Kodi zizindikiro zamagetsi za mtima wanu nazonso zatsekedwa? Tiyeni tikambirane za Bifascicular Block!

Kodi nthawi zina mwadzidzidzi mumakhala ndi maso abuluu ndikumva chizungulire ? Kapena mumamva ngati mtima wanu ukugunda mofulumira kwambiri kapena pang'onopang'ono kwambiri? Mwina winawake amene mumamudziwa wakumanapo ndi vuto lotere. Nthawi zina izi zimatha kuchitika chifukwa cha kusokonezeka pang'ono mu dongosolo lamagetsi la mtima wathu, monga momwe zimakhalira ndi makina olumikizira magetsi m'nyumba. Lero, tikambirana za vuto lapadera lomwe chizindikiro chamagetsi chimayenda pang'onopang'ono kapena chimasokonezedwa pafupifupi magawo awiri mwa atatu a njira zazikulu mu dongosolo lamagetsi la mtima - lomwe limatchedwa (Bifascicular Block) .

Kodi ichi (Bifascicular Block) n'chiyani? Tiyeni timvetse mosavuta?

Mwachidule, `(Bifascicular Block)` ndi mtundu wa mtima wotseka. Kuti mtima wathu ugwire ntchito ngati pampu, umafunika kulandira zizindikiro zamagetsi mwadongosolo. Zizindikiro zamagetsi izi zimayenda m'njira zapadera mumtima. Timatcha njirazi kuti `bundle branches``. Zili ngati mawaya m'nyumba omwe amafunika kuyatsa magetsi.

Tangoganizani kuti pali njira zitatu zazikulu mumtima mwathu zomwe zimanyamula mauthenga amagetsi awa. Mu ``Bifascicular Block``, zizindikiro zamagetsi zimayenda pang'onopang'ono kwambiri kapena zimasokonezedwa m'njira ziwiri mwa zitatuzi. "Bi" amatanthauza "ziwiri". "Fascicle" amatanthauza nthambi za minofu ya mtima. Chifukwa chake, pamene pali kutsekeka m'njira ziwiri mwa izi, zizindikiro zamagetsi zimatumizidwa mochedwa pang'ono ku zipinda zapansi za mtima ("ventricles``). Izi zitha kusintha kamvekedwe ka mtima ndi momwe umapopera magazi.

Madokotala amatcha izi kuti “kutsekeka kwa mtima kosakwanira.” Vutoli lingayambitsidwe ndi matenda a mtima obadwa nawo kapena matenda ena a mtima. Nthawi zina, zizindikiro zimatha. Komabe, vuto lalikulu la Bifascicular Block lomwe limayambitsa zizindikiro lingafunike chithandizo.

Kodi ma fascicle awa ali kuti mumtima mwathu?

Mukudziwa kuti mtima wathu uli ndi zipinda zazikulu zinayi. Zipinda ziwiri zapamwamba zimatchedwa atria, ndipo zipinda ziwiri zapansi zimatchedwa ventricles. Zipinda zimenezi zimapindika ndikufutukuka mwanjira yolamulidwa kuti zipope magazi m'thupi lonse.

Kutsekeka kwa bifascicular kumakhudza zipinda zapansi izi, kapena ma ventricle.

• Ventilasi yakumanja: Iyi ili pansi pa dzanja lamanja la mtima. Ndi yomwe imatenga magazi ndikutumiza ku mapapo kuti ikatenge mpweya. Ventilasi yakumanja iyi ili ndi njira imodzi yokha yamagetsi (fascicle) - ndiyoNthambi ya mtolo wakumanja .
• Ventilasi yakumanzere : Iyi ili kumanzere kwa mtima. Ndi chipinda chachikulu komanso champhamvu kwambiri chomwe chimapopera mpweya mumtima. Chimatenga magazi okhala ndi mpweya ndikupopera kupita ku thupi lonse kudzera mu mtsempha wamagazi . Ventilasi yakumanzere ili ndi njira ziwiri zazikulu zamagetsi: kumanzere kwa anterior fascicle ndi kumanzere kwa posterior fascicle . Pamodzi, ziwirizi zimapanga nthambi yakumanzere. Izi zimagawikananso kukhala ulusi waung'ono wambiri wotchedwa Purkinje fibers.

Kodi Heart Block ndi Bundle Branch Block ndi chiyani?

Kutsekeka kwa mtima kumachitika pamene pali vuto ndi dongosolo lamagetsi la mtima. Izi zimapangitsa kuti zizindikiro zamagetsi zichedwe kutumizidwa pakati pa zipinda za mtima. Zotsatira zake, zipinda za mtima zimachepa chifukwa cha kugunda kwa mtima. Izi zimakhudza kuyenda kwa magazi mumtima, kugunda kwa mtima, komanso kugunda kwa mtima.

