Ua lawe ʻia paha kahi ECG iā ʻoe i ka wā o ka nānā ʻana i ke kauka, e like me kou hele ʻana e ʻike i ke kauka no kekahi maʻi ʻē aʻe, a i ʻole i kou hoʻomaka ʻana i kahi hana hou. Ua hopohopo iki paha ʻoe a makaʻu hoʻi i kou ʻike ʻana i kahi memo ma kēlā hōʻike ECG i ʻōlelo ʻia ʻo 'Right Bundle Branch Block', a i ʻole RBBB. Ua manaʻo paha ʻoe, "Auē kuʻu Akua, aia kekahi mea hewa nui me koʻu puʻuwai?" He mea maʻamau ke noʻonoʻo pēlā ke ʻike ʻoe i kahi huaʻōlelo maʻa ʻole. Akā ma mua o kou hopohopo, e hoʻomaopopo pono kākou i kēia. ʻO ka hapa nui o ka manawa, ʻaʻole kēia he mea koʻikoʻi e like me kou manaʻo.
BMI Calculator
Know your body mass index (BMI) and weight classification
I ka ʻōlelo maʻalahi, he aha ka Right Bundle Branch Block (RBBB)?
I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ka hana ʻana o ko kākou puʻuwai. E noʻonoʻo ua like kou puʻuwai me kahi hale liʻiliʻi me ʻehā lumi. I mea e hoʻā ai nā kukui a holo ai nā peʻahi i loko o kēia hale, pono kahi lako uila, a i ʻole 'aupuni'. Ma ke ʻano like, loaʻa i ko kākou puʻuwai kāna ʻōnaehana uila ponoʻī e kuʻi pono ai.
Hoʻomaka kēia hōʻailona uila ma kahi 'kuhikuhi haku' ma ka piko o ka puʻuwai. Kāhea mākou iā ia ʻo (Sinoatrial node) a i ʻole SA node. Mai laila mai, hele ka hōʻailona uila ma o nā keʻena ʻelua o luna o ka puʻuwai (atria) a hōʻea i kahi 'pahu hui' i kapa ʻia ʻo (Atrioventricular node) a i ʻole AV node.
Mai kēia pahu hui, ua māhele ʻia ka hōʻailona uila i ʻelua mau uea nui e hele ana i nā keʻena nui ʻelua (ventricles) ma lalo o ka puʻuwai. ʻO kēia mau uea ʻelua ka mea a mākou e kapa nei he 'lālā bundle'. Hele kekahi i ke keʻena ʻākau (lālā bundle ʻākau), a hele kekahi i ke keʻena hema (lālā bundle hema).
ʻO ka mea maʻamau e hana ʻia, ʻo ia ka hele ʻana o ka hōʻailona uila ma kēia mau uaea ʻelua i ka wikiwiki like a me ka manawa like, e hoʻoulu ai i nā keʻena ʻelua o lalo o ka puʻuwai e ʻaelike (kuʻi) pū.
Eia nō naʻe, i loko o kekahi me ka Right Bundle Branch Block (RBBB) , aia kahi ālai iki i loko o ke 'uea' e hele ana i ka ʻaoʻao ʻākau, a i ʻole ka emi iki ʻana o ka wikiwiki o ka hōʻailona. Me he mea lā ke kahe mālie nei ke 'au' ma kahi uea kahiko. Ma muli o kēia, loaʻa i ka ventricle ʻākau ka hōʻailona ma hope iki o ka hema. Ma muli o kēia, kuʻi ka ventricle ʻākau i kahi hapa liʻiliʻi loa o kekona ma hope o ke kuʻi ʻana o ka ventricle hema.
ʻO kēia ʻano kūlike ʻole ma waena o nā ʻāpana ʻelua o ka puʻuwai ka mea a mākou e ʻike ai ma kahi ECG ma ke ʻano he RBBB. ʻAʻole kēia he lua i loko o ka puʻuwai a i ʻole he kīʻaha koko i paʻa, akā he lohi iki wale nō i ka hōʻailona uila.
ʻElua ʻano nui o ka RBBB. Inā lohi loa ka hōʻailona, ua kapa ʻia ʻo 'RBBB Piha', a inā lohi iki wale nō, ua kapa ʻia ʻo 'RBBB Hoʻopau ʻole'. ʻO ka RBBB piha ʻole, ʻaʻole ia he koʻikoʻi e like me ka RBBB piha.
ʻO wai ka mea kūpono loa e ʻike i kēia maʻi?
