He poloka liʻiliʻi kou ma ka ʻaoʻao hema o kou puʻuwai? E aʻo kākou e pili ana i ka Left Bundle Branch Block!

Ua loaʻa anei iā ʻoe kahi ECG a ʻike i kahi mea i kapa ʻia ʻo Left Bundle Branch Block, a i ʻole LBBB, ma ka hōʻike? A i ʻole ua lohe paha ʻoe i kahi mea āu i ʻike ai nona ia mea? Hiki ke hopohopo iki ka lohe ʻana i kēia inoa. Akā, mai hopohopo. E kamaʻilio kākou e pili ana i ia mea me ka maʻalahi a me ka maopopo i kēia lā. E like me ke kamaʻilio ʻana me kahi hoaaloha.

He aha ka Left Bundle Branch Block (LBBB)? E hoʻomaopopo maʻalahi kākou.

ʻAe, e nānā mua kākou i ke ʻano o ka `Left Bundle Branch Block` a i ʻole `LBBB`. I ka ʻōlelo maʻalahi, he mea ia e pili ana i ke ʻano o ka paʻi ʻana o ko kākou puʻuwai.

Ua ʻike anei ʻoe e hana ana ko kākou puʻuwai e like me kahi ʻōnaehana uila liʻiliʻi? Aia kahi ʻōnaehana kūikawā o nā cell i loko o ka puʻuwai e hoʻouna i ka hōʻailona uila i ka puʻuwai e kuʻi. Ke pālahalaha kēia hōʻailona uila ma loko o ka puʻuwai, ʻūlū nā ʻiʻo o ka puʻuwai a pamu i ke koko.

ʻEhā keʻena nui o ka puʻuwai. ʻElua ma luna a ʻelua ma lalo. Ua kapa ʻia nā keʻena ʻelua ma lalo he ventricles . Ma ka ʻōlelo Pelekania, ua kapa ʻia lākou he "(Ventricles)". Pono kēia mau keʻena ʻelua - ʻo ia hoʻi, ka ventricle ʻākau a me ka ventricle hema - e ʻūlū i ka manawa like, i hiki ai i ka puʻuwai ke pamu i ke koko me ke kūpono.

I kēia manawa, aia ʻelua mau ala kikoʻī e lawe ana i kēia hōʻailona uila i nā cell. E like me ʻelua "uea". Hele kekahi i ke cell ʻākau (ka lālā pūʻolo ʻākau), a hele kekahi i ke cell hema (ka lālā pūʻolo hema).

I loko o kahi `Left Bundle Branch Block`, aia kahi mea keʻakeʻa, pale ʻia, a i ʻole ke kū ʻana ma ke ala e lawe ana i ka hōʻailona uila i ka ventricle hema (ka pūʻolo hema). Hoʻopaneʻe kēia mea keʻakeʻa i ka hōʻailona uila mai ka hiki ʻana i ka ventricle hema. He aha ka mea e hana ʻia a laila? Hoʻopaʻa maʻamau ka ventricle ʻākau, i ka manawa kūpono, akā hoʻopaʻa iki ka ventricle hema ma hope. ʻO kēia ke kumu o ka hana ʻole ʻana o nā keʻena puʻuwai ʻelua, ʻo ia hoʻi, nalowale lākou i ka `sync`. Hiki i kēia ke hana i kahi hoʻopilikia iki i ka hiki o ka puʻuwai ke pamu i ke koko me ka maikaʻi.

E noʻonoʻo, i loko o kahi hale, aia ʻelua mau uea e lawe ana i ke au mai ke kuapo nui i ʻelua lumi. Inā he `hema` liʻiliʻi i loko o kekahi o nā `uea`, ua like ia me ka lohi o ke au e hiki ana i kēlā lumi.

Pehea ke koʻikoʻi o ka LBBB?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Auē, he mea weliweli anei kēia?" I ka hapanui o nā hihia, inā ʻaʻohe ou maʻi puʻuwai ʻē aʻe a he kanaka olakino ʻoe, ʻaʻole paha he koʻikoʻi kēia `LBBB`. Hiki i kekahi poʻe ke loaʻa me ka ʻole o nā hōʻailona.

Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi puʻuwai (e like me ka hāʻule ʻana o ka puʻuwai), a laila hiki i ka LBBB ke hoʻonui i kou maʻi puʻuwai a hoʻonui i kou mau hōʻailona. No laila, he mea nui loa e ʻike i ke kauka inā ʻike ʻoe he LBBB kou a ʻike i ke kumu o ia mea a inā he mau maʻi puʻuwai ʻē aʻe kāu.

Pehea ka maʻamau o kēia maʻi? ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana?

