Koj puas tau xav txog seb koj lub plawv ua haujlwm zoo kawg li cas? Nws zoo li lub tshuab me me, tab sis nws nyuaj dua! Qee zaum, tej zaum yuav muaj teeb meem me me nrog lub tshuab hluav taws xob ntawm lub plawv no. Ib qho ntawm cov teeb meem ntawd yog qhov peb yuav tham txog: 'Left Posterior Fascicular Block'. Tsis txhob txhawj, lub npe ntev me ntsis, tab sis cia peb ua kom yooj yim.
Lub zog hluav taws xob ntawm lub plawv ua haujlwm li cas? Zoo kawg nkaus li!
Xav txog koj lub siab zoo li ib lub tsev me me uas muaj plaub chav. Ob chav nyob rau sab saud (peb hu cov no ua atria ) thiab ob chav nyob rau hauv qab (peb hu cov no ua ventricles ).
Koj puas hnov lub suab "lub-dub" thaum koj lub plawv dhia? Lub suab dhia ntawd raug tswj los ntawm ib lub tshuab hluav taws xob uas yooj yim heev. Cov hluav taws xob no qhia rau lub plawv atria thiab cov chav ntawm lub plawv, "Okay, tam sim no koj yuav mob." Cov lus hluav taws xob no mus ncig thoob lub plawv hauv ib txoj kev tshwj xeeb heev. Lawv pib hauv cov chav sab saud, tom qab ntawd lawv mus rau hauv qab.
Lub plawv muaj lub paj hlwb los nqa cov xov hluav taws xob no. Nws zoo li lub xov hlau hauv tsev. Ob lub chav hauv qab ntawm lub plawv (sab xis thiab sab laug) muaj ob txoj hlab ntsha tseem ceeb. Cov no hu ua " Right Bundle Ceg" thiab " Left Bundle Ceg" . Cov no khiav mus rau hauv nruab nrab ntawm lub plawv.
Tam sim no cov hlab ntsha tseem ceeb no nyob rau sab laug, 'Left Bundle Ceg', faib ua ob txoj hlab ntsha me me. Peb hu cov hlab ntsha me me no ua ' fascicles' .
- Sab laug Posterior Fascicle : Qhov no khiav ib ncig ntawm sab nraub qaum ntawm sab laug ventricle ntawm lub plawv.
- Sab laug Anterior Fascicle : Qhov no khiav ib ncig ntawm pem hauv ntej ntawm sab laug ventricle ntawm lub plawv.
Feem ntau, ob qho tib si pem hauv ntej thiab tom qab fascicles los ua ke los qhia rau sab laug ventricle, "Okay, tam sim no koj yuav contract."
Yog li, qhov 'Left Posterior Fascicular Block' (LPFB) no yog dab tsi?
Hais yooj yim xwb, 'Left Posterior Fascicular Block' (peb yuav hu nws luv luv tias LPFB) yog kev thaiv lossis kev cuam tshuam hauv cov hlab ntsha me me (hu ua 'Left Posterior Fascicle') uas nqa cov teeb liab hluav taws xob mus rau tom qab ntawm koj lub plawv sab laug. Qhov kev thaiv no tej zaum yuav tag nrho lossis ib nrab.
Xav txog seb yuav muaj li cas yog tias ib sab ntawm txoj kev raug kaw tam sim ntawd? Cov tsheb yuav pib mus rau lwm txoj kev, puas yog? Qhov ntawd yog qhov tshwm sim ntawm no thiab. Thaum 'Posterior Fascicle' tsis ua haujlwm zoo, 'Left Anterior Fascicle' nyob rau pem hauv ntej yuav ua haujlwm ntawm kev sib zog ntawm sab laug ventricle.
Qhov no ua rau qhov kev taw qhia ntawm lub teeb liab hluav taws xob hloov pauv, thiab muaj qhov qeeb me ntsis hauv lub teeb liab. Qhov no tuaj yeem ua rau muaj kev hloov pauv hauv lub plawv dhia, uas yog lub plawv dhia tsis xwm yeem ('arrhythmia').
