Ubuhlungu esifubeni bungaba nzima ukukwahlulela. Bungavela kwezinye izinto ezincane kakhulu, njengokubaba kwesisu noma imisipha yesifuba edabukile. Kodwa futhi bungaba uphawu lwesixwayiso sokuhlaselwa yinhliziyo, i-blood clot emaphaphemini, i-stroke, noma okunye okuphuthumayo kwezokwelapha.
Ingxenye enzima ukuthi izizathu ezinzima nezivame ukuba zincane zingazizwa zifana kakhulu. Akudingeki ukuthi uzihlolele wena imbangela ngaphambi kokuthi unqume ukuthi wenzeni.
Uma ubuhlungu esifubeni buyintsha, bubuhlungu kakhulu, bungachazeki, noma buba nezinye izimpawu ezikhathazayo, shayela u-911 kunokulinda isikhathi sokuphathwa noma uzishayele esibhedlela.
ISIKHIPHA NGAMASHIMULAMBILI: OKUBALULEKILE
- Ubuhlungu esifubeni nini okumele ukhathazeke ngayo: Shayela u-911 ngobuhlungu besifuba obungazelelwe, obunzima, noma obungachazeki, ikakhulukazi uma bugcina isikhathi esingaphezu kwemizuzu embalwa noma buza nibuye.
- Ukucindezela, ukucunula, ukuqina, noma ubuhlungu obusabalala engalweni, emhlane, entanyeni, emlonyeni, emahlombe, noma esiswini esingaphezulu kungaba uphawu lwesixwayiso sokuhlaselwa yinhliziyo.
- Ubuhlungu esifubeni obunokuphefumula kanzima, ukudideka, izinzwa ezibandayo, isicanucanu, isiyezi, noma ubuthakathaka obukhulu kudinga ukuhlolwa okuphuthumayo.
- Ubuhlungu besifuba obungazelelwe bokuphefumula kanzima, ukukhwehlela igazi, noma ukudideka kungaba wuphawu lwe-pulmonary embolism.
- Ubuhlungu obunzima besifuba noma bemhlane ongaphezulu bungase futhi bubonise isimo esiphuthumayo se-aorta.
- Izimpawu ze-stroke zingakhunjulwa nge-B.E.F.A.S.T.: Ibhalansi, Amehlo, Ubuso, Izingalo, Inkulumo, Isikhathi.
- Uma ucabanga ukuthi uhlaselwa yinhliziyo noma i-stroke, shayela u-911 kunokuzishayela wena
Ubuhlungu esifubeni bungaba isimo esiphuthumayo kwezokwelapha. Uma unezingu ubuhlungu besifuba obungazelelwe noma obungachazeki, ukuphefumula kanzima, ukudideka, ubuthakathaka obukhulu, noma izimpawu ezicubungulayo zokuhlaselwa yinhliziyo noma i-stroke, shayela u-911 noma inombolo yakho yezimo eziphuthumayo manje. Ungasebenzisi isihlahla sezimpawu esiku-inthanethi noma ukuvakashelwa kwe-telehealth ukuzama ukuxilonga izimpawu ezibucayi zesifuba. Izinsizakalo zezimo eziphuthumayo zezokwelapha zingaqala ukunakekelwa ngesikhathi sokuhanjiswa futhi zixwayise isibhedlela ukuthi uyasondela.
Ubuhlungu esifubeni nini okumele ukhathazeke ngayo
Umbuzo obaluleke kakhulu akuwona ukuthi ubuhlungu besifuba sakho buzizwa njengokuhlaselwa yinhliziyo yini. Izimpawu zokuhlaselwa yinhliziyo zingahluka, futhi abanye abantu banezimpawu ezilula noma ezingajwayelekile.
Shayela u-911 uma unezingu ubuhlungu besifuba obungazelelwe noma obungachazeki obubuhlungu kakhulu, bugcina isikhathi esingaphezu kwemizuzu embalwa, noma buyahamba nibuye.
