Yu at bit de aut of sync? Lɛ wi lan bɔt Ventricular Dyssynchrony insay wan simpul we!

Sɔntɛnde, yu kin fil lɛk se yu nɔ de blo fayn, yu kin taya ɔltɛm, ɔ yu leg dɛn kin swel? Sɔntɛnde, dɛn tin ya kin bi sayn fɔ se yu gɛt prɔblɛm wit yu at. Tide wi go tɔk bɔt wan sik we de afɛkt di we aw di at de wok, bɔt sɔntɛm wi nɔr dɔn yɛri bɔrku bɔt am. dat na ventricular dyssynchrony , כ as dכkta dεn kכl am, ``(Ventricular Dyssynchrony)``. Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, lɛ wi ɛksplen am simpul wan.

Wetin na Ventricular Dysinkroni?

Fɔ tɔk am simpul wan, ventricular arrhythmia na we wan ɔ mɔ pan di ɔda pat dɛn na yu at we de dɔŋ, we dɛn kɔl di ventricles , de bit nɔ ivin ɛn nɔ de wok togɛda. Imajin se smɔl delay de we de te lɛk 40 milisekɔnd bitwin di difrɛn pat dɛn na yu at in sɛl dɛn we bigin fɔ kɔntrakt, ɔ bitwin wan sɛl we bigin fɔ kɔntrakt we yu kɔmpia am to di ɔda wan. Wi kin tek dat as aritmia.

Wi at de wok fayn fayn wan nɔmɔ we di mɔsul dɛn we de na in chɛmba dɛn kɔntrakt di sem tɛm ɛn di sem we. Nɔmal wan, ilɛktrik signal dɛn kin travul tru di at insay wan we we rili ɔganayz. we di tu men chεmba dεm na di at gεt signal fכ kכntrakt, di mכsul dεm na dεn chεmba dεm fכ kכntrakt di sem mak εn di sem tεm. spεshal wan, yu lεft vεntrikl, di men pכmp chεmba na di at, fכ kכntrakt insay wan we we rili kכdכnayt. I tan lɛk se yu de push frɔm ɔl tu di say dɛn to di sɛnt.

כltu, if dis signal nכ rich di tu at sεl dεm di sem tεm, di mכsul dεm nכ kin kכntrakt di sem tεm. Na dat wi kin kɔl dis dyssynchrony .

di sεl dεm we nכ de wok fayn kin afekt yu bכdi dεn we ya:

• I de mek yu at nɔ wok fayn.
• di valv dεm we nכmal fכ εp di bכdi fכ fכlכ na wan say nכ mכ kin mek di bכdi fכ fכlכ bak (insay di rכng dairekshכn).
• di bכdi we yu at kin pכmp (Cardiac Output) de dכn.

Wetin na di kayn we aw pɔsin kin gɛt prɔblɛm wit in at?

Bɔku men kayn sɛl asynchrony de:

• Atrioventricular Dyssynchrony: dis na we di כp chεmba dεm (atria) εn di lכw chεmba dεm (vεntrikul dεm) na yu at kכntrakt we dεn nכ de kכdכn.
• Interventricular Dyssynchrony: insay dis, yu lεft εn rayt vεntrikl dεm (di lכw chεmba dεm) de kכntrakt difrεn tεm dεm.
• Intraventricular Dyssynchrony: insay dis, di mכsul dεm na difrεn pat dεm na di sem sεl de kכntrakt difrεn tεm dεm. Tink bɔt am lɛk se di wɔl dɛn na wan rum de kɔntrakt difrɛn tɛm, pas fɔ push am insay di sem tɛm.

Udat dɛn kin afɛkt mɔ pan di sɛl asynchrony?

Dɛn kin si dis sik pan pipul dɛm wae gɛt dɛn kayn mɛrɛsin ya:

• Pipul dɛn we gɛt at prɔblɛm.
• Lɛft Bɔndɛl Branch Blɔk (LBBB).
• Rayt Bɔndɛl Branch Blɔk (RBBB).
• Di sik we dɛn kɔl Cardiomyopathy.
• Di ay blɔd prɛshɔn.
• Ɔda at sik dɛn.