ʻAʻole maʻamau ka `LBBB`. Ua ʻōlelo ʻia e pili ana ia ma waena o 0.06% a me 0.1% o ka heluna kanaka ʻAmelika. Eia naʻe,Piʻi ka pilikia o ka loaʻa ʻana o kēia maʻi me ka makahiki. ʻAʻole ʻike pinepine ʻia i nā poʻe ma lalo o 35 mau makahiki. ʻOi aku ka maʻamau i nā poʻe me nā maʻi puʻuwai ʻē aʻe. No ka laʻana, ma kahi o 33% o ka poʻe me ka hāʻule ʻana o ka puʻuwai e loaʻa paha kēia maʻi 'LBBB'. ʻOiai ʻaʻole i hiki i ka 1% o ka poʻe ma lalo o 50 mau makahiki ke loaʻa iā ia, ma kahi o 6% o ka poʻe i ka hiki ʻana i 80 mau makahiki ke loaʻa iā ia.

Inā ulu aʻe ʻo LBBB, e nalo aku anei ia?

ʻO ka hapa nui o ka manawa, ke ulu ka LBBB, ʻaʻole ia e nalo loa. ʻO ia hoʻi, hiki ke lilo i maʻi mau loa. Eia naʻe, ʻaʻole loaʻa i kekahi poʻe i nā manawa a pau. No ka laʻana, hiki ke loaʻa ka LBBB ke piʻi ka puʻuwai, e like me ka wā o ka hoʻoikaika kino. A laila nalo ia ke hoʻi nā mea i ka maʻamau.

He aha ka LBBB piha ʻole?

Ua lohe paha ʻoe i ka "incomplete Left Bundle Branch Block" (LBBB). ʻO ke ʻano kēia, ʻaʻole i ālai piha ʻia nā hōʻailona uila ma ka pūʻolo hema, akā ua ālai hapa wale ʻia. ʻO ke ʻano paha kēia e pilikia ana ʻoe i ka hoʻomohala ʻana i ka LBBB piha i ka wā e hiki mai ana.

No ke aha e kū mai ai ʻo LBBB? He aha nā kumu?

I ka hapanui o nā hihia, ʻo ke kumu nui o ka `LBBB` he hōʻino ʻana i ka puʻuwai. Hiki ke hana ʻia ka `LBBB` e nā kūlana e like me:

• Loaʻa i ka hōʻeha puʻuwai (Myocardial Infarction).
• Maʻi ʻAʻa Coronary - ʻO ke ʻano kēia o ka pale ʻana o nā ʻaʻa e hoʻolako koko i ka puʻuwai.
• Ka Holo ʻole o ka Puʻuwai - Ka hiki ʻole o ka puʻuwai ke pamu i ke koko pono.
• Myocarditis - ka maʻi ʻana o ka ʻiʻo o ka puʻuwai.
• Maʻi Kiwikā Puʻuwai - ʻAʻole hana pono nā kiwikā puʻuwai.
• Ke koko kiʻekiʻe (Hypertension).
• Cardiomyopathy - Ka nāwaliwali a i ʻole ka mānoanoa o ka ʻiʻo o ka puʻuwai.
• Nā kīnā o ka puʻuwai hānau .

Eia nō naʻe, i kekahi manawa hiki ke loaʻa ka LBBB me ke kumu ʻike ʻole ʻia. ʻO ke ʻano kēia hiki ke ʻike ʻia i kekahi manawa i nā poʻe olakino ʻaʻohe pilikia puʻuwai ʻē aʻe.

He aha nā hōʻailona e hōʻike ai ke kanaka me LBBB?

He mea kēia e kāhāhā ai i nā poʻe he nui. ʻAʻole loaʻa nā hōʻailona i nā kānaka a pau me LBBB. ʻAʻole ʻike kekahi poʻe he loaʻa iā lākou. ʻIke ʻia ia ma ka hanana ke hana ʻia kahi ECG no kekahi kumu ʻē aʻe.

Eia nō naʻe, hiki i kekahi poʻe ke loaʻa nā hōʻailona. I kēlā mau manawa, e ʻike paha ʻoe i nā mea e like me:

• Syncope - ʻO ke ʻano kēia o ka nalowale ʻana o ka ʻike.
• Presyncope - Manaʻo poniuniu, poʻo māmā, a i ʻole e kokoke ana ʻoe e hāʻule.
• Ua emi ka helu o ka puʻuwai.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka.

Pehea e ʻike ai nā kauka i ka LBBB? (Diagnosis)

ʻO ka hoʻāʻo nui e ʻike ai inā loaʻa iā ʻoe ka LBBB, he electrocardiogram, a i ʻole ECG. Inā ua loaʻa iā ʻoe kahi ECG, ʻike paha ʻoe ua kau ʻia nā pepili liʻiliʻi ma kou umauma a hoʻopaʻa kahi mīkini i ka hana uila o ka puʻuwai ma ke ʻano he kiʻi. Ma ka nānā ʻana i kēia ECG, hiki i nā kauka ke haʻi maopopo iā ʻoe inā loaʻa iā ʻoe ka LBBB.

