Une kabhuroko kadiki kuruboshwe rwemoyo wako here? Ngatidzidzei nezveBlock yeBazi reLeft Bundle!

Wakamboitwa ECG ukaona chimwe chinhu chinonzi Left Bundle Branch Block, kana kuti LBBB, pamushumo here? Kana kuti wakambonzwa nezvemumwe munhu waunoziva ane chirwere ichi? Kunzwa zita iri kunogona kutyisa zvishoma. Asi usazvidya mwoyo. Ngatitaure nezvazvo zviri nyore uye zvakajeka nhasi. Sekutaura neshamwari.

Chii chinonzi Left Bundle Branch Block (LBBB)? Ngatizvinzwisise zviri nyore.

Zvakanaka, ngatitangei tatarisa kuti chii chinonzi `Left Bundle Branch Block` kana kuti `LBBB`. Zvichitaurwa zviri nyore, chinhu chine chekuita nekurova kwemoyo yedu.

Waizviziva here kuti moyo wedu unoshanda semagetsi madiki? Pane masero akakosha mumoyo anotumira chiratidzo chemagetsi kumoyo kuti chirove. Kana chiratidzo ichi chikapararira mumoyo wese, tsandanyama dzemwoyo dzinogumira dzopomba ropa.

Mwoyo une makamuri makuru mana. Maviri pamusoro uye maviri pasi. Makamuri maviri ari pasi anonzi maventricles . Muchirungu, anonzi ``(Ventricles)``. Makamuri maviri aya - kureva, ventricle yekurudyi neventricle yekuruboshwe - anofanira kukwenya panguva imwe chete, pamwe chete, kuitira kuti moyo ugone kupomba ropa nemazvo.

Zvino, kune nzira mbiri dzakatarwa dzinoendesa chiratidzo ichi chemagetsi kumasero. Se "waya" mbiri. Imwe inoenda kuseri rekurudyi (bazi repakeji rekurudyi), uye imwe inoenda kuseri rekuruboshwe (bazi repakeji rekuruboshwe).

Mu "Left Bundle Branch Block" pane kuvharika, kuvharika, kana kumira munzira inotakura chiratidzo chemagetsi kuenda ku ventricle yekuruboshwe (bundle yekuruboshwe). Kuvharika uku kunononotsa chiratidzo chemagetsi kusvika ku ventricle yekuruboshwe. Chii chinoitika ipapo? Ventricle yekurudyi inowanzo vharika, nenguva, asi ventricle yekuruboshwe inovharika gare gare. Izvi zvinoita kuti makamuri maviri emoyo asashande pamwe chete, kureva kuti, anorasikirwa ne "sync". Izvi zvinogona kukonzera kukanganiswa kudiki mukukwanisa kwemoyo kupomba ropa zvinobudirira.

Fungidzira, mumba, mune `waya` mbiri dzinotakura `current` kubva ku`main switch` kuenda kumakamuri maviri. Kana paine `chikanganiso` chidiki mune imwe ye`waya`, zvinoita sekunge pane kunonoka kwe`current` kusvika mukamuri iroro.

LBBB inogona kunge yakakomba sei?

Iye zvino ungave uchifunga kuti, "Wow, izvi zvine njodzi here?" Kazhinji, kana usina chimwe chirwere chemwoyo uye uri munhu ane hutano hwakanaka, 'LBBB' iyi ingasave yakanyanya kuipa. Vamwe vanhu vanogona kuva nayo vasina zviratidzo.

Zvisinei, kana uine chirwere chemwoyo (chakadai sekushaya simba kwemoyo), LBBB inogona kuita kuti chirwere chemwoyo wako chiwedzere kuipa uye zviratidzo zvako zviwedzere kuipa. Saka, zvakakosha kuona chiremba kana ukaona kuti une LBBB uye ukaona chiri kukonzera uye kana uine zvimwe zvirwere zvemwoyo.