Ukwelashwa kwesifuba kungase kuzwakale njenge:
- Ukucindezela
- Ukucunula
- Ukuqina
- Ukugcwala
- Ukulimaza
- Ukusha noma ubuhlungu
Ubuhlungu esifubeni buyakhathaza uma bubandakanya nezinye izimpawu, okuhlanganisa:
- Ukuphefumula kanzima
- Izinsw Swazi ezibandayo
- Isicanucanu noma ukuhlanza
- Ukukhanyisa ikhanda noma isiyezi esingazelelwe
- Ukudideka noma ukulahlekelwa yikuqwashama
- Ubuthakathaka obungajwayelekile noma ukukhathala
- Ukushaya kwenhliziyo okusheshayo noma okungalingani
- Ubuhlungu obusabalala engalweni, emahlombe, emhlane, entanyeni, emlonyeni, noma esiswini esingaphezulu
Lezi zimpawu zingabakhona ngokuhlaselwa yinhliziyo nezinye izimo ezinzima. Awukwazi ukukhomba ngokwethembeka imbangela ngokusekelwe endleleni ubuhlungu buzwakala ngayo.
Nini ubuhlungu besifuba bungase bubonise ukuhlaselwa yinhliziyo
Ukuhlaselwa yinhliziyo kwenzeka lapho ukugeleza kwegazi endaweni ethile yemisebe yenhliziyo kuvinjwa. Ukudideka kwesifuba kuyisibonakaliso sesixwayiso esivamile, kodwa izimpawu azihlali zibukeka njengobuhlungu obunamandla obubalulekile noma obucubungulayo abantu abakulindele.
Izimpawu zokuhlaselwa yinhliziyo zingabandakanya ukucindezela, ukucunula, ukugcwala, ukulimaza, noma ubuhlungu maphakathi nesifuba. Ukudideka kungasabalala engalweni eyodwa noma zombili, emhlane, entanyeni, emlonyeni, emahlombe, noma esiswini esingaphezulu.
Ukuphefumula kanzima kungabakhona ngokudideka kwesifuba noma ngaphandle kwayo.
Abanye abantu futhi bathola isicanucanu, izinzwa ezibandayo, ukukhathala okungajwayelekile, isiyezi, noma ukukhanyisa ikhanda. Izimpawu zingaba lula noma zize zibuye zihambe, okungenza kube nokuthakazelela ukulinda nokubona ukuthi ziyathuthuka yini.
Uma ucabanga ukuthi ungase uhlaselwe yinhliziyo, shayela u-911. Ungalindi ukubona ukuthi ubuhlungu buyaphela yini. Izinsizakalo zezimo eziphuthumayo zezokwelapha zingaqala ukunakekelwa ngenkathi uhanjiswa futhi zixwayise isibhedlela ukuthi uyasondela.
Ngeminye imininingwane, bona izimpawu zesixwayiso zokuhlaselwa yinhliziyo ze-American Heart Association.
Izimpawu zokuhlaselwa yinhliziyo zingahluka kwabesifazane
Abesifazane bangaba nazimpawu ezifanayo zokuhlaselwa yinhliziyo njengamadoda, okuhlanganisa ubuhlungu besifuba noma ukucindezela.
Banga nabo baba nezimpawu ezifana nalezi:
- Ukuphefumula kanzima
- Isicanucanu noma ukuhlanza
- Ukukhathala okungajwayelekile
- Ubuhlungu emhlane, emahlombe, noma engalweni
- Ukukhanyisa ikhanda
Lezi zimpawu azisho ngokuzenzakalelayo ukuthi uhlaselwa yinhliziyo. Kodwa lapho ziba khona nokudideka kwesifuba noma ezinye izimpawu ezikhathazayo, akumele zihoywe.
Uma izimpawu zakho zingabonisa ukuhlaselwa yinhliziyo, funa usizo lwezimo eziphuthumayo kwezokwelapha kunokuzama ukuthola imbangela ekhaya.
Nini ukuya esibhedlela ngobuhlungu besifuba
Ubuhlungu besifuba obuyintsha, obungachazeki, noma obunzima budinga ukuhlolwa okusheshayo kwezokwelapha, ikakhulukazi lapho kukhona nezinye izimpawu eziphuthumayo.
