Kodi pali vuto ndi magetsi a mtima wanu? Tiyeni tikambirane za Bundle Branch Block mwachidule!

Kodi munachitapo ECG ndipo munawona mawu oti `Bundle Branch Block` pa lipotilo? Kapena mwina munamva zachilendo kapena kulemera pang'ono mumtima mwanu, koma simungathe kudziwa chomwe chikuyambitsa vutoli. Nthawi zina vutoli likhoza kukhalapo popanda zizindikiro zilizonse. Lero, tikambirana za vutoli lotchedwa `Bundle Branch Block`, mwachidule, m'njira yomwe mungamvetse.

Kodi Bundle Branch Block ndi chiyani? Tiyeni timvetse mosavuta!

Chabwino, tsopano onani... mtima wathu uli ngati mota yaying'ono, sichoncho? Uyenera kupitiriza kugwira ntchito. Kuti mtima uwu ugwire, umafunika chizindikiro chamagetsi pang'ono. Uli ngati mphamvu yamagetsi m'nyumba mwathu kuti uyatse magetsi. Zizindikiro zamagetsi izi zimayenda m'njira zinazake mumtima. Njirazi ndi zomwe timazitcha "nthambi zomangira." Zizindikiro zamagetsi zimadutsa m'njirazi ndikuuza zipinda ziwiri zazikulu pansi pa mtima, "ma ventricles," kuti, "Chabwino, tsopano mupanga kupopa magazi pang'ono."

Kawirikawiri, zipinda zonse ziwiri za mtima zimagwedezeka nthawi imodzi. Pamenepo ndi pamene mtima umapopa magazi moyenera. Komabe, pamene pali ``Bundle Branch Block'', zikutanthauza kuti pali cholepheretsa kapena chotseka mu njira yamagetsi yomwe ndatchula, kutanthauza, mu ``bundle branch''. Zili ngati waya wasweka kapena wotsekedwa kwinakwake. Kenako chizindikiro chamagetsicho sichikuyenda bwino, chimachedwa. Chifukwa cha izi, zipinda ziwirizi sizigwedezeka nthawi imodzi. Chimodzi chimagwedezeka, ndipo china chimagwedezeka pambuyo pake. Ichi ndi chomwe timachitcha kuti kugunda kwa mtima kosazolowereka.

Komabe, si nthambi zonse zomwe zimafunika chithandizo chachikulu. Nthawi zambiri, madokotala amafufuza matenda ena omwe angayambitse vutoli ndipo amayesa kuwachiza.

Kodi pali mitundu ina iliyonse ya Bundle Branch Block?

Inde, pali mitundu iwiri ikuluikulu ya nthambi yolumikizidwa, kutengera ngati imakhudza mbali yakumanja ya mtima kapena mbali yakumanzere.

1. Chipilala cha Nthambi cha Mtolo Wamanja (RBBB): Apa ndi pamene pali kutsekeka kwa njira yomwe imanyamula zizindikiro zamagetsi kupita ku ventricle yakumanja. Mwachidule, pali vuto ndi waya wakumanja.

2. Chotchinga cha Nthambi cha Kumanzere (LBBB): Apa ndi pamene pali chotchinga munjira chomwe chimanyamula zizindikiro zamagetsi kupita ku ventricle yakumanzere. Izi zikutanthauza kuti pali vuto ndi chotchinga cha nthambi cha kumanzere.

Nthawi zina, nthambi imodzi yokha mwa izi ingakhudzidwe. Kapena, kawirikawiri, nthambi zonse ziwiri zingakhudzidwe nthawi imodzi.

Ndani angapange izi (Bundle Branch Block)? Kodi ndizofala bwanji?

Ndipotu, aliyense akhoza kudwala matendawa otchedwa ``Bundle Branch Block''. Komabe, ndi ukalamba komanso ngati muli ndi matenda ena a mtima, chiopsezo chodwala matendawa chimakhala chachikulu pang'ono.

• Chipika cha nthambi cha kumanja `(RBBB)`:Izi zimachitika kawirikawiri kuposa `(LBBB)`. Tangoganizirani, munthu m'modzi pa anthu 100 aliwonse (0.8%) akhoza kukhala ndi vutoli. Koma munthu m'modzi pa anthu 100 aliwonse (11.3%) akhoza kukhala ndi vutoli.
• Chigawo cha nthambi cha kumanzere (LBBB): Izi sizichitika kawirikawiri ngati RBBB. M'mayiko ngati United States, zimakhudza pakati pa 0.06% ndi 0.1% ya anthu. Komabe, mwa anthu omwe ali ndi vuto la mtima, pafupifupi gawo limodzi mwa magawo atatu a iwo akhoza kukhala ndi LBBB.

