Ingabe isignali kagesi yenhliziyo yakho iphazamisekile? (Ibhloko Yesifinyezo Esingaphambili Kwesobunxele)

Kungenzeka ukuthi udidekile kancane lapho uzwa amagama athi `(Left Anterior Fascicular Block)`, noma kungenzeka ukuthi ube nenkinga yokuqonda ukuthi kuyini lapho udokotela ekutshela ngakho. Empeleni akuyinkimbinkimbi njengoba ucabanga. Ake sixoxe ngakho kalula, ngendlela ongayiqonda. Ake sibone ukuthi kuyini, kungani kwenzeka, yiziphi izimpawu, ukuthi singakuthola kanjani , nokuthi yini okufanele siyenze.

Kuyini (Ibhloko Yesifinyezo Esingaphambili Kwesobunxele)? Kalula nje...

Cabanga ngenhliziyo yakho njengohlelo oluncane lukagesi. Lolu hlelo lukagesi lulawula ukushaya kwenhliziyo, okuwukufinyela kwenhliziyo nokumpompa kwegazi, ngesikhathi esifanele. Kukhona uhlelo olukhethekile 'lwezintambo' ngaphakathi kwenhliziyo, noma izindlela, lapho lezi zimpawu zikagesi zihamba khona.

Ngakwesobunxele senhliziyo, kunentambo kagesi eyinhloko, esiyibiza ngokuthi 'igatsha le-left bundle'. Njengoba nje amagatsha ehluma esiqwini somuthi, le ntambo eyinhloko nayo ihluma ibe amagatsha amancane abizwa ngokuthi 'ama-fascicle'. Elinye lala magatsha libizwa ngokuthi 'i-left anterior fascicle'. Lokhu kuthwala izimpawu zikagesi odongeni olungaphambili lwe-ventricle yesobunxele yenhliziyo.

Manje, i- (Left Anterior Fascicular Block) iyisithiyo esincane kumyalezo kagesi ohamba 'ngocingo' olubizwa ngokuthi 'i-left anterior fascicle'. Kufana nokuminyana kwezimoto emgwaqweni, umyalezo uyabambezeleka. Lokhu kubangela ukuthi i-ventricle yesobunxele yenhliziyo - ingxenye eyinhloko epompayo yenhliziyo - ifinyele ngemuva kwe-ventricle yesokudla.

Ingabe lokhu kuyinto eyenzeka kubantu abaningi?

Manje ungase uzibuze, 'Ingabe lesi yisifo esithinta wonke umuntu?' Eqinisweni, kulinganiselwa ukuthi phakathi kuka-1% no-6% wabantu bangase babe nalesi simo. Kodwa-ke, sivame ukubonwa kubantu abadala . Akuvamile kakhulu kubantu abasha.

Ziyini izimpawu? Ingabe kuyenzeka kuwo wonke umuntu?

Nansi into ebalulekile. Abantu abaningi abane-`(Left Anterior Fascicular Block)` abanazo izimpawu . Okusho ukuthi, abazizwa bengakhululekile. Ngezinye izikhathi batholakala ngengozi lapho `(ECG)` ithathwa ngesinye isizathu.

Kodwa-ke, ngezinye izikhathi, ikakhulukazi uma lokhu 'kuvimba' kukhulu kakhulu, noma uma kuhambisana nezinye izimo zenhliziyo, ezinye zezimpawu ezilandelayo zingavela:

• Ukuzizwa unesizungu (Isizungu)
• Ukuzizwa ukhathele ngaso sonke isikhathi (Ukukhathala)
• Ukuquleka

Uma lezi zimpawu zikhona, udokotela kufanele anqume ukuthi kungenxa ye-`(Left Anterior Fascicular Block)` noma ngenxa yesinye isizathu.

Kungani lokhu (i-Left Anterior Fascicular Block) kwenzeka? Ziyini izimbangela?

Pho-ke, kungani kukhona ukuphazamiseka okungaka ekudlulisweni kwemiyalezo? Kungaba nezizathu eziningana.

