Izimbangela ze-14 zesifuba nobuhlungu emuva

-Delile

• Izimbangela
• 1. Isifo senhliziyo
• 2. Angina
• 3. I-Pericarditis
• 4. I-aortic aneurysm
• 5. Embolism yamaphaphu
• 6. Ipulazi
• 7. Isilungulela
• 8. Isilonda se-Peptic
• 9. Amatshe etshe
• 10. Ukuvuvuka kwamaphaphu
• 11. Ukulimala kwemisipha noma ukusetshenziswa ngokweqile
• 12. I-disc ye-Herniated
• 13. Amaswazi
• 14. Umdlavuza
• Imibuzo evame ukubuzwa
• Kungani ubuhlungu ohlangothini lwesobunxele?
• Kungani ubuhlungu ohlangothini lwesokudla?
• Kungani ngizwa ubuhlungu ngemuva kokudla?
• Kungani ngizwa ubuhlungu lapho ngikhwehlela?
• Kungani kubuhlungu lapho ugwinya?
• Kungani ngizwa ubuhlungu ngenkathi ngilala phansi?
• Kungani kuba buhlungu uma ngiphefumula?
• Ukwelashwa
• Imithi noma izidakamizwa
• Izinqubo ezingezona ezokuhlinzwa
• Ukuhlinzwa
• Ezinye izindlela zokwelapha
• Izinguquko zendlela yokuphila
• Ukubonana nodokotela nini
• Okubalulekile

Ngenkathi ungahle uzwe ubuhlungu besifuba noma ubuhlungu beqolo ngenxa yezizathu eziningi, kwezinye izimo ungabathola laba bobabili ngasikhathi sinye.

Kunezimbangela eziningana zalolu hlobo lobuhlungu kanti ezinye zazo zivame kakhulu.

Kodwa-ke, kwesinye isikhathi ubuhlungu besifuba kanye nomhlane kungaba wuphawu lwesimo esibi kakhulu njengokuhlaselwa yinhliziyo. Uma ukholwa ukuthi uhlaselwa yisifo senhliziyo noma unezinhlungu zesifuba ezintsha noma ezingachazeki, kufanele uhlale ufuna ukunakekelwa okuphuthumayo.

Qhubeka nokufunda ukuthola okuningi ngezimbangela ezingaba khona zesifuba nobuhlungu beqolo, ukuthi zelashwa kanjani, nokuthi kufanele ubone nini udokotela.

Izimbangela

Izimbangela ezingaba khona zesifuba esihlangene nobuhlungu bangemuva ziyahlukahluka futhi zingabangelwa yinhliziyo, amaphaphu, noma ezinye izindawo zomzimba.

1. Isifo senhliziyo

Ukuhlaselwa yinhliziyo kwenzeka lapho ukugeleza kwegazi kuye ezicutshini zenhliziyo yakho kuvaleka. Lokhu kungaba ngenxa yegazi noma i-plaque eyakhiwe ezindongeni zemithambo.

Ngenxa yokuthi izicubu azilitholi igazi, ungezwa ubuhlungu esifubeni. Kwesinye isikhathi lobu buhlungu bungadlulela nakwezinye izingxenye zomzimba wakho, njengomhlane, amahlombe nentamo.

Isifo senhliziyo yisimo esiphuthumayo sezokwelapha. Funa usizo ngokushesha uma ukholwa ukuthi uhlangabezana nalo.

2. Angina

I-Angina ubuhlungu obenzeka lapho izicubu zenhliziyo yakho zingatholi igazi elanele. Lokhu kuvame ukubangelwa ukwehla kwegazi ngenxa yokwakhiwa kocwecwe ezindongeni zemithambo yegazi.

I-Angina ivame ukuvela uma uzikhandla. Kodwa-ke, kungenzeka futhi uma uphumule.

Njengobuhlungu besifo senhliziyo, ubuhlungu obuvela ku-angina bungadlulela emuva, entanyeni nasemhlathini. I-Angina ingaba uphawu oluyisixwayiso lokuthi usengozini eyengeziwe yokuhlaselwa yisifo senhliziyo.

3. I-Pericarditis

I-pericardium yisikhwama esigcwele uketshezi esizungeze inhliziyo yakho, sisize ukuyivikela. Lapho i-pericardium ivutha, ibizwa nge-pericarditis.

