Ubuhlungu besifuba akusona uphawu okufanele uzinake, ngenxa yezizathu ezicacile. Ubuhlungu besifuba, cishe noma ubani owaziyo, kungabonisa inkinga yenhliziyo. Ngenxa yalesi sizathu kuphela, uma ubuhlungu besifuba kufanele uhlolwe udokotela. Ukwenza ukuxilongwa okusheshayo kwe- angina (ukunganaki kwesifuba kubangelwa ukugeleza kwegazi okwanele kuya enhlungwini yenhliziyo), noma ngisho nokuhlasela kwenhliziyo kwangempela, kungavumela ukwelashwa okufanele ukuvimbela umonakalo wenhliziyo unomphela.
Kodwa izimo zenhliziyo akuyona kuphela imbangela ebalulekile yobuhlungu besifuba. Kubonakala ukuthi ukukhathazeka kwesifuba kuyisifo esivamile esihambisana nezinkinga eziningi zezokwelapha, futhi abantu abaningi abahlolwe ubuhlungu besifuba bayatholwa ngezimo ezingenandaba nenhliziyo. Ezinye zezinkinga zezokwelapha ezingenayo i-noncardiac ezingabangela ubuhlungu besifuba zibalulekile futhi zidinga ukwelashwa okunonya. Ezinye ziyingozi kakhulu, futhi zivame ukuphathwa ngokuqinisekiswa.
Kodwa noma iyiphi indlela, uma ubuhlungu besifuba - kungakhathaliseki ukuthi buya kuba yimizimba emvelweni - udinga ukubonwa udokotela. Leyo yindlela kuphela yokukwazi ngokuqinisekile ukuthi yini ebangela lesi sibonakaliso esabekayo futhi uqinisekise ukuthi uthola ukwelashwa okufanele.
Iyini Ubuhlungu Besikhumba?
"Ubuhlungu besifuba" yisikhathi esincane kakhulu kunalokho ongacabanga. "Ubuhlungu besifuba" bungasetshenziswa kokubili odokotela neziguli ukuchaza izimpawu ezingekho emthethweni esifubeni, kodwa lokho kungase kwenzeke esifubeni, entanyeni, noma esiswini esiswini, ngokuvamile kuhlotshaniswa nokungahambi kahle emhlathini, ikhanda noma izingalo.
Ngaphezu kwalokho, "ubuhlungu" ngeke bubuhlungu ngempela. Esikhundleni salokho, ngokuvamile kubonisa ukuzwa okunjenge-pressure noma ukucindezela, ukuchofoza, ukuphazamiseka, noma uhlobo oluthile lokungahambi kahle. Kuye ngesibangela esiyinhloko, izimpawu zingadlula ngaphansi kweyesibili kuya kwezinsuku noma emasontweni, zingenzeka njalo noma zingavamile, futhi zingase zenzeke ngokungahleliwe futhi zingalindelekile, noma ngaphansi kwezimo ezithile futhi zibikezeleke.
Isizathu sokuthi "ubuhlungu besifuba" sihlanganisa ububanzi obuningi bezimpawu ukuthi ubuhlungu besifuba bungakhiwa ububanzi obunjalo bezokwelapha. Ngoba ubuhlungu besifuba buhambisana nezimo zezokwelapha ezivela enhlekeleleni kuya emncintiswaneni, lapho umuntu ezwa ubuhlungu besifuba kubalulekile ukuba udokotela abonise ukuthi ubuhlungu bukhulu ngokushesha ngangokunokwenzeka, ukuze abone ukuthi limelela inkinga okungenzeka ibe yingozi noma esikhundleni esibi kakhulu inkinga edinga ukwelashwa ngokushesha.
Iziphi Izimo Zezokwelapha Ezibangelwa Isihlungu Esibilini?
Ubuhlungu besifuba singabangelwa izimo zezokwelapha ezithinta noma yiziphi izitho ezisesibelethweni noma esiswini esiswini, kufaka phakathi inhliziyo, imithwalo yegazi, amaphaphu, ukuhamba kwemimoya, imisipha, amathambo, isisu noma isisu.
