So ɔhaw bi wɔ wo koma mu anyinam ahoɔden nhyehyɛe no mu? Momma yɛnka Bundle Branch Block ho asɛm wɔ nsɛm a ɛnyɛ den mu!

So woayɛ ECG pɛn na woahu nsɛmfua `Bundle Branch Block` wɔ amanneɛbɔ no so pɛn? Anaasɛ ebia woate nka sɛ biribi a ɛyɛ nwonwa anaa emu yɛ duru kakra wɔ wo koma mu, nanso wuntumi nhu nea ɛde ba ankasa. Ɛtɔ mmere bi a, saa tebea yi betumi aba a enni sɛnkyerɛnne biara. Ɛnnɛ, yɛbɛka saa tebea yi a wɔfrɛ no `Bundle Branch Block` ho asɛm, tiawa koraa, wɔ ɔkwan a wobɛtumi ate aseɛ so.

Dɛn ne Bundle Baa Dwumadibea Block? Momma yɛnte ase kɛkɛ!

Okay, afei hwɛ... yɛn koma te sɛ motor ketewa bi, ɛnte saa? Ɛsɛ sɛ ɛkɔ so yɛ adwuma. Sɛ koma yi betumi abɔ a, ehia anyinam ahoɔden sɛnkyerɛnne kakra. Ɛte sɛ current a ɛwɔ yɛn fie sɛ ɛbɛsɔ akanea no. Saa anyinam ahoɔden nsɛnkyerɛnne yi fa akwan pɔtee bi so wɔ koma no mu. Saa akwan yi ne nea yɛfrɛ no ``bundle branches.'' Electrical signals no fa eyinom mu na ɛka kyerɛ adan atitiriw abien a ɛwɔ koma no ase, ``ventricles,'' sɛ wɔka sɛ, "Okay, afei mo mmarima no rekɔ akɔtwetwe na moabɔ mogya bi.

Mpɛn pii no, koma no mu ntini abien yi nyinaa twetwe bere koro mu. Ɛno ne bere a koma no pam mogya yiye. Nanso, sɛ ``Bundle Branch Block'' bi wɔ hɔ a, ɛno kyerɛ sɛ akwanside anaa akwanside bi wɔ anyinam ahoɔden sɛnkyerɛnne kwan a mekaa ho asɛm no mu, kyerɛ sɛ, wɔ ``bundle branch'' no mu. Ɛte sɛ nea waya bi abubu anaasɛ asiw baabi. Afei saa anyinam ahoɔden sɛnkyerɛnne no nkɔ yiye, ɛkyɛ. Esiane eyi nti, adan abien no ntumi nkɔ fam bere koro mu. Baako yɛ apam, na ɔfoforo nso yɛ apam akyiri kakra. Eyi ne nea yɛfrɛ no koma a ɛbɔ a ɛnyɛ ne kwan so.

Nanso, ɛnyɛ bundle branch blocks nyinaa na ehia sɛ wɔyɛ ho adwuma kɛse. Mpɛn pii no, nnuruyɛfo hwehwɛ tebea afoforo a ebetumi de ɔhaw no aba na wɔbɔ mmɔden sɛ wɔbɛsa saa tebea horow no.

So Bundle Branch Block ahorow bi wɔ hɔ?

Yiw, bundle branch block ahorow atitiriw abien na ɛwɔ hɔ, a egyina sɛ ebia ɛka koma no nifa anaa benkum so.

1. Right Bundle Branch Block (RBBB): Eyi ne bere a ɔkwan bi siw kwan a ɛde anyinam ahoɔden nsɛnkyerɛnne kɔ nifa so ventricle no mu. Sɛ yɛbɛka no tiawa a, ɔhaw bi wɔ waya a ɛwɔ nifa so no ho.

2. Left Bundle Branch Block (LBBB): Eyi ne bere a ɔkwan a ɛde anyinam ahoɔden nsɛnkyerɛnne kɔ benkum so ahurututu no mu no siw. Wei kyerɛ sɛ ɔhaw bi wɔ benkum bundle branch block no ho.

Ɛtɔ mmere bi a, nkorabata yi mu biako pɛ na ebetumi aka. Anaasɛ, ɛntaa nsi koraa sɛ ebia nkorabata abien no nyinaa bɛka bere koro mu.