Kodi nthambi ya bundle imakhudza bwanji thupi?

Timatcha dongosolo lomwe limalamulira kugunda kwa mtima wathu kuti "dongosolo loyendetsa mtima". Njira zomwe ndatchula kale, "nthambi za bundle", nazonso ndi mbali ya dongosololi. Chifukwa chake, kutengera komwe kutsekeka kumeneku kuli, momwe kumakhudzira thupi lathu kumasintha.

• Chipika cha nthambi yakumanja (RBBB): Ngati muli ndi RBBB, kutsekeka kuli munjira yomwe imanyamula chizindikiro chamagetsi kupita ku ventricle yakumanja. Izi zimapangitsa kuti ventricle yanu yakumanzere ichepetse ventricle yakumanja isanafike.
• Chipilala cha nthambi ya kumanzere (LBBB): Ngati muli ndi LBBB, kutsekeka kuli munjira yomwe imanyamula chizindikiro chamagetsi kupita ku ventricle yakumanzere. Izi zimapangitsa kuti ventricle yakumanja ichepetsedwe isanafike kumanzere. Izi zimapangitsa kuti mtima ukhale wovuta kupompa magazi bwino. Nthawi zambiri, ngati mwapezeka ndi LBBB, zikutanthauza kuti mungakhale ndi vuto lina la mtima.
• Kutsekeka kwa nthambi zonse ziwiri za mtolo wa kumanja ndi kumanzere: Izi ndi vuto lalikulu kwambiri. Ngati izi zitachitika, zizindikiro zamagetsi kuchokera ku zipinda zapamwamba za mtima kupita ku zipinda zapansi (atrial fibrillation) zitha kutsekedwa kwathunthu. Izi zingayambitse kugunda kwa mtima pang'onopang'ono kwambiri (bradycardia) ndipo zingayambitse mavuto ena akuluakulu azaumoyo.

Kodi zifukwa zazikulu za bundle branch block ndi ziti?

Pali zifukwa zosiyanasiyana zomwe ``Bundle Branch Block'' ingachitikire. Tiyeni tiwone zomwe zili:

• Matenda a mtima obadwa nawo
• Kutsekeka kwa mtima (kutupa kwa minofu ya mtima) (dilated cardiomyopathy)
• Kugwidwa ndi matenda a mtima, kapena monga tonse tikudziwira, matenda a mtima
• Matenda a mtima, makamaka matenda a mitsempha ya mtima
• Kulephera kwa mtima
• Matenda a mtima (myocarditis)
• Matenda a mtima
• Kuthamanga kwa magazi (kuthamanga kwa magazi)
• Hypertrophic cardiomyopathy (vuto lomwe minofu ya mtima imakula)
• Kufooka kapena kuuma kwa minofu ya mtima (cardiomyopathy)

Kuphatikiza apo, nthambi ya kumanja (RBBB) imathanso kuyambitsidwa ndi matenda a m'mapapo. Mwachitsanzo:

• Matenda a m'mapapo osatha (COPD), matenda a m'mapapo omwe akhalapo kwa nthawi yayitali
• Kutsekeka kwa m'mapapo
• Kuthamanga kwa magazi m'mapapo (Kuthamanga kwa magazi m'mapapo - PH)

Komabe, nthawi zina palibe chifukwa chenicheni chomwe chingapezeke cha "Bundle Branch Block" iyi. Mtima wa anthu otere ukhoza kukhala wathanzi m'mbali zina zonse.

Kodi zizindikiro za bundle branch block ndi ziti?

Chimodzi mwa zinthu zodabwitsa pankhaniyi ndichakuti nthawi zambiri, palibe zizindikiro ngakhale mutakhala ndi ``Bundle Branch Block``. Komabe, ngati zizindikirozo zichitika, zitha kuphatikizapo zinthu monga:

• Chizungulire
• Kukomoka, kutaya chidziwitso `(syncope)`
• Kumva ngati kuti watsala pang'ono kukomoka (presyncope)

Komabe, monga ndanenera, ngati pali kutsekeka kwa nthambi zonse ziwiri za mtima zomwe zili kumanja ndi kumanzere, zizindikiro zake zingakhale zosiyana pang'ono, ndipo zitha kuonekera kwambiri:

• Kugunda kwa mtima kosasinthasintha (arrhythmia)
• Kuvuta kupuma (kupuma movutikira)
• Kuthamanga pang'onopang'ono kwa mtima (bradycardia)

Zizindikiro nthawi zambiri zimaonekera kwambiri m'mikhalidwe ngati iyi:

• Ngati muli ndi matenda ena a mtima omwe amayambitsa vuto lanu.
• Ngati pali chopinga m'nthambi zonse ziwiri za kumanja ndi kumanzere.
• Ngati `(Bundle Branch Block)` ili pamlingo wovuta pang'ono.

