Ingabe kukhona inkinga ngesistimu kagesi yenhliziyo yakho? Ake sifunde nge-'Left Posterior Fascicular Block' (LPFB)!

Wake wacabanga ukuthi inhliziyo yakho isebenza kahle kangakanani? Ifana nomshini omncane, kodwa iyinkimbinkimbi kakhulu! Ngezinye izikhathi, kungaba nezinkinga ezincane ngohlelo lukagesi lwale nhliziyo. Enye yalezo zinkinga yilokho esizokhuluma ngakho: 'Ibhlokhi Le-Fascicular Left Posterior'. Ungakhathazeki, igama lide kancane, kodwa masiligcine lilula.

Isistimu kagesi yenhliziyo isebenza kanjani? Kuyamangalisa!

Cabanga ngenhliziyo yakho njengendlu encane enamakamelo amane. Amakamelo amabili esitezi esiphezulu (siwabiza ngokuthi i-atria ) namakamelo amabili esitezi esingezansi (siwabiza ngokuthi ama-ventricle ).

Uyawuzwa umsindo othi "lub-dub" lapho inhliziyo yakho ishaya? Lokho kushaya kulawulwa uhlelo olubucayi kakhulu lwemiyalezo kagesi. Lezi zimpawu zikagesi zitshela i-atria namakamelo enhliziyo ukuthi, "Kulungile, manje uzoncipha." Lezi zimpawu zikagesi zihamba enhliziyweni ngendlela ethile. Ziqala emakamelweni aphezulu, bese zehlela emakamelweni angaphansi.

Inhliziyo inesimiso sezinzwa sokuthwala le miyalezo kagesi. Kufana nohlelo lwezintambo endlini. Amakamelo amabili angaphansi kwenhliziyo (kwesokudla nakwesobunxele) anezintambo ezimbili ezinkulu zemizwa. Lezi zibizwa ngokuthi "Igatsha Lesikhwama Sokudla " kanye " Igatsha Lesikhwama Sokhohlo" . Lezi zehla phakathi kwenhliziyo.

Manje le ntambo yemizwa eyinhloko ohlangothini lwesobunxele, i-'Left Bundle Branch', ihlukana ibe yizintambo ezimbili ezincane zemizwa. Lezi zintambo ezincane sizibiza ngokuthi ' ama-fascicle' .

• I-Posterior Fascicle Yesobunxele : Lokhu kugijima ngemuva kwe-ventricle yesobunxele yenhliziyo.
• I-Fascicle Yesobunxele Engaphambili : Lokhu kugijima kuzungeze ingaphambili le-ventricle yesobunxele yenhliziyo.

Ngokuvamile, ama-fascicle angaphambili nangemuva ayahlangana ukuze abonise i-ventricle yangakwesobunxele ukuthi, "Kulungile, manje uzoncipha."

Ngakho-ke, iyini le 'Left Posterior Fascicular Block' (LPFB)?

Kalula nje, i-`Left Posterior Fascicular Block` (sizoyibiza ngokuthi i-LPFB ngamafuphi) ukuvaleka noma ukuphazamiseka kwentambo encane yemizwa (ebizwa ngokuthi i-`Left Posterior Fascicle`) ethwala izimpawu zikagesi ngemuva kwe-ventricle yesobunxele yenhliziyo yakho. Lokhu kuvaleka kungaba okuphelele noma okuyingxenye.

Cabanga ukuthi bekuzokwenzekani uma uhlangothi olulodwa lomgwaqo belungavalwa ngokuzumayo? Izimoto bezizoqala ukuya ngenye indlela, akunjalo? Yilokho okwenzekayo nalapha. Uma i-'Posterior Fascicle' ingasebenzi kahle, i-'Left Anterior Fascicle' engaphambili ithatha umsebenzi wokunciphisa i-ventricle yesobunxele.

