Kupweteka pachifuwa

Kupweteka pachifuwa sikumva bwino kapena kupweteka komwe mumamva kulikonse kutsogolo kwa thupi lanu pakati pa khosi lanu ndi chapamwamba pamimba.

Anthu ambiri omwe ali ndi kupweteka pachifuwa amawopa matenda amtima. Komabe, pali zifukwa zambiri zomwe zingayambitse kupweteka pachifuwa. Zina mwazifukwa sizowopsa ku thanzi lanu, pomwe zina zimayambitsa mavuto ena ndipo nthawi zina zimawononga moyo.

Chiwalo chilichonse kapena chifuwa chilichonse m'chifuwa chanu chimatha kukhala ululu, kuphatikiza mtima wanu, mapapo, kholingo, minofu, nthiti, minyewa, kapena misempha. Ululu amathanso kufalikira pachifuwa kuchokera kukhosi, pamimba, ndi kumbuyo.

Mavuto amtima kapena wamagazi omwe angayambitse kupweteka pachifuwa:

• Angina kapena matenda amtima. Chizindikiro chofala kwambiri ndikumva kupweteka pachifuwa komwe kumamveka ngati kukakamira, kupanikizika kwambiri, kufinya, kapena kupweteka. Ululu ukhoza kufalikira kumanja, phewa, nsagwada, kapena kumbuyo.
• Kung'ambika pakhoma la aorta, chotengera chachikulu chamagazi chomwe chimachotsa magazi kuchokera pamtima kupita ku thupi lonse (aortic dissection) chimayambitsa kupweteka kwadzidzidzi, kwakukulu pachifuwa ndi kumtunda kwakumbuyo.
• Kutupa (kutupa) mu thumba lozungulira mtima (pericarditis) kumayambitsa kupweteka pakatikati pa chifuwa.

Mavuto am'mapapo omwe angayambitse kupweteka pachifuwa:

• Mitsempha yamagazi m'mapapu (pulmonary embolism).
• Kutha kwa mapapo (pneumothorax).
• Chibayo chimayambitsa kupweteka pachifuwa komwe kumangokulirakulira mukapuma kwambiri kapena kutsokomola.
• Kutupa kwa pakhosi mozungulira mapapo (pleurisy) kumatha kupweteketsa chifuwa chomwe nthawi zambiri chimamveka chakuthwa, ndipo nthawi zambiri kumawonjezeka mukamapuma kwambiri kapena kutsokomola.

Zina zomwe zimayambitsa kupweteka pachifuwa:

• Mantha, omwe nthawi zambiri amapezeka ndikupuma mwachangu.
• Kutupa komwe nthiti zimalumikizana ndi fupa la m'mawere kapena sternum (costochondritis).
• Zipilala, zomwe zimayambitsa kupweteka kwakuthwa, mbali imodzi yomwe imachokera pachifuwa kupita kumbuyo, ndipo imatha kuyambitsa ziphuphu.
• Kupsyinjika kwa minofu ndi minyewa pakati pa nthiti.

Kupweteka pachifuwa kumatha kukhalanso chifukwa cha zovuta zam'mimba izi:

• Kupweteka kapena kuchepa kwa mimba (chubu yomwe imanyamula chakudya kuchokera pakamwa kupita kumimba)
• Miyala yamiyala imayambitsa kupweteka komwe kumakulirakulira mukatha kudya (nthawi zambiri chakudya chamafuta).
• Kutentha pa chifuwa kapena gastroesophageal reflux (GERD)
• Zilonda zam'mimba kapena gastritis: Kupweteka koyaka kumachitika ngati m'mimba mwanu mulibe kanthu ndipo mumamva bwino mukamadya

Kwa ana, kupweteka kwambiri pachifuwa sikumayambitsidwa ndi mtima.

Pazifukwa zambiri zowawa pachifuwa, ndibwino kuti mufunsane ndi omwe akukuthandizani musanachiritse nokha kunyumba.

