ECG yagamba nti RBBB (Right Bundle Branch Block)? Teweeraliikiriranga, ka tuzuule ddala kino kye ki!

Oyinza okuba nga wakubwa ECG ng’ogenda okukeberebwa omusawo, gamba ng’ogenda ew’omusawo olw’obulwadde obulala, oba ng’otandika omulimu omupya. Oyinza okuba nga weeraliikirira katono n’okutya bwe walabye akawandiiko ku lipoota eyo eya ECG akaali kawandiikiddwaako nti ‘Right Bundle Branch Block’, oba RBBB. Oyinza okuba nga walowooza nti, "Oh my God, waliwo ekintu eky'amaanyi ekikyamu ku mutima gwange?" Kya bulijjo okulowooza bw’otyo ng’olaba ekigambo ky’otomanyi bwe kiti. Naye nga tonnasattira, kino ka tukitegeere bulungi era mu ngeri ennyangu. Ebiseera ebisinga kino si kya maanyi nga bw’olowooza.

Mu ngeri ennyangu, Right Bundle Branch Block (RBBB) kye ki?

Kino okukitegeera, ka tusooke tulabe engeri omutima gwaffe gye gukola. Kuba akafaananyi ng’omutima gwo gulinga akayumba akatono akalimu ebisenge bina. Amataala okusobola okuyaka n’abawagizi okutambula mu nnyumba eno, weetaaga okubaawo amasannyalaze oba ‘current’. Mu ngeri y’emu, omutima gwaffe gulina enkola yaago ey’amasannyalaze okusobola okukuba obulungi.

Siginini eno ey’amasannyalaze etandikira ku ‘master switch’ waggulu ku mutima. Tukiyita `(Sinoatrial node)` oba SA node. Okuva awo, akabonero k’amasannyalaze katambula mu bisenge bibiri ebya waggulu eby’omutima (atria) ne katuuka ku ‘junction box’ eyitibwa `(Atrioventricular node)` oba AV node.

Okuva mu junction box eno, signal y’amasannyalaze eyawulwamu waya bbiri enkulu ezigenda mu bisenge ebikulu ebibiri (ventricles) wansi w’omutima. Waya zino ebbiri ze tuyita ‘bundle branches’. Ekimu kigenda mu kisenge ekya ddyo (ettabi lya bundle erya ddyo), ate ekirala kigenda mu kisenge kya kkono (ettabi lya bundle erya kkono).

Ekirina okubaawo mu budde obwa bulijjo kiri nti siginiini y’amasannyalaze etambula ku waya zino zombi ku sipiidi y’emu era mu kiseera kye kimu, ekivaako ebisenge ebibiri ebya wansi eby’omutima okukwatagana (okukuba) awamu.

Naye mu muntu alina Right Bundle Branch Block (RBBB) , wabaawo okuzibikira okutono mu ‘waya’ egenda ku ludda olwa ddyo, oba okukendeera okutono mu sipiidi ya siginiini. Kiringa ‘current’ ekulukuta mpola katono nnyo ku waya enkadde. Olw’ensonga eno, ekitundu kya ddyo ekiyitibwa ventricle kifuna akabonero kano oluvannyuma katono okusinga ekya kkono. Olw’ensonga eno, omusuwa gwa ddyo gukuba akatundu akatono ennyo aka sikonda oluvannyuma lw’omusuwa gwa kkono okukuba.

Waliwo ebika bya RBBB ebikulu bibiri. Singa siginiini elwawo nnyo, eyitibwa ‘Complete RBBB’, ate singa eba ekeeredde katono, eyitibwa ‘Incomplete RBBB’. RBBB etali ntuufu etera obutaba ya maanyi nga RBBB enzijuvu.

Ani asinga okulaba embeera eno?

Kino kiyinza okutuuka ku muntu yenna. N’abantu abalamu obulungi, abatalina ndwadde basobola okufuna RBBB. Kyokka embeera eno yeeyongera okubeerawo nga bwe tukaddiwa. Nga waya mu nnyumba enkadde bwe ziyinza okunafuwa katono, n’enkola y’amasannyalaze g’omutima nayo esobola okukendeera katono nga tukaddiwa.

