Ngaba kukho ingxaki ngenkqubo yombane yentliziyo yakho? Masithethe ngeBundle Branch Block ngokulula!

Ngaba wakha wayenza i-ECG waza wabona amagama athi `Bundle Branch Block` kwingxelo? Okanye mhlawumbi ukhe waziva into engaqhelekanga okanye ubunzima entliziyweni yakho, kodwa awukwazi ukuqonda ukuba yintoni ebangela oko. Ngamanye amaxesha le meko inokubakho ngaphandle kweempawu. Namhlanje, siza kuthetha ngale meko ibizwa ngokuba yi `Bundle Branch Block`, ngokulula, ngendlela onokuyiqonda.

Yintoni iBundle Branch Block? Masiyiqonde ngokulula!

Kulungile, khangela ngoku... intliziyo yethu ifana nemoto encinci, akunjalo? Kufuneka iqhubeke isebenza. Ukuze le ntliziyo ibethe, ifuna isignali yombane encinci. Ifana nomsinga endlwini yethu ukuze ikhanyise izibane. Ezi signali zombane zihamba ngeendlela ezithile entliziyweni. Ezi ndlela zezo sizibiza ngokuba yi-"bundle branches." Isignali zombane zihamba ngazo kwaye zixelela amagumbi amabini aphambili ezantsi kwentliziyo, i-"ventricles," ukuba zithi, "Kulungile, ngoku nina bantu niza kuncitshiswa nize nipompe igazi."

Ngokwesiqhelo, omabini la magumbi entliziyo ayafinyela ngaxeshanye. Kulapho intliziyo ipompa khona igazi ngokufanelekileyo. Nangona kunjalo, xa kukho "iBundle Branch Block", oko kuthetha ukuba kukho ukuvaleka okanye ukuvaleka kwindlela yesignali yombane endikhankanyileyo, oko kukuthi, kwi "bundle branch". Kufana nokuba ucingo luphukile okanye luvalekile ndaweni ithile. Emva koko loo signali yombane ayihambi kakuhle, iyalibaziseka. Ngenxa yoku, la magumbi mabini awafinyeli ngaxeshanye. Elinye liyafinyela, kwaye elinye liyafinyela kamva kancinci. Oku sikubiza ngokuba yi-irhythm yentliziyo engaqhelekanga.

Nangona kunjalo, ayizizo zonke iibhulokhi zesebe ezifuna unyango olukhulu. Uninzi lwexesha, oogqirha bakhangela ezinye iimeko ezinokubangela ingxaki baze bazame ukunyanga ezo ngxaki.

Ngaba kukho iintlobo zeBundle Branch Block?

Ewe, kukho iintlobo ezimbini eziphambili ze-bundle branch block, kuxhomekeke ekubeni ichaphazela icala lasekunene lentliziyo okanye icala lasekhohlo.

1. Ibhloko yeSebe leBundle yasekunene (RBBB): Oku kwenzeka xa kukho ukuvaleka kwendlela ethwala imiqondiso yombane ukuya kwi-ventricle yasekunene. Ngamafutshane, kukho ingxaki ngentambo esekunene.

2. Ibhloko yeSebe le-Left Bundle (LBBB): Oku kwenzeka xa kukho ukuvaleka kwendlela ethwala imiqondiso yombane ukuya kwi-ventricle yasekhohlo. Oku kuthetha ukuba kukho ingxaki ngebhloko yesebe le-left bundle.

Ngamanye amaxesha, linye kuphela kula masebe elinokuchaphazeleka. Okanye, kunqabile kakhulu, omabini la masebe anokuchaphazeleka ngaxeshanye.

Ngubani onokuyiphuhlisa le (Bundle Branch Block)? Ixhaphake kangakanani?

Enyanisweni, nabani na angafumana le meko ibizwa ngokuba yi-"Bundle Branch Block". Nangona kunjalo, xa ukhula kwaye unezinye iingxaki zentliziyo, umngcipheko wokuba nale meko uphezulu kancinci.

