I-Pericarditis enamandla ingaba yimipilo-isongela uma ingenakuphikiswa
I- pericarditis enamandla emva kokuhlaselwa kwenhliziyo kwenzeka lapho isimiso somzimba sokuzivikela somzimba singena ekudleni okuningi ukuze kuhlanzwe izicubu ezilinakele. Amasosha omzimba amaphutha amaphilisi enhliziyo enempilo njengoba ewonakele futhi ehlasela, okuholela ekulimaleni okukhulu nokuvuvukala.
Ngenxa yokusetshenziswa kwezidakamizwa ezihamba phambili, okwehlisa umonakalo wamasipha wenhliziyo nokuvuvukala, le nkinga isuke ingajwayelekile kakhulu.
Noma kunjalo, i-pericarditis enamandla ingasongela ukuphila uma ingaphathwa kabi, futhi izifo ezihlaselwa yinhliziyo elulame kufanele zibike noma yiziphi izimpawu ngokushesha, noma ngabe zisesibhedlela noma sezivele zihlala ekhaya.
Ukuvuvukala Kuthinta Isithandwa Senhliziyo
I-pericarditis enamandla iqala lapho izingxenye ezimbili zesigqoko esinenhliziyo - i-pericardium - ithukuthele futhi igwetshiwe. Ukuvuvukala kubangela ukuthi izingqimba ezimbili zixubane ngomunye nomunye ngenhliziyo.
Ngokuvamile, inani elincane lomswakama likhona phakathi kwezingxenye ezimbili, ukunikeza ukugcoba ukuhamba kwenhliziyo. I-pericarditis enamandla ingabangela uketshezi okweqile ukuqoqa ngaphakathi kwesikhwama senhliziyo, ukuphazamisa ukushaya kwenhliziyo nokuholela ezimpawu zokuhluleka kwenhliziyo. Uketshezi oludlulayo nakho kungakha emaphashini, kwenze kube nzima ukuphefumula nokwandisa ingozi ye-pneumonia.
I-pericarditis enhle ibhekwa "ekuqaleni" uma kwenzeka phakathi nesonto lokuqala lokuhlasela kwenhliziyo; lolu hlobo lwe-pericarditis luthinta amaphesenti angu-10 kuya ku-15 abantu abaye bahlaselwa yinhliziyo.
Lolu hlobo lwe-pericarditis luvame ukuxazulula ngokusheshisa ezinsukwini ezimbalwa nje zokwelashwa.
I-Dressler's Syndrome
I-pericarditis ezayo, ebizwa nangokuthi "i-Dressler's syndrome," ithinta amaphesenti angu-1 kuya kwangu-3 abantu abaye bahlaselwa yinhliziyo. Leli fomu le-pericarditis livela amasonto noma ngisho nezinyanga emva kokuhlasela kwenhliziyo kwangempela futhi kungabuyela ngisho nangemva kokwelashwa okubonakala kuphumelelayo.
Ukuvuvukala kwale fomu ye-pericarditis kwande kakhulu, kuthinta izindawo ezinkulu ze-pericardium.
Izimpawu ze-Pericarditis enamandla:
- Ukukhathala
- Fever
- Ukushaya kwenhliziyo okusheshayo
- Isikhukhula
- Ukuphefumula okunzima
Ubuhlungu Bomzimba
Ubuhlungu bungaba esifubeni sakho, emuva, ehlombe kanye / noma esiswini. Kungaba njalo noma kufika futhi kuhambe, futhi kuvame ukukhathazeka uma uzama ukuthatha umoya ojulile. Ubuhlungu bungase bube bubi kakhulu uma uhlezi ngqo futhi ungathuthukisa kancane uma uncike phambili. Ungase uzizwe ungakhathazeki ngokukhululekile.
Udokotela wakho cishe uzohlola umsindo we-telltale uma ulalela inhliziyo yakho nge-stethoscope. Umsindo wesici obizwa ngokuthi "gubha" kwenzeka ngenxa yokuqubuzana okubangelwa yizindawo ezimbili ezivuvukala ze-pericardium. Ukuzikhukhumeza nokunye okuqongelele okuketshezi kwamanzi kuyabangela ukushaya kwenhliziyo yakho kuzwakale kunamathele futhi kunesizotha kunokujwayelekile.
Izivivinyo ukuqinisekisa ukuthi ukuxilongwa kungase kutholakale ku-x-ray esifubeni kanye nokuhlolwa kwegazi ku- ECG kanye ne- echocardiogram , lapho amagagasi omsindo edala isithombe esithinta inhliziyo.
Izinqubo nokubikezela
Imithi, njengezidakamizwa eziphikisana nezidakamizwa noma i-aspirin, i-steroids noma i-colchicine yezidakamizwa ezilwa nokuvuvukala ezimweni ezimbi kakhulu, ngokuvamile zihoxisa ukuvuvukala. Uma unomthelela omningi wegazi esikhwameni senhliziyo, khona-ke inqubo ebizwa ngokuthi "pericardiocentesis" ingadingeka.
Ku-pericardiocentesis, inaliti encane kakhulu noma i-tube (catheter) ifakwa ngodonga lwesifuba sakho nasesikhwameni senhliziyo, futhi uketshezi oludlulayo kuhoxiswa, kuthuthukise umsebenzi wenhliziyo yakho.
Amacala amaningi we-pericarditis ayenzima ukuxazulula nanoma yiziphi izinkinga eziqhubekayo. Ukwelapha ngokushesha isiqephu sokuqala kubonakala kunciphisa ingozi yokuphindaphindiwe.
Imithombo:
I-hoit, i-BD "Izifo ze-Pericardial ne-tamponade ye-pericardial." Imithi Yokwelashwa Okubalulekile 35 (2007): S355-64.
UManning, uWarren J. "Izifo Ezimbi." I-Cecil Bookbook of Medicine . Ed. Lee Goldman. I-Philadelphia: Saunders, ngo-2008.
Ubusika, uMartin M. "Izifo Eziphambene Nezifo." I-Heart Heart Braunwald: Incwadi Yomuthi Wezinhliziyo . Ed. Peter Libby. I-Philadelphia: Saunders, 2007.
I-Maisch, B. "Ukwengeza i-Colchicine ku-Aspirin Kungavimbela Ukuphindaphindiwe Kwe-Pericarditis Enamandla." Ubufakazi obusekelwe emithini ye-cardiovascular 10 (1 Mashi 2006): 64-6. 18 Septemba 2008