Ingabe kukhona inkinga ngesistimu kagesi yenhliziyo yakho? Ake sixoxe nge-Bundle Branch Block ngamagama alula!

Wake wahlolwa i-ECG wabona amagama athi `Bundle Branch Block` embikweni? Noma mhlawumbe uke wazizwa ungajwayelekile noma usinda enhliziyweni yakho, kodwa awukwazi ukuthola ukuthi yini ngempela ebangela lokhu. Ngezinye izikhathi lesi simo singaba khona ngaphandle kwezimpawu. Namuhla, sizokhuluma ngalesi simo esibizwa ngokuthi `Bundle Branch Block`, kalula kakhulu, ngendlela ongayiqonda.

Kuyini iBundle Branch Block? Masiyiqonde kalula!

Kulungile, manje bhekani... inhliziyo yethu ifana nomshini omncane, akunjalo? Kufanele iqhubeke isebenza. Ukuze le nhliziyo ishaye, idinga isignali encane kagesi. Kufana nogesi endlini yethu ukuze kuvulwe izibani. Lezi zimpawu zikagesi zihamba ngezindlela ezithile enhliziyweni. Lezi zindlela yilokho esikubiza ngokuthi "amagatsha amakhulu." Izimpawu zikagesi zihamba ngalezi bese zitshela amakamelo amabili amakhulu phansi kwenhliziyo, "ama-ventricle," ukuthi athi, "Kulungile, manje nina bantu nizoncipha futhi nipompe igazi."

Ngokuvamile, womabili la makamelo enhliziyo ayafinyela ngesikhathi esisodwa. Yilapho inhliziyo ipompa khona igazi ngendlela efanele. Kodwa-ke, uma kukhona "i-Bundle Branch Block", lokho kusho ukuthi kukhona ukuvinjelwa noma ukuvinjelwa endleleni yesignali kagesi engikhulume ngayo, okungukuthi, "egatsheni le-bundle". Kufana nokuthi ucingo luphukile noma luvinjiwe ndawana thize. Khona-ke leso signali kagesi asihambi kahle, siyalibaziseka. Ngenxa yalokhu, amakamelo amabili awafinyeli ngesikhathi esisodwa. Elinye liyafinyela, kanti elinye liyafinyela kamuva. Lokhu yilokho esikubiza ngokuthi isigqi senhliziyo esingavamile.

Kodwa-ke, akuzona zonke izithiyo zamagatsha ezidinga ukwelashwa okukhulu. Esikhathini esiningi, odokotela bafuna ezinye izimo eziyisisekelo ezingase zibangele inkinga bese bezama ukuzelapha.

Zikhona yini izinhlobo ze-Bundle Branch Block?

Yebo, kunezinhlobo ezimbili eziyinhloko ze-bundle branch block, kuye ngokuthi ithinta uhlangothi lwesokudla lwenhliziyo noma uhlangothi lwesobunxele.

1. Ibhulokhi Legatsha Le-Right Bundle (RBBB): Lokhu kwenzeka lapho kukhona ukuvaleka endleleni ethwala izimpawu zikagesi ziye kwi-ventricle yesokudla. Kalula nje, kunenkinga ngentambo ehlangothini lwesokudla.

2. Ibhulokhi Legatsha Le-Left Bundle (LBBB): Lokhu kwenzeka lapho kukhona ukuvinjelwa endleleni ethwala izimpawu zikagesi ziye kwi-ventricle yesobunxele. Lokhu kusho ukuthi kunenkinga ngebhulokhi legatsha le-left bundle.

Ngezinye izikhathi, elilodwa kuphela lala magatsha lingathinteka. Noma, akuvamile kakhulu, womabili amagatsha angathinteka ngesikhathi esisodwa.

Ubani ongathuthukisa lokhu (i-Bundle Branch Block)? Kuvamile kangakanani?

