Ubuhlungu Esifubeni

Ubuhlungu obusengifubeni yilokhu kubhlungu noma ukungakhululeki endaweni phakathi komphimbo nesisu. Ubuhlungu obusengifubeni bungaba bukhali noma buthambile. Bungase buze buhambe, noma ungase uzizwe ubuhlungu njalo. Izimpawu eziqondile ziyahluka kuye ngesizathu. Izinto eziningi ezahlukene zingabangela ubuhlungu obusengifubeni. Izimbangela ezibulalayo kakhulu zihilela inhliziyo noma amaphaphu. Ngakho kubalulekile ukuthola usizo lokuwelapha ukuze uthole ukuxilongwa okuqondile. Uma ucabanga ukuthi ubuhlungu bakho besifuba bubangelwa yisigameko senhliziyo, shayela u-911 noma inombolo yakho yephuthumayo yendawo ngokushesha.

Izimpawu zokuphola ehlombe ziyahluka kuye ngokuthi yini ebangela. Ukuhlunguluka ehlombe kuvame ukuxhumene nesifo senhliziyo. Izimpawu zokuphola ehlombe ngenxa yokuhlaselwa yinhliziyo noma enye inkinga yenhliziyo zingafaka: Ukuthungatha, ukucindezela, ubuhlungu, ukucindezela noma ukuhlunguluka ehlombe. Ubuhlungu obuya ehlombe, engalweni, emhlane, entanyeni, emaxwini, amazinyo noma esiswini esiphezulu. Ukuphefumula kanzima. Ukukhathala. Ukushisa kwesisu noma ukungabi nesiyezi. Ukubila ubanda. Ukukhanya ekhanda. Ukushona kwenhliziyo. Ukuphefumula. Kungaba nzima ukutshela ukuthi ukuhlunguluka ehlombe kubangelwa yini inkinga yenhliziyo noma enye into. Ngokuvamile, ukuhlunguluka ehlombe akunakwenzeka ukuba kubangelwe yinkinga yenhliziyo uma kwenzeka nge: Ukuluma okubabayo noma imizwa yokudla okuphuma emlonyeni. Ubunzima bokuginya. Ubuhlungu obuphucuka noma obubi uma ushintsha isimo somzimba. Ubuhlungu obubi uma uphefumula ngokujulile noma ukhwehle. Ubuhlungu uma ucindezela ehlombe lakho. Ubuhlungu obuqhubeka amahora amaningi noma izinsuku. Izimpawu ezivamile zokushisa kwesisu - ukuzwakala okubuhlungu, okushisayo ngemuva kwesifuba - kungaba yinkinga yempilo ethonya inhliziyo noma isisu. Uma unebuhlungu ehlombe obusha noma obungachazwanga noma ucabanga ukuthi uhlushwa yinhliziyo, shayela u-911 noma ucele usizo lwezokwelapha ngokushesha. Ungalokothi unciphise izimpawu zokuhlaselwa yinhliziyo. Uma ungakwazi ukuthola i-ambulance noma imoto yokuphuthuma, cela othile akuphathe esibhedlela esiseduze. Zishayele wedwa kuphela uma ungenayo enye indlela yokufika lapho.

Uma unezinhlungu ezifubeni ezintsha noma ezingachazwanga noma ucabanga ukuthi uhlushwa yisifo senhliziyo, shayela u-911 noma ucele usizo lwezokwelapha oluphuthumayo ngokushesha. Ungalokothi unqande izimpawu zesifo senhliziyo. Uma ungakwazi ukuthola i-ambulance noma imoto yokuphuthumayo eza kuwe, cela othile akuhambise esibhedlela esiseduze. Ziyokhandela wedwa kuphela uma ungenalo olunye uhlangothi lokufika lapho.

Ubuhlungu lwebele buningi izimbangela ezingaba khona.

Ezinye izimbangela ezihlobene nenhliziyo zokubeletha ubuhlungu lwebele yilezi:

• Ukubamba kwenhliziyo. Ukubamba kwenhliziyo kwenzeka lapho ukugeleza kwegazi emithanjeni yenhliziyo kuvinjelwe. Kungabangela ubuhlungu obungathi ubuhlungu bebele. Ukwelashwa okusheshayo kuyadingeka ekubambekeni kwenhliziyo ukuvimbela ukufa.
• Ukuqhekeka kwe-aorta. Lesi simo esiyingozi impilo sihilela umthambo omkhulu womzimba, obizwa nge-aorta. Uma izigaxa zangaphakathi ze-aorta zihlukaniswa, igazi licindezelwa phakathi kwezigaxa. Lokhu kungabangela ukuba i-aorta iqhekeke.
• Ukuvuvukala kwesikhwama esizungezile inhliziyo, okuthiwa yi-pericarditis. Lesi simo ngokuvamile sibangela ubuhlungu obukhulu obukhulu lapho uthatha umoya noma ulele phansi.

