Obubonero bw’amasannyalaze bw’omutima gwo tebukola bulungi? Ka twogere ku Trifascicular Block!

Wali weebuuzizza engeri omutima gwo gye gukola mu ngeri eyeewuunyisa? Kiringa enkola y’amasannyalaze entono, esindika obubaka bw’amasannyalaze mu bitundu by’omutima eby’enjawulo okusobola okugukuuma nga gukuba bulungi. Naye oluusi, wayinza okubaawo okutaataaganyizibwa okutonotono mu makubo g’obubonero buno obw’amasannyalaze. Wano we twogera ku "Heart Block." Leero tugenda kwogera ku kika ekigere eky’okuziyiza omutima, ekiyitibwa trifascicular block.

Fascicles zino mu mutima ze ziruwa? Zisangibwa wa?

Okay, kati katutunuulire "fascicles" zino kye ziri. Mu ngeri ennyangu, bino bibinja bya njawulo eby’ebinywa ebitambuza obubaka bw’amasannyalaze munda mu mutima. Zino era ziyitibwa "amatabi g'ekibinja." Zino zisangibwa mu bisenge bibiri ebya wansi eby'omutima, "ventricles." Fascicles zino ze zisindika obubonero bw’amasannyalaze mu bwangu ddala, ekivaako ebisenge by’omutima okukwatagana obulungi ne bikuba omusaayi.

Nga bw’omanyi omutima gwaffe kye kitundu ekikulu mu nkola y’okutambula kw’omusaayi. Kirina ebisenge bina ebikulu:

• Atria: Ebisenge ebibiri ebya waggulu.
• Ventricles: Ebisenge ebibiri ebya wansi. Trifascicular block ekosa ebisenge bino ebibiri ebya wansi.

Kati katutunuulire ebisenge ebiyitibwa fascicles mu bisenge bino ebibiri ebya wansi:

• Right Ventricle: Kino kye kisenge ekya wansi ku ludda olwa ddyo olw’omutima. Okuva wano, omusaayi gusindikibwa mu mawuggwe nga guyita mu misuwa gy’amawuggwe okusobola okufuna omukka gwa oxygen. Ventricle eya ddyo erina fascicle emu yokka. Kiyitibwa Ettabi lya Right Bundle .
• Left Ventricle: Kino kye kisenge ekya wansi ku ludda olwa kkono olw’omutima. Kisindika omusaayi ogulimu omukka gwa oxygen okuyita mu aorta okutuuka mu mubiri gwonna. Ekitundu kya kkono ekiyitibwa left ventricle kye kisenge ekisinga obunene era eky’amaanyi mu mutima. Kirina ebitundu bibiri ebiyitibwa fascicles, Left Anterior Fascicle ne Left Posterior Fascicle . Bino byombi byonna awamu bikola Ettabi lya Left Bundle Branch . Fascicles zino zongera okwawukana mu bukadde n’obukadde bw’obuwuzi obutonotono obuyitibwa Purkinje Fibers.

Lowooza bw’ati, fascicles zino ziringa waya z’amasannyalaze mu nnyumba. Bw’okoleeza switch (i.e., nga siginiini etuuse ku mutima), amasannyalaze gakulukuta ku waya zino ne gakoleeza bbaatule y’ettaala (i.e., ebinywa by’omutima bikonziba). Kale kiki ekibaawo singa wabaawo okutaataaganyizibwa awalala mu waya zino? Well, ekyo kye kibaawo mu heart block.

Heart Blocks zisengekebwa zitya?

Abasawo bagabanya ebiziyiza bino eby'omutima oba "AV Blocks," mu bika bisatu ebikulu okusinziira ku buzibu bwabyo:

1. First-degree Block: Kino kilwawo katono mu bubonero bw’amasannyalaze okuva mu atria okutuuka mu ventricles. Kino ``Blockage Etatuukiridde``N’olwekyo ebiseera ebisinga tewabaawo bubonero era tekyetaagisa bujjanjabi.

