Yu at kin bit kwik kwik wan? Lɛ wi tɔk bɔt Ventricular Tachycardia!

Sɔntɛnde yu kin fil lɛk se yu at de bit fast fast, de bit? Yu kin ivin yɛri yu chɛst de bit, yu nɔ de blo smɔl, ɔ yu ed de tɔn. If yu dɔn gɛt dis ɛkspiriɛns, ɔr if yu dɔn yɛri bɔt pɔrsin wae yu sabi dɔn gɛt dis, i impɔtant fɔ mek yu no bɔt de sik wae wi go tɔk bɔt tide, wae dɛn kɔl Ventricular Tachycardia.

Wetin na dis rili at bit we de bit kwik kwik wan (Ventricular Tachycardia)?

Fɔ tɔk am simpul wan, `(Ventricular Tachycardia)` na we yu at de bit pas 120 bit pan wan minit. Bɔt di spɛshal tin bɔt dis na dat dis at bit kwik kwik wan nɔ de bigin frɔm di nɔmal ilɛktrik signal sistɛm na di at. nכmal wan, wi at fכ stat fכ bit frכm wan ilektrikal signal we de kכmכt frכm wan ples we dεn kכl `(Sinoatrial Node)`, we de wok lεk swich na di tכp pat pan di at. bכt insay `(Ventricular Tachycardia)`, dis at bit de stat frכm di tu men chεmba dεm we de na di bכtכm pat pan di at, dat na di vεntrikl dεm . Dis na di prɔblɛm we kin apin bikɔs sɔntin kin pas di nɔmal ilɛktrik we na di at.

We wi kin rɛst, wi at kin bit bitwin 60 ɛn 100 tɛm insay wan minit, nɔto so? So imajin wetin kin apin we dis nɔmba go ɔp wantɛm wantɛm to pas 120! We di at bit dis fast, dɛn men tin ya kin apin:

• Yu blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm.
• di at nכ gεt inof tεm fכ fulכp di chεmba dεm fayn fayn wan wit bכdi εn pכmp am bak kכmכt na di bכdi. Dis kin mek ɔda pat dɛn na di bɔdi, mɔ di bren ɛn di an ɛn fut dɛn, nɔ kin gɛt di ɔksijɛn we dɛn nid.
• Fɔ dɛn rizin ya, yu kin bigin fɔ gɛt difrɛn sayn dɛn.

Yu tink se dis rili siriɔs?

Yɛs, dis na rili siriɔs sik, ɛn i nid fɔ gɛt tritmɛnt kwik kwik wan. if dis at bit we de bit kwik kwik wan we dεn kכl `(Ventricular Tachycardia)` de las fכ pas 30 sekכnd (wi kכl dis `sustained Ventricular Tachycardia`), i kin go bifo to wan ivin mכr siriכs kכndyushכn we dεn kכl `(Ventricular Fibrillation)`. If dat apin, i kin izi fɔ mek in at stɔp wantɛm wantɛm ɛn ivin day. So dis nɔto sɔntin we wi fɔ tek am layt.

Wetin na di difrεns bitwin `(Ventricular Tachycardia)` εn `(Ventricular Fibrillation)`?

Dɛn tu tin ya na at ritm dɛn we nɔ de mek fast fast. כltu, ``Ventricular Fibrillation'' na wan kכndyushכn we siriכs εn we de mek yu layf de pan denja pas ``Ventricular Tachycardia''.

imajin, insay `(Ventricular Tachycardia)` di at de bit fast, bכt i de pכmp sכm bכdi to di bכdi. Bɔt bikɔs ɔf da spid de, di bɔdi nɔ kin gɛt inof blɔd.

bכt insay `(Ventricular Fibrillation)`, insted fכ bit fayn, di at mכsul de jכs twit. Dɔn di at nɔ de pɔmp blɔd na di bɔdi atɔl. Dis kin mek di at day wantɛm wantɛm.I kin apin.

Ventricular Tachycardia kin bɛtɛ fɔ insɛf ?

Yɛs, sɔm tɛm dis kin las fɔ sɔm sɛkɔn ɛn di at ritm kin kam bak to nɔmal. If na so i bi, big big damej nɔ go de. Bɔt wi nɔ go ebul fɔ tink se dat go apin ɔltɛm.