Ubuhlungu lwebele bungabangelwa yizifo noma ukuphazamiseka kokugaya ukudla, okuhlanganisa:

• Isifo se-gastroesophageal reflux (GERD). Kulesi simo, i-asidi yesisu ihlanza ukusuka esiswini iye empumphini ehlanganisa umlomo nesisu. Leyo mpumphu ibizwa ngokuthi yi-esophagus. I-GERD ingabangela imizwa yokushisa ebeleni, okuthiwa yi-heartburn.
• Ukuphazamiseka kokugwinya. Izifo ezihlasela i-esophagus zingenza ukugwinya kube nzima ngisho nobuhlungu. Lokhu kungabangela ubuhlungu ebeleni.
• Isifo se-gallbladder noma i-pancreas. Amatye e-gallbladder noma ukuvuvukala kwe-gallbladder noma i-pancreas kungabangela ubuhlungu esiswini obuya ebeleni.

Izimo eziningi zephunga zingabangela ubuhlungu ebeleni, okuhlanganisa:

• I-clot yegazi ephungwini, okuthiwa yi-pulmonary embolism. I-clot yegazi ebanjelwe emthambeni wephunga ingavimba ukugeleza kwegazi emathinini ephunga. Izimpawu ze-pulmonary embolism zingazizwa njengokubamba kwenhliziyo.
• Ukuvuvukala kwezigaxa ezincane zethishu ezihlukanisa amaphaphu akho nodonga lwakho lwebele, okuthiwa yi-pleurisy. Lesi simo sibangela ubuhlungu obukhulu ebeleni obukhulu lapho uphefumula noma ukhwehlela.
• Iphunga eliwa phansi. Iphunga eliwa phansi liyenzeka lapho umoya ugeleza endaweni phakathi kwephunga nama-ribs. Kubizwa nangokuthi yi-pneumothorax. Ubuhlungu ebeleni ngenxa yephunga eliwa phansi ngokuvamile luqala ngokuzumayo. Lungagcina isikhathi eside. Ngokuvamile lubangela ukuphefumula okunzima.

Ezinye izinhlobo zokubeletha ubuhlungu zibangelwa ukulimala noma ukonakala kwemizimba eyenziwe udonga lwebele. Lezi zimo zihlanganisa:

• I-Costochondritis. Lokhu kuwukuvuvukala kwe-cartilage ehlanganisa i-rib ne-breastbone. Kungabangela ubuhlungu ebeleni obungazizwa njengokubamba kwenhliziyo. Ubuhlungu buvamise ukuba ngakwesobunxele somzimba.
• Ama-ribs alimale. I-rib ephukile noma ephukile ingabangela ubuhlungu ebeleni.
• Izimpawu zokubeletha ubuhlungu isikhathi eside. Izimo ezinjenge-fibromyalgia, ezingenza imisipha ibe buhlungu, zingabangela ubuhlungu obuhlala isikhathi eside obuthinta indawo yebhele.

Ubuhlungu lwebele bungabangelwa futhi yi:

• Ukukhathazeka okukhulu. Uma uzizwa ukwesaba okukhulu ngebuhlungu ebeleni, ungaba nokukhathazeka okukhulu. Izimpawu zokukhathazeka okukhulu zihlanganisa nesikhathi esisheshayo, ukushaya kwenhliziyo okukhulu, ukuphefumula okusheshayo, ukubila okuningi, ukuphefumula okunzima, isicanucanu nokuqina. Kungaba nzima ukubona umehluko phakathi kokubamba kwenhliziyo nokukhathazeka okukhulu. Thola usizo lwezokwelapha uma ungaqiniseki ngimbangela yokuhlungu ebeleni.
• I-Shingles. Lokhu kuyisifo esibangelwa yi-varicella-zoster virus - i-virus efanayo ebangela i-chickenpox. Ingabangela ubuhlungu obukhulu kakhulu neqembu lama-blisters ukusuka emuva ukuya endaweni yebhele.
• Ubuhlungu bezinzwa. Abanye abantu abanezinzwa ezinciphile emuva ephakathi bangazizwa ubuhlungu ebeleni.

Ubuhlungu obusengifubeni abubonisi njalo ukuthi uhlushwa yisifo senhliziyo. Kodwa yilokho okuhlolwa yi-zokwelapha ephuthumayo kuqala ngoba kungaba yingozi eyingozi empilweni. Abachwepheshe bakho bezempilo nabo bayohlola izimo zephunga ezingozi empilweni—njengophuliwe lwe-lung noma i-blood clot esiphungwini.

