Ungangove wakatorwa ECG panguva yekuongororwa kwechiremba, sepaya pawakaenda kunoona chiremba nekuda kwechimwe chirwere, kana pawakatanga basa idzva. Ungangove wakanetseka uye wakatya pawakaona katsamba pamushumo weECG kakanyorwa kuti 'Right Bundle Branch Block', kana kuti RBBB. Ungangove wakafunga kuti, "Mwari wangu, pane chimwe chinhu chakakanganisika nemoyo wangu here?" Zvakajairika kufunga saizvozvo paunoona izwi rausingazive kudaro. Asi usati watya, ngatinzwisise izvi zvakajeka uye zviri nyore. Kazhinji, izvi hazvina kukomba sezvaunofunga.
Zvichitaurwa zviri nyore, chii chinonzi Right Bundle Branch Block (RBBB)?
Kuti tinzwisise izvi, ngatitangei tatarisa mashandiro anoita mwoyo yedu. Fungidzirai moyo wenyu wakaita seimba diki ine makamuri mana. Kuti mwenje ibate uye mafeni ashande mumba muno, panofanira kuva nemagetsi, kana kuti 'magetsi'. Saizvozvowo, mwoyo wedu une sisitimu yawo yemagetsi yekurova nemazvo.
Chiratidzo ichi chemagetsi chinotanga pa 'master switch' iri pamusoro pemoyo. Tinochidana kuti `(Sinoatrial node)` kana kuti SA node. Kubva ipapo, chiratidzo chemagetsi chinofamba nepakati pemakamuri maviri epamusoro emoyo (atria) uye chinosvika pa 'junction box' inonzi `(Atrioventricular node)` kana AV node.
Kubva mubhokisi iri rekubatanidza magetsi, chiratidzo chemagetsi chinokamurwa kuita waya mbiri huru dzinoenda kumakamuri maviri makuru (ventricles) pasi pemoyo. Idzi waya mbiri ndidzo dzatinodaidza kuti 'mapazi emabundle'. Imwe inoenda kukamuri rekurudyi (bazi rebundle rekurudyi), uye imwe inoenda kukamuri rekuruboshwe (bazi rebundle rekurudyi).
Chinowanzo fanira kuitika ndechekuti chiratidzo chemagetsi chinofamba netambo dzese idzi nekumhanya kwakafanana uye panguva imwe chete, zvichiita kuti makamuri maviri epazasi emoyo agumbuke pamwe chete.
Zvisinei, kune munhu ane Right Bundle Branch Block (RBBB) , pane kuvharika kudiki mu'waya' inoenda kurudyi, kana kudzikira kudiki kwekumhanya kwechiratidzo. Zvakaita sekuti 'current' iri kuyerera zvishoma nezvishoma pawaya yekare. Nekuda kweizvi, ventricle yekurudyi inogamuchira chiratidzo gare gare pane kuruboshwe. Nekuda kweizvi, ventricle yekurudyi inorova chikamu chidiki chesekondi mushure mekunge ventricle yekurudyi yarova.
Kusawirirana kudiki pakati pezvikamu zviviri zvemoyo ndiko kwatinoona paECG seRBBB. Uku hakusi buri riri mumoyo kana tsinga yeropa yakavharika, asi kungoti kunonoka kudiki kwechiratidzo chemagetsi.
Kune mhando mbiri huru dzeRBBB. Kana chiratidzo chanonoka zvikuru, chinonzi 'Complete RBBB', uye kana chanonoka zvishoma, chinonzi 'Incomplete RBBB'. RBBB isina kukwana kazhinji haisi yakakura seRBBB yakazara.
Ndiani angangoona chirwere ichi zvakanyanya?
Izvi zvinogona kuitika kune chero ani zvake. Kunyangwe vanhu vane hutano hwakanaka, vasina zvirwere vanogona kusangana neRBBB. Zvisinei, chirwere ichi chinowanzoitika sezvatinokura. Kungofanana netambo dzemagetsi mumba mekare dzinogona kuderera zvishoma, hurongwa hwemagetsi hwemoyo hunogonawo kuderera zvishoma sezvatinokura.
Ongororo yakawana kuti pavanosvika makore makumi masere, vanhu gumi nerimwe pavanhu zana (kana kuti 11%) vachasangana nechirwere ichi cheRBBB. Saka unogona kuona kuti hazvisi zvisinganzwisisike.
Ndezvipi zviratidzo zveRBBB?
Ichi ndicho chinhu chinonyanya kukosha uye chinonyaradza kuziva. Kune vanhu vazhinji, hapana zviratidzo. Ungasatomboziva kuti une RBBB. Inogona kusaonekwa kusvika ECG yaitwa nekuda kwechimwe chikonzero. Hauzorwadziwi chipfuva, kushaya mweya, kana kupera simba nekuda kweRBBB chete.
