Ukuthi yini i-Bundle Branch Block? Izimpawu, Izimbangela, kanye Nokwelashwa

I-bundle branch block iyisimo lapho kukhona ukulibaziseka noma ukuvinjelwa kwemiyalezo yamandla elawula ukushaya kwenhliziyo yakho. Cabanga ngakho njengokungathi kunesiphazamiso esincane endleleni yamandla enhliziyo yakho – imiyalezo isafika, kodwa ingase ithathe indlela eyahlukile noma ifike kamuva kunokujwayelekile.

Lesi simo sithinta ama-bundle branches, angamigwaqo ekhethekile ethwala imiyalezo yamandla evela emakhameni aphezulu enhliziyo yakho kuya emakhameni angaphansi. Uma le migwaqo iphazamisekile, inhliziyo yakho isashaya kahle, kodwa isikhathi singase sibe yingxube.

Ukuthi yini i-Bundle Branch Block?

I-bundle branch block kwenzeka lapho imiyalezo yamandla enhliziyo yakho ibhekene nokuvinjelwa kwenye yemigwaqo emikhulu emibili. Inhliziyo yakho inayo i-left bundle branch ne-right bundle branch, futhi noma iyiphi ingase ibe nokuvinjelwa.

Lesi simo sivame ukutholakala ngesikhathi sokuhlolwa okujwayelekile kwenhliziyo, futhi abantu abaningi baphila nalo ngaphandle kokwazi. Inhliziyo yakho iziqondisa kahle kakhulu, ithola izindlela ezihlukile zokuthi imiyalezo yamandla ifike lapho ihamba khona.

Kunezinhlobo ezimbili eziyinhloko: i-right bundle branch block ne-left bundle branch block. I-right bundle branch block ivame ukuba ingakhulu, kuyilapho i-left bundle branch block ingase ibonise izimo zenhliziyo ezidinga ukunakekelwa.

Ziyini Izimpawu ze-Bundle Branch Block?

Abantu abaningi abane-bundle branch block abanawo nhlobo izimpawu. Lesi simo sivame ukungaphawulwa ngoba inhliziyo yakho iyaqhubeka iphompa igazi kahle, ngesikhathi esincane esiguqukile samandla.

Uma izimpawu zivele, zivame ukuxhumene nezimo zenhliziyo kunokuba yi-bundle branch block ngokwayo. Ungase uqaphele:

• Ukuzwa ubuthakathaka noma ukukhungatheka ngezikhathi ezithile
• Ukuphefumula kanzima ngesikhathi somsebenzi womzimba
• Ubuhlungu noma ukucindezeleka esifubeni
• Ukukhathala okubonakala kungavamile kuwe
• Ukushaya kwenhliziyo noma imizwa yokushaya kwenhliziyo okungavamile

Lezi zimpawu zivame kakhulu nge-left bundle branch block kunokuba yi-right bundle branch block. Uma uhlangabezana nanoma yikuphi kwalokhu njalo, kufanele ukuxoxe nodokotela wakho, nakuba zivame ukuphathwa ngokunakekelwa okuhle.

Ziyini Izinhlobo ze-Bundle Branch Block?

I-bundle branch block iza ngezinhlobo ezimbili eziyinhloko, ngayinye ithonya imigwaqo yamandla ehlukile enhliziyweni yakho. Ukuqonda ukuthi yiluphi uhlobo olukuyo kusiza udokotela wakho ukuthi anqume indlela engcono kakhulu yokunakekelwa kwakho.

I-right bundle branch block ithonya indlela eya ku-right ventricle yenhliziyo yakho. Lolu hlobo luvame ukuba alunankinga futhi lungase lube kubantu abanezinhliziyo eziphilile ngokuphelele. Ngezinye izikhathi liba khona kusukela ekuzalweni noma lithuthukiswe njengengxenye evamile yokuguga.

I-left bundle branch block ihilela indlela eya ku-left ventricle yenhliziyo yakho, okuyikhamera ephompa kakhulu yenhliziyo yakho. Lolu hlobo lunamathuba amaningi okubonisa isifo senhliziyo futhi ngokuvamile ludinga ukulandelelwa eduze.

Kukhona okubizwa ngokuthi i-incomplete bundle branch block, lapho umyalo wamandla ulibaziseka kodwa awuvinjelwe ngokuphelele. Lokhu ngokuvamile akunakukhathaza kakhulu kunokuba yi-complete bundle branch block.

Yini ebangela i-Bundle Branch Block?

