Kodi zizindikiro zamagetsi za mtima wanu sizikugwira ntchito bwino? Tiyeni tikambirane za Trifascicular Block!

Kodi munayamba mwadzifunsapo kuti mtima wanu umagwira ntchito modabwitsa bwanji? Uli ngati kachipangizo kakang'ono kamagetsi, komwe kamatumiza zizindikiro zamagetsi kumadera osiyanasiyana a mtima kuti upitirize kugunda bwino. Koma nthawi zina, pangakhale zosokoneza zazing'ono m'njira za zizindikiro zamagetsizi. Pamenepo ndi pomwe timalankhula za "Mtima Wotseka." Lero tikambirana za mtundu winawake wa mtima wotseka, wotchedwa trifascicular block.

Kodi ma fascicle awa omwe ali mumtima ndi ati? Ali kuti?

Chabwino, tsopano tiyeni tiwone zomwe "ma fascicle" awa ali. Mwachidule, awa ndi mitolo yapadera ya ulusi wa minofu yomwe imanyamula mauthenga amagetsi mkati mwa mtima. Izi zimatchedwanso "nthambi za mitolo." Izi zili m'zipinda ziwiri zapansi pa mtima, "ma ventricles." Ma fascicle awa ndi omwe amatumiza zizindikiro zamagetsi mwachangu kwambiri, zomwe zimapangitsa kuti zipinda zamtima zikoke bwino ndikupompa magazi.

Monga mukudziwa, mtima wathu ndiye chiwalo chachikulu cha dongosolo la magazi. Uli ndi zipinda zinayi zazikulu:

• Atria: Zipinda ziwiri zapamwamba.
• Ma Ventricles: Zipinda ziwiri zapansi. Chotchinga cha trifascicular chimakhudza zipinda ziwiri zapansi izi.

Tsopano tiyeni tiwone ma fascicles m'zipinda ziwiri zapansi izi:

• Ventricle Yakumanja: Ichi ndi chipinda chapansi kumbali yakumanja ya mtima. Kuchokera apa, magazi amatumizidwa ku mapapo kudzera mu Mitsempha ya M'mapapo kuti alandire mpweya. Ventilaki yakumanja ili ndi fascicle imodzi yokha. Imatchedwa Right Bundle Branch .
• Chipinda cha Kumanzere: Ichi ndi chipinda chapansi kumbali yakumanzere ya mtima. Chimapopa magazi okhala ndi mpweya kudzera mu mtsempha wamagazi kupita ku thupi lonse. Chipinda cha kumanzere ndiye chipinda chachikulu komanso champhamvu kwambiri chopopera mpweya mumtima. Chili ndi ma fascicle awiri, Chipinda cha Kumanzere Chakutsogolo ndi Chipinda cha Kumanzere Chakumbuyo . Pamodzi, awiriwa amapanga Nthambi ya Kumanzere . Ma fascicle awa amagawikananso kukhala ulusi waung'ono wambiri wotchedwa Purkinje Fibers.

Taganizirani izi motere, ma fascicle awa ali ngati mawaya amagetsi m'nyumba. Mukayatsa switch (monga chizindikiro chikafika pamtima), magetsi amayenderera m'mawaya awa ndikuyatsa babu (monga minofu ya mtima imachepa). Ndiye chimachitika ndi chiyani ngati pali kusokonekera kwinakwake m'mawaya awa? Chabwino, ndicho chomwe chimachitika mu block ya mtima.

Kodi Mitsempha ya Mtima imagawidwa bwanji?

Madokotala amagawa ma block a mtima awa, kapena "AV Blocks," m'magulu atatu akuluakulu kutengera kuopsa kwawo:

1. Kutseka kwa digiri yoyamba: Uku ndi kuchedwa pang'ono kwa zizindikiro zamagetsi kuchokera ku atria kupita ku ventricles. Uku ndi ``Kutseka Kosakwanira```Chifukwa chake, nthawi zambiri, palibe zizindikiro ndipo palibe chithandizo chofunikira.