Kodi ndingadziwe bwanji ngati ndili ndi Bundle Branch Block?

Madokotala amagwiritsa ntchito mayeso awiri akuluakulu kuti adziwe matenda a nthambi ya bundle:

1. Electrocardiogram (EKG kapena ECG): Mwina mwachitapo izi. Ma sticker ang'onoang'ono otchedwa ma electrode amaikidwa pachifuwa panu, m'manja, ndi m'miyendo, ndipo makina amalemba momwe magetsi a mtima wanu amagwirira ntchito mukagona chete. Izi zitha kuwona momwe zizindikiro zamagetsi za mtima zimayendera ndikuwona ngati muli ndi bundle branch block, ndipo ngati zili choncho, kaya ili kumanja kapena kumanzere.

2. Echocardiogram (echo): Izi zimaphatikizapo kupaka jeli pachifuwa panu, kuyika kachipangizo kakang'ono (ndodo) pachifuwa panu, ndikugwiritsa ntchito mafunde amphamvu kwambiri kuti ajambule zithunzi za zipinda ndi ma valve a mtima wanu. Izi zimathandiza dokotala wanu kuona momwe mtima wanu ukugunda, momwe umapopera magazi, komanso ngati pali matenda ena aliwonse a mtima.

Ngati mwapezeka ndi vuto la nthambi ya bundle, dokotala wanu adzafufuzanso matenda ena okhudzana ndi matendawa. Angakuyezeninso mayeso monga:

• Kuyeza kuthamanga kwa magazi (kuti muwone ngati kuthamanga kwa magazi kuli kokwera (kuthamanga kwa magazi) kapena kotsika (kutsika kwa magazi)).
• Kuyezetsa magazi kuti muwone kuchuluka kwa cholesterol m'magazi.
• Kuyeza kwa catheter ya mtima (kuyesa koyesa mitsempha yamagazi ya mtima)
• "Kuyesa kwa mtima wa nyukiliya" kumachitika kuti aone ngati pali matenda a mitsempha ya mtima.
• Kuyesa ntchito ya m'mapapo ndi mayeso omwe amawunika momwe mapapu akugwirira ntchito.

Kodi Bundle Branch Block imachiritsidwa bwanji?

Ngati mulibe zizindikiro komanso mulibe matenda ena akuluakulu, simungafunike chithandizo chapadera cha bundle branch block. Komabe, ngati muli ndi mavuto ena, monga kuthamanga kwa magazi kapena kulephera kwa mtima, mungafunike kumwa mankhwala owongolera.

Koma ngati muli ndi zizindikiro monga kukomoka, dokotala wanu angakulangizeni kuti mugwiritse ntchito pacemaker . Ichi ndi chipangizo chaching'ono chomwe chimayikidwa pansi pa khungu la chifuwa chanu ndi katswiri wa zamagetsi a mtima. Chimatumiza zizindikiro kudzera mu waya wolumikizidwa ndi mtima wanu, zomwe zimapangitsa kuti mtima wanu ugwire bwino.

Ngati muli ndi vuto la mtima kapena matenda a mtima otupa, dokotala wanu angakulangizeni chithandizo chotchedwa Cardiac Resynchronization Therapy (CRT) . Izi zimagwiritsa ntchito mtundu wapadera wa pacemaker wotchedwa Biventricular Pacemaker . Izi zimathandiza zipinda zonse ziwiri za mtima kuti zigwirizane nthawi imodzi. Chithandizo cha CRT ichi chingathandize kuchepetsa zizindikiro monga kupuma movutikira.

Kodi mungachepetse bwanji chiopsezo chopanga bundle branch block?

Kuti tidziteteze ku matenda ena a mtima monga (Bundle Branch Block) ndi matenda ena a mtima, tiyenera kukhala ndi moyo wathanzi. Izi zikutanthauza:

• Idyani zakudya zopatsa thanzi (masamba, zipatso, masamba, zakudya zopanda mafuta ambiri).
• Kuchita masewera olimbitsa thupi nthawi zonse (monga kuyenda, kuthamanga, kukwera njinga).
• Khalani ndi kulemera koyenera .
• Lamulirani kuchuluka kwa cholesterol .
• Siyani kusuta fodya ndi kugwiritsa ntchito fodya kotheratu.
• Ngati kuthamanga kwa magazi anu kuli kokwera, yesani kulamulira kuthamanga kwa magazi.
• Pitani kukayezetsa kuchipatala nthawi zonse.

Kodi zoopsa zake ndi ziti ngati pali matenda ena pamodzi ndi Bundle Branch Block?

