Siriɔs prɔblɛm de wit di at in ritm? Lɛ wi tɔk bɔt Ventricular Arrhythmia.

Yu dɔn ɛva fil lɛk se yu at de bit tumɔs ɔ yu dɔn skip wan bit? Bɔku pipul dɛn dɔn ɛkspiriɛns dis. Bɔt sɔntɛnde dis nɔrmal ɛn kin bi sayn fɔ siriɔs prɔblɛm wit yu at ritm. fכ egzampl, wi kin kכl vεntrikulכr aritmia di ritm chenj dεm we de apin na di lכw chεmba dεm na di at. Pan ɔl we sɔm pan dɛn tin ya nɔ bad, sɔm kayn dɛn kin mek pɔsin in layf de pan denja.

Aw dis kin afɛkt aw di at de wok?

Fɔ tɔk am simpul wan, yu at tan lɛk pawaful pɔmp we gɛt 4 chɛmba dɛn. di tu sכm chεmba dεm we de tap dεn kכl dεm di atria, εn di tu big, pawaful chεmba dεm we de dכn kכl dεm di vεntrikl dεm.

di rayt vεntrikl de pכmp bכdi to di lכng fכ gεt כksijεn. afta dat di bכdi we gεt כksijεn de go bak na di at, usay dεn de pכmp am to di rεst pat na di bכdi tru di lεft vεntrikl. So yu kin si se di tu lכw vεntrikl dεm de rispansabl fכ pכmp bכdi כlsay na di bכdi .

So if ɛnitin de ambɔg di nɔmal ritm fɔ dɛn sɛl dɛn ya, i kin gɛt siriɔs prɔblɛm dɛn.

• Cardiogenic shock: Dis na wan sik we di at nɔ kin ebul fɔ pamp inof blɔd, we kin mek di bɔdi in ɔgan dɛn nɔ gɛt di ɔksijɛn we dɛn nid.
• Di at kin stɔp wantɛm wantɛm: Dis na we di at kin stɔp fɔ bit wantɛm wantɛm ɛn nɔ wɔn ɛni wan pan dɛn .

Wetin na di men kayn Ventricular Arrhythmia?

Tri men kayn dis sik de. Lɛ wi tɔk bɔt dɛn wan bay wan.

1. Ekstra hat bit (Prεventrikular Kכntrakshכn - PVC dεm) .

Dis na wetin de fil lɛk "ɛkstra bit" na di at. Bɔku tɛm, dɛn nɔ kin du bad . Bɔku pipul dɛn kin gɛt sɔntin lɛk dis sɔm tɛm na dɛn layf. Bɔt if yu dɔn ɔlrɛdi gɛt wan sik we de chenj di shep fɔ yu at, ɔ if yu gɛt dɛn ɛkstra bit ya (PVC) bɔku tɛm ɔ fɔ lɔng tɛm, na sɔntin we fɔ mek yu wɔri.

2. Vεntrikulכr Takikardia (VT) .

Dis na we di lכw chεmba dεm na di at, כ atria, kin bigin fכ bit di rεt we yu nכ kin imajin. Dis kin kam bikɔs di at in ilɛktrik sistɛm nɔ fayn. sכm tεm dεm, dis `Ventricular Tachycardia` (VT) kכndyushכn kin bi mכr siriכs εn tכn to di denja kכndyushכn `Ventricular Fibrillation`, we wi go tכk bכt nεks.

Dɔktɔ dɛn kin sheb dis kayn VT to sɔm ɔda kayn dɛn:

• Fɔ shɔt tɛm ɔ fɔ lɔng tɛm? (Sɔstayn vs. nɔ-sɔstayn):if dis at bit kwik kwik wan de kכntinyu fכ mכr dan 30 sekכnd, dεn kכl am `Sustained VT`. ivin if i stכp fכ less dan 30 sekכnd, if i mek wan kכndyushכn lεk `Cardiogenic shock`, i de fכl insay dis kεtכgrεf bak.
• ECG patεn: dכkta dεn kin luk di ilektrikal aktiviti na yu at wit wan tεst we dεn kכl `Electrocardiography (ECG כ EKG).` Insay dis tεst, dεn kin atak sεvεra sεns dεm na yu chεst εn dεn kin rεkכd wan patεn fכ ilektrikal wev dεm frכm yu at. insay hεlty hat, dεn kכl dis patεn fכ wev dεm `Sinus rhythm.` Insay kכndishכn lεk VT, dis patεn de chenj. Dɔktɔ dɛn kin stɔdi dis chenj we dɛn dɔn chenj fɔ no ustɛm na di prɔblɛm.

3. Vεntrikulεr Fibrilεshכn (V-fib) .

Dis na di wan we denja pas ɔl pan dɛn tin ya ɛn i nid fɔ gɛt tritmɛnt kwik kwik wan . wetin de apin ya na dat, insted fכ pכmp fayn fayn wan, di lכw chεmba dεm na di at jכs de shek εn fכlכ. Bikɔs dɛn nɔ kin kɔntrakt fayn ɛn pɔmp blɔd, i kin lɛf smɔl fɔ lɛ di blɔd we de go na di bɔdi dɔn stɔp. dis dεn kכl am `Sudden cardiac arrest`, usay di at de stכp wan wan. Bikɔs blɔd nɔ de flɔd na di bren, yu nɔ kin no natin insay sɔm sɛkɔn dɛn ɛn fɔdɔm. If blɔd nɔ flɔ bak insay sɔm minit, dis kin kil pɔsin.

