Yog tias koj rov zoo los ntawm kev mob plawv thiab rov qab mob dua, koj yuav xav li cas? Nws yog ib qho ib txwm muaj uas koj yuav ntshai thiab xav tias, "Auj, qhov no puas yog qhov qub qub dua?" Tab sis tsis txhob txhawj. Tsis yog txhua qhov mob hauv siab yog lwm qhov mob plawv. Qee zaum, nws tuaj yeem yog lwm yam mob uas tshwm sim tom qab mob plawv. Qhov ntawd yog ib qho ntawm cov mob uas tsis tshua muaj, tab sis tseem ceeb uas yuav tsum paub txog.
Hais yooj yim xwb, Dressler's Syndrome yog dab tsi?
Xav txog peb lub siab zoo li ib yam khoom muaj nqis nyob hauv ib lub hnab nyias nyias uas tiv thaiv tau. Lub hnab tiv thaiv no nyob ib puag ncig lub plawv hu ua pericardium . Dressler's Syndrome yog ib qho mob uas, ob peb lub lis piam tom qab koj lub plawv nres, koj lub cev tiv thaiv kab mob yuav o thiab o. Qhov kev o no hu ua pericarditis .
Hais yooj yim xwb, Dressler's Syndrome yog ib hom mob pericarditis uas tshwm sim tom qab muaj mob plawv nres. Yav dhau los, tus mob no tshwm sim rau li ntawm 3-5 ntawm txhua 100 tus neeg uas muaj mob plawv nres . Tab sis tam sim no, ua tsaug rau kev kho mob siab heev , nws tsis tshua muaj tshwm sim rau ib tus ntawm txhua 100 tus neeg uas muaj mob plawv nres. Qhov ntawd yog xov xwm zoo, puas yog?
Qhov mob no tuaj yeem tshwm sim sai sai, tsis muaj tsos mob rau ntau hnub lossis ntau lub lis piam tom qab muaj mob plawv nres . Qhov o no ua rau lub plawv thiab lub hnab nyob ib puag ncig nws, lub hnab pericardial, sib tsoo, uas ua rau mob hauv siab uas peb tau hais. Qee zaum lub hnab no tuaj yeem puv nrog cov kua dej. Qhov no hu ua pericardial effusion . Yog tias cov kua no sib sau ua ke, nws tuaj yeem muab kev nyuaj rau lub plawv.
Ua cas qhov no ho tshwm sim? Peb lub cev puas tig rov qab los tawm tsam peb?
Qhov ua rau qhov no tseem tsis tau paub 100%, tab sis lub tswv yim tseem ceeb yog tias nws yog kev nkag siab yuam kev me me ntawm peb lub cev tiv thaiv kab mob uas ua rau nws hais lwm yam.
Xav txog nws li no. Kev mob plawv nres yog kev puas tsuaj rau cov leeg nqaij plawv. Thaum qhov kev puas tsuaj no tshwm sim, peb lub cev tiv thaiv kab mob, uas zoo li "tub rog" hauv peb lub cev, tawm tsam qhov kev raug mob ntawd.Nws los kho qhov chaw uas nws tau ua dhau los. Tab sis qee zaum, thaum lub sijhawm no, peb lub cev tiv thaiv kab mob me ntsis tsis meej pem thiab yuam kev cov leeg plawv uas puas lawm rau tus yeeb ncuab. Thiab tom qab ntawd nws pib tawm tsam nws. Raws li qhov tshwm sim ntawm kev sib ntaus sib tua no, qhov pericardium tsis muaj txim uas nyob ib puag ncig lub plawv o tuaj.
Vim tias qhov no yog ib qho kev tiv thaiv kab mob uas tshwm sim tom qab lub plawv raug mob, koj tus kws kho mob kuj tseem yuav hu nws ua Post-Cardiac Injury Syndrome (PCIS) . Nws yog ib lub npe dav dav siv rau ntau yam mob zoo li no.
Cov tsos mob ntawm tus mob no yog dab tsi? Koj paub nws li cas?
