So wowɔ block ketewaa bi wɔ wo koma benkum so? Momma yensua Left Bundle Branch Block ho ade!

So woayɛ ECG pɛn na woahu biribi a wɔfrɛ no Left Bundle Branch Block, anaa LBBB, wɔ amanneɛbɔ no so pɛn? Anaasɛ woate obi a wunim no a ɔwɔ bi ho asɛm? Edin yi a wobɛte no betumi ayɛ hu kakra. Nanso mma ɛnhaw wo. Momma yɛnka ho asɛm tiawa na emu nna hɔ nnɛ. Te sɛ nea wo ne w’adamfo bi rekasa ara pɛ.

Dɛn ne Benkum Bundle Baa Dwumadibea (LBBB)? Momma yɛnte ase tiawa.

Okay, di kan ma yɛnhwɛ nea `Left Bundle Branch Block` anaa `LBBB` yɛ. Sɛ yɛbɛka no tiawa a, ɛyɛ biribi a ɛfa sɛnea yɛn koma bɔ no ho.

So wunim sɛ yɛn koma yɛ adwuma te sɛ anyinam ahoɔden nhyehyɛe ketewaa bi? Nkwammoaa nhyehyɛe titiriw bi wɔ koma no mu a ɛde anyinam ahoɔden sɛnkyerɛnne no kɔ koma no mu ma ɛbɔ. Sɛ anyinam ahoɔden sɛnkyerɛnne yi trɛw kɔ koma no mu nyinaa a, koma ntini no twetwe na ɛbɔ mogya.

Koma no wɔ adan atitiriw anan. Mmienu wɔ soro na abien wɔ ase. Wɔfrɛ adan abien a ɛwɔ ase no ventricles . Wɔ Borɔfo kasa mu no, wɔfrɛ wɔn ``(Ventricles)``. Saa adan mmienu yi – kyerɛ sɛ, nifa ventricle ne benkum ventricle – ɛsɛ sɛ ɛtwetwe bere koro mu, bom, sɛnea ɛbɛyɛ a koma no betumi abɔ mogya yiye.

Afei, akwan pɔtee abien na ɛde anyinam ahoɔden sɛnkyerɛnne yi kɔ nkwammoaa no mu. Te sɛ `wires` abien. Baako kɔ nifa nkwammoaa (nifa so bundle nkorabata), na ɔfoforo no kɔ benkum nkwammoaa (benkum bundle nkorabata).

Wɔ `Left Bundle Branch Block` mu no, akwanside, akwanside, anaa gyinabea bi wɔ ɔkwan a ɛde anyinam ahoɔden sɛnkyerɛnne no kɔ benkum ventricle (benkum bundle) no mu. Saa akwanside yi ma anyinam ahoɔden sɛnkyerɛnne no kyɛ sɛ ebedu benkum so ahurututu no. Dɛn na ɛba saa bere no? Nifa so ahurututu no twetwe sɛnea ɛte biara, bere ano, nanso benkum ahurututu no twetwe akyiri kakra. Eyi ma koma mu adan abien no ntumi nyɛ adwuma, kyerɛ sɛ, wɔhwere `sync`. Eyi betumi ama koma no tumi a ɛtwetwe mogya yiye no asɛe kakra.

Fa no sɛ, wɔ ofie bi mu no, `nhama` abien wɔ hɔ a ɛde `current` fi `main switch` no mu kɔ adan abien mu. Sɛ `mfomso` ketewaa bi wɔ `wires` no biako mu a, ɛte sɛ nea ɛkyɛ wɔ `current` a ɛduru saa dan no mu no mu.

LBBB betumi ayɛ aniberesɛm dɛn?

Afei ebia woredwene sɛ, "Wow, so eyi yɛ biribi a asiane wom?" Mpɛn pii no, sɛ wunni komayare foforo biara na woyɛ obi a ɔwɔ apɔwmuden a, ebia saa `LBBB` yi nyɛ aniberesɛm saa. Nnipa binom betumi anya bi a yare no ho sɛnkyerɛnne biara nni ho.

Nanso, sɛ wowɔ komayare bi dedaw (te sɛ komayare) a, ɛnde LBBB betumi ama wo komayare no asɛe na wo sɛnkyerɛnne ahorow no asɛe kɛse. Enti, ɛho hia yiye sɛ wobɛkɔ oduruyɛfo nkyɛn sɛ wuhu sɛ wowɔ LBBB na wuhu nea ɛde ba ne sɛ wowɔ komayare afoforo a.

