Ingaba isignali yombane yentliziyo yakho iphazamisekile? (Ibhloko yeFascicular yasekhohlo engaphambili)

Usenokuba udidekile kancinci xa usiva la mazwi athi `(Left Anterior Fascicular Block)`, okanye usenokuba unengxaki yokuqonda ukuba yintoni xa ugqirha ekuxelele ngayo. Ayinzima kangako njengoko ucinga. Masithethe ngayo ngokulula, ngendlela onokuyiqonda. Makhe sibone ukuba yintoni, kutheni isenzeka, zithini iimpawu, indlela yokuyibona, kunye nento esifanele siyenze.

Yintoni (iBloko yeFascicular yasekhohlo yangaphambili)? Ngamafutshane nje...

Cinga ngentliziyo yakho njengenkqubo yombane encinci. Le nkqubo yombane ilawula ukubetha kwentliziyo, okukukuxinana kwentliziyo kunye nokumpompa igazi, ngexesha elifanelekileyo. Kukho inkqubo ekhethekileyo 'yeentambo' ngaphakathi entliziyweni, okanye iindlela, apho ezi mpawu zombane zihamba khona.

Kwicala lasekhohlo lentliziyo, kukho intambo ephambili yombane, esiyibiza ngokuba 'lisebe le-left bundle'. Njengamasebe asuka kwisiqu somthi, le ntambo iphambili ikwahluma ibe ngamasebe amancinci abizwa ngokuba yi-'fascicles'. Elinye lala masebe libizwa ngokuba yi-'left anterior fascicle'. Oku kuthwala imiqondiso yombane eludongeni olungaphambili lwe-ventricle yasekhohlo yentliziyo.

Ngoku, i- (Left Anterior Fascicular Block) sisithintelo esincinci kumyalezo wombane ohamba 'ngocingo' olubizwa ngokuba yi-'left anterior fascicle'. Kufana nokuxinana kwezithuthi endleleni, umyalezo uyalibaziseka. Oku kubangela ukuba i-ventricle yasekhohlo yentliziyo - eyona ndawo iphambili yokupompa kwentliziyo - ifinyele emva kancinci kune-ventricle yasekunene.

Ngaba le yinto eyenzeka kubantu abaninzi?

Ngoku usenokuba uzibuza, 'Ngaba esi sisifo esichaphazela wonke umntu?' Enyanisweni, kuqikelelwa ukuba phakathi kwe-1% kunye ne-6% yabemi banokuba nale meko. Nangona kunjalo, idla ngokubonakala kubantu abadala . Ayiqhelekanga kangako kubantu abancinci.

Zithini iimpawu? Ingaba kwenzeka kuye wonke umntu?

Nantsi into ebalulekileyo. Abantu abaninzi abane-`(Left Anterior Fascicular Block)` abanazo iimpawu . Oko kukuthi, abaziva bengonwabanga. Ngamanye amaxesha bafunyanwa ngengozi xa `(ECG)` ithathwa ngesizathu esithile.

Nangona kunjalo, ngamanye amaxesha, ingakumbi ukuba olu 'thintelo' lunzima ngakumbi, okanye ukuba luhamba nezinye izifo zentliziyo, ezinye zezi mpawu zilandelayo zinokuvela:

• Ukuziva unesizunguzi (isiyezi)
• Ndiziva ndidiniwe ngalo lonke ixesha (Ukudinwa)
• Ukuquleka

Ukuba ezi mpawu zikhona, ugqirha kufuneka aqinisekise ukuba kungenxa ye-`(Left Anterior Fascicular Block)` okanye kungenxa yesinye isizathu.

Kutheni le nto (iLeft Anterior Fascicular Block) yenzeka? Zithini izizathu?

Kaloku, kutheni kukho ukuphazamiseka okungaka ekudlulisweni kwemiyalezo? Kunokubakho izizathu ezahlukeneyo.

Abaphandi bacinga ukuba kwabanye abantuNgokwemfuza, oko kukuthi, ilifa, kunokubakho umkhwa wokuphuhlisa ukungaqheleki okuthile kwimiqondiso yombane kwigumbi elisezantsi lentliziyo.

