ECG i nei a, report-ah hian Left Bundle Branch Block, a nih loh leh LBBB tih hming i hmu tawh em? A nih loh leh i hriat mi pakhatin a nei tih i hre tawh em? He hming hriat hi a hlauhawm deuh thei. Mahse, lungngai suh. Vawiin hian awlsam leh chiang takin sawi ila. Thian nena inbiakna ang maiin.
Left Bundle Branch Block (LBBB) tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.
Awle, a hmasain `Left Bundle Branch Block` emaw `LBBB` emaw chu eng nge a nih kan en ang. A awlsam zawngin kan thinlung thawk dan nena inzawm thil a ni.
Kan thinlung hian electric system te tak te ang maiin hna a thawk tih i hria em? Thinlung chhungah hian cell system bik a awm a, chu chuan electrical signal chu thinlungah a thawn a, chu chu a thawk thei a ni. He electrical signal hi thinlung chhung zawnga a darh chuan thinlung ruhte chu a inzawm khawm a, thisen a pump chhuak thin.
Thinlung hian pindan lian pali a nei a. A chung lamah pahnih leh a hnuai lamah pahnih. A hnuai lama chamber pahnih hi ventricles an ti a . Sap tawngah chuan ``(Ventricles)`` an ti a. Heng chamber pahnih – chu chu right ventricle leh left ventricle te hi a rualin, an inzawm khawm a ngai a, chutiang chuan thinlung hian thisen a pump tha thei ang.
Tunah chuan, he electrical signal hi cell-te hnena thlentu kawng bik pahnih a awm ta. `Wire` pahnih ang maiin. Pakhat chu cell dinglam (bundle branch dinglam)-ah a kal a, pakhat chu cell veilam (bundle branch veilam)-ah a kal bawk.
`Left Bundle Branch Block` ah chuan electrical signal chu left ventricle (left bundle) thlenga phurtu kawngpuiah hian obstruction, blockage, stoppage a awm a. He obstruction hian electrical signal chu left ventricle thleng turin a tikhawtlai a ni. Chuti a nih chuan eng nge thleng? Ventricle dinglam chu a pangngaiin a inzawm khawm a, a hun takah a inzawm khawm a, mahse veilam ventricle chu a hnu deuh deuh thung. Hei hian heart chamber pahnih chu a thawk dun lo va, chu chu `sync` an hloh tihna a ni. Hei hian thinlungin thisen tha taka a pump theihnaah a tibuai tlem thei a ni.
In pakhatah hian `main switch` atanga room pahnih thlenga `current` phur thei `wire` pahnih a awm tih han ngaihtuah teh. `Wire` pakhatah hian `fault` te tak te a awm a nih chuan chu room thlenga `current` thlen hun sawn hlat ang mai a ni.
LBBB hi engtiang chiahin nge a serious theih ang?
Tunah chuan, "Wow, hei hi thil hlauhawm tak a ni em?" A tam zawkah chuan thinlung natna dang nei lo leh mi hrisel tak i nih chuan he `LBBB` hi chutiang chuan a na lo mai thei. Mi thenkhat chuan symptom nei lovin an nei thei.
Mahse, heart condition (heart failure ang chi) i neih tawh chuan LBBB hian i heart condition a ti na zual thei a, i symptoms a ti na thei bawk. Chuvang chuan LBBB i vei tih i hriat chuan doctor pan a, a thlentu leh thinlung natna dang i neih leh neih loh hriatchhuah a pawimawh hle.
Hetiang dinhmun hi engtiang chiahin nge a awm? Tuin nge a nei tam zawk?
`LBBB` hi a tam vak lo. American mipui 0.06% leh 0.1% inkar vel a nghawng nia sawi a ni. Engpawhnise,Kum upat deuh deuh hian he natna hi vei theihna a sang chho zel a ni. Kum 35 hnuai lam ah hmuh tur a awm tlem hle a, thinlung natna dang nei te pawhin a tam zawk bawk. Entirnan, heart failure nei zinga 33% vel chuan he `LBBB` natna hi an nei thei a ni. Kum 50 hnuai lam 1% aia tlem loin nei mah se, kum 80 an tlin chuan mi 6% velin an nei thei a ni.
LBBB a lo thanglian chuan a bo dawn em ni?
A tam zawkah chuan LBBB pakhat a lo thanglian tawh chuan a bo vek lo. Chu chu a awm reng thei tihna a ni. Mahse, mi thenkhat chuan an nei reng reng lo. Entirnan, LBBB hi heart rate a san hunah chauh a awm thei a, chu chu exercise lai ang chi hi a ni. Chumi hnuah chuan thil awmdan pangngaia a lo kir leh chuan a bo ta vek a ni.