Hiki i kēia ke hana i kekahi. Hiki i nā poʻe olakino maikaʻi ʻole ke loaʻa iā RBBB. Eia nō naʻe, ʻoi aku ka maʻamau o kēia ʻano i ko kākou ʻelemakule ʻana. E like me ka nāwaliwali iki ʻana o ke kaula uila i loko o kahi hale kahiko, hiki i ka ʻōnaehana uila o ka puʻuwai ke lohi iki i ko kākou ʻelemakule ʻana.
Ua ʻike ʻia ma ka noiʻi ʻana i ka hiki ʻana i ka makahiki 80, ma kahi o 11 o kēlā me kēia 100 mau kānaka (a i ʻole 11%) e loaʻa i kēia kūlana RBBB. No laila hiki iā ʻoe ke ʻike ʻaʻole ia he mea laha ʻole.
Medical test equipment that can be used at home
Essential home medical devices including blood pressure monitors, oximeters and digital thermometers.
Check Availability →He aha nā hōʻailona o ka RBBB?
ʻO kēia ka mea nui a hōʻoluʻolu hoʻi e ʻike. No ka hapa nui o ka poʻe, ʻaʻohe hōʻailona. ʻAʻole paha ʻoe e ʻike he RBBB kou. ʻAʻole paha e ʻike ʻia a hiki i ka hana ʻia ʻana o kahi ECG no kekahi kumu ʻē aʻe. ʻAʻole ʻoe e ʻike i ka ʻeha o ka umauma, ka pōkole o ka hanu, a i ʻole ka hiolo ʻana ma muli o RBBB wale nō.
ʻO ke ʻano kēia, inā loaʻa iā ʻoe kēia mau hōʻailona, ʻaʻole paha ma muli o RBBB, akā ma muli o kekahi maʻi olakino ʻē aʻe. No laila, inā loaʻa iā ʻoe kēlā mau hōʻailona, pono ʻoe e ʻike i ke kauka.
He aha nā kumu o RBBB?
ʻOiai hiki ke loaʻa ka RBBB i nā poʻe olakino me ke kumu ʻole, hiki ke hana ʻia e kekahi mau kūlana olakino a me nā kumu ʻē aʻe. E nānā kākou i kekahi o nā kumu nui.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ka Infarction Myocardial | Hiki i ka hāʻule puʻuwai ke hōʻino i ka ʻiʻo o ka puʻuwai a hoʻopilikia i ke ʻano o ka lawe ʻana i nā hōʻailona uila. |
| Ka mumū ʻana o ka ʻiʻo puʻuwai (Myocarditis) | Hiki i kekahi mea e like me ka maʻi viral ke hoʻoulu i ka pehu/mumu ʻana o ka ʻiʻo o ka puʻuwai, e hoʻopilikia ana i ka hoʻoili ʻana o nā hōʻailona. |
| ʻEha umauma | Hiki i kahi hahau nui i ka umauma mai kahi ulia ke hōʻino i ka ʻōnaehana uila o ka puʻuwai. |
| ʻO kekahi mau ʻoki puʻuwai a i ʻole nā hoʻokolohua | Hiki ke hana ʻia kēia ʻano i kekahi manawa i ka wā o nā hoʻokolohua e like me ka catheterization puʻuwai ʻākau, kahi e hoʻokomo ʻia ai kahi ʻōmole i loko o ka puʻuwai. |
| Nā loli kūkulu i loko o ka puʻuwai | Ma muli o nā kumu e like me ka hoʻonui ʻia ʻana o nā keʻena o ka puʻuwai, hiki ke hoʻolōʻihi ʻia nā ala e lawe ana i nā hōʻailona uila, e hoʻopaneʻe ana i ka hele ʻana o ka hōʻailona. |
| ʻO kekahi mau maʻi genetic | Hiki ke hana ʻia kēia ʻano e nā maʻi laha ʻole e like me ka maʻi ʻo Lev a i ʻole ka maʻi ʻo Lenegre. |
Pehea e ʻike ai ke kauka a hōʻoia i kēia?
ʻIke pinepine ʻia ʻo RBBB me kahi ECG, a i ʻole Electrocardiogram . Pili kēia hoʻāʻo i ka hoʻopili ʻana i nā sticker i kou umauma, nā lima, a me nā wāwae a hoʻopaʻa i ka hana uila o kou puʻuwai. Hiki i ke kauka akamai ke ʻike maʻalahi inā he RBBB kāu ma ka nānā ʻana i kēia ʻano ECG.
