Yintoni eyahlukileyo phakathi kweentliziyo ezinxulumene neentliziyo kunye neengxaki zokuphazamiseka?
Phantse ama-40 ekhulwini abantu abaneentlungu zokuphazamiseka kweso sifo esifubeni. Izimpawu zentlungu zesifuba zifakwe kwiNcwadana yokuHlola kunye neSatistim of Disabilities, DSM-5 . phantsi kweempawu ezinxulumene nokuhlaselwa kwesifo . Ingaba okanye unesifo sokuphazamiseka, intlungu kwindawo yesifuba isandila i-alamu. Ingcamango yokuqala, kwaye ngokufanelekileyo, kukuba ufumana ukuhlaselwa kwentliziyo okanye esinye isiganeko senhliziyo.
Oku kungenzeka ukuba uthumele abantu abaninzi kwigumbi eliphuthumayo elisondeleyo ukuze bancede. Kodwa, iimpawu zentlungu zesifuba ezinxulumene neengxaki zentsapho azixhomekeke entliziyweni kwaye azinjalo, ngokuqhelekileyo, zithathwa njengento enzulu.
Uhlobo lwe-Atypical Breast Pain
Iingcali ziye zahlula intlungu yesifuba phantsi kweentloko ze "eziqhelekileyo" kunye "neengqungquthela." Intlungu yesifuba esicatshulwayo ifanelekile ukuba ifaneleke ihambelana nesiganeko senhliziyo. Ukubandezeleka kwesifuba somzimba, ngakwelinye icala, kucatshangelwa ukunciphisa ubunzima bokuthi intlungu inemvelaphi yentswelo. Kodwa, ukuchaza oko "okuqhelekileyo" kwaye yintoni "i-atypical" engasetyenziswanga yimida ecacileyo. Kwaye, nangona ubuhlungu beentlungu zesifo somzimba buyanciphisa ubuncipheko beengxaki zentliziyo, abanye abantu benza, ngokwenene, baneentlungu zesifuba esiswini kunye nesinye isiqhelo senhliziyo. Oku kunokuba kufaneke ngakumbi kubasetyhini, njengoko isifo senhliziyo kubafazi besoloko sinempawu ezahlukileyo kunesifo senhliziyo kubantu.
Ezi zilandelayo zibonelela ngolu hlobo oluqhelekileyo lwezinto eziqhelekileyo ziqwalaselwe iimpawu zentlungu zesifuba ezibonisa inkathazo yentliziyo kunye neentlungu zesifuba esiswini eziqhelekileyo zidibanisa nokuphazamiseka kwesifo.
Akuhlose ukusetyenziswa njengesixhobo sokuzifumanisa. Zonke iintlungu zesifuba kufuneka zihlolwe ngugqirha wokuxilongwa ngokufanelekileyo. Gcina le engqondweni nangona unesifo sengqondo sokuphazamiseka kwesifo somfuyo esikhathini esidlulileyo. Abantu abaneengxaki zentloni banokuba nesifo senhliziyo njengalabo abangenayo inkathazo yokuphazamiseka, kwaye, njengoko kuboniswe kamva, kunokusenokwenzeka ukuba banokuphucula izifo zentliziyo
Ubunzima bobuhlungu obufana neengxaki zeentliziyo
Iimpawu eziqhelekileyo zentlungu zesifuba ezibandakanya intliziyo zibandakanya:
- Ubuhlungu besifuba esandayo bufikelela ubunzima obude emva kwemizuzu embalwa
- Usizi, unxinzelelo okanye ukugula
- Ubuhlungu kwindawo yangasemva (phantsi kwethambo lesifuba) okanye kwindawo yesifuba
- Ubuhlungu obuhamba okanye obuphuma kwi-esifubeni ukuya kwezinye iindawo, ezifana nomnye okanye zombini zombini, amahlombe okanye umhlathi
- Ubuhlungu obulethwa ngokuqhutywa (nangona i-angina engaqinisekanga ingazisa iintlungu ngaphandle kokusebenza)
