Ukushisa esifubeni: izimbangela ze-cardiogenic ne-noncardiogenic

Ukushisa esifubeni kuyisignali engabonakaliyo yezinkinga eziningi ze-pathologies nezinkinga zokusebenza. Esifubeni kukhona izitho ezibalulekile - isifo, isibindi, amaphaphu, inhliziyo, izifo ezibangelwa ukukhathazeka nokuzwa okuvuthayo kwi-sternum. I-fever esifubeni ingabangela ukungavamile ekusebenzeni kwamaphancasi, isisu, ukungavamile kwengqondo kanye nezifo zesifo. Ngokuzimela ukudalula isizathu sobunzima emthombeni, akunakwenzeka, ngakho-ke lapho kwenzeka khona izimpawu ezesabekayo kunconywa ukubhekana nodokotela futhi kudlule noma kwenzeke ukuhlolwa okugcwele.

Ama-Bakes ku-sternum - kungaba yini?

Umlingiswa kanye nokwehlukaniswa kwemisindo engavamile kuyahlukahluka kakhulu: ukushisa kungagxila enhliziyweni, kusakaze sonke esifubeni, kuthathe isigamu sokunene noma kwesobunxele, "ukunikeza" emagxeni ehlombe, intamo, isinqe, isisu esisenhla, izimpande eziphansi nezansi.

Ukushisa esifubeni - izimbangela ze-cardiogenic

  1. Angina pectoris. Kubonakala ngomuzwa wokucindezela / ukuvutha endaweni yesifuba nge-irradiation engxenyeni yesokunxele, ehlombe, entanyeni. Ukuhlasela kuqala ngesikhathi kusebenza ngokomzimba, kudlula ekuphumuleni, kususwa ngokushesha nge-nitroglycerin.
  2. I-infarction ye-myocardial. I-syndrome ye-Clinical, eyenzeka ngenxa yomonakalo emisipha yenhliziyo. Ukubonakaliswa kwe-infarction ye-myocardial kunezinketho eziningi - kusuka ekushiseni kwe-episodic ngemuva kwe-sternum kuya ekuhlaselweni okuthuthukile, okuhambisana nosizi olunzima phakathi kwesifuba, i-dyspnea, ukwanda kwentamo yenhliziyo, ukuvuvukala, ubuthakathaka obunzima, ukuchithwa kwesikhumba, ukwehla kwegazi.

  3. Isifo somfutho wegazi ophezulu. Ukwanda okungazelelwe komfutho wegazi (inkinga ye-hypertensive) kuhlanganiswe nekhanda, ukuvutha esifubeni, umsindo ezindlebeni, ukulala, ukuqhuma isikhumba ebusweni, umuzwa wokushisa, ukukhathala, ubuthakathaka.
  4. I-Pericarditis. Isifo sokuvuvukala esithinta i-pericardium yigobolondo langaphandle le-muscle yenhliziyo.

    Inkimbinkimbi yesifo esivamile:

    • ubuhlungu nokushisa kutholakala esifubeni ngakwesobunxele, kancane kancane - kusakazeka engxeni engakwesokudla nengxenye efanele kwesifuba;
    • lapho ubuhlungu obubonakalayo abugcini ngaphansi kwe-scapula kwesokunxele, entanyeni, emihlathini;
    • Ukuqina kwesifo sobuhlungu akuxhomeke ekuzikhandla ngokomzimba, kodwa kunciphisa ngokushintsha kwesimo somzimba.