Lokhu kubangela ukuthi isiqondiso sesiginali kagesi sishintshe, futhi kube nokubambezeleka okuncane kwesiginali. Lokhu kungabangela ushintsho esigqini senhliziyo, okuyi -stroke yenhliziyo engajwayelekile (`arrhythmia`).

Lesi simo se-LPFB singafika sidlule ngezinye izikhathi, noma singaqhubeka.

I-LPFB ivame kangakanani? Ingabe iyenzeka kuwo wonke umuntu?

Cha, akuvamile kakhulu ukuthi umuntu ophilile ongenaso esinye isifo senhliziyo abe ne-LPFB. Kodwa-ke, ingozi yokuthola lesi simo iphezulu kumuntu osevele enesifo senhliziyo.

Enye into ebalulekile ukuthi ngezinye izikhathi lesi simo se-LPFB singahambisana nebhulokhi yegatsha lesikhwama sokudla esikhulume ngaso ngaphambili, esibizwa ngokuthi 'iBhulokhi Yegatsha Lesikhwama Sangakwesokudla '. Uma zombili lezi zinhlobo zokuvinjelwa zenzeka ndawonye, ​​kungaba yingozi kancane .

Yiziphi izimbangela eziyinhloko ze-LPFB?

I-LPFB yenzeka uma kunomonakalo ohlelweni lukagesi lwenhliziyo. Izimbangela eziyinhloko zalo monakalo izifo zenhliziyo ezahlukahlukene kanye nezinye izimo zempilo. Ake sibheke ukuthi ziyini:

• Isifo Semithambo Yenhliziyo: Lesi yisona sizathu esivame kakhulu se-LPFB. Kalula nje, imithambo yegazi ehambisa igazi enhliziyweni ivinjwa yizinqwaba zamafutha, okunciphisa inani legazi elifinyelela enhliziyweni. Lokhu kungalimaza amangqamuzana enhliziyo.
• I-Cardiomyopathy: Leli yiqembu lezifo ezithinta imisipha yenhliziyo. Yilapho imisipha yenhliziyo iba lukhuni, iqine, noma ikhule khona. Lokhu kuphazamisa ukusebenza kwenhliziyo.
• Umfutho wegazi ophezulu (Umfutho wegazi ophakeme): Yebo, uyazi umfutho wegazi. Ukuba nomfutho wegazi ophezulu isikhathi eside nakho kuyingozi enhliziyweni.
• Isifo sikaLenègre: Lesi yisimo esizuzwa njengefa esibangela ubuthakathaka ohlelweni lokuphatha izimpawu zikagesi zenhliziyo.
• Isifo sikaLev: Lesi yisimo lapho imicu yezinzwa enhliziyweni iba nezibazi futhi ingakwazi ukuhambisa izimpawu zikagesi kahle. Lokhu kungase kuhlobane nokuguga.

Ziyini izimpawu ze-LPFB? Ingabe siyakuzwa lokhu?

Ngokuvamile, uma une-LPFB yodwa, ngeke ube nezimpawu ezithile . Ngokuvamile, abantu baba nezimpawu ngenxa yesifo esiyisisekelo (isibonelo, isifo semithambo yenhliziyo) esibangele i-LPFB. Okusho ukuthi, izimpawu zaleso sifo ziyavela.

I-LPFB ihlolwa kanjani? Odokotela bayihlolwa kanjani?

Ukuhlolwa okuyinhloko nokubaluleke kakhulu kokuthola i-LPFB ukuhlolwa kwe-E.C.G. (`ECG/EKG` - Electrocardiogram) . Kungenzeka ukuthi uke wakubona, ukuhlolwa okulinganisa umsebenzi kagesi wenhliziyo ngokunamathisela izitika ezincane emzimbeni. Yileyo ndlela okutholakala ngayo.

