I thinlung electrical signal te pawh a block em? Bifascicular Block chungchang hi han sawi ila!

A chang chuan mitmeng dum i nei nghal a, i lu a buai thin em ? A nih loh leh i thinlung chu a na lutuk emaw, a na lutuk emaw angin i inhria em? I hriat mi pakhatin hetiang thil hi a tawng tawh pawh a ni mai thei. A châng chuan hengte hi in chhûnga wiring system ang bawkin kan thinlung electrical system-a tihbuai tê tê avânga lo awm thei a ni. Vawiin hian kan sawi dawn a, chu chu thinlunga electrical wiring system-a kawngpui lian hmun thuma ṭhena hmun hnih vel-ah electrical signal chu zawi zawiin a kal emaw, a inthlak danglam emaw a ni – chu chu (Bifascicular Block) an ti a ni.

Hei hi eng nge ni (Bifascicular Block)? A awlsam zawngin i hrethiam ang u?

A awlsam zawngin `(Bifascicular Block)` hi thinlung block chi khat a ni. Kan thinlung hian pump ang maia hna a thawh theih nan electric signal mumal taka a dawn a ngai a ni. Heng electrical signal te hi thinlung chhunga kawng bik hrang hrangah an kal thin. Heng kawngte hi ``bundle branches`` kan ti a. In chhunga wire-te’n light on ngai ang mai a ni.

Kan thinlungah hian heng electrical message phurtu kawng lian pathum awmin han ngaihtuah teh. ``Bifascicular Block`` ah chuan electrical signal te chu a kal zawi hle emaw, heng kawng pathum zinga pahnih ah hian a inthlak emaw a ni. "Bi" tih awmzia chu "pahnih" tihna a ni. "Fascicle" tih hian heart muscle cells bundle branch te a kawk a ni. Chuvangin, heng kawng pahnih ah hian blockage a awm chuan electrical signal te chu heart chamber hnuai lam (``ventricles``) ah a tlai deuh a ni. Hei hian thinlung rhythm leh thisen pump dan a tidanglam thei a ni.

Doctor-te chuan hei hi “incomplete heart block” tiin an sawi. Hetiang dinhmun hi pianpui thinlung natna emaw, thinlung natna dang emaw avanga lo awm thei a ni. A châng chuan, symptoms a reh thei bawk. Mahse, Bifascicular Block natna khirh tak, symptoms thlentu chuan enkawl a ngai mai thei.

Kan thinlungah hian khawiah nge heng fascicles te hi an awm?

Kan thinlung hian pindan lian pali a nei tih i hria. A chung lam chamber pahnih chu atria an ti a, a hnuai lam pahnih chu ventricles an ti bawk. Heng chamber te hi controlled takin an inzawm khawm a, an inzai zau a, taksa pum puiah thisen an pump chhuak thin.

Bifascicular block hian heng lower chamber, a nih loh leh ventricles te hi a nghawng a ni.

• Right ventricle: Hei hi thinlung dinglam hnuai lam a awm a ni. Thisen la chhuakin lungah oxygen la turin a thawn chhuak thin a ni. He right ventricle hian electrical pathway (fascicle) pakhat chauh a nei a – chu chuRight bundle branch a ni a .
• Left ventricle : Hei hi thinlung veilam hnuai lam a awm a ni. Thinlung chhunga pumping chamber lian ber leh chak ber a ni. Oxygenated thisen a la lut a , aorta kaltlangin taksa dang zawng zawngah a pump chhuak thin . Left ventricle hian electrical pathway lian pahnih a nei a, chungte chu left anterior fascicle leh left posterior fascicle . Heng pahnih hi an inzawm khawm chuan left bundle branch an siam a ni. Chungte chu fiber tenau zawk maktaduai tam takah an inthen leh a, chu chu Purkinje fibers an ti a ni.

Heart Block leh Bundle Branch Block hi eng nge ni?

Heart Block hi thinlunga electrical conduction system-a harsatna a awm chuan a awm thin. Hei hian thinlung chamber hrang hrang inkara electrical signal thawn chhuah a tikhawtlai a ni. Chuvang chuan thinlung chamber te chu a rhythm lohvin a inzawm khawm thin. Hei hian thinlung kal tlanga thisen kal dan te, thinlung thawk dan te, thinlung thawk dan te a nghawng a ni.

