Ukuhlola Isizathu Sezinhlungu zesifuba
Njengoba cishe noma ubani owaziyo, ubuhlungu besifuba ngenye yalezi zimpawu ezingakaze zikhishwe. Yiqiniso kuyilapho ubuhlungu besifuba ngezinye izikhathi kungabangelwa yizimo ezithile ezinobunzima nezingahlelekile, kubuye kuqiniswe ukuthi ubuhlungu besifuba kungaba isignali yakho ye-5-alarm ukuthi into ebaluleke nakakhulu futhi isongela ukuphila okwenzeka kuwe, futhi leso sikhathi siso essence.
Ngakho ubuhlungu besifuba buyimpawu okudingeka ihlolwe njalo ngudokotela wezokwelapha.
Isinqumo esibaluleke kunazo zonke okufanele senziwe ekwenzeni lokho kuhlola kungokwakho. Ingabe kufanele uzame "ukuphuma" izimpawu zakho bese uzisa udokotela wakho ngesikhathi esikahle, noma kufanele ufune usizo lwezokwelapha ngokushesha? Ngakolunye uhlangothi lombuzo isinqumo esingalungile singabangela izindleko ezingadingekile nokuphazamiseka. Kodwa ngakolunye uhlangothi lombuzo isinqumo esingalungile singaholela ekukhubazekeni noma ekufeni.
Ubuhlungu besifuba singabangelwa izimo ezihlukahlukene zezokwelapha , futhi izimpawu odokotela neziguli ezichazayo ngokuthi "ubuhlungu besifuba" zingahluka kakhulu kusuka komuntu kuya komuntu nesimo esimweni.
Ngakho uma unesihlungu esifubeni, wazi kanjani ukuthi ukwelapha njengokuphuthumayo?
Ayikho imithetho enzima futhi esheshayo lapha. Ngezinye izikhathi ngisho nezibonakaliso ezincane zesifuba zingase zibe ngenxa yezifo ze-coronary artery (CAD) .
Eqinisweni, kuze kufike ku-30% yazo zonke izifo zenhliziyo zihambisana nezimpawu ezincane kangangokuthi isisulu asiziqapheli - noma sizisusa. Lezi zibizwa ngokuthi " ukuhlaselwa kwenhliziyo. "
Ngakho-ke, singakhuluma ngeminye imihlahlandlela evamile engase ibe usizo ekunqumeni ukuthi ngabe udinga ukuya ekamelweni eliphuthumayo ngenxa yobuhlungu besifuba.
Kodwa khumbula ukuthi le mihlahlandlela - noma yimiphi imihlahlandlela jikelele - ayihlali iholela esinqumweni esihle kakhulu.
Akekho okufanele akwenze iphutha ngokubiza 911 ngenxa yobuhlungu besifuba-kungakhathaliseki ukuthi imbangela iba yiphi. Uma ungabaza, yenza ucingo.
Izinkomba Okufanele Uthole Usizo Olusheshayo
Ubuhlungu besifuba kungenzeka ukuthi bumele isimo esiyingozi - futhi kufanele siphathwe njengesimo esiphuthumayo - uma kukhona okulandelayo okuyiqiniso:
- Uneminyaka engama-40 ubudala noma ngaphezulu, futhi unesisindo esisodwa noma ngaphezulu sezinkinga ze-CAD (umlando womndeni, ukubhema, ukukhuluphala, ukuphila ngokwemvelo, i-cholesterol ephezulu, isifo sikashukela). Funda kabanzi mayelana nezingozi zeCAD.
- Uneminyaka yobudala futhi unomlando oqinile kakhulu womndeni wesifo senhliziyo yokuqala.
- Ubuhlungu bungachazwa kangcono ngemigomo yokuqina, ukucindezela, ukukhulula noma ukuchoboza.
- Ubuhlungu buhambisana nobuthakathaka, ukukhwabanisa, ukuphefumula, ukujuluka, isizungu noma ukuphelelwa amandla.
- Ubuhlungu "buhamba" emahlombe, izingalo noma umhlathi.
- Ubuhlungu bukhulu kunanoma yibuphi obunakho ngaphambili.
- Ubuhlungu buhambisana nokuzwela, noma umuzwa wokuthi kukhona okungahambi kahle (lokhu kuvame ukubizwa ngokuthi odokotela, "umuzwa wengozi ezayo").
