Puas muaj teeb meem nrog koj lub plawv lub zog hluav taws xob? Cia peb tham txog Bundle Branch Block hauv cov lus yooj yim!

Koj puas tau kuaj ECG thiab pom cov lus 'Bundle Branch Block' nyob rau ntawm daim ntawv qhia? Los yog tej zaum koj tau hnov ​​​​​​qhov txawv me ntsis lossis hnyav hauv koj lub siab, tab sis koj tsis tuaj yeem paub meej tias yog dab tsi ua rau nws. Qee zaum qhov mob no tuaj yeem muaj yam tsis muaj tsos mob. Hnub no, peb yuav tham txog qhov mob no hu ua 'Bundle Branch Block', yooj yim heev, hauv txoj kev uas koj tuaj yeem nkag siab.

Bundle Branch Block yog dab tsi? Cia peb nkag siab yooj yim!

Zoo, tam sim no saib... peb lub siab zoo li lub tshuab me me, puas yog? Nws yuav tsum ua haujlwm tas mus li. Yuav kom lub plawv no dhia, nws xav tau lub teeb liab me me. Nws zoo li lub zog tam sim no hauv peb lub tsev kom tig lub teeb. Cov teeb liab hluav taws xob no mus raws txoj kev tshwj xeeb hauv lub plawv. Cov txoj kev no yog qhov peb hu ua "bundle branches." Cov teeb liab hluav taws xob mus dhau cov no thiab qhia rau ob lub chambers tseem ceeb hauv qab ntawm lub plawv, "ventricles," hais tias, "Zoo, tam sim no nej yuav cog lus thiab tso ntshav."

Feem ntau, ob lub plawv no sib cog lus tib lub sijhawm. Thaum ntawd lub plawv yuav nqus ntshav kom zoo. Txawm li cas los xij, thaum muaj "Bundle Branch Block", qhov ntawd txhais tau tias muaj kev thaiv lossis kev thaiv hauv txoj kev teeb liab hluav taws xob uas kuv tau hais, uas yog, hauv "bundle branch". Nws zoo li ib txoj hlau tawg lossis raug thaiv qhov twg. Tom qab ntawd lub teeb liab hluav taws xob ntawd tsis mus zoo, nws qeeb. Vim li no, ob lub plawv tsis sib cog lus tib lub sijhawm. Ib qho sib cog lus, thiab lwm qhov sib cog lus me ntsis tom qab. Qhov no yog qhov peb hu ua lub plawv dhia tsis zoo.

Txawm li cas los xij, tsis yog txhua qhov bundle blocks yuav tsum tau kho mob loj. Feem ntau, cov kws kho mob nrhiav lwm yam mob uas ua rau muaj teeb meem thiab sim kho cov ntawd.

Puas muaj hom Bundle Branch Block?

Yog, muaj ob hom tseem ceeb ntawm cov bundle branch block, nyob ntawm seb nws puas cuam tshuam rau sab xis ntawm lub plawv lossis sab laug.

1. Kab Mob Hlwb Sab Xis (RBBB): Qhov no yog thaum muaj kev thaiv hauv txoj kev uas nqa cov teeb liab hluav taws xob mus rau sab xis ntawm lub plawv. Hais yooj yim xwb, muaj teeb meem nrog cov xov hlau sab xis.

2. Kab Mob Sab laug ntawm lub plawv (LBBB): Qhov no yog thaum muaj kev thaiv hauv txoj kev uas nqa cov teeb liab hluav taws xob mus rau sab laug ntawm lub plawv. Qhov no txhais tau tias muaj teeb meem nrog kab mob sab laug ntawm lub plawv.

Qee zaum, tsuas yog ib ceg ntawm cov ceg no xwb thiaj li yuav raug cuam tshuam. Los yog, tsis tshua muaj, ob ceg yuav raug cuam tshuam tib lub sijhawm.

Leej twg thiaj li muaj peev xwm tsim tau qhov no (Bundle Branch Block)? Nws tshwm sim ntau npaum li cas?

