Ngaba kukho ingxaki ngenkqubo yombane yentliziyo yakho? Masifunde nge-'Left Posterior Fascicular Block' (LPFB)!

Ngaba wakha wacinga ngendlela intliziyo yakho esebenza ngayo ngendlela emangalisayo? Ifana nomatshini omncinci, kodwa iyinkimbinkimbi kakhulu! Ngamanye amaxesha, kunokubakho iingxaki ezincinci ngenkqubo yombane yale ntliziyo. Enye yezo ngxaki yile siza kuthetha ngayo: 'Ibhloko yeFascicular yasekhohlo'. Ungakhathazeki, igama lide kancinci, kodwa masiligcine lilula.

Isebenza njani inkqubo yombane yentliziyo? Iyamangalisa!

Cinga ngentliziyo yakho njengendlu encinci enamagumbi amane. Amagumbi amabini kumgangatho ophezulu (siwabiza ngokuba yi-atria ) kunye namagumbi amabini kumgangatho osezantsi (siwabiza ngokuba zii -ventricles ).

Ngaba uyasiva isandi esithi "lub-dub" xa intliziyo yakho ibetha? Oko kubetha kulawulwa yinkqubo ethambileyo kakhulu yemiyalezo yombane. Ezi mpembelelo zombane zixelela i-atria kunye namagumbi entliziyo, "Kulungile, ngoku uza kuncipha." Ezi miyalezo zombane zihamba entliziyweni ngendlela ethile. Ziqala kumagumbi aphezulu, emva koko ziye ezantsi kumagumbi angaphantsi.

Intliziyo inenkqubo yemithambo-luvo yokuhambisa le miyalezo yombane. Ifana nenkqubo yocingo endlwini. Amagumbi amabini asezantsi kwentliziyo (ekunene nasekhohlo) aneentambo ezimbini eziphambili zemithambo-luvo. Ezi zibizwa ngokuba yi-" Right Bundle Branch" kunye ne-" Left Bundle Branch" . Ezi zihamba embindini wentliziyo.

Ngoku le ntambo yemithambo-luvo ephambili kwicala lasekhohlo, i-'Left Bundle Branch', yahlulwe yaba ziintambo ezimbini ezincinci zemithambo-luvo. Ezi ntambo zincinci sizibiza ngokuba yi- 'fascicles' .

• I-Left Posterior Fascicle : Le ijikeleza umva we-ventricle yasekhohlo yentliziyo.
• I-Fascicle yasekhohlo engaphambili : Le ijikeleza umphambili we-ventricle yasekhohlo yentliziyo.

Ngokwesiqhelo, zombini ii-fascicles zangaphambili nangasemva ziyadibana ukuze zinike imiqondiso kwi-ventricle yasekhohlo, "Kulungile, ngoku uza kufinyela."

Ngoko ke, yintoni le 'Left Posterior Fascicular Block' (LPFB)?

Ngamafutshane, i-`Left Posterior Fascicular Block` (siza kuyibiza ngokuba yi-LPFB ngamafutshane) kukuvaleka okanye ukuphazamiseka kwintambo encinci yemithambo-luvo (ebizwa ngokuba yi-`Left Posterior Fascicle`) ethwala imiqondiso yombane ngasemva kwe-ventricle yasekhohlo yentliziyo yakho. Oku kuvaleka kunokuba kuphelele okanye kungaphelelanga.

Khawucinge ngento enokwenzeka ukuba icala elinye lendlela lingavalwa ngequbuliso? Iimoto ziya kuqala ukuya kwelinye icala, akunjalo? Yiloo nto eyenzekayo nalapha. Xa i-'Posterior Fascicle' ingasebenzi kakuhle, i-'Left Anterior Fascicle' engaphambili ithatha umsebenzi wokucutha i-ventricle yasekhohlo.