I-Pericarditis ingabangelwa izinto eziningana ezibandakanya ukutheleleka nezimo zokuzivikela komzimba. Kungenzeka futhi ngemuva kokuhlaselwa yinhliziyo noma ngemuva kokuhlinzwa kwenhliziyo.

Ubuhlungu be-pericarditis budalwa yinhliziyo yakho ekuhlikihlaneni ne-pericardium evuthayo. Ingasakazeka emhlane wakho, ehlombe langakwesobunxele, noma entanyeni.

4. I-aortic aneurysm

I-aorta ingumthambo omkhulu kunayo yonke emzimbeni wakho. I-aortic aneurysm yenzeka lapho udonga lwe-aorta luthamba ngenxa yokulimala noma ukulimala. Ukuqubuka kungenzeka kwenzeke kule ndawo ebuthakathaka.

Uma i-aortic aneurysm iqhekeka ivulekile, ingadala ukopha okusongela impilo.

Ubuhlungu obuvela ku-aortic aneurysm bungancika endaweni yayo. Ubuhlungu bungavela esifubeni, emuva, noma ehlombe nakwezinye izindawo ezifana nesisu.

5. Embolism yamaphaphu

I-pulmonary embolism yenzeka lapho umthambo kwelinye lamaphaphu akho uvinjelwe. Ngokuvamile kubangelwa lapho ihlule legazi elitholakala kwenye indawo emzimbeni wakho liphuma, lihamba phakathi kwegazi, bese lingena emthanjeni wamaphaphu.

Ubuhlungu besifuba uphawu oluvamile lwe-embolism ye-pulmonary, yize izinhlungu zingasabalala ziye emahlombe, entanyeni nasemhlane.

6. Ipulazi

I-pleura ulwelwesi olunemicu emibili. Isendlalelo esisodwa sizigoqa emaphashini akho, kanti esinye sigcizelela isifuba sakho. Lapho i-pleura ivutha, ibizwa ngokuthi i-pleurisy.

I-Pleurisy inezimbangela ezahlukahlukene, kufaka phakathi:

• izifo
• izimo ezizimele
• umdlavuza

Ubuhlungu obuvela ku-pleurisy buba lapho ulwelwesi olubili luvuvuzana. Kungenzeka esifubeni kepha futhi kusabalale kuye emuva nasemahlombe.

7. Isilungulela

Isilungulela ukuzwa okuvuthayo okwenzeka esifubeni sakho, ngemuva nje kwesifuba sakho sesifuba. Kubangelwa lapho i-acid esiswini ihlehlela phezulu emqaleni wakho.

Ngokuvamile, kukhona i-sphincter phakathi kwesisu sakho nomphimbo okuvimbela lokhu ukuthi kungenzeki, kepha kwesinye isikhathi kuyabuthaka noma kungasebenzi kahle.

Isilungulela esivame ukwenzeka futhi sithinte imisebenzi yakho yansuku zonke ibizwa nge-gastroesophageal reflux disease (GERD).

Ubuhlungu besilungulela buhlala esifubeni sakho, kepha kwesinye isikhathi ungabuzwa ngemuva.

8. Isilonda se-Peptic

I-peptic ulcer yenzeka lapho kukhona ikhefu kulwelwesi lwendlela yakho yokugaya ukudla. Lezi zilonda zingenzeka esiswini, emathunjini amancane, nase-esophagus.

Izimo eziningi zezilonda ezibabayo zibangelwa ukutheleleka ngegciwane elibizwa ngokuthi I-Helicobacter pylori. Kungenzeka futhi kubantu abathatha i-aspirin noma ezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID).

Abantu abanezilonda esiswini bangase bazwe isilungulela endaweni yabo yesifuba kanye nobuhlungu besisu. Kwezinye izimo, ubuhlungu bungasakazekela emuva.

9. Amatshe etshe

I-gallbladder yakho isitho esincane esigcina uketshezi lokugaya ukudla olubizwa nge-bile. Kwesinye isikhathi lolu ketshezi lokugaya luqina lube ngamatshe, olungadala izinhlungu.

Ubuhlungu obuvela kuma-gallstones bungatholakala ohlangothini lwesokudla somzimba wakho kepha bungasabalala nasemhlane nasemahlombe akho.

10. Ukuvuvuka kwamaphaphu

Ama-pancreas akho isitho esikhiqiza ama-enzyme asetshenziswa ekugayeni, kanye namahomoni alawula amazinga kashukela emzimbeni wakho. Lapho amanyikwe evutha, lesi simo sibizwa ngokuthi i-pancreatitis.

