Aia kekahi pilikia me ka ʻōnaehana uila o kou puʻuwai? E aʻo kākou e pili ana i ka 'Left Posterior Fascicular Block' (LPFB)!

Ua noʻonoʻo paha ʻoe i ke ʻano kupaianaha o ka hana a kou puʻuwai? Ua like ia me kahi mīkini liʻiliʻi, akā ʻoi aku ka paʻakikī! I kekahi manawa, hiki ke loaʻa nā pilikia liʻiliʻi me ka ʻōnaehana uila o kēia puʻuwai. ʻO kekahi o kēlā mau pilikia ka mea a mākou e kamaʻilio ai: 'Left Posterior Fascicular Block'. Mai hopohopo, ua lōʻihi iki ka inoa, akā e mālama kākou i ka maʻalahi.

Pehea ka hana ʻana o ka ʻōnaehana uila o ka puʻuwai? He mea kupaianaha!

E noʻonoʻo i kou puʻuwai me he hale liʻiliʻi me ʻehā lumi. ʻElua lumi ma ka papahele kiʻekiʻe (kapa mākou i kēia mau mea ʻo atria ) a ʻelua lumi ma ka papahele lalo (kapa mākou i kēia mau mea ʻo ventricles ).

Lohe anei ʻoe i ke kani "lub-dub" ke kuʻi kou puʻuwai? Hoʻomalu ʻia kēlā kuʻi ʻana e kahi ʻōnaehana palupalu loa o nā leka uila. Ke haʻi aku nei kēia mau impulses uila i ka atria a me nā keʻena o ka puʻuwai, "ʻAe, i kēia manawa e ʻaelike ʻoe." Hele kēia mau leka uila ma o ka puʻuwai ma ke ʻano kikoʻī loa. Hoʻomaka lākou ma nā keʻena o luna, a laila iho i lalo i nā keʻena ma lalo.

He ʻōnaehana nerve ko ka puʻuwai e lawe i kēia mau leka uila. Ua like ia me ka ʻōnaehana uwea i loko o kahi hale. ʻO nā keʻena ʻelua ma lalo o ka puʻuwai (ʻākau a me ka hema) he ʻelua mau kaula nerve nui. Ua kapa ʻia kēia mau mea ʻo " Right Bundle Branch" a me " Left Bundle Branch" . Holo kēia mau mea i waenakonu o ka puʻuwai.

I kēia manawa, ua māhele ʻia kēia kaula aʻalolo nui ma ka ʻaoʻao hema, ʻo ia ka 'Left Bundle Branch', i ʻelua mau kaula aʻalolo liʻiliʻi. Kāhea mākou i kēia mau kaula liʻiliʻi he ' fascicles' .

• ʻĀpana hope hema : Holo kēia a puni ke kua o ka ventricle hema o ka puʻuwai.
• ʻO ka Fascicle Anterior Hema : Holo kēia a puni ke alo o ka ventricle hema o ka puʻuwai.

ʻO ka maʻamau, hui pū nā fascicles mua a me hope e hōʻailona i ka ventricle hema, "ʻAe, i kēia manawa e ʻaelike ʻoe."

No laila, he aha kēia 'Left Posterior Fascicular Block' (LPFB)?

I ka ʻōlelo maʻalahi, ʻo ka `Left Posterior Fascicular Block` (e kapa mākou iā ia he LPFB no ka pōkole) he ālai ʻia a i ʻole ka haki ʻana i ke kaula nerve liʻiliʻi (i kapa ʻia ʻo `Left Posterior Fascicle`) e lawe ana i nā hōʻailona uila i ke kua o ka ventricle hema o kou puʻuwai. Hiki ke piha a hapa paha kēia ālai ʻia.

E noʻonoʻo i ka mea e hiki mai ana inā pani koke ʻia kekahi ʻaoʻao o ke alanui? E hoʻomaka ana nā kaʻa e hele i kekahi ʻaoʻao, ʻeā? Pēlā nō hoʻi ka mea e hana ʻia ma ʻaneʻi. Ke hana pono ʻole ka `Posterior Fascicle`, e lawe ka `Left Anterior Fascicle` ma ke alo i ka hana o ka hoʻopaʻa ʻana i ka ventricle hema.

ʻO kēia ke kumu o ka loli ʻana o ke kuhikuhi o ka hōʻailona uila, a aia kahi lohi iki i ka hōʻailona. Hiki i kēia ke hoʻololi i ka mele o ka puʻuwai, ʻo ia hoʻi ka puʻuwai puʻuwai kūpono ʻole (`arrhythmia`).