Chirwere ichi chakajairika zvakadii? Ndiani ane mukana mukuru wekuchibata?

`LBBB` haisi yakajairika. Zvinonzi inokanganisa pakati pe0.06% ne0.1% yevanhu vekuAmerica. Zvisinei,Njodzi yekubatwa nechirwere ichi inowedzera nekukura. Hachiwanzoonekwa kuvanhu vari pasi pemakore makumi matatu nemashanu. Chinowanzoonekwawo kune vanhu vane mamwe matambudziko emwoyo. Semuenzaniso, vanhu vanosvika 33% vane chirwere chemwoyo vanogona kunge vaine chirwere ichi che 'LBBB'. Kunyange zvazvo vanhu vari pasi pe1% vari pasi pemakore makumi mashanu vane chirwere ichi, vanhu vanosvika 6% vanogona kunge vaine chirwere ichi pavanosvika makore makumi masere.

Kana LBBB ikakura, ichapera here?

Kazhinji, kana LBBB yakura, haiperi zvachose. Izvi zvinoreva kuti inogona kuva chirwere chisingaperi. Zvisinei, vamwe vanhu havagari vaine chirwere ichi nguva dzese. Semuenzaniso, LBBB inogona kungoitika chete kana kurova kwemoyo kwawedzera, senge panguva yekurovedza muviri. Inozopera kana zvinhu zvadzokera kune zvakajairika.

Chii chinonzi Incomplete LBBB?

Ungave wakambonzwa nezve "Left Bundle Branch Block isina kukwana" (LBBB). Izvi zvinoreva kuti masaini emagetsi ari muchikamu chekuruboshwe haana kuvharwa zvachose, asi anongovharwa zvishoma chete. Izvi zvinogona kureva kuti uri panjodzi yekuve neLBBB yakazara mune ramangwana.

Sei LBBB ichiitika? Ndezvipi zvikonzero?

Kazhinji, chikonzero chikuru che `LBBB` kukuvara kwemoyo. `LBBB` inogona kukonzerwa nemamiriro ezvinhu akadai se:

• Kuva nechirwere chemwoyo (Myocardial Infarction).
• Chirwere chemwoyo - Izvi zvinoreva kuvharika kwetsinga dzinopa ropa kumoyo.
• Kukundikana kwemoyo - Kusakwanisa kwemoyo kupomba ropa nemazvo.
• Myocarditis - Kutapukira kwetsandanyama yemwoyo.
• Chirwere cheVharuvhu yeMoyo - Vharuvhu yemoyo haisi kushanda zvakanaka.
• Kukwira kweropa (BP).
• Cardiomyopathy - Kupera simba kana kukora kwetsandanyama yemoyo.
• Zvirwere zveMoyo zvekuzvarwa nazvo .

Zvisinei, dzimwe nguva LBBB inogona kuitika pasina chikonzero chakajeka. Izvi zvinoreva kuti dzimwe nguva inogona kuonekwa kune vanhu vane hutano hwakanaka vasina mamwe matambudziko emwoyo.

Ndezvipi zviratidzo zvinoratidzwa nemunhu ane LBBB?

Izvi zvinoshamisa vanhu vazhinji. Havasi vese vane LBBB vane zviratidzo. Vamwe vanhu havatombozivi kuti vanazvo. Zvinongoerekana zvaitika kana ECG yaitwa nekuda kwechimwe chikonzero.

Zvisinei, vamwe vanhu vanogona kutanga zviratidzo. Panguva dzakadaro, unogona kuona zvinhu zvakaita se:

• Kusaziva - Izvi zvinoreva kurasikirwa nepfungwa.
• Presyncope - Kunzwa dzungu, musoro wakareruka, kana kuti sekunge wava kuda kudonha.
• Kuderera kwekurova kwemoyo.

Kana uine zviratidzo izvi, unofanira kuona chiremba.