Shayela u-911, umugqa wakho wezimo eziphuthumayo, noma uye esibhedlela ngokushesha uma ubuhlungu besifuba buza nok:
- Ukuphefumula okunzima kakhulu noma okubhebhethekayo
- Ukudideka noma ukudideka kancane
- Ukudideka noma ushintsho olungazelelwe ekuqwashameni
- Izinsw Swazi ezibandayo noma ubuthakathaka obukhulu
- Ubuhlungu obusabalala engalweni, emhlane, entanyeni, emlonyeni, emahlombe, noma esiswini esingaphezulu
- Ubuhlungu obunzima besifuba esingaphezulu noma bemhlane ongazelelwe
- Ukukhwehlela igazi
- Ubuthakathaka noma isithuthu esingazelelwe
- Inkinga yokukhuluma
- Izinguquko zokubona ezingazelelwe
Lezi zimpawu zingabakhona ngokuhlaselwa yinhliziyo, i-pulmonary embolism, i-aortic dissection, noma i-stroke. Lezi zimo zidinga ukuhlolwa okuphuthumayo futhi azikwazi ukubhekelelwa ngokuphepha ngokuvakashiyela ku-inthanethi.
Ubuhlungu besifuba nezimpawu ze-stroke: yazini i-B.E.F.A.S.T.
Ubuhlungu besifuba akuvamile ukuba buphambili ezimpawini ze-stroke. Kodwa izimpawu ezingazelelwe zobuchopho zidinga ukunakekelwa okuphuthumayo ngokushesha.
I-CDC incoma ukusebenzisa i-B.E.F.A.S.T. ukuze ubone izimpawu ezivamile ze-stroke:
- B — Ibhalansi: ukulahlekelwa okungazelelwe ibhalansi, ukuhlanganyela, noma inkinga yokuhamba
- E — Amehlo: izinguquko zokubona ezingazelelwe noma ukulahlekelwa ukubona
- F — Ubuso: uhlangothi olulodwa lobuso luyavuma noma luzizwa luvame ukuba yisisila
- A — Izingalo: ubuthakathaka obungazelelwe noma isithuthu esingalweni esisodwa
- S — Inkulumo: inkulumo ehlanganisiwe, inkinga yokukhuluma, noma inkinga yokuqonda inkulumo
- T — Isikhathi: shayela u-911 ngokushesha
Ezinye izimpawu ezingaba khona ze-stroke zihlanganisa ubuhlungu obunzima bekhanda, isiyezi, ukudideka, noma inkinga yokubona.
Uma ungakwazi, qala ukuthi izimpawu zaqala nini. Lolo lwazi lungasiza iqembu lezokwelapha ukuthi linqume ukuthi yimaphi amaphiliso angase afaneleke.
Noma ngisho izimpawu sezidlulile, ukuhlolwa okuphuthumayo kusabalulekile. Isikhathi esidlulile singaba yi-transient ischemic attack, okungaba uphawu lwesixwayiso se-stroke ezayo.
Ubuhlungu besifuba ngenkinga yokuphefumula bungaba esinye isimo esiphuthumayo
Akuwona wonke amanye amakhosi obuhlungu besifuba abandakanya inhliziyo.
I-pulmonary embolism, ngokwesibonelo, kwenzeka lapho i-blood clot ivimba isilwane emaphaphemini. Izimpawu zingabandakanya:
- Ukuphefumula okungazelelwe
- Ubuhlungu besifuba obungase bukhulu lapho uphefumula kakhulu noma ukhwehlela
- Ukuphefumula okusheshayo
- Ukushesha kwenhliziyo
- Isiyezi noma ukudideka
- Ukukhwehlela igazi
Ukwandisa noma ubuhlungu emlenzeni kungase futhi kube yisibonakaliso se-blood clot, ikakhulukazi lapho kubandakanya izinkinga zokuphefumula ezingazelelwe noma ubuhlungu besifuba.