Izvi zvinoreva kuti kana uine zviratidzo izvi, zvinogona kunge zvisiri nekuda kweRBBB, asi nekuda kwechimwe chirwere chiripo. Saka, kana uine zviratidzo zvakadaro, unofanira kuona chiremba.
Ndezvipi zvikonzero zveRBBB?
Kunyangwe RBBB ichigona kuitika kuvanhu vane hutano hwakanaka pasina chikonzero chakajeka, inogonawo kukonzerwa nezvimwe zvirwere nezvimwe zvinhu. Ngatitarisei zvimwe zvezvikonzero zvikuru.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Kufa kwemwoyo | Kurwara nemoyo kunogona kukanganisa tsandanyama dzemwoyo uye kukanganisa nzira inotapurirana nayo masaini emagetsi. |
| Kuzvimba kwetsandanyama yemwoyo (Myocarditis) | Chimwe chinhu chakadai sehutachiona hwehutachiona chinogona kukonzera kuti tsandanyama dzemwoyo dzizvimbe/dzive, zvichikanganisa kufambiswa kwemashoko. |
| Kukuvara kwepachipfuva | Kurohwa zvakanyanya pachipfuva nekuda kwetsaona kunogona kukanganisa mashandiro emagetsi emoyo. |
| Kuvhiyiwa kwemoyo kana bvunzo | Dambudziko iri rinogona kuitika dzimwe nguva panguva yekuyedzwa kwemoyo kwakadai sekuiswa kwecatheter mumoyo, uko chubhu inopinzwa mumoyo. |
| Kuchinja kwemaumbirwo emoyo | Nekuda kwezvinhu zvakaita sekuwedzera kwemakamuri emwoyo, nzira dzinotakura masaini emagetsi dzinogona kutatamuka, zvichiita kuti chiratidzo chisafambe kwenguva refu. |
| Zvimwe zvirwere zvemajini | Dambudziko iri rinogonawo kukonzerwa nezvirwere zvisingawanzoitiki zvakaita sechirwere chaLev kana chirwere chaLenegre. |
Chiremba anoona sei izvi uye anozvisimbisa sei?
RBBB inowanzoonekwa kuti ine ECG, kana Electrocardiogram . Kuongororwa uku kunosanganisira kunamira zvinamira pachipfuva chako, maoko, nemakumbo uye kunyora mashandiro emagetsi emwoyo wako. Chiremba ane ruzivo anogona kuona zviri nyore kana uine RBBB nekutarisa pateni iyi yeECG.
Asi, chiremba haagumiri ipapo. Kune mamwe mamiriro akati wandei, angangove akakomba, anoratidza maitiro eECG akafanana neRBBB. Saka chiremba achanyatsoongorora ECG yako kuti ave nechokwadi chekuti hauna matambudziko aya.
Heano mamwe mamiriro ezvinhu akadaro:
- Ventricular Tachycardia: Chirwere chakakomba apo makamuri epasi emoyo anorova nekukurumidza.
- Brugada Syndrome: Chirwere chemajini chinogona kukonzera kumira kwemwoyo kamwe kamwe.
- Chivharo cheBazi reKuruboshwe Chisina Kukwana: Kuvharika kusina kukwana kwenzira yechiratidzo kuruboshwe, sezvakangoita kurudyi.
Saka, kunyangwe kana mushumo wako weECG uchiti RBBB, mhedziso yekupedzisira uye zano maererano nazvo zvinofanirwa kupihwa nachiremba anokuongorora.
RBBB inoda kurapwa here?
Kunewo mashoko akanaka kwazvo pano.
Kana usina chimwe chirwere chemwoyo (semuenzaniso, kutadza kushanda kwemoyo) uye usina zviratidzo (semuenzaniso, kurwadziwa muchipfuva, kupera simba), hapana kurapwa kwakakosha kunodiwa paRight Bundle Branch Block.
Zvakafanana nechiratidzo chekuzvarwa pamuviri wako. Chiripo, asi hachikunetse. Chiremba angangokuudza kuti uuye kamwe chete pagore woongororwa ECG, kuti uone kana paine shanduko. Kunze kweizvozvo, hazvidi mimwe mishonga kana kuvhiyiwa.
Zvisinei, kana uine RBBB nekuda kwechimwe chirwere chemwoyo (sechakanyorwa patafura yezvikonzero zviri pamusoro), saka RBBB hairapwe. Dambudziko riripo rinorapwa. Semuenzaniso, kana moyo wako wakakura nekuda kweBP yakakwira uye RBBB ikakonzerwa nechirwere ichi, kurapwa ndekwekudzora BP yako. Kana ikakonzerwa nechirwere chemwoyo, unofanira kuramba uchichirapa.
Remangwana remunhu ane RBBB rakaita sei? Pane chekutya here?
Mhinduro yemubvunzo uyu inoenderana nekuti une zvimwe zvirwere zvemwoyo here kana kuti kwete. Ngatitarisei nyaya mbiri idzodzo zvakasiyana.
