Mwina munachitidwa ECG panthawi yoyezetsa matenda, monga pamene munapita kukaonana ndi dokotala chifukwa cha matenda ena, kapena pamene munayamba ntchito yatsopano. Mwina munali ndi nkhawa komanso mantha pang'ono mutaona kalata pa lipoti la ECG yomwe inati 'Right Bundle Branch Block', kapena RBBB. Mwina munaganizapo kuti, "Mulungu wanga, kodi pali vuto lalikulu mumtima mwanga?" Ndizachilendo kuganiza choncho mukawona mawu osazolowereka ngati amenewa. Koma musanachite mantha, tiyeni timvetse bwino komanso mosavuta. Nthawi zambiri, izi sizovuta monga momwe mukuganizira.
Mwachidule, kodi Right Bundle Branch Block (RBBB) ndi chiyani?
Kuti timvetse izi, choyamba tiyeni tiwone momwe mtima wathu umagwirira ntchito. Tangoganizani mtima wanu uli ngati nyumba yaying'ono yokhala ndi zipinda zinayi. Kuti magetsi azizime ndi mafani azime, pamafunika magetsi, kapena 'magetsi'. Mofananamo, mtima wathu uli ndi njira yakeyake yamagetsi yoti ugwire bwino ntchito.
Chizindikiro chamagetsi ichi chimayambira pa 'master switch' pamwamba pa mtima. Timachitcha `(Sinoatrial node)` kapena SA node. Kuchokera pamenepo, chizindikiro chamagetsi chimadutsa m'zipinda ziwiri zapamwamba za mtima (atria) ndipo chimafika pa 'junction box' yotchedwa `(Atrioventricular node)` kapena AV node.
Kuchokera m'bokosi lolumikizirana ili, chizindikiro chamagetsi chimagawidwa m'mawaya awiri akuluakulu omwe amapita ku zipinda ziwiri zazikulu (ma ventricles) pansi pa mtima. Mawaya awiriwa ndi omwe timawatcha 'nthambi za bundle'. Chimodzi chimapita ku chipinda chakumanja (nthambi ya bundle yakumanja), ndipo china chimapita ku chipinda chakumanzere (nthambi ya bundle yakumanzere).
Chomwe chiyenera kuchitika nthawi zambiri ndichakuti chizindikiro chamagetsi chimayenda m'mawaya onse awiriwa pa liwiro lomwelo komanso nthawi yomweyo, zomwe zimapangitsa kuti zipinda ziwiri zapansi za mtima zigwirizane.
Komabe, mwa munthu amene ali ndi Right Bundle Branch Block (RBBB) , pali kutsekeka pang'ono kwa 'waya' kupita kumanja, kapena kuchepa pang'ono kwa liwiro la chizindikiro. Zili ngati 'magetsi' akuyenda pang'onopang'ono kwambiri pa waya wakale. Chifukwa cha izi, ventricle yakumanja imalandira chizindikirocho mochedwa pang'ono kuposa yakumanzere. Chifukwa cha izi, ventricle yakumanja imagunda gawo laling'ono kwambiri la sekondi pambuyo poti ventricle yakumanzere yagunda.
Kusokonekera pang'ono pakati pa ziwalo ziwiri za mtima ndi komwe timakuona pa ECG ngati RBBB. Uku si dzenje mumtima kapena mtsempha wamagazi wotsekeka, koma kungoti kuchedwa pang'ono kwa chizindikiro chamagetsi.
Pali mitundu iwiri ikuluikulu ya RBBB. Ngati chizindikiro chachedwa kwambiri, chimatchedwa 'Complete RBBB', ndipo ngati chachedwa pang'ono, chimatchedwa 'Incomplete RBBB'. RBBB yosakwanira nthawi zambiri si yoopsa ngati RBBB yonse.
Ndani amene angaone vutoli kwambiri?
Izi zitha kuchitika kwa aliyense. Ngakhale anthu athanzi komanso opanda matenda amatha kudwala RBBB. Komabe, vutoli limakhala lofala kwambiri tikamakalamba. Monga momwe mawaya a m'nyumba yakale amatha kufooka pang'ono, magetsi a mtima amathanso kuchepa pang'ono tikamakalamba.
Kafukufuku wapeza kuti akafika zaka 80, anthu pafupifupi 11 pa anthu 100 aliwonse (kapena 11%) adzakhala ndi vuto la RBBB. Kotero mutha kuona kuti si zachilendo kwenikweni.
Kodi zizindikiro za RBBB ndi ziti?
Ichi ndi chinthu chofunikira komanso chotonthoza kwambiri kudziwa. Kwa anthu ambiri, palibe zizindikiro. Mwina simungadziwe kuti muli ndi RBBB. Sizingapezeke mpaka ECG itachitika pazifukwa zina. Simudzamva kupweteka pachifuwa, kupuma movutikira, kapena kukomoka chifukwa cha RBBB yokha.
