Ngaba wakha waziva isifuba sakho sibetha ngamandla ngaphandle kwesizathu esithile? Ngokungathi ubusandula ukubaleka umgama omde. Okanye uziva ngathi kukho into eqengqelekayo esifubeni sakho, itsiba isingqi ize iphinde ibethe? Le yinto eyenzeka kubantu abaninzi. Oku kunokwenzeka ingakumbi xa uziva uloyiko olukhulu, uxinzelelo, okanye ixhala, into esiyibiza ngokuba yi-"Anxiety". Ngoko ke, ungoyiki. Masithethe ngale nto ngokucacileyo namhlanje.
Kalula nje, zithini ezi ntlungu zentliziyo?
Igama elithi 'Heart Palpitations' lisenokuboyikisa abanye abantu. Kodwa eyona ntsingiselo ilula yale nto kukuba uqala ukuziva intliziyo yakho ibetha kakuhle. Ngokwesiqhelo, asiziva iintliziyo zethu zibetha. Kodwa ngeli xesha,
- Intliziyo isenokuvakala ngathi ibetha kakhulu kwaye ikhawuleza .
- Usenokuziva ngathi libhabhathane elibhabha esifubeni sakho .
- Ukubetha kwentliziyo kusenokuvakala ngathi kuthe kwatsiba ngesinye isihlandlo, kuze kube semva koko kubethe ngokukhawuleza .
- Kusenokuvakala ngathi intliziyo yakho ibetha ngokungacwangciswanga , ibetha ngokukhawuleza, emva koko icotha, emva koko ibetha ngokukhawuleza kwakhona.
Olu luvo lunokwenzeka esifubeni, entanyeni, okanye emqaleni. Ngamanye amaxesha luyaphela kwimizuzwana embalwa. Ngamanye amaxesha lunokuhlala imizuzu embalwa.
Kutheni ixhala libangela iintlungu esifubeni? Yintoni edibanisa oku?
Khawuthelekelele uhamba esitalatweni uze ngequbuliso inja enkulu ikutsibele. Kwenzeka ntoni kuwe? Uziva ubanda, ubila, kwaye isifuba sakho siqala ukubetha, akunjalo? Leyo yindlela yokuzikhusela yendalo yomzimba wethu. Siyibiza ngokuba "yimpendulo yokulwa okanye yokubaleka."
Xa uziva usoyika, uxhalabile, okanye uxinezelekile, ingqondo yakho icinga ukuba usengozini. Ngelo xesha, ingqondo ithumela imiqondiso emzimbeni ukuze ilungiselele ukujongana naloo "ngozi." Kwangaxeshanye, umzimba wethu ukhupha iihomoni ezifana ne -adrenaline . Omnye wemisebenzi ephambili yale hormone kukukhawulezisa isantya sentliziyo. Oku kungenxa yokuba zipompa igazi kunye neoksijini kwimisipha yomzimba ngokukhawuleza, zikunika amandla okulwa okanye okubaleka.
Ngoko ke, oku kwenzekayo xa une-`(Anxiety)`. Nokuba yingxaki emsebenzini, uviwo, okanye uloyiko lokuthetha phambi kwabantu, ingqondo yakho ingakubonisa oku njenge "ngozi." Emva koko impendulo ethi `(Fight or Flight)` iyasebenza, i-adrenaline iyanda, kwaye isifuba sakho siqala ukubetha ngokukhawuleza.
Into ebalulekileyo kukuba oku kuqina kwesifuba okubangelwa kukuxhalaba akusoloko kuyingozi. Yindlela umzimba wakho osabela ngayo kwiimvakalelo zakho.
Kunini apho sifanele sikhathazeke khona ngeentlungu zesifuba?
Nangona iintlungu zesifuba ezibangelwa kukuxhalaba zihlala zingeyongozi, azizizo zonke iintlungu zesifuba ezibangelwa kukuxhalaba. Ngamanye amaxesha zinokuba luphawu lwengxaki yempilo. Ke ngoko, ukuba unezinye zeempawu ezidweliswe ngezantsi kunye nentlungu yesifuba, kubalulekile ukufuna ingcebiso yezonyango ngokukhawuleza. Oku kuthetha ukuya kwiSebe lezeMpilo elikufutshane (ETU) ngokukhawuleza.
