Ubuhlungu besifuba, Isizungu, Ukuphuza ukuphuza, nokuningi
Ngenkathi kunezinhlobo eziningi zezifo zenhliziyo, futhi ngenkathi ngayinye ingaveza izimpawu zayo, kunezibonakaliso ezithile ezibalulekile ezijwayelekile ezinhlobonhlobo zezifo zenhliziyo. Uma uthola noma iyiphi yalezi zimpawu, kufanele ubone udokotela wakho ukuba ahlole.
Ukuhluleka Kwesikhumba Esikhunjini noma Esikhunjini
Zimbalwa izimpawu eziyingozi ngaphezu kobuhlungu besifuba.
Ezingqondweni zabantu abaningi, ubuhlungu besifuba bufana nobuhlungu benhliziyo. Futhi nakuba ezinye izimo eziningi zingabangela ubuhlungu besifuba , isifo senhliziyo sivame kakhulu-futhi siyingozi kakhulu-kangangokuba isibonakaliso sobuhlungu besifuba akufanele siphonswe ngaphandle njengento engabalulekile.
"Ubuhlungu besifuba" yisikhathi esingacacile. Kuvame ukusetshenziselwa ukuchaza noma yikuphi ubuhlungu, ukucindezelwa, ukucindezela, ukuchoboza, ukuphazamiseka noma okunye okungahambi kahle esifubeni, entanyeni, noma esiswini, futhi kuvame ukuhlotshaniswa nobuhlungu emhlathini, ikhanda noma izingalo.
Kuye ngenxa yalokho, ubuhlungu besifuba bungadlulela ngaphansi kwesigamu kuya kwezinsuku noma amasonto, kungenzeka njalo noma kungavamile, futhi kungase kwenzeke ngokungahleliwe noma ngaphansi kwezimo ezibikezelayo. Ukuhlunga ngalezi zinguquko kungasiza udokotela wakho ukuba anqume ukuthi yini eyimbangela yokuhlukumeza esifubeni sakho, ikakhulukazi, noma ngabe imelela ingculazi noma enye inkinga enkulu-yingakho kufanele uthole usizo kuchwepheshe wezokwelapha uma unesihlungu esifubeni.
Kumele futhi ube nomqondo othi uma kufanele ucabange ubuhlungu besifuba kube yisimo esiphuthumayo .
Amapulpitations
Ukuphazamiseka , ukuqwashisa okungavamile kwenhliziyo, uphawu oluvame kakhulu. Iningi labantu abakhononda nge-palpitations lichaza ukuthi "liyeqa" enhliziyweni (okungukuthi, ikhefu, ngokuvamile lilandelwa ukushaywa okunamandla kakhulu), noma njengezinkathi zokushaya kwenhliziyo okusheshayo kanye / noma okungavamile.
Iningi labantu abanama-palpitations banomqondo othile we- arrhythmia we- cardiac -anormal heart rhythm. Kunezinhlobo eziningi ze-arrhythmias, futhi cishe konke kungabangela ukuphazamiseka. Izimbangela ezivame ukwedlula zonke izimbangela ze- atrial complexes (PACs) , izakhiwo ze-ventricular zangaphambi kwesikhathi (PVCs) , iziqephu ze -fibrillation ye-atrial , neziqephu ze -tachycardia ezingaphezulu (SVT) .
Ngeshwa, ngezikhathi ezithile, izilonda zingaphawula ukuthi isifo senhliziyo esiyingozi kakhulu, njenge- tricycardia ye-ventricular . Amapulpitations angase akhombise imbangela enkulu uma ehambisana neziqephu zesikhumba esiphansi noma isizungu.
Uma uhlangabezana nezikhalazo, kufanele uxoxisane nalesi sifo nodokotela wakho. Angase afune ukuthi ube nokuqapha okuqhamuka isikhathi esifushane ukuze uhlole ukuthi yini, ikakhulukazi, ebangela izimpawu zakho.
Lightheadedness noma Isizungu
Iziqephu zokuphefumula noma ukuzondeka zingabangela izimbangela eziningi, kufaka phakathi i- anemia (inani eliphansi legazi) nezinye izifo zegazi, ukungcola amanzi, ukugula kwamagciwane, ukuphumula kombhede isikhathi eside, isifo sikashukela, isifo se-thyroid , ukuphazamiseka kwamathumbu, isifo sesibindi, isifo sezinso , isifo sezinyosi, izifo zezinzwa , ama- dysautonomias , iziqephu ze-vasovagal , ukuhluleka kwenhliziyo kanye nokuhlelwa kwe-cardiac arrhythmias.
Ngenxa yokuthi izimo eziningi eziningi zingaveza lezi zimpawu, noma ubani ohlangabezana neziqephu zokuphefumula noma isiyezi kufanele abe nokuhlolwa okuphelele futhi okuphelele ngudokotela.
Futhi njengoba ukukhathazeka kwezinhlelo eziningi zezinsimbi kungabangela lezi zimpawu, udokotela omuhle we-internist noma udokotela womndeni kungaba yindawo engcono kakhulu yokuqala.
Ukuvumelanisa / Ukulahleka Kokuqaphela)
I-Syncope ukulahlekelwa okungazelelwe nokulahlekelwa yesikhashana, noma ukuphelelwa yisikhathi. Kuyinto ejwayelekile-abantu abaningi baphumelela okungenani kanye empilweni yabo-futhi ngokuvamile ayibonakali inkinga enkulu yokwelapha. Noma kunjalo, ngezinye izikhathi i-syncope ibonisa isimo esiyingozi noma esesongela ukuphila, ngakho-ke uma i-syncope ivela kubalulekile ukuthola isizathu.