Incomplete LBBB chu eng nge ni?
"Left Bundle Branch Block tling lo" (LBBB) tih hi i hre tawh mai thei. Hei hian a awmzia chu left bundle chhunga electrical signal te chu a block vek lo va, a then chauh a block tihna a ni. Hei hian nakin lawkah LBBB kimchang tak i neih theihna tur hlauhawmah i awm tihna a ni thei.
Engvangin nge LBBB hi a lo awm? A chhante chu engte nge ni?
A tam zawkah chuan `LBBB` thlentu ber chu thinlung chhiatna engemaw zat a ni. `LBBB` hi hetiang dinhmun avang hian a lo awm thei a ni:
- Lung natna (Myocardial Infarction) nei.
- Coronary Artery Disease - Hei hian thinlunga thisen petu thisen kalna kawng (arteries) a block tihna a ni.
- Heart Failure - Thinlung hian thisen a pump tha thei lo.
- Myocarditis - Lung ruh natna hrik kai.
- Heart Valve Disease - Heart valve a thawk tha lo.
- Thisen sang (Hypertension).
- Cardiomyopathy - Lung ruh chak lo emaw, a thim emaw.
- Thinlung chhiatna pianpui .
Mahse, a chang chuan LBBB hi chhan hriat lohvin a awm thei. Chumi awmzia chu a chang chuan mi hrisel, thinlung lama harsatna dang nei lote zingah a lang thei tihna a ni.
LBBB vei hian eng symptom nge a lantir?
Hei hi mi tam tak mak tih tur a ni. LBBB vei zawng zawng hian symptom an nei vek lo. Mi thenkhat chuan an nei tih pawh an hre lo. Thil dang avanga ECG tih a nih chuan accidentally hmuhchhuah a ni.
Mahse, mi thenkhat chuan symptoms an nei thei. Chutiang hunah chuan:
- Syncope - Hei hian hriatna hloh tihna a ni.
- Presyncope - Lung hah, lu hah, emaw, tlu dawn ang maia inhriatna .
- Heart rate a tlahniam.
Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.
Doctor-te hian engtin nge LBBB hi an hriat chhuah? (Diagnosis) tih a ni.
LBBB i neih leh neih loh hriat theihna tur test ber chu electrocardiogram, emaw ECG emaw a ni. ECG i nei tawh a nih chuan i rilruah sticker te te dahin machine pakhatin thinlung electrical activity chu graph angin a record tih i hre mai thei. He ECG hi en hian doctor-te chuan LBBB i nei em tih chiang takin an hrilh thei che a ni.
I ECG-in LBBB i nei tih a finfiah chuan i doctor chuan test dang engemaw zat a order thei ang. Engati nge? LBBB thlentu leh thinlung natna dang i neih leh neih loh hriat nan. Heng test-ah hian:
- Thisen sang tehna: Thisen sang leh hniam i neih leh neih loh enfiah thin ang che.
- Thisen test: A bik takin cholesterol level enfiah thin.
- `Echocardiogram`, chu chu heart scan a ni: Hei hian thinlung pindan, valve, leh thisen kal dan ang chi thilte a hmu thei a ni.
- Nuclear Cardiac Stress Test : Hei hian coronary artery natna a hriat theih nan a pui a ni.
LBBB enkawl dan tur chu engte nge ni?
Tûnah chuan inenkawlna lam han en teh ang. `LBBB` nei mahse symptoms nei lo, leh thinlung natna dang i neih loh chuan enkawlna engmah i mamawh lo mai thei. I doctor chuan a enkawl ang che, mahse damdawi bik a pe lo mai thei.
Amaherawhchu, harsatna dang, thisen sang ang chi i neih chuan, a nih loh leh heart failure symptoms i neih chuan, chu chu control turin damdawi pek i ni mai thei.
Syncope ang chi symptom i neih chuan i doctor chuan pacemaker hmang turin a rawt mai thei. Pacemaker hi hmanraw te tak te a ni a, surgery hmanga rilru vun hnuaiah, thinlung hnaih takah dah a ni. He device hi thinlungah hian wire hmanga inzawm a ni a, chu chuan thinlung electrical signal a control a, heart beat chu rhythm mumal takah a pui bawk. LBBB leh conduction abnormalities dang nei tan chuan pacemaker hi hman a tha tlangpui.
Heart failure leh LBBB i neih chuan i doctor chuan Cardiac Resynchronization Therapy (CRT) tih damdawi a rawn rawt thei ang. Hei hi pacemaker chi khat bik a ni. Thinlung pindan pahnih (dinglam leh veilam) chu a ruala inzawm tir a, a thawk a ni. CRT hian hahna leh thawk hahna ang chi symptoms te a tihziaawm thei a ni.
