Kungenzeka ukuthi uke wenziwa i-ECG ngesikhathi sokuhlolwa kwezokwelapha, njengalapho uyobona udokotela ngenxa yesinye isifo, noma lapho uqala umsebenzi omusha. Kungenzeka ukuthi ukhathazeke kancane futhi wesaba lapho ubona inothi kulowo mbiko we-ECG elalithi 'Right Bundle Branch Block', noma i-RBBB. Kungenzeka ukuthi uke wacabanga, "O Nkulunkulu wami, ingabe kukhona okungahambi kahle enhliziyweni yami?" Kuvamile ukucabanga ngaleyo ndlela uma ubona igama elingajwayelekile. Kodwa ngaphambi kokuba wethuke, ake sikuqonde lokhu ngokucacile nangokulula. Esikhathini esiningi, lokhu akukubi njengoba ucabanga.
Kalula nje, iyini i-Right Bundle Branch Block (RBBB)?
Ukuze siqonde lokhu, ake siqale sibheke ukuthi inhliziyo yethu isebenza kanjani. Cabanga ngenhliziyo yakho ifana nendlu encane enamakamelo amane. Ukuze izibani zivuleke futhi amafeni avuleke, kudingeka kube nogesi, noma 'ugesi'. Ngendlela efanayo, inhliziyo yethu inesimiso sayo sikagesi sokushaya kahle.
Lesi siginali sikagesi siqala 'ku-master switch' phezulu kwenhliziyo. Siyibiza ngokuthi `(i-Sinoatrial node)` noma i-SA node. Ukusuka lapho, isiginali sikagesi sihamba emakamelweni amabili aphezulu enhliziyo (i-atria) bese sifika 'ebhokisini lokuxhumanisa' elibizwa ngokuthi `(i-Atrioventricular node)` noma i-AV node.
Kusukela kuleli bhokisi lokuxhumanisa, isignali kagesi ihlukaniswe yaba izintambo ezimbili eziyinhloko eziya emakamelweni amabili amakhulu (ama-ventricle) phansi kwenhliziyo. Lezi zintambo ezimbili yilokho esikubiza ngokuthi 'amagatsha e-bundle'. Enye iya ekamelweni lesokudla (igatsha le-bundle lesokudla), kanti enye iya ekamelweni lesokudla (igatsha le-bundle lesokudla).
Okufanele kwenzeke ngokuvamile ukuthi isignali kagesi ihamba kuzo zombili lezi zintambo ngesivinini esifanayo nangesikhathi esifanayo, okubangela ukuthi amakamelo amabili aphansi enhliziyo anciphe (ashaye) ndawonye.
Kodwa-ke, kumuntu one- Right Bundle Branch Block (RBBB) , kukhona ukuvaleka okuncane 'kwintambo' eya ohlangothini lwesokudla, noma ukwehla okuncane kwesivinini sesiginali. Kufana nokuthi 'ugesi' ugeleza kancane kakhulu ngentambo endala. Ngenxa yalokhu, i-ventricle yesokudla ithola isignali kamuva kunesobunxele. Ngenxa yalokhu, i-ventricle yesokudla ishaya ingxenye encane kakhulu yomzuzwana ngemva kokushaya kwe-ventricle yesokudla.
Lokhu kuphazamiseka okuncane phakathi kwezingxenye ezimbili zenhliziyo yilokho esikubona ku-ECG njenge-RBBB. Lokhu akuyona imbobo enhliziyweni noma umthambo wegazi ovalekile, kodwa ukulibaziseka okuncane kwesignali kagesi.
Kunezinhlobo ezimbili eziyinhloko ze-RBBB. Uma isignali isiphuzile kakhulu, ibizwa ngokuthi 'i-RBBB ephelele', kanti uma isiphuzile kancane, ibizwa ngokuthi 'i-RBBB engaphelele'. I-RBBB engaphelele ngokuvamile ayiyona into engathi sína njenge-RBBB ephelele.
