Izimbangela Nokuxilongwa
Sizwa okuningi mayelana nobuhlungu besifuba sangakwesobunxele kanye nobuhlobo bayo nesifo senhliziyo, kodwa kuthiwani ngosizi lwesifuba esiseceleni? Yini ebangela lesi sibonakaliso? Futhi, okubaluleke kakhulu, kufanele ube nengabe nini?
Noma yiliphi i-Chest Pain ingaba yingozi
Kubalulekile ukuphawula ngokushesha ukuthi ubuhlungu besifuba kunoma iyiphi indawo kungenzeka ukuthi buhlobene nesifo senhliziyo noma ezinye izinkinga ezinkulu .
Uma ubuhlungu bakho bukhulu, uma uzwa ukuphefumula, noma uma igulane lakho likutshela into engalungile, shayela u-911 ngokushesha. Kungcono ukuphutha eceleni kobugebengu ukucela usizo uma ungayidingi ukudlula ukucela usizo uma udinga. Uma ungakaqiniseki, hlola lezi zici mayelana nokuthi ubuhlungu besifuba buyinto ephuthumayo .
Ubunzima be-Chest kanye ne-Heart Heart
Ubuhlungu obwenzeka ngokuyinhloko ngakwesokudla kwesifuba sakho kunezimbangela eziningi ezinjengokuthi ubuhlungu obuhlungu kwesifuba sokhohlo . Kubalulekile ukuphawula ngokushesha, njengalokhu inothi eliyisixwayiso ngenhla, ukuthi ubuhlungu ngakwesokudla kwesifuba kungaba ngenxa yesifo senhliziyo. Ngokuvamile, ubuhlungu obuhambisana nesifo senhliziyo kwenzeka ngakwesobunxele nasendaweni ephakathi kwesifuba, kodwa kunezinto eziningi ezihlukile.
Ubuhlungu obuzwa kuphela ngakwesokudla kwesifuba kungenzeka nanoma yiluphi uhlobo lokuhlaselwa kwenhliziyo, kodwa ikakhulukazi labo abathinta uhlangothi olufanele lwenhliziyo.
Eqinisweni, njengoba ukuhlaselwa kwenhliziyo okubandakanya umthambo we-coronary oqotho kungabonakali ukubulala njengabanye kulabo abangakwesobunxele (njengamabhulogi e-kwesokunxele angaphansi kwe-artery noma "umenzi womfelokazi") umuntu angase angabi nakancane ukuba aqaphele unesifo senhliziyo futhi udinga usizo olusheshayo.
Kubuye kubalulekile ukukhumbula ukuthi izimpawu zomzimba kwabesifazane zivame ukuhluka kunamadoda. Abesifazane abakwazi ukuzwa ubuhlungu besifuba sangakwesobunxele, kodwa kunalokho bangaqaphela ukuzwa okuvuthayo kunhlangothi zonke zesifuba noma ngisho nobunzima nhlobo. Uma ungabaza, ngokushesha hlola.
Ubuhlungu besifuba sangakwesokudla njengesiziphuthumayo
Ngaphezu kwalokho kungenzeka ukuthi ubuhlungu besifuba esifanele kwesibindi kungaba uphawu lokuhlaselwa kwenhliziyo, kunezinye izimo eziphuthumayo ezingase zivezwe nobuhlungu besifuba esifanayo. Lokhu kufaka hlangana ne-pulmonary emboli (ama-clots egazi emilenzeni ephumula begodu ahambele emaphashini) begodu ahlukanise ama-aurtic aneurysms. Lezi zimo zidinga ukwelashwa okuphuthumayo kanye. Uma uqaphele ukuqala okuphuthumayo kobuhlungu obuhlungu obuhlungu obuhlungu, isifiso sokubhoboza esifubeni sakho, ukuqala kokuphefumula okungazelelwe, noma ukukhanya okungazelelwe, ungafundi futhi ubize 911.
Ubuhlungu be-Chest Right Side: Anatomy
Uma unesihlungu ngakwesokudla esifubeni sakho ungase ucabange kuqala ngokuthi yini "uhlala" ngakwesokudla esifubeni sakho noma "thorax."
