Iintlungu zesifuba

Intlungu yesifuba kukungonwabi okanye iintlungu ozivayo naphina ngaphambili emzimbeni wakho phakathi kwentamo yakho kunye nesisu esingasentla.

Abantu abaninzi abaneentlungu esifubeni bayoyika ukuhlaselwa yintliziyo. Nangona kunjalo, zininzi izizathu ezinokubangela iintlungu zesifuba. Abanye oonobangela abayingozi kwimpilo yakho, ngelixa ezinye izizathu zinobuzaza kwaye, kwezinye iimeko, zisongela ubomi.

Naliphi na ilungu okanye izicubu esifubeni sakho zingangumthombo wentlungu, kubandakanya intliziyo, imiphunga, umqala, izihlunu, iimbambo, imisipha, okanye imithambo-luvo. Ubuhlungu bunokusasazeka kwisifuba ukusuka entanyeni, esiswini nasemqolo.

Intliziyo okanye iingxaki zeemithambo yegazi ezinokubangela iintlungu zesifuba:

• U-Angina okanye isifo sentliziyo. Olona phawu luqhelekileyo sisifo sesifuba esinokuziva ngathi kukuqina, uxinzelelo olunzima, ukucinezela, okanye ukutyumza iintlungu. Intlungu inokusasazeka kwingalo, egxalabeni, emhlathini, okanye ngasemva.
• Ukuqhekeka eludongeni lwe-aorta, elona gazi lithatha igazi lisuka entliziyweni liye kuwo wonke umzimba (aortic dissection) kubangela iintlungu ngesiquphe, eziqatha esifubeni nasemqolo ongaphezulu.
• Ukudumba (ukudumba) kwingxowa ejikeleze intliziyo (i-pericarditis) kubangela iintlungu kumbindi wesifuba.

Iingxaki zemiphunga ezinokubangela iintlungu zesifuba:

• Igazi elixineneyo emiphungeni (pulmonary embolism).
• Ukuwa kwemiphunga (pneumothorax).
• I-pneumonia ibangela iintlungu ezibukhali esifubeni ezihlala zisiba mbi xa uthatha umoya okanye ukhohlela.
• Ukudumba kwelayini ejikeleze imiphunga (pleurisy) kunokubangela iintlungu esifubeni ezidla ngokuziva zibukhali, kwaye zihlala zisiba mbi xa uthatha umoya okanye ukhohlela.

Ezinye izizathu zentlungu yesifuba:

• Uloyiko, oluhlala lwenzeka ngokuphefumla ngokukhawuleza.
• Ukudumba apho iimbambo zijoyina ithambo lesifuba okanye i-sternum (costochondritis).
• Izibophelelo, ezibangela iintlungu ezibukhali, ezibetha ngapha nangapha ezisuka esifubeni ziye ngasemva, kwaye zinokubangela irhashalala.
• Uxinzelelo lwezihlunu kunye neetoni phakathi kweembambo.

Intlungu yesifuba nayo inokubangelwa zezi ngxaki zilandelayo zenkqubo yokwetyisa:

• Spasms okanye ukunciphisa i-esophagus (ityhubhu ehambisa ukutya ukusuka emlonyeni ukuya esiswini)
• Iigallstones zibangela iintlungu eziba mandundu emva kwesidlo (amaxesha amaninzi ukutya okunamafutha).
• Isibilini okanye i-reflux ye-gastroesophageal (GERD)
• Isilonda esiswini okanye isisu: Intlungu evuthayo yenzeka ukuba isisu sakho asinalutho kwaye uziva ubhetele xa usitya ukutya

Kubantwana, uninzi lweentlungu zesifuba azibangelwa yintliziyo.

Kwizizathu ezininzi zentlungu yesifuba, kungcono ujonge umboneleli wakho wezempilo ngaphambi kokuba uzinyange ekhaya.

Tsalela umnxeba ku-911 okanye inombolo yongxamiseko yendawo ukuba:

• Utyumza ngequbuliso, ucudisa, uqinisa, okanye uxinzelelo esifubeni sakho.
• Intlungu iyasasazeka (imitha) kumhlathi wakho, ingalo yasekhohlo, okanye phakathi kwamagxa egxalaba.
• Unesicaphucaphu, isiyezi, ukubila, intliziyo ebalekayo, okanye umphefumlo omfutshane.
• Uyazi ukuba une-angina kwaye ukungonwabi esifubeni sakho ngesiquphe kukhulu kakhulu, kuziswa ngumsebenzi wokukhanya, okanye kuhlala ixesha elide kunesiqhelo.
• Iimpawu zakho ze-angina zenzeka ngelixa uphumle.
• Unesiquphe, iintlungu ezibukhali esifubeni kunye nokuphefumla okufutshane, ngakumbi emva kohambo olude, ukolulwa kwebhedi (umzekelo, ukulandela utyando), okanye okunye ukungahambi, ingakumbi ukuba omnye umlenze udumbile okanye udumbile ngaphezulu komnye ( oku kunokuba ligazi, elinxalenye yaso iye kwimiphunga).
• Ufunyaniswe unesifo esibi, ezifana nokuhlaselwa kwentliziyo okanye i-pulmonary embolism.

Umngcipheko wokuba nesifo sentliziyo mkhulu ukuba:

• Unembali yosapho yesifo sentliziyo.
• Uyatshaya, usebenzisa icocaine, okanye utyebile.
• Unecholesterol ephezulu, uxinzelelo lwegazi oluphezulu, okanye isifo seswekile.
• Sele unesifo sentliziyo.

Fowunela umnikezeli wakho ukuba:

• Unomkhuhlane okanye ukukhwehlela okuvelisa i-phlegm eluhlaza okwesibhakabhaka.
• Unesifuba esibuhlungu kwaye asipheli.
• Unengxaki yokuginya.
• Intlungu yesifuba ihlala ngaphezulu kweentsuku ezi-3 ukuya kwezi-5.

Umboneleli wakho unokubuza imibuzo efana nale:

• Ngaba iintlungu phakathi kwamagxa? Ngaphantsi kwethambo lesifuba? Ngaba iintlungu zitshintsha indawo? Ngaba kwicala elinye kuphela?
• Ungayichaza njani intlungu? (ukuqina, ukukrazula okanye ukukrazula, okubukhali, ukugwaza, ukutshisa, ukucwina, ukuqina, ukunyanzeliswa, ukunyanzelisa, ukuqaqamba, ukukhathazeka, ubunzima)
• Ngaba iqala ngequbuliso? Ngaba iintlungu zenzeka ngaxeshanye suku ngalunye?
• Ngaba iintlungu ziba ngcono okanye zibembi xa uhamba okanye utshintsha indawo?
• Ngaba unokwenza ukuba iintlungu zenzeke ngokucinezela kwinxalenye yesifuba sakho?
• Ngaba iintlungu ziya zisanda? Ihlala ixesha elingakanani intlungu?
• Ngaba iintlungu zisuka esifubeni sakho ziye egxalabeni, engalweni, entanyeni, emhlathini, okanye emqolo?
• Ngaba iintlungu zibuhlungu xa uphefumla ngokunzulu, ukhohlela, usitya okanye ugoba?
• Ngaba iintlungu zibuhlungu xa usenza umthambo? Kungcono emva kokuba uphumle? Ngaba iphela iphelele, okanye ngaba zincinci iintlungu?
• Ngaba iintlungu zingcono emva kokuba uthathe iyeza le-nitroglycerin? Emva kokuba utye okanye uthathe ii-antacids? Emva kokuba ibhanti?
• Zeziphi ezinye iimpawu onazo?

Iindidi zovavanyo ezenziweyo zixhomekeke kwisizathu sentlungu, kwaye zeziphi ezinye iingxaki zonyango okanye izinto ezinobungozi onazo.

Ukuqina kwesifuba; Uxinzelelo lwesifuba; Ukungonwabi kwesifuba

• Angina - ukubhobhoza
• UAngina-yintoni oza kuyibuza ugqirha wakho
• UAngina - xa unentlungu esifubeni
• Ukusebenza emva kokuhlaselwa yintliziyo

• Iimpawu zokuhlaselwa yintliziyo
• Intlungu yomhlathi kunye nokuhlaselwa yintliziyo

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Mdaka JE. Iintlungu zesifuba. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 23.

UGoldman L. Indlela eya kwisigulana enokubakho sisifo sentliziyo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 45.

U-OGara PT, uKushner FG, uAscheim DD, et al. Isikhokelo se-ACCF / AHA sika-2013 kulawulo lwe-ST-elevation myocardial infarction: ingxelo yeAmerican College of Cardiology Foundation / American Heart Association Task Force kwiZikhokelo zokuSebenza. J NdinguColl Cardiol. Ngo-2013; 61 (4): e78-e140. IINKCUKACHA: 23256914 pubmed.ncbi.nlm.nih.gov/23256914/.