Yini Ebangela Ubuhlungu Besifuba Kanye Nesiyezi?

-Delile

• Yini ebangela ubuhlungu besifuba nesiyezi?
• Ukukhathazeka
• Umfutho wegazi ophezulu
• Ukuhlaselwa uvalo
• Igesi emathunjini
• Angina
• Isifo senhliziyo
• I-Arrhythmia
• Isifo senhliziyo
• Migraine
• Ubuthi bokudla
• I-Atrial fibrillation
• I-Mitral valve prolapse
• I-Cardiomyopathy
• Umfutho wegazi ophezulu wamaphaphu
• I-aortic stenosis
• Ubuhlungu besifuba nesiyezi eceleni kwezinye izimpawu
• Ubuhlungu besifuba, isiyezi, nekhanda
• Ubuhlungu besifuba, isiyezi, isicanucanu, nekhanda
• Ubuhlungu besifuba, isiyezi, nezindlebe ezishayayo
• Ukuhlonza imbangela eyimbangela
• Ukwelapha ubuhlungu besifuba ngesiyezi
• Izinguquko zendlela yokuphila
• Imithi kadokotela
• Ukwelulekwa ngokwengqondo
• I-Pacemaker
• Ukuhlinzwa kwe-Valve
• Ukudla okudlela endlini

Ubuhlungu besifuba nesiyezi yizimpawu ezivamile zezimbangela eziningi ezingaphansi. Zivame ukuvela zodwa, kepha zingenzeka ndawonye.

Ngokuvamile, ubuhlungu besifuba obunesiyezi akuyona imbangela yokukhathazeka. Lokhu kuyiqiniso ikakhulukazi uma izimpawu zakho ziphela ngokushesha. Kulokhu, ungavakashela udokotela uma ukhathazekile.

Kepha uma ubuhlungu besifuba nesiyezi buhlala isikhathi esingaphezu kwemizuzu engu-15, shayela u-911 noma inombolo yakho ephuthumayo yasendaweni. Kufanele futhi uthole usizo oluphuthumayo uma ungakwazi ukuphefumula noma uma izinhlungu zisakazekela kwezinye izingxenye zomzimba.

Funda ukuze ufunde izimbangela ezingaba khona, izimpawu ezihambisanayo, nezinketho zokwelashwa.

Yini ebangela ubuhlungu besifuba nesiyezi?

Izimbangela zobuhlungu besifuba kanye nesiyezi ububanzi nohlobo nobunzima. Naka izimpawu zakho, ezingakusiza unqume imbangela eyimbangela yalokhu.

Ukukhathazeka

Kuyinto evamile ukuzizwa ukhathazeka njalo. Kepha uma ukukhathazeka kuyanda, noma uma unesifo sokukhathazeka, ungahle uzwe ubuhlungu besifuba nesiyezi.

Ungase futhi ube:

• ikhanda
• umlomo owomile
• ukuphefumula okusheshayo (hyperventilation)
• ukushaya kwenhliziyo okusheshayo
• ukuphefumula okungajwayelekile
• isicanucanu
• ethuthumela
• Ukugodola
• ukukhathazeka ngokweqile
• ukukhathala
• izinkinga zamathumbu

Umfutho wegazi ophezulu

Uma unengcindezi ephezulu yegazi, amandla egazi emithanjeni yakho aphakeme kakhulu. Kubizwa nangokuthi umfutho wegazi ophezulu futhi imvamisa akubangeli izimpawu zokuqala.

Ezimweni ezinzima noma ezithuthukile, umfutho wegazi ophakeme uhlotshaniswa ne:

• ubuhlungu besifuba
• ikhanda
• isiyezi
• isicanucanu
• ukuhlanza
• ukukhathala
• ukungahlaliseki
• ukuphelelwa umoya
• ukungaboni kahle
• izindlebe ezishayayo

Ukuhlaselwa uvalo

Ukuhlaselwa ngokwesaba kuyisiqephu esingazelelwe sokukhathazeka okukhulu. Kubandakanya ezine noma ngaphezulu zalezi zimpawu ezilandelayo:

• ubuhlungu besifuba
• isiyezi
• ubumhlophe
• ukushaya kwenhliziyo
• ethuthumela
• umuzwa wokuklinya
• isicanucanu
• izinkinga zokugaya ukudla
• ukuzizwa ushisa kakhulu noma ubanda
• ukujuluka
• ukuphelelwa umoya
• ukuba ndikindiki noma ukuhayiza
• ngizizwa ngihlukanisiwe neqiniso
• ukwesaba ukufa

Kungenzeka futhi ukuba nokuhlaselwa ukwethuka okunophawu olulinganiselwe, okubandakanya izimpawu ezingaphansi kwezine.