Inā hōʻoia kāu ECG he LBBB kou, e kauoha paha kāu kauka i kekahi mau hoʻokolohua hou aʻe. No ke aha mai? No ka ʻike ʻana i ke kumu o ka LBBB a inā he mau maʻi puʻuwai ʻē aʻe kou. Hiki i kēia mau hoʻokolohua ke komo pū me:

• Ana o ke koko: E nānā inā he kiʻekiʻe a haʻahaʻa paha kou koko.
• Nā hoʻāʻo koko: E nānā pono i nā pae cholesterol.
• ʻO kahi `Echocardiogram`, ʻo ia hoʻi kahi scan puʻuwai: Hiki iā ʻoe ke ʻike i nā mea e like me nā keʻena o ka puʻuwai, nā valves, a me ke kahe o ke koko.
• Hoʻāʻo Koʻikoʻi o ka Puʻuwai Nuklea : Kōkua kēia i ka ʻike ʻana i nā maʻi ʻaʻa coronary.

He aha nā lāʻau lapaʻau no LBBB?

I kēia manawa, e nānā kākou i ka lāʻau lapaʻau. Inā loaʻa iā ʻoe ka 'LBBB' akā ʻaʻohe hōʻailona, ​​​​a ʻaʻohe maʻi puʻuwai ʻē aʻe, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau. E nānā kāu kauka iā ʻoe, akā ʻaʻole paha e kuhikuhi i kekahi lāʻau lapaʻau kūikawā.

Eia nō naʻe, inā loaʻa iā ʻoe nā pilikia ʻē aʻe e like me ke koko kiʻekiʻe, a inā he mau hōʻailona o ka hāʻule ʻana o ka puʻuwai, hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau e kāohi iā lākou.

Inā loaʻa iā ʻoe nā hōʻailona e like me ka syncope, e ʻōlelo paha kāu kauka e kiʻi ʻoe i kahi pacemaker. He mea liʻiliʻi ka pacemaker i hoʻokomo ʻia ma ke ʻoki ʻana ma lalo o ka ʻili o ka umauma, kokoke i ka puʻuwai. Hoʻopili ʻia ka mea hana i ka puʻuwai e kahi uea e kaohi ana i nā hōʻailona uila o ka puʻuwai a kōkua i ka puʻuwai e kuʻi i kahi mele kūlike. Manaʻo pinepine ʻia nā pacemaker no ka poʻe me LBBB a me nā ʻano ʻē aʻe o ke alakaʻi ʻana.

Inā loaʻa iā ʻoe ka hāʻule ʻana o ka puʻuwai a me ka LBBB, hiki i kāu kauka ke ʻōlelo aku i kahi lāʻau i kapa ʻia ʻo Cardiac Resynchronization Therapy (CRT). He ʻano pacemaker kūikawā kēia. Hana ia ma ka hana ʻana i nā keʻena ʻelua o ka puʻuwai (ʻākau a me ka hema) e ʻaelike i ka manawa like. Hiki i ka CRT ke kōkua i ka hōʻemi ʻana i nā hōʻailona e like me ka luhi a me ka pōkole o ka hanu.

He aha kā mākou e hana ai e hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka LBBB?

ʻAʻole paha e hiki ke pale loa i ka ulu ʻana o ka `LBBB`, no ka mea, i kekahi manawa ʻaʻole hiki ke loaʻa ke kumu. Eia naʻe,Ma ka hahai ʻana i nā ʻano olakino maikaʻi a me ka hana ʻana i nā hoʻoholo akamai, hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana ʻaʻole wale ʻo `LBBB`, akā, he nui nā maʻi puʻuwai ʻē aʻe. He aha lākou?

• E ʻai i ka meaʻai olakino no ka puʻuwai (haʻahaʻa i ka ʻaila, ka paʻakai, a me ke kō, kiʻekiʻe i nā huaʻai a me nā mea kanu).
• E hoʻoikaika kino mau (ʻoiai ʻo ka hele wāwae wale no 30 mau minuke i ka lā he mea maikaʻi ia).
• Inā kiʻekiʻe kou koko, e kaohi iā ia.
• E mālama i ke kaumaha olakino.
• E kāohi i kāu mau pae cholesterol.
• Inā ʻoe e puhipaka ana, e ʻimi i ke kōkua mai ke kauka e hoʻōki.

ʻO ka hana ʻana i kēia mau mea e kōkua nui i ka mālama ʻana i ke olakino o kou puʻuwai.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ʻo LBBB?