Le ndawo iyingxenye yesigcawu sokunene senhliziyo, i-lung yangemuva (ezintathu lobes), imithwalo yegazi emikhulu njengemithwalo ye-aorta ekhuphukayo nemithambo yegazi yamaphalonda, isifo, nezinye izakhiwo ezinjenge-lymph nodes, kanye nemisipha.
Izimbambo zilele kule ndawo, futhi ukuphazamiseka komgogodla kungase kubonakale kulesi sifundazwe.
Ubuhlungu obuzwakalayo ngakwesokudla kungabangwa ngenxa yenkinga kuleso sigaba esithile noma kunalokho kungenziwa ngenxa yobuhlungu obudlulisiwe . Ngezinhlungu ezibhekiswe kuzo, ukucindezela noma ukulimala kwesibindi esiphelela esifubeni kungabangela ubuhlungu ukuba buzwe endaweni lapho ibanga elivela khona lapho ubuhlungu buvela khona ngempela.
Ukuphazamiseka okuphezulu kwesisu kungase kuzwakale ngakwesokudla kwesifuba, futhi uma i-diaphragm icasuliwe, lokhu kungase kuhlotshaniswe nobuhlungu ehlombe elifanele. Isibindi, i-gallbladder, kanye nengxenye ye-pancrea zilapha kule ndawo.
Esimweni esingavamile esithinta abantu abaphakathi kwabantu abayi-10 000, ama-inverus we situs, izitho zesifuba esifubeni futhi ngezinye izikhathi ezinye izakhiwo zishintshwa endaweni yabo, ukuze ngezinye izikhathi inhliziyo itholakale ngakwesokudla komzimba.
Incazelo yezibonakaliso
Uhlu lweminye yemibuzo udokotela wakho angabuza kuyabonakala ngezansi. Uzofuna ukuthi uchaze umlingiswa wobuhlungu bakho, kungakhathaliseki ukuthi bunzima noma bube mnene, obubukhali noma obubuthakathaka nanoma yiziphi ezinye izici. Izinhlamvu ze-OPQRST zivame ukusetshenziswa njengendlela yokukhumbula izici ezibalulekile zobuhlungu besifuba okufanele zicatshangelwe:
- O - Okwethuliwe - Uze wahlala ubuhlungu isikhathi esingakanani?
- P - Ukuphikiswa - Ingabe kukhona okuwenza ubuhlungu bubi nakakhulu, njengokuhamba noma ukuthatha umoya ojulile?
- Q - Ikhwalithi - Ubuhlungu buzwa bunjani? Ingabe ibukhali noma iyabuhlungu?
- R - Ukushisa - Ingabe imisebe ebuhlungu noma ikuphi, njengemuva wakho, intamo yakho, umhlathi wakho, noma ihlombe lakho?
- S - Ubuhlungu - Ngesilinganiso esisodwa kuya kwezingu-10 kanti omunye ukhona lapho futhi u-10 ubuhlungu obukhulu obungacabanga, ubuhlungu bakho bunzima kangakanani?
- T - Isikhathi - Uke waba nobuhlungu kangaki?
Izimpawu Ezihlanganisiwe
Ngaphandle kwekhwalithi yobuhlungu bakho, kubalulekile ukuthi uqaphele noma yiziphi izimpawu onayo ngaphezu kokubuhlungu kwesifuba sangasese. Lezi zimpawu zingabandakanya:
- Ukuphelelwa umoya
- Fever
- Ukukhwehlela okuqhubekayo
- Ukuthuthumela
- Ukuguquka kwenhliziyo
- Ukulahlekelwa kwesisindo okungenalutho
- I-Jaundice
- I-nausea nokuhlanza
- Kunzima ukugwinya
- Amapulpitations
- Lightheadedness
- Burping
Izizathu Ezingenzeka Zobunzima Besikhumba Esibekiwe
Izimbangela zokuhlunguphaza kwesifuba sangakwesokudla zifana nobuhlungu besifuba esisekhohlo kodwa kukhona ezinye izimo ezingase zizwakale ngakolunye uhlangothi noma olunye. Ezinye zezimbangela ezingase ziphulwe yizinhlelo zomzimba zibalwe ngezansi.