| Iimpawu zesilumkiso ezifuna ingqalelo ekhawulezileyo | |
|---|---|
| Intlungu yesifuba okanye ukungakhululeki | Ukuziva uxinene okanye ukuxinana esifubeni. |
| Ubunzima bokuphefumla | Ubunzima bokuphefumla, ukuphefumla nzima, ukuphefumla kancinci. |
| Ukujikelezisa (ukujikeleza) | Ukuziva unesizungu, amehlo ejika abe luhlaza okwesibhakabhaka, kunzima ukuma. |
| Ukuquleka | I-Syncope yimvakalelo yokuquleka okanye ukuphelelwa zingqondo. |
Ezinye izizathu zentlungu yesifuba ngaphandle kwexhala
- Iingxaki zesingqisho sentliziyo (iiArrhythmias): Umzekelo, iimeko ezifana ne-`(Atrial Fibrillation - Afib)`.
- I-Myocarditis: Ukudumba kwemisipha yentliziyo ngenxa yosulelo lwentsholongwane.
- Iingxaki ze-thyroid: Ingakumbi i-hyperthyroidism.
- Iingxaki zentliziyo ezakhiweyo: Izinto ezifana nesifo sevalvu yentliziyo.
- Ezinye izizathu: ukusela i-caffeine egqithisileyo (ikofu, iti) okanye utywala, amayeza athile, i-anemia (ukungabikho kwegazi).
Ugqirha uyixilonga njani le meko?
Xa usiya kugqirha ukuze uthethe ngale nto, uza kuqala athethe nawe kakuhle. Akukho mfuneko yokoyika. Cacisa indlela oziva ngayo. Ugqirha angakubuza izinto ezinje:
- Unexesha elingakanani uvakalelwa yile ntlungu esifubeni? Ibe lixesha elingakanani? Uziva kangaphi ngemini?
- Uziva njani ngaphambi kokuba oku kwenzeke? Ngaba uziva usoyika okanye uxhalabile?
- Ngawaphi amayeza (kuquka iivithamini kunye namayeza emifuno) owasebenzisayo?
- Zithini iindlela zakho zokutya? Usela ikofu, iti, kunye neziselo ezinika amandla kangakanani? Ngaba usela utywala?
- Ngaba kukho umntu onesifo sentliziyo kusapho lwakho?
Emva koko, ugqirha uza kubeka i-stethoscope esifubeni sakho aze asihlole. Ukuba kuyimfuneko, unokuyalela iimvavanyo ezongezelelweyo ukuze kuchongwe unobangela ochanekileyo.
- Uvavanyo lwegazi: Jonga ukuba akukho anemia, amanqanaba ehomoni ye-thyroid, kunye namanqanaba eeminerali afana ne-potassium (hypokalemia).
- I-ECG (i-Electrocardiogram): Uvavanyo olurekhoda umsebenzi wombane wentliziyo. Oku kunokujonga naziphi na iingxaki kwisigqi sentliziyo.
- I-Echocardiogram (Echo): Olu luvavanyo lwentliziyo. Lunokujonga ulwakhiwo lwentliziyo, ukusebenza kweevalvu, kunye nokuba intliziyo ipompa igazi kakuhle kangakanani na.
- I-Holter Monitor: Esi sisixhobo esincinci osinxiba usuku olunye okanye ezimbini. Sirekhoda rhoqo imisebenzi yentliziyo yakho ngelixa usenza imisebenzi yakho yemihla ngemihla.
- Irekhoda yeziganeko: Ungayisebenzisa le nto kangangeeveki ezimbalwa. Xa uziva ukubetha kwentliziyo, cofa iqhosha kuyo kwaye i-ECG iya kurekhodwa ngelo xesha.
Ungayinyanga njani intlungu yesifuba ebangelwa kukuxhalaba?
Emva kovavanyo, ukuba ugqirha wakho uqinisekisa ukuba ukuqina kwesifuba sakho kubangelwa "yiNgxaki", unyango luya kugxila kakhulu ekulawuleni imeko yakho "yokuxhalaba". Kuba xa unobangela unyangwa, uphawu (ukuxinana kwesifuba) luya kuncipha ngokuzenzekelayo.
Unyango lwengqondo
Le yindlela esebenza kakhulu. Sikwayibiza ngokuba yi-'Talk Therapy'. Apha, uthetha ngeengxaki zakho nomcebisi oqeqeshiweyo okanye ugqirha wengqondo, okuncedayo ukuba ubone kwaye utshintshe iindlela zokucinga ezibangela 'ixhala' lakho. Unyango Lokuziphatha Oluqondayo (CBT) yindlela esebenza kakhulu esetyenziswa kakhulu koku.
Amayeza
Kwezinye iimeko, ugqirha angakunika amayeza okulawula imeko.
- Amayeza afana namayeza okulwa noxinzelelo (anxiolytics) kunye namayeza okudakumba anokunceda ukulawula uxhalabo kwixesha elide.
- Amayeza anjenge- beta-blockers anciphisa imiphumo ye-hormone adrenaline, elawula iimpawu zomzimba ezifana nokubetha kwentliziyo ngokukhawuleza kunye nokungcangcazela.
- IiBenzodiazepinesNangona olu hlobo lwamayeza lunceda ngokukhawuleza xa kukho imeko engxamisekileyo, kufuneka lusetyenziswe kancinane kwaye lusetyenziswe ixesha elifutshane, kuba lunomngcipheko wokuba likhoboka.
Utshintsho kwindlela yokuphila kunye namanyathelo okuthomalalisa
Ukongeza kumayeza, zininzi izinto onokuzenza ngokwakho. Ngokuzenza ezi zinto zibe yinxalenye yobomi bakho, unokulawula ngcono ixhala kunye nokubetha kwentliziyo.
Iindlela zokulawula iintlungu zesifuba ngoko nangoko
Khawuthelekelele ukuba ngequbuliso uhlaselwa luxinzelelo kwaye isifuba sakho siqala ukubetha ngamandla. Musa ukoyika ngelo xesha, zama ukwenza ezi zinto.
- Ukuphefumla nzulu: Le yeyona ndlela ilungileyo nekhawulezayo. Hlala ngokukhululeka. Vala amehlo akho. Beka isandla esinye esifubeni sakho nesinye esiswini sakho. Phefumla kancinci, nzulu ngempumlo yakho (ubala u-4). Njengoko uphefumla, kufuneka uzive isandla sakho esiswini sakho sisiya phambili. Emva koko ubambe umphefumlo wakho imizuzwana e-1-2 uze ukhuphe umoya kancinci ngomlomo wakho (ubala u-6). Yenza oku izihlandlo ezimbalwa kwaye uya kuziva ukuba isantya sentliziyo yakho sibuyela kwisiqhelo kancinci kancinci.
- Ukuqaphela: Nika ingqalelo kwindawo okuyo. Zama ukuchonga izinto ezi-5 ozibonayo, izandi ezi-4 ozivayo, izinto ezi-3 ozichukumisayo, izinto ezi-2 ozivumbayo, kunye nezinto ezi-2 ozingcamlayo (nokuba ngamanzi amancinci). Oku kuya kunceda ingqondo yakho ikhulule uloyiko kwaye kukubuyisele kwimeko yangoku.
- Amanzi abandayo: Galela amanzi abandayo ebusweni bakho. Okanye usele iglasi yamanzi abandayo rhoqo. Oku kunceda ukuzola inkqubo yemithambo-luvo.
- Hamba: Ukuba kunokwenzeka, hamba kancinci. Jonga indawo ekungqongileyo. Oku kuya kuphazamisa ingqondo yakho.
Khumbula, eyona nto ibalulekileyo kukuzixelela ngelo xesha, "Oku kukukhathazeka nje, oku akuyongozi, oku kuza kuphela emva kwexesha elifutshane."
Umyalezo Wokuya Ekhaya
- Ukubetha kwentliziyo okubangelwa kukuxhalaba kuxhaphake kakhulu. Ixesha elininzi, le ayisiyongxaki.
- Oku kungenxa yendlela umzimba wakho osabela ngayo ngokwendalo "ngokulwa okanye ukubaleka".
- Nangona kunjalo, ukuba uneempawu ezifana neentlungu zesifuba, ubunzima bokuphefumla, isiyezi esinzima (intloko ekhaphukhaphu), okanye ukuphelelwa zingqondo kunye nentlungu yesifuba sakho, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Ukuba unamathandabuzo okanye uxhalabile malunga neentlungu zesifuba sakho, ungoyiki ukuthetha ngokukhululekileyo nogqirha wakho ngaloo nto.
- Iindlela zokuphumla ezifana nonyango lwengqondo, amayeza, kunye nokuphefumla nzulu ziluncedo kakhulu ekulawuleni ixhala.
- Ukucela uncedo akubonisi ubuthathaka. Luphawu oluqinileyo lokuba uyikhathalele impilo yakho.
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