Abacwaningi bacabanga ukuthi kwabanye abantuNgokwezakhi zofuzo, okungukuthi, ezizuzwe njengefa, kungase kube nokuthambekela kokuthuthukisa ukungalingani okuthile ezimpawini zikagesi emakamelweni aphansi enhliziyo.

Ngaphandle kwalokho, kunezinye izizathu eziningi ezifakazelwe, ezivame ukubonakala:

• Isifo Semithambo Yenhliziyo (CAD): Lokhu yilokho esivame ukukubiza ngokuthi ukuvaleka kwemithambo yegazi ehambisa igazi enhliziyweni, noma imbangela eyinhloko yokuhlaselwa yinhliziyo. Lokhu kuyimbangela enkulu ye-Left Anterior Fascicular Block.
• Umfutho Wegazi Ophakeme: Ukuba nomfutho wegazi ophakeme isikhathi eside nakho kungathinta inhliziyo.
• Isifo senhliziyo esakhiwe: Isibonelo, i-fibrosis noma izibazi enhliziyweni. Lokhu kungaphazamisa ukudluliselwa kwezimpawu zikagesi.
• I-Dilated Cardiomyopathy: Kulesi simo, amakamelo enhliziyo ayakhula futhi imisipha iba buthakathaka.
• Njengomphumela ongemuhle wokuhlinzwa noma ukwelashwa kwenhliziyo:
• `(TAVR)` kusho `(Transcatheter Aortic Valve Replacement)` ngemva kwendlela ekhethekile yokwelapha ethatha indawo yamavalvu enhliziyo.
• Ngemva kokuhlinzwa okubizwa ngokuthi "Surgical Septal Myectomy", okwenziwa ngenxa yesimo esibizwa ngokuthi "Hypertrophic Obstructive Cardiomyopathy", isimo lapho imisipha yenhliziyo iba nkulu kakhulu.
• Isifo se-sclerodegenerative segatsha le-bundle: Lokhu kungenzeka ngokuguga.
• Kungase futhi kube ngenxa yokuvuvukala kwemisipha yenhliziyo (i-Myocarditis).

Lezi zinto zingalimaza izindlela zikagesi zenhliziyo, okubangela "i-Left Anterior Fascicular Block".

Odokotela bakuthola kanjani lokhu? Yiziphi izivivinyo ezenziwayo?

Ukuhlolwa okuyinhloko nokulula kakhulu kokuxilonga ngokunembile i-'(Left Anterior Fascicular Block)' yi -ECG (Electrocardiogram) . Wake waba ne-'(ECG)'? Lezo zinto ezincane ezifana nezitikha zinamathele esifubeni sakho, ezingalweni nasemilenzeni futhi ziqopha umsebenzi kagesi wenhliziyo. Uma udokotela ebheka umucu we-'(ECG)`, angabona kalula ukuthi le 'block' ikhona noma cha.

Ngaphezu kwalokho, uma udokotela efuna ukwazi okwengeziwe, noma ukuthola imbangela, angancoma ezinye izivivinyo, ezifana nalezi:

• I-Echocardiogram: Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kungahlola izinto eziningi, njengobukhulu bamakamelo enhliziyo, ukujiya kwezindonga, ukusebenza kwama-valve, nokuthi inhliziyo ihambisa igazi kahle kangakanani.
• Ukuhlolwa kokucindezeleka: Lokhu kuhilela ukuqapha i-ECG yakho kanye nomfutho wegazi ngenkathi uhamba ku-treadmill noma ukuzivocavoca. Lokhu kwenzelwa ukubona ukuthi inhliziyo yakho isabela kanjani ekucindezelekeni.
• Ukuhlolwa kwenhliziyo nge-MRI (Cardiac MRI):Lokhu kunganikeza ulwazi oluningiliziwe mayelana nesakhiwo kanye nomsebenzi wenhliziyo.
• Ukuhlolwa kwezithombe zenuzi: Lokhu ukuhlolwa okukhethekile okubheka izinto ezifana nokunikezwa kwegazi enhliziyweni.

Ingabe ikhona indlela yokwelapha lokhu?

