Yu dɔn ɛva fil lɛk se yu chɛst bigin fɔ bit wantɛm wantɛm fɔ natin? Ɔ na strenj filin lɛk se yu at dɔn stɔp ɛn bigin bak? Fɔ sɔm pipul dɛn, dis kin fil lɛk se di ritm na yu at dɔn ambɔg. pan mεdikal tεm dεm, wi kin kכl dεn kכndyushכn dεm ya at bit we nכ de bit, כ ‘arrhythmias’. Pan ɔl we dis kin apin to bɔku pipul dɛn, sɔntɛnde i kin rili siriɔs. So, wan spɛshal kayn mɛrɛsin de we dɔktɔ dɛn kin gi fɔ mek dis at ritm kam bak. Na dat wi go tɔk bɔt insay dis atikul tide, rili simpul ɛn di we we yu go ɔndastand.
Fɔs, lɛ wi si wetin na dis at we nɔ de bit ɔltɛm (ari ritmia).
Fɔ ɔndastand dis, wi fɔ no smɔl fɔs bɔt aw di at de wok. Imajin se yu at na pɔmp we wan smɔl ilɛktrik sistem de pawa. dis ilektrikal sistεm na in de gi di at mכsul dεm di signal dεm fכ kכntrakt, dat na fכ kכntrakt. We di at kɔntrakt ɛn pan dis we, dɛn kin pɔmp blɔd ɔlsay na di bɔdi. Wi de kɔl dis at bit. So, wetin kin apin if prɔblɛm ɔ malfunction de na da ilɛktrik sistem we a bin tɔk bɔt? Dɔn di ritm we di at de bit kin ambɔg. Dat min se:
- Di at rit kin go ɔp tumɔs. (Wi kin kɔl dis Tachycardia)
- di at rit kin slo tu (dεn kכl dis bradycardia).
- Di at kin bit ɔltɛm, ɛn i nɔ kin bit ɛni ritm.
Wi kin kɔl ɛni kayn tin we tan lɛk
dis aritmia .
Atrial Fibrillation ,
Atrial Flutter , ɛn
Ventricular Tachycardia na sɔm pan di kayn tin dɛn we kin apin we nɔ kin apin ɔltɛm.
So wetin na dɛn antiarrhythmics ya?
Fɔ tɔk am simpul wan, antiarithmics na drɔgs we dɛn kin gi fɔ kɔntrol, protɛkt, ɛn trit di at ritm dizayd dɛm we wi dɔn tɔk bɔt. Dɛn drɔgs ya kin kɔrɛkt di prɔblɛm we de na di at in ilɛktrik sistɛm ɛn mek di at kam bak to wan nɔmal, wɛlbɔdi ritm. Dɛn drɔgs ya kin wok mɔ pan tu we dɛn: 1. Dɛn kin stɔp di abnɔmal, ɛkstra ilɛktrik signal dɛm we de mek na di at. 2. dεn de mek כ kכntrol di abnכmal fast ilektrikal signal dεm fכ travul tru di at tisu. Bɔku tɛm, yu dɔktɔ kin gi yu dɛn mɛrɛsin ya as pils fɔ tek ɛvride. Bɔt pan sɔm imejensi, if di pɔsin nɔ ebul fɔ tek pils ɔ if di sik siriɔs, dɛn kin gi am bak as mɛrɛsin we dɛn kin put insay in bɛlɛ (IV).
Aw dɛn mɛrɛsin ya kin wok? Mek wi si.
Dɛn mɛrɛsin ya we de mek pɔsin nɔ gɛt ritm nɔto ɔl di sem. Dɛn sheb dɛn to sɔm men kategori dɛn bay aw dɛn de wok. Yu dɔktɔ go pik di mɛrɛsin we go fayn fɔ yu bay di kayn tin we yu nɔ de du ɔltɛm ɛn wetin mek yu gɛt am. Lɛ wi tek wan luk pan wetin na dɛn men kayn ya ɛn aw dɛn de wok.
