Yu at in ilɛktrik signal nɔ de wok fayn? Mek wi tɔk bɔt Trifascicular Block!

Yu dɔn ɛva wɔnda aw yu at de wok wɔndaful wan? I tan lɛk smɔl ilɛktrik sistɛm, we de sɛn ilɛktrik signal to difrɛn pat dɛn na di at fɔ mek i kɔntinyu fɔ bit fayn fayn wan. Bɔt sɔntɛnde, smɔl smɔl tin dɛn kin ambɔg di rod dɛn we dɛn ilɛktrik signal ya de go. Na da tɛm de wi de tɔk bɔt wan "Hat Blɔk." Tide wi go tɔk bɔt wan patikyula kayn at blɔk, we dɛn kɔl trifascicular block.

Wetin na dɛn fascicles ya na di at? Usay dɛn de?

Okay, naw mek wi luk wetin dis "fascicles" bi. Fɔ tɔk am simpul wan, dɛn tin ya na spɛshal bɔndɛl dɛn we gɛt mɔsul fayv dɛn we kin kɛr ilɛktrik mɛsej dɛn insay di at. Dɛn kin kɔl dɛn tin ya bak "bɔndɛl branch dɛm." dis dεm de na di tu lכw chεmba dεm na di at, di "vεntrikul dεm." dis fascicles na dεn we de sεnd ilektrikal signal dεm kwik kwik wan, we de mek di hat chεmba dεm kכntrakt fayn fayn wan εn pכmp bכdi.

As yu no, wi at na di men ɔgan we de mek di blɔd blɔd go ɔlsay. I gɛt 4 men chɛmba dɛn:

• Atria: Di tu rum dɛn we de ɔp.
• Vεntrikul dεm: Na di tu chεmba dεm we de dכn. trifascicular block de afekt dis tu lכw chεmba dεm.

Naw lɛ wi luk di faskul dɛn we de na dɛn tu chɛmba dɛn ya we de dɔŋ:

• Rayt Vεntrikul: Dis na di lכw chεmba we de na di rayt say na di at. frכm ya, dεn kin sεnd bכdi to di lכng dεm tru di Pulmonary Arteries fכ gεt כksijεn. di rayt vεntrikl gεt wan faskul nכmכ. Dɛn kɔl am di Rayt Bɔndɛl Branch .
• di lεft vεntrikl: dis na di lכw chεmba we de na di lεft say na di at. I de pɔmp blɔd we gɛt ɔksijɛn tru di aorta to di ɔda pat dɛn na di bɔdi. di lεft vεntrikl na di big εn pawaful pכmp chεmba na di at. i gεt tu faskul dεm, di Lεft Anterior Fascicle εn di Lεft Posterior Fascicle . Tugeda, dem tu de mek di Left Bundle Branch . dis faskul dεm de sheb mכr to milכn sכm sכm fayv dεm we dεn kכl Purkinje Fayb dεm.

Tink bɔt am dis we, dɛn fascicles ya tan lɛk di ilɛktrik waya we de na os. we yu on di switch (i.e., we di signal rich di hat), ilektrikal de fכlכ along dεn waya dεm ya εn i de on di layt bכl (i.e., di at mכsul de kכntrakt). So wetin kin apin if intarapshɔn de sɔmsay na dɛn waya dɛn ya? Wɛl, na dat kin apin pan at blɔk.

Aw dɛn kin klas di At Blɔk dɛn?

Dɔktɔ dɛn kin sheb dɛn at blɔk ya, ɔ "AV Blɔk," to tri men kayn dɛn bay aw dɛn siriɔs:

1. fכs digri blכk: dis na sכm we di ilektrikal signal dεm frכm di atria to di vεntrikl dεm de delay sכmtεm. Dis na ``Inkɔmplit Blɔk``So, bɔrku tɛm, nɔr kin gɛt ɛni sayn ɛn nɔr nid fɔ gɛt tritmɛnt.