Ubani okungenzeka kakhulu ukuthi abone lesi simo?
Lokhu kungenzeka kunoma ubani. Ngisho nabantu abaphilile, abangenazo izifo bangaba ne-RBBB. Kodwa-ke, lesi simo sivame kakhulu njengoba siguga. Njengoba nje izintambo endlini endala zingaba buthakathaka kancane, uhlelo lukagesi lwenhliziyo nalo lungase lunciphe kancane njengoba siguga.
Ucwaningo luthole ukuthi lapho beneminyaka engu-80, cishe abantu abayi-11 kwabayi-100 (noma abangu-11%) bazobhekana nalesi simo se-RBBB. Ngakho-ke ungabona ukuthi akuyona into engavamile kangako.
Ziyini izimpawu ze-RBBB?
Lokhu kuyinto ebaluleke kakhulu futhi eduduzayo okufanele uyazi. Kwabaningi abantu, azikho izimpawu. Ungase ungazi nokuthi une-RBBB. Kungase kungatholakali kuze kube yilapho kwenziwa i-ECG ngesinye isizathu. Ngeke uzwe ubuhlungu besifuba, ukuphelelwa umoya, noma ukuquleka ngenxa ye-RBBB kuphela.
Lokhu kusho ukuthi uma unalezi zimpawu, kungase kungabi ngenxa ye-RBBB, kodwa ngenxa yesinye isimo sezokwelapha esiyisisekelo. Ngakho-ke, uma unezimpawu ezinjalo, kufanele nakanjani ubone udokotela.
Yiziphi izimbangela ze-RBBB?
Nakuba i-RBBB ingenzeka kubantu abaphilile ngaphandle kwesizathu esicacile, ingabangelwa nayizimo ezithile zezokwelapha nezinye izici. Ake sibheke ezinye zezimbangela eziyinhloko.
| Imbangela | Incazelo elula |
|---|---|
| Ukuhlaselwa yinhliziyo | Ukuhlaselwa yinhliziyo kungalimaza imisipha yenhliziyo futhi kuthinte indlela amasignali kagesi adluliselwa ngayo. |
| Ukuvuvukala kwemisipha yenhliziyo (i-Myocarditis) | Into efana nokutheleleka ngegciwane ingabangela ukuthi imisipha yenhliziyo ivuvuke/ivuvuke, okuphazamisa ukudluliswa kwesignali. |
| Ukulimala Esifubeni | Ukushaywa kanzima esifubeni ngenxa yengozi kungalimaza uhlelo lukagesi lwenhliziyo. |
| Ukuhlinzwa noma ukuhlolwa kwenhliziyo | Lesi simo ngezinye izikhathi singase senzeke ngesikhathi sokuhlolwa okufana nokufakwa kwe-catheter yenhliziyo yangakwesokudla, lapho kufakwa khona ipayipi enhliziyweni. |
| Izinguquko zesakhiwo enhliziyweni | Ngenxa yezici ezifana nokwandiswa kwamagumbi enhliziyo, izindlela ezithwala izimpawu zikagesi zinganwetshwa, okubambezela ukudlula kwesibonakaliso. |
| Ezinye izifo zofuzo | Lesi simo singabangelwa nezifo ezingavamile njengesifo sikaLev noma isifo sikaLenegre. |
Udokotela ukubona futhi ukuqinisekisa kanjani lokhu?
I-RBBB ivame ukutholakala ine-ECG, noma i-Electrocardiogram . Lokhu kuhlolwa kuhilela ukunamathisela izitikha esifubeni sakho, ezingalweni nasemilenzeni futhi kuqophe umsebenzi kagesi wenhliziyo yakho. Udokotela onolwazi angabona kalula ukuthi une-RBBB ngokubheka le patheni ye-ECG.