Inā olakino ʻoe a ʻaʻohe ou maʻi puʻuwai ʻē aʻe, ʻaʻole paha e loaʻa ka hopena nui o ka LBBB i kou olakino holoʻokoʻa. Hiki iā ʻoe ke ola i kahi ola maʻamau.

Eia nō naʻe, inā ʻoe ma luna o 65 mau makahiki a loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole kekahi maʻi cardiovascular ʻē aʻe, hiki i ka LBBB i mālama ʻole ʻia ke lilo i mea koʻikoʻi. Ua manaʻo ʻia ʻo LBBB he kumu pilikia no ka make, ʻoiai i ka poʻe me ka hāʻule ʻana o ka puʻuwai a i ʻole ma hope o ka hāʻule ʻana o ka puʻuwai. ʻO ia ke kumu e hopohopo nei nā kauka no ia mea.

Āhea ʻoe e ʻike ai i ke kauka?

Inā ʻike ʻoe he LBBB kou, e ʻike pono i ke kauka inā ʻike ʻia kekahi mau hōʻailona hou, a inā ʻoi aʻe ka ʻino o nā hōʻailona e kū nei.

Pono ʻoe e ʻimi koke i ke kōkua lapaʻau, ʻoiai inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā ʻoe e ʻeha ana i ka umauma, ka ʻoluʻolu ʻole, a i ʻole ka paʻa.
• Inā ʻoe e manaʻo nei ua luhi loa.
• Inā nalowale kou ʻike.
• Inā ʻoe e paʻakikī ana i ka hanu ʻana a i ʻole ka hanu ʻana.

Hiki i kēia ke lilo i mau pilikia, no laila ʻoi aku ka maikaʻi o ka hoʻokaʻulua ʻole.

He aha hou kāu e nīnau ai i ke kauka e pili ana iā LBBB?

Ke ʻike ʻoe i kāu kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia e hoʻomaopopo maikaʻi ai i ke kūlana:

• He aha ke ʻano lapaʻau kūpono loa iaʻu?
• Hiki i kēia `LBBB` ke hoʻi hou mai ma hope o ka mālama ʻia ʻana?
• E loaʻa anei kekahi hopena ʻaoʻao i ka lāʻau lapaʻau aʻu e loaʻa nei?

Mai makaʻu e nīnau i kāu mau nīnau. Eia ke kauka e kōkua iā ʻoe.

Pehea wau e mālama ai i koʻu olakino?

I kēlā me kēia manawa āu e ʻike ai i ke kauka hou, mai poina e haʻi iā lākou ua loaʻa iā ʻoe ka `LBBB.` E kōkua kēia ʻike iā lākou e hoʻomaopopo maikaʻi i kou olakino puʻuwai a me kou olakino holoʻokoʻa.

Inā loaʻa iā ʻoe a i ʻole kahi mea aloha iā ʻoe ʻo LBBB, e kamaʻilio me kāu kauka e pili ana i nā ala maikaʻi loa e hoʻomaikaʻi ai i kou ʻano ola. Inā ʻaʻohe ou hōʻailona, ​​ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau. Inā loaʻa iā ʻoe nā hōʻailona, ​​e kamaʻilio me kāu kauka e pili ana i ka hiki i kahi pacemaker a i ʻole CRT ke kōkua. Inā loaʻa iā ʻoe kekahi mau hōʻailona hou, e ʻike koke i kāu kauka.

ʻO ka mea hope loa, he leka lawe i ka home:

Mai hopohopo ke lohe ʻoe i ka inoa ʻo `Left Bundle Branch Block (LBBB).` ʻO ka hapa nui o ka manawa, ʻoiai inā olakino ʻoe, ʻaʻole ia he maʻi koʻikoʻi. Eia nō naʻe, inā ʻike ʻoe ua loaʻa iā ʻoe, he mea nui e ʻike i ke kauka e ʻike i ke kumu o ia mea a inā he mau maʻi puʻuwai ʻē aʻe kāu.

E hahai pono i nā ʻōlelo a kāu kauka, e kiʻi i nā hoʻokolohua kūpono, e lawe i nā lāʻau lapaʻau kūpono, a e ola i kahi nohona olakino. A laila hiki iā ʻoe ke noho olakino me kēia maʻi 'LBBB'. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, a aia nā kauka e hiki ke kōkua iā ʻoe.

Inā he mau nīnau hou aku kāu, mai hilahila e nīnau i ke kauka. ʻO ka mea nui loa, ʻo ia ka ʻike e pili ana i kou olakino!

` LBBB, maʻi puʻuwai, poloka puʻuwai, ECG, pacemaker, puʻuwai, poloka lālā pūpū hema