• Ibhloko yesebe lebhanti yasekunene `(RBBB)`:Oku kuqheleke kakhulu kune-`(LBBB)`. Khawuthelekelele, xa uneminyaka engama-50, malunga nomntu omnye kwabayi-100 (0.8%) unokuba nale meko. Kodwa xa uneminyaka engama-80, malunga nabantu abali-11 kwabayi-100 (11.3%) banokuba nale meko.
• Ibhloko yesebe le-Left bundle (LBBB): Oku akuvamile njenge-RBBB. Kumazwe afana ne-United States, kuchaphazela phakathi kwe-0.06% kunye ne-0.1% yabemi. Nangona kunjalo, kubantu abane-heart failure, malunga nesinye kwisithathu sabo banokuba ne-LBBB.

I-bundle branch block iyichaphazela njani umzimba?

Sibiza inkqubo elawula ukubetha kwentliziyo yethu ngokuthi "yinkqubo yokuhambisa intliziyo". Ezo ndlela ndizikhankanyileyo ngaphambili, "amasebe eebhanti", nazo ziyinxalenye yale nkqubo. Ngoko ke, kuxhomekeke ekubeni olu thintelo lukuphi, indlela oluchaphazela ngayo imizimba yethu iyatshintsha.

• Ibhloko yesebe lasekunene (RBBB): Ukuba une-RBBB, ukuvaleka kukwindlela ethwala isignali yombane ukuya kwi-ventricle yasekunene. Oku kubangela ukuba i-ventricle yakho yasekhohlo ifinyele ngaphambi kwe-ventricle yasekunene.
• Ibhloko yesebe le-Left bundle (LBBB): Ukuba une-LBBB, ukuvaleka kukwindlela ethwala isignali yombane ukuya kwi-ventricle yasekhohlo. Oku kubangela ukuba i-ventricle yasekunene ifinyele ngaphambi kweyasekhohlo. Oku kwenza kube nzima ukuba intliziyo ipompe igazi ngokufanelekileyo. Rhoqo, ukuba ufunyaniswe une-LBBB, oko kuthetha ukuba unokuba nesinye isifo sentliziyo esingaphantsi.
• Ukuvaleka kwamasebe omabini ebhanti yasekunene neyasekhohlo: Le yimeko enzulu ngakumbi. Ukuba oku kuyenzeka, imiqondiso yombane esuka kumagumbi aphezulu entliziyo ukuya kumagumbi asezantsi (i-atrial fibrillation) inokuvaleka ngokupheleleyo. Oku kunokubangela isantya sentliziyo esicothayo kakhulu (i-bradycardia) kwaye kunokukhokelela kwezinye iingxaki zempilo ezinzulu.

Ziziphi izizathu eziphambili ze-bundle branch block?

Kukho izizathu ezahlukeneyo zokuba kwenzeke i-"Bundle Branch Block". Makhe sibone ukuba zeziphi:

• Isifo sentliziyo esizalwa naso
• I-cardiomyopathy evulekileyo (imeko apho izihlunu zentliziyo ziba buthathaka kwaye zande)
• Ukuhlaselwa yintliziyo, okanye njengoko sonke sisazi, ukuhlaselwa yintliziyo
• Isifo sentliziyo, ingakumbi isifo semithambo yegazi
• Ukumelwa yintliziyo
• Usulelo lwentliziyo (i-myocarditis)
• Isifo sevalvu yentliziyo
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
• I-hypertrophic cardiomyopathy (imeko apho izihlunu zentliziyo ziqina)
• Ukuqina okanye ukubuthathaka kwemisipha yentliziyo (i-cardiomyopathy)

Ukongeza, i-right bundle branch block (RBBB) inokubangelwa zizifo zemiphunga. Umzekelo:

• Isifo semiphunga esingapheliyo (i-COPD), isifo semiphunga esihlala ixesha elide
• Ukuxhuzula kwemithambo yegazi (pulmonary embolism)
• Uxinzelelo lwegazi oluphezulu emiphungeni (Uxinzelelo lwegazi oluphezulu lwemiphunga - PH)

Nangona kunjalo, ngamanye amaxesha akukho sizathu sicacileyo esifumanekayo sale "Bundle Branch Block". Intliziyo yabantu abanjalo isenokuba sempilweni kuzo zonke ezinye iinkalo.

