Masaini emagetsi emwoyo wako haasi kushanda nemazvo here? Ngatitaurei nezveTrifascicular Block!

Wakambozvibvunza here kuti moyo wako unoshanda zvinoshamisa sei? Zvakafanana nehurongwa hudiki hwemagetsi, hunotumira masaini emagetsi kunzvimbo dzakasiyana dzemoyo kuti urambe uchirova zvakanaka. Asi dzimwe nguva, panogona kuva nekukanganiswa kudiki munzira dzemasaini emagetsi aya. Ndipo patinotaura nezve "Heart Block." Nhasi tichataura nezverudzi rwakati rwe heart block, runonzi trifascicular block.

Ndezvipi zvinhu izvi zviri mumoyo? Zviri kupi?

Zvakanaka, ngatitarisei kuti aya ma "fascicles" chii. Zvichitaurwa zviri nyore, aya mabundles chaiwo emhasuru dzinotakura mashoko emagetsi mukati memoyo. Aya anonziwo "bundle branchs." Aya ari mumakamuri maviri epasi emoyo, "ventricles." Aya ma "fascicles" ndiwo anotumira masaini emagetsi nekukurumidza, zvichiita kuti makamuri emwoyo agumbuke zvakanaka uye apombe ropa.

Sezvamunoziva, mwoyo wedu ndiwo nhengo huru yehurongwa hweropa. Une makamuri makuru mana:

• Atria: Makamuri maviri epamusoro.
• Maventricle: Makamuri maviri epasi. Chikamu chetatu chinokanganisa makamuri maviri epasi aya.

Zvino ngatitarisei ma "fascicles" ari mumakamuri maviri aya epasi:

• Ventricle Yekurudyi: Iyi ndiyo kamuri repasi riri kurudyi rwemoyo. Kubva pano, ropa rinotumirwa kumapapu kuburikidza nePulmonary Arteries kuti rigamuchire okisijeni. Ventricle yekurudyi ine fascicle imwe chete. Inonzi Right Bundle Branch .
• Ventricle Yekuruboshwe: Iyi ndiyo kamuri repasi riri kuruboshwe rwemoyo. Inopomba ropa rine oxygen kuburikidza neaorta kuenda kumuviri wese. Ventricle yekuruboshwe ndiyo kamuri yekupomba yakakura uye ine simba kupfuura dzose mumoyo. Ine ma fascicle maviri, Left Anterior Fascicle neLeft Posterior Fascicle . Pamwe chete, maviri aya anoumba Left Bundle Branch . Ma fascicle aya anopatsanurwa kuita mamiriyoni ema fibers madiki anonzi Purkinje Fibers.

Funga nezvazvo nenzira iyi, ma "fascicles" aya akafanana netambo dzemagetsi dziri mumba. Paunobatidza switch (kureva kuti, kana chiratidzo chasvika pamoyo), magetsi anoyerera netambo idzi obatidza girobhu remwenje (kureva kuti, tsandanyama dzemwoyo dzinogumira). Saka chii chinoitika kana paine kukanganiswa kwetambo idzi? Ndizvo zvinoitika mu "heart block".

MaHeart Blocks anorongwa sei?

Vanachiremba vanoisa ma "heart blocks" aya muzvikamu zvitatu zvikuru zvichienderana nekuoma kwawo:

1. Kuvharika kwedhigirii rekutanga: Uku kunonoka kudiki kwemagetsi kubva kuatria kuenda kumaventricle. Uku kuvharika kusina kukwana``Saka, kazhinji, hapana zviratidzo uye hapana kurapwa kunodiwa.

2. Kuvhara kwedhigirii rechipiri: Muchiitiko ichi, mamwe masaini emagetsi anoenda kumasero, asi mamwe haaende. Ukuwo kuvharika kusina kukwana. Izvi zvinogona kukonzera kuti kurova kwemoyo kuderere, kunonzi "bradycardia." Kana kuti kurova kwemoyo kunogona kusarongeka, kunonzi "arrhythmia." Kana kuvharika kwedhigirii rechipiri uku kuchienda kudhigirii rechitatu, kurapwa kungadiwa.