Ngezinye izikhathi, le LPFB ingase ingabonakali ku-ECG ethathwe ngesikhathi uphumule. Ezimweni ezinjalo, udokotela wakho angakucela ukuthi wenze i-ECG ngenkathi uzivocavoca (isibonelo, ngenkathi ugijima ku-treadmill). Lokhu kubizwa ngokuthi `Ukuhlolwa Kokucindezeleka Kokuzivocavoca` . Le LPFB ingase ivele lapho inhliziyo ingaphansi kokucindezeleka.

Enye into ukuthi i-ECG ye-LPFB ngezinye izikhathi ingadidaniswa ne-ECG yezinye izimo ezibucayi, njengokuhlaselwa yinhliziyo (`Myocardial Infarction`). Ngakho-ke, udokotela uzobuza ngomlando wakho ophelele wezokwelapha futhi enze ukuhlolwa ngokomzimba ukuze athole ukuxilongwa okunembile. Lokhu kwenzelwa ukuhlonza lesi sifo ngokunembile, ngaphandle kokulibazisa ukwelashwa kwesimo esibucayi kakhulu.

Yiziphi izindlela zokwelapha i-LPFB?

Lapho kwelashwa i-LPFB, ukugxila okuyinhloko kusekwelapha isimo esiyisisekelo esibangele i-LPFB . Isibonelo, odokotela basebenzisa izindlela ezahlukahlukene ukwelapha izimo ezifana nesifo semithambo yenhliziyo noma i-cardiomyopathy. Lokhu kufaka phakathi:

• Izinguquko endleleni yokuphila: Izinto ezifana nokudla okunempilo nokuzivocavoca.
• Imithi: Imithi elawula umfutho wegazi, yehlisa i-cholesterol, futhi ithuthukise ukusebenza kwenhliziyo.
• Izinqubo Ezingangeni Kakhulu: Isibonelo, izinto ezifana ne-Angioplasty.
• Ukuhlinzwa Okukhulu ('Ukuhlinzwa'): Njengokuhlinzwa kwe-bypass.

Kodwa-ke, uma une-LPFB kanye ne-'Right Bundle Branch Block' esikhulume ngayo ngaphambilini, udokotela wakho angase akuncome ukuthi uthole i- pacemaker . Lena idivayisi encane efakwe emzimbeni. Iqapha ukusebenza kukagesi kwenhliziyo futhi, uma kudingeka, ithumela izimpawu zikagesi ukuze yenze amakamelo womabili enhliziyo ahlangane kahle.

Into ebalulekile ukuthi uma une-LPFB kuphela, okusho ukuthi awunaso esinye isifo senhliziyo noma i-'Right Bundle Branch Block', ngokuvamile awudingi ukwelashwa okukhethekile .

Yini esingayenza ukuvimbela i-LPFB?

Ukuze kuvinjelwe i-LPFB, into ebaluleke kakhulu ukuvimbela isifo senhliziyo esibangela lokhu. Okusho ukuthi, ukugcina inhliziyo iphilile.

• Ukuhlolwa njalo kwezokwelapha: Kubaluleke kakhulu ukubona udokotela womndeni wakho njalo ukuze ahlolwe. Lokhu kungasiza ekutholeni izinkinga ezihlobene nenhliziyo kusenesikhathi futhi kuvimbele izimo ezingathi sína.
• Imikhuba enempilo:
• Yidla ukudla okulinganiselayo . Nciphisa uwoyela, usawoti, noshukela. Yidla izithelo, imifino kanye nokudla okucebile nge-fiber.
• Lawula umfutho wegazi lakho .
• Vivinya umzimba njalo. Ukuhamba okungenani imizuzu engama-30 ngosuku nakho kuhle.
• Nciphisa ukusetshenziswa kotshwala kanye ne-caffeine (njengekhofi netiye).
• Gcina isisindo esinempilo .
• Lawula ukucindezeleka . Izinto ezifana nokuzindla nezinto zokuzilibazisa zingasiza.
• Yeka ukubhema nokusebenzisa ugwayi ngokuphelele .

Uma usuvele unesifo senhliziyo, landela imiyalelo kadokotela wakho ngqo.Thatha imithi yakho ngesikhathi. Lokhu kuzosiza ekuvimbeleni ezinye izinkinga ezifana ne-LPFB.

