He malihini ma hope o ka hāʻule ʻana o ka puʻuwai: E aʻo kākou e pili ana i ka Dressler's Syndrome?

Ma hope o ka loaʻa ʻana o kahi hōʻeha puʻuwai a aneane hoʻōla hou ʻia mai ia mea, he mea maʻamau ke manaʻo nui i ka hoka, ka makaʻu, a me ka hopohopo ke lohe hou ʻoe e pili ana i kahi pilikia puʻuwai, ʻeā? Akā ʻo ka nūhou maikaʻi, ua ʻike nui nā kauka i kēia kūlana i kapa ʻia ʻo Dressler's syndrome, a aia nā lāʻau lapaʻau maikaʻi no ia. No laila, e kamaʻilio iki kākou e pili ana i ia mea, ʻeā?

He aha ka maʻi ʻo Dressler?

I ka ʻōlelo maʻalahi, ʻo ka maʻi Dressler kahi maʻi kakaikahi e hiki ke kū ma hope o ka hōʻeha puʻuwai. Ua kapa ʻia hoʻi ia he post-myocardial infarction syndrome. He ʻano pericarditis maoli nō ia. ʻO ka pericarditis kahi mumū o ka ʻeke pale a puni kou puʻuwai, ʻo ia ka pericardium. Ua like kēia mumū me ka pehu e kū mai ana i ka wā e loaʻa ai iā mākou kahi ʻeha.

Ke loaʻa iā ʻoe kahi hōʻeha puʻuwai, ua hōʻino ʻia ka ʻiʻo puʻuwai. I ka pane ʻana i kēlā hōʻino, ma hope o kahi 'manawa latent' o nā lā a i nā pule, hoʻomaka ka ʻōnaehana pale o kou kino e hana. ʻO kēia pane ʻōnaehana pale ke kumu o ka mumū o ka pericardium.

E like me nā ʻano pericarditis ʻē aʻe, hiki i ka maʻi Dressler ke hoʻoulu i ka ʻeha o ka umauma. Hana ʻia kēia i ka wā e hamo ai ka pericardium mumū (ʻeke puʻuwai) i ka puʻuwai. I kekahi manawa, hiki i ka wai keu ke hōʻiliʻili ma waena o nā papa ʻelua o ka pericardium. Ua kapa ʻia kēia he pericardial effusion. Hoʻokomo kēia i ke kaomi ma ka puʻuwai. Akā, mai hopohopo, i ka hapa nui o ka manawa, hiki i ka lāʻau lapaʻau ke hōʻemi i kēia mumū a pale i nā pilikia.

I ka wā ma mua, ma kahi o ʻekolu a ʻehā paha o kēlā me kēia haneli o ka poʻe i loaʻa i ka hāʻule puʻuwai i loaʻa i ka maʻi ʻo Dressler. Akā i kēia manawa, ma muli o ka holomua o ka mālama ʻana i ka hāʻule puʻuwai, ʻike ʻia kēia ʻano ma lalo o hoʻokahi o kēlā me kēia haneli o ka poʻe i loaʻa i ka hāʻule puʻuwai.

He aha nā hōʻailona o ka Dressler's Syndrome?

ʻIke pinepine ʻia nā hōʻailona o ka hōʻeha puʻuwai i ʻelua a ʻehā pule ma hope o ka hōʻeha puʻuwai. ʻO ka hōʻailona nui he ʻeha ʻoi a hou i ka umauma . Hiki ke ʻoi aku ka ʻeha ke hanu hohonu ʻoe, moni, ʻū, a moe paha. Eia nō naʻe, hiki ke hoʻomaha ʻia ma ka noho ʻana i lalo a kūlou i mua.

Ma waho aʻe o ka ʻeha o ka umauma, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Paʻakikī ka hanu ʻana , ʻoiai ke kūlou ʻoe i lalo a moe paha.
• Loaʻa paha iā ʻoe ke kuni haʻahaʻa.
• E luhi paha ʻoe a me ka māluhiluhi .
• Hiki i ke kino ke manaʻo he ola ʻole a nele i ka hoihoi i kekahi mea (malaise).
• ʻO ka puʻuwai wikiwiki a me ke koko haʻahaʻa hiki ke lilo i mau hōʻailona o kahi maʻi ulia pōpilikia i kapa ʻia ʻo cardiac tamponade.

No ke aha e kū mai ai ka maʻi ʻo Dressler?

ʻAʻole maopopo loa i nā loea ke kumu maoli o ka maʻi Dressler. Akā manaʻoʻiʻo lākou he pane ia na ka ʻōnaehana pale o kou kino i ka hōʻeha puʻuwai. ʻO ka hōʻino ʻana i nā ʻiʻo puʻuwai e hoʻoulu ai i kahi kahe o nā pane ʻōnaehana pale e alakaʻi hope ai i ka mumū o ka pericardium, ka ʻeke e hoʻopuni ana i ka puʻuwai.

