Pane dambudziko here nemagetsi emoyo wako? Ngatitaurei nezveBundle Branch Block nenzira iri nyore!

Wakamboitwa ECG ukaona mashoko ekuti `Bundle Branch Block` pamushumo here? Kana kuti pamwe wakanzwa chimwe chinhu chisingawanzoitiki kana kuti kurema mumoyo mako, asi haugone kuziva kuti chii chiri kukonzera izvi. Dzimwe nguva chirwere ichi chinogona kuvapo pasina zviratidzo. Nhasi, tichataura nezvechirwere ichi chinonzi `Bundle Branch Block`, zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi Bundle Branch Block? Ngatizvinzwisise zviri nyore!

Zvakanaka, tarisai... moyo wedu wakaita semota diki, handiti? Inofanira kuramba ichishanda. Kuti moyo uyu urove, unoda chiratidzo chemagetsi chidiki. Zvakafanana nemagetsi ari mumba medu kuti ubatidze mwenje. Zviratidzo zvemagetsi izvi zvinofamba munzira dzakatarwa mumoyo. Nzira idzi ndidzo dzatinodaidza kuti "mapazi emapazi." Zviratidzo zvemagetsi zvinofamba nepakati pazvo zvoudza makamuri maviri makuru ari pasi pemoyo, "maventricles," kuti ati, "Zvakanaka, ikozvino imi varume muchagwamba mopomba ropa."

Kazhinji, makamuri ese emoyo aya anogumira panguva imwe chete. Ndipo panopomba ropa zvakanaka. Zvisinei, kana paine ``Bundle Branch Block'', zvinoreva kuti pane kuvharika kana kuvharika munzira yemagetsi yandataura, ndiko kuti, mu``bundle branch''. Zvinoita sekuti waya yatyoka kana kuvharika pane imwe nzvimbo. Ipapo chiratidzo chemagetsi ichocho hachifambi zvakanaka, chinononoka. Nekuda kweizvi, makamuri maviri aya haagumira panguva imwe chete. Rimwe rinogumira, uye rimwe rinogumira gare gare. Izvi ndizvo zvatinodaidza kuti moyo usingawanzoitiki.

Zvisinei, haasi ese mabundle branch blocks anoda kurapwa kwakanyanya. Kazhinji, vanachiremba vanotsvaga mamwe mamiriro ezvinhu angave ari kukonzera dambudziko uye vanoedza kurapa iwo.

Pane mhando dzeBundle Branch Block here?

Ehe, kune mhando mbiri huru dzemabhuroko ebazi, zvichienderana nekuti anokanganisa divi rekurudyi remoyo here kana kuruboshwe.

1. Chivharo cheBazi reKurudyi (RBBB): Apa ndipo panowanikwa dambudzo munzira inotakura masaini emagetsi kuenda ku ventricle yekurudyi. Zvichitaurwa zviri nyore, pane dambudziko newaya iri kurudyi.

2. Chivharo cheBazi reKuruboshwe (LBBB): Apa ndipo panowanikwa kuvharika kwenzira inotakura masaini emagetsi kuenda ku ventricle yekuruboshwe. Izvi zvinoreva kuti pane dambudziko ne branch block yebazi rekuruboshwe.

Dzimwe nguva, rimwe chete rematavi aya rinogona kukanganiswa. Kana kuti, kashoma, matavi ese ari maviri anogona kukanganiswa panguva imwe chete.

Ndiani anogona kugadzira izvi (Bundle Branch Block)? Zvakajairika sei?

Kutaura zvazviri, chero ani zvake anogona kuva nechirwere ichi chinonzi ``Bundle Branch Block''. Zvisinei, nekukura uye kana uine zvimwe zvirwere zvemwoyo, njodzi yekubatwa nechirwere ichi yakanyanya.

• Bhuroko rebazi repabhuru rekurudyi `(RBBB)`:Izvi zvinowanzoitika kupfuura `(LBBB)`. Fungidzira, pazera remakore makumi mashanu, munhu mumwe chete pavanhu zana (0.8%) anogona kunge aine chirwere ichi. Asi pazera remakore makumi masere, vanhu gumi nemumwe pavanhu zana (11.3%) vanogona kunge vaine chirwere ichi.
• Kuruboshwe kwechikamu chebazi (LBBB): Izvi hazviwanzoitika seRBBB. Munyika dzakadai seUnited States, zvinobata vanhu vari pakati pe0.06% ne0.1%. Zvisinei, kune vanhu vane chirwere chemwoyo, vanenge chikamu chimwe muzvitatu chavo vanogona kunge vaine LBBB.