Ezinye zezivivinyo zokuqala ezenziwa ukuthola imbangela yobhlungu obusengifubeni yilezi:

• Electrocardiogram (ECG noma EKG). Lo mvivinyo osheshayo ubonisa ukuthi inhliziyo ishaya kanjani. Uvivinyo lungabonisa ukuthi uke waba nayo noma uhlushwa yisifo senhliziyo. Izicucu ezinamathelayo ezinamasensi kuzo ziyabekwa esifubeni futhi ngezinye izikhathi ezingalweni nasezinzweni. Izingcingo zixhuma amasensi kukhompyutha, ephrinta noma ebonisa imiphumela.
• Izivivinyo zegazi. Amaprotheni athile enhliziyo nezinye izinto kancane kancane zifika egazini ngemuva kokulimaza kwenhliziyo okuvela esifweni senhliziyo. Izivivinyo zegazi zingasetshenziswa ukuhlola lokhu.
• I-X-ray yesifuba. I-X-ray yesifuba ibonisa isimo samaphunga nobukhulu nendlela yenhliziyo. I-X-ray yesifuba ingakwazi ukuxilonga i-pneumonia noma i-lung ephukile.
• I-Computed tomography (CT) scan. I-CT scan isebenzisa i-X-rays ukudala izithombe zesigaba sokuqhelelana kwezingxenye ezithile zomzimba. I-CT scan yesifuba ingakwazi ukubona i-blood clot esiphungwini noma ithole i-aortic dissection.

Kuye ngemiphumela evela ezivivinyweni zokuqala zobhlungu obusengifubeni, ungase udinga ukuhlolwa okwengeziwe, okungafaka:

• Echocardiogram. Amaza omsindo adala izithombe zenhliziyo eshaya. Lo mvivinyo ubonisa ukuthi igazi lihamba kanjani ngenhliziyo nangama-valve enhliziyo.
• I-CT coronary angiogram. Lo mvivinyo ubuka imithambo yegazi enikeza igazi enhliziyweni. Usebenzisa umshini we-X-ray onamandla ukwenza izithombe zenhliziyo nemithambo yegazi yayo. Uvivinyo lusetshenziswa ukuxilonga izimo eziningi ezahlukene zenhliziyo.
• Uvivinyo lokucindezela komzimba. Kulo mvivinyo, uhamba phezu kwe-treadmill noma ugibele ibhayisikili elimi ngenkathi ochwepheshe wezempilo ebuka ukushaya kwenhliziyo. Izivivinyo zokuzivocavoca zisiza ukubonisa ukuthi inhliziyo iphendula kanjani ekuzivocavoca. Uma ungakwazi ukuzivocavoca, ungase uthole imithi ethonya inhliziyo njengokuzivocavoca.
• I-Coronary catheterization. Lo mvivinyo ungathola ukuphahlazeka emithambe yegazi yenhliziyo. Umphako omde, omncane, onobuningi ufakwa emthambe wegazi, ngokuvamile e-groin noma e-wrist, futhi uqondiswe enhliziyweni. I-dye igeleza ngomphako emithambe yegazi enhliziyweni. I-dye iyasiza imithambo yegazi ukuba ibonakale ngokucacile ezithombeni ze-X-ray nevidiyo.