Hiki i kāu kauka ke kapa i kēia ʻo 'post-cardiac injury syndrome' (PCIS). ʻO 'PCIS' kahi huaʻōlelo laulā no kahi hui o nā kūlana kahi e pane ai ka ʻōnaehana pale i ka hōʻino ʻana i ka puʻuwai. Hiki ke hana ʻia nā ʻano ʻē aʻe o 'PCIS' ma hope o ke ʻoki ʻana o ka puʻuwai a i ʻole ma hope o ka ʻeha o ka puʻuwai i kahi ulia.

Hiki i kēia kūlana ke hoʻoulu i nā pilikia?

ʻOiai he mea kakaikahi loa ia, ʻo nā pilikia e pili ana me ka maʻi Dressler i kekahi manawa hiki ke hoʻoweliweli i ke ola , ʻo ia ke kumu he mea nui e loaʻa kahi hōʻoia a me ka lāʻau lapaʻau i ka wā hikiwawe.

ʻO nā pilikia koʻikoʻi o ka maʻi Dressler:

• ʻO ka tamponade puʻuwai: ʻO kēia ka wā e hōʻiliʻili ai ka wai i loko o ka ʻeke a puni ka puʻuwai, ʻo ia hoʻi ka pericardium, e pale ana i ka puʻuwai mai ka pamu ʻana i ke koko me ka pono. Hiki ke make kēia inā ʻaʻole e mālama koke ʻia. E noʻonoʻo e ʻūlū ʻia kou puʻuwai e ka wai.
• ʻO ka pericarditis constrictive: Ma kēia kūlana, mānoanoa a paʻakikī paha ka pericardium, e paʻakikī ai i ka puʻuwai ke kuʻi manuahi. Hiki i kēia ke alakaʻi i nā pilikia koʻikoʻi e like me ka hāʻule ʻana o ka puʻuwai.

Pehea e ʻike ai nā kauka i kēia?

Inā kānalua kāu kauka he maʻi ʻo Dressler kou, e hana ʻo ia i kahi hoʻokolokolo kino a kamaʻilio pū me ʻoe e pili ana i kāu mau hōʻailona. Pono paha ʻoe e loaʻa nā hoʻokolohua e like me:

• Nā hoʻāʻo koko: Nānā kēia i ka mumū i loko o ke kino. No ka laʻana, nānā lākou i nā pae kiʻekiʻe o ka protein C-reactive.
• Electrocardiogram (ECG/EKG): He kiʻi ka ECG e hōʻike ana i ka hana uila o ka puʻuwai. Hiki iā ia ke kōkua i ka ʻike ʻana i nā maʻi puʻuwai.
• X-ray umauma: Hiki i nā kiʻi X-ray ke hōʻike inā ua hoʻonui ʻia ka puʻuwai. Inā pēlā, he hōʻailona paha ia o ka hōʻiliʻili ʻana o ka wai.
• ʻEchocardiogram `(Echocardiogram - Echo)`:Hiki i kahi hoʻāʻo echo ke ʻike maopopo inā ua hōʻiliʻili ʻia ka wai a puni ka puʻuwai. Hiki iā ia ke nānā inā ke hōʻino nei kēia wai i ka ʻiʻo o ka puʻuwai.
• MRI Puʻuwai: Hiki i kēia ke kiʻi i nā kiʻi kikoʻī o ka puʻuwai. He mea nui loa kēia no ka ʻike ʻana i ka mumū. Hiki ke hana ʻia kēia inā ʻaʻole lawa ka ʻike i nā hoʻokolohua ʻē aʻe.

I ka wā e hana ai i kahi hōʻailona, ​​e hoʻolohe pū ke kauka i nā hōʻailona e like me:

• He leo ʻūlū e lohe ʻia i ka wā e hoʻolohe ai i ka puʻuwai me ka stethoscope (pericardial friction rub).
• He leo ʻinoʻino ka hamo ʻana i ka pleural e puka mai ana mai nā māmā mai i ka wā e hanu ai i loko a i waho.
• Nā hopena o nā hoʻāʻo koko e hōʻike ana i ka mumū, e like me ke kiʻekiʻe o ka protein C-reactive a i ʻole nā ​​​​pae koko keʻokeʻo.
• Nā hōʻailona ma ka ECG e hōʻike ana i ka mumū o ka pericardium a i ʻole ka hōʻiliʻili ʻana o ka wai i loko o ka pericardium (pericardial effusion).

Inā loaʻa iā ʻoe ma ka liʻiliʻi ʻelua o nā pae hoʻohālikelike ma lalo nei, hiki i kāu kauka ke hoʻoholo he loaʻa iā ʻoe ka maʻi ʻo Dressler:

• Loaʻa iā ʻoe ke kuni no kekahi kumu ʻē aʻe.
• Loaʻa iā ʻoe ka ʻeha o ka umauma ma ke ʻano maʻamau o ka pericarditis.
• Lohe ke kauka i ka "pericardial rub" a/a i ʻole "pleural rub" i loko o kou umauma.
• Ua hōʻiliʻili ʻia ka wai keu i loko o ka pericardium o kou puʻuwai (pericardial effusion).
• Loaʻa iā ʻoe ka wai keu a puni kou mau māmā (pleural effusion), a ua piʻi pū kāu mau pae protein C-reactive.