I-bundle branch block ingathuthuka ngezimo ezahlukene zenhliziyo noma ngezinye izikhathi ibonakale ngaphandle kwesizathu esiqondakalayo. Imigwaqo yamandla enhliziyweni yakho ingathinteka izinto ezahlukene ekuphileni kwakho.

Izimbangela ezivamile zihlanganisa:

• Ukuhlaselwa yinhliziyo okonakalisa imigwaqo yamandla
• I-High blood pressure eminyakeni eminingi
• Isifo senhliziyo (cardiomyopathy)
• I-Blood clots emaphashini (pulmonary embolism)
• Ukutheleleka kwenhliziyo noma ukuvuvukala
• I-Congenital heart defects evela ekuzalweni

Ukuchitheka okubangelwa ubudala enhliziyweni yakho kungase futhi kube yimbangela ye-bundle branch block, ikakhulukazi i-right bundle branch block. Ngezinye izikhathi, lesi simo sibonakala kubantu abasebasha, abaphilile ngezizathu esingazi kahle.

Imithi ethile noma izinqubo zokuthunga ezihilela inhliziyo ngezinye izikhathi zingase zibangele i-bundle branch block. Udokotela wakho angakusiza ukuthi uqonde ukuthi iyiphi into ethile ebikele esimweni sakho.

Nini Okufanele Ubone Udokotela Nge-Bundle Branch Block?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nezimpawu ezinjengokubuhlungu esifubeni, ukuphefumula kanzima okukhulu, noma ukuhlanza. Lezi zimpawu zingase zibonise ukuthi inhliziyo yakho idinga ukusekelwa okwengeziwe noma ukuhlolwa.

Uma usuqondiwe nge-bundle branch block, ukuhlolwa okujwayelekile kusiza ekuqondeni isimo senhliziyo yakho. Udokotela wakho cishe uzokuncoma ukuhlolwa okujwayelekile kwe-electrocardiograms (EKGs) ukuze alandelele noma yikuphi ukuguquka.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu esifubeni, ukuphefumula kanzima okukhulu, noma ulahlekelwe ukwazi. Nakuba i-bundle branch block ngokwayo ingavamile ukubangela izimo eziphuthumayo, lezi zimpawu zingase zibonise ezinye izinkinga zenhliziyo ezinkulu.

Ziyini Izinto Ezifaka Engozini Ye-Bundle Branch Block?

Izinto eziningi zingandisa amathuba akho okukhula kwe-bundle branch block, nakuba ukuba nezinto ezikufaka engozini akusho ukuthi uzokuthola lesi simo. Ukuqonda lezi zinto kusiza wena nodokotela wakho ukuthi niqaphele izinkinga ezingase zibe khona zempilo yenhliziyo.

Ubudala ingenye yezinto ezibaluleke kakhulu ezikufaka engozini, njengoba uhlelo lwamandla enhliziyweni yakho lungashintsha ngokuhamba kwesikhathi. Ezinye izinto ezikufaka engozini zihlanganisa:

• I-High blood pressure engalawulwanga kahle
• Umlando wokuhlaselwa yinhliziyo noma isifo senhliziyo
• I-Diabetes, ikakhulukazi uma ishukela igazi libe nzima ukulawula
• Umlando womndeni wezinkinga zokushaya kwenhliziyo
• Ukubhema noma ukusetshenziswa kwe-tobacco isikhathi eside
• I-Sleep apnea noma ezinye izifo zokuphefumula

Abanye abantu bathuthukisa i-bundle branch block ngaphandle kokuba nanoma yikuphi kwalokhu okufaka engozini. Uhlelo lwamandla lenhliziyo yakho lukhulu, futhi ngezinye izikhathi kwenzeka ukuguquka ngezizathu ezingacaci ngokuphelele.

Ziyini Izingozi Ezingase Zibe Khona Ze-Bundle Branch Block?

Abantu abaningi abane-bundle branch block baphila impilo evamile, enempilo ngaphandle kwezingozi. Noma kunjalo, izinhlobo ezithile nezimo ezikhona ngezinye izikhathi zingase ziholele ezinye izinkinga ezinkulu zokushaya kwenhliziyo.

Izingozi ezingase zibe khona zihlanganisa:

• I-Complete heart block, lapho imiyalezo yamandla iphazamiseka kakhulu
• Ukushaya kwenhliziyo okungavamile okubangela izimpawu
• Ukwehluleka kwenhliziyo uma lesi simo siyingxenye yesifo senhliziyo esibanzi
• Ukudinga i-pacemaker ezimweni ezingavamile

I-Left bundle branch block inezingozi eziningi zezingozi kunokuba yi-right bundle branch block. Udokotela wakho uzolandelela isimo sakho futhi axoxe nganoma yiziphi izingozi ezithile ezihambisana nesimo sakho.