Izimbangela ze-syncope zingenziwa ngezigaba ezine ezinkulu: i-neurologic, i-metabolic, i-vasomotor neyomzimba. Kulezi zinsuku, i-syncope ye-cardiac kuphela ibhekene nosongo olukhulu lokubangela ukufa okungazelelwe . I-Vasomotor syncope (evame ukubizwa ngokuthi i-syncope ye-vasovagal) yiyona imbangela evame kakhulu. I-syncope ye-neurologic ne-metabolic ayifinyeleleki.
Noma yikuphi ukulahlekelwa kwengqondo kumele kuhlolwe udokotela.
Ukukhathala, i-Lethargy noma Ukulala Kwamasuku
Ukukhathala, ukuphelelwa yithemba noma ukulala ngokweqile (ukulala kwansuku zonke) yizimpawu ezivamile kakhulu. Ukukhathala noma ukuphelelwa amandla kungacatshangwa njengokukhathala, ukukhathala, noma ukulahlekelwa ngentshiseko eyenza kube nzima ukusebenza emazingeni akho avamile. Ukwehla komzimba kusho ukuthi ufuna ukulala, noma okubi kakhulu, ukuthi uzithola uzokulala ngokuzumayo phakathi nemini-isimo esaziwa ngokuthi i- narcolepsy .
Ngenkathi ukukhathala nokuphefumula kungaba izimpawu zesifo senhliziyo (ikakhulukazi, ukuhluleka kwenhliziyo), lezi zimpawu ezivamile nezingaqondile zingase zibe ngenxa yokukhathazeka cishe noma yiluphi olunye uhlelo lwesitho emzimbeni. Abantu ababhekene nokukhathala noma ukuphelelwa amandla badinga ukuhlolwa okuhle okujwayelekile kwezokwelapha ukuze baqale ukuphoqa imbangela ethile.
Ukwehla kwesimo somzimba kuvame ukubangelwa ukuphazamiseka kokulala ebusuku , njengokulala kwe-apnea , i- restless leg syndrome noma ukulala. Zonke lezi ziphazamiso zokulala zivame kakhulu ezigulini ezinesifo senhliziyo.
I-Dyspnea (Ukuphuza Kokuphefumula)
I-Dyspnea , i-term yezokwelapha yokuphefumula, ngokuvamile kuvame ukuba uphawu lwezinhliziyo zenhliziyo noma i-pulmonary (lung). Ukuhluleka kwenhliziyo kanye nesifo somzimba we-coronary ngokuvamile kuveza ukuphefumula. Iziguli ezinokuhluleka kwenhliziyo zivame ukuzwa i-dyspnea nge-exertion, noma i- orthopnea (i-dyspnea uma ilele phansi). Futhi bangakwazi ukuvuka ngokuphazima kweso ebusuku ukuphefumula, isimo esaziwa ngokuthi i- paroxysmal nocturnal dyspnea . Ezinye izimo zenhliziyo ezifana nesifo se-valve senhliziyo noma isifo se-pericardial singaveza i-dyspnea, njengoba kungenza i-arrhythmias ye-cardiac.
Izimo eziningi zamaphaphu zingaveza ukuphefumula okufiphala kufaka phakathi i-asthma, i-emphysema, i-bronchitis, i-pneumonia, noma i- pleural effusion (ukuqoqwa kwamanzi emkhatsini wodonga lwamaphaphu nesifuba).
Ukuphefumula cishe kuyisibonakaliso senkinga enkulu yezokwelapha, futhi kufanele njalo ihlolwe udokotela.
Izwi elivela
Izimpawu ezivame ukubangelwa yisifo senhliziyo zingabuye zakhiwe ezinye izimo zezokwelapha, kusukela ebucayi kakhulu kuze kube nzima kakhulu. Uma uzwa ubuhlungu besifuba noma ukungahambi kahle, i-palpitations, ikhanda elikhanyayo, i-syncope, ukukhathala okwedlulele noma i-dyspnea, udinga ukuhlola ukuthola imbangela. Lezi yizimpawu ezingakaze zikhishwe.
> Imithombo:
> Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS Ukubuyekezwa okugxilwe kikhombandlela yokuHlola kanye nokuPhathwa kweziguli ezine-Stable Ischemic Heart Disease: Umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice, kanye I-American Association ye-Thoracic Surgery, i-Preventive Cardiovascular Association Association, Society for Cardiovascular Angiography and Interventions, kanye neNhlangano Yezifo Ezihlinza NgamaTriracic. J Am Coll Cardiol 2014; 64: 1929.
> Zimetbaum P, uJosephson ME. Ukuhlolwa kweziguli ezine-Palpitations. N Engl J Med 1998; 338: 1369.
> Neuhauser HK, Radtke A, von Brevern M, et al. Umthwalo wezinsizi kanye ne-vertigo emphakathini. I-Arch Intern Med 2008; 168: 2118.
> I-Task Force for the Diagnosis and Management of Syncope, i-European Society of Cardiology (ESC), i-European Heart Rhythm Association (EHRA), et al. Imihlahlandlela Yokuthola Ukuphathwa Nokuphathwa kweSyncope (ingu-2009). I-Eur Heart J 2009; 30: 2631.