Ngaba imiqondiso yombane yentliziyo yakho ayisebenzi kakuhle? Masithethe ngeTrifascicular Block!

Ngaba wakha wazibuza ukuba intliziyo yakho isebenza ngendlela emangalisayo kangakanani? Ifana nenkqubo yombane encinci, ethumela imiqondiso yombane kwiindawo ezahlukeneyo zentliziyo ukuze iqhubeke ibetha kakuhle. Kodwa ngamanye amaxesha, kunokubakho ukuphazamiseka okuncinci kwiindlela zezi miqondiso zombane. Kulapho ke sithetha khona "ngeBloko yeNtliziyo." Namhlanje siza kuthetha ngohlobo oluthile lwebloko yentliziyo, olubizwa ngokuba yibloko ye-trifascicular.

Zithini ezi fascicles entliziyweni? Ziphi?

Kulungile, ngoku masijonge ukuba zeziphi ezi "fascicles". Ngamafutshane, ezi zi-bundles ezikhethekileyo ze-muscle fibers ezithwala imiyalezo yombane ngaphakathi entliziyweni. Ezi zikwabizwa ngokuba "zii-bundle branches." Ezi zikwii-chambers ezimbini ezisezantsi zentliziyo, "ii-ventricles." Ezi fascicles zezona zithumela imiqondiso yombane ngokukhawuleza, nto leyo ebangela ukuba ii-chambers zentliziyo zifinyezeke kakuhle kwaye zipompe igazi.

Njengoko usazi, intliziyo yethu sisitho esiphambili senkqubo yokujikeleza kwegazi. Ineendawo ezine eziphambili:

• I-Atria: Amagumbi amabini aphezulu.
• IiVentricles: Iigumbi ezimbini ezisezantsi. Ibhloko ye-trifascicular ichaphazela ezi gumbi zimbini ezisezantsi.

Ngoku makhe sijonge ii-fascicles kwezi gumbi zimbini zisezantsi:

• I-Right Ventricle: Eli ligumbi elisezantsi kwicala lasekunene lentliziyo. Ukusuka apha, igazi lithunyelwa emiphungeni nge-Pulmonary Arteries ukuze lifumane ioksijini. I-right ventricle ine-fascicle enye kuphela. Ibizwa ngokuba yi-Right Bundle Branch .
• I-Left Ventricle: Le yigumbi elisezantsi kwicala lasekhohlo lentliziyo. Ipompa igazi elineoksijini nge-aorta ukuya kumzimba wonke. I-ventricle yasekhohlo yeyona gumbi lokupompa likhulu nelinamandla entliziyweni. Ine-fascicles ezimbini, i-Left Anterior Fascicle kunye ne-Left Posterior Fascicle . Zidibene, ezi zimbini zakha iSebe le-Left Bundle . Ezi fascicles zahlukana ngakumbi zibe zizigidi zeefayibha ezincinci ezibizwa ngokuba yiPurkinje Fibers.

Cinga ngale ndlela, ezi fascicles zifana neentambo zombane endlwini. Xa uvula iswitshi (oko kukuthi, xa isignali ifikelela entliziyweni), umbane uhamba ngale ntambo uze uvule ibhalbhu yesibane (oko kukuthi, izihlunu zentliziyo ziyafinyela). Ngoko ke kwenzeka ntoni ukuba kukho ukuphazamiseka kwenye indawo kwezi ntambo? Kaloku, yiloo nto eyenzekayo kwibloko yentliziyo.

IiBhloko zentliziyo zihlulwe njani?

Oogqirha bahlula ezi blocks zentliziyo, okanye "ii-AV Blocks," zibe ziintlobo ezintathu eziphambili ngokusekelwe kubunzima bazo:

1. Ibloko yenqanaba lokuqala: Oku kukulibaziseka okuncinci kwimiqondiso yombane esuka kwi-atria ukuya kwi-ventricles. Oku "kukuvalwa okungaphelelanga"Ngoko ke, uninzi lwexesha, akukho zimpawu kwaye akukho nyango lufunekayo.