Kodwa, udokotela akagcini lapho. Kunezinye izimo eziningana, okungenzeka zibe zimbi kakhulu, ezibonisa amaphethini e-ECG afana ne-RBBB. Ngakho udokotela uzohlola ngokucophelela i-ECG yakho ukuqinisekisa ukuthi awunazo lezi zimo.
Nazi ezinye zezimo ezinjalo:
- I-Ventricular Tachycardia: Isimo esibi lapho amakamelo aphansi enhliziyo eshaya khona ngokushesha okukhulu.
- I-Brugada Syndrome: Isimo sofuzo esingabangela ukumiswa kwenhliziyo ngokuzumayo.
- Ibhulokhi Legatsha Le-Left Bundle Elingaphelele: Ukuvinjelwa okungaphelele kwendlela yesignali ohlangothini lwesobunxele, njengasohlangothini lwesokudla.
Ngakho-ke, noma ngabe umbiko wakho we-ECG uthi i-RBBB, isiphetho sokugcina kanye neseluleko mayelana naso kufanele kunikezwe udokotela okuxilongayo.
Ingabe i-RBBB idinga ukwelashwa?
Kukhona nezindaba ezinhle kakhulu lapha.
Uma ungenaso esinye isifo senhliziyo (isib. ukwehluleka kwenhliziyo) futhi ungenazo izimpawu (isib. ubuhlungu besifuba, ukuquleka), akukho ukwelashwa okukhethekile okudingekayo kwi-Right Bundle Branch Block.
Kufana nophawu lokuzalwa emzimbeni wakho. Lukhona, kodwa alukukhathazi. Udokotela cishe uzokutshela ukuthi uze kanye ngonyaka bese wenza i-ECG, ukuze abone ukuthi kukhona yini ushintsho. Ngaphandle kwalokho, akudingi eminye imithi noma ukuhlinzwa.
Kodwa-ke, uma une-RBBB ngenxa yesinye isimo senhliziyo (njengalezo ezibalwe kuthebula lezimbangela ezingenhla), khona-ke i-RBBB ayelashwa. Isimo esiyisisekelo siyalashwa. Isibonelo, uma inhliziyo yakho ikhulisiwe ngenxa yomfutho wegazi ophakeme futhi i-RBBB ibangelwa yilesi simo, ukwelashwa ukulawula umfutho wegazi lakho. Uma kubangelwa ukuhlaselwa yinhliziyo, kufanele uqhubeke nokukwelapha.
Liyini ikusasa lomuntu one-RBBB? Ingabe kukhona okufanele ukwesabe?
Impendulo yalo mbuzo incike ekutheni unezinye izifo zenhliziyo noma cha. Ake sibheke lezo zimo ezimbili ngokwehlukana.
1. Uma ungenaso esinye isifo senhliziyo (Ngaphandle kwalokho siphilile)
Kuleli qophelo, i-RBBB ayiyona into okufanele ukhathazeke ngayo. Ayifinyezi impilo yakho noma yandise ingozi yokuba nesifo senhliziyo. Kumane nje kuyisici esincane, noma isici esiyingqayizivele, ohlelweni lukagesi lwenhliziyo yakho. Ungaqhubeka nokuphila kwakho okuvamile ngaphandle kwezinkinga.
2. Uma unesinye isifo senhliziyo (isib. Ukwehluleka Kwenhliziyo, ngemva kokuhlaselwa yinhliziyo)
Esimweni esinjalo, i-RBBB yinto okufanele uyicabangele. Lokhu akusho ukuthi isimo sakho siye saba sibi kakhulu ngenxa ye-RBBB. Kodwa-ke, ukuba ne-RBBB kubonisa ukuthi inhliziyo yakho ingaphansi kokucindezeleka okuthile nokuthi ukusebenza kwayo kubuthakathaka kancane. Ngakho-ke, uma i-RBBB ihlanganiswa nesimo senhliziyo esingaphansi njengalesi, ingozi yezinkinga esikhathini esizayo inganda kancane.
