Ngaba i-ECG yayisithi RBBB (Right Bundle Branch Block)? Ungakhathazeki, masifumanise ukuba yintoni kanye kanye le!

Usenokuba ukhe wathathwa i-ECG ngexesha lokuhlolwa kwezonyango, njengaxa wawuye kugqirha ngenxa yesinye isifo, okanye xa wawuqala umsebenzi omtsha. Usenokuba ukhathazekile kwaye woyika kancinci xa wabona inqaku kuloo ngxelo ye-ECG elalisithi 'Right Bundle Branch Block', okanye i-RBBB. Usenokuba ukhe wacinga, "Owu Thixo wam, ngaba kukho into engalunganga entliziyweni yam?" Kuqhelekile ukucinga ngaloo ndlela xa ubona igama elingaziwayo. Kodwa ngaphambi kokuba woyike, masiqonde oku ngokucacileyo nangokulula. Uninzi lwexesha, oku akuyonto imbi njengoko ucinga.

Ngamafutshane, yintoni iRight Bundle Branch Block (RBBB)?

Ukuze siqonde oku, masiqale sijonge indlela intliziyo yethu esebenza ngayo. Khawuthelekelele intliziyo yakho ifana nendlu encinci enamagumbi amane. Ukuze izibane zivuleke kwaye iifeni zisebenze kule ndlu, kufuneka kubekho umbane, okanye 'umbane'. Ngendlela efanayo, intliziyo yethu inenkqubo yayo yombane yokubetha ngokufanelekileyo.

Olu phawu lombane luqala kwi-'master switch' phezulu kwentliziyo. Silubiza ngokuba yi-'(Sinoatrial node)` okanye i-SA node. Ukusuka apho, uphawu lombane luhamba ngamagumbi amabini aphezulu entliziyo (i-atria) luze lufike kwi-'junction box' ebizwa ngokuba yi-`(Atrioventricular node)` okanye i-AV node.

Ukusuka kule bhokisi yokuxhuma, isignali yombane yahlulwe yaba ziintambo ezimbini eziphambili eziya kwiigumbi ezimbini eziphambili (iiventricles) ezantsi kwentliziyo. Ezi ntambo zimbini zezo sizibiza ngokuba 'ziibhanti zebhanti'. Enye iya kwigumbi lasekunene (isebe lebhanti lasekunene), kwaye enye iya kwigumbi lasekhohlo (isebe lebhanti lasekhohlo).

Okufanele kwenzeke ngokuqhelekileyo kukuba isignali yombane ihamba kuzo zombini ezi ntambo ngesantya esifanayo nangexesha elifanayo, nto leyo ebangela ukuba amagumbi amabini asezantsi entliziyo anciphe (abethe) kunye.

Nangona kunjalo, kumntu oneRight Bundle Branch Block (RBBB) , kukho ukuvaleka okuncinci 'kwintambo' eya kwicala lasekunene, okanye ukwehla okuncinci kwisantya sesignali. Kufana 'nombane' ohamba kancinci kakhulu kwintambo endala. Ngenxa yoku, i-ventricle yasekunene ifumana isignali emva kancinci kuneyasekhohlo. Ngenxa yoku, i-ventricle yasekunene ibetha iqhekeza elincinci kakhulu lesekhondi emva kokuba i-ventricle yasekhohlo ibetha.

Kukho iintlobo ezimbini eziphambili ze-RBBB. Ukuba isignali ifike emva kwexesha kakhulu, ibizwa ngokuba yi-'Complete RBBB', kwaye ukuba ifike emva kwexesha kancinci, ibizwa ngokuba yi-'Incomplete RBBB'. I-Incomplete RBBB idla ngokuba yinto engeyongozi njenge-complete RBBB.

Ngubani onokuthi abonakale kakhulu kule meko?

Oku kunokwenzeka nakubani na. Kwanabantu abasempilweni nabangenazo izifo banokuchaphazeleka yi-RBBB. Nangona kunjalo, le meko ixhaphake ngakumbi njengoko sikhula. Njengokuba iingcingo endlwini endala zinokuba buthathaka kancinci, inkqubo yombane yentliziyo nayo inokucotha kancinci njengoko sikhula.