Igesi emathunjini

Wonke umuntu unegesi emathunjini (umoya osendleleni yokugaya ukudla). Uma igesi yanda, ungahle uzwe:

• ubuhlungu besisu
• ukubhoboza
• ukuqumba (ukudlula igesi)
• umuzwa wokugcwala (ukuqunjelwa)

Uma unezinhlungu ezingaphezulu kwesisu, ungabuzwa esifubeni. Ubuhlungu bungase futhi buholele ekucanuzelweni yinhliziyo noma ngesiyezi.

Angina

I-Angina, noma ubuhlungu besifuba, benzeka lapho ingxenye yenhliziyo yakho ingatholi igazi elanele. Kuvame ukuvela ngesikhathi sokuzivocavoca umzimba, kepha kungenzeka futhi ekuphumuleni.

I-Angina ehlala imizuzu eminingana ingaba uphawu lokuhlaselwa yisifo senhliziyo. Shayela u-911 ngokushesha uma unezinhlungu esifubeni nge:

• isiyezi
• ukuphelelwa umoya
• isicanucanu
• ukukhathala
• ubuthakathaka
• ukujuluka

Isifo senhliziyo

Isifo senhliziyo yisikhathi sesambulela sezimo ezihlobene nenhliziyo. Kungabandakanya izici eziningi zenhliziyo, kufaka phakathi isigqi senhliziyo, imithambo yegazi, noma imisipha.

Ngenkathi izinhlobo ezahlukahlukene zesifo senhliziyo zidala izimpawu ezahlukahlukene, ngokuvamile zibangela:

• ubuhlungu besifuba, ukuqina, noma ingcindezi
• ukuphelelwa umoya
• isiyezi
• ukuquleka
• ukukhathala
• ukushaya kwenhliziyo okungajwayelekile

Isifo senhliziyo singadala izinkinga eziningi, ngakho-ke kungcono ukufuna usizo ngokushesha uma unalezi zimpawu.

I-Arrhythmia

I-Arrhythmia, noma i-dysrhythmia, ukushaya kwenhliziyo okungavamile. Lokhu kwenzeka lapho inhliziyo ishaya ngokungafani, ishesha kakhulu, noma ihamba kancane.

Uma une-arrhythmia, ungahle uzwe ubuhlungu besifuba nesiyezi. Ezinye izimpawu zifaka:

• ukweqa ukushaya kwenhliziyo
• ubumhlophe
• ukuphelelwa umoya
• ukujuluka

Isifo senhliziyo

Imithambo yakho yegazi ithumela igazi elinomoya-mpilo enhliziyweni. Kepha uma umthambo uvinjelwa ngoqwembe, lokhu kuphuma kwegazi kuyaphazamiseka.

Umphumela uba ukuhlaselwa yinhliziyo, noma i-infarction ye-myocardial. Izimpawu ezijwayelekile zifaka:

• Ubuhlungu besifuba obudlulela ezingalweni zakho, emhlathini, entanyeni, noma emuva
• isiyezi esingazelelwe
• umjuluko obandayo
• ukukhathala
• ukuphelelwa umoya
• isicanucanu
• isilungulela
• ubuhlungu besisu

Isifo senhliziyo yisimo esiphuthumayo sezokwelapha. Uma ucabanga ukuthi unesifo senhliziyo, shayela ku-911 ngokushesha.

Migraine

I-Migraine yisimo sezinzwa esibangela ikhanda elibuhlungu, elibuhlungu. Ubuhlungu besifuba akusona isibonakaliso esivamile, kodwa kungenzeka ukuthi ube naso ngesikhathi se-migraine.

Ezinye izimpawu zifaka:

• isiyezi
• ubumhlophe
• isicanucanu
• ukuhlanza
• ukuzwela ekukhanyeni noma emsindweni
• ukujuluka
• ngizwe kubanda
• umbono uyashintsha
• izindlebe ezishayayo

Ubuthi bokudla

Ubuthi bokudla benzeka lapho udla ukudla okungcoliswe ngamagciwane ayingozi. Lokhu kungadala:

• amajaqamba esiswini
• ubuhlungu begesi obungasakazeka esifubeni
• isifo sohudo
• ukuhlanza
• imfiva
• isicanucanu

Uma unomkhuhlane ophakeme noma uphelelwa amanzi emzimbeni, ungazizwa usenesiyezi.

I-Atrial fibrillation

I-Atrial fibrillation uhlobo lwe-arrhythmia lapho inhliziyo ishaya khona ngokushesha okukhulu. Kuthinta amakamelo enhliziyo, aphazamisa ukugeleza kwegazi kuye emzimbeni wonke.

