Ukutshisa kwisifuba kungumqondiso ongabonakaliyo weenombolo zeentlupheko kunye neengxaki zokusebenza. Esifubeni ngamalungu omzimba - isifo, isibindi, imiphunga, intliziyo, izifo ezibangele ukukhathazeka nokuvutha komlilo kwi-sternum. Ifiva esifubeni ingabangela ukungaqhelekanga ekusebenzeni kwe-pancreas, isisu, ukungaqondakali kwengqondo kunye nezifo zesifo. Ngokuzimeleyo ukutyhila isizathu sesifo se-dyscomfort kwi-thorax akunakwenzeka, ngoko ngoko kwenzeka ukuba kukho iimpawu eziphazamisayo ukuba kulungiswe ugqirha uze udlule okanye uqhube ukuhlolwa ngokupheleleyo.
Iibhaki kwi-sternum - ingaba yintoni?
Umlinganiso kunye nokwakhiwa kwemvakalelo engathandekiyo iyahluke kwiintlobo ezahlukeneyo: ukutshisa kungagxininiswa entliziyweni, kusasaze sonke isifuba, ukubamba isigxina sokunene okanye sokhohlo, "ukunika" emagxeni, entanyeni, ezinqeni, esiswini esiswini, esezantsi nangaphezulu.
Ukuvutha kwisifuba - izizathu zesifo
- Angina pectoris. Ibonakala ngokuvakalelwa / ukutshisa kwindawo yesifuba kunye ne-irradiation kwisalathisi sekhohlo, intamo, intamo. Uhlaselo luqala ngexesha lokuzikhandla, ludlula, lukhutshwa ngokukhawuleza nge nitroglycerin.
- I-Myocardial infarction. I-Clinical syndrome, eyenzeka ngenxa yomonakalo kwisisu senhliziyo. Ukubonakaliswa kwe-infyoction ye-myocardial kuneendlela ezininzi-ukusukela kwi-epsodic ukutshaya emva kwe-sternum ukuya kuhlaselo oluqhutywe, kunye neentlungu ezinzulu phakathi kwesifuba, i-dyspnea, ukwanda kwenani lentliziyo, ukuvuvukala, ubuthakathaka obunzima, ukuchithwa kwesikhumba, ukulahla kwegazi.
- Uxinzelelo lwengqondo. Ukunyuka ngokukhawuleza kwixinzelelo legazi (uxinzelelo lwengxakini) kudibene neentloko, ukutshisa esifubeni, ingxolo ezindlebeni, ukulala, ukuxubusha kwesikhumba ebusweni, ukuvakalelwa kweshushu, ukukhathala, ubuthathaka.
Pericarditis. Izifo ezivuthayo ezichaphazela i-pericardium yinqabileyo yangaphandle yesifo senhliziyo.
Isicatshulwa esibalulekileyo:
- intlungu kunye nokutshisa zihlala kwindawo yesifuba ukuya kwesobunxele, ngokungaphantsi kwexesha - kusasaza kwingalo ekunene kunye nesiqingatha esifanele sesifuba;
- xa intlungu ye-pericardial ingagqitywanga phantsi kwe-scapula yesobunxele, entanyeni, emanqeni;
- Ubungakanani bentlungu yesifo ayixhomekeke ekusebenziseni umzimba, kodwa kunciphisa ngokutshintsha kwimeko yomzimba.
- Cardiomyopathy. Izifo zentliziyo ezingenakucatshulwa kwiintsilelo zengxubevange, iinkqubo ezivuthayo, ukunikezelwa kweoksijini okwaneleyo. Kwintliziyo ye-cardiomyopathy yinto engafanelekiyo yezinto ezibangelwa ubuhlungu bezinto ezahlukeneyo - unomphela kunye nesigxina, kunye neendawo eziphambili kwisibonda kunye nokusasazeka kwindawo enkulu, ukusika nokukhawulelana nokutshisa okufutshane emva kwe-sternum.
- Iintsilelo zentliziyo (mitral valve prolapse, aortic stenosis). Xa kwenzeka ukuphulwa kwesakhiwo seentsimbi, i-muscle ye-cardiac ekhululekileyo iyancipha ngokuphindaphindiweyo, echazwa yinyuka ye-oxygen. Ngomzuzwana othile, ngenxa yomsebenzi onzima, ukungasebenzi kakubi kwenzeka, kubonakaliswe njengokutshisa kunye nentlungu ebhokisini, ephosiweyo, ukubhoboza, ukucinezela, ukuhamba kunye nokuxhamla kwixinzelelo legazi, i-edema kwimilenze ephantsi, ubuthathaka, ukhathala okwandayo.
- Arrhythmias. Ukuphazamiseka kwesiqhelo senhliziyo, kudibene kunye nokutshisa kwi-sternum ngexesha lokuthintela. Olunye ukubonakaliswa: ukungcola, ubuthathaka, "ukuphazamiseka" entliziyweni, ukulahlekelwa yintliziyo.
