I-Post-Cardiac Injury Syndrome
I-Dressler's syndrome yigama elidala lalokho manje okuthiwa ngokuthi "i-post-cardiac injection syndrome." Odokotela abaningi basasebenzisa igama elidala, ngoba kulula ukukusho.
I-Dressler's syndrome iyinhlobo ye- pericarditis , noma ukuvuvukala kwesikhwama se-pericardial. Isikhwama se-pericardial singqimba lwe-sac-like of tissue elizungeze inhliziyo, eliqukethe inani elincane lomkhuhlane ohlinzeka nge-lubrication ukuhamba kwenhliziyo.
Uma umuntu eqala i-pericarditis, isikhwama sabo se-pericardial sishaya, futhi uketshezi oluningi ngokweqile kuvame ukungena kuyo (isimo esibizwa ngokuthi i- pericardial effusion ). I-Dressler's syndrome ngokuvamile ifana nanoma yimuphi omunye uhlobo lwe-pericarditis. Isizathu sokuthi sithola igama elikhethekile kungenxa yephethini yalokho okwenzekayo - okungukuthi, kwenzeka amasonto ambalwa emva kokulimala kwenhliziyo.
Ngokuvamile, i-Dressler's syndrome kwenzeka ngemva kokuhlaselwa yinhliziyo , ukuhlinzwa komzimba , noma ukuhlukumezeka okukhulu esifubeni. Ngenkathi i-Dressler's syndrome ingase iholele ezikhathini ezinzima, ngokuvamile isimo esingenakubalwa, futhi ngokuvamile kaningi singelashwa kalula futhi siphumelele kakhulu.
Yini Ebangela I-Dressler's Syndrome?
I-Dressler's syndrome ingenzeka nanoma yisiphi isikhathi amangqamuzana omzimba womzimba awonakele. Umonakalo uvumela amaprotheni ezinhliziyo ukuba aphule emasethini, futhi lawa maprotheni angakha "ukuzivikela komzimba" - amaqoqo e-molecule angashukumisa impendulo yokuvuvukala.
Lezi zinkimbinkimbi ze-immune zingakwazi ukuqoqa esikhwameni se-pericardial, futhi ngezinye izikhathi emgqeni wamaphaphu. Isivikelo somzimba womzimba ekugcineni singase siqale ukuhlasela lezi zinkimbinkimbi zomzimba, okubangela ukuvuvukala esikhwameni se-pericardial, esenza i-pericarditis, futhi ngezinye izikhathi futhi i- pleuritis (ukuvuvukala kwendwangu yamaphaphu).
Lokhu kuphendula kwamagciwane kungathatha isikhathi sokuthuthukisa, ngakho-ke i-Dressler's syndrome ayitholakali ngokushesha ngemva kokulimala komzimba ngokwayo. Kunalokho, kwenzeka amasonto noma izinyanga kamuva.
I-Dressler's syndrome ayiyona into engavamile. Kungabonakala ku-15% kuya ku-20% wabantu abanokuhlinzwa kwenhliziyo.
I-Dressler's Syndrome Ibonwa Kanjani?
Ngokuvamile, akulukhuni kakhulu ukuthola i-Dressler's syndrome. Ukuxilongwa ngokuvamile kuqondakala uma kunomlando wokulimala kwamuva komzwelo, kulandelwa izimpawu ze-pericarditis (ikakhulukazi ubuhlungu besifuba obuhluka ngokuphefumula), umkhuhlane, inani eliphakeme elimhlophe legazi, kanye nokubonakala kwesimo se- electrocardiogram . I-Effusions (ukuqoqwa kwamanzi) nxazonke zenhliziyo noma amaphaphu kungabonakala ku-x-ray yesifuba noma i- echocardiogram .
Ukuphatha i-Dressler's Syndrome
Ngenhlanhla, ukwelashwa kwe-Dressler's syndrome ngokuvamile kubuye kube kuhle kakhulu. Ukuvuvukala okubangela lesi simo ngokuvamile kuthinta ukwelashwa nge-aspirin noma izidakamizwa ezingezona ukuvuvukala (i- NSAID ) njenge-ibuprofen. Kubantu abanesifo se-artery coronary , ama-NSAID kufanele avinjelwe ngokuvamile ( funda ukuthi kungani ), futhi ukwelashwa nge-high-dose aspirin ngokuvamile kuvame esikhundleni.
I-Dressler's syndrome nayo ingaphendula ukwelashwa nge- colchicine , isidakamizwa esivame ukusetshenziselwa ukwelapha i-gout enzima. Uma lezi zinyathelo zihluleka, inkambo emfushane yokwelashwa nge-steroids, njenge-prednisone, ihlale isasebenza njalo.
Ngakho-ke, uma nje i-Dressler's syndrome ibonakala futhi ukwelashwa sekuqalile, akuvamile ukuthi kube nokugula okunzima kakhulu.
Lokhu kungenzeka ukuthi kungani udokotela wakho engabonakali ukukhathazeka okukhulu.
Ukuvimbela i-Dressler's Syndrome
Ngokuphathelene nombuzo wakho wesibili, kukhona ubufakazi bokuthi ukunikeza i-colchicine emva kokuhlinzwa komzimba kunganciphisa ingozi yokuthuthukisa i-Dressler's syndrome cishe cishe ngu-60%.
Kodwa-ke, i-colchicine ingabangela imiphumela emibi yemiphumela yesisu okungabangela ukutholakala kokuhlinzwa futhi kungaphazamisa ezinye imithi. Ngisho nalokhu ukwelashwa kwe-prophylactic, phakathi kwama-5 kuya ku-10% weziguli ezinokuhlinzwa kwenhliziyo kusalindeleke ukuthi zihlakulele i-Dressler's syndrome. Ngakho-ke, ikakhulukazi njengoba ngokuvamile i-Dressler's syndrome isabela ngokuphuthumayo ekwelapheni, odokotela abaningi basezinhliziyo bathi izinzuzo ezingase zibe khona ze-prophylactic colchicine zingaphansi kwezingozi.
> Imithombo:
> Imazio M, uBrucato A, uMarkel G, et al. Ukuhlaziywa kwe-Meta yezilingo ezingenalutho Ukugxila ekuvimbeleni i-Postpericardiotomy Syndrome. Am J Cardiol 2011; 108: 575.
> Imazio M, Hoit BD. Ukulimala kwe-Post-cardiac Syndromes. Imbangela Evelayo Yezifo Ezimbi. I-Int J Cardiol 2013; 168: 648.
> Wessman DE, Stafford CM. I-Postcardiac Injury Syndrome: Umbiko Wenkinga Nokubuyekezwa Kwezincwadi. I-South Med 2006; 99: 309.