Saa tebea yi abu so dɛn? Hena na ɛda adi kɛse sɛ obenya bi?

`LBBB` nnyɛ nea abu so kɛse. Wɔkyerɛ sɛ ɛka Amerikafo 0.06% kosi 0.1%. Mmom,Asiane a ɛwɔ hɔ sɛ obi benya saa tebea yi no yɛ kɛse bere a obi nyin no. Wɔntaa nhu wɔ nnipa a wonnii mfe 35. Ɛtaa ba nnipa a wɔwɔ komayare afoforo nso mu. Sɛ nhwɛsoɔ no, nnipa a wɔwɔ komayareɛ no mu bɛyɛ 33% betumi anya saa `LBBB` tebea yi. Ɛwom sɛ nnipa a wonnii mfeɛ aduonum mu nnu 1% na wɔwɔ bi deɛ, nanso nnipa bɛyɛ 6% bɛtumi anya bi.

Sɛ LBBB nya nkɔso a, so ɛbɛkɔ?

Mpɛn pii no, sɛ LBBB nya nkɔso pɛ a, ɛnkɔ koraa. Ɛno kyerɛ sɛ ebetumi ayɛ tebea a ɛtra hɔ daa. Nanso, nnipa binom nni bi bere nyinaa. Sɛ nhwɛso no, LBBB betumi aba bere a koma no bɔ kɔ soro nkutoo, te sɛ bere a wɔreyɛ apɔw-mu-teɛteɛ no. Afei ɛkɔ bere a nneɛma san kɔ sɛnea na ɛte kan no.

Dɛn ne LBBB a Ɛnwie pɛyɛ?

Ebia woate "Left Bundle Branch Block a enni mũ" (LBBB) ho asɛm. Eyi kyerɛ sɛ anyinam ahoɔden nsɛnkyerɛnne a ɛwɔ benkum so bundle no mu no nsiw ano koraa, na mmom esiw fã bi pɛ. Ebia eyi bɛkyerɛ sɛ wowɔ asiane mu sɛ wubenya LBBB a edi mũ daakye.

Dɛn nti na LBBB ba? Dɛn na ɛde ba?

Mpɛn pii no, ade titiriw a ɛde `LBBB` ba ne koma no a ɛsɛe kakra. `LBBB` betumi afi tebea horow te sɛ:

• Sɛ obi nya komayare (Myocardial Infarction).
• Coronary Artery Disease - Eyi kyerɛ sɛ ntini a ɛde mogya kɔ koma no mu no asiw.
• Heart Failure - Koma no a entumi nnye mogya yie.
• Myocarditis - Yareɛ a ɛba koma ntini mu.
• Koma Valve Yare - Koma valve a ɛnyɛ adwuma yiye.
• Mogya mmoroso (Hypertension).
• Cardiomyopathy - Koma ntini a ɛyɛ mmerɛw anaasɛ ɛyɛ den.
• Koma mu Mfomso a Wɔde Awo Wɔn .

Nanso, ɛtɔ mmere bi a LBBB betumi aba a ntease biara nnim. Eyi kyerɛ sɛ ɛtɔ mmere bi a wotumi hu wɔ nnipa a wɔwɔ apɔwmuden a wonni komayare foforo biara mu.

Nsɛnkyerɛnne bɛn na obi a ɔwɔ LBBB da no adi?

Eyi yɛ biribi a ɛma nnipa pii ho dwiriw wɔn. Ɛnyɛ obiara a ɔwɔ LBBB na ɔwɔ yare no ho sɛnkyerɛnne. Nnipa binom mpo nnim sɛ wɔwɔ bi. Wohu wɔ akwanhyia mu bere a wɔyɛ ECG esiane biribi foforo nti no.

Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne. Wɔ mmere a ɛtete saa mu no, ebia wubehu nneɛma te sɛ:

• Syncope - Wei kyerε sε wobεyera n’adwene.
• Presyncope - Wo te nka sɛ wo ho ayɛ wo yaw, wo ti ayɛ hare, anaasɛ worebɛhwe ase.
• Koma a ɛbɔ so tew.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.

Ɔkwan bɛn so na nnuruyɛfo hu LBBB? (Nyare a Wɔahu) .

