Masaini emagetsi emwoyo wako akavharwa here? Ngatikurukurei nezveBifascicular Block - Nirogi Lanka

Unombonzwa kamwe kamwe kusuruvara kana kunzwa kufenda ? Pamwe wakaona kurova kwemoyo wako kuchiita kunonoka, nekukurumidza, kana kusarongeka. Ungave uchiziva mumwe munhu akambosangana nezviratidzo izvi. Dzimwe nguva, manzwiro aya anokonzerwa nekukanganisika kudiki muhurongwa hwemagetsi emoyo wako—kufanana nehurongwa hwemagetsi husina kunaka mumba. Kunyanya, tiri kukurukura nezvechirwere chinonzi Bifascicular Block , apo masaini emagetsi anononoka kana kuvharwa munzira mbiri huru dzemagetsi emoyo wako.

Chii chinonzi Bifascicular Block? Ngatichitsanangure zviri nyore.

Zvichitaurwa zviri nyore, `(Bifascicular Block)` imhando chaiyo ye heart block. Kuti moyo wako upombe ropa zvinobudirira, zvinoda masaini emagetsi akarongeka anofamba munzira dzakagadzirwa dzinonzi "bundle branches" — funga nezvazvo semitsetse mikuru yemagetsi inofambisa simba mumba mako.

Fungidzira moyo wako une nzira nhatu huru dzezviratidzo zvemagetsi izvi. Mu "Bifascicular Block" (Block yeBifascicular), nzira mbiri dzeizvi nhatu dzakavharika zvishoma kana zvachose. "Bi" zvinoreva "mbiri," uye "fascicle" zvinoreva tsandanyama dzinoumba matavi aya. Nekuti chiratidzo chinoenda kumakamuri epasi emwoyo wako—'(ventricles)'—chinononoka kana kuvharika, kumhanya kwemoyo wako uye kushanda zvakanaka kwekupomba zvinogona kukanganiswa.

Vanachiremba vanoisa izvi muchikamu che "heart block isina kukwana." Zvinogona kukonzerwa nematambudziko emwoyo ekuzvarwa nawo kana zvimwe zvirwere zvemwoyo zviri pasi pazvo. Kunyange hazvo vamwe vanhu vangasava nezviratidzo zvachose, avo vane zviratidzo zvakakosha kana kuti strong blocks vanoda kuongororwa nachiremba uye kurapwa kubva kuchikwata chenyanzvi cheNirogi Lanka.

Mafascicle aya ari kupi mumoyo mako?

Sezvamungangoziva, moyo wenyu une makamuri mana. Makamuri maviri epamusoro ndiwo `(atria)`, uye makamuri maviri epasi ndiwo `(ventricles)`. Makamuri aya anofanira kurongedza marwadzo awo kuti ropa rifambe mumuviri wako wese.

`(Bifascicular Block)` inonyanya kukanganisa kufambiswa kwemagetsi ku`(ventricles)`.

• Ventricle yekurudyi: Iri kurutivi rwezasi rwekurudyi, kamuri iyi inopomba ropa rakapera mweya kuenda kumapapu. Inoshumirwa nenzira imwe chete huru yemagetsi: bazi rekurudyi rebundle .
• Ventricle yekuruboshwe : Iyi ndiyo imba yakasimba yekupomba. Inotumira ropa rine okisijeni yakawanda kuburikidza neaorta kuenda kumuviri wese. Sisitimu yayo yemagetsi ine ma fascicle maviri ekutanga: fascicle yekuruboshwe yekumberi uye fascicle yekuruboshwe yekumashure . Pamwe chete, vanoumba bazi rekuruboshwe , iro rinopatsanurana kuita mamiriyoni e `(Purkinje fibers)`.

Chii chinonzi Heart Blocks neBundle Branch Blocks?

`(Heart Block)` inoitika kana paine kutadza kushanda zvakanaka kwemoyo. Izvi zvinokonzera kunonoka kwekutumira masaini, zvichikonzera kuti mwoyo usashande zvakanaka. Zvinokanganisa zvakananga kurova kwemoyo wako, kurova kwemoyo , uye kuti ropa rinopombwa zvakanaka sei.

Kunyange zvazvo `(Heart Block)` uye `(Atrioventricular Block / AV Block)` zvichishandiswa zvakasiyana, `(Bundle Branch Block)` rudzi rwakasiyana apo kuvharika kunoitika mukati memapakeji iwayo akasarudzwa.

Masisitimu emagetsi emwoyo wako anoshanda sei? Zvinonakidza zvechokwadi!

