Yu dɔn ɛva fil lɛk se yu at bigin fɔ bit kwik kwik wan wantɛm wantɛm fɔ natin? Na filin wae nɔr kin fayn fɔ yu, wae kin kam wit filin wae yu de hevi, yu chɛst tayt, ɛn yu ed de tɔn. Sɔntɛnde, dis kin bi nɔmal tin. Bɔt sɔmtɛm i kin bi sayn fɔ wan siriɔs at sik we kin mek pɔsin in layf de pan denja we dɛn kɔl Ventricular Tachycardia (VT ɔ V-tach) . Tide, wi go tɔk bɔt dis simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Ventricular Tachycardia (VT)?
Okay, mek wi luk fos wetin dis bi. Wi at gɛt 4 men rum dɛn. Di tu rum dɛn we de ɔp ɛn di tu rum dɛn we de dɔŋ. Nɔmal wan, di at we gɛt wɛlbɔdi kin bigin fɔ bit wit ilɛktrik signal we de kɔmɔt na di ɔpa chɛmba dɛn.
bכt insay dis kכndyushכn we dεn kכl Ventricular Tachycardia (VT), di at bit de stat na di tu lכw chεmba dεm na di at, we dεn kכl di vεntrikl dεm . Di prɔblɛm we de ya na dat di at bit we kin bigin dis we kin rili fast . Bɔrku tɛm, di at kin bigin fɔ bit pas 100 tɛm insay wan minit.
Tink bɔt am lɛk wata pɔmp. I de pɔmp blɔd ɔlsay na di bɔdi. We di at de bit nɔmal wan, i tan lɛk bɔs we de rɔn di rayt tɛm. I de gi pipul dɛn inof tɛm fɔ go ɔp ɛn dɔŋ. Dat min se di chɛmba dɛn na di at gɛt inof tɛm fɔ ful-ɔp wit blɔd ɛn pɔmp da ful blɔd de to di bɔdi.
Bot na VT, na lek dis bus de spid go witout stop na di stop. di at de bit so fast dat di chεmba dεm nכ de gεt tεm fכ fulכp wit blכd fayn fayn wan. So di bɔdi nɔ kin ebul fɔ pɔmp di blɔd ɛn ɔksijɛn we i nid. Dis na di rizin we mek blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm. Dis na di denja fɔ dis kɔndishɔn.
VT we de las fɔ sɔm sɛkɔn nɔ kin du bɔku bad tin. Bɔt if dis sik de te fɔ pas 30 sɛkɔn , na bad bad sik. I nid fɔ gɛt tritmɛnt wantɛm wantɛm. Bikɔs dis kin tɔn to ɔda denja kɔndishɔn we dɛn kɔl `Ventricular Fibrillation`, ɛn ivin day kin apin we di at kin stɔp wantɛm wantɛm.
Wetin na di sayn dɛm fɔ dis sik?
We di at nɔ ebul fɔ pamp inof blɔd to di bɔdi, wi ɔgan ɛn sɛl dɛn nɔ kin gɛt di ɔksijɛn we dɛn nid. Na da tɛm de dɛn sayn ya kin bigin fɔ sho.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Chɛst de pen | Filin fɔ tayt ɔ prɛshɔn na di chɛst bikɔs di at mɔsul nɔ de gɛt inɔf ɔksijɛn. |
| Shot we yu de blo | Fɔ fil taya ɛn taya bikɔs ɔksijɛn nɔ de na di bɔdi. |
| Di we aw pɔsin de blo | Fɔ fil se di at de bit lawd wan, kwik kwik wan, ɔr di kayn we we nɔ kɔmɔn. Sɔm pipul dɛn kin ivin fil dis na dɛn nɛk. |
| Diziz / Laythɛd | Fɔ fil diziz ɛn gɛt blu yay bikɔs blɔd ɛn ɔksijɛn nɔ de go na di bren. |
| Pas aut / Fɔ mek yu nɔ ebul fɔ waka | Wan siriɔs sayn we kin apin we blɔd prɛshɔn go dɔŋ tumɔs, we kin mek di blɔd nɔ de go na di bren. |
Wetin na di tin dɛm wae kin mek pɔrsin gɛt Ventricular Tachycardia (VT)?