Hena na obetumi ayɛ eyi (Bundle Branch Block)? Ɛtaa ba dɛn?

Nokwarem no, obiara betumi anya saa tebea yi a wɔfrɛ no ``Bundle Branch Block''. Nanso, sɛ wo nyin na sɛ wowɔ komayare afoforo a, asiane a ɛwɔ hɔ sɛ wubenya eyi no yɛ kɛse kakra.

• Nifa bundle baa dwumadibea block `(RBBB)`:Eyi abu so sen `(LBBB)`. Fa no sɛ, sɛ obi bedi mfe 50 a, ebia nnipa 100 biara mu biako (0.8%) benya eyi. Nanso sɛ obi bedi mfe 80 a, ebia nnipa 100 biara mu bɛyɛ 11 (11.3%) benya saa tebea yi.
• Left bundle branch block (LBBB): Eyi ntaa mma te sɛ RBBB. Wɔ aman te sɛ United States mu no, ɛka nnipa dodow 0.06% kosi 0.1%. Nanso, wɔ nnipa a wɔwɔ komayare mu no, ebia wɔn mu bɛyɛ nkyem abiɛsa mu biako wɔ LBBB.

Ɔkwan bɛn so na bundle branch block ka nipadua no?

Yɛfrɛ nhyehyɛe a ɛhwɛ yɛn koma bɔ so no ``koma mu ntini nhyehyɛe''. Saa akwan a madi kan aka ho asɛm no, ``bundle branches'' no nso yɛ nhyehyɛe yi fã. Enti, egyina baabi a akwanside yi wɔ so no, ɔkwan a ɛka yɛn nipadua no sesa.

• Right bundle branch block (RBBB): Sɛ wowɔ RBBB a, block no wɔ ɔkwan a ɛde anyinam ahoɔden sɛnkyerɛnne no kɔ nifa ventricle no mu. Eyi ma wo benkum ventricle no twetwe ansa na nifa ventricle no aba.
• Left bundle branch block (LBBB): Sɛ wowɔ LBBB a, block no wɔ ɔkwan a ɛde anyinam ahoɔden sɛnkyerɛnne no kɔ benkum ventricle no mu. Eyi ma ventricle nifa no twetwe ansa na benkum no aba. Eyi ma ɛyɛ den ma koma no sɛ ɛbɛtwe mogya yiye. Mpɛn pii no, sɛ wohu sɛ wowɔ LBBB a, ɛkyerɛ sɛ ebia wowɔ komayare foforo a ɛhyɛ wo ase.
• Nifa ne benkum bundle nkorabata no nyinaa a wɔasiw: Eyi yɛ tebea a emu yɛ den kɛse. Sɛ eyi ba a, anyinam ahoɔden nsɛnkyerɛnne a efi koma no atifi adan mu kɔ fam (atrial fibrillation) no betumi asiw koraa. Eyi betumi ama koma no bɔ brɛoo yiye (bradycardia) na ebetumi de akwahosan ho haw afoforo a emu yɛ den aba.

Dɛn ne nneɛma atitiriw a ɛde bundle branch block ba?

Nneɛma ahodoɔ nti na ``Bundle Branch Block'' betumi aba. Ma yɛnhwɛ nea wɔyɛ:

• Koma mu yare a wɔde awo obi
• Dilated cardiomyopathy (tebea a ɛma koma ntini no yɛ mmerɛw na ɛyɛ kɛse) .
• Koma mu ntini a ɛyɛ mmerɛw, anaasɛ sɛnea yɛn nyinaa nim no, komayare
• Koma mu yare, titiriw koma mu ntini mu yare
• Koma a entumi nyɛ adwuma yiye
• Koma mu yare (myocarditis) .
• Koma mu ntini mu yare
• Mogya mmoroso (ntini mmoroso) .
• Hypertrophic cardiomyopathy (tebea a ɛma koma ntini no yɛ den) .
• Koma ntini a ɛyɛ mmerɛw anaasɛ ɛyɛ den (cardiomyopathy) .

Nea ɛka ho no, ahurututu mu nyarewa nso betumi de right bundle branch block (RBBB) aba. Nhwɛsoɔ:

• Ahurututu mu yare a enni sabea (COPD), ahurututu mu yare a akyɛ
• Ahurututu mu ntini a ɛma mogya tu
• Mogya mmoroso a ɛkɔ soro wɔ ahurututu mu (Pulmonary hypertension - PH) .

