Yu dɔn ɛva fil lɛk se yu at de bit kwik kwik wan wantɛm wantɛm, ɔ fil lɛk se i dɔn stɔp na wan ples, ɔ bit i nɔ de bit ɔltɛm? Dis na sɔntin we kin apin to bɔku pipul dɛn. Wi kin kɔl dis at bit we nɔ de bit ɔltɛm, ɔ we wi de tɔk bɔt mɛrɛsin, aritmia . So tide wi go tɔk bɔt di mɛrɛsin dɛm wae dɛn kin gi fɔ kɔntrol dɛn at bit ya we nɔr de ɔltɛm, dat na, Antiarrhythmics.
Fɔ tɔk am simpul wan, wetin na dɛn Antiarrhythmics ya?
Anti-aritmik na mɛrɛsin wae dɛn kin gi fɔ protɛkt ɛn trit aritmi, wae nɔr kin bi fast ɔr nɔr kin bit ɔltɛm. Tink bɔt yu at lɛk smɔl motoka we de wok tru wan smɔl ilɛktrik sistem. We sɔntin nɔ apin to dis ilɛktrik sistɛm, yu at kin bigin fɔ bit tumɔs, tu fast, ɔ i nɔ kin bit ɔltɛm.
di drog dεm we de mek di at de wok bay we dεn de kכrekt dis ilektrikal sistεm mistek εn mek di at in ritm kam bak to di nכmal ritm. Dɛn kin yuz dɛn mɛrɛsin ya fɔ trit tin dɛn we kin mek pɔsin in at bit ɔltɛm, lɛk Atrial Fibrillation , Atrial Flutter , Ventricular Tachycardia , ɛn Ventricular Fibrillation .
Aw dis mɛrɛsin de wok?
Dɛn mɛrɛsin ya kin wok tu men we dɛn:
1. I de stɔp di ilɛktrik signal dɛn we nɔ nid fɔ kɔmɔt na di at.
2. I de kכntro di spid we ilektrikal signal dεm we de travul abnכmal fast tru di at tisu.
Bɔku pan dɛn mɛrɛsin ya na dɛn kin tek am bay mɔt fɔ yuz fɔ lɔng tɛm. Bɔt pan sɔm imejensi, if di pɔsin in sik siriɔs ɔ if i nɔ pɔsibul fɔ tek mɛrɛsin we dɛn de it, dɛn kin gi am insay in bɛlɛ (IV).
Wetin na di tritmɛnt fɔ di at we nɔ de bit ɔltɛm?
Bɔku tritmɛnt dɛn de fɔ di at we nɔ de bit ɔltɛm.
- Di mɛrɛsin dɛn we dɛn kin yuz
- Di we aw pipul dɛn de liv dɛn layf kin chenj
- Di tin dɛn we dɛn kin put insay pɔsin in mɛrɛsin
- Ɔpreshɔn
Yu dɔktɔ go pik di bɛst tritmɛnt fɔ yu bay di kayn aritmi we yu gɛt ɛn aw i siriɔs. Jɛnɛral wan, yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu nɔ gɛt ritm pan dɛn tin ya:
- If dɛn nɔ kin ebul fɔ kɔntrol di sik wit di chenj dɛn we pɔsin kin chenj in layf nɔmɔ.
- If dis kɔndishɔn de ambɔg yu aktiviti dɛm ɛvride.
- Dis kin put yu pan denja fɔ gɛt prɔblɛm dɛn we kin mek yu layf de pan denja lɛk at pwɛl , yu at kin stɔp , ɔ strok .
Wetin na di kayn mɛrɛsin wae de mek pɔrsin nɔr gɛt ritm?
Dɛn sheb dɛn mɛrɛsin ya to 4 men kategori. Lɛ wi si wetin dɛn bi.
| Drug klas (Klas) . | Aw i de wok | Ɛgzampul dɛn |
|---|---|---|
| Klas I: Sɔdiɔm Chanɛl Blɔka dɛn | I de mek sɔdiɔm nɔ go insay di at sɛl dɛn. Dis kin mek di spid we ilɛktrik signal dɛn de travul tru di at slo. | Disopyramid, Flecainide, Mɛksilɛtin, Prɔpafenɔn, Kwinidin |
| Klas II: Beta Blɔka dɛn | I de blok di ɔmon dɛn lɛk adrenaline ɛn i de slo di at rit. | Atenolol, Bisoprolol, Metoprolol, Propranolol, Nadolol |
| Klas III: Potashɔm Chanɛl Blɔka dɛn | I de mek potashɔm nɔ go insay di at sɛl dɛn. Dis kin kɔntrol di spid we di ilɛktrik signal dɛn na di at de spid. | Amiodarone, Dofetilid, Dronedaron, Sotalol, ɛn ɔda pipul dɛn |
| Klas IV: Kalsiɔm Chanɛl Blɔka dɛn | i de blכk di kalsiכm chεnal dεm na di at mכsul, we de ridyus di at rεt εn di trεnk we di at de kכntrakt. | Diltiazem, we de na Vɛrapamil |
| Ɔda Antiaritmik dɛn | ||
| Adenosin we dɛn kɔl | I de slo ɔ blok di spid we ilɛktrik signal dɛn de travul bitwin di ɔp ɛn dɔŋ chɛmba dɛn na di at. | |
| Digoxin we dɛn kin yuz | I de mek di at slo ɛn i de mek di at ebul fɔ kɔntrakt mɔ. | |
Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ pik di wan we go fayn fɔ yu frɔm dɛn mɛrɛsin ya. I nɔ go ɛva fayn fɔ yuz dɛn mɛrɛsin ya fɔ yusɛf.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dɛn mɛrɛsin ya gɛt?