Tseeb tiag, txhua tus neeg yeej muaj tus mob no hu ua "Bundle Branch Block". Txawm li cas los xij, thaum koj muaj hnub nyoog thiab yog tias koj muaj lwm yam mob plawv, qhov kev pheej hmoo ntawm kev mob no yuav siab dua me ntsis.

• Txoj cai bundle ceg thaiv `(RBBB)`:Qhov no feem ntau tshwm sim dua li '(LBBB)'. Xav txog seb, thaum muaj hnub nyoog 50 xyoo, yuav muaj li ib tug ntawm 100 tus neeg (0.8%) uas muaj qhov no. Tab sis thaum muaj hnub nyoog 80 xyoo, yuav muaj li 11 ntawm 100 tus neeg (11.3%) uas muaj qhov mob no.
• Kab mob plawv sab laug (LBBB): Qhov no tsis tshua muaj ntau npaum li RBBB. Hauv cov tebchaws zoo li Tebchaws Meskas, nws cuam tshuam rau ntawm 0.06% thiab 0.1% ntawm cov pejxeem. Txawm li cas los xij, rau cov neeg uas muaj mob plawv tsis ua haujlwm, kwv yees li ib feem peb ntawm lawv yuav muaj LBBB.

Ib lub bundle branch block cuam tshuam li cas rau lub cev?

Peb hu lub cev uas tswj peb lub plawv dhia ua "lub cev ua pa." Cov kev uas kuv tau hais ua ntej, "cov ceg ntoo sib txuas", kuj yog ib feem ntawm lub cev no. Yog li, nyob ntawm qhov chaw uas qhov kev thaiv no nyob, txoj kev uas nws cuam tshuam rau peb lub cev hloov pauv.

• Kev thaiv ceg ntawm lub plawv sab xis (RBBB): Yog tias koj muaj RBBB, qhov kev thaiv no nyob hauv txoj kev uas nqa lub teeb liab hluav taws xob mus rau sab xis ntawm lub plawv. Qhov no ua rau koj lub plawv sab laug qaug zog ua ntej lub plawv sab xis.
• Kab mob plawv sab laug (LBBB): Yog tias koj muaj LBBB, qhov kev thaiv no nyob hauv txoj kev uas nqa lub teeb liab hluav taws xob mus rau sab laug ntawm lub plawv. Qhov no ua rau sab xis ntawm lub plawv sib zog ua ntej sab laug. Qhov no ua rau nws nyuaj rau lub plawv tso ntshav tau zoo. Feem ntau, yog tias koj raug kuaj pom tias muaj LBBB, nws txhais tau tias koj yuav muaj lwm yam mob plawv.
• Kev thaiv ob sab xis thiab sab laug ntawm cov ceg ntawm lub plawv: Qhov no yog ib qho mob hnyav dua. Yog tias qhov no tshwm sim, cov teeb liab hluav taws xob los ntawm cov chav sab saud ntawm lub plawv mus rau cov chav sab qis (atrial fibrillation) tuaj yeem raug thaiv tag nrho. Qhov no tuaj yeem ua rau lub plawv dhia qeeb heev (bradycardia) thiab tuaj yeem ua rau muaj lwm yam teeb meem kev noj qab haus huv loj.

Dab tsi yog cov laj thawj tseem ceeb ntawm kev thaiv ceg ntoo?

Muaj ntau yam ua rau "Bundle Branch Block" tshwm sim. Cia peb saib seb lawv yog dab tsi:

• Kab mob plawv yug los
• Dilated cardiomyopathy (ib yam mob uas cov leeg nqaij plawv tsis muaj zog thiab loj hlob)
• Kab mob plawv nres (myocardial infarction), lossis raws li peb txhua tus paub, yog mob plawv nres.
• Kab mob plawv, tshwj xeeb tshaj yog kab mob coronary artery
• Lub plawv tsis ua haujlwm
• Kab mob plawv (myocarditis)
• Kab mob plawv
• Ntshav siab (ntshav siab)
• Hypertrophic cardiomyopathy (ib yam mob uas cov leeg nqaij plawv tuab zuj zus)
• Kev ua kom cov leeg nqaij plawv tsis muaj zog lossis tawv (cardiomyopathy)

