Ese hari ikibazo kiri ku buryo bw'amashanyarazi bw'umutima wawe? Reka tuvuge kuri Bundle Branch Block mu magambo make!

Ese wigeze ukorerwa ECG ukabona amagambo `Bundle Branch Block` kuri raporo? Cyangwa wenda wigeze wumva ikintu kidasanzwe cyangwa kikuremereye mu mutima wawe, ariko ntushobora kumenya neza ikibitera. Hari igihe iki kibazo gishobora kubaho nta bimenyetso. Uyu munsi, turaganira kuri iki kibazo cyitwa `Bundle Branch Block`, mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Bundle Branch Block ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Noneho reba... umutima wacu umeze nka moteri nto, si byo se? Ugomba gukomeza gukora. Kugira ngo uyu mutima utere, ukeneye ikimenyetso gito cy'amashanyarazi. Ni nk'umuriro uri mu nzu yacu kugira ngo ucane amatara. Ibi bimenyetso by'amashanyarazi bigenda mu nzira runaka mu mutima. Izi nzira nizo twita "amashami y'imigozi." Ibimenyetso by'amashanyarazi binyura muri izi nzira bikabwira ibyumba bibiri by'ingenzi biri hasi mu mutima, "ama-ventricle," kuvuga bati, "Sawa, noneho mugiye gufungana no kuvoma amaraso."

Ubusanzwe, ibyo byumba byombi by'umutima bikururana icyarimwe. Icyo gihe ni bwo umutima utera amaraso neza. Ariko, iyo hari "Uruziga rw'Ishami ry'Umugozi", bivuze ko hari imbogamizi cyangwa ifunga mu nzira y'ibimenyetso by'amashanyarazi navuze, ni ukuvuga mu "ishami ry'umugozi". Ni nk'aho insinga yacitse cyangwa ifunze ahantu runaka. Icyo gihe icyo kimenyetso cy'amashanyarazi ntikigenda neza, kiratinda. Kubera iyo mpamvu, ibyumba byombi ntibikururana icyarimwe. Kimwe kikururana, ikindi kikururana nyuma gato. Ibi ni byo twita umuvuduko udasanzwe w'umutima.

Ariko, si ko uduce twose tw’amashami dukenera ubuvuzi bukomeye. Akenshi, abaganga bashakisha izindi ndwara zishobora kuba zitera ikibazo bakagerageza kuzivura.

Ese hari ubwoko bwa Bundle Branch Block?

Yego, hari ubwoko bubiri bw'ingenzi bwa bundle branch block, bitewe niba igira ingaruka ku ruhande rw'iburyo rw'umutima cyangwa uruhande rw'ibumoso.

1. Ibyuma by'Iburyo (RBBB): Ibi bibaho iyo hari ikibazo mu nzira ijyana ibimenyetso by'amashanyarazi kuri ventilateur y'iburyo. Mu magambo make, hari ikibazo ku nsinga y'uruhande rw'iburyo.

2. Ibyuma by'ishami by'ibumoso (LBBB): Ibi bibaho iyo hari uruziga mu nzira rujyana ibimenyetso by'amashanyarazi kuri ventilateur y'ibumoso. Ibi bivuze ko hari ikibazo ku byuma by'ishami by'ibumoso.

Hari igihe rimwe muri ayo mashami gusa rishobora kwibasirwa. Cyangwa, gake cyane, ayo mashami yombi ashobora kwibasirwa icyarimwe.

Ni nde ushobora guteza imbere iki gikorwa (Bundle Branch Block)? Ni iki gikunze kugaragara?

Mu by’ukuri, umuntu uwo ari we wese ashobora kurwara iyi ndwara yitwa "Bundle Branch Block". Ariko, uko umuntu akura kandi niba afite izindi ndwara z’umutima, ibyago byo kurwara iyi ndwara biriyongeraho gato.

• Agace k'ishami ry'iburyo `(RBBB)`:Ibi bikunze kugaragara kurusha `(LBBB)`. Tekereza, ku myaka 50, umuntu umwe ku bantu 100 (0.8%) ashobora kuba afite ibi. Ariko ku myaka 80, abantu 11 ku bantu 100 (11.3%) bashobora kuba bafite iyi ndwara.
• Agace k'ishami ry'ibumoso (LBBB): Ibi ntibikunze kugaragara nka RBBB. Mu bihugu nka Leta Zunze Ubumwe za Amerika, bigira ingaruka hagati ya 0.06% na 0.1% by'abaturage. Ariko, ku bantu bafite ikibazo cy'umutima, hafi kimwe cya gatatu cyabo bashobora kuba bafite LBBB.