Ngati muli ndi ``Bundle Branch Block'' yokhala ndi mavuto awa, chiopsezo cha moyo chikhoza kuwonjezeka pang'ono :

• Matenda amtima
• Matenda ena a mtima
• Kulephera kwa mtima

Chinthu chimodzi choyenera kukumbukira makamaka ndichakuti ngati muli ndi vuto latsopano la `(Left Bundle Branch Block - LBBB)` ndipo mukumvanso kupweteka pachifuwa, kungakhale chizindikiro cha vuto lalikulu, monga matenda a mtima. Ngati izi zitachitika, muyenera kufunafuna upangiri wa dokotala nthawi yomweyo.

Kodi chimachitika ndi chiyani kwa munthu amene ali ndi Bundle Branch Block? Kenako n’chiyani?

Kutsekeka kwa nthambi nthawi zambiri kumakhalapo kwa moyo wonse . Kutsekekako kungakhalebe komweko, kapena kungapitirire kukula pakapita nthawi.

Popeza kuti Left Bundle Branch Block (LBBB) nthawi zina ingakhale chizindikiro choyamba cha kutsekeka kwa mtima kwathunthu, oyendetsa ndege m'maiko monga US ndi UK amaletsedwa kuuluka ngati ali ndi LBBB. Komabe, pokhapokha ngati muli ndi zizindikiro zoopsa, kukhala ndi Bundle Branch Block nthawi zambiri sikukhudza kwambiri zochita zanu za tsiku ndi tsiku.

Ponena za mawonekedwe, ngati mulibe matenda ena akuluakulu, Bundle Branch Block mwina siingakhudze kwambiri thanzi lanu lonse kapena moyo wanu wonse. Komabe, ngati muli ndi matenda ena omwe amakhudza mtima wanu, Bundle Branch Block ingapangitse kuti matendawo aipireipire mofulumira ndipo zizindikiro zanu zingawonjezereke.

Ngati ndili ndi (Bundle Branch Block), ndimadzisamalira bwanji?

Ngati muli ndi vuto la nthambi, uzani dokotala wanu nthawi iliyonse mukapita kwa dokotala watsopano. Izi ziwathandiza kumvetsetsa bwino thanzi la mtima wanu komanso thanzi lanu lonse.

Onetsetsani kuti dokotala wanu akudziwa kuti muli ndi vuto la nthambi, makamaka pazochitika izi:

• Ngati mukuchita mayeso olimbitsa thupi (chifukwa matenda ena akhoza kukhala ovuta kuwazindikira mukakhala ndi LBBB).
• Pakachitika ngozi yachipatala, monga matenda a mtima.
• Ngati mukuchitidwa opaleshoni ya vuto lina la mtima.

Ndibwinonso kusunga kopi ya lipoti lanu la ECG pafupi, chifukwa lingakhale lothandiza pakagwa ngozi.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Ngati zizindikiro zanu zikuyamba kukulirakulira, onetsetsani kuti mwaonana ndi dokotala. Pitani kuchipatala nthawi yomweyo, makamaka ngati muli ndi zizindikiro zotsatirazi:

• Ngati mukumva kupweteka pachifuwa, kusapeza bwino, kapena kulimba .
• Ngati mukumva kutopa kwambiri .
• Ngati mukumva ngati mukufuna kukomoka (presyncope).
• Ngati mutataya chidziwitso .
• Ngati mukuvutika kupuma kapena mukumva kutopa.

Mwachidule (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tingokumbukira `(Bundle Branch Block)` yomwe tidakambirana lero:

• Bundle Branch Block (BBB) ​​​​ndi chotchinga cha njira yamagetsi mumtima. Izi zingayambitse kugunda kwa mtima kosakhazikika.
• Izi zingakhudze mbali yakumanja (RBBB), mbali yakumanzere (LBBB), kapena mbali zonse ziwiri.
• Nthawi zambiri, palibe zizindikiro .
• Izi zimapezeka makamaka kudzera mu mayeso a `ECG` ndi `Echo`.
• Chithandizo cha `BBB` sichinthu chofunikira nthawi zonse, koma ndikofunikira kuchiza chomwe chimayambitsa vutoli .
• Anthu ambiri akhoza kukhala moyo wabwinobwino ndi bundle branch block, koma chiopsezocho chikhoza kuwonjezeka ngati muli ndi matenda ena a mtima.

Choncho, ngati inunso muli ndi kukayikira za matenda amtunduwu, ndipo mwauzidwa ndi dokotala wabwino, musachite mantha. Tsatirani malangizo ofunikira, khalani moyo wathanzi. Mukatero inunso mutha kukhala ndi thanzi labwino.

` bundle branch block, matenda a mtima, ECG, kugunda kwa mtima, magetsi a mtima, RBBB, LBBB