Uphando lufumanise ukuba xa beneminyaka engama-80, malunga ne-11 kubantu abali-100 (okanye i-11%) baya kuba nale meko ye-RBBB. Ngoko ke ungabona ukuba ayinqabile kangako.

Zithini iimpawu ze-RBBB?

Le yeyona nto ibalulekileyo nethuthuzelayo ekufuneka uyazi. Kubantu abaninzi, akukho zimpawu. Usenokungazi nokuba une-RBBB. Isenokungafumaneki de kwenziwe i-ECG ngesinye isizathu. Awuyi kuva ntlungu esifubeni, ukuphefumla kancinci, okanye ukuquleka ngenxa ye-RBBB yodwa.

Oku kuthetha ukuba ukuba unale mpawu, kusenokwenzeka ukuba ayibangelwa yi-RBBB, kodwa yimeko yempilo engaphantsi. Ngoko ke, ukuba unezi mpawu, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Zithini izizathu ze-RBBB?

Nangona i-RBBB inokwenzeka kubantu abaphilileyo ngaphandle kwesizathu esicacileyo, inokubangelwa ziimeko ezithile zempilo kunye nezinye izinto. Makhe sijonge ezinye zezizathu eziphambili.

Ugqirha ufumanisa aze aqinisekise njani oku?

I-RBBB idla ngokuxilongwa nge-ECG, okanye i-Electrocardiogram . Olu vavanyo lubandakanya ukuncamathisela izitikha esifubeni sakho, ezingalweni, nasemilenzeni kwaye lurekhoda umsebenzi wombane wentliziyo yakho. Ugqirha onamava unokwazi ukubona ngokulula ukuba une-RBBB ngokujonga le patheni ye-ECG.

Kodwa, ugqirha akapheleli apho. Kukho ezinye iimeko ezininzi, mhlawumbi ezinzulu ngakumbi, ezibonisa iipateni ze-ECG ezifana ne-RBBB. Ngoko ke ugqirha uza kuyihlola ngononophelo i-ECG yakho ukuqinisekisa ukuba awunazo ezi meko.

Nazi ezinye zeemeko ezinjalo:

• I-Ventricular Tachycardia: Imeko enzima apho amagumbi asezantsi entliziyo abetha ngokukhawuleza kakhulu.
• Isifo seBrugada: Imeko yemfuza enokubangela ukuminyana kwentliziyo ngequbuliso.
• Ibhloko yeSebe leNqanaba lasekhohlo elingaphelelanga: Ukuvaleka okungaphelelanga kwendlela yesignali kwicala lasekhohlo, njengakwicala lasekunene.

Ngoko ke, nokuba ingxelo yakho ye-ECG ithi RBBB, isigqibo sokugqibela kunye neengcebiso malunga nayo kufuneka zinikwe ngugqirha okuxilongayo.

Ngaba i-RBBB ifuna unyango?

Kukwakho neendaba ezimnandi kakhulu apha.

Kufana nophawu lokuzalwa emzimbeni wakho. Lukhona, kodwa alukukhathazi. Ugqirha mhlawumbi uza kukuxelela ukuba uze kube kanye ngonyaka uze wenze i-ECG, ukuze ubone ukuba kukho utshintsho na. Ngaphandle koko, aludingi naluphi na olunye unyango okanye utyando.

Nangona kunjalo, ukuba une-RBBB ngenxa yesinye isifo sentliziyo (njengezo zidweliswe kwitheyibhile yezizathu ezingasentla), i-RBBB ayinyangwa. Ingxaki esisiseko iyanyangwa. Umzekelo, ukuba intliziyo yakho ikhulu ngenxa yoxinzelelo lwegazi oluphezulu kwaye i-RBBB ibangelwa yile meko, unyango kukulawula uxinzelelo lwegazi lwakho. Ukuba ibangelwa kukuhlaselwa yintliziyo, kufuneka uqhubeke nokunyanga.

Liyintoni ikamva lomntu one-RBBB? Ngaba kukho into omele uyoyike?