Mwoyo wako unovimba nehurongwa hwemagetsi hwemukati hwakaoma hunoshanda nemazvo zvinoshamisa:

1. Chiratidzo chinotangira pa `(SA node)` iri mu atrium yekurudyi, inozivikanwa se `(pacemaker)` yemoyo.

2. Chiratidzo chinofamba nepakati pe `(atria)` kuenda ku `(AV node)`.

3. Kubva pa `(AV node)`, inopinda mu `(Bundle of His)`.

4. Nzira yacho inobva yapatsanurwa kuita matavi ekuruboshwe nekururudyi, zvichizosvika pa `(Purkinje fibers)` mu `(ventricles)`.

5. Pakugamuchira zviratidzo izvi, `(ventricles)` inogumira, ichipomba ropa risati ratanga kutenderera zvakare ipapo ipapo.

Maitiro ese aya anoitika muchikamu chesekondi, zvichitevedzana uye zvichienderera mberi.

Kune mhando dzakasiyana dzeHeart Blocks here?

Ehe, vanachiremba vanoisa `(AV blocks)` mumapoka zvichienderana nekuoma kwayo:

• Kuvharika kwedanho rekutanga: Chiratidzo chemagetsi chinononoka pachinofamba kubva paatria kuenda kumaventricle. Kazhinji, hapana zviratidzo, uye kurapwa hakudiwi zvakanyanya.
• Kuvhara kwedanho rechipiri: Mamwe masaini emagetsi, asi kwete ese, anosvika kuma ventricles. Izvi zvinogona kukonzera kurova kwemoyo kunononoka `( bradycardia )` kana `(arrhythmia)` isina kurongeka. Kana zviratidzo zvichinetsa, kupindira kwechiremba kunodiwa.
• Kuvharwa kwedanho rechitatu: Kunonziwo "kuvharwa kwemoyo kwakazara." Makamuri epamusoro neepasi anomira kutaurirana zvachose, rimwe nerimwe richirova nepamwero waro. Uku kukuvadzwa kwekurapa kunoda `(pacemaker)`. `(Bifascicular block)` dzimwe nguva inogona kusvika padanho iri.

Kune mhando dzakasiyana dzeBifascicular Blocks here?

Ehe, kune maitiro mashoma akafanana:

• Chivharo chebazi cherudyi chakabatanidzwa nebhuroko repamberi reruboshwe.
• Chivharo chebazi cherudyi chakabatanidzwa nebhuroko rekuruboshwe rekumashure refascicular.
• Dzimwe nguva, bazi rekuruboshwe rinovharika zvachose (zvichireva kuti fascicles dzepamberi nedzepashure dzinokanganiswa, nepo bazi reruboshwe rerudyi richiramba richishanda).

Dambudziko iri rakajairika zvakadii?

Ongororo dzinoratidza kuti vanhu vanosvika 1.5% vari kuitiswa `( ECG )` vanowanikwa vaine `(Bifascicular Block)`. Kana uchinzwa kurwadziwa pachipfuva, kupera simba, kana dzungu rakakomba, ndapota taura nevanopa rubatsiro rwekukurumidzira kana kuenda kuchipatara chiri pedyo nekukasika.

Chii Chinokonzera Kuvharika Kwemafascicular? Kunzwisisa Zvinhu Zvinokonzera

Kazhinji, kuvharika kwezvikamu zviviri zvemoyo kunobatanidzwa nechirwere chemwoyo chawakazvarwa nacho, zvichireva kuti wakazvarwa uine misiyano yemaumbirwo emoyo wako. Kunyange zvazvo mamiriro aya aripo kubva pakuzvarwa, anogona kusaratidza zviratidzo kusvika wava mudiki kana kuti wava pakati nepakati. Sezvaunokura , njodzi yekunonoka kufambisa mweya inowedzerawo.

Muzviitiko zvisingawanzoitiki, chirwere ichi chinogona kugarwa nhaka nekuda kwekuchinja kwemajini, kunowanzonzi progressive familial heart block. Kusiyana kwemajini uku kunogona kutungamira mukukura kwemavanga.(fibrosis) kana kuti calcium deposits (calcification) mukati menzira dzemagetsi dzemwoyo, zvichikonzera kuvharika.

Pamusoro pezvo, kukuvara kwemoyo kunogona kukonzera kuvharika kwemativi maviri emoyo. Zvimwe zvinokonzera izvi zvinosanganisira:

• Kurwiswa kwemoyo kwakamboitika (myocardial infarction).
• Zvimwe zvirwere zvemwoyo .
• Chirwere chevharuvhu yemoyo .
• Mazinga e potassium akawanda muropa rako (hyperkalemia).