`(Heart Block)` ndi `(Atrioventricular Block / AV Block)` ndi mkhalidwe womwewo. `(Bundle Branch Block)` ndi mtundu wa `(Heart Block).` Zimachitika pamene pali kutsekeka mu nthambi imodzi mwa nthambi zomwe takambirana.

Kodi magetsi omwe ali mumtima mwathu amagwira ntchito bwanji? Ndi zodabwitsa, sichoncho?

Tangoganizani kuti mkati mwa mtima muli makina olumikizirana ovuta kwambiri, koma okonzedwa bwino kwambiri. Umu ndi momwe chizindikiro chamagetsichi chimayendera:

1. Chizindikirocho chimayamba pamalo apadera mu atrium yapamwamba ya mtima yotchedwa SA node. Ichi ndi chida chachilengedwe chothandizira mtima kugwira ntchito.

2. Chizindikiro ichi chimadutsa mu atria ndipo chimafika pamalo ena apadera otchedwa AV node.

3. Pambuyo pa node ya AV, chizindikirocho chimalowa munjira yotchedwa bundle of His.

4. Kuchokera pamenepo, imagawikana kukhala nthambi ya bundle yakumanja ndi nthambi ya bundle yakumanzere, ndipo pamapeto pake imapita ku ulusi wofewa wotchedwa ``Purkinje fibers`` m'maselo ``ventricles``.

5. Chizindikiro ichi chikalandiridwa, ma ventricle amakoka ndikupopa magazi. Kenako njirayi imayambanso kuyambira pachiyambi.

Zonsezi zimachitika mkati mwa masekondi ochepa, modabwitsa mokwanira, sichoncho?

Kodi pali mitundu ya ma block a mtima?

Inde, madokotala amagawa ma block a mtima awa (AV blocks) malinga ndi kuuma kwawo:

• Kutseka kwa digiri yoyamba: Uku ndi kuchedwa pang'ono kwa zizindikiro zamagetsi kuchokera ku atria kupita ku ventricles. Komabe, mtundu uwu wa kutseka sikungayambitse zizindikiro zambiri ndipo nthawi zambiri sumafuna chithandizo.
• Kutseka kwa digiri yachiwiri: Apa ndi pomwe zizindikiro zina zamagetsi, koma osati zonse, zimatsekedwa kuti zisafike m'maselo. Izi zingayambitse kugunda kwa mtima pang'onopang'ono ( bradycardia ) kapena kugunda kwa mtima kosakhazikika (arrhythmia). Ngati izi ndi zoopsa kapena zimayambitsa zizindikiro zovutitsa, chithandizo chingafunike.
• Kutsekeka kwa digiri yachitatu: Izi zimatchedwanso "kutsekeka kwa mtima kwathunthu." Apa, palibe kugwirizana pakati pa kugwira ntchito kwa atria ndi ma ventricles. Izi zikutanthauza kuti zipinda zapamwamba zimagwira ntchito momwe ziyenera kukhalira, ndipo zipinda zapansi zimagwira ntchito momwe ziyenera kukhalira. Pa vutoli, pacemaker iyenera kuyikidwa. Ngati "kutsekeka kwa bifascicular" kwakula, vutoli likhoza kukulirakulira.

Kodi pali mitundu yosiyanasiyana ya Bifascicular Block?

Inde, pali mitundu yosiyanasiyana ya `(Bifascicular Block)`. Yodziwika kwambiri ndi iyi:

• Chipika cha nthambi cha mtolo wakumanja ndi chipika cha kutsogolo kwa fascicular chakumanzere.
• Komanso, pakhoza kukhala nthambi yolumikizidwa kumanja ndi nthambi yolumikizidwa kumanzere kumbuyo.
• Nthawi zina, nthambi ya mtolo wakumanzere imatha kutsekedwa kwathunthu (kutanthauza kuti mbali zonse ziwiri zakumanzere zakutsogolo ndi zakumbuyo za mtolo zimatsekedwa, koma nthambi ya mtolo wakumanja imakhala yotetezeka).

Kodi vutoli ndi lofala bwanji?

Bifascicular Block imapezeka mwa anthu pafupifupi 1.5% omwe amachitidwa ECG . Izi sizikutanthauza kuti ndi yosowa kwambiri.

N’chifukwa chiyani izi (Bifascicular Block) zimachitika? Kodi zimayambitsa chiyani?

Matenda a mtima ozungulira ziwalo ziwiri nthawi zambiri amayamba chifukwa cha matenda a mtima obadwa nawo. Izi zikutanthauza kuti munthu amabadwa ndi kusintha kwina kwa kapangidwe ka mtima. Nthawi zina, zizindikiro za matenda a mtima obadwa nawowa zingawonekere mochedwa, mwina ali aang'ono kapena apakatikati. Chiwopsezo cha matenda a mtima ozungulira ziwalo ziwiri chimawonjezekanso ndi ukalamba .

