin.
• At atak.

Di sayn dɛn we de sho se pɔsin gɛt Timoti sindrom

Di tin dɛn we wi kin si na dis na:

• Fɔ mek pɔsin nɔ ebul fɔ du natin.
• At atak.
• Sɔntɛnde, finga dɛn we gɛt wɛb ɛn/ɔ fut finga dɛn kin de.
• Divɛlɔpmɛnt biznɛs.

Di simptom dɛm fɔ Wolff-Parkinson-White syndrome (WPW) .

Di sayn dɛm fɔ WPW na:

• Di we aw pɔsin de blo.
• Fɔ fil diziz (layt ed).
• I nɔ kin izi fɔ yu fɔ blo.
• Fɔ mek pɔsin nɔ ebul fɔ du natin.
• Kɔnvulshɔn we pɔsin kin gɛt.

Impɔtant: If yu ɔ pɔsin we yu sabi gɛt wan ɔ mɔ pan dɛn sik ya, yu fɔ rili go to dɔktɔ.

Wetin na di tin dɛn we kin mek pɔsin gɛt SADS?

Bɔku tɛm, we yɔŋ pɔsin day wantɛm wantɛm, ɛn i tan lɛk se in at strɔkchɔ nɔmal we dɛn chɛk am, dɔktɔ dɛn kin tink se dɛn nɔ bin no se dɛn gɛt wan sik we dɛn kɔl aritmia, we na at bit we nɔ de bit ɔltɛm. Bɔku tɛm, di SADS kɔndishɔn dɛn we kin mek dɛn at pwɛl ya, we wi bin dɔn tɔk bɔt, kin pas frɔm mama ɔ papa to pikin . Dat min se dɛn kɔmɔt frɔm jin dɛn. di chans fכ dεn kכndyushכn ya fכ pas dכn to pikin dεm kin difrεn dipכnt pan di jin we involv εn di pat pan di at we de afekt.

Aw dɔktɔ dɛn kin fɛn SADS?

If yɔŋ pɔsin gɛt di sayn dɛn we wi dɔn tɔk bɔt, ɛn if pɔsin na dɛn famili dɔn day wantɛm wantɛm we dɛn nɔ ɛksplen bifo i ol 40 ia, dɔktɔ kin tink se i gɛt SADS. Di we aw dɛn kin no di sik kin difrɛn difrɛn wan bay di kayn SADS.

Di we dɛn we dɛn kin yuz mɔ fɔ no if pɔsin gɛt sik:

• Ilɛktrokardiogram (EKG): Dis de tɛst di ilɛktrik wok we di at de du.
• Jεnεtik tεst: Dis de tεst fכ jεnεtik vεryushכn dεm we de asai wit SADS.
• Trɛdmil strɛs tɛst: Dis de tɛst aw di at de ansa we i de du ɛksɛsayz.
• Catecholamine provocation test: Dɛn kin gi wan spɛshal mɛrɛsin ɛn dɛn kin si aw di at de ansa.
• Holter monitor: Na divays we de kɔntinyu fɔ rikodɔ di at bit fɔ lɛk 24 awa so.
• Echocardiogram: Dis na ɔltra saund skan we de luk aw di at de mek ɛn aw i de wok.
• Fetal ultrasound: dεn kin du dis we di pikin stil de na di bεlε.
• Cardiac catheterization diagnostic test: Na tεst we dεn de put wan tin tכb insay di at.
• ilektrofisiolojikal stכdi: Insay dis stכdi, dεn de pas fayn fayn waya dεm insay di at fכ egzamin di at in ilektrikal sistεm dip wan.

Wetin na di tritmɛnt dɛm fɔ SADS?

Di tritmɛnt dɛn kin difrɛn fɔ di kayn SADS, so i impɔtant fɔ no ustɛm yu gɛt.

Brugada sindrom tritmɛnt

• Implantable cardioverter defibrillator (ICD): Dis na smɔl mashin we dɛn kin put ɔnda di skin. If di at rit nɔ de rit ɔltɛm, i de gi smɔl ilɛktrik shɔk fɔ mek di at rit bak.
• Drug dɛn lɛk Kwinidin .
• Nɔ yuz mɛrɛsin dɛn we de blok di sodium chanɛl dɛn na di at.

Katekolaminεrjik Polimכrfik Vεntrikulכr Takikardia (CPVT) Tritmεnt

• Dɛn kin gi dɛn pipul ya wan kayn mɛrɛsin we dɛn kɔl beta-blockers .
• If nid de, dɛn go put ICD insay pɔsin in bɔdi.

