ECG khan RBBB (Right Bundle Branch Block) a ti em? Lungngai suh, hei hi eng nge a nih chiang takin i zawng chhuak ang u!

Damdawi lam checkup i neih laiin ECG i la tawh mai thei a, chu chu natna dang avanga doctor pan tura i kal lai te, hna thar i thawh lai te pawh a ni thei. Chu ECG report-a ‘Right Bundle Branch Block’, a nih loh leh RBBB tih ziakna note i hmuh chuan i lungkham deuh a, i hlau deuh pawh a ni mai thei. "Aw ka Pathian, ka thinlungah hian thil pawi tak a awm em?" Chutiang thumal hriat loh i hmuh chuan chutianga ngaihtuah chu thil pangngai a ni. Mahse i hlauthawng hmain hei hi chiang tak leh awlsam takin i hrethiam ang u. A tam zawkah chuan hei hi i ngaihtuah angin a pawi lo.

A awlsam zawngin, Right Bundle Branch Block (RBBB) hi eng nge ni?

Hei hi hrethiam tur chuan kan thinlung hnathawh dan hi han thlir hmasa ila. I thinlung chu in te tak te, pindan pali nei ang maiin han mitthla teh. He in chhungah hian light a eng theih nan leh fan a kal theih nan electrical supply, a nih loh leh ‘current’ a awm a ngai a ni. Chutiang bawkin kan thinlung hian a thawk tha thei tur electrical system a nei a.

He electrical signal hi thinlung chunglam ‘master switch’ atanga tan a ni. `(Sinoatrial node)` emaw SA node emaw kan ti a. Chuta tang chuan electrical signal chu thinlung (atria) chunglam chamber pahnih kal tlangin ‘junction box’ `(Atrioventricular node)` emaw AV node emaw an tihah a thleng a ni.

He junction box atang hian electrical signal chu main wire pahnih ah a inthen a, chu chu thinlung hnuai lama main chamber pahnih (ventricles) ah a kal a ni. Heng wire pahnih hi ‘bundle branch’ kan tih chu an ni. Pakhat chu dinglam chamber (right bundle branch)-ah a kal a, pakhat chu veilam chamber (left bundle branch)-ah a kal bawk.

A tlangpuiin thil thleng tur chu heng wire pahnih hi electrical signal hi speed inang leh a rualin a kal a, chu chuan thinlung hnuai lam chamber pahnih chu a inzawm khawm (beat) ta a ni.

Mahse, Right Bundle Branch Block (RBBB) nei mi pakhatah chuan dinglam panna ‘wire’ chu a block deuh a, signal speed a tlahniam deuh bawk. Wire hluiah chuan ‘current’ chu a luang zawi lutuk ang mai a ni. Chuvang chuan veilam ventricle aiin right ventricle hian signal a dawng tlai deuh a ni. Chuvang chuan veilam ventricle a beat hnuah second fraction tlemte chauh right ventricle chu a beat thin.

RBBB hi chi hnih lian tak a awm a. Signal a tlai lutuk chuan ‘Complete RBBB’ an ti a, a tlai deuh chauh a nih chuan ‘Incomplete RBBB’ an ti bawk. RBBB tling lo hi RBBB kimchang angin a na lo tlangpui.

He dinhmun hi tuin nge hmu tam ber?

Hei hi tu chungah pawh a thleng thei. Mi hrisel, natna nei lo pawhin RBBB an nei thei. Mahse, kan tar chhoh zel chuan he natna hi a tam zawk. In hluiah hian wiring a chak lo deuh thei ang bawkin thinlunga electrical system pawh kan upat deuh deuh chuan a slow deuh thei bawk.

Research atanga a lan dan chuan kum 80 an tlin chuan mi 100 zinga 11 vel (or 11%) chuan he RBBB natna hi an nei ang. Chuvangin chutiang chuan a tlem lo tih i hmu thei.

RBBB natna lan chhuah dan chu engte nge ni?

Hei hi hriat tur pawimawh leh thlamuanthlak ber a ni. Mi tam zawk tan chuan symptoms a awm lo. RBBB i nei tih pawh i hre lo mai thei. Chhan dang avanga ECG tih a nih hma chuan hmuhchhuah a ni lo mai thei. RBBB vang chauh hian rilru na, thawk hah, muthilh i nei lovang.

Hei hian a awmzia chu heng symptoms te hi i neih chuan RBBB vang ni lovin, underlying medical condition dang vang a ni thei tihna a ni. Chuvangin chutiang symptoms i neih chuan doctor pan ngei ngei tur a ni.

RBBB awm chhante chu engte nge ni?

RBBB hi mi hriselteah chhan hriat lohvin a awm thei a, mahse damdawi lam thil thenkhat leh thil dang vang pawh a ni thei bawk. A chhan ber thenkhat han thlir ila.

Engtin nge doctor hian hei hi a hriatchhuah a, a nemnghet?

RBBB hi ECG, a nih loh leh Electrocardiogram hmanga hmuhchhuah a ni tlangpui. He test hian i rilru, i kut leh keah stickers i bun a, i thinlung electrical activity a record a ni. Doctor tawnhriat ngah tak chuan he ECG pattern hi en hian awlsam takin RBBB i nei tih a hre thei ang.