Zithini iimpawu ze-bundle branch block?

Enye yezinto ezimangalisayo ngale nto kukuba uninzi lwexesha, akukho zimpawu nokuba une-"Bundle Branch Block". Nangona kunjalo, ukuba iimpawu ziyenzeka, zingabandakanya izinto ezifana nezi:

• Isiyezi
• Ukuquleka, ukulahlekelwa zingqondo `(syncope)`
• Uvakalelwa ngathi uza kufa isiqaqa (presyncope)

Nangona kunjalo, njengoko benditshilo, ukuba kukho ukuvaleka kwamasebe entliziyo asekunene nasekhohlo, iimpawu zinokwahluka kancinci, kwaye zisenokubonakala ngakumbi:

• Ukubetha kwentliziyo okungaqhelekanga (i-arrhythmia)
• Ubunzima bokuphefumla (ukuphelelwa ngamandla)
• Isantya sentliziyo esicothayo (bradycardia)

Iimpawu zihlala zibonakala ngakumbi kwiimeko ezifana nezi:

• Ukuba unayo nayiphi na enye isifo sentliziyo esisisiseko.
• Ukuba kukho ukuphazamiseka kumasebe omabini ebhanti yasekunene neyasekhohlo.
• Ukuba i-`(Bundle Branch Block)` ikwinqanaba elinzima kancinci.

Ndingafumanisa njani ukuba ndineBundle Branch Block?

Oogqirha basebenzisa iimvavanyo ezimbini eziphambili ukuxilonga i-bundle branch block:

1. I-Electrocardiogram (EKG okanye i-ECG): Mhlawumbi sele uyenzile le nto. Izitikha ezincinci ezibizwa ngokuba zii-electrodes zifakwa esifubeni sakho, ezingalweni, nasemilenzeni, kwaye umatshini urekhoda umsebenzi wombane wentliziyo yakho ngelixa ulele ungashukumi. Oku kungajonga indlela ezihamba ngayo iimpawu zombane zentliziyo kwaye kuchonge ukuba une-bundle branch block, kwaye ukuba kunjalo, nokuba ikwicala lasekunene okanye lasekhohlo.

2. I-Echocardiogram (i-echo): Oku kuquka ukufaka ijeli esifubeni sakho, ukubeka isixhobo esincinci (induku) phezu kwesifuba sakho, nokusebenzisa amaza esandi aqhelekileyo ukuthabatha imifanekiso yamagumbi entliziyo yakho kunye neevalvu. Oku kuvumela ugqirha wakho ukuba abone indlela intliziyo yakho ebetha ngayo, indlela epompa ngayo igazi, kunye nokuba kukho naziphi na iingxaki zentliziyo ezingaphantsi.

Ukuba uxilongwe ukuba une-bundle branch block, ugqirha wakho uya kujonga nezinye iimeko zempilo ezinxulumene noko. Banokwenza uvavanyo olufana nolu:

• Ukulinganisa uxinzelelo lwegazi (ukujonga ukuba uxinzelelo luphezulu (uxinzelelo lwegazi) okanye luphantsi (uxinzelelo lwegazi oluphantsi)).
• Uvavanyo lwegazi lokujonga amanqanaba e-cholesterol egazini.
• Uvavanyo lwe-cardiac catheterization (uvavanyo lokuvavanya imithambo yegazi yentliziyo)
• Kwenziwa uvavanyo "lwentliziyo yenyukliya" ukujonga isifo semithambo yegazi yentliziyo.
• Uvavanyo lomsebenzi wemiphunga luvavanyo olujonga ukuba imiphunga isebenza kakuhle kangakanani na.

