I-Post-Cardiac Injury Syndrome
I-Dressler's syndrome yigama elidala lalo ngoku ngokubizwa ngokuthiwa yi "post-cardiac injection syndrome." Uninzi oogqirha basebenzisa igama elidala, kuba kulula ukuthetha.
I-dressler's syndrome ngumhlobo we- pericarditis , okanye ukuvuvukala kwesikhwama se-pericardial. Isikhwama se-pericardial yindlela efana nengxowa yesikhumba ejikeleza intliziyo, equle inani elincinci lomkhuhlane ohambisa i-lubrification yokuhamba kwentliziyo.
Xa umntu edala i-pericarditis, i-sac ye-pericardial iyavutha, kwaye umbane ogqithiseleyo uhlala uqokelela kuyo (imeko ebizwa ngokuba yi- pericardial effusion ). I-dressler's syndrome ngokuqhelekileyo ifana naluphi na uhlobo lwe-pericarditis. Isizathu sokuba sithole igama elikhethekileyo ngenxa yendlela yokuziphatha eyenzekayo-oko kukuthi, kwenzeka emva kweeveki ezimbalwa emva kolunye uhlobo lokulimala kwintliziyo yesisu.
Ngokuqhelekileyo, i-Dressler's syndrome iyenzeka emva kokuhlaselwa kwentliziyo, ukuhlinzwa komzimba , okanye ukukhathazeka okubi kwisifuba. Nangona i-Dressler's syndrome inokubangela ukuba kubekho iingxaki ezinzima, ngokuqhelekileyo imeko yokuzimelela, kwaye kaninzi iyakwazi ukuphathwa ngokufanelekileyo kwaye iphumelele.
Yintoni eyenza i-Dressler's Syndrome?
I-dressler's syndrome inokuvela nasiphi na iisetyini zomzimba ezinobungozi. Umonakalo uvumela iipilisi zentliziyo ukuba ziphule kwiiseli, kwaye ezi proteins zingenza "izixhobo zokuzivikela" - amaqoqolekyuli enokuthi avuselele impendulo yokuvuvukala.
Ezi zixhobo zengxowankulu ziyakwazi ukuqokelela kwisigxobo se-pericardial, kwaye ngamanye amaxesha kwimbombo yemiphunga. Umzimba womzimba ekugqibeleni ungase uqale ukuhlasela ezi zixhobo zokuzivikela kumzimba, okubangela ukuvuvukala kwisigqabi se-pericardial, esenza i-pericarditis, kunye namaxesha ambalwa kunye ne- pleuritis (ukuvuvukala kwimbumba yemiphunga).
Ukuphendula ngokukhuselana nomzimba kuthatha ixesha lokuphuhlisa, ngoko i-Dressler's syndrome ayifuni ngokukhawuleza emva kokulimala komzimba ngokwayo. Kunoko, kwenzeka iiveki okanye iinyanga emva koko.
I-dressler's syndrome ayinqabile. Ingabonwa ngo-15% ukuya kwi-20% yabantu abaneentliziyo.
I-Dressler's Syndrome yafunyanwa njani?
Ngokuqhelekileyo, akunzima kakhulu ukuxilonga i-Dressler's syndrome. Ukuxilongwa kudla ngokuthe ngqo xa kukho imbali yomonakalo wentliziyo wamva, ilandelwa yimpawu ze-pericarditis (ingakumbi intlungu yesifuba ehluka ngokuphefumula), umkhuhlane, inani eliphezulu lamhlophe yegazi kunye nokubonakala kweenguqu ze- electrocardiogram . I-Effusions (i-accumulated fluid) ejikeleze intliziyo okanye imiphunga ihlala ibonakala kwi-x-ray yesifuba okanye i- echocardiogram .
Ukuphatha i-Dressler's Syndrome
Ngethamsanqa, unyango lwe-Dressler's syndrome ngokuqhelekileyo lubuye lube luchanekileyo. Ukuvuvukala okubangela ukuba le meko iphendule kakuhle kwipilisi kunye ne-aspirin okanye izidakamizwa ezichasene nezidakamizwa (i- NSAID ) ezifana ne-ibuprofen. Kubantu abanesifo se-coronary disease , ii-NSAID kufuneka ziphephe ngokuqhelekileyo ( funda ukuba kutheni ), kwaye unyango olune-dose high- aspirin luvame ukukhetha.
I-Dressler's syndrome nayo ingaphendula unyango kunye ne- colchicine , isilwanyana esasetyenziswa ngokusesikweni ukuphathwa gout. Ukuba le miqathango ihluleka, ikhosi emfutshane yonyango kunye ne-steroids, njenge-prednisone, isoloko isebenza kakuhle.
Ngoko ke, nje ngokuba i-Dressler's syndrome iyabonwa kwaye unyango luqalisiwe, alufaneki lube yimeko enzulu yezokwelapha.
Oku kwenzeka ukuba ugqirha wakho engabonakali kakhulu.
Ukukhusela i-Dressler's Syndrome
Ngokumalunga nombuzo wakho wesibini, kukho ubungqina bokuthi ukunika i-colchicine emva kokuhlinzwa komzimba kunokunciphisa ingozi yokuphuhlisa i-Dressler's syndrome ngama-60%.
Nangona kunjalo, i-colchicine ingabangela imiphumo ebalulekileyo yemithwalo yesisu esingaba nzima ukufumana ukuphucula nokuphazamisa ezinye iyeza. Ngaloo unyango oluthile, phakathi kwe-5 ukuya kwi-10% yezigulane ezinesifo senhliziyo zisalindeleke ukuba ziphuhlise i-Dressler's syndrome. Ngoko, ngokugqithiseleyo ukususela kwimihla ngemihla i-Dressler's syndrome isabela ngokukhawuleza kunyango, abaninzi abagqirha benhliziyo bayakholelwa ukuba inzuzo yeprophylactic colchicine ingaphezu kweengozi.
> Imithombo:
> Imazio M, uBrucato A, uMarkel G, et al. Uhlalutyo lwe-Meta lweeNzululwazi eziLungeleleneyo ezijolise ekukhuselweni kwe-Postpericardiotomy Syndrome. InguJ Cardiol 2011; 108: 575.
> Imazio M, Hoit BD. Ukulimala kwe-post-cardiac Syndromes. Isizathu esibangeleyo sePericardial Diseases. Int J Cardiol 2013; 168: 648.
> Wessman DE, Stafford CM. I-Postcardiac Injury Syndrome: Ingxelo yeNgxelo kunye noVavanyo lweeNcwadi. South Med 2006; 99: 309.