Bɔku tin dɛn de we kin mek pɔsin gɛt VT. Sɔntɛnde, dɛn nɔ kin ebul fɔ fɛn ɛni patikyula rizin. Bɔt di tin we kin mek pɔsin gɛt dis sik pas ɔl na wan sik we dɛn kɔl ischemic heart disease . dis min se di korona at dεm we de gi bכdi to di at de blכk bay fεt dεposit (atherosclerosis), we de mek di at mכsul nכ de gεt di bכdi εn כksijεn we i nid.
| Mek | Wetin kin apin wit dis? |
|---|---|
| At Atak we pɔsin kin gɛt | di hat mכsul we skata bikoz fכ hat atak we bin de bifo kin mek di at in ilektrikal signal sistεm ambɔg. |
| Di sik dɛn we kin mek pɔsin gɛt at mɔsul (Cardiomyopathy) . | di at fכnshכn kin bכku biכs fכ di at mכsul we wik, tik, כ big. |
| Di sik we de mek pɔsin gɛt at valv | dis kכndyushכn kin apin we di at valv dεm nכ de wok fayn, we kin mek di at wok tranga wan. |
| Ilɛktrɔlayt imbalans | if di εlektrolayt dεm na di bכdi lεk potashכm εn magnεsium dכn כ inkrεs i kin afekt di ilektrikal aktiviti na di at. |
| Sɔm mɛrɛsin dɛn | Sɔm mɛrɛsin dɛm wae dɛn kin yuse fɔ kɔntrol at ritm (antiarrhythmics) kin mek sɔmtɛm VT as sayd ɛfɛkt. |
| Di tin dɛn we de mek pɔsin want fɔ du sɔntin | If yu yuz drɔgs lɛk kɔkɛyn ɔ mɛtamfɛtamin, dat kin afɛkt di at bad bad wan. |
| Sɔm tin dɛn we kin apin to pɔsin we gɛt jɛnɛtiks | VT kin bi bak bay sɔm kayn tin dɛn we pɔsin kin gɛt frɔm in mama ɛn papa, lɛk di lɔng QT sindrom. |
Yu tink se dis risk kin ridyus?
Yes, bɔrku tɛm, fɔ kɔntrol di ɔndalayn at kɔndishɔn dɛm wae de mek yu gɛt VT kin ridyus dis risk. Fɔ tɔk am simpul wan, fɔ mek yu at gɛt wɛlbɔdi na di tin we impɔtant pas ɔl.
Na sɔm tin dɛn we yu kin du bɔt am:
- Fɔ it tin dɛn we go mek yu gɛt wɛlbɔdi: Yu fɔ it tin dɛn we nɔ gɛt bɔku fat ɛn sɔl, ɛn we gɛt bɔku vɛjitebul, frut, ɛn grɛn.
- Ɛksesaiz ɔltɛm:Tɔk to yu dɔktɔ ɛn fala wan ɛksɛsayz plan we go fayn fɔ yu.
- Fɔ mek yu gɛt wɛlbɔdi wet: Tray fɔ mek yu gɛt wɛlbɔdi wet fɔ yu ayt.
- Nɔ smok: If yu de smok, stɔp am kpatakpata. Dis na wan pan di big bɛnifit fɔ di at.
- Fɔ tek mɛrɛsin kɔrɛkt wan: If yu gɛt tin dɛn lɛk ay blɔd prɛshɔn ɔ ay kɔlɔstrel, tek di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm.
Aw dɔktɔ dɛn kin fɛn dis?
If yu tink se yu gɛt VT, yu dɔktɔ go aks yu fɔs bɔt yu sik, if ɛnibɔdi na yu famili gɛt at sik, ɛn yu mɛdikal histri. Dɔn dɛn go du fizik ɛgzam ɛn chɛk yu puls rit.
di men tεst fכ difinitiv fכ no dis kכndyushכn na ECG (Electrocardiogram) .
Dɛn kin du dis bay we dɛn de rayt di ilɛktrik wok we yu at de du. If yu luk dis ECG strip, yu dɔktɔ go ebul fɔ no ɛni abnɔmal tin na yu at ritm izi wan, mɔ di patɛns we gɛt fɔ du wit VT.
Apat frɔm dat, dɛn kin ɔda fɔ du ɔda tɛst fɔ no wetin mek di sik ɛn ɔndastand aw di sik rili bad.
- Cardiac Event Monitor: Dis na smɔl tin we yu kin kɛr go na os ɛn wɛr. I kin rikodɔ yu at ritm we yu gɛt sɔm sayn dɛm.
- Stress Test: Dɛn kin tek ECG we yu de du ɛksɛsayz (we yu de rɔn pan tredmil) fɔ si aw yu at de wok we yu strɛs.