2. Kutseka kwa digiri yachiwiri: Pankhaniyi, zizindikiro zina zamagetsi zimapita ku maselo, koma zina sizipita. Ichinso ndi kutseka kosakwanira. Izi zingayambitse kugunda kwa mtima kuchepa, komwe kumatchedwa "bradycardia." Kapena kugunda kwa mtima kumatha kukhala kosasinthasintha, komwe kumatchedwa "arrhythmia." Ngati kutseka kwa digiri yachiwiri kumeneku kukupita ku digiri yachitatu, chithandizo chingafunike.

3. Kutsekeka kwa digiri yachitatu: Uku ndi kutsekeka kwathunthu . Palibe zizindikiro zamagetsi zomwe zimatumizidwa kuchokera ku atria kupita ku ventricles. Kugunda kwa mtima kumayendetsedwa ndi node ya AV, bundle ya His, kapena ventricles yokha. Izi zimapangitsa kuti kugunda kwa mtima kuchepe kwambiri. Izi zitha kukhala zoopsa, kotero chithandizo chikufunika nthawi yomweyo.

Ndiye kodi Trifascicular Block ndi chiyani kwenikweni?

Mawu oti "tri" amatanthauza zitatu. Chifukwa chake, mu block ya trifascicular, pali kutsekeka m'malo atatu mu dongosolo la conduction la mtima, pansi pa "AV Node".

Mwachidule, chipika cha trifascicular ndi vuto ndi zizindikiro zamagetsi mu nthambi ya bundle yakumanja komanso nthambi ya bundle yakumanzere (ndiko kuti, zonse ziwiri zakumanzere zakutsogolo ndi zakumanzere zakumbuyo). Izi zimaonedwanso ngati chipika cha mtima chonse . ( Ngati pali chipika mu nthambi imodzi yokha ya bundle yakumanja ndi fascicle yakumanzere, chimatchedwa "bifascicular block.")

Izi zikutanthauza kuti, munthu amene ali ndi vuto la trifascicular block ali ndi mavuto onsewa:

• Chipilala cha Nthambi cha Bundle Yakumanja: Mu izi, chizindikiro chamagetsi kuchokera ku fascicle yakumanja kupita ku nthambi ya bundle yakumanzere chimakhala chochedwa.
• Chitseko cha Nthambi cha Kumanzere: Apa ndi pamene chizindikiro chamagetsi chimayenda pang'onopang'ono kudzera mu ventricle yakumanzere. Mu chitseko cha trifascicular, kutsekeka kumakhudza zonse ziwiri kumanzere kutsogolo ndi kumanzere kumbuyo kwa fascicles.

Tangoganizirani zomwe zimachitika ndi magalimoto pamene misewu itatu ikuluikulu yatsekedwa nthawi imodzi. Zomwezo zimachitikanso ndi mauthenga omwe ali mumtima.

Kodi ma heart block awa ndi ofala bwanji?

Akatswiri amanena kuti munthu m'modzi mwa anthu 10 aliwonse azaka zopitilira 70 omwe ali ndi mbiri ya matenda a mtima adzayamba kutsekeka kwa mtima kwa digiri yachitatu nthawi ina m'miyoyo yawo.

Kodi zifukwa za trifascicular block ndi ziti?

Chiwopsezo cha matenda a mtima amtundu uliwonse chimawonjezeka ndi ukalamba. Nthawi zina matendawa amatha kuchitika popanda chifukwa chomveka. Amathanso kuchitika chifukwa cha matenda a mtima obadwa nawo.

Komabe, nthawi zambiri, kutsekeka kwa trifascicular kumachitika chifukwa cha kuwonongeka kwa mtima. Kuwonongeka kumeneku kungachitike chifukwa cha zinthu monga:

• Matenda a Mitsempha ya Mtima
• Mtima wokulirapo (Hypertrophic Cardiomyopathy)
• Matenda a Mtima
• Matenda Ena a Mtima
• Matenda a Mtima
• Kuchuluka kwa potaziyamu m'magazi (Hyperkalemia)
• Opaleshoni ya Mtima Yosalowerera Kwambiri kapena Opaleshoni Yotsegula Mtima
• Kuchita Mopitirira Muyeso kwa Mitsempha ya Vagus
• Matenda a Nyamakazi
• Sarcoidosis (matenda omwe maselo ang'onoang'ono otupa amasonkhana m'malo osiyanasiyana a thupi)

Kodi zizindikiro za trifascicular block ndi ziti?