Uma unezingu ubuhlungu besifuba obungazelelwe ngenkinga enkulu yokuphefumula, ungakulindi isikhathi sokuphathwa. Funa usizo lwezimo eziphuthumayo kwezokwelapha.
Kuthiwani uma ubuhlungu besifuba buzizwa njengokubaba kwesisu?
Ukubaba kwesisu nezinye izinkinga zokugaya kungabangela ukushisa noma ukudideka esifubeni. Ubuhlungu besifuba bungavela futhi ekudabukeni kwemisipha, ukuvuvukala, noma kwezinye izizathu ezingezona ezomqondo.
Inkinga ukuthi lezi zimpawu zingase zihlangane nezinye izimo ezinzima.
Ukushisa akuisho ngokuzenzakalelayo ukuthi i-acid reflux, futhi ukuhlaselwa yinhliziyo akuhlali kubangela ubuhlungu obubucayi bokucubungula.
Uma ubuhlungu besifuba buyintsha noma bungachazeki, ikakhulukazi uma bubandakanya ukuphefumula kanzima, ukubhakaza, isicanucanu, isiyezi, noma ubuhlungu obusabalala kwenye ingxenye yomzimba ongaphezulu, ungacabangi ukuthi kube ukubaba kwesisu. Thola usizo lwezimo eziphuthumayo.
Kufanele uzishayele esibhedlela?
Uma ucabanga ukuthi uhlaselwa yinhliziyo noma i-stroke, shayela u-911 kunokuzishayela wena.
Izinsizakalo zezimo eziphuthumayo zezokwelapha zingaqala ukunakekelwa ngaphambi kokuba ufinyelele esibhedlela futhi zixwayise isikhungo sezimo eziphuthumayo ukuthi uyasondela. Lokhu kungaba kubalulekile ikakhulukazi uma isimo sakho sishintsha ngesikhathi sokuhanjiswa.
Uma izinsizakalo zezimo eziphuthumayo zingatholakali, cela omunye umuntu akushayele uma kungenzeka. Ukuzishayela kufanele kube ukukhetha kokugcina ngoba isimo sakho singase sibhebhetheke ngokungazelelwe.
Imibuzo Evame Ukubuzwa
Ngishayele u-911 noma ngizishayele esibhedlela ngobuhlungu besifuba?
Shayela u-911 uma unezimpawu ezingabonisa ukuhlaselwa yinhliziyo noma i-stroke.
Izinsizakalo zezimo eziphuthumayo zezokwelapha zingaqala ukunakekelwa ngesikhathi sokuhanjiswa futhi zixwayise isibhedlela ukuthi uyasondela. Uma isimo sakho sibhebhetheka ngokungazelelwe, abaphenduli abaqeqeshiwe bangase futhi banikeze usizo oluphuthumayo.
Uma i-EMS ingatholakali futhi omunye umuntu angakushayela, lokho kungcono kunokuzishayela wena.
Kuthiwani uma angiqinisekile ukuthi ubuhlungu besifuba sami bucayi yini?
Lapho ubuhlungu besifuba buyintsha, bungachazeki, noma bubandakanya nezinye izimpawu ezikhathazayo, kuphephe kakhulu ukufuna ukuhlolwa okuphuthumayo.
Izimo ezinzima njengokuhlaselwa yinhliziyo, i-pulmonary embolism, ne-aortic dissection zingahlangana nezinye izizathu ezingadali ingozi. Ukulinda ukubona ukuthi ubuhlungu buyahamba yini kungalibazisa ukwelashwa.
Uma ungasekho futhi izimpawu zingabonisa isimo esiphuthumayo, shayela u-911 bese uchaza lokho okuhlangenayo.
Ingabe umuntu osemncane angathola ukuhlaselwa yinhliziyo?
Yebo.
Ukuhlaselwa yinhliziyo kuvame kakhulu kwabadala, kodwa kungenzeka kunoma yisiphi isikhathi. Izizathu zengozi zingabandakanya umlando womndeni wesifo senhliziyo, i-cholesterol ephezulu, isifo sikashukela, ukubhema, umfutho wegazi ophakeme, nokusetshenziswa kwezidakamizwa ezithile, okuhlanganisa i-cocaine.