  5. I-Cardiomyopathy. Izifo zezinhliziyo ezingahlukanisi nakwezinye iziphambeko zamathambo, izinqubo zokuvuvukala, okwanele okwenziwe oksijini. Ehliziyweni ye-cardiomyopathy yizinto ezingafani kahle ezibangelwa ubuhlungu obuhlukile - okuhlala unomphela kanye ne-episodic, ngendawo yangaphakathi esifubeni futhi isakazeka endaweni enkulu, ukusika nokulinganiselwa ukushisa okuncane ngemuva kwe-sternum.
  6. Ukukhubazeka kwenhliziyo (i-mitral valve prolapse, i-aortic stenosis). Uma kwenzeka ukwephulwa kwesakhiwo se-valve, imisipha yenhliziyo egcwele ngokweqile iyancipha kaningi, okuchazwa ukwanda kwe-oksijeni. Ngomzuzwana othile, ngenxa yomsebenzi ojulile, ukukhubazeka kwenzeka, kubonakaliswe njengokushisa nobuhlungu esifubeni, ezikhonjiwe, ukubhoboza, ukucindezela, okuhambisana nokuqhuma kwengcindezi yegazi, i-edema emilenzeni engaphansi, ubuthakathaka, ukhathala okwandayo.
  7. Arrhythmias. Ukuphazamiseka kwesigqi senhliziyo evamile, kuhlangene nokungahambi kahle nokushisa ku-sternum ngesikhathi sokuqothulwa. Okunye ukubonakaliswa: ukuzondeka, ubuthakathaka, "ukuphazanyiswa" enhliziyweni, ukulahlekelwa ulwazi.

Ukuvutha esifubeni - izimbangela ezingezona izifo ze-cardiogenic

  1. I-pathologies yepheshana lezinsi:

    • kanye ne-apharyngeal hernia. Ubunzima obuneminwe emine buba nezinhlobo ezimbili. Okokuqala: ukushisa okuvamile emva kwe-sternum, okuhlobene ngokuqondile nokucasuka kwe-mucosa esophageal kanye nokuqukethwe kwe-reflux yesisu nesisu, kuvela endaweni enezingqimba. Okwesibili: i-reflux ingabangela ubuhlungu be-syndrome, isici se-myocardial ischemia, ne-spasm ye-esophagus, eyenzeka ngemuva kokuthatha i-nitroglycerin;
    • isilonda se-duodenum / isisu. Kuzibonakalisa njengenzwa evuthayo endaweni ephindaphindiwe, ukuhlanza, i-nausea, i-bloating, i-belching, i-heartburn esebenzayo;

    • cholecystitis. Ezimweni ezingu-50%, ubuhlungu nokushisa e-epigastrium futhi esifubeni kuvela emva kwamahora amabili ngemva kokudla;
    • reflux ye-gastroesophageal. Ngalesi sifo, i-hydrochloric acid iphonswa ngaphakathi kwesisu esisuka esiswini, okubangela ukuvutha esifubeni ngakwesobunxele kanye nobuhlungu obuya entanyeni, ingalo, ngaphansi kombundu wesobunxele.
  2. Izifo / izifo ezilondayo:

    • i-pneumonia. Efaniswa nokubukeka kobuhlungu nokushisa e-sternum ngakwesokudla noma kwesobunxele, ukuphefumula, ukuphefumula, ama-degrees 38-38.5, ukukhwehlela owomile, ubuthakathaka, ubuhlungu besikhumba, ukuwohloka kwenhlalakahle jikelele;
    • pleurisy. Ukuvuvukala kwe-pleura kubonakalisa ubuhlungu nokushisa esifubeni, ukuqina ngamandla ngesikhathi sokuphefumulelwa. Izimpawu ezengeziwe ze pleurisy: umkhuhlane, ukukhwehlela owomile, ubuthakathaka;

    • i-tracheobronchitis. Inkambo ye-apipical yesifo ingabangela ubuhlungu nokuzwa okuvuthayo ngemuva kwe-sternum ngenxa yobuhlungu besisu ngokukhwehlela okudambisayo noma ukucasuka kwendawo.
  3. Izifo zesistimu ye-musculoskeletal:

