Kodi Zizindikiro Zamagetsi za Mtima Wanu Zatsekedwa? Tiyeni Tikambirane za Bifascicular Block - Nirogi Lanka

Kodi mumamvapo mwadzidzidzi mutu wanu ukufooka kapena mukukomoka ? Mwina mwaonapo kugunda kwa mtima wanu kukuchepa kwambiri, mofulumira, kapena kosasinthasintha. Mwina mukudziwa wina amene adakumanapo ndi zizindikirozi. Nthawi zina, izi zimachitika chifukwa cha kusokonezeka pang'ono kwa magetsi a mtima wanu—monga momwe mawaya amalumikizirana m'nyumba. Makamaka, tikukambirana za vuto lotchedwa Bifascicular Block , pomwe zizindikiro zamagetsi zimachedwetsedwa kapena kutsekedwa m'njira ziwiri zazikulu zitatu za netiweki yamagetsi ya mtima wanu.

Kodi Bifascicular Block ndi chiyani? Tiyeni tiifotokoze mwachidule.

Mwachidule, `(Bifascicular Block)` ndi mtundu winawake wa mtima wotseka magazi. Kuti mtima wanu upompe magazi bwino, umafunika zizindikiro zamagetsi zoyenda bwino m'njira zapadera zotchedwa "nthambi za bundle" - ganizirani izi ngati zingwe zazikulu zamagetsi zomwe zimayendetsa magetsi m'nyumba mwanu.

Tangoganizirani kuti mtima wanu uli ndi njira zitatu zazikulu zoperekera zizindikiro zamagetsi izi. Mu `(Bifascicular Block)`, njira ziwiri mwa zitatuzi zimatsekeka pang'ono kapena kwathunthu. "Bi" amatanthauza "ziwiri," ndipo "fascicle" amatanthauza ulusi wa minofu womwe umapanga nthambi izi. Chifukwa chizindikiro chopita ku zipinda zapansi za mtima wanu—`(ventricles)`—chimachedwa kapena chotsekeka, kamvekedwe ka mtima wanu ndi mphamvu yake yopopera zimatha kukhudzidwa.

Madokotala amaika izi ngati "kutsekeka kwa mtima kosakwanira." Zingayambitsidwe ndi matenda a mtima obadwa nawo kapena matenda ena amtima omwe ali pansi pake. Ngakhale kuti anthu ena sangakhale ndi zizindikiro konse, omwe ali ndi zizindikiro zazikulu kapena kutsekeka kwa mtima kwambiri amafunika kuwunika ndi kulandira chithandizo kuchokera kwa akatswiri a Nirogi Lanka.

Kodi ma fascicle awa ali kuti mumtima mwanu?

Monga mukudziwira, mtima wanu uli ndi zipinda zinayi. Zipinda ziwiri zapamwamba ndi `(atria)`, ndipo zipinda ziwiri zapansi ndi `(ventricles)`. Zipinda zimenezi ziyenera kugwirizanitsa kupindika kwawo kuti magazi aziyenda bwino m'thupi lanu lonse.

`(Bifascicular Block)` imakhudza makamaka kayendetsedwe ka magetsi ku `(ventricles)`.

• Ventricular yakumanja: Ili kumunsi kumanja, chipinda ichi chimapopera magazi osowa mpweya kupita ku mapapo. Chimaperekedwa ndi njira imodzi yayikulu yamagetsi: nthambi yakumanja .
• Ventilasi yakumanzere : Ichi ndi chipinda champhamvu kwambiri chopopera. Chimatumiza magazi olemera mu mpweya kudzera mu mtsempha wamagazi kupita ku thupi lonse. Dongosolo lake lamagetsi limapangidwa ndi ma fascicle awiri oyambira: gawo lakumanzere la anterior ndi gawo lakumanzere la posterior fascicle . Pamodzi, amapanga nthambi ya kumanzere ya bundle , yomwe imagawikanso kukhala mamiliyoni ang'onoang'ono a `(Purkinje ulusi)`.

Kodi Ma Block a Mtima ndi Ma Bundle Branch Blocks ndi Chiyani?

`(Heart Block)` imachitika pamene pali kusokonezeka kwa `(conduction system)` ya mtima. Izi zimayambitsa kuchedwa kwa kutumiza kwa ma signal, zomwe zimapangitsa kuti mtima usayende bwino. Zimakhudza mwachindunji kugunda kwa mtima wanu, kugunda kwa mtima , komanso momwe magazi amapopedwera bwino.

Ngakhale kuti `(Heart Block)` ndi `(Atrioventricular Block / AV Block)` nthawi zambiri amagwiritsidwa ntchito mosinthana, `(Bundle Branch Block)` ndi mtundu winawake womwe kutsekeka kumachitika mkati mwa ma bundle omwe atchulidwawo.