Tink bɔt Ɔnkul Somapala we kɔmɔt na wi vilej. I bin dɔn de sɔfa wit `(Heart Failure)` fɔ sɔm tɛm. Dis biɛn tɛm, i nɔ kin izi fɔ am fɔ blo ɛn i kin taya mɔ ɛn mɔ. We di dɔktɔ chɛk am, i se i gɛt dis sik bak we dɛn kɔl `(Ventricular Dyssynchrony)` na in at, na dat mek in sik dɛn dɔn wɔs.

Aw dis sik kin kɔmɔn?

Na lɛk wan pat pan tri pipul dɛm wae gɛt sɔm kayn at pwɛl hat kin gɛt dis kayn sɛl asynchrony. Na lɛk 2% pan di big pipul dɛm na di divɛlɔp kɔntri dɛm kin sɔfa wit at pwɛl hat. Dɔn bak, bitwin 6% ɛn 10% pan pipul dɛm wae dɔn pas 65 ia kin gɛt at pwɛl hat. So, dis kɔndishɔn na sɔntin bak we dɛn kin si insay kɔnekshɔn wit dat.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Di sεl dεm we nɔ de wok fayn kin mek di sayn dεm we de sho se di at nɔ de wok fayn, ɔr kin ivin mek di sayn dεm we na in yon. Dis na di men wan dɛn:

• I nɔ kin izi fɔ yu fɔ blo (espɛshali we yu taya).
• Fɔ fil taya bad bad wan (ilɛksɛf na fɔ smɔl tɛm nɔmɔ).
• Kɔf (i kin bi se i kin kɔntinyu fɔ kɔf).
• swεla (edema) na di bכdi (especially na di εria dεm lεk di leg εn di ankכl dεm).

Wetin na di tin dɛn we kin mek di sɛl nɔ de wok?

Bɔku difrɛn at prɔblɛm dɛn kin kam wit dis. Sɔm pan dɛn na:

• Ventrikul Disfכnkshכn.
• Ska tisu we kin kam bikɔs ɔf at atak.
• Ilɛktrik Kɔndɔkshɔn Dilɛy, we inklud kɔndishɔn dɛn lɛk Lɛft Bɔndɛl Branch Blɔk ɛn Rayt Bɔndɛl Branch Blɔk.
• Di at mɔsul we gɛt sik.
• bכdi nכ fכ fכlכ di at mכsul (Ischemia).

Us tɛst dɛn kin du fɔ no dis sik?

Yu dɔktɔ go aks yu fɔs bɔt yu sik dɛn ɛn du yu bɔdi ɛgzam fɔ no aw yu at de wok. Sɔntɛnde , fɔ lisin to yu at wit stetɔskɔp kin gi yu bak wan aidia bɔt dis asynchrony.

Di men tɛst we dɛn kin yuz fɔ no if pɔsin gɛt prɔblɛm wit di at in ilɛktrik kɔndɔkshɔn sistɛm na ilɛktrɔkardiogram (ECG) . I kin no di kɔndishɔn dɛn lɛk Rayt Bɔndɛl Branch Blɔk ɛn Lɛft Bɔndɛl Branch Blɔk, we kin mek di at bit aut ɔf sink. If dɛn si dɛn tin ya na di ECG, di dɔktɔ go rifer yu fɔ mek dɛn du ɔda tɛst dɛn.

Bɔku tɛm, dɔktɔ dɛn kin yuz ɛkokadiogram fɔ no if di at nɔ de wok fayn. Dis kin mek dɛn ebul fɔ si aw di at in chɛmba dɛn, di valv dɛn, ɛn di mɔsul dɛn de kɔntrakt.

Dɛn kin du ɔda tɛst dɛn bak:

• Positron Emission Tomografi (PET) skan we dɛn kin skan.
• Maltigɛt Akwishɔn (MUGA) skan.
• At Magnɛtik Rɛsɔnans Imej (MRI).
• Kɔmpyuta Tomografi (CT) skan.
• Singl Fɔn Ɛmishin Kɔmpyuta Tomografi (SPECT) skan.

Aw dɛn kin trit di sɛl asynchrony?

Di wan dɛn we de kia fɔ wɛlbɔdi biznɛs kin trit di ɔndalayn mɛdikal kɔndishɔn we de mek yu sɛl nɔ de wok fayn.