- Echocardiogram: Dis na skan fɔ di at. I de ɛp fɔ ɔndastand di sayz, shep, di we aw di mɔsul dɛn de wok, ɛn aw di valv dɛn de wok fayn fayn wan.
- Ilektrofisioloji Stɔdi (EPS): Dis na tɛst we kɔmpleks smɔl. fayn fayn waya dεm (kateshכn) dεn de pas insay di at εn dεn de stכdi di at in ilektrikal sistεm kכmplit wan.
- Coronary Angiogram: Na tɛst fɔ chɛk if di at dɛn we de gi blɔd to di at dɔn blok.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan yu sayn dɛm, aw lɔng yu VT dɔn de, ɛn di ɔndalayn mɛdikal kɔndishɔn wae de mek yu gɛt am.
Imejɛnsi tritmɛnt
If VT las pas 30 sɛkɔn ɔ yu gɛt siriɔs sik dɛn (chɛst pen, yu nɔ de no natin), na mɛdikal imejensi.
- Cardioversion: Dis kin min fɔ gi ilɛktrik shɔk fɔ stɔp di at bit we nɔ de bit ɔltɛm ɛn tray fɔ mek i kam bak to di nɔmal ritm.
- CPR (Cardiopulmonary Resuscitation): Na we fɔ tray fɔ stat pɔsin in at bak if i dɔn stɔp.
- Di mɛrɛsin dɛn we dɛn kin put insay di bɛlɛ:Dɛn kin gi drɔgs lɛk Amiodarone ɔ Procainamide insay di bɛlɛ (IV) fɔ tray fɔ kɔntrol di at rit.
If yu ɔ pɔsin we yu sabi gɛt sɔm sayn dɛn lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ yu fɔ blo, ɔ yu fɔdɔm, kɔl 1990 wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu. Nɔ delay.
Tritmɛnt fɔ lɔng tɛm
Afta dɛn dɔn kɔntrol di imejensi, dɛn nid fɔ gɛt tritmɛnt fɔ lɔng tɛm fɔ mek di sik nɔ kam bak.
- Mεdikeshכn dεm: Mεdikeshכn dεm lεk beta-blכk dεm kin slo di hat rεt εn mek yu nכ gεt VT. Ɔda mɛrɛsin dɛn kin ɛp fɔ mek yu at kɔntinyu fɔ gɛt nɔmal ritm. Dɛn mɛrɛsin ya kin gɛt sayd ɛfɛkt, so tɔk to yu dɔktɔ bɔt dɛn.
- ICD (Implantable Cardioverter-Defibrillator) divays: Dis tan lɛk tin we de mek di at nɔ gɛt layf. Na smɔl tin we dɛn kin put ɔnda di skin na di chɛst. I de wach aw di at de rit ɔltɛm. If wan denja ritm lɛk VT apin, dis divays kin gi smɔl ilɛktrik shɔk ɔtomɛtik fɔ mek di at kam bak to nɔmal.
- Cardiac Ablation: Dis na ɔda spɛshal tritmɛnt. dεn de yuz εlektrofysioloji stכdi (EPS) fכ no di εksakכt lכkεshכn we di VT de na di at. Dɔn, we dɛn yuz spɛshal kateta, sɔm pan di sɛl dɛn we de na da say de kin pwɛl bikɔs ɔf ɔt ɔ kol pasmak. Dis tan lɛk we yu de mek ilɛktrik waya we nɔ fayn. Fɔ sɔm pipul dɛn, dis tritmɛnt kin ivin mɛn VT ɔltogɛda.
Mɛsej we dɛn kin kɛr go na os
- Ventricular Tachycardia (VT) na wan rili fast, siriכs at ritm we de bigin na di lכw chεmba dεm na di at.
- Chɛst pen, diziz, shɔt briz, ɛn nɔr kin no natin na di men sayn dɛm. Wi nɔ fɔ ɛva ignore dɛn tin ya.
- Bɔrku tɛm, de men tin wae kin mek pɔrsin gɛt hat atak ɔr ɔda hat sik wae bin dɔn de bifo.
- Tritmɛnt dɛn de we rili fayn lɛk mɛrɛsin, ICD divays, ɛn fɔ pul di at.
- If yu gɛt dis sik, fala wetin yu dɔktɔ tɛl yu fɔ du. I rili impɔtant fɔ go na klinik dɛn di rayt tɛm ɛn tek yu mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek.
- If yu liv fayn layf, yu kin protɛkt yu at ɛn ridyus di risk fɔ gɛt sik lɛk dis.
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