Ngaphandle koko, kukho ezinye izizathu ezininzi eziqinisekisiweyo neziqhelekileyo:

• Isifo seMithambo yeCoronary (CAD): Oku kubizwa ngokuba kukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni, okanye unobangela oyintloko wokuhlaselwa sisifo sentliziyo. Oku kubangelwa kakhulu yiLeft Anterior Fascicular Block.
• Uxinzelelo lwegazi oluphezulu: Ukuba noxinzelelo lwegazi oluphezulu ixesha elide kunokuchaphazela intliziyo.
• Isifo sentliziyo esakhiweyo: Umzekelo, i-fibrosis okanye amanxeba entliziyo. Ezi zinto zinokuphazamisana nokudluliselwa kwemiqondiso yombane.
• I-Dilated Cardiomyopathy: Kule meko, amagumbi entliziyo ayakhula kwaye izihlunu ziba buthathaka.
• Njengesiphumo esingesihle sotyando lwentliziyo okanye unyango:
• `(TAVR)` ithetha `(Transcatheter Aortic Valve Replacement)` emva kwendlela ekhethekileyo yonyango ethatha indawo yeevalvu zentliziyo.
• Emva kotyando olubizwa ngokuba yi-"Surgical Septal Myectomy", olwenzelwa imeko ebizwa ngokuba yi-"Hypertrophic Obstructive Cardiomyopathy", imeko apho izihlunu zentliziyo ziba nkulu kakhulu.
• Isifo se-sclerodegenerative sesebe le-bundle: Oku kunokwenzeka xa umntu ekhula.
• Isenokuba ibangelwa kukudumba kwemisipha yentliziyo (iMyocarditis).

Ezi zinto zingonakalisa iindlela zombane zentliziyo, zibangele "iBloko yeFascicular yasekhohlo yangaphambili".

Oogqirha bayixilonga njani le nto? Zeziphi iimvavanyo ezenziwayo?

Uvavanyo oluphambili nolulula lokuxilonga ngokuchanekileyo `(Left Anterior Fascicular Block)` yiECG (Electrocardiogram) . Ngaba wakha wayenza `(ECG)`? Ezo zinto zincinci ezifana nezitikha zinamathele esifubeni sakho, ezingalweni, nasemilenzeni kwaye zirekhoda umsebenzi wombane wentliziyo. Xa ugqirha ejonga umcu we `(ECG)`, unokwazi ukubona ngokulula ukuba le `block' ikhona okanye ayikho.

Ukongeza, ukuba ugqirha ufuna ukwazi okungakumbi, okanye ukufumanisa unobangela, unokucebisa ezinye iimvavanyo, ezifana nezi:

• I-Echocardiogram: Oku kufana ne-ultrasound scan yentliziyo. Inokujonga izinto ezininzi, njengobukhulu bamagumbi entliziyo, ubukhulu beendonga, umsebenzi weevalvu, kunye nokuba intliziyo ipompa igazi kakuhle kangakanani.
• Uvavanyo loxinzelelo: Oku kubandakanya ukujonga i-ECG yakho kunye noxinzelelo lwegazi ngelixa uhamba kwi-treadmill okanye umthambo. Oku kwenzelwa ukubona indlela intliziyo yakho esabela ngayo kuxinzelelo.
• I-MRI scan yentliziyo (iCardiac MRI):Oku kunokubonelela ngolwazi oluthe kratya malunga nolwakhiwo kunye nomsebenzi wentliziyo.
• Uvavanyo lwemifanekiso yenyukliya: Olu luvavanyo olukhethekileyo olujonga izinto ezifana nokuhanjiswa kwegazi entliziyweni.

Ngaba ikhona indlela yokunyanga oku?

Ngoku mhlawumbi ucinga, 'Kulungile, yintoni unyango lwale nto? Ndingayilungisa njani le nto?' Okumangalisayo kukuba, akukho nyango luthile lwe-`(Left Anterior Fascicular Block)` . Oko kukuthi, akukho nyango luthile lokunyanga loo ngxaki incinci ekudlulisweni kwemiqondiso yombane.