Kodi magetsi a mtima wanu amagwira ntchito bwanji? Ndi chinthu chosangalatsa kwambiri!

Mtima wanu umadalira makina olumikizirana amkati omwe amagwira ntchito bwino kwambiri:

1. Chizindikirocho chimachokera ku `(SA node)` mu atrium yakumanja, yomwe imadziwika kuti `(pacemaker)` yachilengedwe ya mtima.

2. Chizindikiro chimayenda kudutsa `(atria)` kupita ku `(AV node)`.

3. Kuchokera ku `(AV node)`, imalowa mu `(Bundle of His)`.

4. Kenako njirayo imagawanika kukhala nthambi za kumanja ndi kumanzere, kenako n’kufika ku `(ulusi wa Purkinje)` mu `(ma ventricles)`.

5. Akalandira zizindikirozi, `(ma ventricles)` amachepa, kupopa magazi asanayambe kubwereza nthawi yomweyo.

Njira yonseyi imachitika mu gawo la sekondi imodzi, motsatira rhythm komanso mosalekeza.

Kodi pali mitundu yosiyanasiyana ya Heart Blocks?

Inde, madokotala amagawa `(AV blocks)` kutengera kuopsa kwake:

• Kutseka kwa digiri yoyamba: Chizindikiro chamagetsi chimachedwa pamene chikuyenda kuchokera ku atria kupita ku ventricles. Nthawi zambiri, palibe zizindikiro, ndipo chithandizo sichifunika kawirikawiri.
• Kutseka kwa digiri yachiwiri: Zizindikiro zina zamagetsi zimafika m'ma ventricles. Izi zingayambitse kugunda kwa mtima pang'onopang'ono kwa `( bradycardia )` kapena `(arrhythmia)` kosakhazikika. Ngati zizindikiro zikuvutitsa, chithandizo chamankhwala ndichofunikira.
• Kutsekeka kwa digiri yachitatu: Kumatchedwanso kuti "kutsekeka kwa mtima kwathunthu." Zipinda zapamwamba ndi zapansi zimasiya kulankhulana kwathunthu, chilichonse chikugunda pa liwiro lake. Izi ndi zadzidzidzi zachipatala zomwe zimafuna `(pacemaker)`. `(Bifascicular block)` nthawi zina imatha kupita ku mkhalidwe uwu.

Kodi pali mitundu yosiyanasiyana ya Bifascicular Blocks?

Inde, pali njira zingapo zodziwika bwino:

• Chipilala cha nthambi cha mtolo wakumanja chophatikizidwa ndi chipilala cha kutsogolo kwa fascicular chakumanzere.
• Chipilala cha nthambi chamanja chophatikizidwa ndi chipilala chakumanzere chakumbuyo kwa fascicular.
• Nthawi zina, nthambi ya mtolo wakumanzere imatsekedwa kwathunthu (kutanthauza kuti mbali zonse ziwiri za anterior ndi posterior fascicles zimakhudzidwa, pomwe nthambi ya mtolo wakumanja imakhalabe yogwira ntchito).

Kodi vutoli ndi lofala bwanji?

Kafukufuku akusonyeza kuti pafupifupi 1.5% ya anthu omwe akuchitidwa opaleshoni ya `( ECG )` amapezeka kuti ali ndi `(Bifascicular Block)`. Ngati mukumva kupweteka pachifuwa, kukomoka, kapena chizungulire chachikulu, chonde funsani ogwira ntchito zadzidzidzi kapena pitani ku chipinda chadzidzidzi chapafupi nthawi yomweyo.

Kodi N’chiyani Chimayambitsa Mphepete mwa Mitsempha Yogawanika M’magawo Awiri? Kumvetsetsa Zinthu Zimene Zimayambitsa Mphepete mwa Mitsempha Yogawanika M’magawo Awiri

Nthawi zambiri, kutsekeka kwa magawo awiri a mtima kumalumikizidwa ndi matenda a mtima obadwa nawo, zomwe zikutanthauza kuti munabadwa ndi kusiyana kwa kapangidwe ka mtima wanu. Ngakhale kuti matendawa amapezeka kuyambira kubadwa, sangawonetse zizindikiro mpaka mutakula kapena muli ndi zaka zapakati. Mukakula , chiopsezo chokhala ndi kuchedwa kwa kayendedwe ka mtima chimawonjezekanso.

Nthawi zina, vutoli likhoza kutengera chifukwa cha kusintha kwa majini, komwe nthawi zambiri kumatchedwa progressive familial heart block. Kusintha kwa majini kumeneku kungayambitse kukula kwa minofu ya zipsera.(fibrosis) kapena calcium deposits (calcification) mkati mwa njira zamagetsi za mtima, zomwe zimapangitsa kuti pakhale kutsekeka.