Feem ntau cov tsos mob yuav tshwm sim li ntawm ob mus rau plaub lub lis piam tom qab muaj mob plawv nres. Cov no txawv me ntsis ntawm cov tsos mob ntawm mob plawv nres. Cia peb los saib ze dua txog cov tsos mob tseem ceeb.
| Cov tsos mob | Txoj kev uas nws xav li ntawd |
|---|---|
| Mob hauv siab | Qhov no yog cov tsos mob tseem ceeb. Mob ntse, zoo li riam raug chob . Qhov mob no nce ntxiv thaum koj ua pa tob tob, nqos, hnoos, thiab pw. Qhov xav tsis thoob, qhov mob txo qis thaum koj nyo hau mus tom ntej thiab zaum . Qhov no yog ib qho tsos mob tshwj xeeb heev. |
| Ua pa nyuaj | Koj yuav hnov tias ua pa nyuaj, tshwj xeeb tshaj yog thaum koj khoov lossis pw. |
| Kev qaug zog | Xav tias nkees thiab qaug zog yam tsis muaj laj thawj. |
| Ua npaws | Muaj kev kub hnyiab, tab sis tsis yog kub taub hau heev. |
| Kev tsis xis nyob dav dav | Xav tias tsis xis nyob thiab tsis xis nyob. |
Qhov tseem ceeb tshaj plaws yog tias txhua yam mob hauv siab tom qab muaj mob plawv nres yuav tsum tsis txhob raug tsis quav ntsej. Nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham tam sim ntawd.
Qhov no puas ua rau muaj teeb meem txaus ntshai?
Feem ntau Dressler's Syndrome yog ib yam mob uas kho tau yog tias kho sai. Txawm li cas los xij, muaj tej yam tsawg tsawg uas yuav ua rau muaj teeb meem loj yog tias tsis kho. Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum mus ntsib kws kho mob sai li sai tau thaum koj muaj cov tsos mob.
- Kev Mob Plawv: Qhov no yog qhov teeb meem txaus ntshai tshaj plaws. Lub hnab nyob ib puag ncig lub plawv (pericardium) puv nrog cov kua dej uas nws tsis tuaj yeem nqus tau zoo. Qhov no yog xwm txheej ceev hauv kev kho mob . Cov tsos mob suav nrog lub plawv dhia ceev thiab ntshav qis.
- Kab mob Pericarditis uas nruj: Qhov no yog ib qho mob uas cov pericardium o, tuab, thiab tawv dhau sijhawm. Qhov no txwv tsis pub lub plawv dhia tau yooj yim. Qhov no tuaj yeem ua rau muaj mob hnyav xws li lub plawv tsis ua haujlwm.
Tej yam no ua rau neeg ntshai heev thaum hnov. Tiam sis nco ntsoov tias, tej yam no tsis tshua muaj thiab yuav tiv thaiv tau tag nrho yog tias kho raws sijhawm .
Cov kws kho mob yuav paub qhov no li cas tiag?
Koj tus kws kho mob yuav xav tias koj muaj mob plawv nres tom qab hnov txog koj cov tsos mob, tshwj xeeb tshaj yog tias koj nyuam qhuav muaj mob plawv nres. Lawv yuav ua ob peb qhov kev kuaj mob kom paub meej tias koj muaj mob plawv nres.
Thawj yam uas tus kws kho mob ua
Thawj qhov koj ua yog muab lub stethoscope tso rau ntawm koj lub hauv siab thiab mloog zoo zoo. Tom qab ntawd, koj yuav hnov ob lub suab tshwj xeeb heev.
1. Kev Sib Txhuam Pericardial: Lub suab ua thaum cov pericardium o sib txhuam rau lub plawv. Nws suab zoo li ob daim tawv qhuav sib txhuam ua ke.
2. Kev Sib Txhuam ntawm Lub Plawv: Qee zaum qhov o no kuj tuaj yeem cuam tshuam rau daim ntaub ncig lub ntsws (pleura). Qhov no tuaj yeem ua rau muaj suab zoo sib xws thaum ua pa.