Nangona kunjalo, eyona nto ibalulekileyo kukunyangelwa isifo sentliziyo okanye imeko ebangele oku 'kuthintelwa' .

Umzekelo:

• Ukuba unesifo semithambo yegazi (CAD), ugqirha wakho uya kunyanga esi sifo (njengonyango, i-angioplasty, okanye utyando lwe-bypass).
• Ukuba kungenxa yoxinzelelo lwegazi oluphezulu, kuya kunikwa amayeza okulawula olo xinzelelo.
• Ukuba kukho ubuthathaka kwimisipha yentliziyo (cardiomyopathy), unyango olufanelekileyo luya kuqala.

Ngamafutshane, oogqirha bakhangela ingxaki ebangela le `(Left Anterior Fascicular Block)` baze bayinyange.

Kuza kwenzeka ntoni kwixesha elizayo? (Imbono)

Kubalulekile nokuba wazi ukuba le meko iza kuqhubeka njani.

• Ukuba umntu osemtsha, osempilweni une-"Left Anterior Fascicular Block" kuphela engenazo ezinye iimpawu zentliziyo, ayithathwa njengengxaki enkulu. Amathuba okuba ibe nayo, kwaye ukuba iyenzeka, isenokungabi nampembelelo ingako.
• Nangona kunjalo, ukuba umntu omdala unayo, ingakumbi umntu oneminyaka engaphezu kwama-50, ngamanye amaxesha inokuba luphawu lwezinye izifo zentliziyo.

Uphando lufumanise ukuba abantu abane-"Left Anterior Fascicular Block" bangaphezulu kwabanye:

• Ukungaphumeleli kwentliziyo edibeneyo
• I-Atrial Fibrillation (ukubetha kwentliziyo okungaqhelekanga, okukhawulezayo)
• Kwaye kukho umngcipheko ophezulu wokufa ngokubanzi.

Ngoko ke, ayingombono ulungileyo ukukugxeka oku ngokuthi 'Hayi, yinto encinci nje,' ingakumbi ukuba umdala kancinci okanye unezinye iimpawu. Kubalulekile ukuthetha nogqirha wakho ngale nto uze wenze uvavanyo olufunekayo.

Ndingayinyamekela njani intliziyo yam?

Ekubeni le `(Left Anterior Fascicular Block)` inokunxulunyaniswa nezinye iimeko zentliziyo, eyona nto ilungileyo onokuyenza kukunyamekela intliziyo yakho kakuhle . Ezi zinto zinokukunceda:

• Landela ukutya okunempilo:
• Yitya ukutya okunamafutha aphantsi. Nciphisa ukutya kwakho iioyile, ukutya okuqhotsiweyo, iimveliso zobisi ezinamafutha amaninzi, kunye nenyama ebomvu.
• Yongeza iziqhamo, imifuno, iimbotyi, kunye neenkozo ezipheleleyo ekutyeni kwakho.
• Nciphisa ukusetyenziswa kwetyuwa.
• Zilolonge rhoqo:Ngokwengcebiso kagqirha wakho, yenza umthambo ophakathi, njengokuhamba okanye ukudada, ubuncinane imizuzu engama-30 ngosuku.
• Gcina ubunzima bakho busempilweni.
• Ukuba uyatshaya, yeka ngoko nangoko. Ukutshaya kubi kakhulu entliziyweni.
• Nciphisa uxinzelelo: Izinto ezifana nokucamngca, i-yoga, umthambo wokuphefumla, kunye nokwenza izinto ozithandayo zinokunceda.
• Ukuba une-high blood pressure kunye ne-cholesterol ephezulu, zilawule kakuhle. Sela amayeza owanikwe ngugqirha wakho ngexesha kwaye ngokwemilinganiselo emiselweyo. Bona ugqirha wakho kwaye uwahlole rhoqo.
• Ukuba unesifo seswekile, silawule kakuhle.

Ndifanele ndimbone nini ugqirha?