Kawirikawiri, vutoli lingayambitsidwenso ndi kusintha kwa majini (mutation) komwe kumadutsa kuchokera ku banja kupita ku banja. Izi zimatchedwa progressive familial heart block. Kusintha kwa majini kumeneku kungayambitse minofu ya zipsera (fibrosis) kapena calcium deposits (calcification) mumtima. Kusinthaku kungayambitsenso kutseka kwa mtima.

Kuphatikiza apo, ``Bifascicular Block`` ingayambitsidwenso ndi kuwonongeka kwa mtima. Kuwonongeka kumeneku kungakhale:

• Chifukwa cha matenda a mtima (myocardial infarction).
• Chifukwa cha matenda ena a mtima .
• Chifukwa cha matenda a mtima .
• Chifukwa cha kuchuluka kwa potaziyamu m'magazi (hyperkalemia).

Kodi zizindikiro za Bifascicular Block ndi ziti? Kodi inunso muli nazo izi?

Kutsekeka kwa mtima kosakwanira (digiri yoyamba kapena yachiwiri) sikungayambitse zizindikiro zilizonse. Komabe, zizindikiro zikayamba, chizindikiro chachikulu chomwe anthu ambiri amakumana nacho ndi kukomoka (syncope). Izi zimachitika pamene kugunda kwa mtima kuli pang'onopang'ono kwambiri (bradycardia) kapena pang'onopang'ono kwambiri (arrhythmia) chifukwa magazi sakupopedwa bwino kupita m'thupi.

Nthawi zina, `(Bifascicular Block)` imatha kupitirira mpaka ku block yonse (digiri yachitatu). Zikatero, zizindikiro zimakhala zosavuta kuchitika. Ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo ngati muli ndi chimodzi kapena zingapo mwa zizindikiro izi:

• Kupweteka pachifuwa kapena kufinya (angina).
• Chizungulire.
• Kumva kutopa kwambiri nthawi zonse.
• Kumva mtima ukugunda modabwitsa (kugunda kwa mtima).
• Kusanza.
• Kupuma movutikira.

Kodi izi zingayambitse mavuto otani?

Kutsekeka kwa mtima kumasokoneza mphamvu ya mtima yopompa magazi m'thupi lonse. ``Bifascicular Block'' (kutsekeka kosakwanira) nthawi zina kumatha kupitirira mpaka kutsekeka kwa digiri yachitatu (kokwanira). Izi zikachitika, mavuto monga:

• Kusakhazikika kwa mtima (Arrhythmia).
• Matenda amtima.
• Kulephera kwa mtima.
• Imfa yadzidzidzi ya mtima / kulephera kwadzidzidzi kwa mtima.

Musadandaule! Si aliyense amene angakumane ndi mavuto amenewa. Uphungu woyenera wa zachipatala ndi chithandizo zingachepetse kwambiri chiopsezochi.

Kodi mumazindikira bwanji Bifascicular Block molondola?

Mayeso akuluakulu ozindikira Bifascicular Block ndi ECG. Izi zimatchedwanso EKG. Izi zimayesa ntchito yamagetsi ya mtima wanu. Ndi mayeso osavuta komanso osapweteka. Amatenga pafupifupi mphindi 15.

Dokotala adzaika zomata zazing'ono (zotchedwa ma electrode) pachifuwa panu, m'manja, ndi m'miyendo. Mawaya olumikizidwa ku ma electrode awa amalumikizidwa ku makina a ECG. Makinawa amalemba ntchito zamagetsi za mtima wanu ngati graph. Ma electrode satumiza magetsi m'thupi lanu. M'malo mwake, amangoyesa ntchito zamagetsi m'thupi lanu. Poyang'ana graph iyi, dokotala amatha kudziwa ngati pali kusintha kulikonse kapena kutsekeka kwa chizindikiro cha magetsi cha mtima.

Kodi pali chithandizo? Kodi chingachitike n’chiyani?

Ngati muli ndi `(Bifascicular Block)` ndipo mulibe zizindikiro zilizonse, simungafunike chithandizo. Komabe, dokotala wanu adzayang'anira thanzi la mtima wanu mosamala. Akhoza kuchita mayeso a `(ECG)` nthawi zonse kuti aone ngati vutoli likuipiraipira ndikukhala vuto la mtima losakhazikika la digiri yachitatu. Ngati zimenezo zitachitika, chithandizo chikufunika.