    • i-osteochondrosis. Isifo esithathelwanayo esihlokweni somgogodla, "esinikeza" izimpawu ngendlela yokushisa kwi-sternum lapho kuhilelekile ekusebenzeni komgogodla we-thoracic. Ngokufanayo, ukungafihli kwemilenze engenhla, ukunciphisa ukuzwela, "lumbago" enhliziyweni;
    • intercostal neuralgia. Uphawu oluvamile lwe-intercostal neuralgia luyisimo esivuthayo esibuhlungu esifubeni, siqinisa ukuphefumula / ukuphefumula, ukukhipha, ukukhwehlela, ukushintsha isikhundla somzimba;

    • I-syndrome ye-Titze. Ukunqotshwa kwama-sternum-cartilaginous and costal cartilage compounds kubangela ukubomvu nokuvuvukala kwamajoyina e-cage anterior thoracic. Ukukhathazeka nokuzwa okuvuthayo ku-sternum kuqubukiswa ukunyakaza kwesifuba ngesikhathi sokuzivocavoca umzimba okujulile. Ubuhlungu buhlala emahoreni amaningana, "amaqabunga" ngemuva kokuthatha ama-analgesics.
  4. I-dystonia ye-neurocircular (VSD). Ukuphazamiseka okusebenzayo kwesimiso sezinzwa, okubangela ukuphazamiseka komthethonqubo wezinzwa zezingxenye eziningi zangaphakathi nezinhlelo.

    Izinhlobo:

    • i-cardialgia elula. Iqala ngokuzumayo, ihlala amahora angu-1-2, bese idlula. Efaniswa nobuhlungu obuhlungu nobuhlungu obuhlungu nokushisa phakathi kwesifuba;
    • i-cardialgia ye-vegetative crisis (i-cardialgia ye-paroxysmal ende). Kubonakala ngokumelene nesizinda sokukhushulwa kwe-VSD, kuboniswa ukuzwa ukwesaba, ukwanda okweqile kwengcindezi yegazi, ubuthakathaka obunzima, ukuthuthumela emzimbeni, ubuhlungu bokushisa, ukuvutha kanye nesifuba esingavinjelwe yi-nitroglycerin ne-validol;

    • angina amanga. Ku-pseudostenocardia, kunezinhlungu ezicindezelayo, ezinzima, ezivuthayo nomkhuhlane esifubeni, ezivela ngemuva kokucindezeleka noma ukucindezeleka ngokwengqondo;
    • i-cardialgia ezwelayo. Kukhona ubuhlungu obuvuthayo phakathi kwe-sternum phakathi noma ukuvutha esifubeni. Ukwandisa isifo sobuhlungu kuholela ekwenzeni izinhlangothi eziphakathi kwezimbambo.

Ukuvutha esifubeni - izimbangela ze-psychogenic

Ukungaqondakali kwengqondo kubangelwa ukukhathazeka ngokwemvelo kwengqondo okuyingxenye yegciwane lesifo sengqondo. Isifo esihamba phambili sezinkinga ze-cardiogenic ye-genesis ye-psychogenic iyinhlanganisela yezinzwa ezibuhlungu ezingafani nobuningi. Bangakwazi ukugxila phakathi kwe-sternum, ngakwesokudla noma ngakwesobunxele, ukuze baqonde yonke imithi, banikele izitho ezingenhla, isisu esingaphansi, intamo. Lezi zinkinga ngezimpawu zitholakala ngokweqile - iziguli zikhononda ngokuthi "zishisa", "zishise", "bhaka" esifubeni. Ukuze uthole isizathu esiyiqiniso sokuhlukumezeka ensimini yenhliziyo ukuhlolwa kwesazi sengqondo kusiza kuphela.

Ukuvutha njalo esifubeni kufanele kube yisizathu sokuvakashela isikhungo sezokwelapha. Ingcweti kuphela engenza ukuxilongwa okuhlukile kokuhlukanisa, ukukhomba imbangela yobuhlungu enhliziyweni nokubeka imithi eyanele.