I-Atypical Breast Pain edibene neNkathazo yokuHlala
"Ubuhlungu besifuba" buquka:
- Ukubethwa kwesifuba okanye ukugwaza isifuba (inqaku lokuba ubuhlungu obuhlungu okanye isifo esifubeni singabonakalisa iimpawu ezinzulu ezifana ne-pulmonary embolism)
- Iintlungu zesifuba ezisezantsi
- Ubuhlungu obuya kwindawo ephantsi
- Ubuhlungu obwenzeka ngaphandle kokusebenza
- Ubuhlungu besifuba obuhamba nexhala okanye ukuhlaselwa kwesifo
- Ubuhlungu obukhululekile okanye bubuhlungu xa utshintsha izikhundla
- Ubuhlungu obuya kuphinda buphindwe okanye bube bubi kakhulu ngokuxinezela kwingingqi yentlungu
I-Mitral Valve Prolapse ne-Panic Disorder
I-Mitral valve prolapse (i-MVP) isifo esiqhelekileyo, esichaphazela malunga nama-4 ukuya kumahlanu ekhulwini labantu abadala. Ngokwenene, i-MVP ibandakanya i-valve yenhliziyo engavumelekanga "ehamba phambili" okanye ibuyele emuva, ivumela igazi ukuba libuyele ngokuvulwa kwinqwelo.
Abantu abaninzi abane-MVP abanalo iimpawu. Abanye banokuba nezikhalazo zokukhathala, iintlungu zentliziyo, intlungu yesifuba, ukuxhalaba kunye ne- headraps head . Kuba uninzi lwabantu, i-MVP ibangela ukuba kubekho nemiphumo engapheliyo kwaye ayiphazamisi nayiphi na imisebenzi yempilo.
Uphando lubonise ubungqina bokuba ulungelelaniso phakathi kwe-MVP kunye ne-panic disorder . Uninzi lwale phando lubonisa ukuba i-MVP iqhubela rhoqo kwiindawo eziphazamisayo okanye ezinye iingxaki zokuxhalabisa . Kukho ukuphikisana, nangona kunjalo, malunga nokuba le nxu lumene nokuba lukhona. Ucwaningo lwexesha elizayo luya kuba nethemba lokusinika impendulo ecacileyo.
Iintsholongwane zeentliziyo kunye neNgxaki yokuHluma
Kukho izifundo ezininzi ezame ukubonisa ukulungelelanisa phakathi kwezifo zokukhathazeka kunye nesifo senhliziyo. Uphando olutshanje olwenziwa yiNkulumbuso yezeMpilo yabasetyhini yabasetyhini abasemagqabini bacebisa ukuba abo bavakalisa ukuhlaselwa ngokukrakra kweengcipheko ezinyangeni ezintandathu emva kokuba baxoxwe nodliwano-ndlebe, babenomngcipheko omathathu wokuba nesifo senhliziyo, ukufa okubangelwa yintliziyo okanye uhlangothi olulandelayo iminyaka emihlanu. Olu pho nonongo lufumene ukuba abo bavakalisa ukuhlaselwa kwesoyiko bephantse kabini ukuba bafe ngenxa yesiphi na isizathu kwiminyaka emihlanu elandela isifundo.
Kodwa, olu cwaningo, njengabanye abazama ukubonisa ukulungelelaniswa phakathi kwesifo sengqondo kunye nesifo senhliziyo, akanikelanga impendulo yokugqibela. Abathathi-nxaxheba beli phephancwadi baphendule imibuzo emibili yokujonga ngokumalunga "nokuhlaselwa ngokukhawuleza kokwenkqisayo, ukuxhalaba, okanye ukungaxhatshazi kakhulu" kunye "nesiganeko esiphuthumayo seentsholongwane zentliziyo." Oku kwabangela ukuba abadliwano-ndlebe bacele aba bathathi-nxaxheba imibuzo malunga neenkalo ezili-12 zokuhlaselwa kwe-panic kwiinyanga ezintandathu ezidlulileyo.
