A lokacin da RBBB ya zama Matsala?
Kullin shinge mai kyau abu ne mai mahimmanci wanda aka gani a kan electrocardiogram (ECG) , wanda ya nuna cewa ba a rarraba wutar lantarki ta wutar lantarki a ko'ina a cikin ventricles ba . Musamman, mahimmin shinge mai mahimmanci yana nuna cewa an jinkirta motsi na wutar lantarki mai kyau.
Abin da ke haifar da Block Block Branch?
Kwancen biyu (hagu da hagu) su ne hanyoyi na lantarki wanda ke ba da wutar lantarki wutar lantarki ta yadu da hanzari ta hanyar duka ventricles, don haka da katsewar zuciya tana da kyau.
Tare da ɓangaren ƙwayar maƙalar ƙwayar cuta, akwai tsayayye ko cikakke matsala na motsin wutar lantarki zuwa hannun dama na ventricle. Jirgin alhakin ɓangare yana jinkirta dakatarwar wutar lantarki ta hannun dama. Daga bisani, ventricle mai dacewa yana motsawa bayan motsi na hagu yana motsawa, kuma raguwa ya jinkirta.
Ya bambanta da ɓangaren shinge na gefen hagu (wanda aka yi jinkirta da motsi na ventricle na hagu), maɓallin shinge mai kyau ba zai daidaita tsarin kulawa na zuciya ba a kowace hanya mai tsabta. Sabili da haka kamfani mai ladabi na hakika ana daukar shi azaman yanayin da ba ya buƙatar kowane farfadowa.
Duk da haka, ƙaddaraccen sashi reshe har yanzu yana da mahimmanci bincike. Babban muhimmancinsa ya ta'allaka ne akan gaskiyar cewa ana danganta shi da wasu zuciya mai mahimmanci ko yanayin jini. Don haka a lokacin da aka gano asibiti mai mahimmanci, an yi la'akari da kimanin likita.
Binciken Ƙungiyar Block na Ƙirƙiri
Kullin shinge mai kyau yana haifar da sauye-sauye a yanayin ECG, saboda haka likitoci zasu iya gano wannan yanayin ta hanyar nazarin electrocardiogram.
A cikin tarin shinge , ƙwayar QRS-ƙungiyar ECG wadda take wakiltar motsin wutar lantarki tafiya a fadin ventricles-ya fi girma fiye da na al'ada, tun da yake yana da tsawo fiye da al'ada don a rarraba motsa jiki.
A madaidaiciyar sashi na reshe, akwai alamar halayyar wannan fadakarwa tana ɗaukar fadin 12 (ko "ra'ayoyi") wanda aka bayar ta hanyar ECG mai daidaituwa. Saboda haka, kawai ta hanyar lura da irin yadda ake fadada ƙwayar QRS, yana da sauƙi a ƙayyadad da yiwuwar ƙaddamar da ƙwayar shinge.
Me yasa Mahimman Block na Ƙirƙashin Ƙirƙiri na Ƙirƙashin Ƙarƙashin Ƙari?
Halin da ake ciki na ɓangaren ƙwayar cuta na ƙwayar cuta yana ƙaruwa da shekaru. Ba a gani kawai a cikin matasa, amma fiye da kashi 11 cikin dari na 'yan shekaru 80 suna da ƙwayar maƙalari.
Jirgin alhakin kullun yafi kowa, kuma ƙwayar lafiya ba ta da muhimmanci, fiye da takwaransa, hagu na reshe. Lokacin da aka gano maɓallin shinge mai kyau, babban damuwa ya kamata ya yi wani gwagwarmaya don neman ainihin zuciya ko damuwa.
Idan ba'a samo irin wannan yanayin ba, za a iya la'akari da ƙwayar magungunan ƙwayar cuta mai kyau gaba ɗaya (ba cutarwa ba).
Ƙungiyar Lissafin Dama da Dama da Ƙwayar Lung
Ƙirƙiri mai laushi mai kyau, kamar yadda yake rarraba a cikin tsoka na hakikanin ventricle, yana da ƙananan ƙananan zuwa ga farfajiyar ventricular. Wannan yana haifar da reshe mai kyau wanda zai iya lalatawa da kuma shimfiɗawa a duk lokacin da aka sanya iska mai kyau a kowane irin nau'i.
Sabili da haka, ƙwaƙwalwar ɓangaren shinge mai sauƙi zai faru tare da kowane yanayin da ke rinjayar ventricle mai kyau. Wadannan ka'idodi na iya haɗawa da cututtukan cututtuka (CAD) , ciwon ƙwayar cuta (ƙin ƙwayar ƙwayar zuciya), gurɓatattun lahani na ainihi , ciwon kwakwalwa guda bakwai, da cututtukan zuciya .
Bugu da ƙari kuma, za a iya ganin ƙwayar shinge mai kwakwalwa tare da kowace yanayin huhu wanda zai haifar da tasowa mai tsanani a cikin matsalolin da ke ciki a cikin ƙwayar ventricle mai kyau, musamman ma karuwar jini . Hakanan hawan jini na jini, na iya haifarwa ta hanyar tsararruwar kwayar cutar ta jiki, ciki har da cutar mai ciwo na kullum (COPD) da kuma barci na barci .