Hiki i kēia kūlana LPFB ke hele mai a hele aku i kekahi manawa, a i ʻole hiki ke hoʻomau.

Pehea ka maʻamau o ka LPFB? Hiki mai ia i nā kānaka a pau?

ʻAʻole, he mea kākaʻikahi loa ia no ke kanaka olakino me ka ʻole o nā maʻi puʻuwai ʻē aʻe e loaʻa ai ka LPFB. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o ka pilikia o ka loaʻa ʻana o kēia ʻano ma kahi kanaka i loaʻa mua kekahi maʻi puʻuwai.

ʻO kekahi mea nui ʻē aʻe, i kekahi manawa hiki ke hele pū ʻia kēia kūlana LPFB me ka poloka lālā ʻākau a mākou i kamaʻilio ai ma mua, ʻo ia hoʻi ʻo 'Right Bundle Branch Block' . Inā hui pū ʻia kēia mau ʻano poloka ʻelua, hiki ke lilo i mea weliweli iki .

He aha nā kumu nui o ka LPFB?

Hana ʻia ka LPFB ke hōʻino ʻia ka ʻōnaehana uila o ka puʻuwai. ʻO nā kumu nui o kēia hōʻino ʻana, ʻo ia nā maʻi puʻuwai like ʻole a me nā kūlana olakino ʻē aʻe. E nānā kākou i ke ʻano o lākou:

• ʻO ka maʻi ʻaʻa coronary: ʻO kēia ke kumu maʻamau o ka LPFB. I ka ʻōlelo maʻalahi, ua ālai ʻia nā aʻa e hoʻolako ana i ke koko i ka puʻuwai e nā waihona momona, e hōʻemi ana i ka nui o ke koko e hiki ana i ka puʻuwai. Hiki i kēia ke hōʻino i nā hunaola o ka puʻuwai.
• Cardiomyopathy: He hui kēia o nā maʻi e hoʻopilikia ai i ka ʻiʻo puʻuwai. Maanei e paʻakikī ai, mānoanoa, a hoʻonui ʻia paha ka ʻiʻo puʻuwai. Hoʻopilikia kēia i ka hana a ka puʻuwai.
• Ke koko kiʻekiʻe (hypertension): ʻAe, ua ʻike ʻoe i ke kaomi. ʻO ka loaʻa ʻana o ke koko kiʻekiʻe no ka manawa lōʻihi he mea hōʻino nō hoʻi ia i ka puʻuwai.
• ʻO ka maʻi Lenègre: He ʻano hoʻoilina kēia e hoʻoulu ai i ka nāwaliwali o ka ʻōnaehana lawe hōʻailona uila o ka puʻuwai.
• ʻO ka maʻi ʻo Lev: He ʻano kēia kahi e lilo ai nā olonā aʻalolo i loko o ka puʻuwai i ʻeha a hiki ʻole ke alakaʻi pono i nā hōʻailona uila. Pili paha kēia i ka ʻelemakule.

He aha nā hōʻailona o ka LPFB? Ke manaʻo nei anei mākou i kēia?

ʻO ka maʻamau, inā loaʻa iā ʻoe ka LPFB wale nō, ʻaʻole ʻoe e loaʻa i kekahi mau hōʻailona kikoʻī . I ka manawa pinepine, hoʻomohala ka poʻe i nā hōʻailona ma muli o ka maʻi kumu (no ka laʻana, ka maʻi ʻaʻa coronary) i hoʻokumu i ka LPFB. ʻO ia hoʻi, ʻike ʻia nā hōʻailona o kēlā maʻi.

Pehea e ʻike ʻia ai ka LPFB? Pehea e ʻike ai nā kauka?

ʻO ka hoʻāʻo nui a koʻikoʻi loa e ʻike ai i ka LPFB ʻo ia ka hoʻāʻo E.C.G. (`ECG/EKG` - Electrocardiogram) . Ua ʻike paha ʻoe iā ia, he hoʻāʻo e ana i ka hana uila o ka puʻuwai ma ke kau ʻana i nā pepili liʻiliʻi ma ke kino. Pēlā e ʻike ʻia ai.

I kekahi manawa, ʻaʻole paha e ʻike ʻia kēia LPFB ma kahi ECG i lawe ʻia i kou wā e hoʻomaha ana. I ia mau hihia, e noi paha kāu kauka iā ʻoe e hana i kahi ECG i kou wā e hoʻoikaika kino ana (no ka laʻana, i kou holo ʻana ma luna o ka treadmill). Ua kapa ʻia kēia he 'Exercise Stress Test' . Hiki ke ʻike ʻia kēia LPFB i ka wā e kaumaha ai ka puʻuwai.