Lokhu kungadala ubuhlungu besifuba nesiyezi, kanye ne:

• ukushaya kwenhliziyo
• ukukhathala
• inkinga yokuphefumula
• ukuquleka
• umfutho wegazi ophansi

I-Mitral valve prolapse

I-mitral valve yenhliziyo imisa igazi ukuba lingageleki emuva ngokuvala njalo. Kepha ku-mitral valve prolapse (MVP), i-valve ayivaleki kahle.

I-MVP ayibangeli izimpawu njalo. Kepha uma kwenzeka, ungahle ube:

• ubuhlungu besifuba
• isiyezi
• ukubekezelelana
• ukukhathazeka
• i-hyperventilation
• ukushaya kwenhliziyo

I-Cardiomyopathy

Ku-cardiomyopathy, imisipha yenhliziyo inenkinga yokupompa igazi ngoba likhulu kakhulu noma likhulu. Kunezinhlobo ezahlukahlukene, kufaka phakathi i-hypertrophic cardiomyopathy kanye ne-cardiomyopathy ebanzi.

I-cardiomyopathy ethuthukile ingadala:

• ubuhlungu besifuba, ikakhulukazi ngemuva kokudla okunzima noma ukuvivinya umzimba
• isiyezi
• ubumhlophe
• ukuquleka ngesikhathi sokuvivinya umzimba
• ukushaya kwenhliziyo okungajwayelekile
• ukububula kwenhliziyo
• ukukhathala
• ukuphelelwa umoya
• ukuvuvukala emilenzeni, esiswini, nasemithanjeni yentamo

Umfutho wegazi ophezulu wamaphaphu

Kumfutho wegazi ophakeme wamaphaphu, umfutho wegazi ophakeme uvela emaphashini. Ifaka imithambo yegazi ohlangothini lokunene lwenhliziyo, oluphoqeleka ukuthi lusebenze kanzima ngokwengeziwe.

Kanye nobuhlungu besifuba nesiyezi, izimpawu zifaka:

• ubumhlophe
• imilenze evuvukele
• ukukhwehlela okomile
• ukuphelelwa umoya
• ukushaya kwenhliziyo
• izindebe eziluhlaza okwesibhakabhaka noma isikhumba (cyanosis)
• ukukhathala
• ubuthakathaka
• ukukhathala

I-aortic stenosis

Enhliziyweni, i-aortic valve ixhuma i-ventricle engakwesokunxele ne-aorta. Uma ukuvuleka kwe-valve kuba mncane, kubizwa ngokuthi i-aortic stenosis.

Lesi yisimo esibi kakhulu, ngoba singanciphisa ukugeleza kwegazi lisuke enhliziyweni yakho liye kuwo wonke umzimba wakho. Njengoba i-aortic stenosis iqhubeka, ingadala ubuhlungu besifuba nesiyezi, kanye ne:

• ukuquleka
• ukuphelelwa umoya
• ingcindezi yesifuba
• ukushaya kwenhliziyo
• ukushaya kwenhliziyo
• ubuthakathaka
• ukuquleka

Ubuhlungu besifuba nesiyezi eceleni kwezinye izimpawu

Ngokuya ngesizathu esiyimbangela, ubuhlungu besifuba nesiyezi bungabonakala nezinye izimpawu. Lokhu kufaka:

Ubuhlungu besifuba, isiyezi, nekhanda

Uma ubuhlungu besifuba sakho nesiyezi kuhambisana nekhanda, ungahle ube:

• ukukhathazeka
• migraine
• umfutho wegazi ophakeme

Ubuhlungu besifuba, isiyezi, isicanucanu, nekhanda

Imvamisa, ubuhlungu besifuba kanye nesiyezi esibe nesicanucanu nekhanda kuhlobene ne:

• ukukhathazeka
• migraine
• umfutho wegazi ophakeme
• ukudla okunoshevu

Ubuhlungu besifuba, isiyezi, nezindlebe ezishayayo

Izimbangela ezingaba khona zobuhlungu besifuba nesiyezi ngezindlebe zokukhala zifaka:

• ukukhathazeka
• ukwethuka
• migraine
• umfutho wegazi ophakeme

Ukuhlonza imbangela eyimbangela

Udokotela uzosebenzisa izivivinyo eziningana ukuthola ukuthi yini ebangela izimpawu zakho. Lokhu kuzobandakanya:

• Ukuhlolwa ngokomzimba. Udokotela uzohlola isifuba sakho, intamo nekhanda lakho. Bazolalela nokushaya kwenhliziyo yakho futhi balinganise umfutho wegazi lakho.
• Umlando wezokwelapha. Lokhu kusiza udokotela ukuthi aqonde ubungozi bakho bezimo ezithile.
• Ukuhlola ukuhlolwa. Ungase uthole i-X-ray ne-CT scan esifubeni. Lezi zivivinyo zithatha izithombe eziningiliziwe zenhliziyo yakho, amaphaphu nemithambo yegazi.
• Ukuhlolwa kwegazi. Ezinye izimo ezihlobene nenhliziyo zandisa amazinga egazi amaprotheni noma ama-enzyme. Udokotela angayalela ukuhlolwa kwegazi ukukala la mazinga.
• I-Electrocardiogram (ECG noma i-EKG). I-ECG ilinganisa umsebenzi kagesi wenhliziyo yakho. Imiphumela ingasiza udokotela wenhliziyo ukuthi anqume ukuthi ngabe ingxenye ethile yemisipha yenhliziyo ilimele.
• I-Echocardiogram. I-echocardiogram isebenzisa amaza omsindo ukuthatha ividiyo yenhliziyo yakho, engasiza ekuboneni izinkinga zemisipha yenhliziyo.
• Ukuhlolwa kwengcindezi. Isivivinyo sokucindezeleka sihlola ukuthi ukuzikhandla komzimba kuyithinta kanjani inhliziyo yakho nemithambo yegazi. Isibonelo esivamile ukuhamba esitimeleni ngenkathi uxhunywe kumqapha wenhliziyo.
• I-Angiogram. Lokhu kwaziwa nangokuthi i-arteriogram, lokhu kuhlolwa kusiza udokotela ukuthola imithambo eyonakele. Udayi ufakwa emithanjeni yegazi yenhliziyo yakho, okwenza kube lula ukuwabona kwi-X-ray.

Ukwelapha ubuhlungu besifuba ngesiyezi

Inhloso yokwelashwa ukuphatha isimo esingaphansi. Ngakho-ke, uhlelo lokwelashwa oluhamba phambili luxhomeke kulokho okubangela izimpawu zakho. Kungabandakanya:

Izinguquko zendlela yokuphila

Ezinye izimbangela zobuhlungu besifuba nesiyezi zingaphathwa ekhaya. Ngokungeziwe ekwelashweni, lezi zinguquko ezilandelayo zendlela yokuphila zingasiza:

• ukuzivocavoca umzimba njalo
• ukugwema noma ukunciphisa umkhawulo wotshwala
• ukuyeka ukubhema
• ukuphathwa kwengcindezi
• imikhuba yokudla enempilo, njengokunciphisa ukudla usawoti

Ngokuqondile, la makhambi asekhaya alungele ukulawula:

• ukukhathazeka
• umfutho wegazi ophakeme
• migraine
• Isifo senhliziyo
• isifo senhliziyo

Imithi kadokotela

Ezimweni eziningi ezihlobene nenhliziyo, udokotela kungenzeka anikeze umuthi. Ngokuvamile, le mithi isiza ngokunciphisa umfutho wegazi noma ngokulawula ukushaya kwenhliziyo okungajwayelekile.

Imithi esetshenziselwa izimo zenhliziyo ifaka phakathi:

• Ama-ACE inhibitors
• ama-angiotensin receptor blockers
• abavimba isiteshi se-calcium
• isisu
• beta blocker

Ungathola nemithi kadokotela yokuphazamiseka kokukhathazeka noma i-migraine.

Ukwelulekwa ngokwengqondo

Ukwelulekwa ngokwengqondo kusetshenziselwa ukuphatha ukuphazamiseka kokukhathazeka. Lokhu kunganciphisa nengozi yokuhlaselwa ukwethuka kanye ne-migraine ekhanda, engadalwa ukukhathazeka.

I-Pacemaker

Uma une-arrhythmia, ungadinga idivaysi yezokwelapha ebizwa nge-pacemaker. Le divayisi ifakwe esifubeni sakho futhi ilawula ukushaya kwenhliziyo yakho.

Ukuhlinzwa kwe-Valve

Ezimweni ezinzima ze-aortic stenosis kanye ne-mitral valve prolapse, ukuhlinzwa kungadingeka. Lokhu kungafaka ukufaka esikhundleni se-valve noma ukukhanda.

Ukudla okudlela endlini

Izimo eziningi zobuhlungu besifuba ngesiyezi azimbi kakhulu. Kodwa-ke, kufanele uthole usizo oluphuthumayo uma izimpawu zakho zihlala ngaphezu kwemizuzu engu-15. Lokhu kungakhombisa ukumelwa yinhliziyo.

Ngosizo lukadokotela, kungenzeka ukuphatha izimo ezingaphansi kobuhlungu besifuba nesiyezi. Hlala ulandela izincomo zikadokotela ukuthola imiphumela emihle.