Xav txog tias koj mam li hnov mob hauv koj lub hauv siab, nrog rau xeev siab . Qhov mob no yuav hnyav zuj zus thaum koj ua pa tob tob lossis pw. Tab sis qhov xav tsis thoob, thaum koj zaum thiab nyo hau rau pem hauv ntej, nws zoo li txo qis me ntsis. Muaj ntau tus neeg ntshai tias qhov no yog mob plawv nres thaum lub sijhawm zoo li no. Qhov kev ntshai ntawd yog qhov tsim nyog, tab sis cov tsos mob no txawv ntawm mob plawv nres, tab sis lawv yeej yog ib qho mob uas xav tau kev saib xyuas. Hnub no peb tab tom tham txog qhov mob no uas cuam tshuam nrog peb lub plawv. Ntawd yog Pericarditis .
Hauv lwm lo lus, pericarditis yog dab tsi?
Peb lub siab tsis yog ib lub cev xwb. Nws muaj ib lub hnab nyias nyias uas zoo li lub hnab tiv thaiv. Qhov no yog qhov peb hu ua pericardium hauv kev kho mob. Lub luag haujlwm tseem ceeb ntawm lub hnab no yog txo qhov kev sib txhuam uas tshwm sim thaum lub plawv dhia thiab tiv thaiv lub plawv ntawm cov kab mob uas los ntawm sab nraud.
Yog li, Pericarditis yog kev o ntawm lub hnab tiv thaiv uas nyob ib puag ncig lub plawv. Thaum peb hais tias "kev o," xav txog nws zoo li thaum peb raug mob qhov twg hauv peb lub cev, thaj chaw ntawd yuav liab, o, thiab mob. Qhov no yog ib qho mob uas tshwm sim hauv lub hnab no uas nyob ib puag ncig lub plawv. Qhov no feem ntau pib sai sai thiab tuaj yeem kav ntev li ntau lub lis piam lossis ntau lub hlis.
Txawm hais tias tus mob no tuaj yeem tshwm sim thaum twg los tau, feem ntau nws tshwm sim rau cov txiv neej hnub nyoog ntawm 16 thiab 65. Qhov zoo tshaj plaws yog tias nws feem ntau kho tau zoo.
Cov hom mob pericarditis tseem ceeb yog dab tsi?
Tus mob no muaj ntau hom loj nyob ntawm seb nws ntev npaum li cas thiab ua rau nws loj hlob li cas. Nws yog ib qho tseem ceeb rau koj kom paub qhov no.
| Hom | Piav qhia yooj yim |
|---|---|
| Nyob ntawm lub sijhawm ntawm tus kab mob | |
| Mob Pericarditis Mob Hlwb (mob pib tam sim ntawd) | Nws pib sai sai. Cov tsos mob feem ntau kav tsawg dua 4-6 lub lis piam. |
| Subacute Pericarditis (khiav ntev heev) | Cov tsos mob kav ntev tshaj 4-6 lub lis piam, tab sis feem ntau ploj mus li ntawm 3 lub hlis. |
| Mob Pericarditis ntev | Cov tsos mob yuav tseem muaj ntau tshaj 3 lub hlis tom qab thawj zaug tshwm sim. |
| Mob Pericarditis Rov Qab Los | Tom qab kho thawj zaug thiab rov zoo, qhov mob no rov qab los dua. Qhov no tuaj yeem tshwm sim rau kwv yees li 30% ntawm cov neeg mob. |
| Raws li qhov ua rau muaj tus kab mob | |
| Idiopathic Pericarditis | Tsis muaj ib qho laj thawj tshwj xeeb rau qhov no. Qhov no yog hom uas pom ntau zaus. |
| Kab mob Pericarditis kis tau | Nws yog tshwm sim los ntawm kev kis kab mob xws li cov kab mob virus, bacteria, lossis fungi. |
| Mob Pericarditis Malignant | Nws tuaj yeem tshwm sim los ntawm mob qog noj ntshav rau lwm qhov hauv lub cev. |
| Mob Pericarditis uas raug mob | Nws tuaj yeem tshwm sim tom qab raug mob rau hauv siab, piv txwv li, kev sib tsoo tsheb. |
| Kab mob Pericarditis Uremic | Ib qho mob uas ua rau lub raum tsis ua haujlwm. |
Ntxiv rau qhov ntawd, muaj ib qho teeb meem loj heev hu ua Constrictive Pericarditis . Qhov no yog thaum cov daim nyias nyias ntawm lub hnab uas nyob ib puag ncig lub plawv ua tuab, muaj qhov txhab, thiab lo ua ke. Qhov no txwv qhov chaw rau lub plawv dhia tau yooj yim.