| Drug Klas we dɛn de yuz | Di we aw i de wok na simpul wan. | Sɔm ɛgzampul dɛn |
|---|
| Klas I - Sɔdiɔm Chanɛl Blɔka dɛn | I de stɔp sɔdiɔm fɔ go insay di at sɛl dɛn. Dis kin mek di spid we ilɛktrik signal dɛn de travul tru di at slo. | Disopiramid, Flekaynayd, Prɔpafenɔn, Kwinidin |
| Klas II - Beta Blɔka dɛn | i de blok di ifekt dεm we כmon dεm lεk adrenaline de gi, i de slo di at rεt εn i de ridyus di prεshכn pan di at. | Atenolol, Bisoprolɔl, Mɛtoprolɔl, Prɔpranɔlɔl |
| Klas III - Potassium Chanɛl Blɔka dɛn | I de kɔntrol di we aw di potashɔm de kɔmɔt na di at sɛl dɛn. Dis kin mek di at in ilɛktrik signal sistɛm stebul. | Amiodarone, Sotalol, Dofetilid, ɛn ɔda pipul dɛn |
| Klas IV - Kalsiɔm Chanɛl Blɔka dɛn | I de mek di kalsiɔm nɔ go insay di at mɔsul sɛl dɛn. Dis de ridyus di rεt εn trεnk we di at de kכntrikshכn. | Diltiazem, we de na Vɛrapamil |
| Ɔda Antiaritmik dɛn | Ɔda drɔgs de we nɔ de insay dis kategori bɔt we de du di sem wok. Adenosin de stɔp di at in ilɛktrik signal fɔ smɔl tɛm ɛn afta dat i de stat dɛn bak. Digoxin de slo di at rit. | Adenosin, Digɔksin, ɛn ɔda pipul dɛn |
Wetin na di bɛnifit dɛn we pɔsin kin gɛt we i yuz dis mɛrɛsin?
If yu gɛt arrhythmia, dɛn mɛrɛsin ya kin ridyus di diskɔmfɔt we yu kin fil bad bad wan. Dɛn kin ɛp bak fɔ mek dɛn nɔ gɛt siriɔs prɔblɛm dɛn we kin apin bikɔs ɔf dis kɔndishɔn. Di men sayn dɛm wae dɛn mɛrɛsin ya kin kɔntrol na:
We dɛn kɔntrol dɛn sik ya, yu layf kin izi fɔ yu ɛvride. Dɛn mɛrɛsin ya kin ɛp bak fɔ ridyus di risk fɔ gɛt siriɔs sik lɛk
at pwɛl ,
at we nɔ de wok, ɛn
strok .
Lɛ wi no bak di bad tin dɛn we kin apin ɛn di bad tin dɛn we kin apin to wi, nɔto so?
Lɛk ɛni mɛrɛsin, dɛn mɛrɛsin ya we de mek pɔsin nɔ gɛt rit kin gɛt sɔm prɔblɛm dɛn ɛn sɔm bad bad tin dɛn we kin apin to pɔsin. I rili impɔtant fɔ no bɔt dis.
Di tin we impɔtant pas ɔl na dat sɔntɛnde dɛn mɛrɛsin ya kin mek nyu kayn at ritm we nɔ de wok fayn . Dat min se, fɔ tek mɛrɛsin fɔ wan aritmia kin mek ɔda wan. So, i impɔtant fɔ yuz dɛn tin ya ɔnda dɔktɔ in sɔpɔtishɔn, di doz we dɛn tɛl yu fɔ yuz, ɛn di tɛm we yu tɛl yu fɔ yuz.
Yu dɔktɔ ɛn dɔktɔ we de mɛn yu at go chɛk yu ɔltɛm. If yu gɛt ɛni nyu sik, dɛn kin disayd fɔ chenj di mɛrɛsin we yu de tek ɔ chenj yu to ɔda mɛrɛsin.
Di sayd ɛfɛkt dɛn we dɛn kin si:
Sɔm pipul dɛn kin gɛt sayd ɛfɛkt lɛk dis we dɛn de tek dis mɛrɛsin:
- Banbɛlɛ
- Diziz we pɔsin kin gɛt
- Fɔ tɔsti pasmak
- Skin chenj ( redness , dryness) .
- Ed de at
- Vɔmit
- Fɔ yɛri wan ring na yu yes (Tinnitus) .