Nanso, ɛtɔ da bi a , wontumi nhu nea ɛde ba pɔtee biara mma saa ``Bundle Branch Block`` yi. Ebia nnipa a wɔte saa koma benya apɔwmuden wɔ nneɛma afoforo nyinaa mu.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi ayɛ bundle branch block?

Adeɛ baako a ɛyɛ nwonwa wɔ yei ho ne sɛ mmerɛ dodoɔ no ara, sɛ wowɔ ``Bundle Branch Block`` mpo a, sɛnkyerɛnne biara nni hɔ . Nanso, sɛ sɛnkyerɛnne ahorow no ba a, ebetumi ayɛ nneɛma te sɛ:

• Adwene a ɛyɛ basaa
• Fainting, adwene a ɛyera `(syncope)`
• Sɛ wote nka sɛ worebɛtotɔ piti (presyncope) .

Nanso, sɛnea mekae no, sɛ koma no nkorabata a ɛyɛ nkorabata nifa ne benkum no nyinaa siw a, ebia sɛnkyerɛnne ahorow no bɛyɛ soronko kakra, na ebia ɛbɛda adi kakra mpo:

• Koma a ɛbɔ a ɛnteɛ (arrhythmia) .
• Ɔhome a ɛyɛ den (dyspnea) .
• Koma a ɛbɔ brɛoo (bradycardia) .

Mpɛn pii no, sɛnkyerɛnne ahorow no da adi kɛse wɔ tebea horow te sɛ eyinom mu:

• Sɛ wowɔ komayare foforo biara a ɛhyɛ wo ase a.
• Sɛ akwanside bi wɔ nifa ne benkum bundle nkorabata no nyinaa mu a.
• Sɛ `(Bundle Branch Block)` no wɔ tebea a emu yɛ den kakra mu a.

Mɛyɛ dɛn ahu sɛ mewɔ Bundle Branch Block anaa?

Nnuruyɛfo de nhwehwɛmu atitiriw abien di dwuma de hu bundle branch block:

1. Electrocardiogram (EKG anaa ECG): Ebia woayɛ eyi. Wɔde sticker nketewa a wɔfrɛ no electrodes gu wo moma so, wo nsa, ne wo nan so, na afiri bi kyerɛw wo koma no anyinam ahoɔden dwumadi bere a woda hɔ dinn no. Eyi betumi ahwɛ ɔkwan a koma no mu anyinam ahoɔden nsɛnkyerɛnne fa so na ama woahu sɛ wowɔ bundle branch block, na sɛ ɛte saa a, sɛ ebia ɛwɔ nifa anaa benkum so.

2. Echocardiogram (echo): Nea ɛka eyi ho ne sɛ wode gel bɛhyɛ wo moma so, wode afiri ketewaa bi (poma) bɛto wo moma so, na wode nnyigyei asorɔkye a ano yɛ den atwa wo koma no mu adan ne ne ntini ahorow ho mfonini. Eyi ma wo duruyɛfo hu sɛnea wo koma rebɔ, sɛnea ɛbɔ mogya, ne sɛ ebia komayare bi wɔ hɔ a ɛhyɛ ase anaa.

Sɛ wohu sɛ wowɔ bundle branch block a, wo duruyɛfo no nso bɛhwɛ akwahosan tebea afoforo a ɛfa ho anaa. Wobetumi nso ayɛ sɔhwɛ ahorow te sɛ:

• Mogya mmoroso susuw (de hwɛ sɛ nhyɛso no yɛ kɛse (hypertension) anaasɛ ɛba fam (hypotension)).
• Mogya mu nhwehwɛmu a wɔyɛ de hwɛ srade dodow a ɛwɔ mogya no mu.
• Cardiac catheterization (sɔhwɛ a wɔde hwehwɛ koma no mu mogya ntini mu) .
• Wɔyɛ ``Nuclear cardiac stress test'' de hwɛ sɛ coronary artery yare bi wɔ hɔ anaa.
• Ahurututu mu dwumadi ho sɔhwɛ yɛ sɔhwɛ a wɔde hwɛ sɛnea ahurututu no reyɛ adwuma yiye.

Ɔkwan bɛn so na wɔyɛ Bundle Branch Block ho adwuma?