Yingakho kubaluleke kakhulu ukuthi iziguli ezinjalo zilandele ukwelashwa okunikezwa odokotela bazo ngesifo senhliziyo sazo esiyinhloko ngaphandle kokuphazamiseka . Kudingeka zenze izinto ezifana nokuphuza imithi yazo ngesikhathi, ukulawula ukudla kwazo, nokuzivocavoca kahle.
Uma i-RBBB isivele yakhekile, ayipheli. Kuyisimo esihlala njalo.
Ngingabonana nodokotela nini futhi ngiqaphele?
Uma wazi ukuthi une-RBBB, kuwumqondo omuhle ukuhlala uxhumana nodokotela wakho njalo.
- Ama-aphoyintimenti avamile: Ngisho noma ungenazo ezinye izimo zezokwelapha, hamba uyohlolwa ngezikhathi ezinconywe udokotela wakho (isb. kanye ngonyaka). Uma unezinye izinkinga zenhliziyo, qiniseka ukuthi uyaya kulezo zikliniki.
- Izimpawu ezintsha: Uma uba nezimpawu obungenazo ngaphambili, njengobuhlungu besifuba, ukuphelelwa umoya, ukuvuvukala emilenzeni yakho, noma ukuquleka, bona udokotela ngokushesha.
- Isimo Esiphuthumayo:Cabanga ukuthi unobuhlungu besifuba obungabekezeleleki, ubuhlungu busakazeka engalweni yakho yesobunxele, entanyeni, noma emhlathini, ujuluka kakhulu, futhi uzizwa uphelelwa umoya. Lokhu kungaba izimpawu zokuhlaselwa yinhliziyo. Uma kunjalo, ungalibali. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
Imibuzo ebalulekile okufanele uyibuze udokotela wakho
Uma umbiko wakho we-ECG uthi RBBB, ukubuza le mibuzo uma ubona udokotela wakho kungakusiza ukuthi uthole ukucaca okukhulu.
- "Dokotela, ingabe kukhona isizathu esithile sokuthi kungani nginalesi simo se-RBBB?"
- "Ingabe ngidinga ukwenza izinguquko ekuphileni kwami kwansuku zonke ngenxa yalokhu? Ezintweni ezifana nokudla, ukuzivocavoca umzimba, njll."
- "Ngizobuya nini ngizohlola?"
- (Uma unezinye izimo zenhliziyo) "Ingabe ngisengozini enkulu yokuba nale RBBB nezinye izimo zenhliziyo yami? Yini okufanele ngiyenze ukuze ngiyilawule?"
Umlayezo Wokuya Nawe Ekhaya
- I-Right Bundle Branch Block (RBBB) ukubambezeleka okuncane kwesignali kagesi yenhliziyo eya ohlangothini lwesokudla lwenhliziyo. Lokhu akusikho umgodi enhliziyweni noma ukuvaleka kwemithambo yegazi.
- Ngisho noma umuntu ophilile ongenaso esinye isifo senhliziyo ene-RBBB, ngokuvamile akanazo izimpawu. Futhi akadingi ukwelashwa. Akuyona into yokukhathazeka ngayo.
- Uma unesinye isifo senhliziyo, njengokwehluleka kwenhliziyo, i-RBBB ingaba yimbangela yengozi. Into ebaluleke kakhulu ukulandela ukwelashwa kwesimo sakho esiyisisekelo.
- Ungalokothi ungazinaki izimpawu zokuhlaselwa yinhliziyo, njengobuhlungu besifuba kanye nokuphelelwa umoya okukhulu. Esimweni esinjalo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Uma unokungabaza noma ukukhathazeka ngombiko wakho we-ECG noma lesi simo, khuluma ngokukhululekile nodokotela wakho ngakho, ubuze imibuzo, bese uthola ulwazi.
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