Empeleni, noma ubani angaba nalesi simo esibizwa ngokuthi "i-Bundle Branch Block". Kodwa-ke, uma ukhula futhi unezinye izifo zenhliziyo, ingozi yokuba nalesi simo iphakeme kancane.

• Ibhulokhi yegatsha lesikhwama kwesokudla `(RBBB)`:Lokhu kuvame kakhulu kune-`(LBBB)`. Cabanga nje, lapho umuntu eneminyaka engu-50, cishe oyedwa kubantu abayi-100 (0.8%) angaba nalesi simo. Kodwa lapho eneminyaka engu-80, cishe abantu abayi-11 kwabayi-100 (11.3%) bangaba nalesi simo.
• Ibhulokhi yegatsha lesobunxele (LBBB): Lokhu akuvamile njenge-RBBB. Emazweni afana ne-United States, kuthinta phakathi kuka-0.06% no-0.1% wabantu. Kodwa-ke, kubantu abanesifo senhliziyo, cishe ingxenye eyodwa kwezintathu yabo bangaba ne-LBBB.

I-bundle branch block iwuthinta kanjani umzimba?

Sibiza uhlelo olulawula ukushaya kwenhliziyo yethu ngokuthi "uhlelo lokuhambisa inhliziyo". Lezo zindlela engizikhulumile ekuqaleni, "amagatsha enqwaba", nazo ziyizingxenye zalolu hlelo. Ngakho-ke, kuye ngokuthi lokhu kuvinjelwa kukuphi, indlela okuthinta ngayo imizimba yethu iyashintsha.

• Ibhulokhi yegatsha lesikhwama sokudla (RBBB): Uma une-RBBB, ukuvaleka kusendleleni ethwala isignali kagesi iye kwi-ventricle yesokudla. Lokhu kubangela ukuthi i-ventricle yakho yesokudla ifinyele ngaphambi kwe-ventricle yesokudla.
• Ibhulokhi yegatsha le-Left bundle (LBBB): Uma une-LBBB, ukuvaleka kusendleleni ethwala isignali kagesi iye kwi-ventricle yesobunxele. Lokhu kubangela ukuthi i-ventricle yesokudla ifinyele ngaphambi kwesobunxele. Lokhu kwenza kube nzima ngenhliziyo ukupompa igazi kahle. Ngokuvamile, uma utholakala une-LBBB, kusho ukuthi ungase ube nesinye isimo senhliziyo esingaphansi.
• Ukuvaleka kwamagatsha e-bundle kwesokudla nesobunxele: Lesi yisimo esibi kakhulu. Uma lokhu kwenzeka, izimpawu zikagesi ezivela emakamelweni aphezulu enhliziyo ziya emakamelweni aphansi (i-atrial fibrillation) zingavalwa ngokuphelele. Lokhu kungabangela ukushaya kwenhliziyo okuhamba kancane kakhulu (i-bradycardia) futhi kungaholela kwezinye izinkinga ezinkulu zempilo.

Yiziphi izimbangela eziyinhloko ze-bundle branch block?

Kunezizathu ezahlukahlukene zokuthi kungani "i-Bundle Branch Block" ingenzeka. Ake sibone ukuthi ziyini:

• Isifo senhliziyo esizalwa naso
• I-cardiomyopathy evulekile (isimo lapho imisipha yenhliziyo iba buthakathaka futhi ikhule khona)
• Ukuhlaselwa yinhliziyo, noma njengoba sonke sazi, ukuhlaselwa yinhliziyo
• Isifo senhliziyo, ikakhulukazi isifo semithambo yegazi yenhliziyo
• Ukwehluleka kwenhliziyo
• Ukutheleleka kwenhliziyo (i-myocarditis)
• Isifo se-valve yenhliziyo
• Umfutho wegazi ophezulu (umfutho wegazi ophakeme)
• I-hypertrophic cardiomyopathy (isimo lapho imisipha yenhliziyo iqina khona)
• Ukuqina noma ukuqina kwemisipha yenhliziyo (cardiomyopathy)