Don lura, ƙwaƙwalwar shinge mai mahimmanci ta kasance tare da duk wani yanayin da zai kawo damuwa a hannun dama na ventricle. Halin da ya fi dacewa da wannan shine abin kunya .
A sakamakon haka, duk wanda aka gano cewa yana da ƙwayar shinge mai kyau yana buƙatar dubawa na likita wanda yake mai da hankali akan alamun zuciya ko cutar huhu. Hakanan rayukan kirji da kuma echocardiogram suna amfani da kayan aiki na yau da kullum don wannan dalili.
Saboda ƙwayar magungunan ƙwayar cuta mai saukin kamuwa da wani abu da zai iya haifar da karamin ƙwayar cuta a hannun dama na ventricle, ƙwayar shinge mai sauƙi a cikin kusan kashi 5 cikin dari na marasa lafiya da ke ɗauke da catheterization cardiac . Wannan ƙwaƙwalwar ajiya na wucin gadi na wucin gadi yakan faru ne lokacin da catheter ke fushi da reshe mai kyau. Wannan shinge mai shinge mai saurin zai sauya sauri (cikin minti) sau ɗaya an cire catheter.
Duk da haka, a cikin mutanen da suka riga sun bar shinge shinge, haifar da wannan maɓallin shinge mai dacewa zai iya haifar da ƙwaƙwalwar zuciya ta wucin gadi, kuma zuciya zata iya dakatar da bugawa. Saboda haka, a cikin mutanen da ke da shinge mai shinge wanda ke da kwarewa ta hanyar kirkirar zuciya, wani lokacin an saka wani sakonni na wucin gadi a lokacin hanya, don tabbatar da cewa zuciyar zuciya zata ci gaba ba tare da katsewa a lokacin binciken ba.
Ƙungiyar Rukunin Ƙirƙashin Ƙarƙashin Ƙara da Ƙarƙashin Zuciya
Tare da takalma na hagu ko dama na shinge, an samu motsin zuciyar biyu cikin jerin (daya bayan daya) maimakon lokaci daya. Wannan hasara na daidaituwa tsakanin kamfanonin biyu na iya rage yawan ƙarfin zuciya.
Duk da haka, raguwa a cikin zuciya yana da mahimmanci kuma babu wani abin da zai haifar da ƙwaƙwalwar ajiya. Don haka, alal misali, yin amfani da maganin resynchronisation na zuciya (CRT) ba a ba da shawarar ga mutanen da ke dauke da magunguna masu kyau ba, koda kuwa suna da ciwon zuciya .
Shin Block Block Branch yana buƙatar Mai Pacemaker?
Jirgin alhakin kai tsaye, ta hanyar kanta, bazai buƙatar magani tare da mai kwantar da hankali ba. Duk da haka, a wasu mutanen da ke cikin shinge mai shinge ba ya faruwa ne da kanta, amma a maimakon haka yana wakiltar wata alama ce ta matsalar da ta fi kowa tare da tsarin motsa jiki na zuciya. A irin waɗannan lokuta za'a iya buƙatar mai ɗauka mai sauƙi idan ciwo mai rashin lafiya ko cututtukan zuciya ya kamata ya ci gaba.
Kalma Daga
Madaidaicin rassan rassan kanta yana kan hanyar da ba shi da magani. Duk da haka, duk wanda aka samo yana da shi ya kamata yayi nazari don nunawa ya yanke hukunci daga zuciya ko cutar huhu. Idan babu wanda aka samo, to amma ana iya rubuta maɓallin shinge mai dacewa a matsayin bincike mai mahimmanci, ba tare da muhimmancin mahimmancin likita ba.
> Sources:
> Badheka AO, Singh V, Patel NJ, et al. QRS Duration on Electrocardiography and Mortality Cardiovascular (daga Gudanar da Lafiya Neman Gina Survey-III). Am J Cardiol 2013; 112: 671.
> Barsheshet A, Goldenberg I, Garty M, et al. Hanya da Block Branch Block zuwa Dogon lokacin (Shekaru huɗu) Mortality a cikin marasa lafiya da lafiya tare da Systemolic Feart gazawar. Am J Cardiol 2011; 107: 540.
> Bussink BE, Holst AG, Jespersen L, et al. Dama madaidaiciyar Rukunin Lissafi: Tsarin layi, Fisk dalilai, da kuma Sakamako a cikin Janar Jama'a: Results Daga Copenhagen City Zuciya Nazarin. Eur Heart J 2013; 34: 138.
> Zhang ZM, Rautaharju PM, Soliman EZ, et al. Rashin Haɗarin Mutuwa da Aka Haɗa tare da Gwanayen Firayi na Ƙirƙwara da Rahoton Abubuwan Ciki (Daga Mataimakin Kiwon Lafiyar Mata). Am J Cardiol 2012; 110: 1489.