2. Second-degree Block: Mu mbeera eno, obubonero bw’amasannyalaze obumu bugenda mu butoffaali, naye obumu tebugenda. Kino nakyo bulooka etali ntuufu. Kino kiyinza okuvaako omutima okukendeera, ekiyitibwa "bradycardia." Oba okukuba kw'omutima kuyinza okufuuka okutali kwa bulijjo, ekiyitibwa "arrhythmia." Singa bbulooka eno eya ddaala eryokubiri egenda mu maaso n’etuuka ku ddaala ery’okusatu, obujjanjabi buyinza okwetaagisa.

3. Third-degree Block: Kino kizibikira ddala . Tewali bubonero bwa masanyalaze busindikibwa okuva mu misuwa okutuuka mu bitundu by’omubiri ebiyitibwa ventricles. Ennyimba z’omutima zifugibwa ekitundu kya AV, ekibinja kya His oba ventricles zennyini. Kino kireetera omutima okukendeera ennyo. Kino kiyinza okutta obulamu, n’olwekyo kyetaagisa okujjanjabibwa mu bwangu.

Kale ddala Trifascicular Block kye ki?

Ekigambo "tri" kitegeeza bisatu. Kale, mu bulooka ya trifascicular, waliwo okuzibikira mu bifo bisatu mu nkola y'okutambuza omutima, wansi wa "AV Node".

Mu ngeri ennyangu, bulooka ya trifascicular kizibu ku bubonero bw’amasannyalaze mu ttabi lyombi erya bundle erya ddyo n’ery’ekibinja kya kkono (kwe kugamba, fascicles zombi eza kkono ez’omu maaso n’eza kkono ez’emabega). Kino nakyo kitwalibwa ng'okuzibikira omutima mu bujjuvu . ( Singa wabaawo okuzibikira mu limu lyokka ku ttabi ly'ekibinja ekya ddyo n'ekikuta kya kkono, kiyitibwa "bifascicular block.")

Ekyo kitegeeza nti, omuntu alina trifascicular block alina embeera zino zombi:

• Right Bundle Branch Block: Mu kino, siginiini y’amasannyalaze okuva ku fascicle eya ddyo okutuuka ku ttabi lya bundle erya kkono egenda mpola.
• Left Bundle Branch Block: Kino kye kiseera akabonero k’amasannyalaze lwe kayita mu kisenge kya kkono mpola nnyo. Mu trifascicular block, okuzibikira kukosa ebitundu byombi ebya kkono eby’omu maaso n’ebya kkono eby’emabega.

Teebereza ekituuka ku kalippagano k’ebidduka ng’enguudo ennene ssatu ziggaddwa omulundi gumu. Ekintu kye kimu kituuka ku bubaka obuli mu mutima.

Ebizibu bino eby’omutima bitera kwenkana wa?

Abakugu bagamba nti abantu nga omu ku buli 10 abasukka emyaka 70 abalina ebyafaayo by’obulwadde bw’omutima ajja kulwala omutima ogwa ddaala ery’okusatu mu kiseera ekimu mu bulamu bwe.

Biki ebivaako trifascicular block?

Obulabe bw’okulwala ekika kyonna eky’okuzibikira omutima bweyongera n’emyaka. Oluusi ebiziyiza bino bisobola okubaawo awatali nsonga. Era ziyinza okuva ku bulwadde bw’omutima obuzaalibwa.

Wabula emirundi egisinga, trifascicular block eva ku kwonooneka kw’omutima. Okwonoonebwa kuno kuyinza okuva ku bintu nga:

• Obulwadde bw’emisuwa gy’omusaayi
• Omutima okugaziwa (Hypertrophic Cardiomyopathy) .
• Obulwadde bw'omutima
• Endwadde z’omutima endala
• Obulwadde bwa Valve z’omutima
• Okwongera ku muwendo gwa potassium mu musaayi (Hyperkalemia) .
• Okulongoosa omutima nga tekuyingirira nnyo oba okulongoosa omutima oguggule
• Okukola ennyo kw’obusimu bwa Vagus
• Omusujja gw’enkizi
• Sarcoidosis (obulwadde obutoffaali obutono obuzimba mwe bukuŋŋaanyizibwa mu bitundu by’omubiri eby’enjawulo) .

Bubonero ki obulaga nti omuntu alina obulwadde bwa trifascicular block?