3. Kuvharika kwedanho rechitatu: Uku kuvharika kwakazara . Hapana masaini emagetsi anotumirwa kubva kuatria kuenda kumaventricle. Kurira kwemoyo kunodzorwa neAV node, bundle yeHis, kana maventricle pachawo. Izvi zvinoita kuti kurova kwemoyo kuderere zvakanyanya. Izvi zvinogona kuisa hupenyu panjodzi, saka kurapwa kunodiwa nekukurumidza.

Saka chii chaizvo chinonzi Trifascicular Block?

Izwi rekuti "tri" rinoreva zvitatu. Saka, muchikamu chetrifascicular block, pane kuvharika munzvimbo nhatu muhurongwa hwekufambisa kwemoyo, pasi pe "AV Node".

Zvichitaurwa zviri nyore, chivharo chetatu-fascicular idambudziko nemasaini emagetsi ari mubazi rerudyi nebazi rekuruboshwe (ndiko kuti, ese ari maviri ekuruboshwe anterior neruboshwe posterior fascicles). Izvi zvinoonekwawo sechivharo chemoyo chakazara . ( Kana paine chivharo mubazi rimwe chete rerudyi nebazi rekuruboshwe, chinonzi "bifascicular block.")

Izvi zvinoreva kuti, munhu ane trifascicular block ane zvirwere izvi zviviri:

• Chivharo cheBazi reKurudyi cheBundle: Muizvi, chiratidzo chemagetsi kubva kudivi rekurudyi kuenda kudivi rekuruboshwe chebundle chinononoka.
• Chivharo cheBazi reKuruboshwe: Apa ndipo apo chiratidzo chemagetsi chinofamba nepakati peventricle yekuruboshwe zvishoma nezvishoma. Muchivharo chetatu, kuvharika kunokanganisa zvese fascicles yekuruboshwe nechekuruboshwe.

Fungidzira zvinoitika kune motokari kana migwagwa mikuru mitatu yakavharwa panguva imwe chete. Izvi zvinoitikawo kune mameseji ari mumoyo.

Mavharo emwoyo aya akajairika zvakadii?

Nyanzvi dzinoti munhu mumwe chete pavanhu gumi vane makore anopfuura makumi manomwe ane nhoroondo yechirwere chemwoyo achatanga kuvharika kwemoyo panguva imwe chete muhupenyu hwake.

Ndezvipi zvikonzero zve trifascicular block?

Njodzi yekubatwa nechirwere chemwoyo chinowedzera nekukura. Dzimwe nguva chirwere ichi chinogona kuitika pasina chikonzero chakajeka. Chinogonawo kukonzerwa nechirwere chemwoyo chekuzvarwa nacho.

Zvisinei, kazhinji, trifascicular block inokonzerwa nekukuvara kwemoyo. Kukuvara uku kunogona kukonzerwa nezvinhu zvakaita se:

• Chirwere chetsinga yeropa
• Mwoyo wakakura (Hypertrophic Cardiomyopathy)
• Kurwiswa neMwoyo
• Zvimwe Zvirwere zveMwoyo
• Chirwere cheVharuvhu yeMwoyo
• Kuwedzera kwepotassium muropa (Hyperkalemia)
• Kuvhiyiwa Kwemwoyo Kusingapindi Mukati Kana Kuvhiyiwa Kwemwoyo Wakavhurika
• Kushanda zvakanyanya kwetsinga dzeVagus
• Fivha yeRheumatic
• Sarcoidosis (chirwere umo masero madiki ekuzvimba anoungana munzvimbo dzakasiyana dzemuviri)

Ndezvipi zviratidzo zve trifascicular block?