Izi zikutanthauza kuti ngati muli ndi zizindikirozi, mwina sizingakhale chifukwa cha RBBB, koma chifukwa cha matenda ena omwe amabwera chifukwa cha matendawa. Chifukwa chake, ngati muli ndi zizindikiro zotere, muyenera kuwona dokotala.
Kodi zifukwa za RBBB ndi ziti?
Ngakhale kuti RBBB ingachitike mwa anthu athanzi popanda chifukwa chomveka, ithanso kuchitika chifukwa cha matenda ena ndi zinthu zina. Tiyeni tiwone zina mwa zifukwa zazikulu.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Kusakhazikika kwa Myocardial | Matenda a mtima amatha kuwononga minofu ya mtima ndikukhudza momwe mauthenga amagetsi amafalitsidwira. |
| Kutupa kwa minofu ya mtima (Myocarditis) | Chinthu chonga matenda a kachilombo chingayambitse kutupa/kutupa kwa minofu ya mtima, zomwe zingasokoneze kutumiza kwa chizindikiro. |
| Kuvulala pachifuwa | Kuvulala kwambiri pachifuwa chifukwa cha ngozi kungawononge dongosolo lamagetsi la mtima. |
| Maopaleshoni ena a mtima kapena mayeso | Vutoli nthawi zina limatha kuchitika panthawi yoyezetsa magazi monga catheterization ya mtima wakumanja, komwe chubu chimayikidwa mumtima. |
| Kusintha kwa kapangidwe ka mtima | Chifukwa cha zinthu monga kukulitsa zipinda za mtima, njira zomwe zimanyamula zizindikiro zamagetsi zimatha kutambasulidwa, zomwe zimachedwetsa kupita kwa chizindikirocho. |
| Matenda ena a majini | Matendawa angayambitsidwenso ndi matenda osowa monga matenda a Lev kapena matenda a Lenegre. |
Kodi dokotala amazindikira bwanji izi ndikutsimikizira bwanji?
RBBB nthawi zambiri imayesedwa ndi ECG, kapena Electrocardiogram . Kuyesaku kumaphatikizapo kumangirira zomata pachifuwa panu, m'manja, ndi m'miyendo yanu ndikulemba momwe magetsi a mtima wanu amagwirira ntchito. Dokotala wodziwa bwino ntchito amatha kudziwa mosavuta ngati muli ndi RBBB poyang'ana njira iyi ya ECG.
Koma, dokotala sasiya pamenepo. Pali matenda ena angapo, mwina oopsa kwambiri, omwe amasonyeza mawonekedwe a ECG ofanana ndi RBBB. Chifukwa chake dokotala adzayang'ana mosamala ECG yanu kuti atsimikizire kuti mulibe matendawa.
Nazi zina mwazochitika zotere:
- Ventricular Tachycardia: Matenda oopsa omwe zipinda zapansi za mtima zimagunda mofulumira kwambiri.
- Matenda a Brugada: Matenda a majini omwe angayambitse kulephera kwa mtima mwadzidzidzi.
- Choletsa Chosakwanira cha Nthambi ya Bundle Yakumanzere: Kutsekeka kosakwanira kwa njira ya chizindikiro kumbali yakumanzere, monga momwe zilili kumbali yakumanja.
Chifukwa chake, ngakhale lipoti lanu la ECG litanena kuti RBBB, mawu omaliza ndi upangiri wokhudza izi ziyenera kuperekedwa ndi dokotala yemwe amakuyesani.
Kodi RBBB imafuna chithandizo?
Palinso nkhani yabwino kwambiri apa.
Ngati mulibe matenda ena a mtima (monga kulephera kwa mtima) ndipo mulibe zizindikiro zilizonse (monga kupweteka pachifuwa, kukomoka), palibe chithandizo chapadera chomwe chikufunika pa Right Bundle Branch Block.
Zili ngati chizindikiro cha kubadwa pathupi lanu. Chilipo, koma sichikuvutitsani. Dokotala mwina angakuuzeni kuti mubwere kamodzi pachaka ndikuchitidwa ECG, kuti akaone ngati pali kusintha kulikonse. Kupatula apo, sizifunikira mankhwala ena kapena opaleshoni ina iliyonse.
Komabe, ngati muli ndi RBBB chifukwa cha vuto lina la mtima (monga lomwe latchulidwa pamwambapa), ndiye kuti RBBB sichithandizo. Vuto lomwe limayambitsa vutoli limachiritsidwa. Mwachitsanzo, ngati mtima wanu wakula chifukwa cha kuthamanga kwa magazi ndipo RBBB imayamba chifukwa cha vutoli, chithandizo chake ndikuwongolera kuthamanga kwa magazi. Ngati chachitika chifukwa cha matenda a mtima, muyenera kupitiriza kuchiza.
Kodi tsogolo la munthu amene ali ndi RBBB ndi lotani? Kodi pali chilichonse choti muope?
Yankho la funsoli limadalira ngati muli ndi matenda ena a mtima kapena ayi. Tiyeni tiwone milandu iwiriyi padera.