Ukwelapha ubuhlungu lwebele kuncike kulokho okubangela ubuhlungu. Imithi Imithi esetshenziswa ekwelapheni ezinye zezizathu ezivamile zokubeletha ubuhlungu lwebele ihlanganisa: I-Nitroglycerin. Lolu lwemi luniqwa uma iqembu lakho lokunakekelwa kwezempilo licabanga ukuthi ubuhlungu bakho lwebele lubangelwa yimithambo yegazi evaliwe enhliziyweni. Ngokuvamile kuthathwa njengethebhulethi ngaphansi kolimi. Lolu lwemi luqandisa imithambo yegazi yenhliziyo ukuze igazi likwazi ukugeleza kalula. Imithi yegazi. Ezinye zezidakamizwa zegazi ziphinde ziqandisa futhi zande imithambo yegazi. Lokhu kunganciphisa ubuhlungu lwebele obuhambisana nenhliziyo. I-Aspirin. Uma ochwepheshe bezempilo becabanga ukuthi ubuhlungu bakho lwebele buhambisana nenhliziyo yakho, unganikezwa i-aspirin. I-aspirin ayisusi ubuhlungu lwebele. Kodwa ingxenye yokwelapha iziguli ezinawo noma ezingaba nemiqondo emithambe yegazi yenhliziyo. Imithi yokuchitha iziqu, ebizwa nangokuthi yi-thrombolytics. Uma une-heart attack, ungathola le mithi. Isebenza ekunqamuleni i-clot evaliwe igazi ukufinyelela emachopho enhliziyo. Imithi yokuncipha kwegazi. Uma une-clot emithambe yegazi eya enhliziyweni yakho noma emaphashini, ungathola le mithi ukuvimbela i-clotting yesikhathi esizayo. Imithi yokunciphisa i-acid. Le mithi incipha i-acid yesisu. Zingase ziphakanyiswe uma une-heartburn. Imithi yokulwa nokukhathazeka. Uma une-panic attacks, ochwepheshe bakho bezempilo bangase baphakamise le mithi. Ukukhuluma, njengokwelashwa kokuziphatha, kungase futhi kunconywe. Izindlela zokwelapha nezinye izindlela zokwelapha Ezinye izindlela zokwelapha ezinye zezizathu eziyingozi kakhulu zokubeletha ubuhlungu lwebele zihlanganisa: I-Angioplasty nokubekwa kwe-stent. Lolu lwemi lusiza ekuqedeni ukuvimba emithambe yegazi eya enhliziyweni. Udokotela ufake i-tube encane enenqamula ekupheleni kwemithambo yegazi enkulu, ngokuvamile e-groin, futhi uyikhomba enhliziyweni. Ibhaluni liyabukhula. Lokhu kuqandisa umthambo wegazi. Ibhaluni liyaphuma futhi lisuswe nge-tube. I-tube encane yenethiwekhi ye waya ebizwa nge-stent ngokuvamile ibekwe emithambe yegazi ukuyigcina ivuliwe. Ukuhlinzwa kwe-Coronary artery bypass graft (CABG). Lolu uhlobo lokuhlinzwa kwenhliziyo evulekile. Ngesikhathi se-CABG, udokotela uthatha umthambo wegazi noma umthambo wegazi kwenye indawo yomzimba. Udokotela usebenzisa umthambo wegazi ukudala indlela entsha yegazi ukuze lizunguze umthambo wegazi wenhliziyo ovimbekile noma ocindezelekile. Ukuhlinzwa kwandise ukugcwala kwegazi enhliziyweni. Ukuhlinzwa okuphuthumayo kokulungisa. Ungadinga ukuhlinzwa kwenhliziyo okuphuthumayo ukulungisa i-aorta ephukile, ebizwa nangokuthi yi-aortic dissection. Kuyisimo esingozi impilo. Ukufakwa kwephaphu. Uma unephaphu eliwa, ochwepheshe bezempilo bangase babeke i-tube esifubeni ukuze bandise iphaphu. Cela i-aphoyintimenti Kukhona inkinga ngolwazi oluvezwe ngezansi futhi ubuye uthumele ifomu. Kusuka eMayo Clinic kuya ebhokisini lakho leposi Bhalisa mahhala futhi uhlale usesikhathini ngokuthuthuka kokucwaninga, amathiphu ezempilo, izihloko zezempilo zamanje, kanye nobuchwepheshe bokuqondisa impilo. Chofoza lapha ukuze uthole i-preview ye-imeyili. Ikheli le-imeyili 1 Iphutha Ibhokisi le-imeyili liyadingeka Iphutha Faka ikheli le-imeyili elisebenzayo Funda kabanzi ngokusetshenziswa kwe-Mayo Clinic idatha. Ukuze sikunikeze ulwazi olufanele kakhulu nolusizo, futhi siqonde ukuthi yiluphi ulwazi olusizo, singase sihlanganise i-imeyili yakho nolwazi lokusetshenziswa kwewebhusayithi nezinye izindaba esinazo ngawe. Uma ungumguli we-Mayo Clinic, lokhu kungafaka ulwazi oluvikelwe lwezempilo. Uma sihlanganisa lolu lwazi nolwazi lwakho oluvikelwe lwezempilo, sizophatha lonke lolu lwazi njengolwazi oluvikelwe lwezempilo futhi sizosebenzisa noma sizokwembula lolu lwazi njengoba kuchazwe esazisweni sethu semikhuba yobumfihlo. Ungakhetha ukungatholi ukuxhumana nge-imeyili nganoma yisiphi isikhathi ngokuqhafaza isixhumanisi sokuyeka ukubhalisa kwi-imeyili. Bhalisa! Siyabonga ngokubhalisa! Ngokushesha uzokuthola ulwazi lwezempilo lwakamuva lwe-Mayo Clinic olucelile ebhokisini lakho leposi. Kukhona into eyiphutha ngokubhalisa kwakho Sicela uzame futhi ngemizuzu embalwa Uzama futhi