Izindaba ezinhle ukuthi izingozi ezinkulu azivamile, ikakhulukazi uma i-bundle branch block itholakala futhi ilandelwa ngokufanele. Ukuvakashela okujwayelekile kusiza ekutholeni noma yikuphi ukuguquka ngokushesha.

I-Bundle Branch Block Ihlonishwa Kanjani?

I-bundle branch block ngokuvamile itholakala nge-electrocardiogram (EKG), ukuhlolwa okulula okuqopha umsebenzi wamandla wenhliziyo yakho. Lokhu kuhlolwa okungenakubuhlungu kuthatha imizuzu embalwa nje futhi kubonisa iphethini evamile ye-bundle branch block.

Udokotela wakho angase ancome ukuhlolwa okwengeziwe ukuze aqonde ukuthi yini ebangela i-bundle branch block futhi ahlole impilo yakho yonke yenhliziyo. Lokhu kungase kuhlanganise i-echocardiogram ukubona ubukhulu nomsebenzi wenhliziyo yakho.

Ngezinye izikhathi, ungase udinga i-Holter monitor, eqopha ukushaya kwenhliziyo yakho amahora angu-24 kuya kwangu-48 ngesikhathi semisebenzi yakho evamile. Lokhu kusiza odokotela ukubona uma ukushaya kwenhliziyo yakho kushintsha usuku lonke.

Ukwelashwa Kwe-Bundle Branch Block Kuyini?

Ukwelashwa kwe-bundle branch block kuncike ekutheni unezimpawu noma yini ebangela lesi simo. Abantu abaningi abadingi nhlobo ukwelashwa, nje ukulandelelwa okujwayelekile ukuqinisekisa ukuthi inhliziyo yabo ihlala iphilile.

Uma isifo senhliziyo sikho, ukwelapha leso simo kuba yinto ebaluleke kakhulu. Lokhu kungase kuhilele imithi yokulawula i-blood pressure, i-cholesterol, noma umsebenzi wenhliziyo.

Ezimweni ezingavamile lapho i-bundle branch block ibangela izimpawu ezinkulu noma ithuthuke ibe yi-complete heart block, udokotela wakho angase ancome i-pacemaker. Le divayisi encane ikusiza ukulawula imiyalezo yamandla yenhliziyo yakho uma uhlelo lwakho oluvamile ludinga usizo.

Izindlela eziningi zokwelapha zigxile ekuqondeni impilo yonke yenhliziyo ngokuguqula indlela yokuphila nokuphatha ezinye izinto ezikufaka engozini yesifo senhliziyo.

Indlela Yokunakekela Wena Ngaphansi Kwe-Bundle Branch Block?

Ukukhathalela impilo yakho yenhliziyo kuba yinto ebaluleke kakhulu uma une-bundle branch block. Gxila ekukhetheni indlela yokuphila esekela uhlelo lwakho lwe-cardiovascular kanye nempilo yakho yonke.

Ukuzivocavoca okujwayelekile, njengoba kuvunyelwe udokotela wakho, kusiza ekuqinisweni kwenhliziyo yakho. Qala kancane bese ukhulisa amazinga omsebenzi kancane kancane. Ukuhamba, ukubhukuda, nezinye imisebenzi ephakathi ngokuvamile kuyizinqumo ezinhle.

Ukudla ukudla okunempilo kwenhliziyo okugcwele izithelo, imifino, ukudla okugcwele, namaprotheni ahlanzekile kusekela uhlelo lwakho lwe-cardiovascular. Ukulinganisela usawoti, amafutha agcwele, nokudla okuthuthukisiwe kungakusiza ekulawuleni i-blood pressure kanye nempilo yonke yenhliziyo.

Ukulawula ukucindezeleka ngezindlela zokupumula, ukulala okwanele, nemisebenzi ejabulisayo kuzuzisa inhliziyo yakho. Gwema ukubhema futhi linganisela ukusetshenziswa kotshwala, njengoba lokhu kungase kuqine uhlelo lwakho lwe-cardiovascular.

Kufanele Uzilungiselele Kanjani Ukuvakashela Udokotela Wakho?