2. Sɛkɔn digri Blɔk: Insay dis kes, sɔm ilɛktrik signal dɛn kin go na di sɛl dɛn, bɔt sɔm nɔ kin go. Dis na blɔk bak we nɔ kɔmplit. dis kin mek di at rit slo, we dεn kכl "bradycardia." כ di hat rεt kin bi rεgulεr, we dεn kכl "arrhythmia." If dis sɛkɔn digri blɔk go bifo to tɔd digri, dɛn kin nid fɔ gɛt tritmɛnt.

3. Tɔd-digri Blɔk: Dis na kɔmplit blɔk . nכ ilektrikal signal dεm de sεnd frכm di atria to di vεntrikl dεm. di at in ritm na di AV node, di bכndεl fכ His, כ di vεntrikl dεm sεf de kכntro am. Dis kin mek di at rit slo bad bad wan. Dis kin mek pɔsin in layf de pan denja, so i nid fɔ gɛt tritmɛnt wantɛm wantɛm.

So wetin rili na Trifascicular Block?

Di wɔd "tri" min tri. so, insay trifaskul blכk, blכk de na tri ples dεm na di at in kכndukshכn sistεm, dכn di "AV Node".

fכ sכmtεm, trifaskul blכk na prכblεm wit di ilektrikal signal dεm na כl tu di rayt bכndεl branch εn di lεft bכndεl branch (dat na, כl tu di lεft antεriכr εn lεft posita faskul dεm). Dɛn kin tek dis bak as kɔmplit at blɔk . ( If blכk de na wan pan di rayt bכndεl branch εn di lεft faskul, dεn kכl am "bifascicular block.")

Dat min se, pɔsin we gɛt trifascicular block gɛt dɛn tu kɔndishɔn ya:

• Rayt Bɔndɛl Branch Blɔk: Insay dis, di ilɛktrik signal frɔm di rayt faskul to di lɛft bɔndɛl branch de slo.
• di lεft bכndεl Branch blכk: dis na we di ilektrikal signal de travul tru di lεft vεntrikl rili slo. insay trifaskul blכk, di blכk de afekt כl tu di lεft antεriכr εn lεft posita faskul dεm.

Imajin wetin kin apin to trafik we dɛn lɔk tri big rod dɛn wan tɛm. Di sem tin kin apin to di mɛsej dɛn we de na di at.

Aw kɔmɔn dɛn at blɔk ya kin bi?

Masta sabi bukman dɛn se lɛk wan pan ɛvri 10 pipul dɛn we dɔn pas 70 ia we dɔn gɛt at sik go gɛt tɔd digri at blɔk sɔm tɛm na dɛn layf.

Wetin na di tin dɛn we kin mek pɔsin gɛt trifaskul blɔk?

Di risk fɔ gɛt ɛni kayn at blɔk kin bɔku wit di ej. Sɔntɛnde, dɛn blɔk ya kin apin fɔ no rizin. Dɛn kin kam bak wit at sik we dɛn bɔn wit.

Bɔt bɔku tɛm, di trifascicular block kin bi bikɔs di at dɔn pwɛl. Dis damej kin kam bikɔs ɔf tin dɛn lɛk:

• Koronari Atɛri Sik we pɔsin kin gɛt
• At we dɔn big (Hypertrophic Cardiomyopathy) .
• At Atak
• Ɔda At Sik dɛn
• Di sik we de mek pɔsin gɛt at valv
• di potashכm lεvεl dεm we de na di bכdi de go כp (Hyperkalemia) .
• Minimally Invasive At Ɔpreshɔn ɔ Open-Hat Ɔpreshɔn
• Vagus Nɛv Ɔvaaktiviti
• Riumatik Fiva
• Sarcoidosis (na sik we smɔl smɔl inflammatory sɛl dɛn kin gɛda na difrɛn pat dɛn na di bɔdi) .

Wetin na di sayn dɛm fɔ trifascicular block?

