I-Pericarditis enobuchule ingaba Ubomi-isongela ukuba ingabonakali
I- pericarditis ekhangelekile emva kokuhlaselwa kwentliziyo xa kwenzeka ukuba umzimba we-immune system ungene kwi-overdrive ukuze uhlambulule izicubu ezonakalisiweyo. Amasosha omzimba aphule iisifo zentliziyo enempilo njengonakele kwaye ahlasele, okwenza umonakalo omkhulu kunye nokuvuvukala.
Siyabulela ekusebenziseni izidakamizwa ezigulisa i-clot-busting, ezenza ukuba umonakalo we-muscle kunye nokuqhaqhazeka, le nkcenkceshe ibe yinto engavamile kakhulu.
Sekunjalo, i-pericarditis ekhuselekileyo ingasongela ubomi xa ingaphathwa kakubi, kunye nokuhlaziya izigulane zentliziyo kufuneka zixele iimpawu ngokukhawuleza, nokuba zisasibhedlele okanye sele zihlala ekhaya.
Ukuvuvukala kukuchaphazela isithandwa senhliziyo
I-pericarditis enobuchule iqala xa iimbumba zombini zesigxoba esineentliziyo - i-pericardium - iyacaphuka kwaye ivuke. Ukuvuvukala kubangela ukuba iziqendu ezimbini zixubane ngomnye kunye nentliziyo nganye.
Ngokuqhelekileyo, inani elincinci lomkhuhlane liphakathi kwamacandelo amabini, ukubonelela i-lubrification yokuhamba kwentliziyo. I-pericarditis enamandla ingabangela ukuba umbane ogqithiseleyo uqokelele ngaphakathi kwintliziyo yegazi, ukuphazamisa ukubetha kwentliziyo kunye nokukhokelela kwiimpawu zesifo senhliziyo. Ukusetyenziswa kwamanzi okugqithiseleyo kunokunokwakha kwimiphunga, okwenza kube nzima ukuphefumula nokwandisa umngcipheko we-pneumonia.
I-pericarditis ecacileyo ibhekwa "ekuqaleni" ukuba kwenzeka ngeveki yokuqala yesifo senhliziyo; olu hlobo lwe-pericarditis luchaphazela malunga nama-10 ukuya kwe-15 ekhulwini labantu abaye bahlaselwa yintliziyo.
Olu hlobo lwe-pericarditis luhlala lusombulula ngokukhawuleza kwiintsuku ezimbalwa nje unyango.
Dressler's Syndrome
I-pericarditis ezayo, ebizwa nangokuthi "i-Dressler's syndrome," ithintela malunga ne-1 ukuya kwi-3 ekhulwini labantu abaye bahlaselwa yintliziyo. Le fomu ye-pericarditis ivela kwiiveki okanye emva kweenyanga emva kokuhlaselwa kwentliziyo kwaye ibuye iphinde iphinde iphinde ilandele unyango olubonakala luphumelelayo.
Ukuvuvukala kwale fomu ye-pericarditis yanda kakhulu, ichaphazela iindawo ezinkulu kwi-pericardium.
Iimpawu ze-Pericarditis enobuchule:
- Ukukhathala
- Fever
- Ukukhawuleza kwenhliziyo
- Isiqhamo
- Ukuphefumula okunzima
Ubunzima Bomzimba
Intlungu ingaba sakho esifubeni, emuva, ihlombe kunye / okanye isisu. Kungenzeka ukuba ihlale ihlala okanye ihambe, kwaye idla ngokugqithisa xa uzama ukuthatha umoya ophefumlelweyo. Intlungu inokuba yinto ebaluleke kakhulu xa uhleli ngokuchanekileyo kwaye unokuphucula xa uxhomekeke phambili. Unokuziva ukhululekile.
Ugqirha wakho uya kukhangela izandi zomsindo xa uphulaphula intliziyo yakho nge stethoscope. Isandi sesandi esibizwa ngokuthi "ukuxubha" senziwa ngenxa yokubambisana okubangelwa ziindawo ezimbini ezivuvukileyo ze-pericardium. Ukuvuvukala kunye naluphi na ukuqokelela kwamanzi okubangela ukuba intliziyo yakho ibonakale ikhulile kwaye ikhuphe ngaphezu kokuqhelekileyo.
Ukuvavanya ukuqinisekisa ukuba ukuxilongwa kungaxhamla kwi-x-ray yesifuba kunye nokuhlolwa kwegazi kwi- ECG kunye ne- echocardiogram , apho amaza omsindo edala umfanekiso ohambayo entliziyweni.
Iinkqubo kunye neNgcebiso
Amachiza, njengemithi engeyiyo-anti-inflammatory okanye i-aspirin, i-steroids okanye i-colchicine yezidakamizwa ezichasayo kwizigulane ezinzima kakhulu, ngokuqhelekileyo zithintela ukuvutha. Ukuba uninzi lwamanzi entliziyweni yakho, ke inqubo ebizwa ngokuba yi "pericardiocentesis" ingafuneka.
Kwi-pericardiocentesis, inaliti encinci kakhulu okanye ityhubhu (catheter) ifakwa ngodonga lwesifuba sakho nasentolongeni yentliziyo, kunye nokukhupha umthamo ogqithiseleyo kuhoxiswa, kukuphucula umsebenzi wentliziyo yakho.
Uninzi lweziganeko ze-pericarditis ezinzulu zixazulula nayiphi na ingxaki eqhubekayo. Ukuphatha ngokukhawuleza isiqephu sokuqala kubonakala kunciphisa umngcipheko wokuphindaphinda.
Imithombo:
Hoit, BD "I-Pericardial disease kunye ne-ticonade ye-pericardial." Unyango Olujongene Nonyango 35 (2007): S355-64.
Manning, uWarren J. "Izifo eziPericardial." Iincwadi zeeCecil zonyango . Ed. Lee Goldman. Philadelphia: Saunders, 2008.
Ubusika, uMartin M. "Izifo eziPericardial." I-Braunwald's Heart Disease: Incwadi Yomdlavuza We-Cardiovascular . Ed. Peter Libby. Philadelphia: Saunders, 2007.
I-Maisch, B. "Ukongeza iColchicine ku-Aspirin Ngamana ingakukhusela kwakhona i-Pericarditis enobuchule." Ubungqina obusekelwe kwiMicrosoft Cardiovascular Medicine 10 (1 Matshi 2006): 64-6. 18 Septemba 2008