Izizathu ze-Musculoskeletal
Nge-traumatic, fractures kanye nokulimala kwezicubu ezithambile ezifana nemisipha kanye nemigqa kungabangela ubuhlungu besifuba. Ngaphandle komlando wokuhlukunyezwa, kunezimo eziningana ezingase zenze ubuhlungu besifuba esifubeni. Ezinye zazo zihlanganisa:
- I-Costochondritis - I- Costochondritis yisimo lapho ukuvuvukala kwe-cartilage lapho ukuphela kwezimbambo kufaka khona ne-sternum (i-costochondral junction.) Ngokuvamile kubangelwa uhlobo olungapheliyo lokulimala ngakho abantu abaningi abakhumbuli noma yikuphi ukuhlukunyezwa okuqondile . Ubuhlungu buvame ukwanda komsebenzi noma ngokuphefumula okujulile, futhi kuhlale kunesisa lapho ukucindezelwa kufakwa phezu kwemihlangano yokubamba. Inkinga engavamile, i-Tietze's syndrome iyafana kodwa ihlanganisa ukuvuvukala futhi kuvame ukubandakanya umbambo owodwa kuphela.
- Ukuhlukunyezwa kwe-muscle - Imisipha ye-Muscle ingenye yezimbangela ezivame kakhulu zokuhlunguphazwa kwesifuba sangakwesokudla. Abantu abaningi bangakhumbula imisebenzi efana nokuphakamisa okunzima noma uhlelo olusha lokuqeqeshwa abalwenza ngaphambi kokuthuthukisa lolu hlobo lobuhlungu.
- Ubuhlungu bezindonga zesifuba - Kunemibandela eminingi engabangela ubuhlungu bezinduna zesifuba ngaphezu kwe-costochondritis kusukela ku-fibromyalgia ukucindezeleka ukuhlukumezeka kwesifo se-sickle cell.
- Izimo zomgogodla noma ze-thoracic - Izimo ezinjenge-disc noma ama-vertebrae agxilile angabangela ubuhlungu obuzwakalayo ngakwesokudla kwesifuba, ngenxa yendawo esesimweni noma ngenxa yobunzima obukhulunywe yizinzwa ezibandakanyekile. Ngesinye isikhathi i-metastases kuya emthonjeni kusukela kumdlavuza webele, umdlavuza wamaphaphu, nezinye izicubu kuqala zibhekwa njengobuhlungu besifuba ngakwesokudla.
Izinambuzane Zenhliziyo Negazi
Njengoba kuphawuliwe ngenhla, i-angina, ukuhlaselwa yinhliziyo, noma ezinye izimo kungaholela ebuhlungu kunoma yikuphi esifubeni kufaka hlangana nelungelo. Ezinye izimo ezihlobene nesimo senhliziyo nesimo segazi ezingabangela ubuhlungu besifuba sangasese zihlanganisa:
- I-coronary artery disease - Njengoba kuphawuliwe ekuqaleni, isifo senhliziyo singabangela ubuhlungu ezinhlangothi zombili zesifuba noma ngakwesokudla kuphela. Lokhu kuvame ukutholakala ngezimo ezibandakanya uhlangothi lwesokudla senhliziyo.
- I-Pericarditis - i- Pericarditis yukuvuvukala kwe-pericardium, isibhande esivikelayo esizungeze inhliziyo. Kunezimbangela eziningi ze-pericarditis ezivela ezifweni kuya ekwelapheni komdlavuza, ezifweni zezinso, ukuphazamiseka okuzenzekelayo njenge-arthritis ye-rheumatoid. Kuvamile nangemva kokuba abantu behlaselwe yinhliziyo. Ubuhlungu buvame ukubi nakakhulu ezindaweni ezithile futhi buba namandla kakhulu ngokuphefumula okujulile.
