Ukuphonononga iCause of Pain Pain
Njengokuba kukho nabani na owaziyo, intlungu yesifuba yenye yezo zimpawu ezingafanelekanga. Nangona kunjalo ukuba ngamanye amaxesha ubuhlungu besifuba bunokubangelwa ziimeko ezintle ezintle kwaye zingenakwenzeka, kunjalo ukuba intlungu yesifuba ingaba isalathisi sakho sesi-5 sokuthi into ebaluleke gqitha kwaye isongela ubomi, kwaye ixesha ngundoqo.
Ngoko intlungu yesifuba yimiqondiso ehlala ifuneka ihlolwe ngunyango lwezonyango.
Isigqibo esibaluleke kakhulu esimele senziwe ngokwenza loo vavanyo ngowakho. Ngaba kufuneka uzame "ukukhwela" iimpawu zakho kwaye uxelele ugqirha ngexesha elihle ngakumbi, okanye kufuneka ufune uncedo lwezonyango olusondeleyo? Ngelinye icala lombuzo isinqumo esingalunganga singakhokelela kwiindleko ezingadingekile kunye nokuphazamiseka. Kodwa ngenye icala lombuzo isinqumo esingalunganga singakhokelela ekukhubazekeni okusisigxina okanye ekufeni.
Iintlungu zesifuba zingabangela inani lezonyango ezahlukeneyo , kunye neempawu ukuba oogqirha kunye nezigulane zichaza ngokuthi "intlungu yesifuba" ingahluka ngokugqithiseleyo ukusuka kumntu ukuya kumntu kunye nemeko kwimeko.
Ngoko ke xa unentlungu yesifuba, uyazi njani ukuba uyayiphatha njengengxamiseko?
Akukho mithetho ekhuni kwaye ekhawulezayo apha. Ngamanye amaxesha izibonakaliso ezincinane zesifuba zingaba zibangelwa zizifo ze-coronary disease (CAD) .
Enyanisweni, ukuya kwi-30% yazo zonke iintlozo zentliziyo zihamba kunye neempawu ezinqabileyo kangangokuba ixhoba aliziboni - okanye liyazibetha. Ezi zibizwa ngokuba " ukuhlaselwa kwentliziyo. "U
Ngoko, sinokuthetha ngezikhokelo eziqhelekileyo ezinokuba luncedo ekunqumeni ukuba ufuna ukuya kwigumbi elingxamisekileyo ngenxa yentlungu yesifuba.
Kodwa khumbula ukuba ezi zikhokelo - nayiphi na izikhokelo eziqhelekileyo - azikholoko zikhokelela kwisigqibo esona sigqibo.
Akukho mntu unokukuphosa ngokubiza 911 ngenxa yentlungu yesifuba - kungakhathaliseki ukuba yintoni isizathu esiphezulu. Xa ungathandabuzeki, yenza ifowuni.
Izikhokelo Ukuba Ufanele Uncede Ngokukhawuleza
Intlungu yesifuba inokuthi imele imeko yingozi - kwaye kufuneka iphathwe njengengxamiseko - ukuba kukho na oku kulandelayo:
- Uneminyaka engama-40 ubudala okanye ngaphezulu, kwaye unobungozi obuninzi okanye ubuninzi beCAD (imbali yentsapho, ukutshaya, ukukhuluphala, ukuphila ngokwempilo, i-cholesterol ephakamileyo, isifo sikashukela). Funda kabanzi malunga nemingcipheko yeCAD.
- Ngaba uneminyaka yobudala kwaye unenkqubela yentsapho enamandla kakhulu yesifo senhliziyo.
- Intlungu inokuthi ichazwe ngokucacileyo ngokwemiqathango yokuqina, ukucima, ukukhulula, okanye ukutyumza.
- Intlungu ihamba kunye nobuthathaka, isisulu, isifiso sokuphefumula, ukujuluka, isisu okanye ukuphelelwa amandla.
- Intlungu "idlula" kumagxa, ingalo, okanye umhlathi.
- Intlungu ibomelele kunokuba nayiphi na ngaphambili.
- Intlungu ihambelana nomoya we-alamu, okanye uvakalelwa kukuba into ephosakeleyo kakhulu (le nto idla ngokubizwa ngokuba oogqirha, "umva wecala elizayo").
- Intlungu iqhubeka ihamba phambili ngaphezu kwemizuzu yokuqala eyi-10 okanye emi-15.
- Intlungu entsha - awunakuze ufumane into efana nayo ngaphambili.
Ukuba nayiphi na le miqathango iphathelele intlungu yesifuba sakho, kufuneka uyiphathe njengengxamiseko.
Iimpawu zokuthi Ubunzima bobuhlungu bungabunzima
Intlungu yesifuba ayinako ukumela ingxaki yengozi yengozi xa kukho na oku kulandelayo:
- Iintlungu zithembeke kwaye zitshintsha ngokutsha ngokutshintshwa kwimeko yakho yomzimba.
- Intlungu yesikhashana okanye iphela.
- Uye waba neentlungu ezifanayo ngexesha elidlulileyo, kwaye ingxaki yesifo yaphelelwa yiphumo emva kokuvavanywa ngokupheleleyo kwezonyango.
Ukuba intlungu yakho ibonakala ifanelekile ukuba ifikelele kwinqanaba "eliyingozi," zifike kwikamente yongxamisekileyo.
Ngaphandle koko, ubuncinci, kufuneka uvumele ugqirha wakho azi malunga neempawu zakho.
Ukuphonononga i-Paint Pain kwiGumbi eliPhezulu
Ukuba ugqiba ukuba ufuna ukunyamekela kwangoko intlungu yesifuba sakho, ngokubanzi into ekhuselekileyo yokwenza ukubiza i-911 kwaye isetyenziswe kwigumbi eliphuthumayo elisondeleyo.
I- EMTs okanye i-paramedics iyakwazi ukwenza uvavanyo lokuhlalutya ngokukhawuleza, kwaye uncede ukuzinzisa imeko yakho yezokwelapha (ukuba uyayimfuneko) nangaphambi kokuba ufike kwiziko lonyango.
Xa uhamba phambi kogqirha, ukuhlolwa kokuqala kuya kubakho ukuba kuqinisekiswe ukuba intlungu yesifuba yinto entsha (i-acute), okanye ukuba ibonisa ingxaki engapheliyo.
Ukuba i-Paint Pain Isisigxina xa isetyenziswe:
Ukuba uvavanywa ukuba ubuhlungu bentlungu buqala, ugqirha unokuthi ufikelele kwingcambu yengxaki yakho ngokukhawuleza ngo-1) ukuthatha imbali yecandelo lezokwelapha, eli-2) ukwenza uvavanyo lomzimba, 3) ukufumana i- ECG kunye ne- enzyme ye-cardiac .
Olu vavanyo ngokuqhelekileyo luya kugqiba ukuba ngaba ujongene nesifo esiphuthumayo senhliziyo. Ukuba emva kokuvavanywa kokuqala ukuxilongwa kusenokungabaza, kuya kufuneka ukuba uvavanyo oluqhubekayo, kuxhomekeke kwiimeko zonyango ezibonakala ngathi ugqirha wakho ngelo xesha.
Ukuphindaphinda, umyalelo wokuqala wezoshishino kukulawula ingxaki yesifo esisongela ubomi - isifo se-coronary syndrome (ACS) , okanye ngaphandle kwesifo se - myocardial (intliziyo yesifo) , ngokuqhelekileyo kukuba yinkxalabo enkulu. (I- Aortic dissection - ukubethelwa kwodonga lwe-aorta-kukwasongela ubomi, kodwa kuncinci kakhulu.) Ukuhlolisisa ngokukhawuleza ukuhlaselwa kwentliziyo kubaluleke ngakumbi ekubeni unyango olukhawulezayo lunokuthi lunciphise kakhulu umonakalo wonakalo wentliziyo engapheliyo eyenzekayo, kwaye ugcine ubomi bakho. Okubaluleke kakhulu kukuxilongwa kwe- angina engaqinisekiyo , kuba unyango olukhawulezayo kunye nolunyazo lwalo mqathango luyimfuneko yokuphepha umonakalo osisigxina senhliziyo.
Ukuba i-ACS ikhunjulwa ngokucacileyo, mhlawumbi uza kuvunyelwa kwiyunithi yonyango olunzulu kwaye unyango lwonyango luza kusekwa. Oogqirha bakho banokufuna ukuba uphando olongezelelweyo luyenze ngokukhawuleza, ukwenzela ukuba unqande ukuxilongwa-mhlawumbi kuquka i- echocardiogram , i- thallium scan , i- CT scan , okanye i- catheterization ye-cardia .
Ngakolunye uhlangothi, ukuba ingxaki esongela ubomi ikhutshwe ngaphandle, oogqirha begumbi lonxunguphalo luya kuthi ke lenze ukuxilongwa ngokunyanisekileyo malunga nokuba yintoni ebangela ukuba intlungu yesifuba sakho (oko kukuthi, baya kuthetha into enje, "Oku mhlawumbi oko kukubangela intlungu yakho, ") kwaye ubhekisele kumgqirha wakho wokuvavanya uphando kunye nonyango.
Ukuba i-Breast Pain yindlela engapheliyo, ephindaphindiweyo, okanye engeyiyo-Symptom
Ukuba intlungu yakho yesifuba yinto owake wayenayo ngaphambili, ingqalelo ugqirha wakho ugqirha mhlawumbi uya kuba ngaba u- angina . U-Angina uvame ukubangelwa yi-CAD eqhelekileyo, kodwa unokuveliswa ngeemeko zengqondo eziqhelekileyo ezifana ne- coronary artery spasm okanye i- cardiac syndrome x . Ukuxhomekeka kwinqanaba lexakeka lugqirha loxolongo, unokwenyama we-cardiologist unokuthintana ngokukhawuleza, okanye ungabuyiselwa kumgqirha wakho (okanye kwi-cardiologist) ukuba uvavanyo olupheleleyo.
Xa kukho enye into engeyiyo i-angina kucingelwa ukuba ibangela ubuhlungu besifuba sakho, ukuxilongwa ngokuqinisekileyo kufuneka kwenziwe ukwenzela ukuba unyango olufanelekileyo luqaliswe. Ngokuxhomekeke kwiingxaki zonyango ogqirha ugqirha ukuba uyona nto, unokufuna i-x-ray, i- endoscopy yephepha lakho le-GI , uvavanyo lwe-pulmonary (lung) , okanye uvavanyo olunye lokucima ukuxilongwa. Uninzi ngokuqhelekileyo, ugqirha lugumbi loxinzelelo luza kukuthumela ugqirha wakho (okanye kwi-specialist efanelekileyo) ukuze wenze uvavanyo lokugqibela.
ILizwi
Njengoko ubona, umyalelo wokuqala wezoshishino ekuvavanyeni intlungu yesifuba kukuqinisekisa ukuba awuyi kufa, okanye unokukhathazeka ngokusisigxina. Ukufeza le njongo kuxhomekeke kwizinto ezimbini. Okokuqala, wena ngokwakho kufuneka wenze isigqibo esifanelekileyo ngokufuna unyango lwangonyango. (Xa ungathandabuzeki, yenza njalo.) Okwesibini, ugqirha kufuneka enze ukuvavanya ngokukhawuleza ukuqinisekisa ukuba akukho nhlekelele eqhubekayo okanye ezayo, okanye naluphi na uhlobo olusisongela ubomi bezonyango.
Emva kokuba oko kwenziwa, ucinga ukuba imeko ebusongela ubomi ikhutshwe ngaphandle, mhlawumbi uya kuhanjiswa ukuhlola ngaphandle kwendawo yokuphucula igumbi.
> Imithombo:
> Connor, RE, Bossaert, L, Arntz, HR, kunye, al. Ngokubhekiselele kwi-Acute Coronary Syndrome Abaqabane beSahluko. Icandelo 9: Ama-Syndromes aqhelekileyo eCoronary: U-Consensus wamazwe ngamazwe ngo-2010 ngokuvuselelwa kweCardiopulmonary kunye noNcedo oluKhuselekileyo lwe-Cardiovascular Care and Recommendations. Ukuhamba ngo-2010; 122: S427.
> 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 Chest Pain: Uhlolo lokuHlola kunye nokuhlaziywa kweMeta. BMC Med 2013; 11: 239.