Okunoonyereza kuzudde nti ku myaka 80, abantu nga 11 ku buli 100 (oba 11%) bajja kufuna embeera eno eya RBBB. Kale olaba nti si kya bulijjo bwe kityo.

Bubonero ki obulaga obulwadde bwa RBBB?

Kino kye kintu ekisinga obukulu era ekibudaabuda okumanya. Abantu abasinga obungi, tewali bubonero bwonna. Oyinza n’obutamanya nti olina RBBB. Kiyinza obutazuulibwa okutuusa nga bakoze ECG olw’ensonga endala. Tojja kufuna bulumi bwonna mu kifuba, okussa obubi, oba okuzirika olw’obulwadde bwa RBBB yokka.

Kino kitegeeza nti bw’oba ​​n’obubonero buno, kiyinza obutava ku RBBB, wabula embeera endala ey’obujjanjabi. N’olwekyo, bw’oba ​​olina obubonero obw’engeri eyo, mazima ddala olina okugenda ew’omusawo.

Biki ebivaako RBBB?

Wadde nga RBBB esobola okubeera mu bantu abalamu awatali nsonga, era esobola okuva ku mbeera z’obujjanjabi ezimu n’ensonga endala. Ka tulabe ebimu ku bikulu ebivaako embeera eno.

Kino omusawo akizuula n’okukikakasa atya?

RBBB etera okuzuulibwa nga bakozesa ECG, oba Electrocardiogram . Okukebera kuno kuzingiramu okussaako sitiika ku kifuba, emikono n’amagulu era ne biwandiika amasannyalaze g’omutima gwo. Omusawo alina obumanyirivu asobola bulungi okumanya oba olina RBBB ng’atunuulira enkola eno eya ECG.

Naye, omusawo takoma awo. Waliwo embeera endala eziwerako, eziyinza okuba ez’amaanyi ennyo, eziraga enkola za ECG ezifaananako ne RBBB. Kale omusawo ajja kukebera n’obwegendereza ECG yo okukakasa nti tolina mbeera zino.

Wano waliwo embeera ng’ezo:

• Ventricular Tachycardia: Embeera ey’amaanyi ng’ebisenge ebya wansi eby’omutima bikuba mangu nnyo.
• Brugada Syndrome: Embeera y’obuzaale eyinza okuvaako omutima okusiba amangu.
• Incomplete Left Bundle Branch Block: Okuzibikira okutali kujjuvu okw’ekkubo lya siginiini ku ludda olwa kkono, nga bwe kiri ku ludda olwa ddyo.

N’olwekyo, ne bwe kiba nti lipoota yo eya ECG egamba nti RBBB, enkomerero n’amagezi agasembayo agakwata ku nsonga eno birina okuweebwa omusawo akukebera.

RBBB yeetaaga obujjanjabi?

Waliwo n’amawulire amalungi ennyo wano.

Kiba ng’akabonero k’okuzaalibwa ku mubiri gwo. Kiri awo naye tekikutawaanya. Omusawo osanga ajja kukugamba nti oyingire omulundi gumu mu mwaka okebere ECG, olabe oba waliwo enkyukakyuka yonna. Ng’oggyeeko ekyo, tekyetaagisa ddagala eddala wadde okulongoosebwa.

Wabula bw’oba ​​olina RBBB olw’embeera endala ey’omutima (nga ezo eziragiddwa mu kipande ky’ebivaako waggulu), olwo RBBB tejjanjabwa. Embeera evuddemu ejjanjabwa. Okugeza omutima bwe guba gugaziwa olwa puleesa ate nga ne RBBB eva ku mbeera eno, obujjanjabi buba bufuga puleesa. Bwe kiba nga kiva ku bulwadde bw’omutima, olina okugenda mu maaso n’okubujjanjaba.