Chivharo chebazi chebundle chinokanganisa sei muviri?

Tinoti sisitimu inodzora kurova kwemoyo wedu inonzi "heart conduction system". Nzira dzandambotaura kare, "bundle branches", idzowo dziri musisitimu iyi. Saka, zvichienderana nekuti kuvharika uku kuri kupi, maitiro azvinoita muviri wedu anochinja.

• Chivharo chebazi rekurudyi (RBBB): Kana uine RBBB, kuvharika kuri munzira inotakura chiratidzo chemagetsi kuenda ku ventricle yekurudyi. Izvi zvinoita kuti ventricle yako yekuruboshwe ivhare ventricle yekurudyi isati yasvika.
• Chivharo chebazi rekuruboshwe (LBBB): Kana uine LBBB, kuvharika kuri munzira inotakura chiratidzo chemagetsi kuenda ku ventricle yekuruboshwe. Izvi zvinoita kuti ventricle yekurudyi ikwire pamberi pekuruboshwe. Izvi zvinoita kuti zviomere mwoyo kupomba ropa zvinobudirira. Kazhinji, kana ukaonekwa uine LBBB, zvinoreva kuti ungave uine chimwe chirwere chemwoyo chiri pasi payo.
• Kuvharika kwemapazi emubato werudyi nekuruboshwe: Ichi chirwere chakakomba zvikuru. Kana izvi zvikaitika, masaini emagetsi anobva mumakamuri epamusoro emwoyo kuenda kumakamuri epasi (atrial fibrillation) anogona kuvharika zvachose. Izvi zvinogona kukonzera kurova kwemoyo kunonoka (bradycardia) uye zvinogona kutungamira kune mamwe matambudziko makuru ehutano.

Ndezvipi zvikonzero zvikuru zvebundle branch block?

Pane zvikonzero zvakasiyana-siyana zvinoita kuti ``Bundle Branch Block'' iitike. Ngationei kuti ndezvipi:

• Chirwere chemwoyo chekuzvarwa nacho
• Dilated cardiomyopathy (chirwere chekuti tsandanyama dzemwoyo dzinoshaya simba uye dzinokura)
• Kurwara kwemwoyo, kana kuti sezvatinozviziva tose, chirwere chemwoyo
• Chirwere chemwoyo, kunyanya chirwere chetsinga dzemwoyo
• Kukundikana kwemoyo
• Utachiona hwemwoyo (myocarditis)
• Chirwere chevharuvhu yemwoyo
• Kukwira kweropa (BP)
• Hypertrophic cardiomyopathy (chirwere chinoita kuti tsandanyama dzemwoyo dzikure)
• Kushaya simba kana kuoma kwetsandanyama yemwoyo (cardiomyopathy)

Pamusoro pezvo, branch block ye right bundle (RBBB) inogonawo kukonzerwa nezvirwere zvemapapu. Semuenzaniso:

• Chirwere chemapapu chinogara kwenguva refu (COPD), chirwere chemapapu chinogara kwenguva refu
• Kubatanidzwa kwemapapu
• Kukwira kweropa mumapapu (Pulmonary hypertension - PH)

Zvisinei, dzimwe nguva hapana chikonzero chaicho chinogona kuwanikwa che "Bundle Branch Block" iyi. Mwoyo yevanhu vakadaro inogona kunge ine hutano mune zvimwe zvinhu zvese.

Ndezvipi zviratidzo zvebundle branch block?

Chimwe chezvinhu zvinoshamisa nezveizvi ndechekuti kazhinji, hapana zviratidzo kunyangwe uine ``Bundle Branch Block```. Zvisinei, kana zviratidzo zvikaitika, zvinogona kusanganisira zvinhu zvakaita se:

• Dzungu
• Kufenda, kurasikirwa nepfungwa `(syncope)`
• Kunzwa sekunge wava kuda kupera simba (presyncope)

Zvisinei, sezvandambotaura, kana paine kuvharika kwemapazi emwoyo ari maviri ekurudyi neekuruboshwe, zviratidzo zvinogona kunge zvakasiyana zvishoma, uye zvinogona kutooneka zvakanyanya:

• Kurova kwemoyo kusina kurongeka (arrhythmia)
• Kuoma kufema (dyspnea)
• Kurova kwemoyo kunonoka (bradycardia)

Zviratidzo zvinowanzoonekwa zvakanyanya mumamiriro ezvinhu akadai seaya:

• Kana uine chimwe chirwere chemwoyo chiripo.
• Kana paine kuvharika kwemapazi maviri ekuruboshwe nerudyi.
• Kana `(Bundle Branch Block)` iri padanho rakanyanya kuoma.