Omutima okuzibikira mu ngeri etali ya maanyi (diguli esooka oba eyookubiri) ebiseera ebisinga tekuleeta bubonero bwonna. Naye, ne trifascicular block, amatabi gonna asatu aga bundle gakosebwa, kale obubonero butera okulabika. Oyinza okulaba:

• Obulumi mu kifuba oba okunyiga (Angina) .
• Okuziyira n’okuzirika (Syncope) .
• Obukoowu
• Omutima okukuba (okuwulira ng’omutima gwo gukuba oba nga gubuuka okukuba) .
• Ekikeeto
• Okussa Obumpi

Bw’oba ​​olina obubonero buno obumu oba obusingawo, tobubuusa maaso. Kikulu okulaba omusawo akuwe amagezi.

Bizibu ki ebiyinza okuva mu trifascicular block?

Omutima okuzibikira kizibuwalira omutima okukuba omusaayi mu mubiri gwonna. Kino kiyinza okuvaako ebizibu ebiyinza okutta omuntu nga:

• Omutima obutakuba bulungi (Arrhythmia) .
• Obulwadde bw'omutima
• Omutima Okulemererwa
• Okufa kw'omutima okw'amangu (Okufa olw'okulwala omutima okw'amangu) `(Okufa kw'omutima okw'amangu / Sudden Cardiac Arrest)`

Olw’okuba zino mbeera za maanyi, tugamba nti kikulu nnyo okunoonya obujjanjabi ku bizibu by’omutima nga bino mu bwangu.

Trifascicular Block ezuulibwa etya?

Abasawo bakozesa okukebera okuyitibwa "electrocardiogram" okuzuula enkyukakyuka mu nkola y'amasannyalaze g'omutima. Kino era kiyitibwa ECG (E.C.G.) mu bufunze. Abantu abamu era bakiyita EKG (E.K.G.).

Okukebera kuno okwa ECG kupima amasannyalaze g’omutima. Era epima ebbanga lye kitwala obubonero bw’amasannyalaze okuyita mu mutima. Kiraga obudde obutwala ebisenge byonna ebina eby’omutima okukola.

ECG kwe kukebera okutaliimu bulumi, okutali kwa kuyingirira.Kitwala eddakiika nga 15. Mu kino, "obusannyalazo" obutonotono obulinga ekitundu bukwata ku kifuba kyo, emikono n'amagulu. Electrodes zino ziyungibwa ku kyuma kya ECG nga kiriko waya. Ekyuma kino kiwandiika amasannyalaze g’omutima gwo nga giraafu. (ECG tesindika masannyalaze mu mubiri gwo, n’olwekyo ekyo tokyeraliikirira.)

Trifascicular block ejjanjabwa etya?

Abantu bangi abalina trifascicular block beetaaga okulongoosebwa okuteekebwamu ekyuma mu mutima okusobola okufuga ennyimba z’omutima gwabwe.

• Pacemaker: Kino kiweereza obubaka bw’amasannyalaze ku mutima, ekivaako ebisenge by’omutima okukuba mu nnyimba. Kiba ng'okuwa omutima "push" entono okuva ebweru.
• Ebyuma ebimu ebiyitibwa "Implantable Cardioverter Defibrillators (ICDs)" nabyo bikola ng'ekyuma ekikuba omukka. Okugatta ku ekyo, bwe wabaawo akabi k’okusiba omutima mu bwangu, ICD zino zituusa amasannyalaze ku mutima okuddamu okukuba mu ngeri eya bulijjo.

Omusawo ajja kukukebera n’asalawo ekika ky’obujjanjabi ekikusaanira.

Trifascicular block esobola okuziyizibwa?

Wadde nga tetusobola kufuga bimu ku bivaako, waliwo bye tuyinza okukola okukuuma obulamu bw’omutima gwaffe. Bino bisobola okuyamba okukendeeza ku bulabe bw’embeera nga trifascicular block:

• Lya emmere eyamba omutima era dduyiro buli kiseera.
• Kkomya ku kunywa omwenge.
• Funa engeri ennungi ez'okuddukanyaamu situleesi .
• Gejja (bwe kiba kyetaagisa) era okuume omugejjo omulamu.
• Dukanya embeera eziteeka akazito ku mutima, gamba nga puleesa, ssukaali ne kolesterol omungi.
• Saba obuyambi okulekera awo okunywa sigala era weewale okunywa sigala.