• Kubalulekile ukubona ugqirha wakho rhoqo ukuze ahlolwe . Ngale ndlela, ukuba unezigulo ezingapheliyo ezifana noxinzelelo lwegazi oluphezulu okanye i-cholesterol, ungabona ukuba zilawulwa ngokufanelekileyo na.
• Ukuba uziva into eyahlukileyo kunesiqhelo , ingakumbi ukuba uva iintlungu esifubeni, ubunzima bokuphefumla, ukudumba kwemilenze yakho, okanye uzive udiniwe, qiniseka ukuba ubona ugqirha.
• Ukuba uyazi ukuba une-`(Left Anterior Fascicular Block)`, qhubeka nokwenza i-`(ECG)` kunye nezinye iimvavanyo njengoko ugqirha wakho ecebisa.

Ndingaya nini esibhedlele ngoko nangoko (ETU) ?

Ukuba ufumana naziphi na kwezi mpawu zokuhlaselwa yintliziyo , musa ukuchitha ixesha kwaye utsalele umnxeba ku-1990 ngoko nangoko ukuze ufumane i-ambulensi, okanye uye kwigumbi likaxakeka lesibhedlele esikufutshane ngokukhawuleza:

• Intlungu ebukhali, ukuqina, okanye uxinzelelo embindini okanye kwicala lasekhohlo lesifuba. Le ntlungu ihlala ixesha elingaphezu kwemizuzu embalwa, okanye ifike ize iphele.
• Ubunzima bokuphefumla ngequbuliso.
• Intlungu ivakala ngathi isasazeka emagxeni, entanyeni, emhlathini, ezingalweni, okanye emqolo.
• Ukubila ngequbuliso, isicaphucaphu, ukuhlanza, isiyezi, okanye ukuquleka.

Qaphela ezi mpawu. Unyango olukhawulezileyo lunokunceda ekusindiseni ubomi.

Ndingayibuza ntoni ugqirha?

Xa ubona ugqirha wakho, ungoyiki ukubuza nayiphi na imibuzo onayo malunga nale `(Left Anterior Fascicular Block)`. Nazi ezinye zemibuzo onokuyibuza. Oko kuya kukunceda uqonde ngakumbi:

• 'Gqirha, kutheni ndinayo le `(Left Anterior Fascicular Block)`? Ngaba ndinayo enye isifo sentliziyo esisisiseko?'
• 'Ngaba kufuneka ndivavanyelwe isifo semithambo yegazi?'
• 'Ingaba ndisengozini yokuba nesifo sentliziyo okanye esinye isifo sentliziyo ngenxa yale 'bhloko'?'
• 'Zeziphi iimpawu ekufuneka ndizixhalabele ngakumbi?'
• 'Zeziphi iinguqu endinokuzitshintsha kwindlela yam yokuphila ukuze ndigcine intliziyo yam isempilweni?'
• 'Ndifanele ndenze uvavanyo lwe-ECG okanye olunye uvavanyo kangaphi?'

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu nge-`(Left Anterior Fascicular Block)`. Ukushwankathela:

• Oku kukuphazamiseka kwendlela yesignali 'yocingo' oluncinci kwicala lasekhohlo lenkqubo yombane yentliziyo.
• Abantu abaninzi abanazo iimpawu.
• Akukho nyango lucacileyo loku, kodwa unobangela oyintloko uyanyangwa .
• Oku kungaba luphawu lwezinye izifo zentliziyo kubantu abadala kunakwintsha.

Khumbula, nangona kungekho nyango luthile loku, lunokusinika ulwazi ngezinye izifo zentliziyo . Ke ngoko, eyona nto ibalulekileyo kukunyamekela intliziyo yakho, ulandele imiyalelo kagqirha. Zikhusele kwisifo semithambo yegazi kunye nokusilela kwentliziyo. Yiya kugqirha wakho rhoqo, kwaye usebenzise amayeza achazwe ngokuchanekileyo. Intliziyo yakho ixabiseke kakhulu kuwe! Ngoko ke yinyamekele kakuhle.

Isifo sentliziyo , inkqubo yombane yentliziyo, i-ECG, ukubetha kwentliziyo, iBloko yeFascicular yasekhohlo engaphambili, impilo yentliziyo, uhlaselo lwentliziyo