Yini Ebangela Ubuhlungu Bami Besifuba Nekhanda?
-Delile
- Izimbangela ezingaba khona zesifuba nobuhlungu bekhanda
- Ukucindezeleka
- Umfutho wegazi ophezulu
- Isifo seLegionnaires
- ILupus
- Migraines
- Ukopha okungaphansi kwe-Subarachnoid
- Ezinye izimbangela
- Izimbangela ezingahlobene
- Odokotela bazihlola kanjani lezi zimpawu?
- Izimpawu ezingeziwe
- Zelashwa kanjani lezi zimo?
- Umbono
Ukubuka konke
Ubuhlungu besifuba ngesinye sezizathu ezivame kakhulu ukuthi abantu bafune ukwelashwa. Njalo ngonyaka, cishe abantu abayizigidi ezingama-5.5 bathola ukwelashwa kobuhlungu besifuba.Kodwa-ke, cishe kumaphesenti angama-80 kuya kwangu-90 alaba bantu, ubuhlungu babo abuhlobene nenhliziyo yabo.
Ukuphathwa yikhanda nakho kuvamile. Ezimweni ezingavamile, abantu bangathola ikhanda ngesikhathi esifanayo bezwa ubuhlungu besifuba. Lapho lezi zimpawu zenzeka ndawonye, zingakhombisa ukuba khona kwezimo ezithile.
Qaphela ukuthi noma ngabe ubuhlungu besifuba nekhanda kungahlobene nesimo esibi, njengokuhlaselwa yinhliziyo noma isifo sohlangothi, izimbangela eziningi zobuhlungu besifuba zidinga ukunakekelwa okuphuthumayo kwezokwelapha.
Izimbangela ezingaba khona zesifuba nobuhlungu bekhanda
Ubuhlungu besifuba nekhanda akuvamile ukwenzeka ndawonye. Izimo eziningi ezihlangene zombili nazo azivamile. Isimo esingajwayelekile kakhulu esibizwa ngokuthi i-cardiac cephalgialialimits flow flow to the heart, okuholela ebuhlungwini besifuba kanye nasekhanda. Ezinye izimbangela zokuxhuma lezi zibandakanya:
Ukucindezeleka
Kukhona ubudlelwane phakathi kwengqondo nomzimba. Lapho umuntu ehlangabezana nokudangala noma ngokweqile, imizwa ehlala isikhathi eside yokudabuka noma yokuphelelwa yithemba, izimpawu zekhanda nobuhlungu besifuba kungenzeka. Abantu abanesifo sokudangala bavame ukubika izimpawu zomzimba ezinjengobuhlungu beqolo, ikhanda, nobuhlungu besifuba, okungenzeka noma kungahlobene nokwenziwa kwesikhathi.
Umfutho wegazi ophezulu
Umfutho wegazi ophezulu (umfutho wegazi ophakeme) awubangeli zimpawu ngaphandle kwalapho kungalawulwa noma kuphela isigaba. Kodwa-ke, lapho umfutho wegazi uphakama kakhulu, ungaba nobuhlungu besifuba nekhanda.
Umbono wokuthi umfutho wegazi ophakeme ubanga ikhanda uqukethe impikiswano. Ngokusho kwe-American Heart Association, ubufakazi bokuthi ikhanda elibuhlungu imvamisa liyimiphumela emibi yomfutho wegazi ophakeme kakhulu. Umfutho wegazi ongadala izimpawu kungaba ukucindezelwa kwe-systolic (inombolo ephezulu) enkulu kune-180 noma i-diastolic pressure (inombolo engezansi) enkulu kune-110. Ubuhlungu besifuba ngezikhathi zomfutho wegazi ophakeme kakhulu kungenzeka buhlobene nobunzima obengeziwe enhliziyweni .