Kuphatikiza apo, kuwonongeka kwa mtima kungayambitse kutsekeka kwa magawo awiri a mtima. Zomwe zimayambitsa matendawa ndi izi:

• Kudwala kwa mtima komwe kunachitika kale (myocardial infarction).
• Matenda ena a mtima ndi mitsempha yamagazi .
• Matenda a mtima .
• Kuchuluka kwa potaziyamu m'magazi anu (hyperkalemia).

Zizindikiro za Bifascicular Block: Kodi Mukukumana ndi Zizindikiro Izi?

Kutsekeka kwa mtima kosakwanira (koyamba kapena kwachiwiri) nthawi zambiri sikungakhale ndi zizindikiro zilizonse. Zizindikiro zikayamba, chizindikiro chodziwika bwino cha matenda ndi kukomoka kosamvetsetseka (syncope). Izi zimachitika pamene mtima ukugunda pang'onopang'ono (bradycardia) kapena mosakhazikika (arrhythmia), zomwe zimalepheretsa magazi okwanira kufika muubongo wanu.

Nthawi zina, kutsekeka kwa mtima kwa magawo awiri kumatha kupitirira mpaka kutsekeka kwathunthu (kwa digiri yachitatu). Ngati mukukumana ndi zizindikiro zotsatirazi, kufunafuna chithandizo chamankhwala mwachangu ndikofunikira :

• Kupweteka pachifuwa kapena kupanikizika (angina).
• Kumva mutu wopepuka kapena chizungulire.
• Kutopa kosalekeza komanso kosaneneka.
• Kumva kugunda kwa mtima kosakhazikika kapena kogunda (kugunda kwa mtima).
• Kusanza.
• Kuvuta kupuma (kupuma movutikira).

Kodi Ndi Mavuto Otani Amene Angabwere?

Kutsekeka kwa mtima kungalepheretse mtima wanu kupopa magazi bwino. Ngati kutsekeka kwa mtima wa bifascicular kupitirira kufika pa kutsekeka kwathunthu kwa digiri yachitatu, kungayambitse mavuto aakulu komanso oopsa, kuphatikizapo:

• Arrhythmia (kugunda kwa mtima kosasinthasintha).
• Matenda amtima.
• Kulephera kwa mtima.
• Kulephera kwa mtima mwadzidzidzi.

Musachite mantha! Mavuto amenewa sachitika kwa aliyense. Ndi chithandizo choyenera chamankhwala ndi chithandizo kuchokera kwa akatswiri a ku Nirogi Lanka, zoopsa zanu zitha kuchepetsedwa kwambiri.

Kodi Bifascicular Block imazindikiritsidwa bwanji?

Chida chachikulu chodziwira matenda ndi Electrocardiogram (ECG/EKG) . Kuyesa kosavuta kumeneku, kosapweteka, kwa mphindi 15 kumalemba momwe mtima wanu umagwirira ntchito.

Dokotala wanu adzaika masensa ang'onoang'ono omatira (ma electrode) pachifuwa panu, m'manja, ndi m'miyendo. Izi zimalumikizidwa ku makina a ECG, omwe amajambula kamvekedwe ka magetsi a mtima wanu. Dziwani kuti palibe magetsi omwe amatumizidwa m'thupi lanu; chipangizocho chimangolemba zizindikiro zamagetsi zomwe mtima wanu umatulutsa. Chithunzichi chimalola dokotala wanu kuzindikira komwe zizindikiro zamagetsi zikutsekedwa kapena kuchedwa.

Ndi mankhwala ati omwe alipo?

Ngati muli ndi vuto la mtima lomwe silikuoneka bwino koma simukuonetsa zizindikiro zilizonse, chithandizo chamankhwala sichingafunike. Komabe, dokotala wanu adzayang'anira thanzi la mtima wanu mosamala, mwina kudzera mu ECG yobwerezabwereza kuti aone ngati pali vuto lililonse la mtima lomwe lingachitike.

Ngati mukukumana ndi zizindikiro monga kukomoka kapena kusinthasintha kwa mtima kosalekeza, dokotala wanu angakulangizeni njira yowongolera kugunda kwa mtima wanu pogwiritsa ntchito chimodzi mwa izi:

• Zipangizo zolimbitsa mtima: Zipangizo zazing'onozi zimatumiza zizindikiro zamagetsi kumtima wanu kuti zithandize kuti nyimboyo ikhale yolimba komanso yathanzi.
• Ma Implantable Cardioverter Defibrillators (ICDs): Izi zimagwira ntchito ngati pacemakers komanso zimayang'anira ma arrhythmias omwe angawopseze moyo. Ngati atapezeka, ICD imapereka kugunda kwamagetsi kochepa, kokonzanso kuti abwezeretse kugunda kwa mtima kwabwinobwino, makamaka ngati chitetezo ku kulephera kwa mtima mwadzidzidzi.