`(Heart Block)` leh `(Atrioventricular Block / AV Block)` te hi a inang vek a ni. `(Bundle Branch Block)` hi `(Heart Block) chi khat a ni.` Kan sawi tawh bundle branch pakhatah blockage a awm chuan a thleng thin.

Kan thinlunga electrical system hian engtin nge hna a thawh? Mak tak mai a ni lawm ni?

Thinlung chhungah hian wiring system buaithlak tak, mahse mumal tak a awm tih han ngaihtuah teh. He electrical signal hi a kal dan tur chu hetiang hi a ni:

1. Signal hi thinlung chunglam atrium hmun bik SA node an tih atangin a intan hmasa ber thin. Hei hi thinlung natural pacemaker a ni.

2. He signal hi atria kaltlangin a kal a, hmun bik dang AV node an tih ah a thleng leh thin.

3. AV node hnuah signal chu His bundle an tih pathway-ah a lut a.

4. Chuta tang chuan dinglam bundle branch leh veilam bundle branch-ah a inthen a, a tawpah chuan cell ``ventricles``-a ``Purkinje fibers`` an tih fiber tha tak takah a kal ta a ni.

5. He signal hi kan dawn chuan ventricles te chu an inzawm khawm a, thisen an pump chhuak thin. Tichuan a tir atang khan a kalphung chu a intan leh ta a ni.

Heng zawng zawng hi second tlemte chhungin a thleng vek a, mak tak maiin a thleng vek a ni lawm ni?

Heart block chi hrang hrang a awm em?

Ni e, doctor-te chuan heng heart block (AV block) te hi an nasat dan azirin an thliar hrang thin:

• First-degree block: Hei hi atria atanga ventricles thlenga electrical signal lo lut tur a tlai deuh a ni. Mahse, he block chi hi hian symptoms a thlen tam lo va, enkawl a ngai tlem hle.
• Second-degree block: Hei hi electrical signal thenkhat, mahse a zawng zawng ni lo, cell-a thlen theih lohna hmun a ni. Hei hian heart rate slow ( bradycardia ) emaw heartbeat mumal lo (arrhythmia) emaw a thlen thei. Hei hi a nasat emaw, symptoms buaithlak tak tak a thlen emaw chuan enkawl a ngai mai thei.
• Third-degree block: Hei hi “complete heart block” an ti bawk. Hetah hian atria leh ventricles hnathawh dan inzawmna a awm lo. Chumi awmzia chu a chunglam pindan te chu an tih tur angin hna an thawk a, a hnuai lam chu an tih tur angin hna an thawk tihna a ni. Hetiang dinhmunah hian pacemaker dah a ngai a ni. “Bifascicular block” a nasat chuan he natna hi a lo awm thei a ni.

Bifascicular Block chi hrang hrang a awm em?

Ni e, `(Bifascicular Block)` hi pattern hrang hrang a awm. A hman tlanglawn berte chu:

• Dinglam bundle branch block leh veilam hmalam fascicular block.
• Tin, dinglam bundle branch block leh veilam hnunglam fascicular block a awm thei bawk.
• A châng chuan, left bundle branch chu a block vek thei (chu chu left anterior leh posterior fascicles pahnih a block vek tihna a ni a, mahse right bundle branch chu a intact tihna a ni).

Hetiang dinhmun hi engtiang chiahin nge a awm?

Bifascicular Block hi ECG nei zinga 1.5% vel ah hmuh tur a awm . Chutiang chuan a tlem tihna a ni lo.

Engvangin nge hetiang (Bifascicular Block) hi a lo awm? A chhante chu engte nge ni?

Bifascicular Block hi pianpui thinlung natna avanga lo awm a ni fo thin. Chumi awmzia chu mi chu a pian tirh atangin a thinlung insiam danah inthlak danglamna engemaw zat a awm tihna a ni. A châng chuan, he pianpui thinlung natna lan chhuahna hi a hnuah a lang thei a, kum naupang emaw, kum chanve emaw pawh a ni thei. Kum upat deuh deuh hian heart block vei theihna a sang bawk .