Omuntu alina RBBB ebiseera by’omu maaso biruwa? Waliwo ekintu kyonna eky’okutya?

Eky’okuddamu mu kibuuzo kino kisinziira ku oba olina embeera endala ez’omutima oba nedda. Ka tulabe emisango egyo ebiri nga gyawukana.

1. Bwoba tolina bulwadde bwa mutima bulala (Otherwise healthy) .

Mu kiseera kino, RBBB tewali kye yeeraliikirira. Tekikendeeza ku bulamu bwo oba okwongera ku bulabe bw’okulwala omutima. Kiba ‘quirk’ entono, oba ekintu eky’enjawulo, mu nkola y’amasannyalaze g’omutima gwo. Osobola okugenda mu bulamu bwo obwa bulijjo nga tolina buzibu bwonna.

2. Bw’oba ​​olina embeera endala ey’omutima (e.g. Heart Failure, after a Heart Attack) .

Mu mbeera ng’eyo, RBBB kintu kya kulowoozaako. Kino tekitegeeza nti embeera yo yeeyongedde okwonooneka olw’obulwadde bwa RBBB. Wabula okubeera ne RBBB kiraga nti omutima gwo gulina obuzibu era nti omulimu gwagwo gunafu katono. N’olwekyo, RBBB bw’egattibwa n’embeera y’omutima esirikitu nga eno, obulabe bw’ebizibu mu biseera eby’omu maaso buyinza okweyongera katono.

Eno y'ensonga lwaki kikulu nnyo abalwadde ng'abo okugoberera obujjanjabi obuweebwa omusawo waabwe ku bulwadde bwabwe obw'omutima obukulu awatali kubula kwonna . Balina okukola ebintu ng’okumira eddagala lyabwe mu budde, okufuga endya yaabwe, n’okukola dduyiro obulungi.

RBBB bw’emala okutondebwawo, tegenda. Embeera ya lubeerera.

Nsaana okulaba omusawo ku ssaawa mmeka n’okwegendereza?

Bw’oba ​​okimanyi nti olina RBBB, kirungi okusigala ng’okwatagana n’omusawo wo buli kiseera.

• Okusisinkana buli kiseera: Ne bw’oba ​​tolina mbeera ndala ya bujjanjabi, genda okwekebejjebwa mu biseera omusawo by’akuwadde (e.g. omulundi gumu mu mwaka). Bw’oba ​​olina obulwadde bw’omutima obulala, kakasa nti ogenda mu malwaliro ago.
• Obubonero obupya: Bw’ofuna obubonero bw’obadde tolinako, gamba ng’okulumwa mu kifuba, okussa obubi, okuzimba amagulu oba okuzirika, laba omusawo mu bwangu.
• Kwelinda:Teebereza ng’olina obulumi mu kifuba obutagumiikiriza, obulumi buno buyita ku mukono gwo ogwa kkono, mu bulago oba mu bbwa, n’otuuyana nnyo, era owulira ng’omukka gukutte. Bino biyinza okuba obubonero bw’okulwala omutima. Mu mbeera eyo, tolwawo. Genda mu ddwaaliro erikuli okumpi mu kitongole ky’abalwadde ab’amangu (ETU) mu bwangu.

Ebibuuzo ebikulu by’olina okubuuza omusawo wo

Singa lipoota yo eya ECG egamba nti RBBB, okubuuza ebibuuzo bino ng’olaba omusawo kiyinza okukuyamba okufuna okutegeera okusingawo.

• "Doctor, waliwo ensonga entongole lwaki nnina embeera eno eya RBBB?"
• "Nneetaaga okukola enkyukakyuka yonna mu bulamu bwange obwa bulijjo olw'ensonga eno? Mu bintu nga endya, dduyiro, n'ebirala?"
• "Nkomyewo mangu ki ne nkebera?"
• (Bw'oba olina embeera z'omutima endala) "Ndi mu bulabe obw'okwongera okubeera ne RBBB eno n'embeera z'omutima zange endala? Nkole ntya okugifuga?"