Ubuhlungu besifuba

Ubuhlungu besifuba ukungakhululeki noma ubuhlungu obuzwayo noma kuphi ngaphambili komzimba wakho phakathi kwentamo yakho nesisu esingenhla.

Abantu abaningi abanezinhlungu esifubeni besaba isifo senhliziyo. Kodwa-ke, kunezimbangela eziningi ezingenzeka zobuhlungu besifuba. Ezinye izimbangela aziyona ingozi empilweni yakho, kanti ezinye izimbangela zibucayi futhi, kwezinye izimo, zisongela impilo.

Noma yisiphi isitho noma isicubu esifubeni sakho kungaba ngumthombo wobuhlungu, kufaka phakathi inhliziyo yakho, amaphaphu, iminjunju, imisipha, izimbambo, imisipha, noma izinzwa. Ubuhlungu bungaphinde busabalale esifubeni busuka entanyeni, esiswini nasemhlane.

Izinkinga zenhliziyo noma zegazi ezingadala ubuhlungu besifuba:

• U-Angina noma isifo senhliziyo. Uphawu oluvame kakhulu ubuhlungu besifuba obungazwakala njengokuqina, ingcindezi esindayo, ukukhama, noma ubuhlungu obucindezelayo. Ubuhlungu bungasakazeka engalweni, ehlombe, emhlathini, noma emuva.
• Ukudabuka odongeni lwe-aorta, umthambo omkhulu wegazi othatha igazi lisuke enhliziyweni uye kuwo wonke umzimba (i-aortic dissection) kubangela ubuhlungu obungazelelwe, obunzima esifubeni nasemhlane ongaphezulu.
• Ukuvuvukala (ukuvuvukala) esikhwameni esizungeze inhliziyo (i-pericarditis) kubangela ubuhlungu engxenyeni yesifuba.

Izinkinga zamaphaphu ezingadala ubuhlungu besifuba:

• Ukuqina kwegazi emaphashini (embolism pulmonary embolism).
• Ukuwa kwamaphaphu (pneumothorax).
• I-pneumonia ibangela ubuhlungu besifuba obukhali obuvame ukuba bucayi kakhulu lapho uphefumula kanzima noma ukhwehlela.
• Ukuvuvukala kolwelwesi oluzungeze iphaphu (pleurisy) kungadala izinhlungu zesifuba ezivame ukuzwa zibukhali, futhi kuvame ukuba kubi kakhulu uma udonsa umoya noma ukhwehlela.

Ezinye izimbangela zobuhlungu besifuba:

• Ukuhlaselwa uvalo, okuvame ukwenzeka ngokuphefumula okusheshayo.
• Ukuvuvukala lapho izimbambo zijoyina khona ithambo lesifuba noma i-sternum (costochondritis).
• AmaShingles, abangela ubuhlungu obucijile, obuzwelayo ohlangothini olulodwa olusuka esifubeni luye emuva, futhi lungadala ukuqubuka.
• Ubunzima bemisipha namathambo phakathi kwezimbambo.

Ubuhlungu besifuba bungaba futhi ngenxa yezinkinga zesistimu yokugaya elandelayo:

• Ama-spasms noma ukunciphisa isisu (ishubhu elithwala ukudla lisuke emlonyeni liye esiswini)
• Ama-gallstones abangela ubuhlungu obuba bucayi kakhulu ngemuva kokudla (imvamisa ukudla okunamafutha).
• Isilungulela noma i-reflux ye-gastroesophageal (GERD)
• Isilonda esiswini noma i-gastritis: Ubuhlungu bokusha buvela uma isisu sakho singenalutho futhi uzizwa ungcono uma udla ukudla

Ezinganeni, ubuhlungu obukhulu besifuba abubangelwa yinhliziyo.

Ngezimbangela eziningi zobuhlungu besifuba, kungcono ukubuza kumhlinzeki wakho wezempilo ngaphambi kokuzelapha ekhaya.

Shayela ku-911 noma inombolo ephuthumayo yendawo uma:

• Unokuchoboza ngokungazelelwe, ukukhama, ukuqina, noma ukucindezela esifubeni sakho.
• Ubuhlungu busakazeka (buphuma) emhlathini, engalweni yangakwesobunxele, noma phakathi kwamahlombe akho.
• Unesicanucanu, isiyezi, ukujuluka, inhliziyo yokujaha, noma ukuphefumula okuncane.
• Uyazi ukuthi une-angina futhi ukungakhululeki kwesifuba sakho kukhulu ngokuzumayo, kulethwe umsebenzi olula, noma kuhlala isikhathi eside kunokujwayelekile.
• Izimpawu zakho ze-angina zenzeka ngenkathi uphumule.
• Unobuhlungu obungazelelwe, obubukhali besifuba ngokuphefumula okufushane, ikakhulukazi ngemuva kohambo olude, indawo yokwelulwa kombhede (isibonelo, ukulandela ukuhlinzwa), noma okunye ukunganyakazi, ikakhulukazi uma umlenze owodwa uvuvukile noma uvuvukele kakhulu kunomunye ( lokhu kungaba ihlule legazi, ingxenye yalo ethuthele emaphashini).
• Utholwe unesimo esibi, njengokuhlaselwa yinhliziyo noma i-pulmonary embolism.