I-Pancreatitis yenzeka lapho ama-enzyme wokugaya ukudla esebenza ku-pancreas, abangela ukucasuka nokuvuvukala. Lokhu kungenzeka ngezizathu ezahlukahlukene kubandakanya ukutheleleka, ukulimala nomdlavuza.

Ubuhlungu be-pancreatitis benzeka esiswini kodwa futhi bungaphuma buye esifubeni nasemuva.

11. Ukulimala kwemisipha noma ukusetshenziswa ngokweqile

Kwesinye isikhathi isifuba nobuhlungu basemuva kungenzeka kungenxa yokulimala noma ukusetshenziswa ngokweqile kwemisipha. Ukulimala kungenzeka ngenxa yezinto ezifana nezingozi noma ukuwa.

Ukusetshenziswa ngokweqile nakho kungadala ubuhlungu bemisipha. Ukunyakaza okuphindaphindwayo okusetshenziswa emisebenzini yansuku zonke, emsebenzini, noma kwezemidlalo nakho kungaba nomthelela kulokhu. Isibonelo sokusebenza okuphindaphindayo okungadala ubuhlungu bemisipha esifubeni nasemuva siyagwedla.

Ngokuvamile, ubuhlungu bokulimala kwemisipha noma ukusetshenziswa ngokweqile kungaba kubi kakhulu lapho uhambisa indawo ethintekile.

12. I-disc ye-Herniated

Ama-discs omgogodla wakho asebenza njengowokugcina phakathi kwe-vertebrae yakho ngayinye. Idiski ngalinye linegobolondo elingaphandle elinzima nengaphakathi elifana nejeli. Lapho igobolondo langaphandle liba buthakathaka, ingxenye yangaphakathi ingaqala ukuphuma. Lokhu kubizwa nge-disc ye-herniated.

I-disc ye-herniated kwesinye isikhathi ingacindezela noma ukucindezela izinzwa eziseduze, kubangele ukuthi kwenzeke ubuhlungu.

I-nerve pinched entanyeni noma emuva emuva ingadala ubuhlungu ngemuva obuphumela esifubeni futhi bungalingisa ubuhlungu besifo senhliziyo.

13. Amaswazi

Ama-shingles adalwa ukuvuselelwa kwegciwane elibanga ingxibongo (varicella-zoster). Kubangela ukuqubuka okwenziwe ngamabhamuza agcwele uketshezi ukuthi avele futhi kuvame ukuthinta uhlangothi olulodwa lomzimba.

Imvamisa, ama-shingles akha ebhandeni lesikhumba elibizwa nge-dermatome. Kwesinye isikhathi kungadlula esifubeni sakho, ngokwesibonelo kusuka emuva kuya esifubeni. Ubuhlungu obuvela kuma-shingles bungahluka ngamacala, kusuka kobumnene kuya kokubi.

14. Umdlavuza

Eminye imidlavuza ingadala ukuthi izinhlungu zesifuba nezasemhlane zenzeke ndawonye. Izibonelo ezimbili zalokhu umdlavuza wamaphaphu nomdlavuza webele.

Yize ubuhlungu obusendaweni yesifuba kuyisibonakaliso esivamile sale mdlavuza, ubuhlungu bangemuva bungenzeka futhi.

Cishe amaphesenti angama-25 abantu abanomdlavuza wamaphaphu babika ubuhlungu emuva emuva kwesinye isikhathi. Lokhu kungabangelwa isimila esidudula umgogodla noma izinzwa ezizungezile.

Lapho umdlavuza webele ususabalele kwezinye izingxenye zomzimba (metastasized), ungaholela ezinhlungwini zasemhlane.

Imibuzo evame ukubuzwa

Njengoba sibonile ngenhla, kunezimbangela eziningi ezahlukene zesifuba nobuhlungu emuva. Ngakho-ke ungawahlukanisa kanjani komunye nomunye?

Kwesinye isikhathi indawo noma isikhathi sobuhlungu kungakunika umkhondo wembangela.

Kungani ubuhlungu ohlangothini lwesobunxele?

Inhliziyo yakho igxile kakhulu ohlangothini lwesobunxele sesifuba sakho. Ngakho-ke, ubuhlungu ohlangothini lwesobunxele besifuba sakho bungabangelwa:

• isifo senhliziyo
• angina
• i-pericarditis
• i-aortic aneurysm

Kungani ubuhlungu ohlangothini lwesokudla?

