Bundle Branch Block

Bundle branch block chirwere chinoratidzwa nekuchinja kana kuvhara munzira iyo magetsi anoshandiswa kuita kuti mwoyo urove. Dzimwe nguva zvinoita kuti mwoyo usakwanise kuburitsa ropa kumuviri wose.

Kuchinja kana kuvhara kunogona kuitika munzira inotumira magetsi kumakamuri ekuruboshwe kana kurudyi (ventricles) emwoyo.

Bundle branch block ingangoda kurapwa. Kana ikada, kurapwa kunosanganisira kutarisira chirwere chiripo, sekushaya simba kwemwoyo, chakakonzera bundle branch block.

Mukuru wevanhu vazhinji, bundle branch block haina zviratidzo. Vamwe vanhu vane chirwere ichi havazivi kuti vane bundle branch block.

Zvisingawanzoitiki, zviratidzo zve bundle branch block zvinogona kusanganisira kupera simba (syncope) kana kunzwa sekunge uri kuenda kupera simba (presyncope).

'Kana wakamboburukira, ona chiremba kuti abvise zvikonzero zvakakomba.\n\nKana uine chirwere chemwoyo kana wakamboonekwa nebundle branch block, bvunza chiremba wako kuti ungawana nguva yakawanda sei yekushanya kwekuongororwa.'

Maimpulses emagetsi ari mumhasuru yemoyo anoita kuti irove (kuita kontrakiti). Aya maimpulses anofamba munzira, kusanganisira mapazi maviri anonzi mapazi eropa kurudyi nekuruboshwe. Kana rimwe kana ese ari maviri emapazi aya akakuvara — semuenzaniso nekuda kwekurohwa kwemoyo — maimpulses emagetsi anogona kudzivirirwa. Somugumisiro, moyo unorova zvisina kururama.

Chikonzero chekuvhara kwemapazi emoyo chinogona kusiyana zvichienderana nekukanganiswa kwepazi rekuruboshwe kana rekurudyi. Dzimwe nguva, hapana chikonzero chinozivikanwa.

Zvikonzero zvinogona kusanganisira:

Zvinokonzera ngozi dze bundle branch block zvinosanganisira:

• Kuwedzera kwezera. Bundle branch block inowanzoitika kune vakuru kupfuura vechidiki.
• Matambudziko ehutano aripo. Kuve neBP yakakwira kana chirwere chemwoyo kunowedzera mukana wekuve ne bundle branch block.

Kana mapaundi ose ari maviri, ari kurudyi nekuruboshwe, akavharirwa, dambudziko guru ndiro kuvhara kwakakwana kwesainzi yemagetsi kubva mukamuri dzepamusoro kuenda kumukamuri dzepasi pemoyo. Kushayikwa kwesainzi kunogona kudzikisa kumhanya kwemoyo. Kumhanya kwemoyo kwakaderera kunogona kukonzera kusanzwa, kuchema kwemoyo kwasinganzwisisiki nezvimwe zvinetso zvakakomba.

Nekuti bundle branch block inokanganisa basa remagetsi remoyo, dzimwe nguva inogona kuita kuti kuongororwa kwakakwana kwezvimwe zvirwere zvemoyo kuve kwakaoma, kunyanya kurwisa kwemoyo. Inogona kukonzera kunetseka mukutarisirwa kwakakodzera kwezvirwere izvozvo zvemoyo.

Kana uine right bundle branch block uye uri munhu ane hutano, ungasafanirwa kuongororwa kwakazara nechikamu chekurapa. Kana uine left bundle branch block, uchafanirwa kuongororwa kwakazara nechikamu chekurapa.

Kuongororwa kunogona kushandiswa kuona bundle branch block kana zvinokonzera zvinosanganisira:

• Electrocardiogram (ECG kana EKG). Kuongororwa uku kunoita nekukurumidza uye hakuna marwadzo kunoyerera simba remagetsi remwoyo. Panguva ye electrocardiogram (ECG), zvishandiso (electrodes) zvinonamatira pachipfuva uye dzimwe nguva pazvibhakera kana makumbo. Inogona kuratidza kuti mwoyo uri kurova zvakanaka sei. Inogona kuratidza zviratidzo zve bundle branch block, pamwe chete nerutivi rwemwoyo rwuri kukanganiswa.
• Echocardiogram. Kuongororwa uku kunoshandisa mafungu ekuita mifananidzo yakadzama yemwoyo nemavharuvhu emwoyo. Inogona kuratidza chimiro nehupamhi hwetsandanyama yemwoyo. Chiremba wenyu anogona kushandisa kuongororwa uku kuti awane mamiriro akaita kuti pave ne bundle branch block.

Vanhu vakawanda vane bundle branch block havawanikwe nezviratidzo uye havadi kurapwa. Semuenzaniso, left bundle branch block hairapwi ne mishonga. Zvisinei, kurapwa kunoenderana nezviratidzo chaiwo nezvimwe zvirwere zve mwoyo.

Kana uine chirwere chemwoyo chinokonzera bundle branch block, kurapwa kunogona kusanganisira mishonga yekuderedza kumanikidza kwepamusoro ropa kana kuderedza zviratidzo zvekutadza kwemwoyo.

Kana uine bundle branch block uye nhoroondo yekuzorora, mushandi wako wehutano anogona kukurudzira pacemaker. Pacemaker chishandiso chidiki chinowanikwa pasi peganda repamusoro pechidzanga. Matambo maviri anobatanidza kurutivi rwerudyi rwemwoyo. Pacemaker inoburitsa magetsi kana zvichidiwa kuchengetedza kurova kwemwoyo nguva dzose.

Kana uine bundle branch block ine basa rekupomba ropa rakaderera, unogona kuda cardiac resynchronization therapy (biventricular pacing). Kurapwa uku kunoenzana nekuiswa kwe pacemaker. Asi uchave ne tambo yechitatu yakabatana kurutivi rweruboshwe rwemwoyo kuitira kuti chishandiso chigonese kuchengetedza mativi ese ari maviri mutemo wakakodzera. Cardiac resynchronization therapy inobatsira makamuri emwoyo kuomesa (kuita kontrakiti) nenzira yakarongeka uye inoshanda.