Udat dɛn kin gɛt dis sik mɔ? - Di tin dɛn we kin mek pɔsin gɛt prɔblɛm

sכm risk fכs dεm de we kin afekt di divεlכpmεnt fכ `(Ventricular Tachycardia)`. If yu gɛt dɛn tin ya, yu go gɛt dis sik pas ɔda pipul dɛn:

• If yu dɔn gɛt at sik bifo dis tɛm .
• If ɛnibɔdi na yu famili dɔn gɛt at ritm prɔblɛm (dat na, na hereditary link).
• If yu gɛt korona at sik .
• If yu gɛt wan sik we dɛn kɔl ``Myocarditis'' , we na inflamɛns na di at mɔsul.
• If yu gɛt at prɔblɛm .
• If di at big, dat min se yu gɛt kadiomayopathy .
• If yu gɛt at valv sik .
• If yu bin dɔn gɛt at atak bifo (`Myocardial Infarction`) ɔ if yu dɔn gɛt at ɔpreshɔn.
• If siriɔs imbalans de na di bɔdi in ilɛktrɔlayt , dat na, sɔl (lɛk potashɔm ɛn magnɛsiɔm).
• If yu yuz sɔm drɔgs dɛn we de mek yu fil fayn (fɔ ɛgzampul, kɔkɛyn, mɛtamfɛtamin).

Aw Ventricular Tachycardia de afɛkt mi bɔdi?

we `(Ventricular Tachycardia)` apin, yu at de bit so fast dat di chεmba dεm na di at nכ de gεt inof tεm fכ fulכp wit bכdi bifo di nεks bit. Imajin se bɔs de stɔp na wan stɔp fɔ rili shɔt tɛm. Dɔn nɔto ɔlman kin gɛt tɛm fɔ go insay di bɔs, ɛn sɔm kin lɛf na rod. Na dat de apin na ya bak. We di at nɔ gɛt bɛtɛ tɛm fɔ ful-ɔp wit blɔd, di blɔd we dɛn de pɔmp ɔlsay na di bɔdi de go dɔŋ. Dɔn di sɛl dɛn ɛn di tisu dɛn na di bɔdi nɔ kin gɛt bɛtɛ ɔksijɛn ɛn tin dɛn we kin mek i gɛt bɛtɛ tin fɔ it.

Wetin na di sayn dɛm fɔ dis?

Di sayn dɛm fɔ `(Ventricular Tachycardia)` kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn. Bɔt dɛn tin ya na di sayn dɛn we kin apin mɔ. If yu gɛt ɛni wan pan dɛn sayn ya, yu fɔ go na di imejensi rum wantɛm wantɛm. Dis kin mek in at nɔ de wok fayn ɛn ivin day.

• Chɛst de pen ɔ tayt.
• I nɔ kin izi fɔ yu fɔ blo.
• fכ fil di at de bit fast, fכ yεri di chεst de paund (`Palpitations/rapid pulse`).
• Diziz, layt ed, ɔ pas aut.

De tin wae impɔtant pas ɔl na fɔ nɔr ignore dis symptoms. Pan ɔl we i kin tan lɛk se na smɔl tin, dɛn kin mek pɔsin in layf de pan denja.

Wetin mek dis `(Ventricular Tachycardia)` kin apin?

Okay, naw mek wi si wetin mek dis de apin. we abnכmal ilektrikal signal dεm de apin na di lכw chεmba dεm na yu at we dεn kכl di vεntrikl dεm, dεn signal dεm de kכlכs wit di signal dεm we de kכmכt frכm di sinoatrial node, we de kכntro di nכmal ritm na di at. Dis kin mek di at bit we i nɔ ebul fɔ kɔntrol ɛn i kin bit kwik kwik wan. Dis spid nɔ de alaw di chɛmba dɛn na di at fɔ ful-ɔp wit blɔd.