Akā, ʻaʻole i pau ke kauka ma laila. Aia kekahi mau kūlana ʻē aʻe, ʻoi aku paha ka koʻikoʻi, e hōʻike ana i nā ʻano ECG e like me RBBB. No laila e nānā pono ke kauka i kāu ECG e hōʻoia ʻaʻole ʻoe i loaʻa i kēia mau kūlana.
Eia kekahi mau kūlana:
- ʻO ka Ventricular Tachycardia: He kūlana koʻikoʻi kahi e kuʻi wikiwiki ai nā keʻena haʻahaʻa o ka puʻuwai.
- ʻO Brugada Syndrome: He ʻano genetic e hiki ai ke hoʻopau koke i ka puʻuwai.
- Poloka Lālā Pūʻolo Hema i Hoʻopiha ʻole ʻia: He poloka piha ʻole o ke ala hōʻailona ma ka ʻaoʻao hema, e like me ka ʻaoʻao ʻākau.
No laila, ʻoiai inā ʻōlelo kāu hōʻike ECG ʻo RBBB, pono e hāʻawi ʻia ka hopena hope loa a me nā ʻōlelo aʻoaʻo e pili ana i ia mea e ke kauka nāna ʻoe e nānā.
Pono anei ka RBBB i ka mālama ʻia?
He nūhou maikaʻi loa nō hoʻi ma ʻaneʻi.
Inā ʻaʻohe ou maʻi puʻuwai ʻē aʻe (e.g., ka hāʻule ʻana o ka puʻuwai) a ʻaʻohe ou hōʻailona (e.g., ʻeha o ka umauma, maule), ʻaʻole pono kahi lāʻau kūikawā no ka Right Bundle Branch Block.
Ua like ia me kahi hōʻailona hānau ma kou kino. Aia ia ma laila, akā ʻaʻole ia e hoʻopilikia iā ʻoe. E haʻi aku paha ke kauka iā ʻoe e hele mai i hoʻokahi manawa i ka makahiki a loaʻa kahi ECG, e ʻike inā he loli. Ma waho aʻe o kēlā, ʻaʻole pono ia i kekahi lāʻau lapaʻau a ʻoki kino paha.
Eia nō naʻe, inā loaʻa iā ʻoe ka RBBB ma muli o kekahi maʻi puʻuwai ʻē aʻe (e like me nā mea i helu ʻia ma ka papa o nā kumu ma luna), a laila ʻaʻole mālama ʻia ka RBBB. Mālama ʻia ke kūlana kumu. No ka laʻana, inā ua hoʻonui ʻia kou puʻuwai ma muli o ke koko kiʻekiʻe a ua hoʻokumu ʻia ka RBBB e kēia kūlana, ʻo ka lāʻau lapaʻau ka kaohi ʻana i kou koko. Inā hoʻokumu ʻia e ka hōʻeha puʻuwai, pono ʻoe e hoʻomau i ka mālama ʻana.
He aha ka wā e hiki mai ana o kekahi me RBBB? Aia kekahi mea e makaʻu ai?
ʻO ka pane i kēia nīnau e pili ana i ka loaʻa ʻana o nā maʻi puʻuwai ʻē aʻe. E nānā kākou i kēlā mau hihia ʻelua ma ke kaʻawale.
1. Inā ʻaʻohe ou maʻi puʻuwai ʻē aʻe (A i ʻole olakino)
I kēia manawa, ʻaʻohe mea e hopohopo ai ʻo RBBB. ʻAʻole ia e hoʻopōkole i kou ola a hoʻonui paha i kou pilikia o ka loaʻa ʻana o ka hōʻeha puʻuwai. He 'quirk' liʻiliʻi wale nō ia, a i ʻole kahi hiʻohiʻona kū hoʻokahi, i loko o ka ʻōnaehana uila o kou puʻuwai. Hiki iā ʻoe ke hele i kou ola maʻamau me ka ʻole o nā pilikia.
2. Inā loaʻa iā ʻoe kekahi maʻi puʻuwai ʻē aʻe (e.g. Heart failure, ma hope o ka Heart Attack)
I ia ʻano hihia, he mea e noʻonoʻo ai ʻo RBBB. ʻAʻole kēia manaʻo ua ʻoi aku ka ʻino o kou kūlana ma muli o RBBB. Eia nō naʻe, ʻo ka loaʻa ʻana o RBBB e hōʻike ana ua kaumaha kou puʻuwai a ua nāwaliwali iki kāna hana. No laila, i ka wā e hui pū ʻia ai ʻo RBBB me kahi maʻi puʻuwai e like me kēia, hiki ke hoʻonui iki ʻia ka pilikia o nā pilikia i ka wā e hiki mai ana.