Tsis tas li ntawd xwb, qhov mob right bundle branch block (RBBB) kuj tseem tuaj yeem tshwm sim los ntawm cov kab mob ntsws. Piv txwv li:

• Kab mob ntsws ntev ntev (COPD), ib yam kab mob ntsws uas kav ntev
• Kev mob ntsws embolism
• Ntshav siab hauv lub ntsws (Pulmonary hypertension - PH)

Txawm li cas los xij, qee zaum tsis muaj qhov laj thawj tshwj xeeb rau qhov "Bundle Branch Block" no. Lub siab ntawm cov neeg zoo li no yuav noj qab nyob zoo rau txhua yam.

Cov tsos mob ntawm kev thaiv ceg bundle yog dab tsi?

Ib qho uas ua rau neeg xav tsis thoob txog qhov no yog tias feem ntau, tsis muaj tsos mob txawm tias koj muaj "Bundle Branch Block" los xij. Txawm li cas los xij, yog tias muaj cov tsos mob tshwm sim, lawv tuaj yeem suav nrog cov yam xws li:

• kiv taub hau
• Tsaus muag, tsis nco qab (syncope)
• Zoo li koj yuav tsaus muag (presyncope)

Txawm li cas los xij, zoo li kuv tau hais lawm, yog tias muaj kev thaiv hauv ob sab xis thiab sab laug ntawm lub plawv, cov tsos mob yuav txawv me ntsis, thiab tej zaum yuav pom tseeb dua me ntsis:

• Lub plawv dhia tsis xwm yeem (arrhythmia)
• Ua pa nyuaj (ua tsis taus pa)
• Lub plawv dhia qeeb (bradycardia)

Cov tsos mob feem ntau pom tseeb dua hauv cov xwm txheej zoo li no:

• Yog koj muaj lwm yam kab mob plawv.
• Yog tias muaj kev thaiv hauv ob sab ceg ntawm sab xis thiab sab laug.
• Yog tias qhov `(Bundle Branch Block)` nyob rau theem hnyav dua me ntsis.

Kuv yuav paub li cas yog tias kuv muaj Bundle Branch Block?

Cov kws kho mob siv ob txoj kev kuaj tseem ceeb los kuaj mob bundle branch block:

1. Kev kuaj hluav taws xob ntawm lub plawv (EKG lossis ECG): Tej zaum koj twb ua qhov no lawm. Cov ntawv nplaum me me hu ua electrodes raug muab tso rau ntawm koj lub hauv siab, caj npab, thiab ceg, thiab lub tshuab sau koj lub plawv txoj kev ua haujlwm hluav taws xob thaum koj pw twj ywm. Qhov no tuaj yeem saib seb lub plawv cov teeb liab hluav taws xob mus li cas thiab txiav txim siab seb koj puas muaj ib lub bundle branch block, thiab yog tias muaj, seb nws puas nyob rau sab xis lossis sab laug.

2. Echocardiogram (echo): Qhov no suav nrog kev siv ib qho gel rau ntawm koj lub hauv siab, muab ib lub cuab yeej me me (wand) tso rau saum koj lub hauv siab, thiab siv cov suab nrov siab los thaij duab ntawm koj lub plawv chav thiab cov valve. Qhov no tso cai rau koj tus kws kho mob pom tias koj lub plawv dhia li cas, nws nqus ntshav li cas, thiab seb puas muaj tej yam mob plawv hauv qab.

Yog tias koj raug kuaj pom tias muaj bundle branch block, koj tus kws kho mob kuj yuav kuaj xyuas lwm yam mob nkeeg. Lawv kuj tseem yuav ua cov kev kuaj xws li:

• Ntsuas ntshav siab (los xyuas seb ntshav siab (hypertension) los yog qis (hypotension)).
• Kev kuaj ntshav los xyuas cov roj cholesterol hauv cov ntshav.
• Kev ntsuas lub plawv (kev kuaj xyuas cov hlab ntsha ntawm lub plawv)
• Yuav ua ib qho "kev kuaj mob Nuclear cardiac stress test" los kuaj seb puas muaj kab mob coronary artery.
• Kev kuaj mob ntsws yog ib qho kev kuaj uas xyuas seb lub ntsws ua haujlwm zoo li cas.

Yuav kho cov Bundle Branch Block li cas?

Yog koj tsis muaj tsos mob thiab tsis muaj lwm yam mob hnyav, tej zaum koj yuav tsis xav tau kev kho mob tshwj xeeb rau qhov mob bundle branch block. Txawm li cas los xij, yog tias koj muaj lwm yam teeb meem, xws li ntshav siab lossis lub plawv tsis ua haujlwm, koj yuav tsum noj tshuaj los tswj lawv.

Tab sis yog tias koj muaj cov tsos mob xws li tsaus muag, koj tus kws kho mob yuav qhia kom siv lub tshuab pacemaker . Qhov no yog ib lub cuab yeej me me uas tus kws kho mob plawv electrophysiologist muab tso rau hauv qab daim tawv nqaij ntawm koj lub hauv siab. Nws xa cov cim los ntawm cov xov hlau txuas nrog koj lub plawv, ua kom koj lub plawv dhia ruaj khov.

Yog tias koj lub plawv tsis ua haujlwm lossis dilated cardiomyopathy, koj tus kws kho mob yuav pom zoo kom siv kev kho mob hu ua Cardiac Resynchronization Therapy (CRT) . Qhov no siv hom pacemaker tshwj xeeb hu ua Biventricular Pacemaker . Qhov no pab ob chav ntawm lub plawv sib zog tib lub sijhawm. Kev kho mob CRT no tuaj yeem pab txo cov tsos mob xws li ua tsis taus pa.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm kev tsim cov bundle branch block?

Yuav kom tiv thaiv peb tus kheej ntawm '(Bundle Branch Block)' thiab lwm yam kab mob plawv, peb yuav tsum tau ua neej noj qab nyob zoo. Qhov ntawd txhais tau tias:

• Noj cov zaub mov zoo rau lub plawv (zaub, txiv hmab txiv ntoo, zaub ntsuab, cov khoom noj uas tsis muaj roj ntau).
• Ua si nawv tsis tu ncua (xws li taug kev, khiav, caij tsheb kauj vab).
• Tswj kom koj lub cev hnyav zoo .
• Tswj cov roj cholesterol .
• Tsum haus luam yeeb thiab siv cov khoom luam yeeb kiag li.
• Yog koj cov ntshav siab , tswj nws kom zoo.
• Mus kuaj mob tsis tu ncua.

Yog tias muaj lwm yam kab mob nrog rau Bundle Branch Block, yuav muaj kev pheej hmoo dab tsi?

Yog tias koj muaj "Bundle Branch Block" nrog cov mob no, qhov kev pheej hmoo rau lub neej yuav nce me ntsis :

• Mob plawv nres
• Lwm yam kab mob plawv
• Lub plawv tsis ua haujlwm

Muaj ib qho uas yuav tsum nco ntsoov tshwj xeeb yog tias yog koj muaj tus mob tshiab ntawm '(Left Bundle Branch Block - LBBB)' thiab kuj mob hauv siab, nws yuav yog ib qho cim qhia txog tus mob hnyav, xws li mob plawv nres. Yog tias qhov no tshwm sim, koj yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Yuav ua li cas rau ib tus neeg uas muaj Bundle Branch Block? Tom ntej no yuav ua li cas?

Feem ntau qhov mob bundle branch block yog ib qho mob uas yuav kav ntev mus ib txhis . Qhov mob blockage no tej zaum yuav zoo li qub, lossis nws tej zaum yuav hnyav zuj zus mus raws sijhawm.

Vim tias qee zaum Left Bundle Branch Block (LBBB) tuaj yeem yog ib qho cim qhia ntxov ntawm kev thaiv lub plawv tag nrho, cov kws tsav dav hlau hauv cov tebchaws xws li Tebchaws Meskas thiab UK raug txwv tsis pub ya dav hlau yog tias lawv muaj LBBB. Txawm li cas los xij, tshwj tsis yog tias koj muaj cov tsos mob hnyav, kev muaj Bundle Branch Block feem ntau yuav tsis muaj kev cuam tshuam loj rau koj cov dej num txhua hnub.

Yog hais txog kev xav, yog tias koj tsis muaj lwm yam mob loj, Bundle Branch Block yuav tsis muaj feem cuam tshuam loj rau koj txoj kev noj qab haus huv lossis lub neej. Txawm li cas los xij, yog tias koj muaj lwm yam mob uas cuam tshuam rau koj lub plawv, Bundle Branch Block yuav ua rau cov mob ntawd hnyav zuj zus sai dua thiab koj cov tsos mob yuav nce ntxiv.

Yog tias kuv muaj (Bundle Branch Block), kuv yuav saib xyuas kuv tus kheej li cas?

Yog koj muaj mob plawv bundle branch block, qhia rau koj tus kws kho mob txhua zaus koj mus ntsib kws kho mob tshiab. Cov ntaub ntawv no yuav pab lawv nkag siab zoo dua txog koj txoj kev noj qab haus huv thiab kev noj qab haus huv tag nrho.

Xyuas kom koj tus kws kho mob paub tias koj muaj ib qho bundle branch block, tshwj xeeb tshaj yog rau cov xwm txheej no:

• Yog tias koj tab tom ua qhov kev sim ua kom lub cev muaj zog (vim tias qee yam kab mob yuav nyuaj me ntsis rau kev kuaj mob thaum koj muaj LBBB).
• Thaum muaj xwm txheej ceev txog kev kho mob, xws li mob plawv nres.
• Yog koj tab tom phais rau lwm yam mob plawv.

Nws tseem yog ib lub tswv yim zoo kom khaws ib daim qauv ntawm koj daim ntawv qhia ECG kom yooj yim, vim nws tuaj yeem pab tau thaum muaj xwm txheej ceev.

Lub sijhawm twg zoo tshaj plaws mus ntsib kws kho mob?

Yog koj muaj cov tsos mob tshiab, lossis yog koj cov tsos mob hnyav zuj zus, nco ntsoov mus ntsib kws kho mob. Nrhiav kev kho mob tam sim ntawd, tshwj xeeb tshaj yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no:

• Yog koj mob hauv siab, tsis xis nyob, lossis nruj .
• Yog koj xav tias koj nkees heev .
• Yog koj xav tias koj yuav tsaus muag (presyncope).
• Yog koj poob kev nco qab .
• Yog koj ua pa nyuaj los yog xav tias tsis muaj pa txaus.

Hauv kev xaus lus (Cov Lus Qhia Txog Kev Coj Mus Tsev)

Zoo, yog li cia peb rov qab nco txog `(Bundle Branch Block)` uas peb tau tham txog hnub no:

• Bundle Branch Block (BBB) ​​yog qhov thaiv ntawm txoj kev teeb liab hluav taws xob hauv lub plawv. Qhov no tuaj yeem ua rau lub plawv dhia tsis xwm yeem.
• Qhov no tuaj yeem cuam tshuam rau sab xis (RBBB), sab laug (LBBB), lossis ob sab.
• Feem ntau, tsis muaj tsos mob .
• Qhov no feem ntau pom los ntawm kev kuaj 'ECG' thiab 'Echo'.
• Kev kho mob rau 'BBB' nws tus kheej tsis yog qhov tsim nyog txhua lub sijhawm, tab sis nws yog ib qho tseem ceeb kom kho qhov ua rau muaj teeb meem .
• Muaj ntau tus neeg tuaj yeem ua neej nyob li qub nrog kev thaiv cov ceg ntoo, tab sis qhov kev pheej hmoo yuav nce ntxiv yog tias koj muaj lwm yam mob plawv.

Yog li ntawd, yog tias koj muaj kev xav txog hom mob no, thiab tau txais kev qhia los ntawm tus kws kho mob zoo, tsis txhob ntshai. Ua raws li cov lus qhia tsim nyog, ua neej noj qab haus huv. Ces koj kuj tuaj yeem noj qab nyob zoo.

` bundle branch block, kab mob plawv, ECG, lub plawv dhia, hluav taws xob ntawm lub plawv, RBBB, LBBB