Koma ngati muli ndi vuto la kugunda kwa mtima (arrhythmia) kapena zizindikiro monga kukomoka (syncope), dokotala wanu angakulangizeni opaleshoni kuti muyike pacemaker . Pali mitundu iwiri ya pacemakers:

• Zipangizo zolimbitsa mtima: Izi zimatumiza zizindikiro zamagetsi ku zipinda za mtima kuti zizigunda bwino, monga kupatsa mtima thandizo lowonjezera.
• Ma Implantable Cardioverter Defibrillators (ICDs): Izi zimagwira ntchito ngati pacemaker. Kuphatikiza apo, ICD imatha kuzindikira kugunda kwa mtima kosakhazikika ndikukonza mwa kubweretsa kugwedezeka pang'ono kwamagetsi pamtima. Ingathenso kuyambitsanso mtima ngati mtima wasiya kugwira ntchito mwadzidzidzi.

Zipangizozi zimayikidwa ndi katswiri wa mtima (electrophysiologist).

Kodi pali njira zopewera Bifascicular Block?

Kunena zoona, pali zinthu zambiri zomwe zingayambitse kulephera kwa mtima zomwe sitingathe kuziletsa, monga matenda obadwa nawo a mtima kapena ukalamba.

Komabe, nthawi zonse mungatenge njira zotetezera thanzi la mtima wanu. Izi zikuphatikizapo:

• Ngati mukusuta, pemphani thandizo kuti musiye. Pewani ngakhale utsi womwe mwasuta kale.
• Idyani zakudya zopatsa thanzi komanso khalani ndi chizolowezi chochita masewera olimbitsa thupi tsiku lililonse.
• Chepetsani kumwa mowa.
• Lamulirani matenda owononga mtima monga kuthamanga kwa magazi, matenda a shuga, ndi cholesterol yambiri.
• Pezani njira zabwino zothanirana ndi kupsinjika maganizo.
• Yesetsani kukhala ndi kulemera koyenera.

Ngakhale zinthu izi sizingalepheretse kukula kwa `(Bifascicular Block), zidzakuthandizani kuti mtima wanu wonse ukhale wabwino.

Kodi tingapirire ndi vutoli? Kodi chiyembekezo chili bwanji?

Anthu ambiri omwe ali ndi Bifascicular Block safuna chithandizo. Ngakhale chithandizo chikufunika, zizindikiro nthawi zambiri zimatha munthu akangoyika pacemaker.

Ndi chithandizo choyenera, chiopsezo cha vutoli kupita ku kutsekeka kwathunthu kwa mtima chimakhala chochepa kwambiri. Ndipotu, kuwonongeka komwe kungachitike chifukwa cha kugunda kwa mtima kosachiritsika (arrhythmia) kumakhala kwakukulu kuposa kuwonongeka komwe kumachitika chifukwa cha kutsekeka kwa mtima. Chifukwa chake, ndikofunikira kufunafuna upangiri wa dokotala panthawi yoyenera ndikulandira chithandizo ngati pakufunika kutero.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati muli ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi, pitani kwa dokotala nthawi yomweyo:

• Kumva kutopa kwambiri.
• Kugunda kwa mtima kosakhazikika.
• Kupweteka kwambiri pachifuwa.
• Kuvuta kupuma.
• Zizindikiro za matenda a mtima (monga kupweteka kwambiri pakati pa chifuwa komwe kumatuluka pansi pa mkono).
• Kusanza popanda chifukwa.

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Mukapita kukaonana ndi dokotala, mutha kufunsa mafunso awa:

• N’chifukwa chiyani ndapeza `(Bifascicular Block)` iyi?
• Kodi ndiyenera kuchita chiyani kuti ndichepetse chiopsezo cha matenda a mtima kapena matenda ena a mtima?
• Kodi ndikufunika pacemaker kapena ICD?
• Kodi zoopsa zomwe zingachitike chifukwa choika pacemaker kapena ICD ndi ziti?
• Kodi ndiyenera kuda nkhawa ndi mavuto? Kodi zizindikiro zake ndi ziti?

Kufunsa mafunso awa kudzakuthandizani kumvetsetsa bwino vuto lanu ndikukhala omveka bwino pa zomwe mungachite kenako.

Pomaliza, zinthu zomwe muyenera kukumbukira

Kutsekeka kwa bifascicular ndi kutsekeka kwa njira ziwiri zazikulu zomwe zimanyamula zizindikiro zamagetsi mumtima. Izi zitha kusintha kamvekedwe ka mtima ndi momwe umapopera magazi. Anthu ena sangakhale ndi zizindikiro zilizonse, pomwe ena angakumane ndi zizindikiro monga kukomoka.

Chofunika kwambiri si kuchita mantha ndi izi, koma kufunafuna upangiri woyenera wa dokotala. Izi zitha kuzindikirika ndi mayeso osavuta monga ECG. Ngati pakufunika, vutoli lingathe kuthetsedwa bwino ndi mankhwala monga pacemaker. Samalirani mtima wanu, khalani ndi moyo wathanzi, ndipo mutha kukhala ndi thanzi labwino!