Yini ibhulokhi le-bundle elifanele nokuthi ungalapha kanjani

-Delile

• Izimpawu eziyinhloko
• Yini ebangela ukuvimba kwegatsha lesigaxa sangakwesokudla
• Yelashwa kanjani

Ibhulokhi le-bundle kwesokudla liqukethe ushintsho kuphethini ejwayelekile ye-electrocardiogram (ECG), ikakhulukazi esigabeni se-QRS, esiba side kancane, sihlale ngaphezu kwe-120 ms. Lokhu kusho ukuthi isignali kagesi evela enhliziyweni inenkinga ethile yokuwela igatsha elifanele lenhliziyo, okwenza ukuthi i-ventricle efanele ingene enkontilekeni ngemuva kwesikhashana.

Ezimweni eziningi, ibhulokhi le-bundle kwesokudla akulona elibi futhi livame kakhulu, hhayi uphawu olusheshayo lwesifo senhliziyo, noma lungavela ngenxa yezinguquko enhliziyweni, njengokutheleleka kwemisipha yenhliziyo noma ihlwili emaphashini .

Lapho nje leli bhulokhi likhonjwe ngudokotela ku-ECG ejwayelekile, ukuhlolwa komlando nezimpawu zomuntu kuvame ukwenziwa ukuhlola ukuthi kunesidingo sokuqala noma yiluphi uhlobo lokwelashwa. Kodwa-ke, kungakuhle ukuthi uthintane njalo nodokotela wenhliziyo ukugcina ushintsho lubhekiwe.

Izimpawu eziyinhloko

Kubantu abaningi, ibhulokhi lesigaxa lesokudla alibangeli zimpawu futhi, ngakho-ke, ushintsho luvame ukubonakala kuphela ngesikhathi sezivivinyo ezijwayelekile.

Kodwa-ke, abanye abantu bangathola izimpawu ezihlobene nebhulokhi, njenge:

• Ukuzizwa uphela amandla;
• Ukushaya kancane;
• Ukuquleka.

Yize ezinye zalezi zimpawu zivame kakhulu, uma zivela kaningi zingakhombisa inkinga yenhliziyo futhi, ngakho-ke, noma zingesilo uphawu lwebhulokhi elilungile legatsha, kufanele lihlolwe ngudokotela wenhliziyo.

Bheka ezinye izimpawu ezingakhombisa izinkinga zenhliziyo.

Yini ebangela ukuvimba kwegatsha lesigaxa sangakwesokudla

Kwezinye izimo, asikho isizathu esithile sokubonakala kwebhlokhi yenhliziyo elungile, ebonakala njengokushintsha okujwayelekile kokuqhutshwa kwenhliziyo.

Kodwa-ke, uma kubangelwa yimbangela ethile, ibhlokhi livame ukuvela ku:

• Ukukhubazeka kwenhliziyo okuzalwa, njenge-septum noma i-valve yenhliziyo;
• Ukutheleleka kwemisipha yenhliziyo;
• Umfutho ophakeme we-pulmonary artery;
• Ingubo emaphashini.

Ngakho-ke, yize cishe kuhlale kuyinguquko enhle, kubalulekile ukuthi kube nokunye ukuhlolwa, okufana nesifuba X-ray noma i-echocardiography, ukuqinisekisa ukuthi akukho nkinga ebangela ibhlokhi, edinga ukwelashwa okuqondile.

Yelashwa kanjani

Ezimweni eziningi, ibhulokhi lesigaxa lesokudla alizibangeli izimpawu futhi, ngakho-ke, kujwayelekile ukuthi alidingi ukwelashwa. Kulezi zimo, umuntu angaphila impilo ejwayelekile ngokuphelele ngaphandle kokukhulisa ubungozi besifo senhliziyo nangaphandle kokunciphisa izinga lempilo.

Kodwa-ke, uma kunezimpawu noma uma ibhulokhi ibangelwa yimbangela ethile, udokotela wenhliziyo angancoma ukwelashwa nge:

• Izixazululo Zokucindezela Kwegazi Eliphezulu, njengeCaptopril noma iBisoprolol: kusiza ukuqeda ingcindezi emithanjeni yegazi, uma lokhu kuyimbangela enkulu yebhlokhi;
• Amakhambi we-Cardiotonic, njengeDigoxin: aqinisa imisipha yenhliziyo, enza lula ukusikwa kwayo;
• Ukusetshenziswa kwe-pacemaker yesikhashana: yize kuyivelakancane uma kuqhathaniswa, kufakwa idivaysi ngaphansi kwesikhumba exhunywe ku-ventricle efanele ngokusebenzisa izintambo ezimbili ezincane ezisiza ukulawula ukusebenza kukagesi wenhliziyo.

Ngaphezu kwalokho, uma umuntu ehlangabezana nokuquleka kaningi, udokotela angabuye ahlole ukuthi ngabe kunesigaxa segatsha sobunxele futhi, ezimweni ezinjalo, angancoma ukusetshenziswa unomphela kwe-pacemaker noma ukusebenza kwe-cardiac resynchronization therapy, okufana i-pacemaker yokusebenzisa, kepha inocingo lwesithathu oluxhunywe ngqo kwi-ventricle yangakwesobunxele, eqondisa ukushaya kwenhliziyo kwawo womabili ama-ventricles.