Zviratidzo zveBifascicular Block: Uri Kuona Zviratidzo Izvi Here?

Kuvharika kwemoyo kusina kukwana (kwedhigirii rekutanga kana rechipiri) kunogona kunge kusina zviratidzo zvachose. Kana zviratidzo zvikaitika, chiratidzo chinowanzoonekwa chechirwere ndechekufenda kusingatsananguriki (syncope). Izvi zvinoitika kana moyo uchirova zvishoma nezvishoma (bradycardia) kana kuti zvisina kurongeka (arrhythmia), zvichidzivirira ropa rakakwana kusvika kuuropi hwako.

Dzimwe nguva, kuvhara kwemoyo muzvikamu zviviri kunogona kuita kuti mwoyo uvharwe zvizere (chechitatu-degree). Kana ukaona chimwe chezviratidzo zvinotevera, kutsvaga rubatsiro rwechiremba nekukurumidza kwakakosha :

• Kurwadziwa pachipfuva kana kumanikidzwa (angina).
• Kunzwa musoro wakareruka kana kuti dzungu.
• Kuneta kunogara kwenguva refu, kusingatsananguriki.
• Kunzwa kurova kwemoyo kusina kurongeka kana kurova kwemoyo (palpitations).
• Kusvotwa.
• Kutadza kufema zvakanaka (kushaya mweya).

Matambudziko Api Anogona Kumuka?

Kuvharika kwemoyo kunogona kukanganisa kugona kwemoyo wako kupomba ropa zvinobudirira. Kana kuvharika kwemoyo kwezvikamu zviviri (bifascicular block) kukawedzera kusvika pakuvharika kwechikamu chechitatu (third-degree block), zvinogona kukonzera matambudziko akakomba, anotyisidzira hupenyu, anosanganisira:

• Arrhythmia (kushata kwemoyo kusingajairika).
• Kumira kurova kwemoyo.
• Kukundikana kwemoyo.
• Kumira kwemwoyo kamwe kamwe.

Usavhunduke! Matambudziko aya haaitike kune wese munhu. Nekurapwa kwakakodzera uye kurapwa kubva kunyanzvi dzeNirogi Lanka, njodzi dzako dzinogona kuderedzwa zvakanyanya.

Chivharo cheBifascicular chinoonekwa sei?

Chishandiso chikuru chekuongorora chirwere iElectrocardiogram (ECG/EKG) . Iyi bvunzo iri nyore, isingarwadzi, yemaminitsi gumi nemashanu inorekodha mashandiro emagetsi emwoyo wako.

Chiremba wako achaisa masensa madiki anonamira (maelectrode) pachipfuva chako, maoko, nemakumbo. Izvi zvakabatana nemuchina weECG, unoratidza mafambiro emagetsi emwoyo wako. Ndapota cherechedza kuti hapana magetsi anotumirwa mumuviri wako; mudziyo unongonyora chete masaini emagetsi anoitwa nemoyo wako. Girafu iyi inobvumira chiremba wako kuti aone kuti masaini emagetsi ari kuvharwa kana kunonoka kupi.

Ndeapi Marapirwo Aripo?

Kana uine dambudziko remwoyo rakaita se "bifascicular block" asi usingaratidze zviratidzo, kurapwa kwacho kungasadikanwa. Zvisinei, chiremba wako achanyatsoongorora hutano hwemwoyo wako, pamwe kuburikidza nekudzokorora maECG kuti aone kana paine kufambira mberi kwechirwere chemwoyo chakakomba.

Kana ukaona zviratidzo zvakaita sekufenda kana kusagadzikana kwemoyo (arrhythmias), chiremba wako anogona kukurudzira nzira yekudzora kurova kwemoyo wako uchishandisa chimwe chezvinotevera:

• Zvinobatsira pacemakers: Zvishandiso zvidiki izvi zvinotumira masaini emagetsi kumoyo wako kuti zvikubatsire kuchengetedza mutinhimira wakadzikama uye une hutano.
• Mishonga yekudzikisa BP (ICDs) inoiswa muzvidyarwa: Idzi dzinoshanda sema pacemaker asi dzinoongororawo matambudziko emwoyo. Kana dzikaonekwa, ICD inopa shock diki yemagetsi inogadzirisa kudzoka kwe rhythm yemoyo yakajairwa, ichibatsira kudzivirira cardiac missing.

Midziyo iyi inoiswa nenyanzvi yezvemagetsi emwoyo.