If yu yuz dɛn mɛrɛsin ya, dat kin mek yu nɔ fil fayn bad bad wan. Fɔ ɛgzampul:
- Chɛst de pen
- Diziz ɔ fil lɛk yu ed layt
- Fɔ put wan ɛnd pan art
- Di we aw pɔsin de blo
- I nɔ kin izi fɔ yu fɔ blo
Bɔt, prɔblɛm dɛn de we kin apin we dɛn tek dɛn mɛrɛsin ya. De men risk na dat, sɔmtɛm dɛn mɛrɛsin ya kin mek ɔda kayn at ritm disɔda. Na dat mek i impɔtant fɔ mek dɔktɔ de wach am gud gud wan we yu de yuz dɛn mɛrɛsin ya. Yu dɔktɔ, we sɔntɛm na dɔktɔ we de mɛn yu at ɔ pɔsin we de stɔdi bɔt ilɛktrofisiɔlɔji, go de chɛk yu ɔltɛm. If ɛni prɔblɛm de, dɛn go chenj di doz fɔ di mɛrɛsin ɔ dɛn go tɛl yu fɔ tek ɔda mɛrɛsin.
Yu tink se fɔ tek bɔku mɛrɛsin (ɔvados) denja?
Yɛs, i rili denja. I rili impɔtant fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek. If yu tek bɔku mɛrɛsin, dat kin mek yu gɛt dɛn siriɔs tin ya:
- Dimɛnshɔnal sik
- Damej to di at tisu
- Respiratory Arrest we de mek pɔsin nɔ ebul fɔ blo fayn
- Fɔ slip we yu nɔ no bɔt wetin de apin rawnd yu (Sedation) .
- Di sik dɛn we kin mek pɔsin sik
- Kɔma
If yu tink se pɔsin dɔn tek dɛn mɛrɛsin ya tumɔs, kɛr am go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
Ɛni bad bad tin dɛn de we kin apin to am?
Lɛk ɛni mɛrɛsin, dɛn mɛrɛsin ya kin mek sɔm bad bad tin dɛn apin. Nɔto ɔlman kin gɛt dɛn. Sɔm pan di bad bad tin dɛn we kin apin to pɔsin na:
- Banbɛlɛ
- Diziz we pɔsin kin gɛt
- Fɔ tɔsti pasmak
- di skin de chenj (e.g., i de rεd, i de dray) .
- Ed de at
- Vɔmit
- Ring na di yes (Tinnitus) .
- Fɔ fil we di san de shayn
- Ɛdima (we de swel we wata de gɛda na di bɔdi) .
- I nɔ kin izi fɔ yu fɔ pis
- Vishɔn kin chenj
- Asma de mek pɔsin wɔs
A nid fɔ tek tɛm we a de yuz dɛn mɛrɛsin ya wit ɔda mɛrɛsin dɛn?
Yɛs, na fɔ tru. Antiarrhythmic drugs kin intarakt wit ɔda mɛrɛsin dɛm. So, tɛl yu dɔktɔ bɔt ɔltin we yu de tek. Dat inklud:
- Prɛskrishɔn drɔgs fɔ ɔda sik dɛn
- Mɛrɛsin dɛn we dɛn kin bay na kɔt
- Di kayn krim dɛn we dɛn kin put pan di skin
- Di tin dɛn we dɛn kin yuz fɔ blo
- Vitamin, minral, ɛbul prodak, ɔ ɛni ɔda supamakit.
If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ, mek shɔ se yu tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin.
Mɛsej we dɛn kin kɛr go na os
- Antiarrhythmic na mεdikeshכn dεm we dεn kin gi fכ kכntrכl di at bit we nכ de bit rεgulεr (arrhythmias).
- Dɛn mɛrɛsin ya fɔ tek lɛk aw dɔktɔ tɛl yu fɔ tek, di doz we dɛn tɛl yu fɔ tek, ɛn di tɛm we yu tɛl yu fɔ tek.
- We yu de tek dis mɛrɛsin, i rili impɔtant fɔ mek yu kɔntinyu fɔ tɔk to yu dɔktɔ ɔltɛm ɛn go na klinik dɛn di de dɛn we yu dɔn plan fɔ du.
- Nɔ stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz fɔ ɛni rizin we yu nɔ aks yu dɔktɔ.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin ɛn sɔpɔtmɛnt dɛn we yu de tek.
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