1. Kana usina chimwe chirwere chemwoyo (Zvisinei, chine hutano)
Panguva ino, RBBB haisi chinhu chekunetseka nezvayo. Haipfupisi hupenyu hwako kana kuwedzera njodzi yekubatwa nechirwere chemwoyo. Inongova 'kamwe chete', kana kuti chinhu chakasiyana, mumagetsi emoyo wako. Unogona kuenderera mberi nehupenyu hwako hwemazuva ese pasina matambudziko.
2. Kana uine chimwe chirwere chemwoyo (semuenzaniso Heart Failure, mushure meHeart Attack)
Muchiitiko chakadaro, RBBB chinhu chekufunga nezvacho. Izvi hazvirevi kuti mamiriro ako aipa nekuda kweRBBB. Zvisinei, kuva neRBBB kunoratidza kuti mwoyo wako uri pasi pekumanikidzwa uye kuti mashandiro awo haana kusimba. Saka, kana RBBB ikabatanidzwa nechirwere chemwoyo chakadai, njodzi yematambudziko mune ramangwana inogona kuwedzera zvishoma.
Ndosaka zvichikosha kuti varwere vakadaro vatevere kurapwa kwavanopiwa nachiremba wavo kwechirwere chavo chikuru chemwoyo pasina zvikanganiso . Vanofanira kuita zvinhu zvakaita sekunwa mishonga yavo nenguva, kudzora kudya kwavo, uye kurovedza muviri nemazvo.
Kana RBBB yangoumbwa, haiperi. Inyaya inogara iripo.
Ndinofanira kuona chiremba nguvai uye kungwarira?
Kana uchiziva kuti une RBBB, zvakanaka kugara uchionana nachiremba wako nguva dzose.
- Kusangana nenguva: Kunyangwe kana usina zvimwe zvirwere, enda kunoongororwa panguva dzakakurudzirwa nachiremba wako (semuenzaniso kamwe chete pagore). Kana uine zvimwe zvirwere zvemwoyo, iva nechokwadi chekupinda kumakiriniki iwayo.
- Zviratidzo zvitsva: Kana ukava nezviratidzo zvawakanga usina kumbobvira wava nazvo, zvakaita sekurwadziwa muchipfuva, kushaya mweya, kuzvimba mumakumbo, kana kupera simba, enda kuna chiremba nekukasika.
- Dambudziko:Fungidzira uchirwadziwa pachipfuva zvisingatsungiririki, kurwadziwa kwacho kuchibuda kuruoko rwako rweruboshwe, mutsipa, kana shaya, unonzwa kudikitira zvakanyanya, uye unonzwa kushaya mweya. Izvi zvinogona kuva zviratidzo zvechirwere chemwoyo. Kana zvakadaro, usanonoka. Enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
Mibvunzo inokosha yekubvunza chiremba wako
Kana mushumo wako weECG uchiti RBBB, kubvunza mibvunzo iyi paunoona chiremba wako kunogona kukubatsira kuti uwane kujekeswa kwakanyanya.
- "Chiremba, pane chikonzero chaicho here chandinoita kuti ndive nechirwere ichi cheRBBB?"
- "Ndinofanira here kuchinja chero chinhu muhupenyu hwangu hwezuva nezuva nekuda kweizvi? Muzvinhu zvakaita sekudya, kurovedza muviri, nezvimwewo?"
- "Ndinofanira kudzoka nguvai ndichitarisa?"
- (Kana uine zvimwe zvirwere zvemwoyo) "Ndiri panjodzi yakakura here yekuva neRBBB iyi nezvimwe zvirwere zvemwoyo wangu? Ndingaitei kuti ndizvidzore?"
Mharidzo Yekuenda Nayo Kumba
- Chivharo cheBazi reKurudyi (RBBB) kunonoka kudiki kwechiratidzo chemagetsi chemoyo chichienda kurudyi rwemoyo. Uku hakusi buri riri mumoyo kana kuvharika kwetsinga dzeropa.
- Kunyangwe munhu ane hutano hwakanaka asina chimwe chirwere chemwoyo aine RBBB, kazhinji haaratidzi zviratidzo. Uye haadi kurapwa. Hazvina chekunetseka nazvo.
- Kana uine chimwe chirwere chemwoyo, chakadai sekushaya simba kwemoyo, RBBB inogona kunge iri njodzi. Chinhu chakakosha ndechekutevera kurapwa kwechirwere chako chiripo.
- Usambofa wakafuratira zviratidzo zvechirwere chemwoyo, zvakaita sekurwadziwa pachipfuva uye kushaya mweya zvakanyanya. Kana zvakadaro, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Kana muine kusava nechokwadi kana kunetseka nezvemushumo wenyu weECG kana chirwere ichi, taurai pachena nachiremba wenyu nezvazvo, bvunzai mibvunzo, uye ziviswai.
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