Wetin kin bi di sayn dɛm fɔ dis sik?

Di sayn dɛm kin difrɛn difrɛn wan fɔ di kayn sik. Sɔm, lɛk PVC, nɔ kin gɛt ɛni sayn atɔl. Lɛ wi tek tɛm luk gud wan pan di kɔmɔn sayn dɛm fɔ di tu men kayn sik dɛm.

Wetin go dɔn de mek dis apin?

Difrɛn rizin kin de fɔ mek dɛn kayn tin ya apin.

Di tin dɛn we kin mek pɔsin gɛt Ventricular Tachycardia (VT) .

• We di at mɔsul wik ɔ tik (Cardiomyopathy) .
• At sik (especially sik wae de chenj di shep wae de hat) .
• Di at kɔndishɔn dɛn we dɛn bɔn wit
• Ilektrolayt imbalans na di bɔdi
• At atak
• At we nɔ de wok fayn
• Inflammatory kondishɔn dɛm na di at
• Afta dɛn dɔn ɔpreshɔn di at
• Di sik dɛn we kin mek pɔsin gɛt at valv
• Ɔksijɛn nɔ de na di bɔdi
• Sɔm mɛrɛsin dɛn

Di tin dɛn we kin mek pɔsin gɛt ventrikul fibrilashɔn (V-fib) .

• Strɔng blow na di chɛst (e.g., we dɛn bit yu wit bɔl we de spid) .
• We di at mɔsul wik ɔ tik (Cardiomyopathy) .
• Hat sik we dɛn bɔn wit
• Ilɛktrokyushɔn
• At atak
• Afta dɛn dɔn ɔpreshɔn di at
• Sɔm mɛrɛsin dɛn
• Ventricular Tachycardia we nɔ gɛt kɔntrol

Udat kin gɛt dis sik pas ɔlman?

Ventricular Arrhythmia kin pasmak pan pipul dɛm wae gɛt hat sik wae bin dɔn de bifo. So, di risk kin go ɔp bay insɛf we i de ol. Dis risk kin pasmak pan pipul dɛm wae gɛt sik wae de chenj di strɔkchɔ ɔ shep na dɛn at.

Sɔm kayn tin wae nɔr bad kin apin to pipul dɛm wae gɛt ɛni ej. Bɔt di kayn dɛn we denja pasmak, lɛk `Sustained VT`, kin bɔku pan pipul dɛm we gɛt ɔndalayn at sik. Bɔt sɔmtɛm, e kin apun pan pipul dɛm wae nɔr gɛt ɛni sayn ɛn nɔr no se dɛn gɛt hat sik.

Aw dɔktɔ kin fɛn dis?

We yu go to dɔktɔ, i go aks yu kwɛstyɔn dɛn fɔs, aks yu bɔt di sik dɛn we yu gɛt, ɛn tek wan mɛdikal histri. Dɔn i go chɛk yu. Dat min se yu fɔ lisin to yu at ɛn tek yu blɔd prɛshɔn.

Us kayn tɛst dɛn kin du?

Di men tɛst we dɛn kin yuz fɔ no dis sik na di ECG (Electrocardiography) . Wi don tok abaut dis bifo. Insay dis, dɛn kin rayt di ilɛktrik wok we di at de du as wev patɛn, ɛn di dɔktɔ kin analayz am fɔ si us abnɔmal tin dɛn de.

Bɔt sɔntɛnde dis abnɔmal ritm nɔ kin de ɔltɛm. If dɛn kayn tin ya, dɛn nɔ kin no am bay we dɛn de du ECG ɔltɛm. If na so i bi, yu dɔktɔ kin gi yu wan tin we yu go wɛr fɔ wan ɔ mɔ dez.

• Holter monita dɛn:Dis na divays we kin bi lɛk mobayl fon. I gɛt waya dɛn we dɛn tay pan sɛns dɛn we yu kin wɛr na yu chɛst. I kin kɔntinyu fɔ rikodɔ yu at ritm fɔ 24 ɔ 48 awa.
• Ambulatory monitors: Dɛn wan ya tan lɛk Holter monita, bɔt dɛn kin wɛr am fɔ lɔng tɛm, sɔm tɛm dɛn kin te to 30 dez. Sɔm kayn dɛn kin kam wit wan bɔtin we yu kin prɛs we yu fil se yu gɛt wan sik. Ɔda wan dɛn kin bi ɔtomɛtik, ɛn dɛn kin rikodɔm wan abnɔmal ritm jɔs afta dɛn no am.

Wetin na di tritmɛnt dɛm fɔ dis?

