Sɔntɛm dɛn bin dɔn tek yu ECG we dɛn de chɛk yu na dɔktɔ, lɛk we yu go to dɔktɔ fɔ sɔm ɔda sik, ɔ we yu bigin fɔ du nyu wok. Yu kin dɔn wɔri ɛn fred smɔl we yu si wan not pan da ECG ripɔt de we se ‘Right Bundle Branch Block’, ɔ RBBB. Yu go dɔn tink se, "O mi Gɔd, sɔntin rili rɔng wit mi at?" Na nɔmal tin fɔ tink da we de we yu si dis kayn wɔd we yu nɔ sabi. Bɔt bifo yu panik, lɛ wi ɔndastand dis klia wan ɛn simpul wan. Bɔku tɛm, dis nɔ kin siriɔs lɛk aw yu kin tink.
Fɔ tɔk am simpul wan, wetin na Rayt Bɔndɛl Branch Blɔk (RBBB)?
Fɔ ɔndastand dis, lɛ wi fɔs luk aw wi at de wok. Imajin se yu at tan lɛk smɔl os we gɛt 4 rum dɛn. Fɔ mek di layt dɛn ɔn ɛn di fan dɛn fɔ rɔn na dis os, i nid fɔ gɛt ilɛktrik saplai, ɔ ‘kɔrɛnt’. Semweso, wi at gɛt in yon ilɛktrik sistɛm fɔ bit fayn fayn wan.
dis ilektrikal signal de stat na wan ‘masta switch’ we de na di tכp pat pan di at. Wi kin kɔl am di `(Sinoatrial node)` ɔ SA node. frכm de, di ilektrikal signal de travul tru di tu כp chεmba dεm na di at (atria) εn i de rich na wan ‘jכnkshכn bכks' we dεn kכl `(Atrioventricular node)` כ AV node.
frכm dis jכnkshכn bכks, di ilektrikal signal de split insay tu men waya dεm we de go na di tu men chεmba dεm (vεntrikul dεm) na di bכtכm pat pan di at. Dɛn tu waya ya na wetin wi kɔl ‘bundle branch’. Wan de go na di rayt chɛmba (rayt bɔndɛl branch), ɛn di ɔda wan de go na di lɛft chɛmba (lɛft bɔndɛl branch).
wetin fכ apin nכmal na dat di ilektrikal signal de travul along dεn tu waya dεm ya di sem spid εn di sem tεm, we de mek di tu lכw chεmba dεm na di at kכntrakt (bit) tכgeda.
Bɔt pan pɔsin we gɛt Rayt Bɔndɛl Branch Blɔk (RBBB) , smɔl blok de na di ‘waya’ we de go na di rayt say, ɔ di spid we di signal de go dɔŋ smɔl. I tan lɛk se di ‘kɔrɛnt’ de flɔ smɔl tu sloslo along wan ol waya. biכs fכ dis, di rayt vεntrikl de gεt di signal sכmtεm leta pas di lεft. biכs fכ dis, di rayt vεntrikl de bit wan rili sכm pat pan wan sεkכnd afta di lεft vεntrikl bit.
dis sכmכl aut-of-sync bitwin di tu pat dεm na di at na wetin wi de si pan ECG as RBBB. Dis nɔto ol na di at ɔ blɔd vesel we dɔn blok, bɔt na jɔs we di ilɛktrik signal de te smɔl.
Tu men kayn RBBB de. If di signal rili let, dɛn kin kɔl am ‘Kɔmplit RBBB’, ɛn if i let smɔl nɔmɔ, dɛn kin kɔl am ‘Inkɔmplit RBBB’. RBBB we nɔ kɔmplit nɔ kin siriɔs lɛk kɔmplit RBBB.
Udat go mɔs si dis sik?
Dis kin apin to ɛnibɔdi. Ivin pipul dɛm wae gɛt wɛl bɔdi, wae nɔr gɛt sik kin gɛt RBBB. Bɔt dis sik kin bɔku mɔ ɛn mɔ as wi de ol. Jɔs lɛk aw di waya dɛn na ol os kin wik smɔl, na so di ilɛktrik sistɛm na di at kin slo smɔl bak as wi de ol.
Risach dɔn sho se we dɛn ol 80 ia, lɛk 11 pan ɛvri 100 pipul dɛm (ɔ 11%) go gɛt dis RBBB kɔndishɔn. So yu kin si se i nɔto so rare.
Wetin na di sayn dɛm fɔ RBBB?
Dis na di tin we impɔtant pas ɔl ɛn we de kɔrej wi fɔ no. Fɔ bɔrku pipul dɛm, nɔr kin gɛt ɛni sayn fɔ de. Yu kin ivin no se yu gɛt RBBB. Sɔntɛm dɛn nɔ go no am te dɛn du ECG fɔ ɔda rizin. Yu nɔ go gɛt ɛni pen na yu chɛst, yu nɔ go ebul fɔ blo fayn, ɔ yu go fɔdɔm bikɔs ɔf RBBB nɔmɔ.