Vanachiremba vanoongorora sei LBBB? (Kuongororwa)

Muedzo mukuru wekuona kana uine LBBB ielectrocardiogram, kana kuti ECG. Kana wakamboitwa ECG, ungangove unoziva kuti zvidhindo zvidiki zvinoiswa pachipfuva chako uye muchina unonyora mashandiro emagetsi emwoyo segirafu. Nekutarisa ECG iyi, vanachiremba vanogona kukuudza zvechokwadi kana uine LBBB.

Kana ECG yako ikaratidza kuti une LBBB, chiremba wako anogona kuraira mimwe miedzo. Sei? Kuti uwane kuti chii chiri kukonzera LBBB uye kana uine zvimwe zvirwere zvemwoyo. Miedzo iyi inogona kusanganisira:

• Kuyerwa kweBP: Tarisa kana uine BP yakakwira kana yakaderera.
• Kuongororwa kweropa: Kunyanya tarisa huwandu hwecholesterol.
• `Echocardiogram`, inova kuskena kwemoyo: Izvi zvinokubatsira kuona zvinhu zvakaita semakamuri emoyo, mavharuvhu, uye kuti ropa rinoyerera sei.
• Kuongororwa Kwepfungwa dzeMwoyo dzeNyukireya : Izvi zvinobatsira kuona chirwere chetsinga dzemwoyo.

Ndeapi marapirwo eLBBB?

Iye zvino ngatitarisei kurapwa. Kana uine `LBBB` asi usina zviratidzo, uye usina chimwe chirwere chemwoyo, ungasada kurapwa. Chiremba wako achakutarisa, asi haafanire kukupa mushonga wakakosha.

Zvisinei, kana uine mamwe matambudziko akadai seBP, kana uine zviratidzo zvekushaya simba kwemoyo, unogona kupihwa mushonga wekudzikisa matambudziko acho.

Kana uine zviratidzo zvakaita sekusagadzikana kwemoyo (syncope), chiremba wako anogona kukukurudzira kuti uwane pacemaker. Pacemaker mudziyo mudiki unoiswa pasi peganda rechipfuva, pedyo nemoyo. Mudziyo uyu wakabatana nemoyo newaya inodzora masaini emagetsi emoyo uye inobatsira moyo kurova zvakanaka. Pacemakers dzinowanzo kurudzirwa kune vanhu vane LBBB nezvimwe zvirwere zvinokonzeresa kufema.

Kana uine chirwere chemwoyo uye LBBB, chiremba wako anogona kukurudzira kurapwa kunonzi Cardiac Resynchronization Therapy (CRT). Iyi imhando ye pacemaker yakakosha. Inoshanda nekuita kuti makamuri maviri emwoyo (kurudyi nekuruboshwe) azvibatanidze panguva imwe chete. CRT inogona kubatsira kuderedza zviratidzo zvakaita sekuneta uye kufema zvishoma.

Chii chatingaita kuti tideredze njodzi yekubatwa neLBBB?

Zvingasakwanisika kudzivirira zvachose kukura kwe `LBBB`, nekuti dzimwe nguva chikonzero hachiwanikwe. Zvisinei,Nekutevera tsika dzakanaka dzehutano uye kuita sarudzo dzakangwara, unogona kuderedza njodzi yako yekurwara kwete ne `LBBB` chete, asiwo nezvimwe zvirwere zvemwoyo zvakawanda. Ndezvipi?

• Idya chikafu chine hutano mumoyo (chisina mafuta akawanda, munyu, uye shuga yakawanda, chine michero nemiriwo yakawanda).
• Maekisesaizi nguva dzose (kunyangwe kungofamba kwemaminitsi makumi matatu pazuva kwakanaka).
• Kana BP yako yakakwira, idzore.
• Ramba uine huremu hwakanaka.
• Dzora huwandu hwecholesterol yako.
• Kana uchisvuta, tsvaga rubatsiro kubva kuna chiremba kuti urege.

Kuita zvinhu izvi kuchakubatsira zvikuru kuchengetedza moyo wako uine hutano.