Cov tsos mob ntawm tus mob pericarditis yog dab tsi? Koj paub nws li cas?
Cov tsos mob tseem ceeb thiab feem ntau ntawm tus mob no yog mob hauv siab . Tab sis qhov no tsis yog mob hauv siab ib txwm muaj.
- Nws zoo li mob ntse thiab mob ib qho .
- Qhov mob no yuav mob ntxiv thaum koj hnoos, nqos, ua pa tob tob, thiab pw .
- Qhov mob txo qis thaum koj zaum nyo hau rau pem hauv ntej .
Ob qho tsos mob kawg no (nce thaum khoov thiab txo qis thaum khoov mus tom ntej) yog qhov tseem ceeb heev rau kev paub qhov txawv ntawm pericarditis los ntawm kev mob plawv nres.
Qhov mob hauv siab no qee zaum tuaj yeem kis mus rau nraub qaum, caj dab, lossis txawm tias sab xub pwg sab laug.
Ntxiv rau qhov mob hauv siab, koj kuj tseem yuav muaj lwm cov tsos mob xws li:
- Ua pa nyuaj thaum pw
- Hnoos qhuav mob heev
- Lub plawv dhia ceev (zoo li koj lub plawv dhia ceev lossis tsis xwm yeem)
- Kev qaug zog
- Ua npaws
- O ntawm ob txhais ceg, pob luj taws, thiab taw hauv cov xwm txheej hnyav
Yog koj muaj ib qho ntawm cov tsos mob no, mus ntsib kws kho mob tam sim ntawd . Yog koj xav tias koj cov tsos mob hnyav heev, mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws (ETU) sai li sai tau. Nws tsis yog lub tswv yim zoo los ncua tej yam.
Vim li cas thiaj muaj mob Pericarditis? Cov laj thawj tseem ceeb yog dab tsi?
Kab mob Pericarditis muaj ntau yam ua rau. Txawm li cas los xij, nyob rau hauv cov teb chaws sab hnub poob, nws feem ntau pom tias yog idiopathic lossis ua los ntawm kev kis kab mob viral. Cov kws kho mob tau faib cov ua rau no ua ob pawg tseem ceeb.
1. Cov kab mob sib kis:
- Cov Kab Mob: Cov kab mob xws li mob khaub thuas, COVID-19, adenovirus, HIV.
- Cov kab mob: Cov kab mob bacterial xws li tuberculosis.
- Cov kab mob fungal thiab cov kab mob parasitic: Cov no tsis tshua pom.
2. Cov ua rau tsis kis kab mob:
- Kev phais mob hauv siab lossis kev raug mob .
- Mob qog nqaij hlav uas tshwm sim rau lwm qhov hauv lub cev.
- Cov mob autoimmune: Zoo li lupus thiab rheumatoid arthritis, cov no yog cov mob uas peb lub cev tiv thaiv kab mob tawm tsam peb cov hlwb.
- Uremia, ib qho teeb meem ntawm kev tsis ua haujlwm ntawm lub raum .
- Tsis muaj cov tshuaj hormones txaus hauv cov thyroid (Hypothyroidism hnyav) .
Cov yam uas ua rau muaj kev pheej hmoo ntau ntxiv
Koj muaj feem yuav mob pericarditis ntau dua tom qab muaj qee yam xwm txheej.
- Tom qab muaj mob plawv nres:Qhov no kuj hu ua Dressler's syndrome.
- Tom qab phais plawv qhib: Qhov no hu ua postpericardiotomy syndrome.
- Tom qab tau txais kev kho mob hluav taws xob.
- Tom qab lwm yam kev kho mob, xws li kev siv catheterization hauv lub plawv lossis kev siv radiofrequency ablation (RFA) .
Qhov no ua rau muaj teeb meem dab tsi?
Yog tias pericarditis tsis kho raws sijhawm, cov teeb meem txaus ntshai tuaj yeem tshwm sim.