Oku kubangela ukuba indlela esiya kuyo isignali yombane itshintshe, kwaye kukho ukulibaziseka okuncinci kwesignali. Oku kunokubangela utshintsho kwisingqisho sentliziyo, esikukubetha kwentliziyo okungahambelaniyo (`arrhythmia`).

Le meko ye-LPFB ngamanye amaxesha inokuza idlule, okanye iqhubeke.

Ixhaphake kangakanani i-LPFB? Ngaba iyenzeka kuye wonke umntu?

Hayi, kunqabile kakhulu ukuba umntu ophilileyo ongenaso esinye isifo sentliziyo abe ne-LPFB. Nangona kunjalo, umngcipheko wokufumana esi sifo uphezulu kumntu osele enesifo sentliziyo.

Enye into ebalulekileyo kukuba ngamanye amaxesha le meko ye-LPFB inokuhamba nebhloko yesebe yasekunene esithethe ngayo ngaphambili, ebizwa ngokuba yi -'Right Bundle Branch Block' . Ukuba zombini ezi ntlobo zokuvalwa zenzeka kunye, kunokuba yingozi kancinci .

Ziziphi izizathu eziphambili ze-LPFB?

I-LPFB yenzeka xa kukho umonakalo kwinkqubo yombane yentliziyo. Izizathu eziphambili zalo monakalo zizifo ezahlukeneyo zentliziyo kunye nezinye iimeko zempilo. Makhe sijonge ukuba zeziphi:

• Isifo seMithambo yeCoronary: Le yeyona nto ixhaphakileyo ebangela i-LPFB. Ngamafutshane, imithambo yegazi ehambisa igazi entliziyweni iyavalwa ziintsalela zamafutha, nto leyo enciphisa inani legazi elifikelela entliziyweni. Oku kungonakalisa iiseli zentliziyo.
• I-Cardiomyopathy: Eli liqela lezifo ezichaphazela izihlunu zentliziyo. Kulapho izihlunu zentliziyo ziba lukhuni, zijiye, okanye zikhule khona. Oku kuphazamisana nokusebenza kwentliziyo.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu): Ewe, uyayazi ingcinezelo. Ukuba noxinzelelo lwegazi oluphezulu ixesha elide kuyingozi nakwintliziyo.
• Isifo sikaLenègre: Esi sisifo esidluliselwa kwilifa esibangela ubuthathaka kwinkqubo yokuthwala imiqondiso yombane yentliziyo.
• Isifo sikaLev: Esi sisifo apho imicu yemithambo-luvo entliziyweni iba namanxeba ize ingakwazi ukuhambisa imiqondiso yombane ngokufanelekileyo. Oku kusenokunxulunyaniswa nokwaluphala.

Zithini iimpawu ze-LPFB? Ngaba siyayiva le nto?

Ngokwesiqhelo, ukuba une-LPFB yodwa, awuyi kuba nazimpawu zithile . Rhoqo, abantu baba neempawu ngenxa yesifo esisisiseko (umzekelo, isifo semithambo yegazi yentliziyo) esibangele i-LPFB. Oko kukuthi, iimpawu zeso sifo ziyavela.

Ifunyaniswa njani i-LPFB? Oogqirha bayixilonga njani?

Uvavanyo oluphambili nolubaluleke kakhulu lokufumanisa i-LPFB luvavanyo lwe-E.C.G. (`ECG/EKG` - Electrocardiogram) . Usenokuba ulubonile, uvavanyo olulinganisa umsebenzi wombane wentliziyo ngokuncamathisela izitikha ezincinci emzimbeni. Yile ndlela oluchongwa ngayo.

Ngamanye amaxesha, le LPFB isenokungabonakali kwi-ECG ethathwe ngelixa uphumle. Kwiimeko ezinjalo, ugqirha wakho unokukucela ukuba wenze i-ECG ngelixa usenza umthambo (umzekelo, ngelixa ubaleka kwi-treadmill). Oku kubizwa ngokuba yi -'Exercise Stress Test' . Le LPFB inokuvela xa intliziyo iphantsi koxinzelelo.