Bɔrku pipul dɛm wae gɛt Ventricular Tachycardia gɛt ɔda ɔndalayn at kɔndishɔn. Di men tin dɛn we kin mek i apin na:

• Koronari Atɛri Sik we pɔsin kin gɛt.
• At we nɔ de wok fayn.
• Mayokarditis we gɛt di sik .
• Di at we de mek di at big (Cardiomyopathy) .
• Di sik we de mek pɔsin gɛt at valv .
• Di ɔpreshɔn we dɛn bin dɔn du fɔ di at bifo dis tɛm .
• Ska tisu na di at bikɔs ɔf wan at atak we bin dɔn de bifo (`Myocardial Infarction`) .
• Ɔda mεdikal kכndyushכn dεm lεk `(Sarcoidosis)` .
• Sɔm tin dɛn we pɔsin kin gɛt frɔm dɛn mama ɛn papa .

Ɔda tin dɛn de we kin mek pɔsin gɛt sɔntin fɔ du wit di at, bɔt i kin mek i gɛt `(Ventricular Tachycardia)`:

• Sɔm mɛrɛsin dɛn .
• di imbalans fכ di ilektrolayt dεm na di bכdi (dεn na di minral dεm we de kכntro di at in ritm).
• Fɔ drink pasmak wit kafinɛ ɔ rɔm .
• Yuz drɔgs we nɔ rayt (`Rɛkrɛshɔn drɔgs`) .
• Sɔntɛnde i kin bi bak bikɔs i de du ɛksɛsayz pasmak .

Sɔntɛnde, i nɔ kin pɔsibul fɔ fɛn rizin fɔ dis.

Wetin na di rizin we bɔku pipul dɛn kin du?

di mכst kכmכn kכz fכ Ventricular Tachycardia na ischemic hat sik . Dɛn kin kɔl dis bak korona at sik ɔ korona at sik. Fɔ tɔk am simpul wan, di at mɔsul nɔ kin gɛt inof blɔd ɛn ɔksijɛn bikɔs di korona at dɛn kin blok. Bɔku tɛm dɛn kin mek dɛn blɔk ya bikɔs ɔf di atrɔsklɛrosis .

Aw fɔ no `(Ventricular Tachycardia)`?

Fɔ no fɔ tru if yu gɛt `(Ventricular Tachycardia)`, yu dɔktɔ go du dɛn tin ya:

• Dɛn go tɔk to yu ditayli bɔt yu sayn dɛm.
• Dɛn go du wan ɛgzam fɔ yu bɔdi, ɛn dɛn go chɛk yu puls rit.
• I de gɛda infɔmeshɔn bɔt yu mɛdikal istri .
• I de ɔda fɔ mek dɛn du sɔm tɛst dɛn we nid fɔ apin.

Us tɛst dɛn kin du fɔ dis?

di men εn we dεn kin yus mכst tεst fכ no di Ventricular Tachycardia na εlektrokardiogram (ECG/EKG) . Dis de rayt di ilɛktrik wok we yu at de du.

Apat frɔm dat, dɛn kin du ɔda tɛst dɛn lɛk:

• Holter monitor: Dis na smɔl tin we de kɔntinyu fɔ rikodɔ yu at ritm fɔ 24 ɔ 48 awa.
• ilektrofisioloji stכdi (EPS): Dis kin min fכ pas wan tint waya insay di at εn fכ egzamin di at in ilektrikal sistεm dip wan.
• Cardiac event monitor: Dis tan lɛk Holter monita, bɔt yu kin aktiv am yusɛf ɛn rikodɔ yu at bit we yu gɛt simptom.
• Trɛdmil strɛs tɛst: Dis de tɛst aw yu at de ansa we yu de du ɛksɛsayz (rɔn pan tredmil).
• Echocardiogram: Dis na ɔltra saund skan fɔ di at. I kin luk aw di at de mek ɛn aw i de wok.
• Blɔd tɛst: Chɛk tin dɛn lɛk di ilɛktrɔlayt lɛvɛl ɛn di at ɛnzaym dɛn.

Aw dɛn kin trit Ventricular Tachycardia?

If yu gɛt di sik, ɔ if yu gɛt Ventricular Tachycardia fɔ pas 30 sɛkɔn ivin if yu nɔ gɛt di sik, yu rili nid tritmɛnt.