I-gallbladder yakho itholakala ngakwesokudla komzimba wakho. Ubuhlungu kule ndawo, obungasakazeka ehlombe lakho langakwesokudla noma phakathi kwamahlombe akho ehlombe, kungaba uphawu lwenyongo.

Kungani ngizwa ubuhlungu ngemuva kokudla?

Kwesinye isikhathi ungaqaphela ukuthi isifuba sakho noma izinhlungu zasemhlane zenzeka ngemuva nje kokudla. Izimo ezinjengesilungulela kanye ne-pancreatitis zingakubangela lokhu.

Kumele futhi kuqashelwe ukuthi ubuhlungu obuvela ezilondeni ezinama-peptic kungenzeka uma unesisu esingenalutho. Kwezinye izimo, ukudla kungasiza ekudambiseni ubuhlungu.

Kungani ngizwa ubuhlungu lapho ngikhwehlela?

Ezinye izimbangela zesifuba nobuhlungu beqolo ziba zimbi kakhulu ngenkathi ukhwehlela. Lokhu kungenzeka nge:

• i-pericarditis
• embolism yamaphaphu
• ubuningi
• umdlavuza wamaphaphu

Kungani kubuhlungu lapho ugwinya?

Kwezinye izimo, ungazizwa ubuhlungu lapho ugwinya.

Izimbangela zobuhlungu besifuba kanye nomhlane ezingadala ubuhlungu ngenkathi zigwinya zibandakanya i-pericarditis ne-aortic aneurysm, uma i-aneurysm icindezela i-esophagus.

Kungani ngizwa ubuhlungu ngenkathi ngilala phansi?

Uke waphawula ukuthi ubuhlungu bakho buba bukhulu lapho ulala phansi? Izimo ezinjenge-pericarditis nesilungulela singenza isifuba nobuhlungu beqolo kubhebhetheke uma ulele.

Kungani kuba buhlungu uma ngiphefumula?

Imvamisa, izimo ezithinta indawo ezungeze inhliziyo namaphaphu zingadala izinhlungu lapho uphefumula, ikakhulukazi uma uphefumula kakhulu. Ezinye izibonelo zifaka:

• i-pericarditis
• embolism yamaphaphu
• ubuningi
• umdlavuza wamaphaphu

Ukwelashwa

Uhlobo luni lwezokwelapha ozoluthola esifubeni nasebuhlungwini obuya emuva kuzoya ngokuthi yini ebangela ubuhlungu. Ngezansi, sizohlola ezinye izindlela zokwelashwa ongazithola.

Imithi noma izidakamizwa

Kwezinye izimo, imithi ingabhalwa ukusiza ukuphatha isimo sakho. Ezinye izibonelo zifaka:

• imithi ye-over-the-counter (OTC) yokusiza ngobuhlungu nokuvuvukala, njengezidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• ukwelashwa ngokushesha kokuhlaselwa yisifo senhliziyo, njenge-aspirin, i-nitroglycerin, nemithi yokuqinisa amahlwili
• imishanguzo yokusiza ukwehlisa umfutho wegazi noma ukuvimbela ubuhlungu besifuba namahlule egazi afana ne-ACE inhibitors, ama-beta-blockers, kanye nabanciphisi begazi
• izinciphisi zegazi nemithi yokuvala amahlwili ukuqeda amahlule egazi kubantu abane-pulmonary embolism
• imithi elwa namagciwane noma elwa namagciwane yokwelapha izimo ezingabangelwa ukutheleleka, njenge-pericarditis kanye ne-pleurisy
• imishanguzo yokudambisa isilungulela okubandakanya ama-antacids, ama-H2 blocker, kanye ne-proton pump inhibitors
• imishanguzo ecindezela i-asidi, evame ukuhlanganiswa nama-antibiotic, yokwelapha izilonda ezinezilonda
• imithi yokuqeda inyongo
• imishanguzo yokwelapha imishanguzo yokwelapha ukuqubuka kwesikhumba
• i-chemotherapy yokubulala amaseli womdlavuza

Izinqubo ezingezona ezokuhlinzwa

Izinqubo ezingezona ezokwelapha nazo zingasiza ekwelapheni izimo ezibanga ubuhlungu besifuba kanye nomhlane. Ezinye izibonelo yilezi:

• ukungenelela kwe-coronary percutaneous (PCI) ukwelapha isifo senhliziyo noma i-angina engalawulwa
• izinqubo zokukhipha uketshezi okungenzeka ukuthi kuqoqwe endaweni evuvukele, njenge-pericarditis noma i-pleurisy

Ukuhlinzwa

Kwesinye isikhathi, ukuhlinzwa kungadingeka ukwelapha isimo esidala isifuba noma izinhlungu emuva.

