Iintlungu zesifuba akusiyo impawu omele uyihoye, ngenxa yezizathu ezicacileyo. Intlungu yesifuba, njengoko phantse nawuphi na owaziyo, unokubonisa inkinga yesifo. Ngenxa yesi sizathu sodwa, ukuba ubuhlungu besifuba kufuneka uhlolwe ngugqirha. Ukwenza ukuxilongwa ngokukhawuleza kwe- angina ( ukungaphumeleli kwesifuba kubangelwa ukugeleza kwegazi okwenziwe kwi-heart muscle), okanye nokuba nokuhlaselwa kwenhliziyo , kunokuvumela ukuba unyango olufanelekileyo lukhusele umonakalo wentliziyo.
Kodwa izimo zengqondo aziyona nto ebalulekileyo ebangela intlungu yesifuba. Kubonakala ukuba ukungathandeki kwesifuba kuyimpawu eziqhelekileyo ezihamba kunye neengxaki ezahlukeneyo zezokwelapha, kwaye abantu abaninzi abavavanywa ngentlungu yesifuba bafumaneka ngeemeko ezingenanto nantliziyo. Ezinye zeengxaki zezobugqirha ezingenakucala ezingabangela ukuba intlungu yesifuba ibaluleke kakhulu kwaye ifuna unyango olubi. Abanye baninzi kakhulu, kwaye banokuphathwa ngokuqinisekiswa.
Kodwa nayiphi na indlela, ukuba unentlungu yesifuba - ingaba okanye ayiyi kuba yintliziyo yendalo - kufuneka ubonwe ngugqirha. Leyo yodwa indlela yokukwazi ngokuqinisekileyo oko kubangela uphawu oluphazamisayo kwaye uqiniseke ukuba ufumana unyango olufanelekileyo.
Iyintoni Intlungu yesifuba?
"Intlungu yesifuba" lixesha elingaphantsi kunokuba ungacinga. "Intlungu yesifuba" ingasetyenziselwa oogqirha kunye nezigulana ukuba zichaze iimpawu ezingekona zendawo ezikhoyo kwisifuba, kodwa oko kunokuthi kwenzeke esifubeni, entanyeni okanye kwisisu esiswini, ngokuqhelekileyo kudibaniswa nobunzima emlonyeni, entloko okanye kwiingalo.
Ngaphezu koko, "intlungu" ayinokuba yintlungu. Kunoko, ihlala ibonakalisa njengengqondo efana noxinzelelo okanye ukucwenga, ukukhahlela, ukuphazamisa, okanye uhlobo oluthile lokungahambi kahle. Ngokuxhomekeka kwimbangela ebangela ukuba, iimpawu zingapheli ngaphantsi kweyesibini ukuya kwiintsuku okanye kwiiveki, ziyakwenzeka rhoqo okanye zingabonakali, kwaye zenzeke ngokuthe ngqo kwaye zingenakuqikelela, okanye ziphantsi kweemeko ezithile kwaye zichaneke.
Isizathu sokuba "intlungu yesifuba" iquka uluhlu olubanzi lweempawu kukuba intlungu yesifuba ingaveliswa ngolu hlobo olubanzi lwezonyango. Ngenxa yokuba intlungu yesifuba inokuhamba kunye neemeko zonyango ezivela kwintlekele ukuya kwincinci, xa umntu ebona ubuhlungu besifuba kubalulekile ukuba ugqirha abonakalise intlungu leyo ngokukhawuleza kangangoko kunokwenzeka, ukuchonga ukuba ingaba ingumngeni onokuthi unobungozi okanye ngaba imbambano efuna ukunikwa ngonyango ngokukhawuleza.
Ziziphi Iimeko Zonyango ezibangela Ubunzima Bentloko?
Iintlungu zesifuba zingabangelwa zizimo zonyango ezichaphazela naziphi na izitho ezifubeni okanye kwisisu esiswini, kuquka intliziyo, imithwalo yegazi, imiphunga, i-airways, imisipha, amathambo, isisu okanye isisu.
Nalu uluhlu lwezinto eziqhelekileyo ezibangela intlungu yesifuba, ngokukodwa kwindlela ababonwa ngayo kwigumbi lokuphuthuma esibhedlele. Landela izixhumanisi ezinikezelwe iinkcukacha ezingaphezulu kwimeko nganye:
• "Ingqungquthela" ye-angina ngenxa yesifo se-artery .
• I-coronary syndrome efanelekileyo , engabandakanya ukungena okungaqinisekanga okanye ukuhlaselwa kwentliziyo.
• Ukubhukuda ngeyona nto ibangelwa yintlungu yesifuba, kwaye ukuba ingaphathwa kakubi kungakhokelela kwimiphumo emibi.
• Intlungu yesibindi sesifuba (intlungu yesifuba somzimba) ixhaphake ngakumbi kunabantu abaninzi, kwaye nangona ingabalulekanga ngokukhethekileyo kwimbono yezokwelapha, inokuba yinto ephazamisayo kunye nexhala.
• Ukuxhalabisa okanye ukuphazamiseka kwesifo ngokuqhelekileyo kuhamba kunye nentlungu yesifuba.
• Iingxaki zeplmonary - i-asthma, i-bronchitis, i-pneumonia, i-pleuritis-kaninzi ivelisa intlungu yesifuba.
• I- Mitral valve prolapse (i-MVP) idla ngokusoloko isetyenziselwa iintlungu zesifuba somfuba, nangona mhlawumbi kubangela intlungu yesifuba kaninzi kunokuba ogqirha bakholelwa.
• I-pericarditis ivelisa ubuhlungu besifuba.
Isifo sesilonda se-Peptic singenza intlungu ebonakalayo evela kwisifuba.
• U- Angina ngenxa ye-artery spasm .
• I- Angina ngenxa yesifo se-coronary artery disease .
• Ukusabalalisa kwe-Aortic yimeko enobungozi eyenza intlungu yesifo esifutshane.
Yintoni Okufanele Uyenze Ukuba Unayo Intlungu Yebhokisi?
Kule uluhlu olude lweemeko ezinokuvelisa intlungu yesifuba, kufanelekile ukuba ukuba unentlungu yesifuba, kufuneka uhlolwe ngugqirha.
Kodwa unokwazi njani ukuba intlungu yesifuba yakho inobungozi okanye iyingozi? Kwaye kufuneka ulindele ntoni ugqirha ukuba enze ukuxilongwa ngokukhawuleza nangokuchanekileyo? Nangona kungekho mithetho eqinile kwaye ikhawuleza ukuphendula le mibuzo, kukho izikhokelo eziqhelekileyo ezinokuba luncedo kakhulu. Funda oku ngakumbi malunga nale ndlela ejwayelekile yokuhlola intlungu yesifuba:
ILizwi
"Intlungu yesifuba" ligama elisetyenziswe ngokugqithiseleyo ukuchaza nayiphi na intlungu engavamile okanye ephazamisayo eyenzeka kwindawo ebanzi yesifuba. Nangona kwiimeko ezininzi iintlungu zesifuba zivela ngenxa yeemeko ezinobungozi, ngokuqhelekileyo kubonisa inkathalo enzulu, enokuthi isongela ubomi. Yisinye isilingo onokungafanele uyigatya.
> Imithombo:
> Bösner S, Becker A, Haasenritter J, et al. Ubunzima bebhoko kwiNkcazo yokuSondlo: i-Epidemiology kunye nokuPhambi kokuSebenza. I-Eur J Gen Pract 2009; 15: 141.
> Ebell MH. Ukuvavanywa kweentlungu ze-Chest kwizigulana zokuNyango eziPhezulu. I-Am Fam Physician 2011; 83: 603.
> Wertli MM, Ruchti KB, Steurer J, Held U. Izibonakaliso zokuxilonga kwe-Non-Cardiovascular Breast Pain: Uhlolo lokuHlola kunye nokuhlaziywa kweMeta. BMC Med 2013; 11: 239.