Mild (fɔs ɔ sɛkɔn digri) at blɔk nɔ kin mek yu gɛt ɛni sayn. Bɔt wit trifaskul blɔk, ɔl di tri bɔndɛl branch dɛn kin afɛkt, so di simptom dɛn kin apin mɔ. Yu kin ɛkspiriɛns:

• Chest pen ɔ tayt (Angina) .
• Diziz ɛn Faint (Syncope) .
• Taya
• At palpitations (we yu fil lɛk se yu at de bit fast ɔ yu de skip wan bit) .
• Vɔmit
• Fɔ Shot fɔ Briz

If yu gɛt wan ɔr mɔr pan dɛn sik ya, nɔr ignore dɛm. I impɔtant fɔ go to dɔktɔ fɔ advays.

Wetin na di poshubul komplikashכn dεm fכ trifascicular block?

di at blɔk de mek i nɔ izi fɔ di at fɔ pɔmp blɔd ɔlsay na di bɔdi. Dis kin mek yu gɛt prɔblɛm dɛn we kin mek yu layf de pan denja lɛk:

• At we nɔ de bit ɔltɛm (Aritmia) .
• At Atak we pɔsin kin gɛt
• At we nɔ de wok fayn
• Sɔdɛn Kadyak Day (Day bikɔs ɔf wan sɔdɛn at atak) `(Sɔdan Kadyak Day / Sɔdɛn Kadiak Arest)`

Bikɔs dɛn tin ya na siriɔs tin, wi se i rili impɔtant fɔ go fɛn tritmɛnt fɔ at prɔblɛm lɛk dis kwik kwik wan.

Aw dɛn kin no di sik we dɛn kɔl Trifascicular Block?

dכkta dεn kin yuz wan tεst we dεn kכl "electrocardiogram" fכ no di chenj dεm na di at in ilektrikal sistεm. Dɛn kin kɔl dis bak ECG (E.C.G.) fɔ shɔt tɛm. Sɔm pipul dɛn kin kɔl am bak EKG (E.K.G.).

dis ECG tεst de mכsu di ilektrikal aktiviti fכ di at. I de mɛzhɔ bak aw lɔng i tek fɔ mek ilɛktrik signal dɛn travul tru di at. I de sho di tɛm we i tek fɔ mek ɔl di 4 chɛmba dɛn na di at wok.

ECG na tɛst we nɔ de mek pɔsin fil pen ɛn we nɔ de ambɔg pɔsin.I kin tek lɛk 15 minit so. insay dis, sכm sכm pat dεm we lεk "εlektrod" dεm de atak yu chεst, yu an dεm, εn yu leg dεm. Dɛn kin kɔnɛkt dɛn ilɛktrɔd ya to wan ECG mashin wit waya. Dis mashin de rayt di ilɛktrik wok we yu at de du lɛk grafik. (Di ECG nɔ de sɛn ilɛktrishɔn to yu bɔdi, so nɔ wɔri bɔt dat.)

Aw dɛn kin trit trifascicular block?

Bɔrku pipul dɛm wae gɛt trifascicular block nid fɔ gɛt ɔpreshɔn fɔ put wan divays na dɛn at fɔ kɔntrol dɛn at ritm.

• Pesmɛka: Dis kin sɛn ilɛktrik signal to di at, we kin mek di at chɛmba dɛn bit insay wan ritm. I tan lɛk se yu de gi di at smɔl "push" frɔm ɔdasay.
• sכm divays dεm we dεn kכl "Implantable Cardioverter Defibrillators (ICDs)" de wok bak lεk peshכn mεka. Apat frɔm dat, we di risk de fɔ mek di at nɔ de wok wantɛm wantɛm, dɛn ICD ya kin gi ilɛktrik shɔk to di at fɔ mek i bit nɔmal wan bak.

Di dɔktɔ go chɛk yu ɛn disayd us kayn tritmɛnt we fayn fɔ yu.

Yu tink se dɛn kin ebul fɔ stɔp trifaskul blɔk?