Iphathwa njani iBundle Branch Block?

Ukuba awunazo iimpawu kwaye akukho ezinye iimeko zempilo ezinzulu ezifihlakeleyo, usenokungadingi naluphi na unyango oluthile lwe-bundle branch block. Nangona kunjalo, ukuba unezinye iingxaki, ezinje ngoxinzelelo lwegazi oluphezulu okanye ukusilela kwentliziyo, unokufuna ukuthatha amayeza okuzilawula.

Kodwa ukuba uneempawu ezifana nokuquleka, ugqirha wakho unokucebisa i- pacemaker . Esi sisixhobo esincinci esifakwa phantsi kwesikhumba sesifuba sakho yingcali ye-cardiac electrophysiologist. Sithumela imiqondiso ngeengcingo eziqhagamshelwe entliziyweni yakho, sigcina intliziyo yakho ibetha ngesantya esizinzileyo.

Ukuba unesifo sentliziyo okanye i-dilated cardiomyopathy, ugqirha wakho unokucebisa unyango olubizwa ngokuba yiCardiac Resynchronization Therapy (CRT) . Olu nyango lusebenzisa uhlobo oluthile lwe-pacemaker olubizwa ngokuba yi-Biventricular Pacemaker . Oku kunceda omabini amagumbi entliziyo ukuba afinyele ngaxeshanye. Olu nyango lwe-CRT lunokunceda ekunciphiseni iimpawu ezifana nokuphefumla kancinci.

Ungayinciphisa njani ingozi yokuphuhlisa i-bundle branch block?

Ukuze sizikhusele kwi-`(Bundle Branch Block)` nakwezinye izifo zentliziyo, kufuneka siphile ubomi obusempilweni. Oko kuthetha ukuba:

• Yitya ukutya okunempilo okunentliziyo (imifuno, iziqhamo, imifuno, ukutya okunamafutha aphantsi).
• Zilolonge rhoqo (njengokuhamba, ukubaleka, ukukhwela ibhayisekile).
• Gcina ubunzima bakho busempilweni .
• Lawula amanqanaba e-cholesterol .
• Yeka ukutshaya nokusebenzisa iimveliso zecuba ngokupheleleyo.
• Ukuba uxinzelelo lwakho lwegazi luphezulu, lulawule.
• Yiya kuhlolwa rhoqo ngugqirha .

Zithini iingozi ukuba kukho ezinye izifo kunye neBundle Branch Block?

Ukuba une-"Bundle Branch Block" enezi meko, umngcipheko wobomi unganda kancinci :

• Ukuhlaselwa yintliziyo
• Ezinye izifo zentliziyo
• Ukumelwa yintliziyo

Into enye ekufuneka uyikhumbule ngakumbi kukuba ukuba unesifo esitsha se-`(Left Bundle Branch Block - LBBB)` kwaye uziva iintlungu zesifuba, oko kungaba luphawu lwemeko embi engaphantsi, njengokuhlaselwa yintliziyo. Ukuba oku kuyenzeka, kufuneka ufune ingcebiso kagqirha ngokukhawuleza.

Kwenzeka ntoni kumntu oneBundle Branch Block? Yintoni elandelayo?

I-Bundle Branch Block idla ngokuba yimeko ehlala ixesha elide . Ukuvaleka kwayo kusenokuhlala kunjalo, okanye kusenokuba mandundu ngokuhamba kwexesha.