Wadde nga kiyinza okukukaluubirira katono okuyingiza ebintu bino mu bulamu bwo mu kusooka, kijja kuganyula omutima gwo mu bbanga eggwanvu.

Abantu abalina obulwadde bwa Trifascicular Heart Blocks bali mu mbeera ki?

Bwe bafuna obujjanjabi obutuufu, abantu abasinga obungi abalina okuzibikira kw’omutima mu ngeri ya trifascicular tebagenda mu maaso okutuuka ku kuzibikira omutima mu bujjuvu. Obulabe bweyongera singa trifascicular heart block erekebwa nga tebujjanjabiddwa. Kino kiyinza okuvaako omutima okukuba obutasalako (arrhythmia), ekiyinza okuvaako okufa okusinga omutima okuzibikira. Obujjanjabi obutuufu – ebiseera ebisinga n’ekyuma nga pacemaker – busobola okuyamba okukendeeza ku bulabe buno.

Nsaana okulaba omusawo ku ssaawa mmeka?

Bw’oba ​​olina obubonero buno, kakasa nti ogenda ew’omusawo:

• Bw’oba ​​owulira ng’okooye nnyo.
• Bw’owulira ng’omutima gwo tegukuba.
• Bw’oba ​​olina obulumi obw’amaanyi mu kifuba.
• Bw’oba ​​olina obuzibu mu kussa.
• Bw’oba ​​olina obubonero bw’okulwala omutima (e.g., obulumi obw’amaanyi mu kifuba nga butangaala wansi ku mukono gwo, okulumwa ensaya, okutuuyana).
• Singa wabaawo okuziyira okutannyonnyolwa.

Bw'oba olina ekimu ku bino, tomala galowooza nti, "Kino kizibu kyokka." Noonya abasawo amagezi mu bwangu.

Kiki kye nsaana okubuuza omusawo wange?

Bw’oba ​​ozuuliddwa ng’olina obulwadde bwa trifascicular block, oyinza okwagala okubuuza omusawo ebibuuzo nga:

• Kiki ekyandeetera okufuna ekiziyiza kino ekiyitibwa trifascicular block?
• Nnyinza ntya okukendeeza ku bulabe bw’okulwala omutima oba endwadde endala ez’omutima?
• Nneetaaga ekyuma ekikuba omukka oba ICD?
• Obulabe ki obuli mu kuteekebwamu ekyuma ekikuba omukka oba ICD?
• Nsaana okweraliikirira obubonero bw’ebizibu?

Okubuuza ebibuuzo bino kijja kukuyamba okutegeera obulungi embeera yo n‟okwenyigira mu bujjanjabi.

Ebintu ebikulu by'olina okujjukira (Take-Home Message)

Trifascicular heart block ye kuzibikira mu makubo gonna asatu amakulu agatambuza obubonero bw’amasannyalaze okuyita mu mutima. Kino kiremesa omutima okukwata n’okusiba omusaayi. Omutima okuzibikira mu ddaala ery’okusatu oba mu bujjuvu kuyinza okuvaako omutima okukuba obutasalako (arrhythmias) oba n’okufa kw’omutima okw’amangu okutta omuntu.

Abantu abasukka mu myaka 70 n’abalina obulwadde bw’omutima bali mu bulabe bwa maanyi. ECG esobola okuzuula obuzibu mu nkola y’amasannyalaze g’omutima. Omusawo ayinza okukuwa amagezi okukozesa ekyuma nga pacemaker oba ICD. Ebyuma bino biweereza obubaka bw’amasannyalaze mu bisenge by’omutima okugukuuma nga gukuba mu nnyimba.

Faayo ku mutima gwo. Bw’oba ​​owulira ekintu kyonna ekitali kya bulijjo, tokibuusa maaso. Okunoonya amangu amagezi g’abasawo kiyinza okutaasa obulamu bwo.

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