Sɔhwɛ titiriw a wɔde hu sɛ wowɔ LBBB ne electrocardiogram, anaa ECG. Sɛ woayɛ ECG pɛn a, ebia wunim sɛ wɔde sticker nketewa gu wo moma so na afiri bi kyerɛw koma no anyinam ahoɔden dwumadi sɛ graph. Ɛdenam ECG yi a wɔbɛhwɛ so no, nnuruyɛfo betumi aka akyerɛ wo yiye sɛ wowɔ LBBB anaa.

Sɛ wo ECG si so dua sɛ wowɔ LBBB a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo bi. Adɛn? Sɛnea ɛbɛyɛ a wubehu nea ɛde LBBB no ba ne sɛ ebia wowɔ komayare afoforo anaa. Ebia sɔhwɛ ahorow yi bi ne:

• Mogya mmoroso susuw: Hwɛ sɛ wowɔ mogya mmoroso anaasɛ ɛba fam anaa.
• Mogya mu nhwehwɛmu: Titiriw no, hwɛ srade dodow a ɛwɔ nipadua no mu.
• `Echocardiogram`, a ɛyɛ koma mu nhwehwɛmu: Eyi ma wuhu nneɛma te sɛ koma no mu adan, ntini ahorow, ne mogya a ɛsen.
• Nuclear Cardiac Stress Test : Eyi boa ma wohu ahrawa mu ntini mu yare.

Dɛn ne ayaresa ahorow a wɔde sa LBBB?

Afei ma yɛnhwɛ ayaresa. Sɛ wowɔ `LBBB` nanso wowɔ sɛnkyerɛnne biara, na wo nni komayare foforo biara a, ebia worenhia ayaresa biara. Wo duruyɛfo bɛhwɛ wo, nanso ebia ɔrenkyerɛw wo nnuru titiriw biara.

Nanso, sɛ wowɔ ɔhaw afoforo te sɛ mogya mmoroso, anaa sɛ wowɔ komayare ho sɛnkyerɛnne bi a, ebia wɔbɛma wo nnuru a wode besiw ano.

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ syncope a, ebia wo duruyɛfo bɛkyerɛ sɛ fa afiri a ɛma wo koma yɛ den. Pacemaker yɛ afiri ketewaa bi a wɔde oprehyɛn hyɛ koko ho were ase, bɛn koma no. Wɔde hama bi a ɛhwɛ koma no anyinam ahoɔden nsɛnkyerɛnne so na ɛboa ma koma no bɔ wɔ ɔkwan a ɛkɔ so daa so na ɛde afiri no bata koma no ho. Wɔtaa kamfo kyerɛ nnipa a wɔwɔ LBBB ne ntini afoforo a ɛnyɛ ne kwan so de ma wɔn a wɔde ma wɔn koma no.

Sɛ wowɔ komayare ne LBBB a, ebia wo duruyɛfo bɛkamfo ayaresa bi a wɔfrɛ no Cardiac Resynchronization Therapy (CRT) akyerɛ wo. Eyi yɛ afiri titiriw bi a ɛma obi koma bɔ kɛse. Ɛyɛ adwuma denam koma no mu adan abien (nifa ne benkum) a ɛma ɛtwetwe bere koro mu no so. CRT betumi aboa ma yare no ho sɛnkyerɛnne te sɛ ɔbrɛ ne ahome a ɛyɛ tiaa so atew.

Dɛn na yebetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ yebenya LBBB no so?

Ebia ɛrentumi nyɛ yiye sɛ wobesiw `LBBB` nkɔso ano koraa, efisɛ ɛtɔ mmere bi a wontumi nhu nea ɛde ba. Mmom,Ɛdenam akwahosan ho su pa a wubedi akyi ne gyinaesi a nyansa wom so no, wubetumi atew asiane a ɛwɔ hɔ sɛ ɛnyɛ `LBBB` nko, na mmom komayare afoforo pii so. Dɛn ne wɔn?

• Di aduan a ahoɔden wom (a ngo, nkyene, ne asikre kakraa bi na ɛwom, nnuaba ne nhabannuru pii wom).
• Apɔw-mu-teɛteɛ daa (sɛ wo nantew simma 30 kɛkɛ da biara mpo ye).
• Sɛ wo mogya mmoroso a, di so.
• Kura mu duru a ɛfata mu.
• Di wo srade dodow a ɛwɔ wo mu no so.
• Sɛ wonom sigaret a, hwehwɛ mmoa fi oduruyɛfo hɔ na ama woagyae.

Saa nneɛma yi a wobɛyɛ no bɛboa kɛse ma wo koma atra apɔwmuden.

Sɛ wowɔ LBBB a, dɛn na wubetumi ahwɛ kwan?