Bɔku tɛm, di kadyak risinkronizashɔn tɛrapi (CRT) (dɛn kin kɔl am bak CRT ɔ biventricular pacemaker) kin ɛp di at fɔ pɔmp bɛtɛ bay we i de kɔntrol di ritm na di tu say dɛm na di at. Bɔt dis tritmɛnt kin jɔs ɛp fɔ mek di sik bɛtɛ pan 50% to 70% pan di pipul dɛm wae de gɛt dis tritmɛnt. Pipul wae gɛt siriɔs asynchrony kin gɛt mɔ chans fɔ gɛt sakrifays.

Kɔmplikɛshɔn dɛn we de pan CRT tritmɛnt

Dɛn kɔmplikeshɔn ya kin apin we yu de instɔl `CRT` (bi-polar pesmɛka) (dɛn tin ya nɔ kin apin so ɔltɛm, bɔt i fayn fɔ no bɔt):

• Nyumotɔraks we de na di bɔdi.
• di bכdi we de kכmכt bitwin di chεst wכl εn di lכng (Hemothorax).
• Di at we dɛn kin pank.
• Stimulεshכn fכ mכsul dεm we nכ de na di at.
• Pesmɛka de lid fɔ muf kɔmɔt na di ples.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

CRT tεrapi de ridyus di sεl asynchrony kכlכsכl wan. Sɔm pipul dɛn kin bigin fɔ fil fayn insay sɔm wiks afta dɛn dɔn put di divays insay dɛn bɔdi. Sɔm bɛnifit dɛn de bak we go de fɔ lɔng tɛm:

• Fɔ mek di blɔd we yu at de pɔmp bɛtɛ (Cardiac Output).
• di rεdyus bakwכd lik fכ bכdi frכm di mitral valv.
• Fɔ mek yu layf bɛtɛ.
• Di distans we yu kin waka insay siks minit kin go ɔp.

Us mɛrɛsin dɛn kin yuz?

Fɔ di tin dɛn we kin mek pɔsin gɛt atria fibrillation, lɛk we at nɔ de wok fayn, we gɛt at pwɛl, ɔ we gɛt ay blɔd prɛshɔn, dɔktɔ kin gi yu mɛrɛsin dɛn lɛk:

• Angiotensin-Kɔnvɔt Ɛnzaym (ACE) Inhibitɔ dɛn.
• Angiotensin II Risεptor Blɔk (ARB) dɛn.
• Beta-Blɔk dɛn.
• Diuretiks (diuretiks) we dɛn kin yuz fɔ pul wata.

Pan ɔl we dɛn mɛrɛsin ya kin mek yu at wok fayn to sɔm mak, dɛn nɔ kin ebul fɔ rivɛns di asynchrony we kin kam bikɔs ɔf di abnɔmaliti fɔ ilɛktrik kɔndɔkshɔn. Na dat mek dɛn nid tritmɛnt lɛk CRT.

Aw yu go ridyus di risk fɔ mek di sɛl dɛn nɔ de wok?

Di bɛst tin we yu go du na fɔ kia fɔ yu at gud gud wan. If yu du dat, yu go ebul fɔ mek sɔm pan di tin dɛn we kin mek di sɛl nɔ wok togɛda.

Sɔm we dɛn fɔ protɛkt yu at:

• It it we nɔ gɛt bɔku sɛtyuret fat (ridyus ɔyl ɛn it dɛn we dɛn dɔn frɛsh).
• Ɛksesaiz fɔ at le 30 minit bɔku dez (ivin fɔ waka fayn).
• Fɔ mek yu gɛt wɛlbɔdi wet fɔ yu.
• Fɔ tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am.

Wetin kin apin if a gɛt sɛl asynchrony?

Dɛn nɔ kin trit di Lɛft Vɛntrikular Dysinkroni (LVD), ɛn di tin we kin apin nɔ kin fayn. Pipul wae gɛt LVD kin gɛt bɔrku risk fɔ gɛt dis sik pas di wan dɛm wae nɔr gɛt dis sik. Yu kin gɛt disinkroni na ɛni wan pan yu (ɔ ɔl tu) pan yu ventricle dɛm, bɔt yu lɛft ventricle na di men pat we de pɔmp blɔd we gɛt ɔksijɛn ɔlsay na yu bɔdi. Dis na wok we rili impɔtant.

Wan tritmɛnt we dɛn kɔl `CRT` (dual-cell pacemaker) kin ɛp pipul dɛm wae gɛt at pwɛl hat fɔ ridyus di ɔspitul we dɛn kin de ɛn liv lɔng.