Qhov tseem ceeb tshaj plaws yog Pericardial Effusion . Hais yooj yim xwb, nws yog qhov uas cov kua dej (dej) sib sau ua ke hauv lub hnab uas nyob ib puag ncig lub plawv. Txawm hais tias me ntsis dej tsis yog ib qho teeb meem loj, yog tias cov kua dej no sib sau ua ke sai sai, nws tuaj yeem ua rau muaj mob hnyav heev hu ua Cardiac Tamponade .
Kev raug mob plawv yog ib qho mob uas cov kua dej sib sau ua ke nyob ib puag ncig lub plawv, ua rau nws tsis tuaj yeem nqus tau zoo. Qhov no yog ib qho xwm txheej ceev hauv kev kho mob uas tuaj yeem ua rau tuag taus.
Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum mus ntsib kws kho mob sai li sai tau thaum koj muaj cov tsos mob ntawm tus kab mob pericarditis. Yog tias koj pib kho mob thaum ntxov, koj tuaj yeem tiv thaiv cov teeb meem loj no kom tsis txhob tshwm sim.
Kws kho mob, koj kuaj qhov no li cas?
Thaum koj mus ntsib koj tus kws kho mob, nws yuav xub nug txog koj cov tsos mob thiab seb koj puas tau muaj mob tsis ntev los no. Tom qab ntawd nws yuav muab lub stethoscope tso rau ntawm koj lub hauv siab thiab kuaj xyuas nws.
Thaum mob pericarditis, cov daim nyias nyias uas o yuav sib txhuam ua ke thaum lub plawv dhia, ua suab nrov zoo li ob nplooj sib txhuam ua ke. Cov kws kho mob hu qhov no ua "pericardial rub." Yog tias koj hnov lub suab no, nws yog ib qho cim qhia tias koj muaj mob pericarditis.
Ntxiv rau qhov ntawd, txhawm rau kom paub meej tias kuaj mob thiab kuaj seb puas muaj teeb meem, koj tus kws kho mob yuav qhia ntau yam kev kuaj mob zoo li no.
| Kev Ntsuas | Koj pom dab tsi hauv qhov no? |
|---|---|
| Kev X-ray hauv siab | Xyuas tej yam xws li qhov loj ntawm lub plawv thiab seb puas muaj dej nyob hauv lub ntsws. |
| Kev kuaj mob hluav taws xob (ECG) | Nrhiav seb puas muaj kev hloov pauv ntawm lub zog hluav taws xob ntawm lub plawv. Cov qauv tshwj xeeb rau pericarditis tuaj yeem pom ntawm ECG. |
| Kev kuaj lub plawv (Echocardiogram) | Xyuas seb lub plawv ua haujlwm li cas thiab seb lub hnab nyob ib puag ncig lub plawv puas muaj dej ntxiv. |
| Kev kuaj mob plawv MRI | Saib xyuas kom zoo seb puas muaj o, tuab, lossis thaiv lub plawv hauv lub hnab uas nyob ib puag ncig lub plawv. |
| Kev kuaj CT | Tshawb xyuas lub hnab kom paub seb puas muaj cov calcium thiab cov txiv ntoo. |
| Kev Siv Catheter Rau Lub Plawv | Yuav kom paub meej cov mob xws li constrictive pericarditis, ntsuas qhov siab hauv lub plawv. |
| Kev kuaj ntshav | Cov cim qhia txog kev o ntawm lub cev pab txheeb xyuas qhov ua rau muaj tus kab mob. |
Cov kev kho mob rau pericarditis yog dab tsi?
Feem ntau kho nrog cov tshuaj thiab kev txwv kev ua ub ua no, tab sis thaum muaj mob hnyav, yuav tsum tau qhuav dej lossis phais.
Tshuaj
Muaj ntau tus neeg tau txais kev pab los ntawm cov tshuaj no.
- Cov NSAIDs: Cov tshuaj tua kab mob thiab cov tshuaj tiv thaiv kev o, xws li ibuprofen lossis cov tshuaj aspirin ntau.
- Colchicine: Qhov no kuj yog ib hom tshuaj uas txo qhov o. Koj tus kws kho mob yuav sau ntawv rau koj noj yog tias koj cov tsos mob tau muaj ntau tshaj ob lub lis piam lossis yog tias qhov mob rov tshwm sim dua.