Dis min se if yu gɛt dɛn sik ya, i nɔ kin bi bikɔs ɔf RBBB, bɔt na ɔda ɔndalayn mɛdikal kɔndishɔn. So, if yu gɛt dɛn kayn sayn dɛn de, yu fɔ rili go to dɔktɔ.
Wetin na di tin dɛn we kin mek pɔsin gɛt RBBB?
Pan ɔl we RBBB kin apin to pipul dɛn we gɛt wɛlbɔdi fɔ no rizin, i kin kam bak bikɔs ɔf sɔm mɛrɛsin ɛn ɔda tin dɛn. Lɛ wi luk sɔm pan di men tin dɛn we kin mek wi gɛt dis sik.
| Mek | Wan simpul ɛksplen |
|---|---|
| Mayokardial Infarkshɔn we pɔsin kin gɛt | Hat atak kin pwɛl di at mɔsul ɛn afɛkt di we aw dɛn de kɛr ilɛktrik signal. |
| Inflameshɔn na di at mɔsul (Myocarditis) . | sכmtin lεk vayral infεkshכn kin mek di at mכsul swεla/inflam, we de disrupt di signal transmishכn. |
| Trauma na di Chɛst | If pɔsin blo bad bad wan na in chɛst bikɔs ɔf aksidɛnt, i kin pwɛl di at in ilɛktrik sistɛm. |
| Sɔm ɔpreshɔn ɔ tɛst dɛn fɔ di at | dis kכndyushכn kin apin sכmtεm we dεn de tεst lεk rayt hat kateshכn, usay dεn de put tכb insay di at. |
| Strukchɔral chenj dɛn na di at | fכ tin dεm lεk we di at chεmba dεm de big, di rod dεm we de kכri ilektrikal signal dεm kin strεch, we kin mek di signal pas pas. |
| Sɔm sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks | Dis sik kin kam bak wit sik dɛm wae nɔr kin bɔrku lɛk Lev’s disease ɔr Lenegre’s disease. |
Aw di dɔktɔ kin no ɛn kɔnfirm dis?
Bɔku tɛm, dɛn kin no RBBB wit ECG, ɔ Ilɛktrokardiogram . Dis tɛst kin gɛt fɔ du wit fɔ tay stika dɛn na yu chɛst, yu an, ɛn yu leg dɛn ɛn dɛn kin rayt di ilɛktrik wok we yu at de du. Dɔktɔ we gɛt ɛkspiriɛns kin no izi wan if yu gɛt RBBB bay we i luk dis ECG patɛn.
Bɔt, di dɔktɔ nɔ de stɔp de. sεvεra כda, we kin bi mכr siriכs, kכndyushכn dεm de we de sho ECG patεn dεm we sכm kayn we lεk RBBB. So di dɔktɔ go tek tɛm luk yu ECG fɔ mek shɔ se yu nɔ gɛt dɛn sik ya.
Na sɔm kayn tin dɛn ya we kin apin:
- Ventricular Tachycardia: Na siriכs kכndyushכn we di lכw chεmba dεm na di at de bit bכku bכku wan.
- Brugada Syndrome: Na wan sik wae de kam pan pɔrsin in jɛnɛtiks wae kin mek yu at at pwɛl wantɛm wantɛm.
- Inkɔmplit Lɛft Bɔndɛl Branch Blɔk: Na inkɔmplit blɔk we di signal path na di lɛft say, jɔs lɛk na di rayt say.
So, ivin if yu ECG ripɔt se RBBB, na di dɔktɔ we de chɛk yu fɔ gi di las kɔnklushɔn ɛn advays bɔt am.
Yu tink se RBBB nid tritmɛnt?
Rili gud nyus de bak na ya.
If yu nɔ gɛt ɔda at sik (e.g., at pwɛl) ɛn nɔ gɛt ɛni simptom (e.g., chɛst pen, fɔdɔm), nɔ spɛshal tritmɛnt nɔ nid fɔ Rayt Bɔndɛl Branch Blɔk.
I tan lɛk bɔn mak na yu bɔdi. I de de, bɔt i nɔ de mɔna yu. Di dɔktɔ go mɔs tɛl yu fɔ kam insay wan tɛm insay di ia ɛn gɛt ECG, fɔ si if ɛni chenj de. Ɔda pas dat, i nɔ nid ɛni ɔda mɛrɛsin ɔ ɔpreshɔn.
Bɔt if yu gɛt RBBB bikɔs ɔf ɔda at kɔndishɔn (lɛk di wan dɛn we dɛn rayt na di tebul fɔ di tin dɛn we kin mek yu gɛt kɔz ɔp), den dɛn nɔ kin trit di RBBB. Dɛn kin trit di ɔndalayn kɔndishɔn. Fɔ ɛgzampul, if yu at dɔn big bikɔs ɔf di ay blɔd prɛshɔn ɛn RBBB na dis sik, di tritmɛnt na fɔ kɔntrol yu blɔd prɛshɔn. If na at atak mek yu gɛt am, yu fɔ kɔntinyu fɔ trit am.
Wetin na di fiuja fɔ pɔsin we gɛt RBBB? Ɛnitin de we wi fɔ fred?