Tus mob LPFB no qee zaum tuaj yeem tuaj thiab mus, lossis nws tuaj yeem txuas ntxiv mus.
LPFB muaj pes tsawg zaus? Puas yog nws tshwm sim rau txhua tus?
Tsis yog, nws tsis tshua muaj rau ib tus neeg noj qab haus huv uas tsis muaj lwm yam kab mob plawv kom muaj LPFB. Txawm li cas los xij, qhov kev pheej hmoo ntawm kev muaj tus mob no yog siab dua rau ib tus neeg uas twb muaj qee yam kab mob plawv lawm.
Ib qho tseem ceeb ntxiv yog tias qee zaum qhov mob LPFB no tuaj yeem nrog los ntawm txoj cai bundle ceg thaiv uas peb tau tham txog ua ntej, uas hu ua 'Right Bundle Branch Block' . Yog tias ob hom kev thaiv no tshwm sim ua ke, nws tuaj yeem ua rau muaj kev phom sij me ntsis .
Cov ua rau muaj LPFB yog dab tsi?
LPFB tshwm sim thaum muaj kev puas tsuaj rau lub plawv lub zog hluav taws xob. Cov ua rau muaj kev puas tsuaj no yog ntau yam kab mob plawv thiab lwm yam mob. Cia peb saib seb lawv yog dab tsi:
- Kab Mob Ntshav Hauv Lub Plawv: Qhov no yog qhov ua rau muaj LPFB feem ntau. Hais yooj yim xwb, cov hlab ntsha uas muab ntshav mus rau lub plawv raug thaiv los ntawm cov rog uas ua rau cov ntshav tsis txaus mus txog lub plawv. Qhov no tuaj yeem ua rau cov hlwb plawv puas tsuaj.
- Kab mob plawv (Cardiomyopathy): Qhov no yog ib pawg kab mob uas cuam tshuam rau cov leeg nqaij plawv. Qhov no yog qhov uas cov leeg nqaij plawv yuav tawv, tuab, lossis loj zuj zus. Qhov no cuam tshuam rau kev ua haujlwm ntawm lub plawv.
- Ntshav Siab (Tshuaj Ntshav Siab): Yog lawm, koj paub qhov siab. Muaj ntshav siab ntev ntev kuj ua rau lub plawv puas tsuaj.
- Kab mob Lenègre: Qhov no yog ib qho mob uas tau los ntawm noob caj ces uas ua rau lub plawv lub cev tsis muaj zog.
- Kab Mob Lev: Qhov no yog ib qho mob uas cov hlab ntsha hauv lub plawv ua rau muaj qhov txhab thiab tsis tuaj yeem xa cov teeb liab hluav taws xob kom raug. Qhov no tej zaum yuav muaj feem cuam tshuam nrog kev laus.
Cov tsos mob ntawm LPFB yog dab tsi? Peb puas hnov qhov no?
Feem ntau, yog tias koj muaj LPFB ib leeg xwb, koj yuav tsis muaj cov tsos mob tshwj xeeb . Feem ntau, tib neeg muaj cov tsos mob vim yog tus kab mob hauv qab (piv txwv li, kab mob plawv) uas ua rau muaj LPFB. Ntawd yog, cov tsos mob ntawm tus kab mob ntawd tshwm sim.
Yuav kuaj mob LPFB li cas? Cov kws kho mob kuaj mob li cas?
Qhov kev kuaj mob tseem ceeb thiab tseem ceeb tshaj plaws los kuaj mob LPFB yog qhov kev kuaj E.C.G. (`ECG/EKG` - Electrocardiogram) . Tej zaum koj yuav tau pom nws, ib qho kev kuaj uas ntsuas qhov hluav taws xob ntawm lub plawv los ntawm kev lo cov ntawv nplaum me me rau ntawm lub cev. Yog li ntawd thiaj kuaj tau nws.
Qee zaum, qhov LPFB no yuav tsis pom ntawm ECG thaum koj so. Hauv cov xwm txheej zoo li no, koj tus kws kho mob yuav hais kom koj ua ECG thaum koj tab tom tawm dag zog (piv txwv li, thaum khiav ntawm lub treadmill). Qhov no hu ua 'Kev Ntsuas Kev Nyuaj Siab Ua Si '. Qhov LPFB no yuav tshwm sim thaum lub plawv raug kev nyuaj siab.