Pehea e mālama ʻia ai ka maʻi ʻo Dressler?

I ka hapanui o nā hihia, ua lawa nā lāʻau lapaʻau e hōʻemi i ka mumū o ka pericardium a hōʻoluʻolu i nā hōʻailona o ka maʻi Dressler. Pono paha ʻoe e lawe i kēia mau lāʻau lapaʻau no nā pule, a i ʻole nā ​​mahina, a pau loa kāu mau hōʻailona. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me ka aspirin a me ka colchicine .

Akā inā lilo kou ʻano i mea maʻi mau, ʻo ia hoʻi ke hoʻomau nei, pono ʻoe e ʻike i ke kauka i loea i ka maʻi pericardial a kūkākūkā i nā koho lapaʻau holomua.

Āhea wau e ʻike ai i ke kauka?

E mālama i nā manawa i koho ʻia e kāu kauka . He mea nui loa kēia mau nānā ʻana no ka mea e ʻae lākou i kāu kauka e ʻike i ka maikaʻi o ka hana ʻana o kāu lāʻau. Eia kekahi, inā loaʻa iā ʻoe nā hōʻailona hou a i ʻole e ʻoi aku ka ʻino o kāu mau hōʻailona, ​​​​pono ʻoe e kāhea koke i kāu kauka .

He aha kaʻu e manaʻo ai me kēia kūlana?

Hiki ke pale ʻia ka maʻi ʻo Dressler inā mālama koke ʻia.He maikaʻi loa nā manawa e ho'ōla ai. No laila, he mea nui loa ka hoʻohana ʻana i ka lāʻau lapaʻau e like me ke kauoha a ke kauka a e hahai i kāna mau kuhikuhi.

Eia nō naʻe, hiki i ka maʻi Dressler ke hoʻi hou ma hope o ka mālama ʻana. ʻO ia ke kumu he mea nui e ʻike pinepine i kāu kauka no nā nānā ʻana, ʻoiai ma hope o kou manaʻo ʻana ua maikaʻi. E nānā pono ana kāu kauka i kou puʻuwai. E haʻi aku ʻo ia iā ʻoe inā pono ʻoe i ka mālama hou aku.

Ke ho'ōla nei ʻoe mai kahi hāʻule puʻuwai, ʻaʻole ia he mea makemake kekahi e lohe e pili ana i kahi pilikia puʻuwai ʻē aʻe. Hiki i kēia ʻike ʻana o ka maʻi Dressler ke waiho iā ʻoe me ka huikau, ka makaʻu, a me ka hoʻonāukiuki. Akā ʻo ka nūhou maikaʻi, ua ʻike nā kauka pehea e mālama ai i kēia maʻi .

Hiki iā ʻoe ke pale i kou puʻuwai a hoʻomaikaʻi ma ka lawe ʻana i kāu mau lāʻau lapaʻau me ke kūpono a me ka launa pū ʻana me kāu kauka. E hōʻoia i kou maopopo i kāu hoʻolālā lapaʻau. Mai makaʻu e nīnau inā he mea āu i maopopo ʻole ai.

Leka Lawe-Home

• ʻO ka maʻi Dressler kahi mumū o ka ʻeke a puni ka puʻuwai (pericardium) i loaʻa pinepine ʻole ma hope o ka hāʻule ʻana o ka puʻuwai.
• Hana ʻia kēia ma muli o ka pane ʻana o ka ʻōnaehana pale o ke kino i ka pōʻino i hana ʻia e ka hōʻeha puʻuwai.
• ʻO ka hōʻailona nui ka ʻeha nui o ka umauma, akā hiki ke hele pū me ka pōkole o ka hanu, ke kuni, a me ka luhi.
• Ua hōʻoia nā kauka i kēia ma ka hana ʻana i kekahi mau hoʻokolohua.
• Hiki ke hoʻomaikaʻi pinepine ʻia kēia me ka lāʻau lapaʻau.
• He mea nui loa ka ʻike ʻana i ka maʻi i ka wā mua a me ka ʻimi ʻana i ka lāʻau lapaʻau.
• E hahai pono i nā ʻōlelo a ke kauka, e lawe pololei i kāu lāʻau lapaʻau, a mai poina i kāu mau hoʻokolohua kino. E ola koke!

ʻO ka maʻi Dressler, ka hōʻeha puʻuwai, ka maʻi ma hope o ka hōʻeha puʻuwai, pericarditis, pericarditis, ʻeha umauma, olakino puʻuwai