Lokhu kungafaka:

• ukuhlinzwa kwenhliziyo ukwelapha isifo senhliziyo noma i-angina engalawuleki
• ukulungiswa kokuhlinzwa kwama-aortic aneurysms, okungenziwa ngokuhlinzwa okuvulekile kwesifuba noma ngokuhlinzwa kwe-endovascular
• ukususwa kwe-gallbladder uma unezinyongo eziphindaphindayo
• ukuhlinzwa ukwelapha i-disc ye-herniated, engahle ifake ukukhishwa kwe-disc
• ukususwa kwezicubu ezinomdlavuza emzimbeni wakho

Ezinye izindlela zokwelapha

Kwezinye izimo, ukwelashwa ngokomzimba kungadingeka ukuphatha imbangela yesifuba sakho noma ubuhlungu bomhlane. Izibonelo zokuthi lapho lokhu kungadingeka lapho ululama kwi-disc ye-herniated noma ekulimaleni kwemisipha.

Ngokwengeziwe, ukuhlinzwa nokwelashwa ngamakhemikhali akuzona kuphela izindlela zokwelapha ezitholakalayo zomdlavuza. Ukwelashwa ngemisebe, ukwelashwa okuhlosiwe, noma i-immunotherapy kunganconywa.

Izinguquko zendlela yokuphila

Izinguquko zendlela yokuphila zingaba usizo ekwelapheni noma ekuvimbeleni ezinye izimbangela zesifuba nobuhlungu emuva. Izibonelo zezinguquko zendlela yokuphila ezingaba yingxenye yohlelo lwakho lokwelashwa zifaka:

• ukudla ukudla okunempilo kwenhliziyo
• uqiniseke ukuthi uvivinya umzimba njalo
• ukugcina isisindo esinempilo
• ukuphatha amazinga akho okucindezeleka
• ukugwema osikilidi noma eminye imikhiqizo kagwayi
• kunciphisa inani lotshwala obudlayo
• ukuzama ukugwema ukudla okungacasula izimo ezifana nokushiswa yinhliziyo, njengokunonga okubabayo, okune-acid, nokudla okunamafutha

Ukubonana nodokotela nini

Kufanele njalo ufune usizo lwezempilo ngokushesha uma uhlangabezana nezimpawu zesifo senhliziyo.

Izimpawu okufanele uziqaphele zifaka:

• ubuhlungu besifuba noma ingcindezi
• ubuhlungu obudlulela ezingalweni zakho, emahlombe, entanyeni, noma emhlathini
• ukuphelelwa umoya
• isicanucanu
• ukukhathala
• uzizwa unesiyezi noma unekhanda elincane
• aqhume umjuluko obandayo

Kubalulekile futhi ukukhumbula ukuthi kwesinye isikhathi isifo senhliziyo singaba nezimpawu ezimnene noma ezingekho nhlobo. Uma ungabaza, funa ukunakekelwa.

Kufanele wenze i-aphoyintimenti nodokotela wakho ukuze nixoxe ngezimpawu zakho uma unezinhlungu esifubeni nasemhlane:

• ayihambi noma iba yimbi, yize usebenzisa imishanguzo ye-OTC
• kuyaphikelela noma kuyenzeka kaningi
• kuphazamisa imisebenzi yakho yansuku zonke

Okubalulekile

Kunezimbangela eziningi ezingaba khona zesifuba nobuhlungu beqolo ezenzeka ndawonye. Zingahlobene nenhliziyo, amaphaphu, noma ezinye izitho zomzimba.

Ezinye izimbangela zalolu hlobo lobuhlungu azinzima. Kodwa-ke, kufanele njalo uthathe ubuhlungu besifuba ngokungathi sína. Kwezinye izimo, ubuhlungu besifuba kungaba uphawu lwesimo esisongela impilo njengokuhlaselwa yinhliziyo.

Uma uzwa ubuhlungu besifuba obuza ngokungazelelwe noma ukholelwa ukuthi uhlaselwa yisifo senhliziyo, funa usizo oluphuthumayo lwezokwelapha.