- Prednisone: Qhov no yog ib hom tshuaj steroid. Qhov no yuav muab tau yog tias lwm yam tshuaj tsis ua haujlwm rau koj.
- Tshuaj tua kab mob los yog tshuaj tua kab mob fungal: Yog tias koj tus mob yog los ntawm kev kis kab mob bacterial los yog fungal, koj yuav tau txais tshuaj tua kab mob uas tsim nyog.
Kev txwv kev ua ub ua no thiab kev so
Kev so yog qhov tseem ceeb thaum koj rov zoo los ntawm tus kab mob pericarditis. Yog tias koj tawm dag zog, khiav, lossis ua lwm yam kev ua ub ua no uas siv zog heev, lawv tuaj yeem ua rau qhov o tuaj ntxiv. Yog li ntawd, koj tus kws kho mob yuav qhia koj meej tias koj yuav tsum txwv kev ua ub ua no ntev npaum li cas thiab ntev npaum li cas. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia no kom meej.
Kev ntws kua dej
Yog tias muaj ib qho mob zoo li Cardiac Tamponade, uas peb tau tham txog ua ntej, tshwm sim, uas yog, yog tias lub plawv puv nrog dej thiab lub plawv raug thaiv, cov kua dej ntxiv ntawd yuav tsum tau tshem tawm.
- Pericardiocentesis: Qhov no suav nrog kev ntxig ib lub raj ntev, nyias (catheter) hla lub hauv siab thiab tshem tawm cov kua dej uas tau sib sau ua ke hauv lub hnab ncig lub plawv.
- Qhov rai Pericardial: Yog tias cov kua dej tsis tuaj yeem tshem tawm nrog koob, yuav muaj ib qho kev phais me me hauv lub hauv siab, ua ib qho qhib me me hauv lub hnab nyob ib puag ncig lub plawv, thiab cov kua dej raug tso cai kom ntws los ntawm nws.
Kev phais mob
Yog tias koj muaj mob hnyav xws li Constrictive Pericarditis, koj yuav tsum tau phais mob hu ua Pericardiectomy , uas yog kev phais tshem tawm ib feem ntawm lub hnab tuab uas nyob ib puag ncig lub plawv.
Tom ntej no yog dab tsi? Peb yuav tos ntsoov dab tsi?
Koj yuav tau so ib pliag thaum koj rov zoo los ntawm pericarditis. Thaum koj zoo tag nrho lawm, koj tuaj yeem rov ua koj cov dej num ib txwm. Tab sis tsis txhob rov qab mus ua qoj ib ce kom txog thaum koj tus kws kho mob hais tias, "Okay, nws zoo tam sim no."
Qhov xov xwm zoo yog tias yog kho mob raws sijhawm, feem ntau cov neeg yuav zoo tag nrho . Qee qhov mob me me kuj tseem yuav zoo dua yog tias so. Tab sis yog tias tsis kho, nws tuaj yeem dhau mus ua mob ntev.
Ntawm 15% thiab 30% ntawm cov neeg uas muaj mob pericarditis yuav rov qab muaj mob dua ntau xyoo. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum noj tshuaj uas koj tus kws kho mob sau thiab ua raws li cov sijhawm teem tseg.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsis yog txhua qhov mob hauv siab uas koj muaj yog mob plawv nres, tab sis txhua qhov mob hauv siab yuav tsum tau saib xyuas kom zoo .
- Qhov mob ntawm pericarditis muaj cov yam ntxwv tshwj xeeb: qhov mob ntse uas nce ntxiv thaum pw thiab txo qis thaum khoov rau pem hauv ntej .
- Yog koj mus ntsib kws kho mob raws sijhawm thiab tau txais kev kho mob, qhov no feem ntau tuaj yeem kho tau tag nrho .
- Noj cov tshuaj uas koj tus kws kho mob sau ntawv kom raws sijhawm. Tsis txhob tsum ib nrab hnub. Yog nws hais kom koj so, ua raws li nws cov lus qhia kom meej.
- Txawm tias tom qab tus kab mob zoo lawm los, kev mus kuaj mob tsis tu ncua pab tiv thaiv kom tus kab mob tsis txhob rov tshwm sim dua.
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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