- Ukuhlakaza i-aortic aneurysm - I- aortic aneurysm ehlukanisa i-aortic eyenzekayo lapho inyembezi e-aorta ivumela igazi ukuba ligele phakathi kwezingxenye zodonga lwesigxoko segazi futhi lichithe noma liphule isitsha segazi. Ubuhlungu kaningi buvame kakhulu, ngokuzumayo, obubukhali, futhi bungachazwa njengokuhlunguphaza. Ukungaqondi kungalandelwa ngokushesha. Mhlawumbe sikhunjulwa kangcono njengendlela yokuhlukumezeka i-Princess Diana eqhubekayo, kungase kwenzeke ngaphandle kokuhlukunyezwa kubantu abanegazi eliphezulu noma izimo ezixhumene nezicubu ezifana ne- Marfan syndrome .
Izimbangela Ezihlobene Namafutha
I-lobes emithathu yephaphu elifanele, kanye nokubhekwa kwephaphu elifanele ne-lymph nodes ehlobene, itholakala ngakwesokudla kwesifuba. Amapayipi ayenawo ama-receptor ebuhlungu, kepha usengabhekana nobuhlungu "obuzwayo" njengokwesiphotho sakho sokunene. Izimbangela ezikhona zokuhlupheka zingabandakanya:
- I-pulmonary emboli - I-Pulmonary emboli yenzeke lapho i-blood ivaliwe emilenzeni ( inhlanzi ejulile ye-thrombosis ) ihamba futhi ihambele emaphashini. Uma i-clot ihlala ezitheni zephaphu elilungile, ubuhlungu bungenzeka. Lobuhlungu buvame ukuphazamiseka futhi bubukhali futhi bungase buhlotshaniswe nokuphefumula okukhulu. Ngezindwangu ezinkulu, ukungazi kahle kungalandelwa ngokushesha. Abantu bangakwazi noma bangakhumbuli baba nobuhlungu, ubomvu, noma ukuvuvukala komunye owodwa noma emilenzeni yombili ngaphambi kokuhlanganiswa kwamapulmoni. Ngeshwa, ama-pulboary emboli ajwayelekile, okwenzeka kubantu abangaphezu kwesigamu sezigidi ngonyaka. Zibulala cishe amaphesenti angu-10 yesikhathi. Izici eziyingozi zihlanganisa izifo eziningi ezingapheli, ukuphumula kombhede isikhathi eside noma ukuhlinzwa, nokuhamba ibanga elide ngezindiza noma ngemoto, nokho inani elibalulekile labantu alinazo izici eziyingozi zokusobala.
- Umdlavuza we-Lung - I-Tumor e-lung lungile, ibhande le-lung lungile, noma i-lymph nodes eseduze kungabangela ubuhlungu ngakwesokudla kwesifuba. Cishe ingxenye yabantu, bebukela emuva, babe nobuhlungu esifubeni, emahlombe abo noma emahlathini phakathi kwamahlombe , noma emahlombe abo, ngaphambi kokuxilongwa ngomdlavuza wamaphaphu. Ezinye izimpawu kungenzeka zibe khona njengokuphefumula noma ukukhwehlela okuqhubekayo. Njengoba umdlavuza wamaphaphu uvame ukutholakala ngezigaba kamuva ngemva kokuba usakazeke, kubalulekile ukuba ube nobuhlungu obungachazwanga ngakwesokudla kwesifuba sakho esihlolwe.
- Ezinye izicubu - Izicubu ngaphandle komdlavuza wamaphaphu zingenzeka emgodini wesifuba, ikakhulukazi i-lymphomas. Ngaphezu kwalokho, izidakamizwa (ukusakaza) ezivela kwamanye amagciwane efana nomdlavuza wesifuba nomdlavuza wekoloni zingenzeka emaphashini.
- I-Pneumonia - I-Pneumonia, ikakhulukazi izifo zephunga lakho langakwesokudla zingabangela ubuhlungu besifuba ngakwesokudla kwesifuba sakho. Abantu abane-pneumonia ngokuvamile, kodwa hhayi njalo, banomkhuhlane kanye nokukhwehlela.