Lɔng QT Sindrom (LQTS) Tritmɛnt

Dɛn kin du dis wit tin dɛn lɛk mɛrɛsin ɔ ɔpreshɔn:

• Beta-blɔk dɛn.
• Wan ICD we dɛn kɔl ICD .
• di lεft kadyak simpatik dεnεvεshכn: Dis na כpεrayshכn we nכ de kכt εn pul sכm pan di כtonom nεv dεm we de go na di at.
• Nɔ yuz sɔm mɛrɛsin dɛn we de mek di QT intaval lɔng pan yu EKG.

Short QT Sindrom (SQTS) Tritmɛnt

Mɛrɛsin ɛn wan tin de fɔ dis:

• Wan ICD we dɛn kɔl ICD .
• Kwinidin we dɛn kɔl.

Di tritmɛnt we dɛn kɔl Timothy syndrome

Dis kin yuz mɛrɛsin ɛn wan tin bak:

• Beta-blɔk dɛn.
• Wan ICD we dɛn kɔl ICD .
• Nɔ yuz mɛrɛsin dɛn we de mek di QT intaval lɔng pan yu EKG.

Wolff-Parkinson-White sindrom (WPW) tritmɛnt

Mɛrɛsin kin ɛp fɔ mek yu nɔ gɛt di sik dɛn we de sho se yu gɛt WPW. Wan tin de bak we dɛn kɔl ablashɔn tɛrapi . Dis kin pwɛl di ɛkstra ilɛktrik rod. Dis kin sɔmtɛm kɔmplit wan fɔ mɛn WPW. Dɔktɔ dɛn kin gi dɛn mɛrɛsin bak we dɛn kɔl antiarrhythmics fɔ ridyus di risk fɔ mek di at nɔ ritm fayn.

Ɛni bad tin de we dɛn tritmɛnt ya kin du?

Yɛs, sɔm tritmɛnt dɛn kin gɛt smɔl smɔl sayd ɛfɛkt dɛn.

• Sɔm pipul dɛn kin gɛt prɔblɛm fɔ telɛ di beta-blɔk we dɛn dɔktɔ gi dɛn.
• Afta dat lef kadyak simpatik denervation ɔpreshɔn:
• Swet we nɔ kɔmɔn.
• Dray an dɛn.
• Di chenj we di tɛmpracha ɔ di kɔlɔ kin chenj na sɔm say dɛn na di fes.
• Bɔt dis ɔpreshɔn kin rili ɛp fɔ mek di layf bɛtɛ.
• Bikɔs di ICD divays de gi ilɛktrik shɔk fɔ mek di at gɛt ritm bak, i kin mek i nɔ fil fayn smɔl. Bak:
• Infεkshכn kin apin.
• Sɔntɛm di divays nɔ go wok fayn.

Aw a go ridyus di prɔblɛm we a gɛt? Yu tink se dɛn kin mek yu nɔ gɛt SADS?

If pɔsin na yu famili gɛt SADS, ɔda pipul dɛn na yu famili fɔ du CPR.If yu no aw fɔ du am, ɛn if yu gɛt Automatic External Defibrillator (AED) na os, i kin bi big kɔmfɔt fɔ pɔsin we gɛt SADS. Bikɔs i fayn fɔ no se sɔmbɔdi de fɔ ɛp we ɛnitin apin we nɔ izi fɔ du.

Pan ɔl we dɛn nɔ go ebul fɔ stɔp SADS ɔltogɛda, if dɛn no se sɔmbɔdi na yu famili gɛt dis sik, i impɔtant fɔ mek dɛn du tɛst fɔ si if dɛnsɛf gɛt di jɛnɛtik muteshon. Yu kin tɔk to yu dɔktɔ fɔ disayd udat fɔ gɛt tɛst. Wae dɛn dɔn no se pɔrsin gɛt dis sik, dɛn kin du tin fɔ protɛkt am, ilɛksɛf na mɛrɛsin ɔr ɔda tritmɛnt.

Wetin go apin to pɔsin we gɛt SADS tumara bambay?

I rili dipen pan us kayn SADS yu gɛt, aw dɛn kin no am kwik, ɛn aw dɛn kin bigin fɔ trit am kwik. Na wan sik wae de kam wae yu de liv yu layf , ɛn sɔmtɛm kin kil pɔrsin .

Bɔt pipul dɛm wae gɛt Wolff-Parkinson-White syndrome (WPW) kin gɛt bɛtɛ tin fɔ si bikɔs ablashɔn tritmɛnt kin kɔrɛkt di prɔblɛm. Pipul wae dɛn kin trit fɔ lɔng QT syndrome (LQTS) kin gɛt bɔrku bɔrku risk fɔ day wantɛm wantɛm. Bɔt bɔku pipul dɛn we kin bɛnifit if dɛn pul di lɛft ventrikul nɔ kin bɛnifit. Na smɔl risach de pan kɔndishɔn lɛk shɔt QT sindrom (SQTS) , bikɔs na wan wan (lɛk 200) pipul dɛn nɔmɔ de we gɛt dis sik.