LBBB vei theihna tur tihtlem nan eng nge kan tih theih ang?
`LBBB` lo piang chhuak tur hi tihtawp vek theih a ni lo mai thei, a chhan chu a chhan chu a chang chuan hmuh theih a ni lo. Engpawhnise,Hriselna tha tak zawm leh thutlukna fing tak siam hian `LBBB` chauh ni lovin, thinlung natna dang tam tak i vei theihna tur i tihtlem thei a ni. Eng nge an nih?
- Thinlung hrisel ei tur (oil, chi, leh sugar tlem, thei leh thlai tam).
- Exercise neih fo (ni khatah minute 30 vel chauh kal pawh a tha).
- I thisen sang a san chuan control la.
- I taksa rihna hrisel tak vawng reng rawh.
- I cholesterol level control rawh.
- Meizial i zuk chuan bansan turin doctor hnenah tanpuina zawng rawh.
Heng thil tih hian i thinlung hriselna kawngah kawng thui tak a zawh dawn a ni.
LBBB i neih chuan eng nge i beisei theih ang?
I hrisel a, thinlung natna dang i neih loh chuan LBBB hian i hriselna zawng zawngah nghawng lian tham a nei lo mai thei. Nun pangngaiin i nung thei a ni.
Mahse, kum 65 chunglam i nih a, thinlung natna emaw, rilru lam natna dang emaw i neih chuan enkawl loh LBBB chu a na zawk thei. LBBB hi thihna thlentuah ngaih a ni a , a bik takin heart failure nei emaw, heart attack hnua emaw tan chuan thihna thlentuah ngaih a ni. Chuvang chuan doctor ten an buaipui a ni.
Engtikah nge doctor i hmuh ang?
LBBB i vei tih i hriat chuan, natna lan chhuahna thar a lo lang a nih chuan, emaw, natna lan chhuah tawhte a zual chuan doctor pan ngei ngei tur a ni.
Damdawi lam pan nghal tur a ni a, a bik takin a hnuaia mi te hi i neih chuan:
- I rilru na, nuam lo, emaw, tightness emaw i neih chuan.
- I chau hle tih i hriat chuan.
- I hriatna i hloh chuan.
- Thâwk harsa emaw, thawk hah emaw i tih chuan.
Hengte hi emergency a ni thei a, chuvangin tihkhawtlai loh a tha ber.
LBBB chungchang hi doctor hnenah eng nge zawh belh tur?
Doctor i hmuh hunah, thil awmdan hriatthiamna tha zawk neih theih nan hetiang zawhna hi i zawt thei ang:
- Eng enkawl dan nge ka tan a tha ber?
- He `LBBB` hi enkawl hnuah a lo kir leh thei ang em?
- Ka enkawlna hian side effect a nei dawn em?
Zawhna i neih apiang zawh hlau suh. Doctor chu pui turin a rawn kal a ni.
Engtin nge ka hriselna ka enkawl ang?
Doctor thar i hmuh apiangin `LBBB` i nei tih hrilh theihnghilh suh.He information hian i thinlung hriselna leh i hriselna zawng zawng a hriatthiam theih nan a pui ang.
Nangmah emaw, i hmangaih emaw LBBB i vei chuan i doctor nen in nunphung tihchangtlun dan tur tha ber berte sawipui rawh. Symptoms i neih loh chuan enkawlna i mamawh lo mai thei. Symptoms i neih chuan pacemaker emaw CRT emaw hmangin i doctor nen inbia ang che. Symptom thar i neih chuan doctor pan nghal rawh.
A tawp berah chuan take-home message:
`Left Bundle Branch Block (LBBB) tih hming i hriat hian hlauthawng suh.` A tam zawkah chuan, a bik takin i hrisel a nih chuan natna khirh tak a ni lo. Amaherawhchu, i vei tih i hriat chuan doctor pan a, a chhan leh thinlung natna dang i neih leh neih loh hriat a pawimawh.
Doctor thupekte uluk takin zawm la, test dik tak nei la, damdawi dik tak ei la, nun hrisel takin nung rawh. Tichuan he `LBBB` dinhmun pawh hi i hrisel thei ang. Nangmah chauh i ni lo tih hre reng la, tanpui theitu doctor an awm bawk.
Zawhna dang i neih chuan doctor zawh zak suh. A pawimawh ber chu i hriselna chungchang hriattir i ni!
` LBBB, thinlung natna, thinlung block, ECG, pacemaker, thinlung thawk, left bundle branch block
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