ʻO kekahi mea ʻē aʻe, hiki ke huikau ʻia ka ECG o LPFB me ka ECG o nā maʻi koʻikoʻi ʻē aʻe, e like me ka hōʻeha puʻuwai (`Myocardial Infarction`). No laila, e nīnau ke kauka e pili ana i kāu mōʻaukala olakino piha a hana i kahi hoʻokolokolo kino e hiki ai i kahi hōʻailona pololei. Hana ʻia kēia no ka hōʻoia pololei ʻana i ka maʻi, me ka hoʻopaneʻe ʻole ʻana i ka mālama ʻana no kahi maʻi koʻikoʻi.

He aha nā lāʻau lapaʻau no LPFB?

I ka mālama ʻana i ka LPFB, ʻo ke kumu nui ka mālama ʻana i ke kūlana kumu i hoʻokumu ai i ka LPFB . No ka laʻana, hoʻohana nā kauka i nā ʻano hana like ʻole e mālama ai i nā kūlana e like me ka maʻi artery coronary a i ʻole cardiomyopathy. ʻO kēia mau mea:

• Nā Hoʻololi o ke ʻAno o ka Noho ʻana: Nā mea e like me ka ʻai pono ʻana a me ka hoʻoikaika kino.
• Nā lāʻau lapaʻau: Nā lāʻau lapaʻau e kaohi ai i ke koko, hoʻohaʻahaʻa i ka cholesterol, a hoʻomaikaʻi i ka hana o ka puʻuwai.
• Nā Kaʻina Hana Hoʻokomo iki: No ka laʻana, nā mea e like me Angioplasty.
• ʻO ke ʻoki kino nui (ʻOki kino): E like me ke ʻoki kino bypass.

Eia nō naʻe, inā loaʻa iā ʻoe ka LPFB a me ka `Right Bundle Branch Block` a mākou i kamaʻilio ai ma mua, e ʻōlelo paha kāu kauka e kiʻi ʻoe i kahi pacemaker . He mea liʻiliʻi kēia i hoʻokomo ʻia i loko o ke kino. Nānā ia i ka hana uila o ka puʻuwai a, inā pono, hoʻouna i nā hōʻailona uila e hana i nā keʻena ʻelua o ka puʻuwai e ʻaelike pū, me ke kūpono.

ʻO ka mea nui, inā ʻo LPFB wale nō kāu, ʻo ia hoʻi, ʻaʻohe ou maʻi puʻuwai ʻē aʻe a i ʻole 'Right Bundle Branch Block', ʻaʻole pono ʻoe i kekahi lāʻau kūikawā .

He aha kā mākou e hana ai e pale aku ai i ka LPFB?

I mea e pale aku ai i ka LPFB, ʻo ka mea nui loa, ʻo ia ka pale ʻana i ka maʻi puʻuwai kumu e hoʻoulu ai. ʻO ia hoʻi, e mālama i ke olakino o ka puʻuwai.

• Nā nānā lapaʻau maʻamau: He mea nui loa ka ʻike pinepine ʻana i kāu kauka ʻohana no nā nānā ʻana. Hiki i kēia ke kōkua i ka ʻike mua ʻana i nā pilikia e pili ana i ka puʻuwai a pale i nā maʻi koʻikoʻi.
• Nā ʻano olakino:
• E ʻai i ka ʻai kaulike . E hōʻemi i ka ʻaila, ka paʻakai, a me ke kō. E ʻai hou aku i nā huaʻai, nā mea kanu, a me nā meaʻai waiwai i ka fiber.
• E kāohi i kou koko .
• Hoʻoikaika kino mau. He mea maikaʻi nō hoʻi ka hele wāwae ʻana no 30 mau minuke ma ka liʻiliʻi i ka lā.
• E hōʻemi i ka hoʻohana ʻana i ka waiʻona a me ka caffeine (e like me ke kofe a me ke kī).
• E mālama i ke kaumaha olakino .
• E hoʻokele i ke kaumaha . Hiki i nā mea e like me ka noʻonoʻo ʻana a me nā hana leʻaleʻa ke kōkua.
• E hoʻōki loa i ka puhipaka a me ka hoʻohana ʻana i ka paka .