Ni gute agace k'ishami gafata umugozi gagira ingaruka ku mubiri?

Sisitemu igenzura umutima wacu twita "sisitemu yo kuyobora umutima". Izo nzira navuze mbere, "amashami y'imigozi", nazo ni ibice by'iyi sisitemu. Rero, bitewe n'aho iyi nzitizi iri, uburyo igira ingaruka ku mubiri wacu burahinduka.

• Agace k'ishami ry'iburyo (RBBB): Niba ufite RBBB, uruziga ruri mu nzira ijyana ikimenyetso cy'amashanyarazi kuri ventricle y'iburyo. Ibi bituma ventricle yawe y'ibumoso yifata mbere y'ventricle y'iburyo.
• Agace k'ishami ry'ibumoso (LBBB): Niba ufite LBBB, kuziba kw'amaraso kuri mu nzira ijyana ikimenyetso cy'amashanyarazi kuri ventricle y'ibumoso. Ibi bituma ventricle y'iburyo yifata mbere y'ibumoso. Ibi bituma umutima ugorwa no kompa amaraso neza. Akenshi, iyo urwaye LBBB, bivuze ko ushobora kugira indi ndwara y'umutima.
• Kuziba kw'amashami yombi y'umutima: Iyi ni indwara ikomeye cyane. Iyo ibi bibaye, ibimenyetso by'amashanyarazi biva mu byumba byo hejuru by'umutima bijya mu byumba byo hasi (atrial fibrillation) bishobora kuziba burundu. Ibi bishobora gutera umuvuduko w'umutima ugenda gahoro cyane (bradycardia) kandi bigatera ibindi bibazo bikomeye by'ubuzima.

Ni izihe mpamvu nyamukuru zitera ishami rifunganye?

Hari impamvu zitandukanye zishobora gutuma habaho "Bundle Branch Block". Reka turebe izo ari zo:

• Indwara y'umutima yavukanye
• Indwara y'umutima ihindagurika (indwara ituma imitsi y'umutima icika intege kandi ikaguka)
• Indwara y'umutima, cyangwa nkuko twese tubizi, indwara y'umutima
• Indwara z'umutima, cyane cyane indwara z'imitsi ifungana
• Umutima unanirwa
• Indwara y'umutima (myocarditis)
• Indwara y'imitsi y'umutima
• Umuvuduko ukabije w'amaraso (hypertension)
• Hypertrophic cardiomyopathy (indwara ituma imitsi y'umutima irushaho gukomera)
• Gucika intege cyangwa gukomera kw'imitsi y'umutima (cardiomyopathy)

Byongeye kandi, agace k'ishami ry'iburyo (RBBB) gashobora guterwa n'indwara z'ibihaha. Urugero:

• Indwara y'ibihaha idakira (COPD), indwara y'ibihaha imaze igihe kirekire
• Guhagarika imitsi y'ibihaha
• Umuvuduko w'amaraso ukabije mu bihaha (Umuvuduko ukabije w'amaraso mu bihaha - PH)

Ariko, rimwe na rimwe nta mpamvu yihariye iboneka itera iyi "Bundle Branch Block". Umutima w'abantu nk'abo ushobora kuba muzima mu bindi bintu byose.

Ni ibihe bimenyetso by'ishami rinini rikoreshwa mu gufunga amashami?

Kimwe mu bintu bitangaje kuri ibi ni uko akenshi nta bimenyetso bihari nubwo waba ufite "Bundle Branch Block". Ariko, niba ibimenyetso bigaragaye, bishobora kuba birimo ibintu nk'ibi:

• Kuzungera
• Gucika intege, gutakaza ubwenge `(syncope)`
• Kumva ugiye gucika intege (presyncope)

Ariko, nk'uko nabivuze, iyo hari amashami y'umutima yombi afunganye iburyo n'ibumoso, ibimenyetso bishobora kuba bitandukanye gato, ndetse bishobora no kugaragara cyane:

• Umutima utera nabi (arrhythmia)
• Guhumeka bigoranye (dyspnea)
• Umutima utera buhoro buhoro (bradycardia)

Ibimenyetso akenshi bigaragara cyane mu bihe nk'ibi:

• Niba ufite indi ndwara y'umutima isanzwe.
• Iyo hari imbogamizi mu mashami yombi y'amatafari y'iburyo n'ibumoso.
• Niba `(Bundle Branch Block)` iri ku rwego rukabije gato.

Namenya nte ko mfite Bundle Branch Block?