- I-Pneumothorax - Ukuwa kwamaphaphu okuthiwa i- pneumothorax kungenzeka kwenzeke futhi kubangele ubuhlungu ngakwesokudla kwesifuba.
- Ukusebenza kwe-Pleural - I-effusion ye-pleural yakha ukwakheka kwamanzi emkhatsini wesikhala sezinyembezi ezungeze amaphaphu. Kunezimbangela eziningi zokusebenza kwamacala. Uma i-effusion encane, ingase ibe yinto engathandeki, kepha ngokuphefumula okukhulu ukuphefumula kuvame ukukhona. Ngomdlavuza wamaphaphu nesifo somdlavuza webele, isifo somdlavuza esinomdlavuza (ama- pleural effusion ) angaba buhlungu kakhulu.
- I-Pleurisy (ubuhlungu besifuba se-Pleuritic) - Ukuvuvukala kwe-linings yamaphaphu, okuthiwa i- pleura , kungabangela ukucindezeleka kwesifuba esifanele kwesifuba. Lobuhlungu buvame ukukhuphuka ngomoya ojulile futhi ngezinye izikhathi ungase uzizwe ukhululekile.
Izimbangela Zezimpawu Zokugaya
Izimo zomzimba, ikakhulukazi lezo ezihilela isisu noma izitho ngakwesokudla kwesisu njengesifo se-gallbladder nesibindi kungabangela ubuhlungu bubekelwe eceleni kwesibindi esifubeni. Ezinye izimo ezingabangela ubuhlungu besifuba sangasese zihlanganisa:
- Isifo se-reflux se-gastroesophageal (GERD) - I- GERD ingabangela izimpawu zakudala zokuphuza nokuzizwa, kodwa futhi zingase zibe nomuzwa wokuthi ubuhlungu ngakwesokudla esifubeni kuphela.
- Umzimba wangaphandle we-Esophageal - Isizathu sokubuhlungu kwesifuba esifanele kwesinye isikhathi okungenakwehlwa yilokho komzimba ongaphandle we-esophageal. Uma izimpawu zakho ziqala ngenkathi bedla, ikakhulukazi inyama, qiniseka ukuthi uvumele udokotela wakho azi.
- I-spasm ye-Esophageal - I- spasm esophageal ingabangela ubuhlungu obukhulu besifuba esiswini. Ubuhlungu obuvela ku-spasm esophageal bungase budidaniswe kalula nalokho kusuka enesifo senhliziyo njengoba kuvame ukuthuthukisa ne-nitroglycerine.
- Isifo se-Gallbladder - Zombili izigulumoni kanye ne-cholecystitis, ukutheleleka kwe-gallbladder kungase kubonakale sengathi ubuhlungu obuhlungu esifubeni. Lobu buhlungu buvame ukuqhubekela phambili futhi bungase buyekezele ehlombe elungile.
- I-Pancreatitis - Ubuhlungu obuhambisana ne- pancreatitis bungaba buhlungu ngokulala phansi futhi kungcono ngokuhlala phezulu. Abantu abanesifo sikashukela kanye nokudakwa ngokweqile kunengozi eyengeziwe.
- Isifo sesilonda se-Peptic / igastritis - Isibili isifo sesilonda se-peptic nesifo sangasese singabangela ubuhlungu obuzwakalayo ngakwesokudla kwesifuba, nakuba kuvame kakhulu ngakwesobunxele. Ubuhlungu bungase buqale empeleni buye ngcono ngokudla.
- Isifo sesibindi - Izifo zesibindi ezifana ne-hepatitis, i-cirrhosis, ngisho nezicubu eziye zisakaze esibindi (imishanguzo) zingabangela ubuhlungu obuzwakalayo ngakwesokudla esifubeni. Ngezinye izikhathi kune-jaundice ehlotshaniswayo, ukuhlunga okuphuzi kesikhumba kanye nabamhlophe bamehlo.
Ezinye Izimbangela
Kunezinye izimbangela eziningana ezibangela ubuhlungu ngakwesokudla kwesifuba. Ezinye zazo zihlanganisa:
- Izibilini - Izibilini ziyisimo esenzeka lapho igciwane le-inkukhu (elihlala emanzini) livuselelwa. Uma igciwane selilele emcimbini wezinzwa linikezela ngakwesokudla kwesifuba, ubuhlungu bungenzeka kule ndawo. Ukuqhuma ngokuvamile kwenzeka ekusakazeni izimpande zesisindo futhi kusiza ukwenza ukuxilongwa, kodwa ubuhlungu bungase buqale ukuqhuma ngezinsuku ezimbalwa okwenza ukuthi ukuxilongwa kube nzima ekuqaleni.
- Izicubu zomzimba - Izicubu noma izilonda ezikhulisiwe emzimbeni we- mediastinum , indawo yesifuba phakathi kwamapayipi, kungabangela ubuhlungu besifuba buzwakala ngaphesheya kwesifuba kodwa lungenzeka kuphela ngakwesokudla. Ukwandiswa kwama- lymph node - mediastinal kungase kwenzeke kokubili ngesifo sikaHodgkin kanye nezilonda ze-non-Hodgkin kanye nokusakazeka komdlavuza wamaphaphu noma umdlavuza webele. I-thymomas, ama-cysts e-bronchogenic, nezinye izicubu ezinobuthi zingase zenzeke kule ndawo.
- Ubuhlungu besisu - Uma ubuhlungu obuvela esifubeni bubonakala bujulile esifubeni kungase kube nomuzwa wokuthi ubuhlungu bube bujulile esifubeni.
- Ukukhathazeka nokukhathazeka kwesifo - Amaphesenti angaba ngu-40 abantu abanesifo sokuphazamiseka kwesifo esibuhlungu besifuba esisodwa ngesikhathi esisodwa. Ubuhlungu besifuba se-atypical obuhlobene ne-panic disorder buhlukile ngezindlela ezithile, kodwa njalo ufuna ukuphutha eceleni koqapha. Abantu abanenkinga noma ngisho nokuphazamiseka kwengqondo bangase babone izimbangela zokuphila ezisongela ubuhlungu besifuba.
Uvivinya Udokotela Wakho May Order
Kuye ngezibonakaliso zakho nezinye izici, kunezivivinyo eziningana udokotela wakho angase azenze. Into yokuqala ezokwenza ukuqinisekisa ukuthi "i-ABC" yakho igxilile. Lokhu kusho ukuhamba kwemimoya, ukuphefumula, nokusakaza, ngokuyinhloko umsebenzi wenhliziyo namaphaphu. Uma ubonakala uzinzile uzobe esekubuza imibuzo eminingi (thatha umlando ngokucophelela ubheka noma yiziphi izici ezingozini) futhi wenze ukuhlolwa ngokomzimba.
Ezinye izimo zingatholakala ngesikhathi sokuhlolwa ngokomzimba, isibonelo, isisa phezu kombuthano phakathi kwezimbambo zakho kanye ne-sternum kungase isikisele ukuthi i-costochondritis noma ukuqhuma okudala kungase kusiphakamise izikhwama.
Okunye ukuhlolwa kungabandakanya:
- I-x-ray yesifuba kanye / noma isifuba i-CT scan (i- chest x-ray ingahle ilahle umdlavuza wamaphaphu nabantu abangabhemi bangathola umdlavuza wamaphaphu)
- Ukuhlolwa kokucindezeleka komzimba
- EKG
- I-bronchoscopy
- I-MRI
- Iskena se-PET
- I-catheterization ye-cardiac kanye ne-angiography
- I-endoscopy ephezulu ye-GI noma i-barium igwinya (ukuhlola isisindo sakho kanye nomgudu wokugaya)
Imibuzo UDokotela Wakho Ungabuza
Udokotela wakho uzokubuza imibuzo eminingi ukuze uzame futhi unciphise izimbangela ezikhona zezimpawu zakho. Uma ulindele ukubona udokotela wakho, ungase ufune ukubhala noma yini efika engqondweni ukuze ukwazi ukumnika "izinkomba" eziningi ngangokunokwenzeka. Imibuzo ingafaka:
- Ubuhlungu bakho buqala nini? Wake wabuzwa ubuhlungu ngaphambili?
- Ingabe lobu buhlungu buqala ngokushesha noma buye buza kancane kancane? Ingabe ivele ngomsebenzi noma ngokuphumula? Ingabe wayidla lapho ubuhlungu buqala?
- Ungayichaza kanjani ubuhlungu? Ingabe ibukhali noma ibuhlungu, imnene noma ibuhlungu, noma ikhona yini nezinye izici ezifana nokuzwa okuvuthayo, ukushisa, ukuchoboza noma ukucindezela?
- Ingabe noma yini eyenza ubuhlungu bakho bube bubi nakakhulu noma bube ngcono?
- Ingabe ubuhlungu buba bubi ngokuphefumula noma ngokudla?
- Ingabe ubuhlungu buhamba (ukuhambisa) noma kuphi, njengokungemuva kwakho, umhlathi wakho, noma kwenye indawo?
- Kuphi ngempela ubuhlungu obukhona? Ingabe yindawo ethize noma ihlukanisa esifubeni sakho?
- Yiziphi ezinye izimpawu ozitholile, isibonelo, ukuphefumula okuncane, ukukhwehlela okuqhubekayo, ukuphazamiseka, ukulahlekelwa isisindo esingavamile, ubunzima bokugwinya, isicanucanu noma ukuhlanza, noma i-jaundice?
- Yiziphi ezinye izimo zezokwelapha onakho?
- Ingabe unayo imithi yokwelapha noma uthatha noma yimiphi imithi engaphezu kwe-counter noma izithako zokudla okunomsoco?
- Ingabe uyabhema noma wake wake waphuza?
- Uphuza utshwala obungakanani?
- Iziphi izinkinga zezokwelapha ezigijima emndenini wakho?
Nini Ukubiza uDokotela Wakho noma 911
Uma ubuhlungu bakho bukhulu, uma uthuthukile ukuphefumula okungazelelwe, ubukhulu obukhulu, kufanele ubize u-911 ngokushesha.
Ngaphansi
Ubuhlungu besifuba sangakwesokudla akunakwenzeka njengoba ubuhlungu besifuba esisebunxele buhlobene nesifo senhliziyo, kodwa lokho akusho ukuthi kuyinto engathà sina. Uma ubuhlungu bakho bukhulu noma uma uqaphela ukuphefumula, noma uzibuze ukuthi izimpawu zakho zingasongela impilo ungalindi. Shayela u-911.
Uma uzobona udokotela wakho, cabangela imibuzo engenhla. Ukuthola umthombo wezinhlungu zesifuba sangakwesokudla ngezinye izikhathi kufana nokuhlanganisa iphazili, futhi lapho kutholakala khona izingcezu ze-puzzle, kulula ngezinye izikhathi ukuxazulula.
Uma ungatholi izimpendulo, qhubeka ubuza imibuzo. Ubuhlungu buyimilayezo engqondweni yethu ukuthi kukhona okungalungile. Uma ihlala njalo, khuluma nodokotela wakho futhi. Ngezinye izikhathi kudingekile ukuhlolwa okwengeziwe, isibonelo, omunye kubantu abane abane nomdlavuza wamaphaphu wayenesifo esifanayo esifubeni ngesikhathi sokuxilongwa, futhi kwakudingeka ukuhlolwa kwe-CT ukuthola isidumbu. Ngesikhathi esifanayo, umdlavuza wamaphaphu uyimbangela ehamba phambili yokubulawa komdlavuza emadodeni nakwabesifazane e-United States, nomdlavuza wamaphaphu kunanoma ubani obhemayo yimbangela eyisithupha yokufa kokuhlobene nomdlavuza. Uma ungenayo izimpendulo, cela umbono wesibili.
> Umthombo:
> U-Aroesty, J., noJannam. Imfundo yesineke: Ubuhlungu besifuba (Ngaphandle Kwezingqalasizinda). UpToDate . Kubuyekezwe 06/07/16.