Zipangizozi zimayikidwa ndi katswiri wa zamagetsi a mtima.

Kodi Mungapewe Kutsekeka kwa Bifascicular Block?

Zinthu zambiri zomwe zimayambitsa kutsekeka kwa mtima, monga mavuto obadwa nawo kapena ukalamba wachilengedwe, sizingapeweke. Komabe, nthawi zonse mutha kuchitapo kanthu kuti mukhale ndi thanzi labwino la mtima ndikuchepetsa zoopsa zanu. Izi zikuphatikizapo:

• Ngati mukusuta, chonde funsani thandizo kuti musiye. Ndikofunikanso kudziteteza ku utsi wosuta womwe umachotsedwa ndi anthu ena.
• Yang'anani kwambiri pa zakudya zabwino zomwe zimalimbitsa mtima wanu ndipo phatikizani masewera olimbitsa thupi tsiku ndi tsiku muzochita zanu.
• Chepetsani kumwa mowa.
• Khalani ndi mphamvu zowongolera bwino matenda omwe angakuvutitseni mtima, monga kuthamanga kwa magazi, matenda a shuga, ndi cholesterol yambiri.
• Pezani njira zabwino komanso zokhazikika zothanirana ndi nkhawa zanu.
• Yesetsani kukhala ndi kulemera koyenera.

Ngakhale njira izi sizingalepheretse Bifascicular Block kwathunthu, ndizofunikira kwambiri pakusunga thanzi labwino la mtima.

Kodi mungakhale ndi vutoli? Kodi chiyembekezo chili bwanji?

Anthu ambiri omwe ali ndi Bifascicular Block safuna chithandizo. Ngakhale chithandizo chikakhala chofunikira, zizindikiro nthawi zambiri zimatha bwino akaika pacemaker.

Ndi chithandizo choyenera chamankhwala, mwayi woti vutoli lipitirire mpaka kutsekeka kwathunthu kwa mtima ndi wochepa kwambiri. Ndipotu, kugunda kwa mtima kosakhazikika komanso kosachiritsika (arrhythmia) kumabweretsa chiopsezo chachikulu kuposa kutsekeka komweko. Chifukwa chake, kufunafuna upangiri wachipatala panthawi yake komanso kutsatira chithandizo choperekedwa ndi dokotala ndiye gawo lofunika kwambiri lomwe mungachite.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukukumana ndi zizindikiro zotsatirazi, chonde pitani kuchipatala nthawi yomweyo kapena funsani ogwira ntchito zadzidzidzi (911):

• Kutopa kwambiri.
• Kugunda kwa mtima kosakhazikika kapena kugunda kwa mtima kosakhazikika.
• Kupweteka kwambiri pachifuwa.
• Kupuma movutikira.
• Zizindikiro za matenda a mtima (monga kupanikizika kwakukulu pakati pa chifuwa komwe kumafika pa mkono).
• Kusanza kosamveka bwino.

Mafunso ofunikira oti mufunse dokotala wanu

Mukapita kwa dokotala, mungafune kufunsa mafunso awa:

• N’chifukwa chiyani ndinapanga Bifascicular Block iyi?
• Ndi njira ziti zomwe ndiyenera kuchita kuti ndichepetse chiopsezo cha matenda a mtima kapena matenda ena a mtima?
• Kodi ndikufunika pacemaker kapena ICD?
• Kodi zoopsa zomwe zingachitike mukalandira pacemaker kapena ICD ndi ziti?
• Kodi pali mavuto enaake omwe ndiyenera kuwasamala? Kodi zizindikiro zimenezo ndi ziti?

Kufunsa mafunso awa kudzakuthandizani kumvetsetsa bwino za matenda anu ndikutsimikiza kuti mwamvetsetsa bwino zomwe mungachite.

Maganizo Omaliza: Zimene Muyenera Kukumbukira

Kutseka kwa Bifascicular kumatanthauza kusokonezeka kwa njira ziwiri zazikulu zomwe zimayendetsa maginito amagetsi kudzera mumtima. Izi zitha kusintha kayimbidwe ka mtima wanu komanso momwe magazi amayendera. Ngakhale anthu ena angakhale opanda zizindikiro, ena akhoza kukhala ndi zizindikiro monga kukomoka.

Chofunika kwambiri ndikukhala chete ndikutsatira upangiri wa akatswiri azachipatala. Vutoli lingathe kuzindikirika mosavuta kudzera mu mayeso osavuta monga ECG. Ngati pakufunika, lingathe kuthetsedwa bwino kudzera mu chithandizo monga pacemaker. Samalirani mtima wanu, khalani ndi moyo wathanzi, ndipo mutha kukhala ndi moyo wabwino. Ndi Nirogi Lanka, muli m'manja abwino.