Abaganga bakoresha ibizamini bibiri by'ingenzi kugira ngo bapime ishami rinini:

1. Electrocardiogram (EKG cyangwa ECG): Birashoboka ko wabikoze. Udupapuro duto twitwa electrodes dushyirwa ku gituza cyawe, ku maboko no ku maguru, kandi imashini ifata imikorere y'amashanyarazi y'umutima wawe mu gihe uryamye. Ibi bishobora kureba uburyo ibimenyetso by'amashanyarazi by'umutima bigenda no kumenya niba ufite agace k'ishami, kandi niba ari ko bimeze, niba ari iburyo cyangwa ibumoso.

2. Echocardiogram (echo): Ibi bikubiyemo gusiga gel mu gituza cyawe, gushyira agakoresho gato (inkoni) ku gituza cyawe, no gukoresha amajwi menshi kugira ngo ufate amafoto y'ibyumba by'umutima wawe n'udupira tw'amaraso. Ibi bituma muganga wawe areba uko umutima wawe utera, uko utera amaraso, ndetse niba hari indwara z'umutima zihari.

Niba usanzwe ufite branch block, muganga wawe azagusuzuma n'izindi ndwara zijyanye nayo. Bashobora kandi gukora ibizamini nka:

• Gupima umuvuduko w'amaraso (kugira ngo harebwe niba umuvuduko uri hejuru (umuvuduko ukabije w'amaraso) cyangwa uri hasi (umuvuduko ukabije w'amaraso)).
• Isuzuma ry'amaraso kugira ngo harebwe urugero rwa cholesterol mu maraso.
• Gupima imitsi y'umutima hakoreshejwe catheterization (ikizamini cyo gusuzuma imitsi y'amaraso y'umutima)
• "Ikizamini cy'umutima cya nuclear stress" gikorwa kugira ngo harebwe indwara z'imitsi y'umutima.
• Gupima imikorere y'ibihaha ni ikizamini kigenzura uko ibihaha bikora.

Uburyo Bundle Branch Block ivurwa bute?

Niba nta bimenyetso ufite kandi nta zindi ndwara zikomeye zishingiye ku buzima, ushobora kudakenera ubuvuzi bwihariye bwo kuvura indwara ya bundle branch block. Ariko, niba ufite izindi ngorane, nko kurwara umuvuduko ukabije w'amaraso cyangwa umutima, ushobora gukenera gufata imiti yo kuzirwanya.

Ariko niba ufite ibimenyetso nko gucika intege, muganga wawe ashobora kukugira inama yo gukoresha pacemaker . Iki ni igikoresho gito gishyirwa munsi y'uruhu rw'igituza cyawe n'inzobere mu by'imitsi y'umutima. Cyohereza ibimenyetso binyuze mu nsinga zifatanye n'umutima wawe, bigatuma umutima wawe utera ku muvuduko uhoraho.

Niba ufite ikibazo cy'umutima cyangwa indwara y'umutima yagutse, muganga wawe ashobora kukugira inama yo kuvura yitwa Cardiac Resynchronization Therapy (CRT) . Ibi bikoresha ubwoko bwihariye bwa pacemaker bwitwa Biventricular Pacemaker . Ibi bifasha ibice byombi by'umutima gufunga icyarimwe. Ubu buryo bwo kuvura bwa CRT bushobora kugabanya ibimenyetso nko guhumeka nabi.

Ni gute wagabanya ibyago byo kugira ishami rinini rya bundle?

Kugira ngo twirinde `(Bundle Branch Block)` n'izindi ndwara z'umutima, tugomba kugira ubuzima bwiza. Ibyo bivuze:

• Kurya indyo yuzuye umutima (imboga, imbuto, imboga, ibiryo bidafite ibinure byinshi).
• Siporo buri gihe (nko kugenda n'amaguru, kwiruka, kugendera ku igare).
• Komeza kugira ibiro bizima .
• Genzura urugero rwa cholesterol .
• Reka kunywa itabi no gukoresha itabi burundu.
• Niba umuvuduko w'amaraso yawe uri hejuru, gerageza kuwukoresha neza.
• Jya kwisuzumisha kwa muganga buri gihe.

Ni izihe ngaruka zishobora guterwa n’izindi ndwara hamwe na Bundle Branch Block?

Niba ufite "Bundle Branch Block" ifite ibi bibazo, ibyago byo kurokoka bishobora kwiyongera gato :

• Indwara y'umutima
• Izindi ndwara z'umutima
• Umutima unanirwa

Ikintu kimwe ugomba kwibuka by'umwihariko ni uko niba ufite ikibazo gishya cya `(Left Bundle Branch Block - LBBB)` kandi ukaba unababara mu gatuza, bishobora kuba ikimenyetso cy'indwara ikomeye, nko kurwara umutima. Ibi nibibaho, ugomba kwihutira gushaka inama kwa muganga.