1. Ngati mulibe matenda ena a mtima (Athanzi)
Pakadali pano, RBBB si chinthu chodetsa nkhawa nacho. Sichifupikitsa moyo wanu kapena kuwonjezera chiopsezo chanu chokhala ndi matenda a mtima. Ndi chinthu chaching'ono chabe, kapena chinthu chapadera, mu dongosolo lamagetsi la mtima wanu. Mutha kupitiriza moyo wanu watsiku ndi tsiku popanda vuto lililonse.
2. Ngati muli ndi vuto lina la mtima (monga Kulephera kwa Mtima, mutadwala matenda a mtima)
Pankhani yotereyi, RBBB ndi chinthu choyenera kuganizira. Izi sizikutanthauza kuti vuto lanu laipiraipira chifukwa cha RBBB. Komabe, kukhala ndi RBBB kumatanthauza kuti mtima wanu uli ndi vuto linalake ndipo ntchito yake ndi yofooka pang'ono. Chifukwa chake, RBBB ikaphatikizidwa ndi vuto la mtima ngati ili, chiopsezo cha zovuta mtsogolo chikhoza kuwonjezeka pang'ono.
Ichi ndichifukwa chake ndikofunikira kwambiri kuti odwala oterewa atsatire chithandizo chomwe dokotala wawo amawapatsa popanda zofooka zilizonse . Ayenera kuchita zinthu monga kumwa mankhwala awo pa nthawi yake, kulamulira zakudya zawo, komanso kuchita masewera olimbitsa thupi moyenera.
RBBB ikapangidwa, siitha. Ndi mkhalidwe wokhazikika.
Ndiyenera kupita kwa dokotala nthawi yanji ndikusamala?
Ngati mukudziwa kuti muli ndi RBBB, ndi bwino kukaonana ndi dokotala nthawi zonse.
- Kukumana ndi dokotala nthawi zonse: Ngakhale mutakhala kuti mulibe matenda ena, pitani kukayezetsa nthawi ndi nthawi zomwe dokotala wanu wakupatsani (monga kamodzi pachaka). Ngati muli ndi matenda ena a mtima, onetsetsani kuti mwapita kuzipatala zimenezo.
- Zizindikiro zatsopano: Ngati mukupeza zizindikiro zomwe simunakhale nazo kale, monga kupweteka pachifuwa, kupuma movutikira, kutupa kwa miyendo yanu, kapena kukomoka, pitani kuchipatala nthawi yomweyo.
- Zadzidzidzi:Tangoganizirani kuti muli ndi ululu wosapiririka pachifuwa, ululuwo umafika ku dzanja lanu lamanzere, pakhosi, kapena nsagwada, mukutuluka thukuta kwambiri, ndipo mukumva kupuma movutikira. Izi zitha kukhala zizindikiro za matenda a mtima. Ngati zili choncho, musazengereze. Pitani ku Dipatimenti Yothandiza Anthu Odwala Zadzidzidzi (ETU) yapafupi nthawi yomweyo.
Mafunso ofunikira oti mufunse dokotala wanu
Ngati lipoti lanu la ECG likunena kuti RBBB, kufunsa mafunso awa mukapita kwa dokotala wanu kungakuthandizeni kumvetsetsa bwino.
- "Dokotala, kodi pali chifukwa chenicheni chomwe ndili ndi vuto la RBBB?"
- "Kodi ndikufunika kusintha chilichonse pa moyo wanga watsiku ndi tsiku chifukwa cha izi? Mu zinthu monga zakudya, masewera olimbitsa thupi, ndi zina zotero?"
- "Ndibwerenso nthawi yanji kuti ndikaone ngati ndili ndi vuto?"
- (Ngati muli ndi matenda ena a mtima) "Kodi ndili pachiwopsezo chachikulu chokhala ndi RBBB iyi ndi matenda ena a mtima wanga? Ndiyenera kuchita chiyani kuti ndichepetse vutoli?"
Uthenga Wopita Nawo Kunyumba
- Chipilala cha nthambi cha Right Bundle (RBBB) ndi kuchedwa pang'ono kwa chizindikiro chamagetsi cha mtima chomwe chikupita kumbali yakumanja ya mtima. Ichi si dzenje mumtima kapena kutsekeka kwa mitsempha yamagazi.
- Ngakhale munthu wathanzi wopanda matenda ena a mtima ali ndi RBBB, nthawi zambiri sakhala ndi zizindikiro zilizonse. Ndipo safunikira chithandizo. Palibe chodetsa nkhawa nacho.
- Ngati muli ndi vuto lina la mtima, monga kulephera kwa mtima, RBBB ikhoza kukhala chinthu choopsa. Chofunika kwambiri ndikutsatira chithandizo cha vuto lanu lomwe likukuvutitsani.
- Musanyalanyaze zizindikiro za matenda a mtima, monga kupweteka pachifuwa ndi kupuma movutikira. Ngati zili choncho, pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ya chipatala nthawi yomweyo.
- Ngati muli ndi kukayikira kapena nkhawa zilizonse zokhudza lipoti lanu la ECG kapena vutoli, lankhulani momasuka ndi dokotala wanu za vutoli, funsani mafunso, ndipo mudziwe zambiri.
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