Manje cishe ucabanga ukuthi, 'Kulungile, liyini ikhambi lalokhu? Ngingakulungisa kanjani lokhu?' Ngokumangalisayo, akukho ukwelashwa okuqondile kwe-`(Left Anterior Fascicular Block)` . Okusho ukuthi, akukho muthi othize wokwelapha lokho kuphazamiseka okuncane ekudlulisweni kwezimpawu zikagesi.

Kodwa-ke, into ebaluleke kakhulu ukwelapha isifo senhliziyo noma isimo esibangele lokhu 'kuvimba' .

Ngokwesibonelo:

• Uma unesifo semithambo yenhliziyo (CAD), udokotela wakho uzoselapha (njengemithi, i-angioplasty, noma ukuhlinzwa kwe-bypass).
• Uma kungenxa yomfutho wegazi ophakeme, kuzonikezwa imithi yokuwulawula.
• Uma kukhona ubuthakathaka emisipheni yenhliziyo (cardiomyopathy), ukwelashwa okufanele kuzoqala.

Kalula nje, odokotela bafuna ukuthola inkinga eyisisekelo ebangela le `(Left Anterior Fascicular Block)` bese beyelapha.

Kuzokwenzekani esikhathini esizayo? (I-Outlook)

Kubalulekile futhi ukuthi wazi ukuthi lesi simo sizoqhubeka kanjani.

• Uma umuntu osemusha, ophilile ene-"Left Anterior Fascicular Block" kuphela engenazo ezinye izimpawu zenhliziyo, ngokuvamile akubhekwa njengenkinga enkulu. Amathuba amancane okuba nayo, futhi uma ikhula, ingase ingabi namphumela omkhulu.
• Kodwa-ke, uma umuntu omdala enayo, ikakhulukazi umuntu oneminyaka engaphezu kwengu-50, ngezinye izikhathi ingaba yisibonakaliso sezinye izifo zenhliziyo.

Ucwaningo luthole ukuthi abantu abane-"Left Anterior Fascicular Block" bangaphezu kwabanye:

• Ukwehluleka Kwenhliziyo Okubangelwa Ukuqina Kwenhliziyo
• I-Atrial Fibrillation (ukushaya kwenhliziyo okusheshayo nokungavamile)
• Futhi ukuthi kukhona ingozi ephezulu yokufa.

Ngakho-ke, akuwona umqondo omuhle ukumane ulahle lokhu njengokuthi 'O, kumane nje kuyisithiyo esincane,' ikakhulukazi uma usukhulile kancane noma unezinye izimpawu. Kubalulekile ukukhuluma nodokotela wakho ngalokhu bese wenza izivivinyo ezidingekayo.

Kufanele ngiyinakekele kanjani inhliziyo yami?

Njengoba le `(Left Anterior Fascicular Block)` ingahlotshaniswa nezinye izimo zenhliziyo, into engcono kakhulu ongayenza ukunakekela inhliziyo yakho kahle . Lezi zinto zingakusiza:

• Landela ukudla okunempilo:
• Yidla ukudla okunamafutha agcwele aphansi. Nciphisa ukudla kwakho amafutha, ukudla okuthosiwe, imikhiqizo yobisi enamafutha amaningi, kanye nenyama ebomvu.
• Engeza izithelo, imifino, ubhontshisi, kanye nokudla okusanhlamvu okuphelele ekudleni kwakho.
• Nciphisa ukusetshenziswa kukasawoti.
• Vivinya umzimba njalo:Ngokweseluleko sikadokotela wakho, vivinya umzimba ngokulingene, njengokuhamba noma ukubhukuda, okungenani imizuzu engama-30 ngosuku.
• Gcina isisindo esinempilo.
• Uma ubhema, yeka ngokushesha. Ukubhema kubi kakhulu enhliziyweni.
• Nciphisa ukucindezeleka: Izinto ezifana nokuzindla, i-yoga, ukuvivinya umzimba ngokuphefumula, kanye nokwenza izinto zokuzilibazisa kungasiza.
• Uma une-high blood pressure kanye ne-cholesterol ephezulu, yilawule kahle. Thatha imithi oyinikezwe udokotela wakho ngesikhathi nangesilinganiso esibekiwe. Bona udokotela wakho bese uyihlola njalo.
• Uma unesifo sikashukela, silawule kahle.

Kufanele ngimbone nini udokotela?