A tlem berah chuan he dinhmun hi chhungkaw pakhat atanga chhungkaw danga inthlak danglam thin genetic change (gene mutation) vang pawh a ni thei. Hei hi progressive familial heart block an ti a. He genetic change hian thinlungah scar tissue (fibrosis) emaw calcium deposit (calcification) emaw a thlen thei a ni. Heng inthlak danglamna te hian heart block a thlen thei bawk.

Hei bakah hian ``Bifascicular Block`` hi thinlung tihchhiat vang pawh a ni thei bawk. He chhiatna hi a ni thei:

• Heart attack (myocardial infarction) vang a ni.
• Cardiovascular natna dang vangin .
• Heart valve natna vang a ni.
• Thisen a potassium level sang (hyperkalemia) vang a ni.

Bifascicular Block natna lan chhuah dan chu engte nge ni? Nang pawhin hengte hi i nei em?

Heart block kim lo (first emaw second degree emaw) hian symptom a nei lo thei. Mahse, symptoms a awm tak tak chuan mi tam takin symptom an neih ber chu fainting (syncope) hi a ni. Hei hi thisen taksaah a pump tha tawk loh avangin heart rate a slow lutuk (bradycardia) emaw, a slow lutuk (arrhythmia) emaw a awm thin.

A châng chuan, `(Bifascicular Block)` chu block kimchang (third degree) thlengin a kal zel thei. Chutiang a nih chuan symptoms a awm tam zawk. A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak nghal a pawimawh hle :

• Chest na emaw tightness (angina) emaw a awm thei.
• Luak chhuak thei.
• Chauhna nasa tak awm reng.
• Thinlung a nat dan pangngai lo (heart palpitations) tih hriat.
• Luhai.
• Thâwk a tawi.

Hei hian eng harsatna nge a thlen theih?

Heart block hian heart-in taksa vel thisen a pump theihna a tibuai a ni. ``Bifascicular Block'' (block tling lo) chu a chang chuan third-degree (complete) block-ah a kal thei bawk. Chutiang a nih chuan harsatna hrang hrang:

• Thinlung thawk mumal lo (Arrhythmia).
• Lung natna.
• Lung lam chak lohna.
• Sudden cardiac death / Lung a titawp nghal.

Lungngai suh! Mi zawng zawng hian heng harsatna te hi an tawng vek dawn lo. Damdawi lam thurawn leh enkawlna dik tak chuan he hlauhawmna hi nasa takin a tihziaawm thei a ni.

Engtin nge Bifascicular Block hi dik taka i hriat theih ang?

Bifascicular Block hriat theihna atana test ber chu ECG a ni. Hei hi EKG an ti bawk. Hei hian i thinlung electrical activity a teh a ni. Test awlsam tak, hrehawm lo tak a ni. Minute 15 vel a ni.

Doctor chuan i rilru, i kut leh keah stickers te te (electrode an tih) a dah ang. Heng electrode-a wire inzawmte hi ECG machine-ah an inzawm a ni. He machine hian i thinlung electrical activity chu graph angin a record a. Electrode te hian i taksaah electric engmah a thawn lo. Chu ai chuan i taksaa electrical activity chauh an teh zawk a ni. He graph hi a en hian doctor chuan thinlung electrical signal pattern-ah hian danglamna emaw, blockage emaw a awm leh awm loh a hre thei a ni.

Enkawlna a awm em? Eng nge tih theih ang?

`(Bifascicular Block)` i neih a, symptom i neih loh chuan enkawlna i mamawh lo mai thei. Mahse, i doctor chuan i thinlung hriselna chu uluk takin a enfiah ang. An natna chu a zual zel a, third-degree (complete) heart block-ah a lo thang chho zel em tih enfiah turin `(ECG)` test an nei fo thei. Chutiang a nih chuan enkawl a ngai a ni.

Mahse, thinlung thawk mumal lo (arrhythmia) emaw, rilru hahna (syncope) ang chi natna i neih chuan, i doctor chuan pacemaker dah tûra operation neih a rawt thei ang Pacemaker hi chi hnih a awm a, chungte chu:

• Pacemakers: Hengte hian thinlung chamber-ah electrical signal an thawn a, chu chuan rhythm-a a thawk reng a, chu chu thinlung tanpuina tlem tal pek ang chi a ni.
• Implantable Cardioverter Defibrillators (ICDs): Hengte hian pacemaker angin hna an thawk a. Hei bakah hian ICD hian thinlung thawk mumal lo chu a hmuchhuak thei a, chu chu thinlungah electric shock te tak te pein a siam tha thei bawk. Cardiac arrest nghal a awm chuan heart a start leh thei bawk.