Chii chaungatarisira kana uine LBBB?

Kana uine hutano hwakanaka uye usina zvimwe zvirwere zvemwoyo, LBBB ingasave nemhedzisiro yakakura pahutano hwako hwese. Unogona kurarama hupenyu hwakajairika.

Zvisinei, kana uine makore anopfuura makumi matanhatu nemashanu ekuberekwa uye uine chirwere chemwoyo kana chimwe chirwere chemwoyo, LBBB isina kurapwa inogona kuva yakakomba zvikuru. LBBB inoonekwa seimwe yenjodzi yekufa, kunyanya kuvanhu vane chirwere chemwoyo kana mushure mekurwara nemoyo. Ndosaka vanachiremba vachinetseka nezvazvo.

Unofanira kuona chiremba rini?

Kana uchiziva kuti une LBBB, iva nechokwadi chekuona chiremba kana paine zviratidzo zvitsva, kana kana zviratidzo zviripo zvikawedzera.

Unofanira kutsvaga rubatsiro rwechiremba nekukasika, kunyanya kana uine chimwe chezvinotevera:

• Kana uchinzwa kurwadziwa muchipfuva, kusagadzikana, kana kusimba.
• Kana uchinzwa kuneta zvakanyanya.
• Kana ukarasikirwa nepfungwa.
• Kana uchinzwa kuoma kufema kana kudzipwa.

Izvi zvinogona kunge zviri zvekukurumidzira, saka zvakanaka kusanonoka.

Chii chimwe chaunofanira kubvunza chiremba nezveLBBB?

Kana ukaona chiremba wako, unogona kubvunza mibvunzo yakaita seiyi kuti unzwisise zviri nani mamiriro acho ezvinhu:

• Ndeipi nzira yekurapa yakanakira ini?
• Ko `LBBB` iyi ingadzoka here mushure mekurapwa?
• Kurapwa kwandiri kuitwa kuchaita kuti pave nemigumisiro yakaipa here?

Usatya kubvunza chero mibvunzo yaunayo. Chiremba aripo kuti akubatsire.

Ndingachengetedza sei hutano hwangu?

Pose paunoona chiremba mutsva, usakanganwa kuvaudza kuti une `LBBB`. Ruzivo urwu ruchavabatsira kunzwisisa zviri nani hutano hwemwoyo wako uye hutano hwako hwese.

Kana iwe kana mumwe munhu waunoda aine LBBB, taura nachiremba wako nezvenzira dzakanakisisa dzekuvandudza hupenyu hwako. Kana usina zviratidzo, ungasada kurapwa. Kana uine zviratidzo, taura nachiremba wako nezvekuti pacemaker kana CRT ingabatsira here. Kana ukaona zviratidzo zvitsva, ona chiremba wako nekukasika.

Pakupedzisira, meseji yekudzokera nayo kumba:

Usavhunduke kana ukanzwa zita rekuti `Left Bundle Branch Block (LBBB).` Kazhinji, kunyanya kana uine hutano hwakanaka, haisi chirwere chakakomba. Zvisinei, kana ukaona kuti unacho, zvakakosha kuona chiremba kuti uone chiri kukonzera uye kana uine zvimwe zvirwere zvemoyo.

Tevedzera mirairo yachiremba wako nokungwarira, ongororwa zvakakodzera, tora mishonga yakakodzera, uye rarama mararamiro ane hutano. Ipapo unogona kuramba uine hutano hwakanaka kunyangwe uine chirwere ichi che 'LBBB'. Yeuka, hausi wega, uye kune vanachiremba vanogona kukubatsira.

Kana muine mimwe mibvunzo, musanyara kubvunza chiremba. Chinhu chakakosha ndechekuziviswa nezvehutano hwenyu!

LBBB , chirwere chemwoyo, kuvharika kwemoyo, ECG, pacemaker, kurova kwemoyo, kuvharika kwebazi rekuruboshwe