Ni iki kigendekera umuntu ufite Bundle Branch Block? Ni iki gikurikiraho?

Ubusanzwe ishami rya Bundle ni ikibazo cy’ubuzima bwose . Gufunga bishobora kuguma uko byari bimeze, cyangwa bikarushaho kwiyongera uko igihe kigenda gihita.

Kubera ko Left Bundle Branch Block (LBBB) rimwe na rimwe ishobora kuba ikimenyetso cya mbere cy’umutima ufunganye, abapilote bo mu bihugu nka Amerika n’Ubwongereza babujijwe kuguruka mu ndege iyo bafite LBBB. Ariko, keretse ufite ibimenyetso bikomeye, kugira Bundle Branch Block ubusanzwe ntacyo bizagira ku bikorwa byawe bya buri munsi.

Ku bijyanye n'icyerekezo, niba udafite izindi ndwara zikomeye zishingiye ku buzima bwawe, Bundle Branch Block ishobora kutagira ingaruka zikomeye ku buzima bwawe muri rusange cyangwa ku buzima bwawe bwose. Ariko, niba ufite izindi ndwara zigira ingaruka ku mutima wawe, Bundle Branch Block ishobora gutuma izo ndwara zirushaho gukomera vuba kandi ibimenyetso byawe bikaba byakwiyongera.

Niba mfite (Bundle Branch Block), nitwara nte?

Niba ufite ishami rinini rigabanya ububabare, bwira muganga wawe igihe cyose ugiye kwa muganga mushya. Aya makuru azamufasha gusobanukirwa neza ubuzima bw'umutima wawe n'imibereho myiza muri rusange.

Menya neza ko umuganga wawe azi ko ufite agace k'ishami gafite imiterere y'umuti, cyane cyane muri ibi bihe:

• Niba urimo gukora ikizamini cy'imihangayiko mu myitozo ngororamubiri (kuko indwara zimwe na zimwe zishobora kugorana kuzisuzuma iyo ufite LBBB).
• Mu gihe habayeho ikibazo cyihutirwa cy’ubuvuzi, nko kurwara indwara y’umutima.
• Niba urimo kubagwa indi ndwara y'umutima.

Ni byiza kandi kubika kopi ya raporo yawe ya ECG hafi, kuko ishobora kuba ingirakamaro mu gihe cy’impanuka.

Ni ibihe bihe byiza byo kujya kwa muganga?

Niba ugaragaje ibimenyetso bishya, cyangwa niba ibimenyetso byawe birushijeho kwiyongera, menya neza ko wagiye kwa muganga. Shaka ubufasha bwihuse, cyane cyane niba ufite kimwe muri ibi bikurikira:

• Niba wumva ububabare mu gituza, kumererwa nabi, cyangwa gufungana .
• Niba wumva unaniwe cyane .
• Niba wumva ugiye gucika intege (presyncope).
• Niba watakaje ubwenge .
• Niba ufite ikibazo cyo guhumeka cyangwa wumva unaniwe guhumeka.

Muri make (Ubutumwa bwo kujyana mu rugo)

Sawa, reka twibuke gusa `(Bundle Branch Block)` twavuzeho uyu munsi:

• Bundle Branch Block (BBB) ​​​​ni uruziga mu nzira y'amashanyarazi mu mutima. Ibi bishobora gutera umutima gutera nabi.
• Ibi bishobora kugira ingaruka ku ruhande rw'iburyo (RBBB), ku ruhande rw'ibumoso (LBBB), cyangwa ku mpande zombi.
• Akenshi, nta bimenyetso bihari .
• Ibi bigaragazwa cyane cyane binyuze mu bizamini bya `ECG` na `Echo`.
• Kuvura `BBB` ubwabyo si ngombwa buri gihe, ariko ni ngombwa kuvura impamvu nyamukuru .
• Abantu benshi bashobora kubaho ubuzima busanzwe bafite ishami rifunganye, ariko ibyago bishobora kwiyongera niba ufite izindi ndwara z'umutima.

Niba nawe ufite amakenga kuri ubwo bwoko bw'indwara, kandi ukaba warabibwiwe na muganga mwiza, ntutinye. Kurikiza amabwiriza akenewe, ubeho ubuzima bwiza. Hanyuma nawe ushobora gukomeza kugira ubuzima bwiza.

` ishami rifunganye, indwara y'umutima, ECG, umutima utera, amashanyarazi y'umutima, RBBB, LBBB