We dɛn de trit dis, di men tin na fɔ trit di ɔndalayn sik we mek di sik. Dɛn tritmɛnt ya kin mek dis at bit fayn ɛn mek i nɔ kam bak.

Di imejensi tritmɛnt fɔ Ventricular Tachycardia na:

• CPR (Cardiopulmonary Resuscitation): Na fɔs ɛp fɔ sev pɔsin layf if di at stɔp fɔ bit.
• Ilɛktrik difibrilɛshɔn: Dɛn kin gi ilɛktrik shɔk to di at fɔ tray fɔ mek i kam bak to di nɔmal ritm.
• IV mɛrɛsin dɛn: Kɔntrol di at rit.

If nɔto imejensi, di tritmɛnt dɛn we dɛn kin yuz na:

• Radiofrequency Catheter Ablation (RCA): insay dis, dεn kin fכnshכn di εksakכt say we di abnכmal at ritm de, εn dεn kin yuz kateta (wan tin tכb) fכ pwεl di tisu na da say de wit ilektrik kכrant.
• Implantable Cardioverter-Defibrillator (ICD): Dis na smɔl tin we dɛn kin du ɔpreshɔn pan ɔnda di skin nia di at. I de kɔntinyu fɔ wach aw yu at de rit. if vεntrikulכr takikardia apin, di divays de dεtekt am εn i de sεnd ilektrikal signal wantεm wantεm fכ mek di at kam bak to nכmal ritm.
• Mɛrɛsin: Dɛn kin gi mɛrɛsin fɔ mek di at rit slo ɛn fɔ mek i kɔntinyu fɔ gɛt nɔmal ritm. Bɔt sɔm mɛrɛsin dɛn kin gɛt bad bad tin dɛn. Yu dɔktɔ go ɛksplen dɛn tin ya to yu.

Ɛni kɔmplikeshɔn de pan di tritmɛnt?

Kateta ablashכn fכ vεntrikulכr takikadia jεnarali sef εn i de wok fayn. Bɔt sɔm prɔblɛm dɛn kin apin smɔl smɔl. Dɛn tin ya na:

• Damej na yu at ɔ yu blɔd vesel.
• Blɔd we de klɔt.
• Blɔd we de kɔmɔt.
• Sik we de prɛd .

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Afta yu dɔn du `(Ventricular Tachycardia Ablation)`, yu go nid fɔ de na ɔspitul fɔ at le wan nɛt. Bɔrku tɛm yu kin go bak to nɔrmal tin dɛm insay sɔm dez afta yu dɔn kɔmɔt na ɔspitul. Bɔt , i nɔ fayn fɔ du ɛnitin we ebi ɔ we yu taya fɔ at le tri dez, ɔ te yu dɔktɔ tɛl yu fɔ du am.

Aw a go ridyus dis risk?

If yu avɔyd at sik dɛm wae de mek yu gɛt Ventricular Tachycardia, yu kin ridyus di risk fɔ gɛt dis sik.

Yu kin du dɛn tin ya fɔ protɛkt yusɛf frɔm korona at sik, we kin mek dis sik pas ɔl:

• It fayn it we nɔ gɛt bɔku fat ɛn we nɔ gɛt bɔku sɔl .
• Ɛksesaiz bɔku tɛm.
• Mek yu gɛt wɛlbɔdi wet.
• Stɔp fɔ yuz ɔl di tin dɛn we dɛn kin mek wit tabak kpatakpata.
• Tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ gɛt ay blɔd prɛshɔn ɛn ay kɔlɔstrel ɛksaktɔli.

Wetin kin apin if a gɛt `(Ventricular Tachycardia)`? (Prɔgnosis) .

Yu prɔgnosis de dipen pan aw yu Ventricular Tachycardia tranga ɛn if yu gɛt ɔda at kɔndishɔn. Di sik kin siriɔs, mɔ if di lɛft ventricle na yu at nɔ de wok fayn. Bɔt if dɛn gɛt di rayt tritmɛnt, bɔku pipul dɛn kin liv nɔmal layf.

Yu tink se Ventricular Tachycardia kin wɛl ɔltogɛda?