Enye into kukuba i-ECG ye-LPFB ngamanye amaxesha inokubhidaniswa ne-ECG yezinye iimeko ezinzulu, ezifana nokuhlaselwa yintliziyo (`Myocardial Infarction`). Ke ngoko, ugqirha uza kubuza ngembali yakho epheleleyo yezonyango aze enze uvavanyo lomzimba ukuze afumane uxilongo oluchanekileyo. Oku kwenzelwa ukufumanisa isifo ngokuchanekileyo, ngaphandle kokulibazisa unyango lwesifo esinzima ngakumbi.

Ziziphi iindlela zonyango ze-LPFB?

Xa kunyangwa i-LPFB, eyona nto iphambili kunyango lwemeko ebangela i-LPFB . Umzekelo, oogqirha basebenzisa iindlela ezahlukeneyo ukunyanga izifo ezifana nesifo semithambo yegazi okanye i-cardiomyopathy. Ezi ziquka:

• Utshintsho kwindlela yokuphila: Izinto ezifana nokutya okunempilo kunye nokuzilolonga.
• Amayeza: Amayeza alawula uxinzelelo lwegazi, anciphisa i-cholesterol, kwaye aphucula ukusebenza kwentliziyo.
• Iinkqubo Ezingangeni Kakhulu: Umzekelo, izinto ezifana ne-Angioplasty.
• Utyando olukhulu (`Utyando`): Njengotyando lwe-bypass.

Nangona kunjalo, ukuba une-LPFB kunye ne-'Right Bundle Branch Block' esithethe ngayo ngaphambili, ugqirha wakho unokucebisa ukuba ufumane i -pacemaker . Esi sisixhobo esincinci esifakwe emzimbeni. Sijonga umsebenzi wombane wentliziyo kwaye, ukuba kuyimfuneko, sithumela imiqondiso yombane ukwenza omabini amagumbi entliziyo adibane, ngokufanelekileyo.

Into ebalulekileyo kukuba ukuba une-LPFB kuphela, oko kuthetha ukuba awunaso esinye isifo sentliziyo okanye i-'Right Bundle Branch Block', awudingi naluphi na unyango olukhethekileyo .

Yintoni esinokuyenza ukuthintela i-LPFB?

Ukuthintela i-LPFB, eyona nto ibalulekileyo kukuthintela isifo sentliziyo esisibangelayo. Oko kukuthi, ukugcina intliziyo isempilweni.

• Ukuhlolwa rhoqo kwezonyango: Kubaluleke kakhulu ukubona ugqirha wosapho lwakho rhoqo ukuze uhlolwe. Oku kunokunceda ekufumaneni iingxaki ezinxulumene nentliziyo kwangethuba kwaye kuthintele iimeko ezinzulu.
• Imikhwa esempilweni:
• Yitya ukutya okunesondlo esifanelekileyo . Nciphisa ioyile, ityuwa, kunye neswekile. Yitya iziqhamo, imifuno kunye nokutya okutyebileyo kwi-fiber.
• Lawula uxinzelelo lwakho lwegazi .
• Zilolonge rhoqo. Ukuhamba ubuncinane imizuzu engama-30 ngosuku nako kulungile.
• Nciphisa ukusetyenziswa kotywala kunye ne-caffeine (njengekofu kunye neti).
• Gcina ubunzima bakho busempilweni .
• Lawula uxinzelelo . Izinto ezifana nokucamngca kunye nezinto ozithandayo zinokunceda.
• Yeka ukutshaya nokusebenzisa icuba ngokupheleleyo .

Ukuba sele unesifo sentliziyo, landela imiyalelo kagqirha wakho ngokuchanekileyo.Thatha amayeza akho ngexesha. Oku kuya kunceda ukuthintela ezinye iingxaki ezifana ne-LPFB.