2. Ibloko leDigri yesiBini: Kule meko, ezinye izibonakaliso zombane ziya kwiiseli, kodwa ezinye aziyi. Le ikwalibloko elingaphelelanga. Oku kunokubangela ukuba isantya sentliziyo sehle, esibizwa ngokuba yi-"bradycardia." Okanye isantya sentliziyo singaba yinto engahambelaniyo, esibizwa ngokuba yi-"arrhythmia." Ukuba le bhloko yedigri yesiBini iqhubekela kwidigri yesiThathu, unyango lunokufuneka.

3. Ibloko yenqanaba lesithathu: Olu luvalo olupheleleyo . Akukho zimpawu zombane ezithunyelwa ukusuka kwi-atria ukuya kwi-ventricles. Isantya sentliziyo silawulwa yi-AV node, i-bundle ye-His, okanye ii-ventricles ngokwazo. Oku kubangela ukuba isantya sentliziyo sehle kakhulu. Oku kunokuba yingozi ebomini, ngoko ke unyango lufuneka ngoko nangoko.

Ngoko ke yintoni kanye kanye iTrifascicular Block?

Igama elithi "tri" lithetha ezintathu. Ngoko ke, kwibloko ye-trifascicular, kukho ukuvaleka kwiindawo ezintathu kwinkqubo yokuhambisa intliziyo, ngaphantsi kwe-"AV Node".

Ngamafutshane, ibhloko ye-trifascicular yingxaki yemiqondiso yombane kwisebe le-bundle yasekunene nakwisebe le-bundle yasekhohlo (oko kukuthi, zombini i-fascicles yasekhohlo yangaphambili neyasekhohlo). Oku kukwathathwa njengebhloko yentliziyo epheleleyo . ( Ukuba kukho ukuvaleka kwelinye kuphela kwesebe le-bundle yasekunene nakwi-fascicle yasekhohlo, ibizwa ngokuba yi-"bifascicular block.")

Oko kuthetha ukuba, umntu one-trifascicular block unezi meko zombini:

• Ibhloko yeSebe leBundle yasekunene: Kule nto, isignali yombane ukusuka kwi-fascicle yasekunene ukuya kwisebe lebundle lasekhohlo icotha.
• Ibhloko yeSebe leSigqeba sasekhohlo: Kulapho isignali yombane ihamba kancinci kwi-ventricle yasekhohlo. Kwibhloko ye-trifascicular, ukuvaleka kuchaphazela zombini i-fascicles yasekhohlo yangaphambili kunye neyasekhohlo engasemva.

Khawucinge ngento eyenzekayo kwiindlela xa iindlela ezintathu ezinkulu zivaliwe ngaxeshanye. Kwenzeka into efanayo nakwimiyalezo esentliziyweni.

Zixhaphake kangakanani ezi bloko zentliziyo?

Iingcali zithi malunga nomntu omnye kwabalishumi abaneminyaka engaphezu kwama-70 ubudala onesifo sentliziyo uya kuba noxinzelelo lwentliziyo olufikelela kwinqanaba lesithathu ngaxa lithile ebomini bakhe.

Zithini izizathu ze-trifascicular block?

Umngcipheko wokuba naluphi na uhlobo lwe-heart block uyanda ngokukhula. Ngamanye amaxesha ezi bloko zinokwenzeka ngaphandle kwesizathu esicacileyo. Zinokubangelwa sisifo sentliziyo esizalwa naso.

Nangona kunjalo, amaxesha amaninzi, i-trifascicular block ibangelwa kukonakala kwentliziyo. Lo monakalo unokubangelwa zizinto ezifana nezi:

• Isifo seMitha yeCoronary
• Intliziyo ekhulisiweyo (i-Hypertrophic Cardiomyopathy)
• Ukuhlaselwa yintliziyo
• Ezinye Izifo Zentliziyo
• Isifo seValve yeNtliziyo
• Ukwanda kwamanqanaba e-potassium egazini (i-Hyperkalemia)
• Utyando lwentliziyo olungenalo utyando okanye utyando lwentliziyo evulekileyo
• Ukusebenza ngokugqithisileyo kweNervo yeVagus
• Umkhuhlane weRheumatic
• I-Sarcoidosis (isifo apho iiseli ezincinci ezivuthayo ziqokelelana kwiindawo ezahlukeneyo zomzimba)

Zithini iimpawu ze-trifascicular block?