Ikusasa liphetheni kumuntu one-LPFB? Ingabe kuyinto okufanele uyesabe?

Ngokuvamile, i-LPFB iyenzeka nge-Right Bundle Branch Block. Uma unesifo senhliziyo futhi une-LPFB kanye ne-Right Bundle Branch Block, usengozini enkulu yokufa. Ngezinye izikhathi, umuntu onalezi zinkinga zombili angaba ne-heart block ephelele, lapho izimpawu zikagesi eziya emaseli enhliziyo ziyeka ngokuphelele. Lesi yisimo esibi kakhulu futhi singanciphisa isikhathi sakho sokuphila.

Kodwa-ke, uma une-LPFB kuphela, okusho ukuthi awunayo i-Right Bundle Branch Block noma esinye isifo senhliziyo esiyisisekelo, ngeke kube nomehluko omkhulu empilweni yakho evamile . Ngakho ungakhathazeki ngokungadingekile.

Ngingayibona nini udokotela?

Uma ucabanga ukuthi unezimpawu zesifo senhliziyo, bona udokotela ngokushesha . Ziyini lezi zimpawu?

• Ubuhlungu besifuba noma ukungakhululeki.
• Uma uzizwa unesizungu noma uphelelwa amandla .
• Uma uhlala uzizwa ukhathele kakhulu (`Ukukhathala`).
• Uma inhliziyo yakho ishaya ngokushesha, uzwa umsindo oshaya esifubeni sakho, noma uzizwa sengathi inhliziyo yakho iyagxumagxuma (`Ukushaya Kwenhliziyo`).
• Ukungaqondi kahle .
• Isicanucanu .
• Ukukhwehlela okuqhubekayo .
• Ukuphelelwa umoya .
• Uma izinyawo zakho, amaqakala, imilenze, noma isisu sakho sivuvukala .

I-LPFB ivame ukwenzeka kubantu abanezinye izimo zenhliziyo. Uma usuvele unesifo senhliziyo, udokotela wakho uzokunikeza uhlelo lokwelashwa futhi akuqaphe njalo. Ngokulandela imiyalelo kadokotela wakho ngokucophelela nokuhlolwa njalo, ungasiza ekulawuleni isifo senhliziyo yakho futhi uvimbele izehlakalo zenhliziyo ezimbi kakhulu.

Umlayezo Wokuya Nawe Ekhaya

• I-Left Posterior Fascicular Block (LPFB) iwukuvinjelwa kwe-fibre encane yemizwa ethwala izimpawu zikagesi ngemuva kwe-ventricle yesobunxele yenhliziyo.
• Lokhu akuvamile kubantu abaphilile, kodwa kungenzeka nakubantu abanezinye izinkinga zenhliziyo.
• Ezimweni eziningi, uma kukhona i-LPFB kuphela, izimpawu ngeke zivele.
• Ukuxilongwa kwenziwa kakhulu ngokuhlolwa kwe-ECG.
• Ukwelashwa kuqondiswe esifweni esiyisisekelo esibangele i-LPFB. Uma kukhona i-LPFB kuphela futhi kungekho esinye isifo senhliziyo, akukho ukwelashwa okukhethekile okudingekayo.
• Ukuphila impilo enempilo kubaluleke kakhulu ekuvikeleni izifo zenhliziyo.
• Uma ubona izimpawu zesifo senhliziyo, funa iseluleko sezokwelapha ngokushesha.

Khumbula, ukunakekela inhliziyo yakho kubaluleke kakhulu empilweni yakho iyonke. Masingesabi, siqaphele, futhi sizame ukuhlala siphilile!

'I-Posterior Fascicular Block yesobunxele, Isifo Senhliziyo, Uhlelo Lukagesi Lwenhliziyo, I-ECG, Ukushaya Kwenhliziyo, I-Heart Block, I-Arrhythmia