Isifo seLegionnaires
Esinye isimo esifaka phakathi ubuhlungu besifuba nekhanda yisifo esithathelwanayo esibizwa ngeLegionnaires ’disease. Amagciwane Legionella pneumophila kubangela lesi sifo. Isakazeka kakhulu lapho abantu behogela amaconsi amanzi angcoliswe i- L. pneumophila amagciwane. Imithombo yala magciwane ifaka phakathi:
- amabhavu ashisayo
- imithombo
- amachibi okubhukuda
- imishini yokwelapha ngokomzimba
- izinhlelo zamanzi ezingcolile
Ngaphezu kobuhlungu besifuba nobuhlungu bekhanda, isimo singadala izimpawu ezifana nalezi:
- umkhuhlane omkhulu
- ukukhwehlela
- ukuphelelwa umoya
- isicanucanu
- ukuhlanza
- ukudideka
ILupus
I-Lupus yisifo esizimele lapho amasosha omzimba ehlasela izicubu ezinempilo. Inhliziyo iyisitho esithinteka kakhulu. I-Lupus ingaholela ekuvukeleni ezinhlakeni ezahlukahlukene zenhliziyo yakho, okungadala ubuhlungu besifuba. Uma ukuvuvukala kwe-lupus nakho kudlulela nasemithanjeni yegazi, kungadala ikhanda. Ezinye izimpawu zingafaka:
- ukungaboni kahle
- ukulahlekelwa isifiso sokudla
- imfiva
- izimpawu ze-neurologic
- ukuqubuka kwesikhumba
- umchamo ongajwayelekile
Migraines
Ngokusho kocwaningo lwango-2014 olushicilelwe kwiJournal of Emergency Medicine, ubuhlungu besifuba bungaba uphawu lwekhanda elibuhlungu. Noma kunjalo, lokhu akuvamile. Ikhanda le-Migraine yizinhlungu ezinzima ezingahlobene nokungezwani noma ama-sinus. Abaphenyi abazi ukuthi yini ebangela ukuthi ubuhlungu besifuba bube nomphumela we-migraine. Kepha ukwelashwa kwe-migraines kuzosiza ukuxazulula lobu buhlungu besifuba.
Ukopha okungaphansi kwe-Subarachnoid
I-subarachnoid hemorrhage (SAH) yisimo esibi esiphumela lapho kuphuma ukopha esikhaleni se-subarachnoid. Lesi yisikhala esiphakathi kobuchopho nezicubu ezincane ezisimbozayo. Ukuba nokulimala ekhanda noma ukuphaphazeka kwegazi, noma ukuthatha izinciphisi zegazi, kungaholela ekuqunjelweni yisifo se-subarachnoid. Ukuphathwa yikhanda lokuduma yizimpawu ezivame kakhulu. Lolu hlobo lwekhanda lunzima futhi luqala kungazelelwe. Ezinye izimpawu zingabandakanya:
- ubuhlungu besifuba
- ubunzima bokuzivumelanisa namalambu akhanyayo
- ukuqina kwentamo
- umbono ophindwe kabili (idiplopia)
- ukuguquka kwemizwelo
Ezinye izimbangela
- inyumoniya
- ukukhathazeka
- I-costochondritis
- isilonda peptic
- Isifo sokudlela saseChina
- i-delrium yokuhoxiswa kotshwala (AWD)
- isifo senhliziyo
- unhlangothi
- isifo sofuba
- umfutho ophakeme wegazi (isibhedlela esinoxinzelelo oluphezulu)
- i-systemic lupus erythematosus (SLE)
- i-fibromyalgia
- sarcoidosis
- i-anthrax
- ubuthi be-carbon monoxide
- mononucleosis esithathelwanayo
Izimbangela ezingahlobene
Kwesinye isikhathi umuntu uba nobuhlungu besifuba njengophawu lwesimo esisodwa nekhanda elibuhlungu njengesimpawu sesimo esehlukile. Lokhu kungaba njalo uma unesifo sokuphefumula futhi unamanzi emzimbeni. Noma ngabe lezi zimpawu ezimbili azihlobene ngqo, zingaba imbangela yokukhathazeka, ngakho-ke kungcono ukufuna usizo lwezempilo.
Odokotela bazihlola kanjani lezi zimpawu?
Ubuhlungu besifuba nekhanda yizinto ezimbili eziphathelene nezimpawu. Udokotela wakho uzoqala inqubo yokuxilonga ngokukubuza ngezimpawu zakho. Imibuzo ingafaka:
- Zaqala nini izimpawu zakho?
- Kubi kangakanani ubuhlungu besifuba sakho esikalini sika-1 kuye ku-10? Libi kangakanani ikhanda lakho esikalini sika-1 kuye ku-10?