Sɛ wunni sɛnkyerɛnne biara na wunni aduruyɛ mu tebea foforo a emu yɛ den a ɛhyɛ wo ase a, ebia wunhia ayaresa pɔtee biara wɔ bundle branch block ho. Nanso, sɛ wowɔ ɔhaw afoforo te sɛ mogya mmoroso anaa koma a entumi nyɛ adwuma yiye a, ebia ebehia sɛ wonom nnuru na ama woatumi asiw ano.

Nanso sɛ wowɔ sɛnkyerɛnne ahorow te sɛ nea woatɔ piti a, ebia wo duruyɛfo bɛkyerɛ sɛ fa afiri a ɛma wo koma bɔ . Eyi yɛ afiri ketewaa bi a koma mu anyinam ahoɔden ho ɔbenfo de hyɛ wo moma so were ase. Ɛfa nhama a ɛka wo koma ho so de nsɛnkyerɛnne mena, na ɛma wo koma bɔ ntɛmntɛm.

Sɛ wowɔ komayare anaa koma ntini a ɛtrɛw a, ebia wo duruyɛfo bɛkamfo ayaresa bi a wɔfrɛ no Cardiac Resynchronization Therapy (CRT) akyerɛ wo . Eyi de afiri titiriw bi a ɛma koma no yɛ kɛse a wɔfrɛ no Biventricular Pacemaker na edi dwuma . Eyi boa koma no mu adan abien no nyinaa ma ɛtwetwe bere koro mu. Saa CRT ayaresa yi betumi aboa ma yare no ho sɛnkyerɛnne te sɛ ahome a ɛyɛ tiaa no so atew.

Ɔkwan bɛn so na wɔbɛtew asiane a ɛwɔ hɔ sɛ wobenya bundle branch block no so?

Sɛ yɛbɛbɔ yɛn ho ban afiri `(Bundle Branch Block)` ne komayareɛ foforɔ ho a, ɛhia sɛ yɛfa asetena pa. Ɛno kyerɛ sɛ:

• Di aduan a ɛma koma nya ahoɔden (nhabannuru, nnuaba, nhabannuru, nnuan a srade nnim).
• Apɔw-mu-teɛteɛ daa (te sɛ nantew, mmirikatu, sakre so).
• Kura mu duru a ɛfata mu .
• Di srade dodow a ɛwɔ nipadua mu no so .
• Gyae sigaretnom ne tawa ho nneɛma a wode di dwuma koraa.
• Sɛ wo mogya mmoroso yɛ kɛse a, hyɛ no so.
• Kɔ ayaresabea kɔhwɛ wo daa .

Sɛ nyarewa afoforo ka Bundle Branch Block ho a, asiane bɛn na ɛwɔ mu?

Sɛ wowɔ ``Bundle Branch Block'' a ɛwɔ saa tebea horow yi a, asiane a ɛwɔ hɔ ma nkwa no betumi akɔ soro kakra :

• Koma mu yare
• Koma mu nyarewa afoforo
• Koma a entumi nyɛ adwuma yiye

Adeɛ baako a ɛsɛ sɛ wokae titire ne sɛ, sɛ wowɔ asɛm foforɔ a ɛfa `(Left Bundle Branch Block - LBBB)` na wo nso worete wo koko mu yaw a, ɛbɛtumi ayɛ tebea a emu yɛ den a ɛwɔ aseɛ, te sɛ komayareɛ ho sɛnkyerɛnne. Sɛ eyi ba a, ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.

Dɛn na ɛto obi a ɔwɔ Bundle Branch Block? Dɛn na edi hɔ?

Bundle Branch Block taa yɛ tebea a ɛkɔ so wɔ nkwa nna nyinaa mu . Ebia nea asiw kwan no bɛkɔ so ayɛ nea ɛte saa ara, anaasɛ bere kɔ so no, ebetumi asɛe kɛse.

Esiane sɛ ɛtɔ mmere bi a Left Bundle Branch Block (LBBB) betumi ayɛ sɛnkyerɛnne a edi kan a ɛkyerɛ sɛ koma asiw koraa nti, wɔabara wimhyɛnkafo a wɔwɔ aman te sɛ U.S. ne UK sɛ sɛ wɔwɔ LBBB a, sɛ wɔwɔ LBBB a, wɔmfa wimhyɛn nkɔ. Nanso, gye sɛ wowɔ sɛnkyerɛnne a emu yɛ den, Bundle Branch Block a wowɔ no, mpɛn pii no ɛrennya wo da biara da dwumadi ahorow so nkɛntɛnso kɛse.