Lwm yam yog tias ECG ntawm LPFB qee zaum yuav tsis meej pem nrog ECG ntawm lwm yam mob hnyav, xws li mob plawv nres ('Myocardial Infarction'). Yog li ntawd, tus kws kho mob yuav nug txog koj cov keeb kwm kho mob tag nrho thiab ua kev kuaj mob lub cev kom tau txais kev kuaj mob tseeb. Qhov no yog ua los kuaj mob kom raug, yam tsis ncua kev kho mob rau qhov mob hnyav dua.
Cov kev kho mob rau LPFB yog dab tsi?
Thaum kho LPFB, qhov tseem ceeb tshaj plaws yog kho qhov mob uas ua rau muaj LPFB . Piv txwv li, cov kws kho mob siv ntau txoj kev los kho cov mob xws li kab mob plawv lossis cardiomyopathy. Cov no suav nrog:
- Kev hloov pauv hauv lub neej: Tej yam xws li kev noj zaub mov zoo thiab kev tawm dag zog.
- Cov Tshuaj: Cov tshuaj uas tswj cov ntshav siab, txo cov roj cholesterol, thiab txhim kho kev ua haujlwm ntawm lub plawv.
- Cov Txheej Txheem Tsawg Kawg Nkaus: Piv txwv li, tej yam zoo li Angioplasty.
- Kev phais loj ('Phais'): Zoo li kev phais bypass.
Txawm li cas los xij, yog tias koj muaj LPFB thiab 'Right Bundle Branch Block' uas peb tau tham txog ua ntej, koj tus kws kho mob yuav pom zoo kom koj yuav lub tshuab pacemaker . Qhov no yog ib lub cuab yeej me me uas tau muab tso rau hauv lub cev. Nws saib xyuas kev ua haujlwm hluav taws xob ntawm lub plawv thiab, yog tias tsim nyog, xa cov teeb liab hluav taws xob los ua kom ob chav ntawm lub plawv sib zog ua ke, kom raug.
Qhov tseem ceeb yog tias yog koj tsuas muaj LPFB xwb, uas txhais tau tias koj tsis muaj lwm yam kab mob plawv lossis 'Right Bundle Branch Block', feem ntau koj tsis tas yuav kho mob tshwj xeeb .
Peb ua tau dab tsi los tiv thaiv LPFB?
Yuav kom tiv thaiv tau LPFB, qhov tseem ceeb tshaj plaws yog tiv thaiv kab mob plawv uas ua rau nws. Uas yog, ua kom lub plawv noj qab nyob zoo.
- Kev kuaj mob tsis tu ncua: Nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob hauv tsev neeg tsis tu ncua kom kuaj mob. Qhov no tuaj yeem pab nrhiav pom cov teeb meem ntsig txog lub plawv thaum ntxov thiab tiv thaiv cov mob hnyav.
- Cov cwj pwm noj qab haus huv:
- Noj zaub mov kom zoo . Txo cov roj, ntsev, thiab qab zib. Noj ntau txiv hmab txiv ntoo, zaub, thiab cov khoom noj uas muaj fiber ntau.
- Tswj koj cov ntshav siab .
- Ua si nawv tsis tu ncua. Kev taug kev tsawg kawg yog 30 feeb hauv ib hnub kuj zoo.
- Txwv kev haus cawv thiab caffeine (xws li kas fes thiab tshuaj yej).
- Tswj kom koj lub cev hnyav zoo .
- Tswj kev ntxhov siab . Tej yam xws li kev xav thiab kev ua si lom zem yuav pab tau.
- Tsum haus luam yeeb thiab siv yeeb nkab kiag li .
Yog koj twb muaj kab mob plawv lawm, ua raws li koj tus kws kho mob cov lus qhia kom meej.Noj koj cov tshuaj raws sijhawm. Qhov no yuav pab tiv thaiv kom tsis txhob muaj teeb meem ntxiv xws li LPFB.