Kutsekeka kwa mtima pang'ono (koyamba kapena kwachiwiri) nthawi zambiri sikubweretsa zizindikiro. Komabe, ndi kutsekeka kwa trifascicular, nthambi zonse zitatu za bundle zimakhudzidwa, kotero zizindikiro zimakhala zosavuta kuchitika. Mutha kukhala ndi:

• Kupweteka pachifuwa kapena kufinya (Angina)
• Chizungulire ndi Kukomoka (Syncope)
• Kutopa
• Kugunda kwa mtima (kumva ngati mtima wanu ukuthamanga kapena kulumpha kugunda)
• Kusanza
• Kupuma Movutikira

Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, musanyalanyaze. Ndikofunikira kuonana ndi dokotala kuti akupatseni upangiri.

Kodi mavuto omwe angakhalepo chifukwa cha trifascicular block ndi ati?

Kutsekeka kwa mtima kumapangitsa kuti mtima uzitha kupopa magazi m'thupi lonse. Izi zingayambitse mavuto oopsa monga:

• Kugunda kwa mtima kosakhazikika (Arrhythmia)
• Matenda amtima
• Kulephera kwa Mtima
• Imfa Yodzidzimutsa ya Mtima (Imfa Yobwera Chifukwa cha Kudwala kwa Mtima Mwadzidzidzi) `(Imfa Yodzidzimutsa ya Mtima / Kumangidwa kwa Mtima Mwadzidzidzi)`

Popeza izi ndi matenda aakulu, timati ndikofunikira kwambiri kupeza chithandizo cha matenda a mtima ngati awa mwachangu.

Kodi Trifascicular Block imapezedwa bwanji?

Madokotala amagwiritsa ntchito njira yoyesera yotchedwa "electrocardiogram" kuti azindikire kusintha kwa magetsi a mtima. Izi zimatchedwanso ECG (E.C.G.) mwachidule. Anthu ena amatchanso EKG (E.K.G.).

Kuyezetsa kwa ECG kumeneku kumayesa momwe magetsi a mtima amagwirira ntchito. Kumayesanso nthawi yomwe zizindikiro zamagetsi zimayenda mumtima. Kumawonetsa nthawi yomwe zipinda zonse zinayi za mtima zimagwira ntchito.

ECG ndi mayeso osapweteka komanso osavulaza.Zimatenga pafupifupi mphindi 15. Mu izi, "ma electrode" ang'onoang'ono ofanana ndi chigamba amamangiriridwa pachifuwa panu, m'manja, ndi m'miyendo. Ma electrode awa amalumikizidwa ku makina a ECG okhala ndi mawaya. Makinawa amalemba momwe mtima wanu umagwirira ntchito ngati graph. (ECG situmiza magetsi m'thupi lanu, choncho musadandaule nazo.)

Kodi trifascicular block imachiritsidwa bwanji?

Anthu ambiri omwe ali ndi vuto la trifascicular block amafunika kuchitidwa opaleshoni kuti aike chipangizo mumtima mwawo kuti chiwongolere kayendedwe ka mtima wawo.

• Chothandizira kupuma: Izi zimatumiza zizindikiro zamagetsi kumtima, zomwe zimapangitsa kuti zipinda zamtima zizigunda mozungulira. Zili ngati kupatsa mtima "kankhira" pang'ono kuchokera kunja.
• Zipangizo zina zotchedwa "Implantable Cardioverter Defibrillators (ICDs)" zimagwiranso ntchito ngati pacemaker. Kuphatikiza apo, pakakhala chiopsezo cha kulephera kwadzidzidzi kwa mtima, ma ICD awa amachititsa kuti mtima ugwedezeke bwino kuti ubwererenso.

Dokotala adzakuyang'anirani ndikusankha mtundu wa chithandizo choyenera kwa inu.

Kodi kutsekeka kwa trifascicular kungapewedwe?

Ngakhale sitingathe kuwongolera zifukwa zina, pali zinthu zomwe tingachite kuti titeteze thanzi la mtima wathu. Izi zingathandize kuchepetsa chiopsezo cha matenda monga trifascicular block:

• Idyani zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi nthawi zonse.
• Chepetsani kumwa mowa.
• Pezani njira zabwino zothanirana ndi kupsinjika maganizo .
• Chepetsani thupi (ngati kuli kofunikira) ndipo pitirizani kulemera bwino.
• Ganizirani za matenda omwe amaika mtima pachiswe, monga kuthamanga kwa magazi, matenda a shuga, ndi cholesterol yambiri.
• Pemphani thandizo kuti musiye kusuta fodya komanso kuti mupewe kusuta fodya pogwiritsa ntchito anthu ena.

Ngakhale zingakhale zovuta pang'ono kuphatikiza zinthu izi mu moyo wanu poyamba, zidzapindulitsa mtima wanu mtsogolo.

Kodi vuto la anthu omwe ali ndi vuto la mtima la Trifascicular Heart Blocks ndi lotani?

Ndi chithandizo choyenera, anthu ambiri omwe ali ndi vuto la mtima lotsekeka ndi trifascicular sapita patsogolo mpaka kufika pa vuto la mtima lotsekeka kwathunthu. Chiwopsezo chimawonjezeka ngati vuto la mtima lotsekeka ndi trifascicular silinalandire chithandizo. Izi zingayambitse kugunda kwa mtima kosakhazikika (arrhythmia), komwe kungayambitse imfa kuposa vuto la mtima. Chithandizo choyenera - nthawi zambiri pogwiritsa ntchito chipangizo monga pacemaker - chingathandize kuchepetsa chiopsezochi.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati muli ndi zizindikiro izi, onetsetsani kuti mwawonana ndi dokotala:

• Ngati mukumva kutopa kwambiri.
• Ngati mukuona kuti kugunda kwa mtima kwanu sikukuyenda bwino.
• Ngati muli ndi ululu waukulu pachifuwa.
• Ngati mukuvutika kupuma.
• Ngati muli ndi zizindikiro za matenda a mtima (monga kupweteka kwambiri pachifuwa komwe kumatuluka m'manja mwanu, kupweteka kwa nsagwada, thukuta).
• Ngati pali nseru yosamveka bwino.

Ngati muli ndi chilichonse mwa izi, musaganize kuti, "Izi ndi zangozi chabe." Funsani dokotala nthawi yomweyo.

Kodi ndiyenera kufunsa dokotala wanga chiyani?

Ngati mwapezeka ndi vuto la trifascicular block, mungafune kufunsa dokotala wanu mafunso monga:

• N’chiyani chinandipangitsa kupanga chipika ichi cha trifascicular?
• Kodi ndingachepetse bwanji 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 zizindikiro za mavuto?

Kufunsa mafunso awa kudzakuthandizani kumvetsetsa bwino za matenda anu ndikutenga nawo mbali mu chithandizo.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kutsekeka kwa mtima kwa trifascicular ndi kutsekeka kwa njira zonse zitatu zazikulu zomwe zimanyamula zizindikiro zamagetsi kudzera mumtima. Izi zimalepheretsa mtima kuti usakoke ndikupopa magazi. Kutsekeka kwa mtima kwa digiri yachitatu, kapena kwathunthu, kungayambitse kugunda kwa mtima kosakhazikika (arrhythmias) komwe kungawononge moyo kapena imfa yadzidzidzi ya mtima.

Anthu azaka zopitilira 70 ndi omwe ali ndi matenda a mtima ali pachiwopsezo chachikulu. ECG imatha kuzindikira mavuto ndi dongosolo lamagetsi la mtima. Dokotala wanu angakulangizeni chipangizo monga pacemaker kapena ICD. Zipangizozi zimatumiza zizindikiro zamagetsi kuzipinda za mtima kuti zizigunda bwino.

Samalani mtima wanu. Ngati mukumva china chake chachilendo, musachinyalanyaze. Kufunafuna upangiri wa dokotala mwachangu kungapulumutse moyo wanu.

Chotchinga cha trifascicular , chotchinga cha mtima, dongosolo lamagetsi la mtima, ECG, pacemaker, matenda a mtima, kugunda kwa mtima