Mahse, doctor chu chutah chuan a tawp lo. RBBB ang chi ECG pattern lantir thei dinhmun dang engemaw zat, a na zawk pawh a ni thei. Chuvangin doctor chuan i ECG chu uluk takin a enfiah ang a, heng natna te hi i nei lo tih a chiang ang.

Chutiang dinhmun thenkhat chu hetiang hi a ni:

• Ventricular Tachycardia: He natna khirh tak, thinlung hnuai lam (lower chambers) te chu a thawk chak em em thin.
• Brugada Syndrome: Genetic condition a ni a, cardiac arrest nghal thei a ni.
• Incomplete Left Bundle Branch Block: A veilam a signal pathway a block kim lo, dinglam ang bawkin.

Chuvangin, i ECG report-ah RBBB tih ziak pawh ni se, chutiang chungchanga thutlukna hnuhnung ber leh thurawn chu i enfiahtu doctor-in a pe tur a ni.

RBBB hian enkawl a ngai em?

Hetah hian chanchin lawmawm tak a awm bawk.

I taksaah birthmark ang mai a ni. A awm a, mahse a tibuai lo che. Doctor chuan kum khatah vawi khat lo lut la, ECG nei turin a hrilh mai thei che a, danglamna a awm leh awm loh en turin. Chumi piah lamah chuan damdawi dang leh surgery dang a ngai lo.

Mahse, thinlung natna dang (a chunga a chhan table-a tarlan ang chi) avanga RBBB i neih chuan RBBB hi enkawl a ni lo. A hnuaia awm chu enkawl a ni. Entirnan, thisen sang avanga i thinlung a lian a, RBBB hi he natna avanga lo awm a nih chuan a enkawl dan tur chu i thisen sang control nan a ni. Heart attack avanga lo awm a nih chuan enkawl chhunzawm zel tur a ni.

RBBB nei mi pakhat hmalam hun chu eng nge ni? Hlauh tur a awm em?

He zawhna chhanna hi thinlung natna dang i neih leh neih lohah a innghat a ni. Chu case pahnih chu a hranin han thlir ila.

1. Lung natna dang i neih loh chuan (Otherwise healthy) .

Hetih lai hian RBBB hi ngaihtuahawm a ni lo. I dam chhung a ti tawi lo va, heart attack neih theihna a tipung lo bawk. I thinlung electrical system-a ‘quirk’ te tak te, a nih loh leh thil danglam bik tak mai a ni. I nun pangngai chu harsatna awm lovin i kal thei a ni.

2. Lung lam natna dang i neih chuan (e.g. Heart Failure, Heart Attack hnua) .

Chutiang hunah chuan RBBB hi ngaihtuah tur a ni. Hei hian RBBB vangin i dinhmun a chhe zawk tihna a ni lo. Mahse, RBBB neih hian i thinlung chu harsatna engemaw chen hnuaiah a awm tih a tilang a, a hnathawh pawh a chak lo deuh tih a tilang bawk. Chuvangin, RBBB hi hetiang heart condition hnuaia awm nen hian a inzawm chuan nakin lawkah harsatna awm thei hi a sang deuh thei a ni.

Chuvangin chutiang damlote tan chuan an doctor-in an thinlung natna ber enkawlna a pek chu tlakchhamna awm lovin zawm a pawimawh hle a ni An damdawi ei a hun taka ei te, ei leh in thunun te, exercise tha taka tih te hi an tih a ngai a ni.

Vawikhat RBBB siam a nih chuan a bo tawh lo. A dinhmun nghet tak a ni.

Engtik hunah nge Doctor ka hmuh ang a, fimkhur ang?

RBBB i vei tih i hriat chuan doctor nen inbiak reng a tha.

• Regular appointment: Damdawi dang i neih loh pawhin i doctor-in a rawt hun chhung (e.g. kum khatah vawi khat) checkup turin kal rawh. Lung lam natna dang i neih chuan chutiang clinic-ah chuan kal ngei ngei tur a ni.
• Symptom thar: Tun hmaa i la neih ngai loh, i rilru na, thawk hah, i ke a hring, emaw, muhil emaw i neih chuan doctor pan nghal tur a ni.
• Rikrum:I rilru natna tuar theih loh i nei a, chu natna chu i kut veilam, i kawr, a nih loh leh i hmuiah a chhuak a, i thawmhnaw a chhuak nasa hle a, thawk pawh i thawk harsa hle tih han ngaihtuah teh. Chungte chu heart attack chhinchhiahna a ni thei. Chutiang a nih chuan tihkhawtlai suh. Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.

I doctor zawh tur zawhna pawimawh

I ECG report-ah RBBB tih a awm a nih chuan, i doctor i hmuh hunah heng zawhnate hi zawh hian chiang zawka i hriat theih nan a pui thei che a ni.

• "Doctor, he RBBB condition ka neih chhan bik a awm em?"
• "Hemi avang hian ka nitin nunah hian inthlak danglamna ka neih a ngai em? Diet, exercise, etc.-ah te?"
• "Engtiang chiahin nge ka rawn let leh ang a, ka check ang?"
• (Thinlung natna dang i neih chuan) "Ka thinlung natna dangte nen hian he RBBB hi ka neih theihna tur risk a sang zawk em? Engtin nge ka tih ang?"