Ukuvaleka kwentliziyo okungenamandla (kwinqanaba lokuqala okanye lesibini) akudli ngokubangela zimpawu. Nangona kunjalo, xa kuvikwa i-trifascicular, onke amasebe amathathu e-bundle ayachaphazeleka, ngoko ke iimpawu zinokwenzeka. Usenokuba namava alandelayo:

• Intlungu yesifuba okanye ukuxinana (i-Angina)
• Ukudinwa kunye nokutyhafa (iSyncope)
• Ukudinwa
• Ukubetha kwentliziyo (ukuziva ngathi intliziyo yakho iyabetha ngamandla okanye ibetha kancinci)
• Isicaphucaphu
• Ukuqhawukelwa ngumphefumlo

Ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukuzityeshela. Kubalulekile ukubona ugqirha ukuze akunike ingcebiso.

Ziziphi iingxaki ezinokubakho ze-trifascicular block?

Ukuvaleka kwentliziyo kwenza kube nzima ukuba intliziyo ipompe igazi emzimbeni wonke. Oku kunokukhokelela kwiingxaki ezisongela ubomi ezifana nezi:

• Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia)
• Ukuhlaselwa yintliziyo
• Ukumelwa yintliziyo
• Ukufa Ngesiquphe Kwentliziyo (Ukufa Okubangelwa Kukuhlaselwa Yintliziyo Ngesiquphe) `(Ukufa Ngesiquphe Kwentliziyo / Ukubanjwa Yintliziyo Ngesiquphe)`

Ngenxa yokuba ezi ziimeko ezinzima, sithi kubaluleke kakhulu ukufuna unyango lweengxaki zentliziyo ezinje ngezi ngokukhawuleza.

Ifunyanwa njani iTrifascicular Block?

Oogqirha basebenzisa uvavanyo olubizwa ngokuba yi-"electrocardiogram" ukuze babone utshintsho kwinkqubo yombane yentliziyo. Oku kukwabizwa ngokuba yi-ECG (E.C.G.) ngamafutshane. Abanye abantu bakubiza ngokuba yi-EKG (E.K.G.).

Olu vavanyo lwe-ECG lulinganisa umsebenzi wombane wentliziyo. Lukwalinganisa ixesha elithathwayo ukuze imiqondiso yombane ihambe entliziyweni. Lubonisa ixesha elithathwayo ukuze onke amagumbi amane entliziyo asebenze.

I-ECG luvavanyo olungenabuhlungu, olungangenisi ntlungu.Kuthatha malunga nemizuzu eli-15. Kule nto, "ii-electrode" ezincinci ezifana ne-patch zinamathele esifubeni sakho, ezingalweni nasemilenzeni. Ezi electrode ziqhagamshelwe kumatshini we-ECG oneengcingo. Lo matshini urekhoda umsebenzi wombane wentliziyo yakho njengegrafu. (I-ECG ayithumeli umbane emzimbeni wakho, ngoko ungakhathazeki ngaloo nto.)

Iphathwa njani i-trifascicular block?

Abantu abaninzi abane-trifascicular block kufuneka benze utyando lokufakelwa isixhobo entliziyweni yabo ukulawula isigqi sentliziyo yabo.

• I-Pacemaker: Oku kuthumela imiqondiso yombane entliziyweni, nto leyo ebangela ukuba amagumbi entliziyo abethe ngesingqi. Kufana nokunika intliziyo "ityhale" kancinci ngaphandle.
• Ezinye izixhobo ezibizwa ngokuba yi- "Implantable Cardioverter Defibrillators (ICDs)" nazo zisebenza njenge-pacemaker. Ukongeza, xa kukho umngcipheko wokuma kwentliziyo ngequbuliso, ezi ICD zizisa umbane entliziyweni ukuze ibethe kwakhona ngendlela eqhelekileyo.

Ugqirha uza kukuhlola aze agqibe ukuba loluphi uhlobo lonyango olukufaneleyo.

Ngaba ibhloko ye-trifascicular ingathintelwa?