Ukulungiselela ukuvakashela kwakho kusiza ukwenza kakhulu isikhathi sakho nodokotela wakho. Bhala phansi noma yiziphi izimpawu oziqaphile, ngisho noma zibonakala zincane noma zingaxhunyaniswanga nenhliziyo yakho.

Letha uhlu lwazo zonke imithi, izithasiselo, namavithamini owathathayo. Faka imithi yokuthengwa ngaphandle komthetho, njengoba ezinye zingase zithinte ukushaya kwenhliziyo noma zisebenzisane nokwelashwa okuqokiwe.

Lungisa imibuzo mayelana nohlobo lwakho oluthile lwe-bundle branch block, ukuqapha okuzodinga, nanoma yimiphi imisebenzi okufanele uyiguqule. Buza ngezimpawu zokuqapha ezizodinga ukunakekelwa kwezokwelapha ngokushesha.

Cabanga ukuletha ilungu lomndeni noma umngani ozosiza ekukhumbula ulwazi olubalulekile oluxoxwe ngesikhathi sokuvakashela.

Iyini Iphuzu Eliyinhloko Mayelana Ne-Bundle Branch Block?

I-Bundle branch block ngokuvamile isimo esilawuleka esingathinti kakhulu impilo yakho yansuku zonke. Abantu abaningi baphila impilo egcwele, esebenzayo ngale nhlanganisela yokushaya kwenhliziyo, ikakhulukazi uma ilandelwa kahle.

Into ebaluleke kakhulu ukusebenza neqembu lakho lokunakekelwa kwezempilo ukuze uqonde isimo sakho esithile futhi ugcine impilo enhle yenhliziyo. Ukuvakashela okujwayelekile kanye nokukhetha indlela yokuphila enempilo kuhamba ibanga elide ekuqinisweni kwenhliziyo yakho.

Khumbula ukuthi ukuba ne-bundle branch block akusho ukuthi une-serious heart disease. Udokotela wakho angakusiza ukuthi uqonde ukuthi ukuxilongwa kwakho okuthile kusho ukuthini kanye nezinyathelo, uma zikhona, okufanele uzithathe.

Imibuzo Evamile Mayelana Ne-Bundle Branch Block

Ingabe i-bundle branch block ingaphela yodwa?

I-Bundle branch block ngokuvamile ihlala njalo uma isuthukile. Noma kunjalo, uma ibangelwa isimo esikhatshana njengokuvuvukala noma imithi ethile, ingase iphele uma imbangela ephambili iwelashwe. Izimo eziningi zihlala zinzima futhi azibi kakhulu ngokuhamba kwesikhathi.

Kuphephile yini ukuzivocavoca nge-bundle branch block?

Abantu abaningi abane-bundle branch block bangazivocavoca ngokuphephile, nakuba kufanele uxoxe ngezinhlelo zakho zokuzivocavoca nodokotela wakho kuqala. Bangase bancome ukuhlolwa kokuzivocavoca ukuze babone ukuthi inhliziyo yakho iphendula kanjani emisebenzini yomzimba. Ngokuvamile, ukuzivocavoca okumaphakathi kuzuzisa impilo yenhliziyo.

Ingabe ngizodinga i-pacemaker nge-bundle branch block?

Iningi labantu abane-bundle branch block alidingi i-pacemaker. Ama-Pacemakers anconywa kuphela uma isimo siqhubeka sibe yi-complete heart block noma sibangele izimpawu ezinkulu ezithinta ikhwalithi yakho yokuphila. Udokotela wakho uzolandelela isimo sakho ukuze aqonde uma lokhu kudingeka.

Ingabe i-bundle branch block ingabangela ukufa okungazelelwe?

I-Bundle branch block yodwa ayivamile ukubangela ukufa kwenhliziyo okungazelelwe. Noma kunjalo, uma ihambisana nesifo senhliziyo esinzima, kungase kube khona ingozi eyengeziwe. Udokotela wakho uzohlola impilo yakho yonke yenhliziyo futhi axoxe nganoma yiziphi izingozi ezithile ezihambisana nesimo sakho.

Ingabe kufanele ngigweme imisebenzi ethile nge-bundle branch block?

Abantu abaningi abane-bundle branch block abadingi ukugwema imisebenzi ethile. Noma kunjalo, uma une-underlying heart disease, udokotela wakho angase ancome ukuguqula imisebenzi ethile enkulu. Kubalulekile ukuxoxa ngendlela yakho yokuphila kanye nezinto ozithandayo nodokotela wakho ukuze uthole isiqondiso esifanele.