Ngaphezu kwalokho, i-branch block ye-right bundle (RBBB) ingabangelwa nezifo zamaphaphu. Isibonelo:

• Isifo samaphaphu esingapheli (i-COPD), isifo samaphaphu esihlala isikhathi eside
• I-embolism yamaphaphu
• Umfutho wegazi ophezulu emaphashini (umfutho wegazi ophezulu wamaphaphu - PH)

Kodwa-ke, ngezinye izikhathi asikho isizathu esiqondile esingatholakala sale "Bundle Branch Block". Inhliziyo yabantu abanjalo ingaba nempilo kuzo zonke ezinye izici.

Ziyini izimpawu ze-bundle branch block?

Enye yezinto ezimangazayo ngalokhu ukuthi isikhathi esiningi, azikho izimpawu noma ngabe une-"Bundle Branch Block". Kodwa-ke, uma kuvela izimpawu, zingahlanganisa izinto ezinjengalezi:

• Isiyezi
• Ukuquleka, ukulahlekelwa ukwazi `(syncope)`
• Ukuzizwa sengathi usuzophelelwa amandla (presyncope)

Kodwa-ke, njengoba ngishilo, uma kukhona ukuvaleka emagatsheni enhliziyo angakwesokudla nakwesobunxele, izimpawu zingase zihluke kancane, futhi zingase zibonakale kakhulu:

• Ukushaya kwenhliziyo okungajwayelekile (i-arrhythmia)
• Ubunzima bokuphefumula (ukuphelelwa umoya)
• Isilinganiso senhliziyo esihamba kancane (bradycardia)

Izimpawu zivame ukubonakala kakhulu ezimweni ezinjengalezi:

• Uma unesinye isifo senhliziyo esiyisisekelo.
• Uma kukhona ukuvinjelwa kokubili emagatsheni esikhwama sokunene nesobunxele.
• Uma i-`(Bundle Branch Block)` isezingeni elibucayi kancane.

Ngingayithola kanjani ukuthi ngine-Bundle Branch Block?

Odokotela basebenzisa izivivinyo ezimbili eziyinhloko ukuxilonga i-bundle branch block:

1. I-Electrocardiogram (EKG noma i-ECG): Cishe uke wakwenza lokhu. Izitika ezincane ezibizwa ngokuthi ama-electrode zifakwa esifubeni sakho, ezingalweni nasemilenzeni, bese umshini uqopha ukusebenza kukagesi kwenhliziyo yakho ngenkathi ulele unganyakazi. Lokhu kungabheka indlela izimpawu zikagesi zenhliziyo ezihamba ngayo bese kunquma ukuthi une-bundle branch block, futhi uma kunjalo, ukuthi ingakwesokudla noma kwesobunxele.

2. I-Echocardiogram (echo): Lokhu kuhilela ukufaka ijeli esifubeni sakho, ukubeka ithuluzi elincane (induku) esifubeni sakho, nokusebenzisa amaza omsindo avame kakhulu ukuthatha izithombe zamagumbi namavalvu enhliziyo yakho. Lokhu kuvumela udokotela wakho ukuthi abone ukuthi inhliziyo yakho ishaya kanjani, ukuthi ipompa kanjani igazi, nokuthi ngabe kukhona yini izimo zenhliziyo ezingaphansi.

Uma kutholakale ukuthi une-bundle branch block, udokotela wakho uzohlola nezinye izimo zempilo ezihlobene. Bangase benze nokuhlolwa okufana nalokhu:

• Ukulinganisa umfutho wegazi (ukuhlola ukuthi umfutho wegazi uphezulu (umfutho wegazi ophakeme) noma uphansi (umfutho wegazi ophansi)).
• Ukuhlolwa kwegazi ukuhlola amazinga e-cholesterol egazini.
• Ukuhlolwa kwe-catheterization yenhliziyo (ukuhlolwa kwemithambo yegazi yenhliziyo)
• Kwenziwa "ukuhlolwa kokucindezeleka kwenhliziyo yenuzi" ukuze kuhlolwe isifo semithambo yenhliziyo.
• Ukuhlolwa kokusebenza kwamaphaphu ukuhlolwa okuhlola ukuthi amaphaphu asebenza kahle kangakanani.

Iphathwa kanjani i-Bundle Branch Block?

Uma ungenazo izimpawu futhi ungenazo ezinye izimo zezokwelapha ezingathi sína, ungase ungadingi ukwelashwa okuqondile kwe-bundle branch block. Kodwa-ke, uma unezinye izinkinga, njengomfutho wegazi ophakeme noma ukwehluleka kwenhliziyo, kungadingeka ukuthi uthathe imithi yokuzilawula.

Kodwa uma unezimpawu ezifana nokuquleka, udokotela wakho angase akuphakamisele i- pacemaker . Lena idivayisi encane efakwa ngaphansi kwesikhumba sesifuba sakho yi-cardiac electrophysiologist. Ithumela izimpawu ngezintambo ezixhunywe enhliziyweni yakho, igcina inhliziyo yakho ishaya ngesivinini esizinzile.

Uma une-cardiomyopathy ekhuphukile noma unesifo senhliziyo esibizwa ngokuthi i-cardiac resynchronization Therapy (CRT) . Lokhu kusebenzisa uhlobo olukhethekile lwe-pacemaker olubizwa ngokuthi i-Biventricular Pacemaker . Lokhu kusiza amakamelo womabili enhliziyo ukuthi anciphe ngesikhathi esisodwa. Lokhu kwelashwa kwe-CRT kungasiza ekunciphiseni izimpawu ezifana nokuphelelwa umoya.

Unganciphisa kanjani ingozi yokuthuthukisa i-bundle branch block?

Ukuze sizivikele ku-`(Bundle Branch Block)` nakwezinye izifo zenhliziyo, sidinga ukwamukela indlela yokuphila enempilo. Lokho kusho ukuthi:

• Yidla ukudla okunempilo kwenhliziyo (imifino, izithelo, imifino, ukudla okunamafutha amancane).
• Vivinya umzimba njalo (njengokuhamba, ukugijima, ukugibela ibhayisikili).
• Gcina isisindo esinempilo .
• Lawula amazinga e-cholesterol .
• Yeka ukubhema nokusebenzisa imikhiqizo kagwayi ngokuphelele.
• Uma umfutho wegazi wakho uphezulu, lawula.
• Hamba uyohlolwa njalo ngezokwelapha .

Yiziphi izingozi uma kukhona ezinye izifo kanye ne-Bundle Branch Block?

Uma une-"Bundle Branch Block" enalezi zimo, ingozi empilweni inganda kancane :

• Isifo senhliziyo
• Ezinye izifo zenhliziyo
• Ukwehluleka kwenhliziyo

Into eyodwa okufanele uyikhumbule ikakhulukazi ukuthi uma unecala elisha le-`(Left Bundle Branch Block - LBBB)` futhi uzwa nobuhlungu besifuba, kungaba uphawu lwesimo esibucayi esiyisisekelo, njengokuhlaselwa yinhliziyo. Uma lokhu kwenzeka, kufanele ufune iseluleko sezokwelapha ngokushesha.

Kwenzekani kumuntu one-Bundle Branch Block? Yini elandelayo?

I-Bundle Branch Block ivame ukuba yisimo sempilo yonke . Ukuvaleka kungase kuhlale kufana, noma kungase kube kubi kakhulu ngokuhamba kwesikhathi.

Ngenxa yokuthi i-Left Bundle Branch Block (LBBB) ngezinye izikhathi ingaba uphawu lokuqala lwe-heart block ephelele, abashayeli bezindiza emazweni afana ne-US ne-UK bavinjelwe ukundiza uma bene-LBBB. Kodwa-ke, ngaphandle kokuthi unezimpawu ezinzima, ukuba ne-Bundle Branch Block ngokuvamile ngeke kube nomthelela omkhulu emisebenzini yakho yansuku zonke.

Ngokuphathelene nombono, uma ungenazo ezinye izimo zezokwelapha ezinkulu eziyisisekelo, i-Bundle Branch Block ingase ingabi nomthelela omkhulu empilweni yakho iyonke noma esikhathini sokuphila kwakho. Kodwa-ke, uma unezinye izimo ezithinta inhliziyo yakho, i-Bundle Branch Block ingenza lezo zimo zibe zimbi kakhulu ngokushesha futhi izimpawu zakho zingase zande.

Uma ngine (i-Bundle Branch Block), ngizinakekela kanjani?

Uma une-bundle branch block, tshela udokotela wakho njalo uma ubona udokotela omusha. Lolu lwazi luzobasiza baqonde kangcono impilo yenhliziyo yakho kanye nenhlalakahle iyonke.

Qiniseka ukuthi udokotela wakho uyazi ukuthi une-bundle branch block, ikakhulukazi kulezi zimo:

• Uma wenza isivivinyo sokucindezeleka kokuzivocavoca (ngoba ezinye izifo kungaba nzima ukuzibona uma une-LBBB).
• Uma kwenzeka isimo esiphuthumayo sezokwelapha, njengokuhlaselwa yinhliziyo.
• Uma uhlinzwa esinye isifo senhliziyo.

Kungumqondo omuhle futhi ukugcina ikhophi yombiko wakho we-ECG eduze, njengoba ingaba usizo ezimweni eziphuthumayo.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Uma uba nezimpawu ezintsha, noma uma izimpawu zakho ziba zimbi kakhulu, qiniseka ukuthi ubona udokotela. Funa usizo lwezokwelapha ngokushesha, ikakhulukazi uma unezinye zezimpawu ezilandelayo:

• Uma uzwa ubuhlungu esifubeni, ukungakhululeki, noma ukuqina .
• Uma uzizwa ukhathele kakhulu .
• Uma uzizwa sengathi usuzoquleka (presyncope).
• Uma ulahlekelwa ingqondo .
• Uma unenkinga yokuphefumula noma uzizwa ucindezekile.

Ngamafuphi (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho ake sikhumbule nje i-`(Bundle Branch Block)` esikhulume ngayo namuhla:

• I-Bundle Branch Block (BBB) ​​​​iyisithiyo endleleni yesignali kagesi enhliziyweni. Lokhu kungabangela ukushaya kwenhliziyo okungajwayelekile.
• Lokhu kungathinta uhlangothi lwesokudla (RBBB), uhlangothi lwesobunxele (LBBB), noma izinhlangothi zombili.
• Isikhathi esiningi, azikho izimpawu .
• Lokhu kutholakala kakhulu ngokuhlolwa kwe-`ECG` kanye ne-`Echo`.
• Ukwelashwa kwe-'BBB' ngokwakho akudingeki ngaso sonke isikhathi, kodwa kubalulekile ukwelapha imbangela eyinhloko .
• Abantu abaningi bangaphila impilo evamile nge-bundle branch block, kodwa ingozi inganda uma unezinye izifo zenhliziyo.

Ngakho-ke, uma nawe unesinsolo ngalolu hlobo lwesimo, futhi utshelwe udokotela omuhle, ungesabi. Landela imiyalelo edingekayo, uphile impilo enempilo. Khona-ke nawe ungahlala uphilile.

` i-bundle branch block, isifo senhliziyo, i-ECG, ukushaya kwenhliziyo, ugesi wenhliziyo, i-RBBB, i-LBBB