- Ungabuchaza kanjani ubuhlungu bakho: obukhali, obubuhlungu, obushisayo, obushaywayo, noma okuhlukile?
- Ingabe kukhona noma yini okwenza ubuhlungu bakho bube nzima noma bube ngcono?
Uma unezinhlungu esifubeni, udokotela wakho kungenzeka a-oda i-electrocardiogram (EKG). I-EKG ilinganisa ukuqhutshwa kukagesi kwenhliziyo yakho. Udokotela wakho angabheka i-EKG yakho bese uzama ukuthola ukuthi ngabe inhliziyo yakho ingaphansi kwengcindezi.
Udokotela wakho uzophinde ahlele ukuhlolwa kwegazi okubandakanya:
- Qedela ukubalwa kwegazi. Amaseli egazi aphakeme angasho ukutholakala kokutheleleka. Amaseli abomvu aphansi kanye / noma ukubalwa kweplatelet kungasho ukuthi wopha.
- Ama-enzyme enhliziyo. Ama-enzyme enhliziyo aphakeme angasho ukuthi inhliziyo yakho ingaphansi kwengcindezi, njengasesikhathini sokuhlaselwa yinhliziyo.
- Amasiko egazi. Lezi zivivinyo zinganquma ukuthi amabhaktheriya avela ekutheleleni akhona egazini lakho.
Uma kudingeka, udokotela wakho angaphinde a-ode izifundo zokuthwebula izithombe, njenge-CT scan noma i-X-ray yesifuba. Ngenxa yokuthi kunezimbangela eziningi zalezi zimpawu ezimbili, udokotela wakho kungadingeka a-oda izivivinyo eziningi ngaphambi kokwenza ukuxilongwa.
Izimpawu ezingeziwe
Izimpawu eziningana zingahambisana nobuhlungu bekhanda nesifuba. Lokhu kufaka phakathi:
- ukopha
- isiyezi
- ukukhathala
- imfiva
- ubuhlungu bemisipha (myalgia)
- ukuqina kwentamo
- isicanucanu
- ukuhlanza
- ukuqubuka, njengangaphansi kwamakhwapha noma ngaphesheya kwesifuba
- unenkinga yokucabanga kahle
Uma uhlangabezana nalezi zimpawu kanye nobuhlungu besifuba nekhanda, funa usizo lwezokwelapha ngokushesha.
Zelashwa kanjani lezi zimo?
Ukwelashwa kwalezi zimpawu ezimbili kuyahlukahluka ngokuya ngokuxilongwa okuyisisekelo.
Uma uke waya kudokotela, futhi bakhiphe imbangela ebucayi noma ukutheleleka, lapho-ke ungazama ukwelashwa ekhaya. Nazi ezinye izindlela ezingenzeka:
- Thola ukuphumula okuningi. Uma une-infection noma ukulimala kwemisipha, ukuphumula kungakusiza ukuthi ululame.
- Thatha isidambisi sobuhlungu sasesitolo. Izidakamizwa ezingezona ukuvuvukala ezifana ne-acetaminophen (Tylenol) ne-ibuprofen (Advil) zingasiza ukunciphisa izimpawu zekhanda nobuhlungu besifuba. Kodwa-ke, i-aspirin ingenza igazi libe mncane, ngakho-ke kubalulekile ukuthi udokotela wakho akhiphe noma yikuphi ukuphazamiseka kokopha ngaphambi kokukuthatha.
- Faka i-compress efudumele ekhanda lakho, entanyeni nasemahlombe. Ukugeza kungabuye kube nemiphumela eduduzayo ekhanda.
- Nciphisa ukucindezeleka ngangokunokwenzeka. Ukucindezeleka kungaba nomthelela ebuhlungwini bekhanda nobuhlungu bomzimba. Kunemisebenzi eminingi engakusiza wehlise ingcindezi empilweni yakho, njengokuzindla, ukuzivocavoca, noma ukufunda.
Umbono
Khumbula ukuthi noma ngabe udokotela wakho enqabe isimo esibi, kungenzeka ukuthi ubuhlungu bekhanda nesifuba bube nzima kakhulu. Uma izimpawu zakho ziba zimbi kakhulu, funa ukwelashwa futhi.