Ukuvutha kwisifuba - kungeyona i-cardiogenic
I-pathologies yesondlo sesisu:
- kunye ne-apharyngeal hernia. Ubunzima obunemfucumfucu elinezandi ezimbini. Okokuqala: ukutshisa okuqhelekileyo emva kwe-sternum, ehambelana ngqo ne-irritation of mucosa ye-esophageal kunye neengxelo zesisu ne-esophageal reflux, ibonakala kwindawo egciniweyo. Okwesibini: i-reflux ingabangela intlungu yesifo, uphawu lwe-myocardial ischemia, kunye ne-spasm ye-esophagus, eyenzeka emva kokuthatha i-nitroglycerin;
- isilonda se duodenum / isisu. Ibonakalisa njengengqondo evuthayo kwindawo yokuhlaziya, ukuhlanza, isisulu sokubamba isisu, ukuqhaqhabalalisa, ukubetha, ukutshaya kwamanzi;
- cholecystitis. Kwi-50% yamatyala, intlungu kunye nokutshisa kwi-epigastrium kunye nesifuba kubonakala emva kweeyure ezingama-2-3 emva kokutya;
- reflux gastroesophageal. Ngaloo ntsholongwane, i-hydrochloric acid iphoswe kwi-esophagus esuka esiswini, ebangela ukutshisa esifubeni ngakwesobunxele kunye nentlungu ephazamisayo entanyeni, ingalo, phantsi kwembambo osekhohlo.
Izifo / izifo eziLungileyo:
- pneumonia. Ubunjani ngokubonakala kwintlungu nokutshisa kwi-sternum ngakwesokudla okanye kwesobunxele, ukuphefumula okufutshane, umkhuhlane, ama-degrees 38-38.5, ukukhwehlela owomileyo, ubuthathaka, ubuhlungu besikhumba, ukuphazamiseka ngokubanzi kwentlalo-ntle;
- pleurisy. Ukuvuvukala kwe-pleura kubonakalisa ngentlungu kunye nokutshisa esifubeni, ukufumana amandla ngexesha lokuphefumlelwa. Iinkcukacha ezongezelelweyo ze-pleurisy: umkhuhlane, ukukhwehlela owomileyo, ubuthathaka;
- tracheobronchitis. Inkqubo yesifo sesifo eso inokubangela intlungu kunye nokuvutha komlilo emva kwe-sternum ngenxa yeentlungu ze-muscle kunye nokukhwehlela okutyhafisayo okanye ukucasuka kwendawo.
Izifo zesistim ye-musculoskelet system:
- osteochondrosis. Isifo esichaphazelekayo emkhosini womgcini, o "unikeza" iimpawu ngendlela yokutshisa kwi-sternum xa ubandakanyeka kwinkqubo yesithwathwa se-thoracic. Ngokufanayo, ukunyanzelwa kweengalo ezingaphezulu, ukunciphisa ububele, "lumbago" entliziyweni;
- intercostal neuralgia. Umqondiso oqhelekileyo we-intercostal neuralgia yintlungu yokutshisa i-episodic kwisifuba, ukuqinisa ukukhupha umoya / ukuphefumlela, ukukrazula, ukukhwehlela, ukutshintsha isikhundla somzimba;
- I-syndrome ye-Titze. Ukutshatyalaliswa kwe-sternum-cartilaginous and costal cartilage compounds kubangela ubomvu kunye nokuvuvukala kwamalungu e-ecraic cracic cage. Ukukhathazeka nokuvutha komlilo kwi-sternum kuyacaphukiswa yimfutho yesifuba ngexesha lokuzilolonga umzimba. Intlungu ihlala iiyure eziliqela, "amaqabunga" emva kokuthabatha izilwanyana.
I-neurocircular dystonia (VSD). Ingxaki yokusebenza yenkqubo ye-nervous, eyabangela ukuphazamiseka kwemithetho yeentlungu zamalungu angaphakathi kunye neenkqubo.
Iintlobo:
- cardialgia elula. Ikhula ngokukhawuleza, iphele iiyure eziyi-1-2, ize idlule. Ifana neentlungu ezibuhlungu kunye nokutshisa phakathi kwesifuba;
- i-cardialgia ye-vegetative crisis (i-paroxysmal cardialgia ende). Kubonakala ngokusesikweni sokwenyuka kwe-VSD, kubonakaliswe ngentswelo yokwesaba, ukwanda okrakra kwingcinezelo yegazi, ubunzima obunzima, ukuthuthumela emzimbeni, iintlungu, ukuvutha kunye nentlungu yesifuba engavinjelwe yi nitroglycerin kunye ne-validol;
- angina. Kwi-pseudostenocardia, kukho iintlungu, eziqinileyo, ukutshisa kunye nomkhuhlane esifubeni, ezivela kwingcinezelo yoxinzelelo okanye uxinzelelo lwengqondo;
- i-cardialgia enovelwano. Kukho intlungu evuthayo kwi-sternum phakathi okanye ukutshisa esifubeni. Ukwandisa i-syndrome yeentlungu kukukhokelela kwimihlaba ephakathi kwezimbambo.
Ukuvutha esifubeni - izizathu zengqondo
Iingqondo ezingaqhelekanga zibangelwa zizifo zengqondo eziyingxaki yeengxaki zokugula kwengqondo. Iimpawu ezihamba phambili zeengxaki zesifo se-psychogenic genesis yintlangano yeengxaki ezibuhlungu ezahlukahlukileyo kunye nolwazi lwendawo. Bangakwazi ukugxila emkhatsini we-sternum, ngakwesokudla okanye ngakwesobunxele, ukuqonda yonke i-thorax, unikele kwimilenze ephezulu, isisu esisezantsi, intamo. Ezi zityholo ngeempawu zilahla kakhulu - iziguli zikhalaza ukuba "zitshisa", "zitshise", "bhaka" kwisifuba. Ukufumanisa isizathu esiyinyaniso sokudakazeka kwintsimi yentliziyo ukuhlolwa kwesazi sengqondo kunceda kuphela.
Ukutshisa rhoqo kwisifuba kufanele sibe isizathu sokutyelela isikhungo sezokwelapha. Ingcali kuphela inokuqhuba ukuxilongwa kwemeko eyahlukileyo, ukuchonga imbangela yentlungu entliziyweni kunye nokunikezela ngamachiza afanelekileyo.