Ndingaziva sei kana ndine Bundle Branch Block?

Vanachiremba vanoshandisa bvunzo mbiri huru kuti vaongorore bundle branch block:

1. Electrocardiogram (EKG kana ECG): Pamwe wakambozviita. Zvidhindo zvidiki zvinonzi maelectrode zvinoiswa pachipfuva chako, maoko, nemakumbo, uye muchina unorekodha mashandiro emagetsi emwoyo wako paunenge wakarara wakadzikama. Izvi zvinogona kutarisa kufamba kunoita masaini emagetsi emwoyo uye kuona kana uine bundle branch block, uye kana zvakadaro, kana iri kurudyi kana kuruboshwe.

2. Echocardiogram (echo): Izvi zvinosanganisira kuisa gel pachipfuva chako, kuisa chinhu chidiki (tsvimbo) pachipfuva chako, uye kushandisa mafungu eruzha ane ruzha rwakanyanya kutora mifananidzo yemakamuri nemavharuvhu emwoyo wako. Izvi zvinobvumira chiremba wako kuona kuti mwoyo wako uri kurova sei, kuti unopomba sei ropa, uye kana paine chero matambudziko emwoyo aripo.

Kana ukaonekwa uine bundle branch block, chiremba wako achaongororawo zvimwe zvirwere zvine chekuita nazvo. Vanogonawo kuita bvunzo dzakadai se:

• Kuyerwa kweropa (kutarisa kana pressure yakakwira (BP) kana yakaderera (hypotension)).
• Kuongororwa ropa kuti uone huwandu hwecholesterol muropa.
• Kuongororwa kweropa remwoyo (catheterization) (kuyedzwa kwekuongorora tsinga dzeropa dzemwoyo)
• "Kuongororwa kwesimba remwoyo nenyukireya" kunoitwa kuti kuongororwe chirwere chemwoyo.
• Kuongororwa kwebasa remapapu inzira yekuongorora kuti mapapu ari kushanda zvakanaka sei.

Bundle Branch Block inorapwa sei?

Kana usina zviratidzo uye usina zvimwe zvirwere zvakakomba, ungasada kurapwa kwakanangana nebundle branch block. Zvisinei, kana uine zvimwe zvinetso, zvakaita seBP kana kutadza kushanda zvakanaka kwemoyo, ungangoda kutora mishonga yekuzvidzora.

Asi kana uine zviratidzo zvakaita sekufenda, chiremba wako anogona kukukurudzira kuti ubate pacemaker . Ichi chishandiso chidiki chinoiswa pasi peganda rechipfuva chako nachiremba wezvemagetsi emwoyo. Chinotumira masaini kuburikidza newaya dzakabatana nemoyo wako, zvichiita kuti mwoyo wako urambe uchirova zvakadzikama.

Kana uine chirwere chemwoyo chinokundikana kana kuti cardiomyopathy yakakura, chiremba wako anogona kukurudzira kurapwa kunonzi Cardiac Resynchronization Therapy (CRT) . Izvi zvinoshandisa pacemaker chaiyo inonzi Biventricular Pacemaker . Izvi zvinobatsira makamuri ese emwoyo kuti agumbuke panguva imwe chete. Kurapa uku kweCRT kunogona kubatsira kuderedza zviratidzo zvakaita sekushaya mweya.

Ungaderedza sei njodzi yekugadzira bundle branch block?

Kuti tizvidzivirire kubva ku `(Bundle Branch Block)` nezvimwe zvirwere zvemwoyo, tinofanira kurarama hupenyu hune hutano. Izvi zvinoreva:

• Idya chikafu chine hutano mumoyo (muriwo, michero, miriwo, chikafu chisina mafuta akawanda).
• Maekisesaizi nguva dzose (sekufamba netsoka, kumhanya, kuchovha bhasikoro).
• Ramba uine huremu hwakanaka .
• Dzora huwandu hwecholesterol .
• Rega kusvuta uye kushandisa zvigadzirwa zvefodya zvachose.
• Kana BP yako yakakwira, idzore.
• Enda kunoongororwa nachiremba nguva dzose.

Ndezvipi njodzi dziripo kana paine zvimwe zvirwere pamwe chete neBundle Branch Block?