Ubude bodwa akumele busetshenziswe ukukhipha ukuhlaselwa yinhliziyo. Uma umuntu osemncane enobuhlungu besifuba nezi mpawu zesixwayiso sokuhlaselwa yinhliziyo, ukuhlolwa okuphuthumayo kufanelekile.
Ngenzeni ngenkathi ngilinde i-ambulance?
Landela imiyalelo enikezwe umuntu obopha u-911.
Uma ukwazi ukukwenza, hlalela noma uphumule endaweni ethokomele, vula umnyango uma wedwa, bese ugcina ifoni yakho iseduze. Ungachithi isikhathi uzama ukuxilonga imbangela yobuhlungu noma ukufuna impendulo ku-inthanethi.
Uma uphuma ukuqwashama futhi kukhona umuntu ongakanye naye, kufanele alandele imiyalelo yomsebenzi, okuhlanganisa neziyalezo ze-CPR uma kudingeka.
Kuthiwani uma ubuhlungu besifuba buhamba ngaphambi kokuba usizo lufike?
Hlola okusenzakalelayo.
Ubuhlungu besifuba obuphelayo akusho ukuthi inkinga esingaphansi seyidlulile. Ezinye izimo ezinzima zingabangela izimpawu eziza nibuye.
Tshela abaphenduli abaphuthumayo ukuthi kwenzekani, okuhlanganisa nobude obubalulekile ubuhlungu futhi noma waba nezinye izimpawu. Bangakwazi ukunquma ukuthi usadinga ukuhlolwa esibhedlela.
Kuthiwani uma ubuhlungu besifuba kungesona isimo esiphuthumayo?
Akuwona wonke umbukiso wobuhlungu besifuba odinga i-ambulance. Kodwa ubuhlungu besifuba obuyintsha noma obungachazeki busadinga ukunakwa kwezokwelapha.
Ngokuya ngezimpawu zakho, ochwepheshe bezokwelapha kungase kudingeke benze ukuhlolwa, i-ECG, ukuhlolwa kwegazi, ukuthola izithombe, noma ezinye izivivinyo ukunquma ukuthi yini ebanga ubuhlungu.
Uma ubuhlungu buvunyelwe futhi awuhlangene nezinye izimpawu eziphuthumayo, thintana nengcali yezokwelapha ukuze uthole isiqondiso kunokuzama ukuzixilonga wena.
Ngeminye imininingwane mayelana nokuhlukanisa izimpawu eziphuthumayo nezinkinga ezingase zifanelekele ukunakekelwa okusheshayo, bona umhlahlandlela wethu mayelana nokuthi ukunakekelwa okusheshayo vs i-ER: kanjani ukunquma ngemizuzwana engama-60.
Isiphetho
Ukazi ubuhlungu besifuba nini okumele ukhathazeke ngayo akuwona njalo ngqo ngoba izimo ezinzima nezincane zingazizwa zifana.
Ubuhlungu besifuba obuyintsha, obungazelelwe, obunzima, noma obungachazeki budinga ukunakwa okusheshayo kwezokwelapha, ikakhulukazi lapho bubandakanya ukuphefumula kanzima, ukudideka, izinzwa ezibandayo, ubuthakathaka obukhulu, isicanucanu, isiyezi, noma ubuhlungu obusabalala engalweni, emhlane, entanyeni, emlonyeni, emahlombe, noma esiswini esingaphezulu.
Shayela u-911 ngeziguli ezingaba khona zokuhlaselwa yinhliziyo noma i-stroke, izinkinga ezinkulu zokuphefumula, ukukhwehlela igazi, noma ubuhlungu obunzima besifuba noma bemhlane ongazelelwe.
Lapho izimpawu zingabonisa isimo esiphuthumayo, ungakulindi ukuphathwa kwe-inthanethi futhi ungazishayeli uma izinsizakalo zezimo eziphuthumayo zezokwelapha zitholakala. Ngobuhlungu besifuba, ukuhlolwa ngokushesha kubaluleke kakhulu kunokuzama ukuzihlolela wena imbangela.