Ingozi yakho yokuhlaselwa yisifo senhliziyo inkulu uma:

• Unomlando womndeni wesifo senhliziyo.
• Uyabhema, usebenzisa i-cocaine, noma ukhuluphele ngokweqile.
• Une-cholesterol ephezulu, umfutho wegazi ophakeme, noma isifo sikashukela.
• Usuvele unesifo senhliziyo.

Shayela umhlinzeki wakho uma:

• Unomkhuhlane noma ukukhwehlela okukhiqiza i-phlegm eluhlaza okwesibhakabhaka.
• Unobuhlungu besifuba obunzima futhi obungapheli.
• Unezinkinga zokugwinya.
• Ubuhlungu besifuba buhlala isikhathi eside kunezinsuku ezintathu kuya kwezingu-5.

Umhlinzeki wakho angabuza imibuzo efana nale:

• Ingabe ubuhlungu obuphakathi kwamahlombe? Ngaphansi kwethambo lesifuba? Ingabe ubuhlungu buyashintsha indawo? Ngasohlangothini olulodwa kuphela?
• Ungabuchaza kanjani ubuhlungu? (ukuqina, ukudwengula noma ukudwengula, ukubukhali, ukugwaza, ukushisa, ukukhama, ukuqina, ukucindezela, ukuchoboza, ukuqaqamba, ukudinwa, ukusinda)
• Ingabe kuqala ngokuzumayo? Ingabe ubuhlungu benzeka ngasikhathi sinye usuku ngalunye?
• Ingabe ubuhlungu buba ngcono noma buba bukhulu lapho uhamba noma ushintsha izikhundla?
• Ungakwazi yini ukwenza ubuhlungu bube khona ngokucindezela engxenyeni yesifuba sakho?
• Ingabe ubuhlungu buya ngokuya buba bukhulu? Ubuhlungu buhlala isikhathi esingakanani?
• Ingabe izinhlungu zisuka esifubeni sakho ziye ehlombe lakho, ingalo, intamo, umhlathi, noma emuva?
• Ingabe ubuhlungu buba bubi kakhulu lapho uphefumula ngokujulile, ukhwehlela, udla noma ugoba?
• Ingabe ubuhlungu buba bukhulu lapho uzivocavoca umzimba? Ngabe kungcono ngemuva kokuphumula? Ingabe iphela ngokuphelele, noma ingabe bukhona nje ubuhlungu obungephi?
• Ngabe izinhlungu zingcono ngemuva kokuthatha umuthi we-nitroglycerin? Ngemuva kokudla noma ukuthatha ama-antacids? Ngemuva kokubhinca?
• Yiziphi ezinye izimpawu onazo?

Izinhlobo zokuhlolwa okwenziwayo zincike embangela yobuhlungu, nokuthi yiziphi ezinye izinkinga zezokwelapha noma izici zobungozi onazo.

Ukuqina kwesifuba; Ukucindezela kwesifuba; Ukungakhululeki kwesifuba

• I-Angina - ukukhishwa
• U-Angina - ukuthi ubuze ini kudokotela wakho
• I-Angina - lapho unezinhlungu esifubeni
• Ukusebenza ngemuva kokuhlaselwa yisifo senhliziyo

• Izimpawu zokuhlaselwa yinhliziyo
• Ubuhlungu bomhlathi nokuhlaselwa yinhliziyo

I-Amsterdam EA, uWenger NK, uBrindis RG, et al. Umhlahlandlela we-2014 AHA / ACC wokuphathwa kweziguli ezine-non-ST-elevation acute coronary syndromes: umbiko we-American College of Cardiology / American Heart Association Task Force on Guidelines Practice. UJ Am Coll Cardiol. 2014; 64 (24): e139-e228. I-PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.

ILungu lePhalamende laseBonaca, iSabatine MS. Sondela esigulini ngobuhlungu besifuba. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 56.

Okunsundu JE. Ubuhlungu besifuba. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 23.

UGoldman L. Indlela eya esigulini enesifo senhliziyo nemithambo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 45.

U-OGara PT, uKushner FG, u-Ascheim DD, et al. Umhlahlandlela we-ACCF / AHA ka-2013 wokuphathwa kwe-ST-elevation myocardial infarction: umbiko we-American College of Cardiology Foundation / American Heart Association Task Force on Guidelines Practice. UJ Am Coll Cardiol. 2013; 61 (4): e78-e140. I-PMID: 23256914 pubmed.ncbi.nlm.nih.gov/23256914/.