Mɛmba se di ɔndalayn kɔz fɔ di asynchrony kin afɛkt di autkam bak. Sɔm pipul dɛn sik kin wɔs pas ɔda pipul dɛn.

Aw a kin kia fɔ misɛf?

• If yu dɔktɔ dɔn tɛl yu di mɛrɛsin, mek shɔ se yu tek am jɔs lɛk aw dɛn tɛl yu . Tek di mɛrɛsin lɛk aw dɛn tɛl yu te yu dɔktɔ tɛl yu fɔ stɔp.
• If yu gɛt biventricular pacemaker, mɛmba fɔ go na di klinik dɛn di de dɛn we dɛn dɔn sɛtul . Na dɛn say ya yu dɔktɔ kin chɛk if yu peshɛnt mɛka de wok fayn. Sɔm ɔspitul dɛn gɛt spɛshal klinik dɛn we dɛn kɔl CRT klinik. Na de, di wan dɛn we de mɛn at ɛn di wan dɛn we sabi bɔt at kin wok togɛda fɔ mek shɔ se yu de yuz yu peshɛnt mashin di bɛst we.

Ustɛm a fɔ go to mi dɔktɔ?

• If yu nɔr de fil fayn wit di mɛrɛsin wae dɛn gi yu.
• If prɔblɛm de wit yu biventricular pacemaker.

If na so i bi, go to dɔktɔ wantɛm wantɛm.

Ustɛm a fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

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

• Chest pen ɔ diskɔmfɔt.
• Vertigo (fil lɛk se yu de spin).
• I nɔ kin izi fɔ yu fɔ blo bad bad wan.
• Bɛlɛ de at, nɔs.
• Bak, nɛk, ɔ jaw pen.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya we yu go si yu dɔktɔ:

• Wetin mek a bin gɛt sɛl asynchrony?
• A fit fɔ `CRT` tritmɛnt?
• Sɔpɔt grup dɛn de we de ɛp pipul dɛn we gɛt at sik?

Na nɔmal tin fɔ mek yu wɔri smɔl we yu kam fɔ no se yu at nɔ de wok fayn. Bɔt nɔ wɔri. Yu dɔktɔ kin fɛn di tin we de mek yu nɔ gɛt ritmi ɛn pik di bɛst tritmɛnt fɔ yu. Fɔ fala di instrɔkshɔn dɛn we de na di mɛrɛsin bɔtul ɛksaktɔli. If yu tek yu mɛrɛsin di sem tɛm ɛvride, dat go ɛp yu fɔ mɛmba fɔ tek am. Mak di de dɛn we yu go apɔntin na kalenda ɔ sɛt sɔntin fɔ mɛmba na yu fon. Dis go ɛp yu fɔ mek yu nɔ mis dɛn.

Sɔma ɛn Mɛsej we dɛn kin kɛr go na os

Okay, so a op se yu naw geht beta andastan fo di ``Ventricular Dyssynchrony'' we wi tok boht tide.

Fɔ tɔk am simpul wan, dis na kɔndishɔn we di lכw chεmba dεm (sεl dεm) na di at de bit nכ ivin, dεn nכ de bit dεn wan dεm. Dis kin mek di at nɔ wok fayn, ɛn i kin mek yu gɛt sɔm sayn dɛm bak lɛk fɔ blo shɔt ɛn taya.

• Tεst dεm lεk `(ECG)` εn `(Echocardiogram)` de εp fכ no dis kכ ndyushכn.
• As tritmɛnt, apat frɔm we dɛn de trit di sik we de ɔnda di sik, di peshɛnt tɛrapi we dɛn kɔl ``Cardiac Resynchronization Therapy (CRT)`` impɔtant bak.
• Fɔ kia fɔ yu at ɛn fɔ fala wɛlbɔdi layf kin ɛp fɔ mek dɛn nɔ gɛt dɛn kayn tin ya.
• If yu gɛt dɛn sik ya, nɔ shem fɔ go to dɔktɔ. Di kwik we dɛn no di sik ɛn trit am, na di mɔ i go fayn.

Mɛmba se yu at na di tin we yu valyu pas ɔl. Na yu wok fɔ protɛkt am.

` At sik, vεntrikulכr disεnkrכni, vεntrikulכr takikadia, hat atak, CRT, pesmεka