Dis kin dipen pan di men tin we mek i apin. Fɔ sɔm pipul dɛn, Radiofrequency Catheter Ablation kin mɛn dis abnɔmal ritm kɔmplit wan, ɛn dɛn nɔ nid ɔda tritmɛnt. Divays dɛm we dɛn kɔl Implantable Cardioverter Defibrillators (ICDs) nɔ de mɛn dis, bɔt dɛn kin rili ɛp fɔ mek di at kam bak to in nɔmal ritm bay we dɛn de gi di at kwik kwik wan ɔ shɔk pan kes dɛm we de mek pɔsin in layf de pan denja fɔ Ventricular Tachycardia.

Aw a kin kia fɔ misɛf?

As pɔrsin wae gɛt `(Ventricular Tachycardia)`, yu fɔ du dɛn tin ya fɔ tek kia ɔf yusɛf:

• Fɔ fala di it ɛn ɛksɛsayz plan we go ɛp yu at we yu mɛdikal tim dɔn tɛl yu fɔ du.
• Stɔp fɔ yuz tin dɛn we dɛn kin mek wit tabak.
• Kɔntinyu fɔ tek di mɛrɛsin dɛn we yu dɔktɔ dɔn gi yu lɛk aw dɛn tɛl yu, ɛn nɔ skip ɛni dos.

Ustɛm a fɔ go to mi dɔktɔ?

I rili impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ mek dɛn du tɛst fɔ fala yu. Yu dɔktɔ go want fɔ:

• Si aw yu de.
• Mek shɔ se yu tritmɛnt de wok fayn fayn wan.
• Tɔk bɔt ɛni nyu sayn wae yu gɛt ɔr chenj na di we aw yu de fil.

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

If yu gɛt ɛni wan pan dɛn sik ya, kɔl 1990 (if na Sri Lanka) wantɛm wantɛm, ɔ go na imejensi rum wantɛm wantɛm:

• Chɛst de pen.
• Fɔ mek pɔsin nɔ ebul fɔ du natin.
• Wan fast ɛn abnɔmal puls.

Nɔ drayv yu wan na tɛm lɛk dis. Aks fɔ ɛp kwik kwik wan.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go si dɔktɔ, nɔ shem fɔ aks kwɛstyɔn dɛn lɛk dis. E fayn fɔ mek yu ɔndastand yu sik gud gud wan.

• Aw ɔltɛm a nid fɔ kam fɔ ``fɔl-ap`` tɛst?
• A go nid fɔ gɛt ICD?
• A go gɛt fɔ pul kateshɔn bak?
• Us chenj dɛn a nid fɔ mek na mi layf?

If yu no bɔt yu at rit ɛn aw yu de fil kin ɛp yu fɔ gɛt tritmɛnt we yu nid am. Fɔ trit di Ventricular Tachycardia kwik kwik wan rili impɔtant. So if yu ɔ pɔsin we yu lɛk nid ɛp, nɔ put am bifo. Ivin afta yu dɔn kɔmɔt na ɔspitul, fala wetin di dɔktɔ tɛl yu fɔ du di rayt tin. Tek di mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am. Adopt layf we gɛt wɛlbɔdi. Ɛspɛshali if yu gɛt mɛdikal divays we dɛn dɔn instɔl as tritmɛnt, atɛnd `(fɔl-ɔp)` tɛst dɛn we yu nɔ mis wan bit.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Ventricular Tachycardia na fast, abnכmal at bit we de stat na di lכw chεmba dεm na di at. Dis kin bi siriɔs sik, so nɔr ignore de symptoms. If yu gɛt pen na yu chɛst, i nɔ izi fɔ yu fɔ blo, yu ed de tɔn, ɔ yu de fɔdɔm , go to dɔktɔ wantɛm wantɛm.

Bɔt gud tin na dat, tritmɛnt dɛn de we go ɛp dis sik. Mɛrɛsin, kateshɔn ablɛshɔn, ɛn ICD divays kin ɛp fɔ kɔntrol di sik. Di tin we impɔtant pas ɔl na fɔ fala wetin yu dɔktɔ tɛl yu ɛn liv fayn layf. Dɔn yu kin liv fayn wit dis sik.

` Hat rit, hat sik, takikadia, wan wan at we de stɔp, at ritm, at tritmɛnt, ICD