Yav tom ntej yuav zoo li cas rau ib tug neeg uas muaj LPFB? Puas yog ib yam dab tsi uas yuav tsum ntshai?
Feem ntau, LPFB tshwm sim nrog Right Bundle Branch Block. Yog tias koj muaj mob plawv nres thiab muaj ob qho tib si LPFB thiab Right Bundle Branch Block, koj muaj feem yuav tuag ntau dua me ntsis. Qee zaum, ib tus neeg uas muaj ob qho kev thaiv no tuaj yeem muaj lub plawv thaiv tag nrho, qhov twg cov teeb liab hluav taws xob rau cov hlwb plawv nres tag nrho. Qhov no yog ib qho mob hnyav dua thiab tuaj yeem ua rau koj lub neej luv dua.
Txawm li cas los xij, yog tias koj tsuas muaj LPFB xwb, uas txhais tau tias koj tsis muaj Right Bundle Branch Block lossis lwm yam kab mob plawv, yuav tsis muaj qhov sib txawv ntau rau koj lub neej nruab nrab . Yog li ntawd, tsis txhob txhawj tsis tsim nyog.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog koj xav tias koj muaj cov tsos mob ntawm kab mob plawv, mus ntsib kws kho mob tam sim ntawd . Cov tsos mob no yog dab tsi?
- Mob hauv siab los yog tsis xis nyob.
- Yog koj xav tias kiv taub hau los yog tsaus muag .
- Yog koj pheej xav tias koj nkees heev ('Qaug zog').
- Yog tias koj lub plawv dhia ceev, koj hnov lub suab dhia hauv koj lub hauv siab, lossis koj xav tias koj lub plawv tsis dhia li ('Plawv dhia ceev').
- Mob taub hau me ntsis .
- Xeev siab .
- Hnoos tsis tu ncua .
- Ua tsis taus pa .
- Yog tias koj txhais taw, pob luj taws, ceg, lossis lub plab o .
Feem ntau LPFB tshwm sim rau cov neeg uas muaj lwm yam mob plawv. Yog tias koj twb muaj mob plawv lawm, koj tus kws kho mob yuav muab txoj kev npaj kho mob rau koj thiab saib xyuas koj tsis tu ncua. Los ntawm kev ua raws li koj tus kws kho mob cov lus qhia kom zoo thiab mus kuaj mob tsis tu ncua, koj tuaj yeem pab tswj koj tus kab mob plawv thiab tiv thaiv cov teeb meem plawv loj dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Left Posterior Fascicular Block (LPFB) yog kev thaiv ntawm ib txoj hlab ntsha me me uas nqa cov teeb liab hluav taws xob mus rau tom qab ntawm lub plawv sab laug.
- Qhov no tsis tshua muaj rau cov neeg noj qab haus huv, tab sis nws tuaj yeem tshwm sim rau cov neeg uas muaj lwm yam mob plawv.
- Feem ntau, yog tias tsuas muaj LPFB xwb, cov tsos mob yuav tsis tshwm sim.
- Kev kuaj mob feem ntau yog ua los ntawm kev kuaj ECG.
- Kev kho mob yog tsom mus rau tus kab mob uas ua rau muaj LPFB. Yog tias tsuas muaj LPFB xwb thiab tsis muaj lwm yam kab mob plawv, tsis tas yuav kho tshwj xeeb.
- Kev ua neej noj qab haus huv yog qhov tseem ceeb heev los tiv thaiv kab mob plawv.
- Yog koj muaj cov tsos mob ntawm tus kab mob plawv, nrhiav kev pab kho mob tam sim ntawd.
Nco ntsoov tias, kev saib xyuas koj lub plawv yog qhov tseem ceeb heev rau koj txoj kev noj qab haus huv tag nrho. Cia peb tsis txhob ntshai, ceev faj, thiab sim ua kom noj qab nyob zoo!
`Kev Thaiv Kab Mob Fascicular Sab laug Tom Qab, Kab Mob Plawv, Lub Cev Hluav Taws Xob ntawm Lub Plawv, ECG, Lub Plawv dhia, Kev Thaiv Lub Plawv, Arrhythmia











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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus