Ubuhlungu esifubeni bubangelwa isibalo esikhulu sezifo. Uma ubuhlungu bugxila esifubeni phakathi, lokhu kungabonisa izinkinga ezincane emzimbeni, kodwa futhi kungaba uphawu oluyingozi kakhulu, olusongela ukuphila.
Izimbangela zezinhlungu zesifuba
Yiqiniso, ukuzwa ubuhlungu obukhulu esifubeni kubangela ukukhathazeka. Ukuze uthole izimbangela zayo, futhi futhi ukukhipha izifo ezimbi kungumsebenzi odokotela. Ukwazi ukujwayela ubuhlungu, ubukhulu bayo, imvelo kanye nezikhathi, imvamisa kanye nobude besikhathi, udokotela uzozihlola, okuyinto uma kudingekile kuqinisekiswa izivivinyo zesiguli.
Kuye ngesimo, ubuhlungu obuphakathi kwesifuba bungase buzwe njengo:
- ubuhlungu obunzima esifubeni;
- ubuhlungu obuhlungu esifubeni;
- ubuhlungu obukhulu esifubeni;
- ubuhlungu obucindezelayo esifubeni;
- ubuhlungu obuvuthayo esifubeni.
Izifo ezibangela lezi noma ezinye izimpawu ezibuhlungu esifubeni zihluke kakhulu.
Yingozi kakhulu kubo:
- ischemic isifo senhliziyo;
- i-aortic dissection;
- i-infarction ye-myocardial;
- izifo ezingokwemvelo zenhliziyo, izitho zokuphefumula, umgogodla;
- i-thromboembolism yamaphaphu;
- i-pancreatitis enzima;
- Ukungena (ukuphuka) kwesisu noma isilonda se-duodenal.
Ngesikhathi sokubona lolu hlobo lwesifo, ungalindi ngokuvakashela kudokotela ekubonisweni kokuqala kokungahambi kahle esifubeni phakathi. Uma ubuhlungu esifubeni buvutha noma bucindezela, kufanele ushayele i-ambulensi ngokushesha-mhlawumbe, kungukuhlaselwa kwe-angina (uma ubuhlungu besikhathi esifanayo esifubeni bunesikhathi esichazwe ngokucacile) noma ukuhlasela kwenhliziyo.
Unganqabeli esibhedlela, noma ngabe ukuhlasela sekudlulile, futhi i-electrocardiogram yenze umphumela omubi. Izinkomba zocwaningo olunjalo lwekhaya azihlali zisebenza njalo futhi zinembile. Ngokuvamile, ukuhlaselwa kuka-angina kudlula imizuzu engu-15-20 ngemva kokuthatha i-nitroglycerin, i-ECG eyenziwe ngesikhathi sokuhlaselwa ingaba yinto evamile. Kodwa, ngesikhathi esifanayo, kubalulekile ukukhumbula ukuthi iziguli ezine-angina zingaphansi kwezinyathelo ezimbili zesifo senhliziyo. Kanti, i-infarction ye-myocardial inezimpawu ezifanayo zobuhlungu, kodwa ubuhlungu bunzima kakhulu, hhayi ukudlula emva kokuthatha i-nitroglycerin futhi kungadlulela amahora angu-8 noma ngaphezulu. Kubalulekile ukukhumbula ukuthi umzuzu ngamunye olahlekile ungadla indlela ejwayelekile yokuphila, noma ubulawe.
Esinye sezimbangela ezivamile zezihlungu esifubeni izifo zesimo sengqondo. Izimpawu zezifo ezinjalo zingaba ukugwaza, okubukhali, okubuhlungu nokucindezela. Indawo yangakini ivame ukugxila engxenyeni engenhla kwesokunxele sebele, kodwa kwezinye izimo, ubuhlungu bungabonakala phakathi kwesifuba.
Esinye sezici ezivelele ekuxilongweni kokugula kwengqondo ezinjalo izimpawu:
- ubude obukhulu bobuhlungu, obuphela emva kokuthatha izidakamizwa;
- izinguquko ezivamile emvelweni, ngamandla kanye nasezindaweni zendawo ezibuhlungu.
Usizi lwesifuba esivamile
Ukuzwa ubuhlungu obuvamile phakathi kwesifuba kunakho
- ipheshana lokugaya;
- isisu;
- ama-pancreas.
Ukuqapha kufanele kuqiniseke ngokuhamba kwesikhathi, ubuhlungu obuqhubekayo. Izimpawu ezinjalo zobuhlungu esifubeni zikhombisa ukuthuthukiswa kwesifo.