Cov kev xeem tom ntej
Cov kev kuaj no tuaj yeem lees paub ntxiv txog tus kab mob.
| Kev Ntsuas | Koj tab tom nrhiav dab tsi hauv nws? |
|---|---|
| Kev Ntsuas Ntshav | Lawv nrhiav kev o ntawm lub cev, tshwj xeeb yog xyuas seb puas muaj C-reactive protein (CRP) thiab cov qe ntshav dawb ntau ntxiv. |
| ECG (Electrocardiogram) | Qhov kev xeem no, uas saib cov haujlwm hluav taws xob ntawm lub plawv, tuaj yeem txheeb xyuas cov kev hloov pauv tshwj xeeb ntsig txog o ntawm pericardium. |
| Kev X-ray hauv siab | Yog tias muaj kua dej nyob ib puag ncig lub plawv, lub plawv yuav zoo li loj dua ntawm daim duab X-ray. |
| Kev kuaj lub plawv (Echocardiogram) | Qhov no yog kev luam theej lub plawv. Nws tuaj yeem kuaj xyuas seb puas muaj kua dej nyob ib puag ncig lub plawv, muaj pes tsawg, thiab seb nws puas cuam tshuam rau lub plawv. |
| Kev kuaj mob plawv MRI | Yog tias lwm yam kev kuaj tsis muab tau daim duab meej, qhov kev luam theej MRI no tuaj yeem qhia tau qhov o ntawm lub plawv thiab pericardium kom meej meej heev. |
Kev kho mob yog dab tsi? Qhov no puas kho tau?
Yog, yeej muaj tseeb tiag! Kev kho mob rau Dressler's Syndrome yooj yim heev thiab zoo heev. Feem ntau, cov tshuaj tuaj yeem tswj qhov o thiab tshem tawm cov tsos mob.
Koj tus kws kho mob yuav sau ntawv kom noj tshuaj aspirin ntau, tab sis tshuaj hu ua colchicine kuj tseem tuaj yeem pab txo qhov o thiab tiv thaiv kom tsis txhob rov qab mob dua.
Nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj no raws li koj tus kws kho mob tau hais rau ob peb lub lis piam, tej zaum ob peb lub hlis . Tsis txhob tsum noj cov tshuaj ib nrab thaum mob ploj mus lawm. Ua li ntawd yuav ua rau muaj feem ntau dua uas tus kab mob rov qab los.
Yog li ntawd, kuv yuav tsum ua li cas?
Thaum koj tab tom rov zoo los ntawm kev mob hnyav xws li mob plawv nres, nws yog ib qho ib txwm muaj uas koj yuav ntshai thiab chim siab thaum muaj tej yam zoo li no tshwm sim dua. Tab sis qhov tseem ceeb tshaj plaws yog kom nkag siab tias qhov no yog ib qho mob uas tswj tau.
- Ua raws li tus kws kho mob hais: Noj koj cov tshuaj raws sijhawm, kom tag nrho lub sijhawm uas tau teem tseg.
- Tsis txhob nco qhov teem caij rov qab mus ntsib kws kho mob: Txawm tias koj xav tias zoo dua los xij, nco ntsoov rov qab los rau hnub uas koj tus kws kho mob hais kom koj ua. Qhov no tseem ceeb heev kom pom tias kev kho mob ua haujlwm zoo npaum li cas.
- Paub txog cov tsos mob: Yog tias cov tsos mob rov tshwm sim lossis hnyav zuj zus, qhia rau koj tus kws kho mob tam sim ntawd.
- Nug cov lus nug: Yog tias koj muaj lus nug txog qhov mob no lossis cov tshuaj, nug koj tus kws kho mob kom paub meej ntxiv.
Dressler's Syndrome yog ib yam mob uas qee zaum rov tshwm sim txawm tias tom qab kho mob lawm los xij, yog vim li cas nws thiaj li tseem ceeb uas yuav tsum nyob hauv kev saib xyuas ntawm kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Dressler's Syndrome yog ib yam mob uas tuaj yeem tshwm sim ob peb lub lis piam tom qab muaj mob plawv nres, tab sis tam sim no tsis tshua muaj heev .
- Qhov ua rau qhov no yog kev teb los ntawm lub cev lub cev tiv thaiv kab mob, tsis yog lwm yam mob plawv.
- Cov tsos mob tseem ceeb yog mob hauv siab uas yuav txo qis thaum koj khoov mus tom ntej.
- Tus mob no tuaj yeem tswj tau zoo thiab kho tau tag nrho los ntawm kev siv tshuaj.
- Qhov tseem ceeb tshaj plaws yog qhia rau koj tus kws kho mob tam sim ntawd txog txhua yam mob hauv siab uas tshwm sim tom qab muaj mob plawv nres. Yog koj tsis ntshai thiab ua raws li qhov koj ua tau, koj yuav tiv thaiv tau tej yam teeb meem.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus