Koj lub plawv lub teeb liab hluav taws xob puas raug cuam tshuam? (Left Anterior Fascicular Block)

Tej zaum koj yuav tsis meej pem me ntsis thaum koj hnov ​​cov lus '(Left Anterior Fascicular Block)', lossis tej zaum koj yuav muaj teeb meem nkag siab tias nws yog dab tsi thaum kws kho mob qhia koj txog nws. Qhov tseeb nws tsis nyuaj li koj xav. Cia peb tham txog nws yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab. Cia peb saib nws yog dab tsi, vim li cas nws tshwm sim, cov tsos mob yog dab tsi, yuav ua li cas thiaj paub nws, thiab peb yuav tsum ua li cas.

(Left Anterior Fascicular Block) yog dab tsi? Hais yooj yim xwb...

Xav txog koj lub plawv zoo li ib lub tshuab hluav taws xob me me. Lub tshuab hluav taws xob no tswj lub plawv dhia, uas yog lub plawv lub zog thiab lub zog ntawm cov ntshav, thaum lub sijhawm zoo. Muaj ib lub tshuab tshwj xeeb ntawm 'xov hlau' hauv lub plawv, lossis txoj kev, uas cov teeb liab hluav taws xob no mus los.

Nyob rau sab laug ntawm lub plawv, muaj ib txoj hlua hluav taws xob loj, uas peb hu ua 'left bundle branch'. Ib yam li cov ceg ntoo tawm ntawm lub cev ntoo, txoj hlua no kuj tawm mus ua cov ceg me me hu ua 'fascicles'. Ib qho ntawm cov ceg no hu ua 'left anterior fascicle'. Qhov no nqa cov teeb liab hluav taws xob mus rau phab ntsa pem hauv ntej ntawm lub plawv sab laug.

Tam sim no, ib qho (Left Anterior Fascicular Block) yog ib qho kev thaiv me me rau cov lus hluav taws xob uas mus los ntawm 'xov hlau' hu ua 'left anterior fascicle'. Nws zoo li muaj kev sib tsoo ntawm txoj kev, cov lus raug ncua. Qhov no ua rau sab laug ventricle ntawm lub plawv - qhov tseem ceeb ntawm lub plawv - kom cog lus qeeb dua li sab xis ventricle.

Qhov no puas yog ib yam dab tsi uas tshwm sim rau ntau tus neeg?

Tam sim no tej zaum koj yuav xav tias, 'Qhov no puas yog ib yam kab mob uas cuam tshuam rau txhua tus?' Qhov tseeb, kwv yees tias ntawm 1% thiab 6% ntawm cov pej xeem yuav muaj tus mob no. Txawm li cas los xij, nws feem ntau pom muaj rau cov neeg laus . Nws tsis tshua muaj rau cov tub ntxhais hluas.

Cov tsos mob yog dab tsi? Puas yog nws tshwm sim rau txhua tus?

Nov yog qhov tseem ceeb. Muaj ntau tus neeg uas muaj '(Left Anterior Fascicular Block)' tsis muaj tsos mob dab tsi li . Yog li ntawd, lawv tsis hnov ​​​​​​mob dab tsi li. Qee zaum lawv raug pom los ntawm txoj hmoo thaum kuaj '(ECG)' rau lwm yam laj thawj.

Txawm li cas los xij, qee zaum, tshwj xeeb tshaj yog tias qhov 'block' no hnyav dua, lossis yog tias nws nrog lwm yam mob plawv, qee cov tsos mob hauv qab no yuav tshwm sim:

• Mob taub hau (Feeling dizziness)
• Xav tias nkees txhua lub sijhawm (Feeling tiredness)
• Tsaus muag

Yog tias muaj cov tsos mob no, tus kws kho mob yuav tsum txiav txim siab seb nws puas yog vim '(Left Anterior Fascicular Block)' lossis lwm yam ua rau.

Vim li cas qhov no (Left Anterior Fascicular Block) thiaj tshwm sim? Dab tsi yog cov ua rau?

Yog li ntawd, vim li cas thiaj muaj kev cuam tshuam loj heev rau kev xa cov lus? Tej zaum yuav muaj ntau yam ua rau.

Cov kws tshawb fawb xav tias rau qee tus neegRaws li caj ces, uas yog, tau txais los ntawm noob caj ces, tej zaum yuav muaj qee yam tsis zoo hauv cov teeb liab hluav taws xob hauv cov chav qis ntawm lub plawv.

Tsis tas li ntawd xwb, muaj ntau yam laj thawj uas tau ua pov thawj thiab pom tau ntau zaus:

• Kab Mob Ntshav Hauv Lub Plawv (CAD): Qhov no yog qhov peb feem ntau hu ua kev txhaws hauv cov hlab ntsha uas muab ntshav mus rau lub plawv, lossis qhov ua rau mob plawv nres. Qhov no yog ib qho ua rau mob plawv sab laug sab saud.
• Ntshav Siab: Muaj ntshav siab ntev ntev kuj tuaj yeem cuam tshuam rau lub plawv.
• Kab mob plawv uas muaj cov qauv: Piv txwv li, mob plawv fibrosis lossis mob qog nqaij hlav. Cov no tuaj yeem cuam tshuam rau kev xa cov teeb liab hluav taws xob.
• Dilated Cardiomyopathy: Hauv qhov mob no, cov chav plawv loj zuj zus thiab cov leeg nqaij qaug zog.
• Ua ib qho kev phiv los ntawm qee qhov kev phais plawv lossis kev kho mob:
• `(TAVR)` txhais tau tias `(Transcatheter Aortic Valve Replacement)` tom qab ib txoj kev kho mob tshwj xeeb uas hloov cov qhov plawv.
• Tom qab phais mob hu ua "Surgical Septal Myectomy", uas yog ua rau mob hu ua "Hypertrophic Obstructive Cardiomyopathy", uas yog mob uas cov leeg plawv tuab dhau.
• Kab mob Sclerodegenerative ntawm ceg pob txha: Qhov no tuaj yeem tshwm sim nrog hnub nyoog.
• Nws kuj tseem yuav yog vim muaj kev o ntawm cov leeg nqaij plawv (Myocarditis).

Cov yam no tuaj yeem ua rau lub plawv hluav taws xob puas tsuaj, ua rau muaj "Left Anterior Fascicular Block".

Cov kws kho mob kuaj mob li cas? Yuav kuaj dab tsi?

Qhov kev kuaj mob tseem ceeb thiab yooj yim tshaj plaws los kuaj mob '(Left Anterior Fascicular Block)' yog ECG (Electrocardiogram) . Koj puas tau muaj '(ECG)' dua li? Cov khoom me me zoo li daim nplaum no lo rau ntawm koj lub hauv siab, caj npab, thiab ceg thiab sau cov haujlwm hluav taws xob ntawm lub plawv. Thaum tus kws kho mob saib daim kab xev '(ECG)', nws tuaj yeem qhia tau yooj yim seb 'block' no puas muaj lossis tsis muaj.

Ntxiv mus, yog tias tus kws kho mob xav paub ntau ntxiv, lossis xav paub qhov ua rau, nws yuav pom zoo kom kuaj lwm yam, xws li:

• Echocardiogram: Qhov no zoo li kev ntsuas ultrasound ntawm lub plawv. Nws tuaj yeem kuaj xyuas ntau yam, xws li qhov loj ntawm cov chav plawv, qhov tuab ntawm phab ntsa, kev ua haujlwm ntawm cov valve, thiab lub plawv nqus ntshav zoo npaum li cas.
• Kev kuaj mob ntxhov siab: Qhov no suav nrog kev saib xyuas koj cov ECG thiab ntshav siab thaum koj taug kev ntawm lub treadmill lossis kev tawm dag zog. Qhov no yog ua los saib seb koj lub plawv teb li cas rau kev ntxhov siab.
• Kev luam theej duab MRI ntawm lub plawv (Cardiac MRI):Qhov no tuaj yeem muab cov ntaub ntawv ntxaws ntxiv txog cov qauv thiab kev ua haujlwm ntawm lub plawv.
• Kev kuaj duab nuclear: Cov no yog cov kev kuaj tshwj xeeb uas saib cov khoom xws li cov ntshav mus rau lub plawv.

Puas muaj kev kho rau qhov no?

Tam sim no tej zaum koj yuav xav tias, 'Okay, yuav kho qhov no li cas? Kuv yuav kho qhov no li cas?' Qhov xav tsis thoob yog, tsis muaj kev kho mob tshwj xeeb rau '(Left Anterior Fascicular Block)' . Uas yog, tsis muaj tshuaj tshwj xeeb los kho qhov kev cuam tshuam me me hauv kev xa cov teeb liab hluav taws xob.

Txawm li cas los xij, qhov tseem ceeb tshaj plaws yog kho tus kab mob plawv lossis tus mob uas ua rau muaj qhov 'block' no .

Piv txwv li:

• Yog koj muaj kab mob plawv (CAD), koj tus kws kho mob yuav kho nws (xws li kev siv tshuaj, angioplasty, lossis phais bypass).
• Yog tias nws yog vim ntshav siab, yuav muab tshuaj los tswj nws.
• Yog tias muaj qhov tsis muaj zog hauv cov leeg nqaij plawv (cardiomyopathy), kev kho mob tsim nyog yuav pib.

Hais yooj yim xwb, cov kws kho mob tab tom nrhiav seb qhov teeb meem tseem ceeb ua rau muaj qhov "(Left Anterior Fascicular Block)" no thiab kho nws.

Yuav muaj dab tsi tshwm sim yav tom ntej? (Outlook)

Nws tseem ceeb heev rau koj kom paub tias qhov xwm txheej no yuav mus li cas rau pem hauv ntej.

• Yog ib tug neeg hluas thiab noj qab nyob zoo tsuas muaj "Left Anterior Fascicular Block" xwb tsis muaj lwm yam tsos mob ntawm lub plawv, feem ntau nws tsis suav tias yog teeb meem loj. Lawv yuav tsis tshua muaj qhov teeb meem no, thiab yog tias lawv muaj, nws yuav tsis muaj txiaj ntsig ntau.
• Txawm li cas los xij, yog tias ib tug neeg laus dua , tshwj xeeb tshaj yog ib tug neeg hnub nyoog tshaj 50 xyoo, muaj nws, qee zaum nws tuaj yeem yog qhov ua ntej lossis qhia txog lwm yam mob plawv.

Kev tshawb fawb pom tau tias cov neeg uas muaj "Left Anterior Fascicular Block" ntau dua li lwm tus:

• Kev Mob Plawv Tsis Ua Haujlwm
• Atrial Fibrillation (lub plawv dhia tsis xwm yeem, lub plawv dhia ceev ceev)
• Thiab muaj feem yuav tuag ntau dua .

Yog li ntawd, nws tsis yog lub tswv yim zoo los tsis quav ntsej qhov no li 'Auj, nws tsuas yog ib lub thaiv me me xwb,' tshwj xeeb tshaj yog tias koj laus me ntsis lossis muaj lwm yam tsos mob. Nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob txog qhov no thiab ua qhov kev kuaj mob tsim nyog.

Kuv yuav tsum saib xyuas kuv lub siab li cas?

Vim tias qhov '(Left Anterior Fascicular Block)' no muaj feem cuam tshuam nrog lwm yam mob plawv, qhov zoo tshaj plaws uas yuav tsum ua yog saib xyuas koj lub plawv kom zoo . Cov no tuaj yeem pab koj:

• Ua raws li kev noj zaub mov zoo:
• Noj cov zaub mov uas muaj roj tsawg. Tsis txhob noj roj, cov khoom noj kib, cov khoom noj mis nyuj uas muaj roj ntau, thiab nqaij liab.
• Ntxiv ntau txiv hmab txiv ntoo, zaub, taum pauv, thiab cov nplej tag nrho rau hauv koj cov zaub mov noj.
• Txo kev noj ntsev.
• Kev tawm dag zog tsis tu ncua:Raws li koj tus kws kho mob cov lus qhia, ua kev tawm dag zog nruab nrab, xws li taug kev lossis ua luam dej, tsawg kawg 30 feeb hauv ib hnub.
• Tswj koj qhov hnyav kom noj qab nyob zoo.
• Yog koj haus luam yeeb, tsum tam sim ntawd. Kev haus luam yeeb tsis zoo rau lub plawv.
• Txo kev ntxhov siab: Tej yam xws li kev xav, yoga, kev ua pa thiab kev ua ub ua no yuav pab tau.
• Yog koj muaj ntshav siab thiab roj cholesterol ntau, tswj lawv kom zoo. Noj cov tshuaj uas koj tus kws kho mob sau rau koj raws sijhawm thiab raws li qhov ntau npaum li cas uas tau sau tseg. Mus ntsib koj tus kws kho mob thiab mus kuaj xyuas lawv tsis tu ncua.
• Yog koj muaj ntshav qab zib, tswj nws kom zoo.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

• Nws yog ib qho tseem ceeb uas yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua kom tau txais kev kuaj mob . Ua li no, yog tias koj muaj cov mob ntev xws li ntshav siab lossis roj cholesterol, koj tuaj yeem pom tias lawv puas raug tswj hwm zoo.
• Yog tias koj xav tias muaj dab tsi txawv ntawm ib txwm , tshwj xeeb tshaj yog tias koj mob hauv siab, ua pa nyuaj, o ntawm koj ob txhais ceg, lossis nkees, nco ntsoov mus ntsib kws kho mob.
• Yog koj paub tias koj muaj '(Left Anterior Fascicular Block)', txuas ntxiv mus kuaj '(ECG)' thiab lwm yam kev kuaj raws li koj tus kws kho mob pom zoo.

Thaum twg kuv yuav tsum mus rau tsev kho mob tam sim ntawd (ETU) ?

Yog koj muaj ib qho ntawm cov tsos mob ntawm kev mob plawv nres no, tsis txhob nkim sijhawm thiab hu rau 1990 tam sim ntawd kom tau lub tsheb thauj neeg mob, lossis mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws sai li sai tau:

• Mob heev, nruj, lossis mob nias rau hauv nruab nrab lossis sab laug ntawm lub hauv siab. Qhov mob no kav ntev tshaj ob peb feeb, lossis mob tuaj thiab ploj mus.
• Ua pa nyuaj tam sim ntawd.
• Qhov mob zoo li nws tab tom nthuav mus rau xub pwg nyom, caj dab, lub puab tsaig, caj npab, lossis nraub qaum.
• Tawm hws tam sim ntawd, xeev siab, ntuav, kiv taub hau, lossis tsaus muag.

Yuav tsum paub txog cov tsos mob no. Kev kho mob sai sai yuav pab cawm tau ib tug neeg txoj sia.

Kuv yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib koj tus kws kho mob, tsis txhob ntshai nug cov lus nug uas koj muaj txog qhov '(Left Anterior Fascicular Block)' no. Nov yog qee cov lus nug uas koj tuaj yeem nug. Qhov ntawd yuav pab koj nkag siab ntau ntxiv:

• Kws kho mob, vim li cas kuv thiaj muaj qhov '(Left Anterior Fascicular Block)' no? Kuv puas muaj lwm yam kab mob plawv uas nyob hauv qab kuv lub cev?
• Puas yuav tsum kuaj mob plawv?
• Vim yog qhov 'block' no, kuv yuav muaj feem mob plawv lossis lwm yam kab mob plawv li cas?
• Kuv yuav tsum txhawj xeeb txog cov tsos mob twg?
• Kuv yuav ua tau dab tsi hloov kuv lub neej kom kuv lub plawv noj qab nyob zoo?
• Kuv yuav tsum tau kuaj ECG lossis lwm yam kev kuaj mob ntau npaum li cas?

Thaum kawg, yuav tsum nco ntsoov li cas (Cov Lus Coj Mus Tsev)

Zoo, yog li peb tau tham ntau txog `(Left Anterior Fascicular Block)`. Txhawm rau kom luv luv:

• Qhov no yog kev cuam tshuam hauv txoj kev teeb liab ntawm ib lub 'xov hlau' me me ntawm sab laug ntawm lub plawv lub zog hluav taws xob.
• Muaj coob tus neeg tsis muaj tsos mob.
• Tsis muaj kev kho tshwj xeeb rau qhov no, tab sis qhov ua rau muaj qhov teeb meem no raug kho .
• Qhov no tuaj yeem yog ib qho cim qhia txog lwm yam kab mob plawv rau cov neeg laus dua li cov neeg hluas.

Nco ntsoov tias, txawm hais tias tsis muaj kev kho mob tshwj xeeb rau qhov no, nws tuaj yeem qhia peb txog lwm yam kab mob plawv . Yog li ntawd, qhov tseem ceeb tshaj plaws yog saib xyuas koj lub plawv, ua raws li tus kws kho mob cov lus qhia. Tiv thaiv koj tus kheej ntawm kab mob plawv thiab lub plawv tsis ua haujlwm. Mus kuaj mob tsis tu ncua nrog koj tus kws kho mob, thiab siv cov tshuaj uas tau sau tseg. Koj lub plawv muaj nqis heev rau koj! Yog li ntawd, saib xyuas nws zoo.

Kab mob plawv , lub cev hluav taws xob ntawm lub plawv, ECG, lub plawv dhia, Left Anterior Fascicular Block, kev noj qab haus huv ntawm lub plawv, mob plawv nres