Kuvharika kwemoyo kudiki (kwedhigirii rekutanga kana rechipiri) hakuwanzokonzere zviratidzo. Zvisinei, kana paine kuvharika kwemoyo kutatu, matavi ese matatu anokanganiswa, saka zviratidzo zvinowanzoonekwa. Unogona kusangana ne:

• Kurwadziwa kwechipfuva kana kuomarara (Angina)
• Dzungu uye Kufenda (Syncope)
• Kuneta
• Kurova kwemoyo (kunzwa sekuti moyo wako uri kumhanya kana kuti uri kusvetuka-svetuka)
• Kusvotwa
• Kushaya Mweya

Kana uine chimwe chezviratidzo izvi kana kupfuura, usazviregeredza. Zvakakosha kuona chiremba kuti akupe mazano.

Ndezvipi zvinetso zvinogona kuitika kana trifascicular block yavharwa?

Kuvharika kwemoyo kunoita kuti zviomere mwoyo kupomba ropa mumuviri wese. Izvi zvinogona kukonzera matambudziko anotyisidzira hupenyu akadai se:

• Kurova kwemoyo kusina kurongeka (Arrhythmia)
• Kumira kurova kwemoyo
• Kukundikana kweMwoyo
• Rufu rwemwoyo rwakangoerekana rwaitika (Rufu runokonzerwa nechirwere chemwoyo chakangoerekana chaitika) `(Rufu rwemwoyo rwakangoerekana rwaitika / Kusungwa kwemwoyo kwakangoerekana kwaitika)`

Nekuti aya matambudziko akakomba, tinoti zvakakosha zvikuru kutsvaga kurapwa kwematambudziko emwoyo akadai nekukurumidza.

Chirwere cheTrifascicular Block chinoonekwa sei?

Vanachiremba vanoshandisa bvunzo inonzi "electrocardiogram" kuti vaone shanduko dziri kuitika mumagetsi emwoyo. Izvi zvinonziwo ECG (E.C.G.) kana tichitsanangura. Vamwe vanhu vanoidaidzawo kuti EKG (E.K.G.).

Kuongororwa uku kweECG kunoyera mashandiro emagetsi emwoyo. Kunoyerawo kuti zvinotora nguva yakareba sei kuti masaini emagetsi afambe mumoyo. Kunoratidza nguva inotora kuti makamuri ese mana emoyo ashande.

ECG bvunzo isingarwadzi, isingapindi mumuviri.Zvinotora maminetsi angangoita gumi nemashanu. Muizvi, ma "electrode" madiki akaita sechigamba anonamirwa pachipfuva chako, maoko, nemakumbo. Ma electrode aya akabatanidzwa kumuchina weECG une waya. Muchina uyu unonyora mashandiro emagetsi emoyo wako segirafu. (ECG haitumire magetsi mumuviri wako, saka usazvidya moyo nazvo.)

Trifascicular block inorapwa sei?

Vanhu vazhinji vane trifascicular block vanofanira kuvhiyiwa kuti vaise mudziyo mumoyo yavo kuti vadzore kurova kwemoyo wavo.

• Chinopa simba remoyo: Izvi zvinotumira masaini emagetsi kumoyo, zvichiita kuti makamuri emoyo arove nerhythm. Zvakafanana nekupa moyo "kusunda" zvishoma kubva kunze.
• Mimwe michina inonzi "Implantable Cardioverter Defibrillators (ICDs)" inoshandawo sepacemaker. Pamusoro pezvo, kana paine njodzi yekumira kwemwoyo kamwe kamwe, maICD aya anokonzera kuvhunduka kwemagetsi kumoyo kuti urove zvakanaka zvakare.

Chiremba achakuongorora uye achasarudza kuti rudzii rwekurapa rwakakunakira.

Kuvharika kwetrifascicular kunogona kudzivirirwa here?

Kunyange zvazvo tisingakwanise kudzora zvimwe zvinokonzera, pane zvatinogona kuita kuchengetedza hutano hwemwoyo yedu. Izvi zvinogona kubatsira kuderedza njodzi yezvirwere zvakaita se trifascicular block:

• Idya chikafu chine hutano uye rovedza muviri nguva dzose.
• Deredza kunwa doro.
• Tsvaga nzira dzakanaka dzekugadzirisa kushushikana .
• Deredza huremu (kana zvichidikanwa) uye ramba uine huremu hwakanaka.
• Gadzirisa mamiriro ezvinhu anotambudza mwoyo, akadai seBP, chirwere cheshuga, uye cholesterol yakakwira.
• Kumbira rubatsiro rwekurega kusvuta uye kudzivirira kusvuta fodya kubva kune vamwe vanhu.