Heng hmanrua te hi cardiologist (electrophysiologist) in a dah a ni.

Bifascicular Block ven dan tur a awm em?

Dik tak chuan thinlung natna thlentu, kan thunun theih loh thil tam tak a awm a, chu chu pianpui thinlung natna emaw, tar emaw a ni.

Mahse, i thinlung hriselna vawng nung tur leh humhim turin hma i la thei reng a ni. Chung zingah chuan:

• Meizial i zuk chuan bânsan tûrin ṭanpuina dîl rawh. Secondhand smoke pawh pumpelh rawh.
• Thinlung hrisel ei tur ei la, nitin exercise neih hi tih dan phung nei rawh.
• Zu in hi tihtlem rawh.
• Lung tichhe thei, thisen sang, zunthlum, leh cholesterol sang te control.
• Stress control dan hrisel zawng rawh.
• I taksa rihna hrisel tak neih tum ang che.

Heng thilte hian `(Bifascicular Block) lo awm tur chu a tikhawlo vek lo mai thei a, mahse i thinlung hriselna zawng zawng chu a tha zawnga awm reng turin a pui ngei ang.

Hetiang dinhmun hi kan nunpui thei ang em? Eng ang thlirna nge ni ang?

Bifascicular Block vei tam zawk chuan enkawl an ngai lo. Enkawl a ngai a nih pawhin pacemaker dah hnuah a natna lan chhuah dan chu a bo tlangpui.

Enkawlna dik tak a awm chuan he natna hi heart block kimchang takah a kal theihna chance a tlem hle. Dik tak chuan, enkawl loha heartbeat mumal lo (arrhythmia) avanga chhiatna thleng thei chu heart block avanga chhiatna thleng aiin a tam zawk a ni. Chuvang chuan a hun takah damdawi lam thurawn lak a, a tul chuan inenkawlna dawn a pawimawh.

Engtik hunah nge doctor ka hmuh ang?

A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan nghal rawh:

• Chau lutuk tih hriatna.
• Lungphun mumal lo.
• A rilru a na hle.
• Thâwk harsa.
• Heart attack chhinchhiahna (e.g., rilru lai takah natna nasa tak, kut hnuai lam atanga radiate chhuak).
• Chhan awm lovin nausea.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Doctor hmu tura i kal hian heng zawhnate hi i zawt thei bawk ang:

• Engvangin nge he `(Bifascicular Block)` hi ka neih?
• Lung natna emaw, thinlung natna dang emaw ka neih theihna tur tihtlem nan eng nge ka tih ang?
• Pacemaker emaw ICD emaw ka mamawh em?
• Pacemaker emaw ICD emaw dah a nih chuan eng hlauhawmna nge awm?
• Complication chungchangah hian ka ngaihtuah tur em ni? Eng nge a lan chhuah dan?

Hêng zawhnate zawh hian i dinhmun hriatthiamna ṭha zâwk i neih theih nân leh i tih tûr hriat chian lehzual tûrin a ṭanpui ang che.

A tawp berah chuan i hriat reng tur thilte

Bifascicular block hi thinlung chhunga electrical signal phurtu kawngpui lian pathum zinga pahnih block a ni. Hei hian thinlung rhythm leh thisen pump dan a tidanglam thei a ni. Mi thenkhat chuan symptoms an nei lo thei a, thenkhat erawh chuan fainting ang chi symptoms an nei thei bawk.

A pawimawh ber chu he thil hi hlauthawng lo ila, damdawi lam thurawn mumal tak lak hi a ni. Hei hi ECG ang chi test awlsam tak hmanga hriat theih a ni. A tul chuan he natna hi pacemaker ang chi enkawlna hmangin hlawhtling takin a control theih a ni. I thinlung enkawl la, nun hrisel takin nung la, hrisel takin i awm thei ang!