Nasi uhlu lwezimbangela ezivame kakhulu zokuhlunguphazwa kwesifuba, cishe ngendlela ebonwa ngayo ekamelweni eliphuthumayo lesibhedlela esibhedlela. Landela izixhumanisi ezihlinzekwe ngemininingwane eyengeziwe esimweni ngasinye:
• I- angina "engokwemvelo" ngenxa yesifo se-artery coronary .
• I-coronary syndrome enamandla , engabandakanya i-angina engazinzile noma ukuhlaselwa kwenhliziyo okungaqondile.
• Ukuphuza isisu kuyimbangela evamile yobuhlungu besifuba, futhi uma ungaphathwa kabi ungabangela imiphumela embi.
• Ubuhlungu bezinduku zesifuba (ubuhlungu besifuba somshukela) buvame kakhulu kunabantu abaningi abaqaphelayo, kanti ngenkathi kungabonakali ngokukhethekile embonweni wezokwelapha, kungaba yinto eshaqisayo nokukhathazeka.
• Ukukhathazeka noma ukuphazamiseka kwengqondo ngokuvamile kuhambisane nobuhlungu besifuba.
• Izinkinga zamapulmonary - i-asthma, i-bronchitis, i-pneumonia, i-pleuritis-ngokuvamile iveza ubuhlungu besifuba.
• I- Mitral valve prolapse (MVP) ivame ukusola ngezigameko zesifuba somzimba, nakuba kungenzeka ukuthi kubangela ubuhlungu besifuba kaningi kunokuba odokotela bakholelwa.
• I-pericarditis ngokuvamile iveza ubuhlungu besifuba.
• Isifo sesilonda se-Peptic singabangela ubuhlungu obonakala sengathi buvela esifubeni.
• U- Angina ngenxa ye-coronary artery spasm .
• U- Angina ngenxa yesifo se-coronary artery microvascular .
• Ukusabalalisa kwe-Aortic kuyisimo esiyingozi esiveza ubuhlungu obukhulu, obuhlungu besifuba.
Yini Okufanele Uyenze Uma Unesihlungu Sekhanda?
Kulolu hlu olude lwezimo ezingabangela ubuhlungu besifuba, kufanele kube sobala ukuthi uma unesihlungu esifubeni, udinga ukuhlolwa ngudokotela.
Kodwa ungayitshela kanjani ukuthi ubuhlungu besifuba sakho buyingozi noma bubeka isimo esiphuthumayo? Futhi yini okufanele ulindele ukuba udokotela akwenze ukuze enze ukuxilongwa okusheshayo nokunembile? Ngenkathi kungekho imithetho enzima futhi ephuthumayo yokuphendula le mibuzo, kunezinye iziqondiso ezijwayelekile ezingasiza kakhulu. Funda kabanzi ngale ndlela ejwayelekile yokuhlola ubuhlungu besifuba:
Izwi elivela
"Ubuhlungu besifuba" igama elisetshenziselwa ukuchaza noma yikuphi ubuhlungu obungavamile noma obuphazamisayo obwenzeka endaweni evamile yesifuba. Nakuba ezimweni eziningi ubuhlungu besifuba buvela ngenxa yesimo esibuhlungu, ngokuvamile kubonisa inkinga enkulu yokwelapha engase isongela impilo. Kuyinto uphawu olulodwa okufanele ungalokothi uzinaki.
> Imithombo:
> Bösner S, Becker A, Haasenritter J, et al. Ubuhlungu be-Chest ekunakekelwa okuyinhloko: I-Epidemiology ne-Pre-work-up Probabilities. I-Eur J Gen Pract 2009; 15: 141.
> Ebell MH. Ukuhlolwa Kwezinhlungu Zezifuba Ezigulini Zokunakekelwa Okuyinhloko. Am Fam Physician 2011; 83: 603.
> Wertli MM, Ruchti KB, Steurer J, Held U. Izinkomba Zokuhlola Izinhlungu Zezinhliziyo Zengenayo Inhliziyo: Ukubuyekezwa Okuhlelekile nokuhlaziywa kwe-Meta. I-BMC Med 2013; 11: 239.