Kana uine ``Bundle Branch Block'' ine mamiriro aya, njodzi yehupenyu inogona kuwedzera zvishoma :

• Kumira kurova kwemoyo
• Zvimwe zvirwere zvemwoyo
• Kukundikana kwemoyo

Chinhu chimwe chete chekurangarira ndechekuti kana uine nyaya itsva ye `(Left Bundle Branch Block - LBBB)` uye uri kunzwawo kurwadziwa pachipfuva, zvinogona kuva chiratidzo chechirwere chakakomba, senge chirwere chemwoyo. Kana izvi zvikaitika, unofanira kutsvaga rubatsiro rwechiremba nekukasika.

Chii chinoitika kumunhu ane Bundle Branch Block? Chii chinotevera?

Bundle Branch Block chirwere chinowanzo gara kwenguva refu . Kuvharika kwacho kunogona kuramba kuripo, kana kuti kunogona kuwedzera nekufamba kwenguva.

Nekuti Left Bundle Branch Block (LBBB) dzimwe nguva inogona kuva chiratidzo chekutanga chemwoyo wakavharika, vatyairi vendege munyika dzakadai seUS neUK vanorambidzwa kubhururuka kana vaine LBBB. Zvisinei, kunze kwekunge uine zviratidzo zvakakomba, kuva neBundle Branch Block kazhinji hakuzokanganisi zvakanyanya mabasa ako ezuva nezuva.

Panyaya yemaonero, kana usina zvimwe zvirwere zvikuru, Bundle Branch Block ingasave nemhedzisiro yakakura pahutano hwako hwese kana hupenyu hwako hwese. Zvisinei, kana uine zvimwe zvirwere zvinokanganisa moyo wako, Bundle Branch Block inogona kuita kuti zvirwere izvozvo zviwedzere kuipa nekukurumidza uye zviratidzo zvako zvinogona kuwedzera.

Kana ndine (Bundle Branch Block), ndinozvitarisira sei?

Kana uine bundle branch block, udza chiremba wako pese paunoona chiremba mutsva. Ruzivo urwu ruchavabatsira kunzwisisa zviri nani hutano hwemwoyo wako uye hutano hwako hwese.

Iva nechokwadi chekuti chiremba wako anoziva kuti une bundle branch block, kunyanya muzviitiko izvi:

• Kana uri kuita bvunzo yekushushikana kwemuviri (nekuti zvimwe zvirwere zvinogona kuoma kuona kana uine LBBB).
• Kana paine dambudziko rehutano, rakadai sekurwadziwa kwemoyo.
• Kana uri kuvhiyiwa chimwe chirwere chemwoyo.

Zvakanakawo kuchengeta kopi yemushumo wako weECG pedyo, sezvo ichigona kubatsira kana paine dambudziko.

Ndeipi nguva dzakanakisa dzekuona chiremba?

Kana ukaona zviratidzo zvitsva, kana kuti zviratidzo zvako zvikawedzera, iva nechokwadi chekuona chiremba. Tsvaga rubatsiro rwechiremba nekukasika, kunyanya kana uine chimwe chezviratidzo zvinotevera:

• Kana uchinzwa kurwadziwa muchipfuva, kusagadzikana, kana kubatwa .
• Kana uchinzwa kuneta zvakanyanya .
• Kana uchinzwa sekunge wava kuda kupera simba (presyncope).
• Kana ukarasikirwa nepfungwa .
• Kana uchinetseka kufema kana kuti uchinzwa kudzipwa.

Muchidimbu (Mharidzo Yekuenda Kumba)

Zvakanaka, saka ngatingorangarirai `(Bundle Branch Block)` yatakataura nezvayo nhasi:

• Bundle Branch Block (BBB) ​​​​ichivharo munzira yemagetsi yemoyo. Izvi zvinogona kukonzera kurova kwemoyo zvisina kurongeka.
• Izvi zvinogona kukanganisa divi rekurudyi (RBBB), divi rekuruboshwe (LBBB), kana mativi ese ari maviri.
• Kazhinji, hapana zviratidzo .
• Izvi zvinonyanya kuonekwa kuburikidza nemiedzo ye `ECG` ne `Echo`.
• Kurapwa kwe "BBB" pachako hakusi chinhu chinodiwa nguva dzose, asi zvakakosha kurapa chikonzero chacho .
• Vanhu vazhinji vanogona kurarama hupenyu hwakajairika ne bundle branch block, asi njodzi inogona kuwedzera kana uine zvimwe zvirwere zvemwoyo.

Saka, kana iwewo uine fungidziro nezvechirwere cherudzi urwu, uye wakaudzwa nachiremba akanaka, usatya. Tevedzera mirairo inodiwa, rarama mararamiro ane hutano. Ipapo iwewo unogona kuramba uine hutano.

` bundle branch block, chirwere chemwoyo, ECG, kurova kwemoyo, magetsi emoyo, RBBB, LBBB