Ikamva limphathele ntoni umntu one-LPFB? Ngaba yinto omele uyoyike?

Rhoqo, i-LPFB iyenzeka ngeRight Bundle Branch Block. Ukuba unesifo sentliziyo kwaye une-LPFB kunye neRight Bundle Branch Block, usemngciphekweni omkhulu wokufa. Ngamanye amaxesha, umntu onezi ngxaki zombini unokuba ne -heart block epheleleyo, apho imiqondiso yombane eya kwiiseli zentliziyo iyeka ngokupheleleyo. Le yimeko enzulu ngakumbi kwaye inokunciphisa ixesha lokuphila kwakho.

Nangona kunjalo, ukuba une-LPFB kuphela, oko kuthetha ukuba awunayo i-Right Bundle Branch Block okanye nasiphi na esinye isifo sentliziyo esisisiseko, akuyi kubakho mahluko mkhulu kubomi bakho obuqhelekileyo . Ngoko ke ungakhathazeki ngokungeyomfuneko.

Ndifanele ndibonane nogqirha nini?

Ukuba ucinga ukuba uneempawu zesifo sentliziyo, bonana nogqirha ngokukhawuleza . Zithini ezi mpawu?

• Intlungu yesifuba okanye ukungakhululeki.
• Ukuba uziva unesizungu okanye utyhafile .
• Ukuba uhlala uziva udiniwe kakhulu (`Ukudinwa`).
• Ukuba intliziyo yakho ibetha ngokukhawuleza, uva isandi esitsho ngamandla esifubeni sakho, okanye uzive ngathi intliziyo yakho ayibethi (`Iintlungu Zentliziyo`).
• Ubukrelekrele .
• Isicaphucaphu .
• Ukukhohlela okungapheliyo .
• Ukuqhawukelwa ngumphefumlo .
• Ukuba iinyawo zakho, amaqatha, imilenze, okanye isisu sakho siyadumba .

I-LPFB idla ngokuvela kubantu abanezinye iingxaki zentliziyo. Ukuba sele unesifo sentliziyo, ugqirha wakho uza kukunika isicwangciso sonyango aze akujonge rhoqo. Ngokulandela imiyalelo kagqirha wakho ngononophelo kwaye ufumane uhlolo rhoqo, unokunceda ekulawuleni isifo sentliziyo yakho kwaye uthintele iziganeko zentliziyo ezinzulu ngakumbi.

Umyalezo Wokuya Ekhaya

• I-Left Posterior Fascicular Block (LPFB) kukuvalwa kwe-nerve fiber encinci ethwala imiqondiso yombane ngasemva kwe-ventricle yasekhohlo yentliziyo.
• Oku akuvamile kubantu abaphilileyo, kodwa kunokwenzeka nakubantu abanezinye iingxaki zentliziyo.
• Kwiimeko ezininzi, ukuba kukho i-LPFB kuphela, iimpawu aziyi kubakho.
• Uxilongo lwenziwa ikakhulu ngovavanyo lwe-ECG.
• Unyango lujoliswe kwisifo esibangela i-LPFB. Ukuba kukho i-LPFB kuphela kwaye akukho esinye isifo sentliziyo, akukho nyango lukhethekileyo lufunekayo.
• Ukuphila ubomi obusempilweni kubaluleke kakhulu ekukhuseleni kwizifo zentliziyo.
• Ukuba ufumana iimpawu zesifo sentliziyo, funa ingcebiso kagqirha ngoko nangoko.

Khumbula, ukunyamekela intliziyo yakho kubaluleke kakhulu kwimpilo yakho iyonke. Masingoyiki, masiqaphele, kwaye sizame ukuhlala siphilile!

"Ibloko yeFascicular yangasemva ekhohlo, Isifo sentliziyo, Inkqubo yoMbane yeNtliziyo, i-ECG, ukubetha kwentliziyo, ibloko yentliziyo, i-Arrhythmia