Nangona singenakukwazi ukulawula ezinye izizathu, kukho izinto esinokuzenza ukukhusela impilo yentliziyo yethu. Ezi zinokunceda ekunciphiseni umngcipheko weemeko ezifana ne-trifascicular block:

• Yitya ukutya okunempilo okunentliziyo kwaye uzilolonge rhoqo.
• Nciphisa ukusetyenziswa kotywala.
• Fumana iindlela ezisempilweni zokulawula uxinzelelo .
• Yehlisa umzimba (ukuba kuyimfuneko) kwaye ugcine ubunzima obusempilweni.
• Lawula iimeko ezibangela uxinezeleko entliziyweni, ezinje ngoxinzelelo lwegazi oluphezulu, isifo seswekile, kunye ne-cholesterol ephezulu.
• Cela uncedo lokuyeka ukutshaya kwaye uphephe ukutshaya umsi osetyenziswa ngabanye abantu.

Nangona kunokuba nzima kancinci ukubandakanya ezi zinto kwindlela yakho yokuphila ekuqaleni, kuya kuyinceda intliziyo yakho ekuhambeni kwexesha.

Injani imeko yabantu abaneTrifascicular Heart Blocks?

Ngonyango olufanelekileyo, uninzi lwabantu abane-trifascicular heart block abaqhubeki besiya kwi-complete heart block. Umngcipheko uyanda ukuba i-trifascicular heart block ayinyangwa. Oku kunokukhokelela kwi-irritable heart block (arrhythmia), enokubangela ukufa kunokuba i-heart block ibangele ukufa. Unyango olufanelekileyo - oluhlala lusebenzisa isixhobo esifana ne-pacemaker - lunokunceda ukunciphisa lo mngcipheko.

Ndifanele ndibonane nogqirha nini?

Ukuba unayo nayiphi na kwezi mpawu, qiniseka ukuba ubona ugqirha:

• Ukuba uziva udiniwe kakhulu.
• Ukuba uvakalelwa kukuba ukubetha kwentliziyo yakho akuhambelani.
• Ukuba unentlungu eqatha esifubeni.
• Ukuba unengxaki yokuphefumla.
• Ukuba uneempawu zokuhlaselwa yintliziyo (umz., iintlungu eziqatha zesifuba eziphuma engalweni yakho, iintlungu zomhlathi, ukubila).
• Ukuba kukho isicaphucaphu esingachazwanga.

Ukuba unayo nayiphi na kwezi, musa ukucinga nje ukuthi, "Le yimpazamo nje." Funa ingcebiso kagqirha ngoko nangoko.

Ndimele ndibuze ntoni kugqirha wam?

Ukuba ufunyaniswa ukuba une-trifascicular block, ungabuza ugqirha wakho imibuzo efana nale:

• Yintoni eyabangela ukuba ndiphuhlise le bhloko ye-trifascicular?
• Ndingawunciphisa njani umngcipheko wokuba nesifo sentliziyo okanye esinye isifo sentliziyo?
• Ngaba ndifuna i-pacemaker okanye i-ICD?
• Zithini iingozi zokufakelwa i-pacemaker okanye i-ICD?
• Ngaba kufuneka ndixhalabele iimpawu zeengxaki?

Ukubuza le mibuzo kuya kukunceda ukuba uyiqonde ngcono imeko yakho kwaye uthathe inxaxheba kunyango.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-trifascicular heart block yi-blockage kuzo zontathu iindlela eziphambili ezithwala imiqondiso yombane entliziyweni. Oku kuthintela intliziyo ekuthini ifinyeze kwaye ipompe igazi. I-third-degree, okanye i-complete, heart block inokubangela ukubetha kwentliziyo okungahambelaniyo (arrhythmias) okusongela ubomi okanye nokufa kwentliziyo ngequbuliso.

Abantu abangaphezu kweminyaka engama-70 ubudala kunye nabo banesifo sentliziyo basengozini enkulu. I-ECG inokubona iingxaki kwinkqubo yombane yentliziyo. Ugqirha wakho unokucebisa isixhobo esifana ne-pacemaker okanye i-ICD. Ezi zixhobo zithumela imiqondiso yombane kumagumbi entliziyo ukuze zihlale zibetha ngesingqi.

Lumka intliziyo yakho. Ukuba uziva into engaqhelekanga, ungayityesheli. Ukufuna ingcebiso kagqirha ngokukhawuleza kunokusindisa ubomi bakho.

Ibhloko ye- trifascicular, ibhloko yentliziyo, inkqubo yombane yentliziyo, i-ECG, i-pacemaker, isifo sentliziyo, ukubetha kwentliziyo