Impendulo yalo mbuzo ixhomekeke ekubeni unazo na ezinye iingxaki zentliziyo okanye awunazo. Makhe sijonge ezo meko zimbini ngokwahlukeneyo.

1. Ukuba awunaso esinye isifo sentliziyo (Kungenjalo sisempilweni)

Okwangoku, i-RBBB ayisosizathu sokuxhalaba. Ayifinyezi ubomi bakho okanye yonyuse umngcipheko wokuba nesifo sentliziyo. Yinto nje 'engaqhelekanga', okanye uphawu olukhethekileyo, kwinkqubo yombane yentliziyo yakho. Ungaqhubeka nobomi bakho obuqhelekileyo ngaphandle kweengxaki.

2. Ukuba unesinye isifo sentliziyo (umz. Ukusilela kwentliziyo, emva kokuhlaselwa yintliziyo)

Kwimeko enjalo, i-RBBB yinto ekufuneka uyiqwalasele. Oku akuthethi ukuba imeko yakho iye yaba mandundu ngenxa ye-RBBB. Nangona kunjalo, ukuba ne-RBBB kubonisa ukuba intliziyo yakho iphantsi koxinzelelo oluthile kwaye ukusebenza kwayo kubuthathaka kancinci. Ke ngoko, xa i-RBBB idityaniswe nesifo sentliziyo esingaphantsi kwesi, umngcipheko weengxaki kwixesha elizayo unokwanda kancinci.

Kungoko ke kubaluleke kakhulu ukuba abaguli abanjalo balandele unyango olunikwa ngoogqirha babo kwisifo sabo sentliziyo ngaphandle kweziphene . Kufuneka benze izinto ezifana nokusela amayeza abo ngexesha, balawule ukutya kwabo, kwaye balolonge umzimba ngendlela efanelekileyo.

Xa sele i-RBBB yenziwe, ayipheli. Yimeko ehlala ihleli.

Ndifanele ndibonane nogqirha nini kwaye ndilumke?

Ukuba uyazi ukuba une-RBBB, kungcono ukuba uhlale unxibelelana nogqirha wakho rhoqo.

• Iintlanganiso eziqhelekileyo: Nokuba awunazo ezinye iingxaki zempilo, yiya kuhlolwa ngamaxesha athile acetywayo ngugqirha wakho (umz. kanye ngonyaka). Ukuba unezinye iingxaki zentliziyo, qiniseka ukuba uyaya kwezo kliniki.
• Iimpawu ezintsha: Ukuba ufumana iimpawu obungazange ube nazo ngaphambili, ezinje ngeentlungu zesifuba, ukuphefumla kancinci, ukudumba kwemilenze yakho, okanye ukuquleka, bonana nogqirha ngokukhawuleza.
• Ingxamiseko:Khawuthelekelele ukuba unentlungu esifubeni enganyamezelekiyo, intlungu isasazeka ingalo yakho yasekhohlo, entanyeni, okanye emhlathini, ubila kakhulu, kwaye uzive uphelelwa ngumphefumlo. Ezi zinokuba ziimpawu zokuhlaselwa yintliziyo. Kwimeko enjalo, ungalibazisi. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.

Imibuzo ebalulekileyo yokubuza ugqirha wakho

Ukuba ingxelo yakho ye-ECG ithi RBBB, ukubuza le mibuzo xa ubona ugqirha wakho kunokukunceda ufumane ukucaca ngakumbi.

• "Gqirha, ngaba kukho isizathu esithile sokuba ndibe nale meko ye-RBBB?"
• "Ngaba kufuneka ndenze utshintsho kubomi bam bemihla ngemihla ngenxa yesi sizathu? Kwizinto ezifana nokutya, ukuzilolonga, njl.njl."
• "Ndiza kubuya nini ndize kujonga?"
• (Ukuba unezinye izifo zentliziyo) "Ngaba ndisemngciphekweni omkhulu wokuba nale RBBB kunye nezinye izifo zentliziyo yam? Ndingenza ntoni ukuze ndiyilawule?"