De ansa to dis kweshon de dipen pan if yu get oda hat sik or nor get. Lɛ wi luk dɛn tu kes dɛn de wan bay wan.
1. If yu nɔ gɛt ɔda at sik (Otherwise healthy) .
Na dis taim, RBBB no bi enitin fo wori abaut. I nɔ de mek yu layf shɔt ɔr de mek yu gɛt at atak. Na jɔs wan smɔl ‘quirk’, ɔ yunik tin, na yu at in ilɛktrik sistɛm. Yu kin go du yu nɔmal layf ɛn nɔ gɛt ɛni prɔblɛm.
2. If yu gɛt ɔda at sik (e.g. At Failure, afta yu dɔn gɛt At Atak) .
If na so i bi, RBBB na sɔntin we yu fɔ tink bɔt. Dis nɔr min se yu kɔndishɔn dɔn wɔs bikɔs ɔf RBBB. Bɔt if yu gɛt RBBB, dat de sho se yu at de ɔnda sɔm strɛs ɛn in wok wik smɔl. So, we dɛn jɔyn RBBB wit wan ɔndalayn at kɔndishɔn lɛk dis, di risk fɔ gɛt kɔmplikeshɔn dɛn tumara bambay kin go ɔp smɔl.
Na dat mek i rili impɔtant fɔ mek dɛn kayn sik pipul ya fala di tritmɛnt we dɛn dɔktɔ gi dɛn fɔ dɛn men at sik ɛn nɔ gɛt ɛnitin fɔ du wit dɛn . Dɛn nid fɔ du tin dɛn lɛk fɔ tek dɛn mɛrɛsin di rayt tɛm, kɔntrol di tin dɛn we dɛn de it, ɛn ɛksesaiz fayn fayn wan.
Wans RBBB dɔn fɔm, i nɔ de go. Na tin we kin apin sote go.
Us tɛm a fɔ go to dɔktɔ ɛn tek tɛm?
If yu no se yu gɛt RBBB, i fayn fɔ de kɔntakt yu dɔktɔ ɔltɛm.
- Apɔntinmɛnt ɔltɛm: Ivin if yu nɔ gɛt ɔda mɛrɛsin, go fɔ chɛk-ap di tɛm we yu dɔktɔ se (e.g. wan tɛm insay di ia). If yu gɛt ɔda at sik, mek shɔ se yu go na dɛn klinik dɛn de.
- Nyu sayn dɛm: If yu gɛt sɔm kayn sik wae yu nɔr bin gɛt bifo, lɛk wae yu de fil pen na yu chɛst, yu nɔr de blo fayn, yu leg dɛn de swel, ɔr yu de fɔdɔm, go to dɔktɔ wantɛm wantɛm.
- Sɔntin yu nɔ plan:Imajin se yu gɛt pen na yu chɛst we yu nɔ go ebul fɔ bia, di pen de kɔmɔt na yu lɛft an, yu nɛk, ɔ yu jaw, yu de swet bɔku bɔku wan, ɛn yu nɔ de blo fayn. Dɛn tin ya kin bi sayn fɔ sho se yu gɛt at atɔk. If na so i bi, nɔ delay. Go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ
If yu ECG ripɔt se RBBB, fɔ aks dɛn kwɛstyɔn ya we yu go si yu dɔktɔ kin ɛp yu fɔ gɛt mɔ klia.
- "Dɔkta, wan patikyula rizin de we mek a gɛt dis RBBB kɔndishɔn?"
- "A nid to mek eni chenj fo mai daily laif bikos of dis? Fo tins laik diet, exercise, etc?"
- "Aw kwik a fɔ kam bak ɛn chɛk?"
- (If yu gɛt ɔda at kɔndishɔn) "A de pan inkris risk fɔ gɛt dis RBBB wit mi ɔda at kɔndishɔn? Wetin a fɔ du fɔ kɔntrol am?"
Mɛsej we dɛn kin kɛr go na os
- Rayt Bכndεl Branch Bכk (RBBB) na sכmtεm we di at in ilektrikal signal de travul go na di rayt say na di at. Dis nɔto ol na di at ɔ blɔd vesel we de blok.
- Ivin if pɔrsin wae gɛt wɛl bɔdi wae nɔr gɛt ɔda hat sik gɛt RBBB, bɔrku tɛm dɛn nɔr kin gɛt ɛni sayn. Ɛn dɛn nɔ nid tritmɛnt. Natin nɔ de fɔ wɔri bɔt.
- If yu gɛt ɔda at sik, lɛk at pwɛl, RBBB kin bi wan risk factor. De tin wae impɔtant pas ɔl na fɔ fala de tritmɛnt fɔ yu ɔndalayn kɔndishɔn.
- Nɔ ɛva ignore di sayn dɛm fɔ hat atak, lɛk fɔ pen na yu chɛst ɛn fɔ blo bad bad wan. If na so i bi, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu gɛt ɛni dawt ɔ wɔri bɔt yu ECG ripɔt ɔ dis sik, tɔk to yu dɔktɔ opin wan bɔt am, aks kwɛstyɔn, ɛn mek yu no bɔt am.
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