• Kubalulekile ukubona udokotela wakho njalo ukuze ahlolwe . Ngale ndlela, uma unezimo ezingamahlalakhona ezifana nomfutho wegazi ophakeme noma i-cholesterol, ungabona ukuthi zilawulwa kahle yini.
• Uma uzizwa ngendlela ehlukile kunejwayelekile , ikakhulukazi uma uzwa ubuhlungu esifubeni, ubunzima bokuphefumula, ukuvuvukala emilenzeni yakho, noma uzizwa ukhathele, qiniseka ukuthi ubona udokotela.
• Uma wazi ukuthi une-`(Left Anterior Fascicular Block)`, qhubeka nokwenza i-`(ECG)` kanye nezinye izivivinyo njengoba udokotela wakho ezincoma.

Kufanele ngiye nini esibhedlela ngokushesha (ETU) ?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu zokuhlaselwa yinhliziyo , ungachithi isikhathi bese ushayela u-1990 ngokushesha ukuze uthole i-ambulensi, noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze ngokushesha okukhulu:

• Ubuhlungu obukhulu, ukuqina, noma ingcindezi maphakathi noma ohlangothini lwesobunxele lwesifuba. Lobuhlungu buhlala isikhathi esingaphezu kwemizuzu embalwa, noma buyabuya buphele.
• Ubunzima bokuphefumula ngokuzumayo.
• Ubuhlungu buzwakala sengathi busakazekela emahlombe, entanyeni, emhlathini, ezingalweni, noma emhlane.
• Ukujuluka okungazelelwe, isicanucanu, ukuhlanza, isiyezi, noma ukuquleka.

Qaphela lezi zimpawu. Ukwelashwa okusheshayo kungasiza ekusindiseni impilo.

Yini okufanele ngiyibuze udokotela?

Uma ubona udokotela wakho, ungesabi ukubuza noma yimiphi imibuzo onayo mayelana nale `(Left Anterior Fascicular Block)`. Nansi eminye imibuzo ongayibuza. Lokho kuzokusiza uqonde kabanzi:

• 'Dokotela, kungani nginale `(Left Anterior Fascicular Block)`? Ingabe nginaso esinye isifo senhliziyo esiyisisekelo?'
• 'Ingabe kufanele ngihlolwe isifo semithambo yegazi yenhliziyo?'
• 'Iyini ingozi yami yokuthola isifo senhliziyo noma esinye isifo senhliziyo ngenxa yalokhu 'kuvimba'?'
• 'Yiziphi izimpawu okufanele ngikhathazeke ngazo kakhulu?'
• 'Yiziphi izinguquko zendlela yokuphila engingayenza ukuze ngigcine inhliziyo yami iphilile?'
• 'Kufanele ngihlolwe kangaki i-ECG noma ezinye izivivinyo?'

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-`(Left Anterior Fascicular Block)`. Ukufingqa:

• Lokhu ukuphazamiseka kwendlela yesignali 'yentambo' encane ohlangothini lwesobunxele lwesistimu kagesi yenhliziyo.
• Abantu abaningi abanazo izimpawu.
• Akukho ukwelashwa okuqondile kwalokhu, kodwa imbangela eyisisekelo iyelashwa .
• Lokhu kungaba yinkomba yezinye izifo zenhliziyo kubantu abadala kunasebancane.

Khumbula, nakuba kungekho ukwelashwa okuqondile kwalokhu, kungasinika umbono ngezinye izifo zenhliziyo . Ngakho-ke, into ebaluleke kakhulu ukunakekela inhliziyo yakho, ulandele imiyalelo kadokotela. Zivikele ezifweni zemithambo yenhliziyo kanye nokwehluleka kwenhliziyo. Hamba uyohlolwa njalo nodokotela wakho, bese usebenzisa imithi oyinikezwe ngqo. Inhliziyo yakho iyigugu kakhulu kuwe! Ngakho-ke yinakekele kahle.

Isifo senhliziyo, uhlelo lukagesi lwenhliziyo, i-ECG, ukushaya kwenhliziyo, i-Left Anterior Fascicular Block, impilo yenhliziyo, ukuhlaselwa yinhliziyo