Kunyangwe zvingava zvakaoma zvishoma kuisa zvinhu izvi mumararamiro ako pakutanga, zvichabatsira moyo wako nekufamba kwenguva.

Chii chiri kuitika kuvanhu vane Trifascicular Heart Blocks?

Kana vakarapwa zvakanaka, vanhu vazhinji vane trifascicular heart block havafambire mberi kusvika pakupera kwemoyo. Njodzi inowedzera kana trifascicular heart block ikasarapwa. Izvi zvinogona kukonzera kurova kwemoyo kusina kurongeka (arrhythmia), izvo zvinogona kukonzera rufu kupfuura heart block. Kurapa kwakakodzera - kazhinji nemudziyo wakaita sepacemaker - kunogona kubatsira kuderedza njodzi iyi.

Ndinofanira kuona chiremba nguvai?

Kana uine chimwe chezviratidzo izvi, iva nechokwadi chekuona chiremba:

• Kana uchinzwa kuneta zvakanyanya.
• Kana uchinzwa kuti kurova kwemoyo wako hakuna kurongeka.
• Kana uine kurwadziwa kwakanyanya pachipfuva.
• Kana uchinetseka kufema.
• Kana uine zviratidzo zvechirwere chemwoyo (semuenzaniso, kurwadziwa kwechipfuva kwakanyanya kunobva paruoko rwako, kurwadziwa kweshaya, kudikitira).
• Kana paine kuda kurutsa kusingatsananguriki.

Kana uine chimwe cheizvi, usangofungidzira kuti, "Izvi zvinongoitika zvega." Tsvaga rubatsiro rwechiremba nekukasika.

Chii chandinofanira kubvunza chiremba wangu?

Kana ukaonekwa uine trifascicular block, ungangoda kubvunza chiremba wako mibvunzo yakaita seiyi:

• Chii chakandikonzera kuti ndigadzire bhuroko iri remafascicular matatu?
• Ndingaderedza sei njodzi yangu yekubatwa nechirwere chemwoyo kana chimwe chirwere chemwoyo?
• Ndinoda pacemaker kana ICD here?
• Ndeipi njodzi dzekuisirwa pacemaker kana ICD?
• Ndinofanira kunetseka here nezvezviratidzo zvematambudziko?

Kubvunza mibvunzo iyi kuchakubatsira kunzwisisa zviri nani mamiriro ako ezvinhu uye kutora chikamu mukurapwa.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Kuvharika kwemoyo kweTrifascicular kuvharika munzira nhatu huru dzinotakura masaini emagetsi nepamoyo. Izvi zvinodzivirira moyo kuti usagunde uye usapombe ropa. Kuvharika kwemoyo kwechitatu, kana kuti kwakazara, kunogona kukonzera kurova kwemoyo kusina kurongeka (arrhythmias) kunotyisidzira hupenyu kana kutofa kamwe kamwe nemoyo.

Vanhu vane makore anopfuura makumi manomwe nevane chirwere chemwoyo vari panjodzi huru. ECG inogona kuona matambudziko nemagetsi emwoyo. Chiremba wako anogona kukurudzira mudziyo wakaita sepacemaker kana ICD. Midziyo iyi inotumira masaini emagetsi kumakamuri emwoyo kuti irambe ichirova zvakanaka.

Chengetedza moyo wako. Kana uchinzwa chimwe chinhu chisina kujairika, usachiregeredza. Kutsvaga rubatsiro rwechiremba nekukurumidza kunogona kuponesa hupenyu hwako.

` Trifascicular block, heart block, system yemagetsi yemoyo, ECG, pacemaker, chirwere chemwoyo, kurova kwemoyo