Inā loaʻa iā ʻoe ka maʻi puʻuwai, e hahai pololei i nā ʻōlelo a kāu kauka.E lawe i kāu lāʻau lapaʻau i ka manawa kūpono. E kōkua kēia i ka pale ʻana i nā pilikia hou aʻe e like me LPFB.

He aha ka mea e hiki mai ana no kekahi me LPFB? He mea anei ia e makaʻu ai?

I ka manawa pinepine, hiki mai ka LPFB me ka Poloka Lālā ʻĀkau. Inā loaʻa iā ʻoe kahi hāʻule puʻuwai a loaʻa iā ʻoe ka LPFB a me ka Poloka Lālā ʻĀkau, ʻoi aku ka nui o kou pilikia o ka make. I kekahi manawa, hiki i ke kanaka me kēia mau poloka ʻelua ke loaʻa kahi poloka puʻuwai piha, kahi e pau loa ai nā hōʻailona uila i nā hunaola puʻuwai. He ʻano koʻikoʻi kēia a hiki ke hoʻopōkole i kou ola.

Eia nō naʻe, inā ʻo LPFB wale nō kāu, ʻo ia hoʻi, ʻaʻohe ou Right Bundle Branch Block a i ʻole kekahi maʻi puʻuwai ʻē aʻe, ʻaʻole nui ka ʻokoʻa i kou ola maʻamau . No laila, mai hopohopo pono ʻole.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā manaʻo ʻoe he mau hōʻailona kou o ka maʻi puʻuwai, e ʻike koke i ke kauka . He aha kēia mau hōʻailona?

• ʻEha a ʻoluʻolu ʻole paha ka umauma.
• Inā ʻoe e manaʻo ana ua poniuniu a ua maule paha .
• Inā ʻoe e luhi mau ana ('Fatigue').
• Inā paʻi wikiwiki kou puʻuwai, lohe ʻoe i ke kani paʻi i loko o kou umauma, a i ʻole manaʻo ʻoe ua nele kou puʻuwai i kahi paʻi ('Heart Palpitations').
• Māmā ke poʻo .
• Ka luaʻi .
• ʻO ka ʻū mau .
• Pōkole o ka hanu .
• Inā pehu kou mau wāwae, nā kuʻekuʻe wāwae, nā wāwae, a i ʻole ka ʻōpū .

ʻIke pinepine ʻia ka LPFB i nā poʻe me nā maʻi puʻuwai ʻē aʻe. Inā loaʻa iā ʻoe ka maʻi puʻuwai, e hāʻawi kāu kauka iā ʻoe i kahi hoʻolālā lapaʻau a nānā mau iā ʻoe. Ma ka hahai pono ʻana i nā ʻōlelo a kāu kauka a me ka loaʻa ʻana o nā nānā maʻamau, hiki iā ʻoe ke kōkua i ka kaohi ʻana i kou maʻi puʻuwai a pale i nā hanana puʻuwai koʻikoʻi.

Leka Lawe-Home

• ʻO ka Left Posterior Fascicular Block (LPFB) kahi pale ʻana o kahi olonā liʻiliʻi e lawe ana i nā hōʻailona uila i ke kua o ka ventricle hema o ka puʻuwai.
• ʻAʻole maʻamau kēia i nā kānaka olakino, akā hiki ke hana i nā poʻe me nā maʻi puʻuwai ʻē aʻe.
• I ka hapanui o nā hihia, inā loaʻa wale ka LPFB, ʻaʻole e ʻike ʻia nā hōʻailona.
• ʻO ka mea nui, ʻike ʻia ka maʻi ma o kahi hoʻokolohua ECG.
• Hoʻopili ʻia ka lāʻau lapaʻau i ka maʻi kumu i hoʻokumu ai i ka LPFB. Inā ʻo LPFB wale nō a ʻaʻohe maʻi puʻuwai ʻē aʻe, ʻaʻohe lāʻau lapaʻau kūikawā e pono ai.
• He mea nui loa ka noho ʻana i kahi nohona olakino no ka pale ʻana i nā maʻi puʻuwai.
• Inā ʻike ʻoe i nā hōʻailona o ka maʻi puʻuwai, e ʻimi koke i ke kōkua lapaʻau.

E hoʻomanaʻo, he mea nui loa ka mālama ʻana i kou puʻuwai no kou olakino holoʻokoʻa. Mai makaʻu kākou, e makaʻala, a e hoʻāʻo e noho olakino!

`Poloka Fascicular Hope Hema, Maʻi Puʻuwai, ʻŌnaehana Uila o ka Puʻuwai, ECG, Kuʻi Puʻuwai, Poloka Puʻuwai, Arrhythmia