Ezinye iimpawu ezinxulumene nokuhlaselwa kweentlanzi zifana neengxaki zentliziyo, kodwa azihambelani nomsebenzi wentliziyo. Abathathi-nxaxheba beli pho nonongo abaye babika "iimpawu zokuphazamiseka" kwiinyanga ezintandathu ezidlulileyo abazange bahluke phakathi kokuhlaselwa kwesifo esisodwa, ukuhlaselwa kancinci okanye ukuhlaselwa kwesoyiko ebonisa ukuphazamiseka kwesifo. Kungenzeka ukuba abanye balabo baphendule ngokukhawuleza kwimibono yokucima ngethuba lokuhlaselwa kwesoyiko kunokuba babenenkxalabo yenhliziyo engaziwayo.
Kunzima, ekuhambeni, ukubonakalisa ukulungiswa phakathi kwesifo senhliziyo kunye nokuhlaselwa kwesoyiki. Ngokuqinisekileyo, abantu abaneengxaki zokuphazamiseka banokubakho ukutshaya, ukusetyenziswa kotywala , ukungabikho komzimba, ukunyanya, ukunyamezela kwegazi kunye nokunyuka kwe-cholesterol. Ezi ziwayo ziyaziwa ngengozi zesifo senhliziyo. Ingaba unesifo sokuphazamiseka, uninzi lwabaqeqeshi baya kuvuma: Ncitshiswe iimeko ezinobungozi owaziwayo kwaye unciphise umngcipheko wokuba nesifo sengqondo.
Ngaphantsi kwintlungu yesifuba ebantwini abane-Panic Disorder
Kucacile ukuba ukuphazamiseka kwengxaki kudibaniswa neentlungu zesifuba, kodwa kuncinci ukuba ngaba abantu abaneengxaki zokuphazamiseka banokuthi bahlupheke ngenxa yesifo senhliziyo. Iimpawu zentlungu zesifuba ezinxulumene nokuhlaselwa kwesoyiko ngokubhekiselele kwinto ehambelana nokuhlaselwa kwintliziyo kunokungafani ngokubanzi, kodwa phakathi kwabantu ngabanye kukho ininzi. Ngexesha elifanayo, siyazi ukuba ukunyamekela unyango lwangoko unyango kungenza umehluko kubantu abanesifo senhliziyo esifubeni.
Kuze sisazi ngakumbi, abo baphila ngengxaki yesifo kufuneka bafune unyango ngokukhawuleza kwintlungu yesifuba. Oku kungakhokelela ekutyelelweni kwamagumbi okuphuthuma ngokungxamingeki ngamanye amaxesha, kodwa i-pales xa kuthelekiswa nomngcipheko weentlungu ezinxulumene neentliziyo ezilahlekileyo ngokuzigxotha njenge-panic attack. Unonophelo lwezonyango kulabo abaneentlungu zentliziyo uye waphucula ngokugqithisileyo kwiminyaka yamuva nje, kodwa uthembela kubantu abaya kwinkathalo ngexesha. Ingaba unesifo sokuphazamiseka kwintlungu okanye cha, qwa lasela ezi ngcebiso malunga nokusinda kwintliziyo yesifo kwiiyure zokuqala.
Imithombo:
Iifolda-Busque, G., Fleet, R., Denis, I. kunye al. Ukuhlaselwa kobuGwenxa obungabonakaliyo kwizigulane nge-Noncardiac Chest Pain. Psychosomatics . 2015. 56 (5): 513-20.
Ifolda-Busque, G., Hamel, S., Belleville, G. et al. Izinto ezinxulumene neNqanaba lePilisi kwi-Breast Cardiac Breast Pain Patients with Cormorbid Panic Disorder. BioPsychoSocial Medicine . 2016. 10:30.
Tully, P., Wittert, G., Turnbull, D. et al. Ingxaki yokuHlaphaza kunye neNkcazo yezifo zentliziyo yeCononary: UkuHlola okuSingqinisiso kunye neProtocol-Analysis Protocol. Uhlolo lweNkqubo . 2015. 4:33.