Unogona Kudzivirira Kuvharwa Kwemafascicular Here?

Zvikonzero zvakawanda zvinokonzera kuvharika kwemoyo, zvakaita sematambudziko ekuzvarwa nawo kana kukwegura, hazvigone kudzivirirwa. Zvisinei, unogona kugara uchitora matanho ekuchengetedza hutano hwemwoyo hwakanaka uye kuderedza njodzi dzako. Izvi zvinosanganisira:

• Kana uchisvuta, ndapota tsvaga rubatsiro kuti urege. Zvakakoshawo kuzvidzivirira kubva kusvuta kwevamwe.
• Tarisa pane kudya kunovaka muviri uye wedzera maekisesaizi ezuva nezuva mumaitiro ako ezuva nezuva.
• Deredza kunwa kwako doro.
• Ramba uchidzora zvakanyanya zvirwere zvinogona kuomesa moyo wako, zvakaita seBP, chirwere cheshuga, uye cholesterol yakakwira.
• Tsvaga nzira dzakanaka uye dzinogara kwenguva refu dzekugadzirisa kushushikana kwako.
• Vavarira kuchengetedza huremu hwakanaka.

Kunyange zvazvo matanho aya angasadzivirira zvachose Bifascicular Block, akakosha pakuchengetedza hutano hwakanaka hwemwoyo.

Unogona kurarama nedambudziko iri here? Ndeipi tarisiro?

Vanhu vazhinji vane Bifascicular Block havadi kurapwa. Kunyangwe kana kurapwa kuchidikanwa, zviratidzo zvinowanzopera zvakanaka mushure mekuiswa pacemaker.

Kana paine kurapwa kwakakodzera, mukana wekuti chirwere ichi chirambe chichivhara mwoyo zvachose wakaderera zvikuru. Kutaura zvazviri, kurova kwemoyo kusina kurongeka uye kusina kurongeka (arrhythmia) kune njodzi yakakura kupfuura kurova kwemoyo pachako. Saka, kutsvaga mazano ekurapa nenguva uye kutevera marapirwo akanyorwa ndiyo danho rakakosha raunogona kutora.

Unofanira kuona chiremba rini?

Kana ukaona chimwe chezviratidzo zvinotevera, ndapota tsvaga rubatsiro rwechiremba nekukasika kana kuti bata emergency services (911):

• Kuneta zvakanyanya.
• Kurova kwemoyo kusina kurongeka kana kurova kwemoyo zvakanyanya.
• Kurwadziwa kwakanyanya pachipfuva.
• Kushaya mweya.
• Zviratidzo zvechirwere chemwoyo (semuenzaniso, kumanikidzwa kwakanyanya pakati pechipfuva kuchipenya kuruoko).
• Kusvotwa kusingatsananguriki.

Mibvunzo inokosha yekubvunza chiremba wako

Paunoshanyira chiremba wako, ungada kubvunza mibvunzo iyi:

• Sei ndakagadzira iyi Bifascicular Block?
• Matanho api andinofanira kutora kuderedza njodzi yekurwara nemoyo kana mamwe matambudziko emwoyo?
• Ndinoda pacemaker kana ICD here?
• Ndezvipi njodzi dzinobatanidzwa nekuwana pacemaker kana ICD?
• Pane matambudziko chaiwo andinofanira kungwarira here? Ndezvipi zviratidzo izvozvo?

Kubvunza mibvunzo iyi kuchakubatsira kunzwisisa zviri nani mamiriro ako ezvinhu uye kuve nechokwadi chekuti wava kujekerwa nematanho auchatora.

Pfungwa dzekupedzisira: Zvaunofanira kuyeuka

Kuvharwa kweBifascicular zvinoreva kukanganiswa kwenzira mbiri patatu huru dzinofambisa masaini emagetsi mumoyo. Izvi zvinogona kuchinja mafambiro emoyo wako uye kutevedzana kwekufamba kweropa. Kunyange hazvo vamwe vanhu vangave vasina zviratidzo, vamwe vanogona kuona zviratidzo zvakaita sekufenda.

Chinhu chinonyanya kukosha kugara wakadzikama uye kutevedzera mazano echiremba. Dambudziko iri rinogona kuonekwa zviri nyore kuburikidza nekuongororwa kuri nyore senge ECG. Kana zvichidikanwa, rinogona kurapwa zvinobudirira kuburikidza nekurapwa senge pacemaker. Chengetedza moyo wako, rarama hupenyu hune hutano, uye unogona kurarama zvakanaka. NeNirogi Lanka, uri mumaoko akanaka.