If dis sik kin wɛl ɔltogɛda, i kin dipen pan de kɔz. Sɔntɛnde, dɛn kin trit di tin we kin mek i sik ɛn mɛn am. Bɔt if na sik we nɔ de mɛn, lɛk wan sik we dɛn bɔn wit, i nɔ kin izi fɔ mɛn am. If na so i bi, di gol fɔ tritmɛnt na fɔ kɔntrol di sik ɛn nɔr de ambɔg yu layf.

Imejɛnsi tritmɛnt

• CPR (Cardiopulmonary Resuscitation): If pɔsin in at dɔn stɔp ɛn puls nɔ de, dɛn fɔ bigin fɔ du CPR wantɛm wantɛm. Dis min se dɛn fɔ mek di blɔd go ɔlsay bay we dɛn de kɔmprɛs di chɛst. I nɔ fayn fɔ stɔp CPR te ambulans kam ɔ dɛn briŋ `AED` mashin ɛn yuz am.
• Automated External Defibrillator (AED): Dis na divays we de analayz pɔsin in at ritm ɛn if nid de, i de gi ilɛktrik shɔk (`shock`) fɔ mek di at in ritm kam bak. Dɛn kin kɔrɛkt ɔl tu di `VT` ɛn `V-fib` ritm dɛn wit ilɛktrik shɔk dis we.
• Mɛrɛsin: Spɛshal mɛrɛsin dɛn de we dɛn kin gi fɔ kɔntrol di at ritm.

Tritmɛnt we nɔto imejensi

• Ablashɔn: Dis na fɔ put wan tin tiub lɛk kanula insay di at ɛn yuz ɔt ɔ kol pasmak fɔ mek wan rili smɔl pat na di at we de mek di ilɛktrik signal dɛn we nɔ de wok nɔ wok. Dis kin mek di abnɔmal ritm nɔ de apin.
• Implantable Cardioverter Defibrillator (ICD): Dis na smɔl tin we dɛn kin put ɔnda di skin na di chɛst. I kin ɔtomɛtik gi ilɛktrik shɔk fɔ mek di at ritm nɔmal bak we i no se di at bit we nɔ de bit ɔltɛm we de mek i denja.
• Mεdikeshכn dεm: Mεdikeshכn dεm de we dεn kin gi fכ kכntrכl di ritm fכ lכng tεm. Bɔt dɛn tin ya nɔ kin wok di sem we fɔ ɔlman, ɛn sɔm bad bad tin dɛn kin apin. So, yu fɔ tɔk to yu dɔktɔ fɔ pik di tritmɛnt we go fayn fɔ yu.

Wetin kin apin afta dɛn dɔn trit am? Wetin yu go du?

Di impɔtant tin we yu fɔ du na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan . I rili impɔtant fɔ tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ go na klinik dɛn di de dɛn we dɛn dɔn sɛtul.

Di tɛm fɔ wɛl afta di tritmɛnt kin difrɛn difrɛn wan fɔ di tritmɛnt. If yu gɛt ablation ɔ ICD, yu go bigin fɔ fil fayn insay sɔm dez. Wit mɛrɛsin, yu go si difrɛns insay sɔm wiks. Di we aw dis sik go kam tumara bambay kin difrɛn bad bad wan fɔ di kayn sik we yu gɛt. Di dɔktɔ we de trit yu go ebul fɔ ɛksplen dis to yu di bɛst we.

Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?

Bikɔs dɛn kayn aritmia ya kin apin bɔku tɛm we yu nɔ bin de tink, i nɔ kin izi fɔ avɔyd, mɔ if yu gɛt at sik we yu bɔn wit.

Bɔt wi kin ridyus di risk fɔ gɛt dis sik bay we wi de ridyus di risk fɔ gɛt ɔda sik dɛn (lɛk at sik, ay blɔd prɛshɔn) we kin mek wi gɛt dis sik. Fɔ du dis:

• Lɛf fɔ smok (inklud sigrɛt, vaping) kpatakpata.
• It fayn it we yu dɔktɔ tɛl yu fɔ it.
• Stay fɔ du tin wit yu bɔdi as yu ebul.
• Mek yu gɛt wɛlbɔdi wet .
• Kɔntrol di we aw yu de drink rɔm .

Ustɛm a fɔ go to dɔktɔ? Ustɛm a fɔ go na di ETU?

If yu notis se yu sik dɔn chenj, ɔr if dɛn bigin fɔ ambɔg yu ɛvride layf, go to yu dɔktɔ. Dɔn bak, ivin if yu nɔr gɛt ɛni sayn, i impɔtant fɔ go to dɔktɔ wan tɛm insay di ia fɔ mek dɛn chɛk yu bɔdi fayn fayn wan fɔ no if yu gɛt sik kwik kwik wan.

If yu gɛt ɛni wan pan dɛn siriɔs sayn ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɛn nɔ de te.

• Bɔrku pen na yu chɛst (Angina) .
• I nɔ kin izi fɔ yu fɔ blo
• Nɔr de ɛksplen aw yu de fil ɔr de fil ɔltɛm fɔ lɛ yu nɔr de fil fayn (diziz) .

Ventricular Arrhythmia kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, so di bɛst we fɔ ɔndastand ɛn manej yu wɛl bɔdi na fɔ go to dɔktɔ if yu tink se yu gɛt dɛn sik ya.