- San sɛnsitiviti (skin kin tɔn rɛd izi wan) .
- Ɛdima
- I nɔ kin izi fɔ yu fɔ pis
- Vishɔn kin chenj
- If yu gɛt asma, i kin bɔku.
If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm.
Ovados fɔ yuz am
Nɔ ɛva tek dɛn mɛrɛsin ya pas aw yu dɔktɔ tɛl yu . If yu tek mɔ, dat kin rili denja. If yu tek am pasmak, i kin mek yu gɛt siriɔs prɔblɛm lɛk:
- Kɔnfyus
- Damej to di at tisu
- Respiratory Arrest we de mek pɔsin nɔ ebul fɔ blo fayn
- Sedeshɔn fɔ mek pɔsin fil fayn
- Di sik dɛn we kin mek pɔsin sik
- Fɔdɔm insay kɔma
If yu ɔ pɔsin we yu sabi dɔn tek dis mɛrɛsin tumɔs,
go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm . Fɔ no mɔ, yu kin kɔl bak
di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital.
Prɔblɛm kin de wit ɔda mɛrɛsin dɛn? (Drug Intarakshɔn) .
Yɛs, na fɔ tru. Dɛn antiarrhythmic drɔgs ya kin intarakt wit ɔda mɛrɛsin dɛm wae yu de tek ɛn mek prɔblɛm. So, bifo yu dɔktɔ gi yu dis mɛrɛsin, i impɔtant fɔ mek yu tɛl am bɔt
ɔltin we yu de tek. Dis inklud:
- Mɛrɛsin fɔ ɔda sik dɛn
- Krim dɛn fɔ kia fɔ di skin
- Di tin dɛn we dɛn kin yuz fɔ blo
- Mɛrɛsin dɛn we dɛn kin bay na kɔt
- Vitamin, minral, nyutrishɔn sɔpɔtmɛnt dɛn
- Ayurveda ɔ ɛbul mɛrɛsin ɛn ɔda tin dɛn.
If yu dɔktɔ no ɔl di mɛrɛsin dɛn we yu de tek, i kin gi yu di mɛrɛsin we nɔ bad fɔ yu. Dɔn bak, if yu gɛt bɛlɛ ɔ yu de plan fɔ gɛt bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin.
Aw lɔng a nid fɔ tek dis mɛrɛsin?
Bɔku tɛm, dɛn kin gɛt fɔ tek dɛn mɛrɛsin ya fɔ lɔng tɛm. Sɔntɛnde, dɛn kin nid fɔ tek dɛn fɔ di res ɔf yu layf. Yu fɔ kɔntinyu fɔ tek dɛn lɛk aw yu dɔktɔ tɛl yu, as lɔng as di mɛrɛsin de wok ɛn yu nɔ gɛt ɛni siriɔs sayd ɛfɛkt.
Nɔ stɔp fɔ tek dis mɛrɛsin ɔ chenj di doz fɔ ɛni rizin we yu nɔ go to yu dɔktɔ. If yu du dat, dat kin mek yu at bit we yu nɔ de bit ɔltɛm.
Mɛsej we dɛn kin kɛr go na os
- Antiarrhythmics na spɛshal kayn mɛrɛsin wae de kɔntrol aw yu at de bit ɔltɛm.
- Bɔku kayn mɛrɛsin ya de, ɛn yu dɔktɔ go pik di wan we go fayn fɔ yu.
- Tek di mɛrɛsin di doz ɛn di tɛm we yu dɔn tɛl yu lɛk aw yu dɔktɔ tɛl yu. Nɔ ɛva inkrisayz ɔ ridyus di doz ɔ stɔp fɔ tek am ɛni tɛm.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn Ayurveda mɛrɛsin dɛn we yu de tek.
- If yu gɛt nyu sayn ɔr sayd ɛfɛkt wae yu de tek dis mɛrɛsin, tɛl yu dɔktɔ wantɛm wantɛm.
- I rili impɔtant fɔ atɛnd di mɛdikal chɛk-ap di rayt tɛm.
Antiaritmik, At bit, Aritmia, Chɛst Bit, At Ritm, Beta blɔk, At Sik, Atrial Fibrilɛshɔn, Sinhala mɛdikal atikul
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