Imbani 911 kapena nambala yadzidzidzi yakomweko ngati:

• Mukuthyola mwadzidzidzi, kufinya, kumangika, kapena kupanikizika m'chifuwa.
• Ululu umafalikira (kutulutsa) nsagwada zanu, mkono wamanzere, kapena pakati pamapewa anu.
• Mumakhala ndi mseru, chizungulire, thukuta, mtima wothamanga, kapena kupuma movutikira.
• Mukudziwa kuti muli ndi angina ndipo kusowa pachifuwa kwanu mwadzidzidzi kumakulirakulira, kumabwera chifukwa cha zochita zopepuka, kapena kumatenga nthawi yayitali kuposa masiku onse.
• Zizindikiro zanu za angina zimachitika mukamapuma.
• Mukumva kupweteka pachifuwa modzidzimutsa komanso kupuma movutikira, makamaka mutayenda ulendo wautali, malo ogona (mwachitsanzo, kutsatira opareshoni), kapena kusayenda kwina, makamaka ngati mwendo umodzi watupa kapena watupa kuposa winayo ( Izi zitha kukhala magazi oundana, omwe gawo lawo lasunthira m'mapapu).
• Mwapezeka kuti muli ndi vuto lalikulu, monga matenda amtima kapena kuphatikizika kwamapapu.

Chiwopsezo chanu chodwala mtima chimakhala chachikulu ngati:

• Muli ndi mbiri yakubanja yamatenda amtima.
• Mumasuta fodya, kumwa mankhwala osokoneza bongo a cocaine, kapena kunenepa kwambiri.
• Muli ndi cholesterol, kuthamanga kwa magazi, kapena matenda ashuga.
• Muli ndi matenda amtima kale.

Itanani omwe akukuthandizani ngati:

• Muli ndi malungo kapena chifuwa chomwe chimatulutsa phlegm wobiriwira wachikaso.
• Muli ndi ululu pachifuwa womwe ndiwowopsa ndipo sukutha.
• Mukukumana ndi mavuto kumeza.
• Kupweteka pachifuwa kumatenga nthawi yayitali kuposa masiku 3 mpaka 5.

Wothandizira anu akhoza kufunsa mafunso monga:

• Kodi kupweteka pakati pamapewa? Pansi pa fupa la m'mawere? Kodi ululuwo umasintha malo? Kodi ili mbali imodzi yokha?
• Kodi mungafotokoze bwanji zowawa? (mwamphamvu, kung'ambika kapena kung'amba, kuwombera, kubaya, kuwotcha, kufinya, kulimba, kupsinjika, kuphwanya, kupweteka, kuzimiririka, kulemera)
• Kodi imayamba mwadzidzidzi? Kodi kupweteka kumachitika nthawi yofananira tsiku lililonse?
• Kodi ululu umayamba bwino kapena kuyenda mukamayenda kapena kusintha malo?
• Kodi mungapangitse kuti ululuwo uchitike mwa kukanikiza pachifuwa chanu?
• Kodi ululu ukukulira? Kodi ululuwo umatenga nthawi yayitali bwanji?
• Kodi ululuwo umachokera pachifuwa kupita paphewa, mkono, khosi, nsagwada, kapena msana?
• Kodi kupweteka kumakulirakulira mukamapuma mwakuya, kutsokomola, kudya, kapena kupindika?
• Kodi kupweteka kumakulirakulira mukamachita masewera olimbitsa thupi? Kodi zili bwino mutapuma? Kodi chimatha kotheratu, kapena kumangopweteka pang'ono?
• Kodi ululuwo umakhala bwino mukamwa mankhwala a nitroglycerin? Mukatha kudya kapena kumwa maantacid? Mukamaliza belch?
• Ndi zisonyezo zina ziti zomwe muli nazo?

Mitundu yamayeso yomwe yachitika imadalira zomwe zimayambitsa kupweteka, komanso mavuto ena azachipatala kapena zoopsa zomwe muli nazo.

Kukhazikika pachifuwa; Kupanikizika pachifuwa; Kusapeza bwino pachifuwa

• Angina - kumaliseche
• Angina - zomwe mungafunse dokotala wanu
• Angina - mukakhala ndi ululu pachifuwa
• Kukhala wachangu mutadwala matenda amtima

• Zizindikiro za matenda amtima
• Kupweteka kwa nsagwada ndi matenda a mtima

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MP wa Bonaca, Sabatine MS. Yandikirani kwa wodwalayo ndi kupweteka pachifuwa. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 56.

Brown JE. Kupweteka pachifuwa. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 23.

Goldman L. Njira kwa wodwala yemwe ali ndi matenda amtima. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 45.

O'Gara PT, Kushner FG, Ascheim DD, ndi al. Chitsogozo cha 2013 ACCF / AHA pakuwongolera ST-elevation myocardial infarction: lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines. J Ndine Coll Cardiol. 2013; 61 (4): e78-e140. PMID: 23256914 pubed.ncbi.nlm.nih.gov/23256914/.