Ngenxa yokuba iLeft Bundle Branch Block (LBBB) ngamanye amaxesha inokuba luphawu lokuqala lwe-complete heart block, abaqhubi beenqwelo moya kumazwe anjenge-US ne-UK bathintelwe ukuba babhabhe ukuba bane-LBBB. Nangona kunjalo, ngaphandle kokuba uneempawu eziqatha, ukuba neBundle Branch Block kudla ngokuba nefuthe elikhulu kwimisebenzi yakho yemihla ngemihla.

Ngokuphathelele imeko yempilo, ukuba awunazo ezinye iimeko zempilo eziphambili, iBundle Branch Block isenokungabi nampembelelo ibalulekileyo kwimpilo yakho iyonke okanye ubomi bakho bonke. Nangona kunjalo, ukuba unezinye iimeko ezichaphazela intliziyo yakho, iBundle Branch Block ingenza ezo meko zibe mandundu ngokukhawuleza kwaye iimpawu zakho zinokwanda.

Ukuba ndine (Bundle Branch Block), ndingazinyamekela njani?

Ukuba une-bundle branch block, xelela ugqirha wakho ngalo lonke ixesha xa ubona ugqirha omtsha. Olu lwazi luya kubanceda baqonde ngcono impilo yentliziyo yakho kunye nempilo-ntle iyonke.

Qinisekisa ukuba ugqirha wakho uyazi ukuba une-bundle branch block, ingakumbi kwezi meko:

• Ukuba wenza uvavanyo loxinzelelo lomthambo (kuba ezinye izifo zinokuba nzima ukuzifumanisa xa une-LBBB).
• Kwimeko yengxamiseko yezonyango, njengokuhlaselwa yintliziyo.
• Ukuba utyando lwesinye isifo sentliziyo.

Kukwangumbono omhle ukugcina ikopi yengxelo yakho ye-ECG ikufutshane, kuba inokuba luncedo xa kukho imeko engxamisekileyo.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

Ukuba ubonakalisa iimpawu ezintsha, okanye ukuba iimpawu zakho ziya zisiba mandundu, qiniseka ukuba ubona ugqirha. Funa uncedo lwezonyango ngokukhawuleza, ingakumbi ukuba unezinye zezi mpawu zilandelayo:

• Ukuba uziva iintlungu esifubeni, ukungakhululeki, okanye ukuxinana .
• Ukuba uziva udiniwe kakhulu .
• Ukuba uziva ngathi uza kufa isiqaqa (presyncope).
• Ukuba ulahlekelwa zingqondo .
• Ukuba unengxaki yokuphefumla okanye uziva ufuthanisekile.

Ngamafutshane (Umyalezo Wokuya Ekhaya)

Kulungile, masikhumbule nje i-`(Bundle Branch Block)` esithethe ngayo namhlanje:

• I-Bundle Branch Block (BBB) ​​​​yimqobo kwindlela yombane yesignali entliziyweni. Oku kunokubangela ukubetha kwentliziyo okungaqhelekanga.
• Oku kunokuchaphazela icala lasekunene (RBBB), icala lasekhohlo (LBBB), okanye amacala omabini.
• Uninzi lwexesha, akukho zimpawu .
• Oku kubonwa kakhulu ngovavanyo lwe-`ECG` kunye ne-`Echo`.
• Unyango lwe-'BBB' alusoloko luyimfuneko, kodwa kubalulekile ukunyanga unobangela oyintloko .
• Abantu abaninzi banokuphila ubomi obuqhelekileyo nge-bundle branch block, kodwa umngcipheko unokwanda ukuba unezinye iingxaki zentliziyo.

Ngoko ke, ukuba nawe unesikrokro malunga nolu hlobo lwesi sifo, kwaye uxelelwe ngugqirha olungileyo, ungoyiki. Landela imiyalelo efunekayo, phila ubomi obusempilweni. Emva koko nawe ungahlala usempilweni.

i- bundle branch block, isifo sentliziyo, i-ECG, ukubetha kwentliziyo, umbane wentliziyo, i-RBBB, i-LBBB