Wɔ adwene mu no, sɛ wunni aduruyɛ mu tebea atitiriw foforo biara a ɛhyɛ ase a, ebia Bundle Branch Block rennya nkɛntɛnso kɛse wɔ w’akwahosan anaa w’asetra nyinaa so. Nanso, sɛ wowɔ tebea afoforo a ɛka wo koma a, Bundle Branch Block betumi ama saa tebea horow no asɛe ntɛmntɛm na wo sɛnkyerɛnne ahorow no betumi ayɛ kɛse.

Sɛ mewɔ (Bundle Branch Block) a, mɛyɛ dɛn ahwɛ me ho?

Sɛ wowɔ bundle branch block a, ka kyerɛ wo duruyɛfo bere biara a wobɛkɔ oduruyɛfo foforo nkyɛn. Saa nsɛm yi bɛboa wɔn ma wɔate wo koma akwahosan ne wo yiyedi nyinaa ase yiye.

Hwɛ hu sɛ wo duruyɛfo nim sɛ wowɔ bundle branch block, titiriw wɔ nsɛm yi mu:

• Sɛ woreyɛ apɔw-mu-teɛteɛ adwennwen sɔhwɛ (efisɛ nyarewa bi betumi ayɛ den kakra sɛ wubehu bere a wowɔ LBBB).
• Sɛ ɛba sɛ aduruyɛ mu tebea bi a egye ntɛmpɛ te sɛ komayare a.
• Sɛ wɔreyɛ wo oprehyɛn wɔ komayare foforo ho a.

Ɛyɛ papa nso sɛ wode wo ECG amanneɛbɔ no bi sie wo nsam, efisɛ ebetumi ayɛ nea mfaso wɔ so wɔ tebea a egye ntɛmpɛ mu.

Mmere bɛn na eye sen biara a wubetumi akɔ oduruyɛfo nkyɛn?

Sɛ wunya sɛnkyerɛnne foforo, anaasɛ wo sɛnkyerɛnne no mu yɛ den a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Hwehwɛ ayaresa ntɛm ara, titiriw sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a:

• Sɛ wote nka sɛ wo koko yɛ wo yaw, wo ho yɛ wo yaw, anaasɛ wo ho ayɛ wo den a .
• Sɛ wote nka sɛ woabrɛ kɛse a .
• Sɛ wote nka sɛ worebɛtotɔ piti (presyncope).
• Sɛ wo ho yeraw wo a .
• Sɛ ɛyɛ den ma wo sɛ wobɛhome anaasɛ wote nka sɛ wo ho atɔ wo.

Sɛ yɛbɛbɔ no mua a (Take-Home Message) .

Okay, enti momma yɛnkae `(Bundle Branch Block)` a yɛkaa ho asɛm nnɛ no ara kwa:

• Bundle Branch Block (BBB) ​​yɛ anyinam ahoɔden sɛnkyerɛnne kwan a ɛwɔ koma no mu a esiw kwan. Eyi betumi ama koma abɔ a ɛnteɛ.
• Eyi betumi aka nifa (RBBB), benkum so (LBBB), anaa afã abien no nyinaa.
• Mpɛn pii no, yare no ho sɛnkyerɛnne biara nni hɔ .
• Wɔnam `ECG` ne `Echo` sɔhwɛ so titiriw na wohu.
• Ɛnyɛ bere nyinaa na ɛho hia sɛ wɔsa `BBB` ankasa, nanso ɛho hia sɛ wɔsa nea ɛde ba no .
• Nnipa pii betumi atra ase sɛnea ɛsɛ a bundle branch block wɔ hɔ, nanso sɛ wowɔ komayare afoforo a, asiane no betumi ayɛ kɛse.

Enti, sɛ wo nso wowɔ adwenem naayɛ bi wɔ tebea a ɛte sɛɛ ho, na oduruyɛfo pa aka akyerɛ wo a, nsuro. Di akwankyerɛ a ɛho hia akyi, bɔ bra pa. Afei wo nso wubetumi akɔ so anya apɔwmuden.

` bundle branch block, komayare, ECG, koma bɔ, koma mu anyinam ahoɔden, RBBB, LBBB