- Ubuhlungu buyaqhubeka bubi kakhulu emaminithini ayishumi nangu-15 okuqala.
- Ubuhlungu bubuhle - awukaze uhlangabezane nakho okunjalo ngaphambili.
Uma kukhona kulezi zimo eziphathelene nobuhlungu besifuba sakho, kufanele ukwenze njengokuphuthumayo.
Izinkomba Zokuthi Inhlungu Yesihlungu Akuyona Ingozi Kancane
Ubuhlungu be-chest akumele bumelele isifo esiyingozi senhliziyo uma kukhona okulandelayo okuyiqiniso:
- Ubuhlungu obuqotho nokushintsha ngokuphindaphindiwe ngezinguquko emzimbeni wakho.
- Ubuhlungu buyimzuzwana noma bukhawuleza.
- Uke wabhekana nezinhlungu ezifanayo esikhathini esidlule, futhi isifo senhliziyo sabekwa ngaphandle ngemuva kokuhlolwa okuphelele kwezokwelapha.
Uma ubuhlungu bakho bubonakala sengathi bukwazi ukungena esigabeni 'esiyingozi', zifake ekamelweni eliphuthumayo.
Uma kungenjalo, okungenani, kufanele usazise udokotela wakho ngezimpawu zakho.
Ukuhlola Ubuhlungu Besihlungu Esigumbini Esiphuthumayo
Uma unquma ukuthi udinga ukunakekelwa okusheshayo ebuhlungu besifuba sakho, ngokuvamile into ephephile ukukwenza ukubiza ucingo 911 futhi uthathe ekamelweni eliphuthumayo eliseduze.
I- EMTs noma izimo eziphuthumayo zizokwazi ukwenza ukuhlolwa okuyisisekelo okusheshayo, futhi kusize ekuqiniseni isimo sakho sezokwelapha (uma kufanele uyidinge) ngisho nangaphambi kokuba ufike esikhungweni sezokwelapha.
Uma ungaphambi kukadokotela, ukuhlolwa kokuqala kuzoba ukuhlola ukuthi ubuhlungu besifuba buyinto entsha (i-acute), noma uma imelela inkinga engapheli.
Uma i-Chest Pain iyinto evelele Ekuqaleni:
Uma uhlolisiswa ubuhlungu obukhulu bokuhlunguphaza esifubeni, udokotela angasheshe afike empandeni yenkinga yakho ngokushesha 1) ukuthatha umlando wezokwelapha oqondiswayo, 2) ukwenza ukuhlolwa ngokomzimba, 3) ukuthola i- ECG ne- enzyme ye-cardiac .
Lokhu kuhlola ngokuvamile kuvame ukuthi ngabe ubhekene nesimo esiphuthumayo senhliziyo. Uma emva kwalokhu kuhlola kokuqala ukuhlolwa okusobala kungakabikho, kuzodingeka ukuhlolwa okuqhubekayo, kuye ngokuthi yiziphi izimo zezokwelapha ezibonakala sengathi zingadokotela wakho ngaleso sikhathi.
Ukuze uphinde uphinde uhlele, ukuhleleka kokuqala kwebhizinisi ukulawula inkinga yenhliziyo engasongela ukuphila - isifo se-coronary syndrome (ACS) , noma ngaphandle kwe-infarction yangempela ye-myocardial (ukushaya kwenhliziyo) , ngokuvamile ukukhathazeka okuyinhloko. ( Ukuxoshwa kwe-Aortic - ukubhubhisa odongeni lwe-aorta - kuyingozi kakhulu yokuphila, kepha kuyinto engavamile kakhulu.) Ukuhlola okusheshayo ukuhlaselwa kwenhliziyo kubaluleke kakhulu ngoba ukwelashwa ngokushesha kunganciphisa inani lomonakalo ohlala unomphela wenhliziyo, futhi londoloza impilo yakho. Okubaluleke kakhulu ukutholakala kwe- angina engazinzile , ngoba ukwelashwa okusheshayo nokufutheka kwalesi simo nakho kuyadingeka ukugwema ukulimala okungapheli komzimba.