So, dɛn nid fɔ du mɔ risach fɔ fɛn di bɛst tritmɛnt fɔ ɔlman we gɛt SADS.

If yu put ICD insay yu at, dat kin mek yu at nɔ day wantɛm wantɛm bikɔs i de trit di at ritm dɛn we nɔ fayn. Pan ɔl we i nɔ de mɛn di sik, na fayn we fɔ ridyus di risk fɔ day bikɔs ɔf dɛn sik ya.

If yu gɛt SADS, aw yu kin tek kia ɔf yusɛf?

• If yu dɔktɔ dɔn tɛl yu di mɛrɛsin, tek am jɔs lɛk aw dɛn tɛl yu fɔ tek am, ɛn yu nɔ fɔ mis wan de. Na di sem tin kin apin to pikin we gɛt SADS. Dɛn nid fɔ gi dɛn dɛn mɛrɛsin di rayt tɛm, ɛn i nɔ fayn fɔ lɛ dɛn skip wan doz.
• Aks yu dɔktɔ ɔ fama ɔltɛm bifo yu bigin fɔ tek nyu mɛrɛsin. Bɔrku mɛrɛsin, lɛk kɔmɔn antibayɔtik ɛn anti-nɔse mɛrɛsin, kin miks wit yu at mɛrɛsin. Dɛn kin afɛkt di QT intaval bak, we kin mek di risk fɔ day wantɛm wantɛm pan pɔsin we gɛt lɔng QT sindrom.
• Ɔndastand aw yu (ɔ yu pikin) ICD de wok. Dɔn bak, mek yu dɔktɔ chɛk am ɔltɛm. Sɔm mɛrɛsin ɛn ilɛktronik tin dɛn we yu kin yuz ɛvride kin ambɔg yu ICD fɔ wok. So, no wetin fɔ avɔyd.
• If yu pikin gɛt SADS, aks di dɔktɔ if i kin ple spɔt wit in kɔndishɔn.

Ustɛm yu fɔ go to dɔktɔ? Ustɛm yu fɔ go na di imejensi rum?

If yu gɛt SADS, fɔ chɛk-ap ɔltɛm rili impɔtant. Dis na fɔ mek shɔ se yu de tek di rayt mɛrɛsin. If yu pikin gɛt SADS, i kin nid fɔ ad di doz fɔ di mɛrɛsin as i de gro ɛn gɛt wet. Na dat mek i impɔtant mɔ fɔ mek pikin dɛn de chɛk dɛn ɔltɛm. If yu gɛt ICD, go to yu dɔktɔ tu tɛm insay di ia.

If ɛnitin apin we nɔ izi fɔ du:

• If pɔsin in at nɔ de wok , kɔl 911 (ɔ yu kɔntri in imejensi nɔmba) wantɛm wantɛm ɛn du CPR.
• If yu gɛt ɛni wan pan dɛn sik ya, go na di imejensi rum ɔ kɔl 911 wantɛm wantɛm:
• If yu fil se yu nɔ gɛt bɛtɛ trɛnk, yu ed de tɔn, ɔ yu de blo.
• If yu gɛt pen na yu chɛst wantɛm wantɛm ɔ yu nɔ kin ebul fɔ blo.

Wetin na di impɔtant kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ?

If yu ɔ sɔmbɔdi na yu famili gɛt SADS, i rili impɔtant fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Us kayn SADS a gɛt?
• Us tritmɛnt yu kin advays fɔ mi patikyula kɔndishɔn?
• Yu kin ɛp mi fɔ no udat na mi famili nid fɔ tɛst fɔ dis?
• A nid fɔ gɛt difibrilator?
• Ɛni mɛrɛsin de we a fɔ avɔyd wit mi kɔndishɔn?

Fɔ dɔn, mɛmba dɛn tin ya!

Pan ɔl we SADS na siriɔs sik, fɔ no bɔt am ɛn tek di rayt step kin protɛkt yu ɛn di wan dɛn we yu lɛk. If yu no bɔt di sik we yu gɛt, dat kin ɛp yu fɔ ɔndastand di tin dɛn we yu go ebul fɔ du. Wok wit yu dɔktɔ fɔ disayd us tritmɛnt go fayn fɔ yu ɔr di pɔsin we yu lɛk. Fɔ chɛk-ap ɔltɛm, mɔ if yu gɛt ICD, impɔtant. If yu gɛt AED na os ɛn mek shɔ se ɔlman no aw fɔ yuz am ɛn du CPR, dat kin ɛp yu ɛn yu famili. Nɔ panik, awareness na di bɛst difens.

` Sudden Arrhythmic Death Syndrome, SADS, hat sik, abnכmal hat bit, jεnεtik sik, sכdεn day, ilektrikal sistεm na di at