Sɛ wowɔ apɔwmuden na wunni komayare foforo biara a, ebia LBBB rennya w’akwahosan nyinaa so nkɛntɛnso kɛse. Wubetumi abɔ bra sɛnea ɛsɛ.

Nanso, sɛ woadi boro mfe 65 na wowɔ komayare anaa koma ne ntini mu yare foforo a, LBBB a wɔansa no betumi ayɛ nea emu yɛ den kɛse. Wobu LBBB sɛ ade a ɛde owu ba, titiriw wɔ nnipa a wɔn koma ayɛ adwuma yiye anaa bere a wɔanya komayare akyi no. Ɛno nti na nnuruyɛfo dwen ho no.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wunim sɛ wowɔ LBBB a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn sɛ sɛnkyerɛnne foforo bi da adi, anaasɛ sɛ sɛnkyerɛnne a ɛwɔ hɔ dedaw no mu yɛ den a.

Ɛsɛ sɛ wokɔ ayaresabea ntɛm ara, titiriw sɛ wowɔ nea edidi so yi mu biara a:

• Sɛ wote nka sɛ wo koko yɛ wo yaw, wo ho nyɛ wo dɛ, anaasɛ wo ho ayɛ wo den a.
• Sɛ wote nka sɛ woabrɛ paa a.
• Sɛ wo ho yeraw wo a.
• Sɛ wote nka sɛ ɛyɛ den sɛ wobɛhome anaasɛ wobɛhome a.

Eyinom betumi ayɛ nneɛma a egye ntɛmpɛ, enti ɛbɛyɛ papa sɛ worenkyɛ.

Dɛn bio na ɛsɛ sɛ wubisa oduruyɛfo no fa LBBB ho?

Sɛ wokɔ wo duruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom na ama woate tebea no ase yiye:

• Ayaresa kwan bɛn na eye ma me?
• So `LBBB` yi betumi asan aba bio wɔ ayaresa akyi?
• So ayaresa a merenya no de ɔhaw bi bɛba?

Nsuro sɛ wubebisa nsɛm biara a wowɔ. Oduruyɛfo no wɔ ha sɛ ɔrebɛboa wo.

Mɛyɛ dɛn ahwɛ m’akwahosan so?

Bere biara a wobɛkɔ oduruyɛfo foforo no, mma wo werɛ mmfi sɛ wobɛka akyerɛ wɔn sɛ wowɔ `LBBB.` Saa nsɛm yi bɛboa wɔn ma wɔate wo koma akwahosan ne wo yiyedi nyinaa ase yiye.

Sɛ wo anaa wo dɔfo bi wɔ LBBB a, wo ne wo duruyɛfo nkasa mfa akwan pa a wobɛfa so ama w’asetra atu mpɔn ho. Sɛ wunni sɛnkyerɛnne biara a, ebia wunhia ayaresa. Sɛ wowɔ sɛnkyerɛnne ahorow a, wo ne wo duruyɛfo nkasa mfa nkyerɛ sɛ ebia afiri a ɛma wo koma yɛ den anaa CRT betumi aboa wo anaa. Sɛ wunya sɛnkyerɛnne foforo biara a, kɔ wo duruyɛfo nkyɛn ntɛm ara.

Awiei koraa no, nkrasɛm a wɔde bɛkɔ fie:

Mma wo ho nnyɛ wo hu bere a wote edin `Left Bundle Branch Block (LBBB).` Mpɛn pii no, titiriw sɛ wowɔ apɔwmuden a, ɛnyɛ tebea a emu yɛ den. Nanso, sɛ wuhu sɛ wowɔ bi a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ nea ɛde ba ne sɛ ebia wowɔ komayare afoforo anaa.

Di wo duruyɛfo akwankyerɛ akyi yiye, yɛ nhwehwɛmu a ɛfata, nom nnuru a ɛfata, na bɔ bra pa. Afei wobɛtumi atena apɔmuden mu mpo wɔ saa `LBBB` tebea yi mu. Kae sɛ ɛnyɛ wo nkutoo na wowɔ hɔ, na nnuruyɛfo bi wɔ hɔ a wobetumi aboa wo.

Sɛ wowɔ nsɛmmisa foforo bi a, mma wofɛre sɛ wubebisa oduruyɛfo. Nea ɛho hia sen biara ne sɛ wɔbɛbɔ w’akwahosan ho amanneɛ!

` LBBB, komayare, komayare, ECG, pacemaker, koma bɔ, benkum bundle branch block