ʻO ia ke kumu he mea nui loa ia no kēlā mau maʻi e hahai i ka lāʻau i hāʻawi ʻia e kā lākou kauka no ko lākou maʻi puʻuwai nui me ka ʻole o nā hemahema . Pono lākou e hana i nā mea e like me ka lawe ʻana i kā lākou lāʻau lapaʻau i ka manawa kūpono, kaohi ʻana i kā lākou ʻai, a me ka hoʻoikaika kino pono.
Ke hoʻokumu ʻia ʻo RBBB, ʻaʻole ia e nalo. He kūlana mau loa ia.
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka a e makaʻala?
Inā ʻike ʻoe he RBBB kou, he manaʻo maikaʻi e noho mau i ka launa pū ʻana me kāu kauka.
- Nā hālāwai maʻamau: ʻOiai inā ʻaʻohe ou maʻi olakino ʻē aʻe, e hele i nā nānā ʻana ma nā manawa i ʻōlelo ʻia e kāu kauka (e.g. hoʻokahi manawa i ka makahiki). Inā he mau maʻi puʻuwai ʻē aʻe kou, e hōʻoia e hele i kēlā mau keʻena lapaʻau.
- Nā hōʻailona hou: Inā loaʻa iā ʻoe nā hōʻailona i loaʻa ʻole iā ʻoe ma mua, e like me ka ʻeha o ka umauma, ka pōkole o ka hanu, ka pehu ʻana i kou mau wāwae, a i ʻole ka nāwaliwali, e ʻike koke i ke kauka.
- Pilikia:E noʻonoʻo ʻoe he ʻeha umauma hiki ʻole ke hoʻomanawanui, ua pālahalaha ka ʻeha i kou lima hema, ʻāʻī, a i ʻole ka ʻāwae, ua nui kou hou, a ua pōkole kou hanu. He mau hōʻailona paha kēia o ka hōʻeha puʻuwai. I kēlā hihia, mai hoʻokaʻulua. E hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Nā nīnau koʻikoʻi e nīnau aku i kāu kauka
Inā ʻōlelo ʻia ma kāu hōʻike ECG ʻo RBBB, ʻo ka nīnau ʻana i kēia mau nīnau ke ʻike ʻoe i kāu kauka hiki ke kōkua iā ʻoe e loaʻa ka mālamalama hou aku.
- "E ke kauka, aia kekahi kumu kikoʻī no ke kumu o kēia maʻi RBBB iaʻu?"
- "Pono anei au e hana i kekahi mau hoʻololi i koʻu ola o kēlā me kēia lā ma muli o kēia? Ma nā mea e like me ka ʻai ʻana, ka hoʻoikaika kino, a pēlā aku?"
- "Pehea ka wikiwiki e hoʻi mai ai au e nānā?"
- (Inā loaʻa iā ʻoe nā maʻi puʻuwai ʻē aʻe) "Ke piʻi nei koʻu pilikia no ka loaʻa ʻana o kēia RBBB me koʻu mau maʻi puʻuwai ʻē aʻe? He aha kaʻu e hana ai e kāohi iā ia?"
Leka Lawe-Home
- ʻO ka Poloka Lālā ʻĀkau (RBBB) kahi lohi iki o ka hōʻailona uila o ka puʻuwai e hele ana i ka ʻaoʻao ʻākau o ka puʻuwai. ʻAʻole kēia he lua i loko o ka puʻuwai a i ʻole he poloka ʻana o ke kīʻaha koko.
- ʻOiai inā he kanaka olakino me ka ʻole o nā maʻi puʻuwai ʻē aʻe i loaʻa iā RBBB, ʻaʻohe o lākou hōʻailona. ʻAʻole pono lākou i ka lāʻau lapaʻau. ʻAʻohe mea e hopohopo ai.
- Inā loaʻa iā ʻoe kekahi maʻi puʻuwai ʻē aʻe, e like me ka hāʻule ʻana o ka puʻuwai, hiki i ka RBBB ke lilo i mea pilikia. ʻO ka mea nui loa, ʻo ia ka hahai ʻana i ka lāʻau no kou maʻi kumu.
- Mai hoʻowahāwahā i nā hōʻailona o ka hōʻeha puʻuwai, e like me ka ʻeha o ka umauma a me ka pōkole o ka hanu. I kēlā hihia, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- Inā he kānalua a hopohopo paha kāu e pili ana i kāu hōʻike ECG a i ʻole kēia kūlana, e kamaʻilio ākea me kāu kauka e pili ana i ia mea, e nīnau i nā nīnau, a e hoʻomaopopo.
No comments yet. Be the first to share your question or experience below.