Pan ɔl we wi nɔ kin ebul fɔ kɔntrol sɔm tin dɛn we kin mek wi gɛt prɔblɛm, sɔm tin dɛn de we wi kin du fɔ protɛkt wi at wɛlbɔdi. Dɛn tin ya kin ɛp fɔ ridyus di risk fɔ gɛt tin dɛn lɛk trifascicular block:

• It tin dɛn we go ɛp yu at ɛn ɛksesaiz ɔltɛm.
• Limit fɔ drink rɔm.
• Fɛn wɛlbɔdi we fɔ kɔntrol strɛs .
• Lɔs yu wet (if nid de) ɛn mek yu gɛt wɛlbɔdi.
• Manej di tin dɛm wae de put strɛs pan di at, lɛk ay blɔd prɛshɔn, dayabitis, ɛn ay kɔlɔstrel.
• Aks fɔ ɛp fɔ lɛf fɔ smok ɛn avɔyd fɔ smok sɛkɔn-han.

Pan ɔl we i kin at smɔl fɔ put dɛn tin ya insay yu layf fɔs, i go bɛnifit yu at as tɛm de go.

Wetin na di kɔndishɔn fɔ pipul dɛm wae gɛt Trifascicular Heart Blocks?

If dɛn trit dɛn fayn, bɔku pipul dɛn we gɛt trifaskul at blɔk nɔ kin go bifo fɔ kɔmplit at blɔk. Di risk kin go ɔp if dɛn nɔ trit di trifascicular hat blɔk. Dis kin mek yu at bit ɔltɛm (arrhythmia), we kin mek yu day pas aw yu at kin blok. di rayt tritmɛnt – bɔku tɛm wit divays lɛk pesmɛka – kin ɛp fɔ ridyus dis risk.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sayn ya, mek shɔ se yu go to dɔktɔ:

• If yu fil se yu taya bad bad wan.
• If yu fil se yu at nɔ de bit ɔltɛm.
• If yu gɛt siriɔs pen na yu chɛst.
• If yu gɛt prɔblɛm fɔ blo.
• If yu gɛt sayn dɛm fɔ hat atak (e.g., siriɔs chɛst pen we de rayt dɔŋ yu an, jaw pen, swet).
• If nausea de we yu nɔ ɛksplen.

If yu gɛt ɛni wan pan dɛn tin ya, nɔ jɔs tink se, "Dis na jɔs wan fluk." Go to dɔktɔ wantɛm wantɛm.

Wetin a fɔ aks mi dɔktɔ?

If dɛn no se yu gɛt trifascicular block, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk:

• Wetin mek a gɛt dis trifaskul blɔk?
• Aw a go ridyus di risk fɔ gɛt at atak ɔ ɔda at sik?
• A nid fɔ gɛt peshɛnt ɔ ICD?
• Wetin na di prɔblɛm dɛn we kin apin we dɛn put yu peshɛnt ɔ ICD insay pɔsin in bɔdi?
• A fɔ wɔri bɔt di sayn dɛn we de sho se a gɛt prɔblɛm dɛn?

We yu aks dɛn kwɛstyɔn ya, dat go ɛp yu fɔ ɔndastand yu sik gud gud wan ɛn tek pat pan tritmɛnt.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

trifascicular hat blכk na blכk we de na כl di tri men path dεm we de kכri ilektrikal signal dεm tru di at. Dis kin mek di at nɔ kin kɔntrakt ɛn pɔmp blɔd. Tɔd digri, ɔ kɔmplit, at blɔk kin mek yu layf de pan denja fɔ mek yu at bit ɔltɛm (ari at) ɔ ivin mek yu at day wantɛm wantɛm.

Pipul wae dɔn pas 70 ia ɛn wae gɛt hat sik kin gɛt bɔrku risk. ECG kin no se prɔblɛm de wit di at in ilɛktrik sistɛm. Yu dɔktɔ kin tɛl yu fɔ yuz wan tin lɛk pesmɛka ɔ ICD. Dɛn tin ya kin sɛn ilɛktrik signal to di at in chɛmba dɛn fɔ mek dɛn kɔntinyu fɔ bit di ritm.

Tek kia ɔf yu at. If yu fil ɛnitin we nɔ kɔmɔn, nɔ ignore am. If yu go to dɔktɔ kwik kwik wan, dat go sev yu layf.

` Trifascicular block, hat blok, ilektrikal sistεm na di at, ECG, pesmaker, hat sik, hat bit