Uma i-ACS icatshangwa ngokuqinile, cishe uzovunyelwa ekamelweni lokunakekelwa okukhulu futhi ukwelashwa kuzosungulwa. Odokotela bakho bangase bafune izifundo ezengeziwe ukuba zenziwe ngokushesha, ukuze ziphazamise ukuxilongwa - mhlawumbe kubandakanya i- echocardiogram , scan scan , i- CT scan , noma i-catheterization yomzimba .
Ngakolunye uhlangothi, uma inkinga esongela ukuphila isusiwe, odokotela abaningi bezinkinga eziphuthumayo bayokwazi ukubona ukuthi yini ngempela imbangela yesifo sakho esifubeni (okungukuthi, bayothi okuthile okufana nalokhu, "Lona mhlawumbe okubangela ubuhlungu bakho, ") futhi akudlulisele kudokotela wakho wokuhlola nokulandela ukwelashwa.
Uma i-Chest Pain iyi-More Chronic, Ejwayelekile, noma engeyona Eyisimangaliso Symptom
Uma ubuhlungu bakho besifuba buyinto ethile ngaphambili, ukukhathazeka okudokotela wakho okuyinhloko mhlawumbe kuyoba ukuthi ngabe u- angina . U-Angina uvame ukubangelwa i-CAD ejwayelekile, kodwa futhi angakhiwa yizimo zenhliziyo ezincane ezifana ne- coronary artery spasm noma i- cardiac syndrome x . Kuye ngegumbi lokuphuthumayo izinga lodokotela lokusola, isazi se-cardiologist singabonisana ngaso leso sikhathi, noma ungabuyiselwa emuva kudokotela wakho (noma ku-cardiologist) ukuze uhlole ngokugcwele.
Uma kucatshangwa ukuthi enye into engeyona i-angina ibangela ubuhlungu besifuba sakho, ukuxilongwa okuqinile kudingeka kwenziwe ukuze ukwelashwa okufanele kuqalwe. Kuye ngezinkinga zezokwelashwa udokotela wakho osolwa ukuba imbangela, ungadinga ama-x-ray, i- endoscopy ye-GI tract yakho , ukuhlolwa kwe-pulmonary (lung) ukusebenza komsebenzi , noma olunye uhlolo lokunciphisa ukuxilongwa. Ngokuvamile, udokotela ozophuthumayo uzokudlulisela kudokotela wakho (noma kumchwepheshe ofanele) ukuze ahlolwe ukugcina.
Izwi elivela
Njengoba ungabona, ukuqala kwebhizinisi ekuhloleni ubuhlungu besifuba ukuqinisekisa ukuthi ngeke ufe, noma uhlaselwe ukulimala kwengqondo. Ukufeza lo mgomo kuxhomeke ezintweni ezimbili. Okokuqala, wena ngokwakho kudingeka wenze isinqumo esifanele ngokufuna ukunakekelwa kwezempilo ngokushesha. (Uma ungabaza, yenza kanjalo.) Futhi okwesibili, udokotela udinga ukuhlola okusheshayo ukuze aqiniseke ukuthi ayikho inhlekelele eqhubekayo noma ezayo, noma yikuphi okuphuthumayo okuphuthumayo kwezokwelapha.
Uma lokhu sekuqedile, ucabanga ukuthi isimo esisongela impilo siphelelwe yisikhathi, cishe uzodluliselwa ekuhloleni ngaphandle kwendawo yokuphuthumayo.
> Imithombo:
> Connor, RE, Bossaert, L, Arntz, HR, futhi, al. Ngokubambisana ne-Acute Coronary Syndrome Abahlanganyeli Babahluleli. Ingxenye 9: Ama-coronary Acute Syndromes: 2010 Ukubambisana Kwamazwe Omhlaba Ngokuvuselelwa Kwezinhliziyo Nezimo Eziphuthumayo Zezesayensi Nezincomo Zezokwelapha. Ukujikeleza ngo-2010; 122: S427.
> Ebell MH. Ukuhlolwa Kwezinhlungu Zezifuba Ezigulini Zokunakekelwa Okuyinhloko. Am Fam Physician 2011; 83: 603.
> Wertli MM, Ruchti KB, Steurer J, Held U. Izinkomba Zokuthola Izinhlungu Zezinhliziyo Zengenhliziyo Negazi: Ukubuyekezwa Okuhlelekile nokuhlaziywa kwe-Meta. I-BMC Med 2013; 11: 239.