Imajin se yu fil shap pen na yu chɛst wantɛm wantɛm, wit nɔys . Dis pen kin wɔs we yu tek dip briz ɔ ledɔm. Bɔt i sɔprayz fɔ no se we yu sidɔm ɛn ledɔm bifo, i tan lɛk se i de go dɔŋ smɔl. Bɔrku pipul kin frayd sae dis na hat atak na dis kayn tɛm. Dat frayd na rizin, bɔt dɛn sayn ya difrɛn frɔm at atak, bɔt dɛn kin rili bi wan sik we nid fɔ pe atɛnshɔn. Tide wi de tɔk bɔt dis sik wae gɛt fɔ du wit wi at. Dat na Pɛrikaditis .
Fɔ tɔk am simpul wan, wetin na Pɛrikaditis?
Wi at nɔto jɔs wan ɔgan. Wan tin we tan lɛk sak de rawnd am fɔ protɛkt am. Dis na wetin wi kin kɔl di mɛrɛsin we dɛn kɔl di pericardium . di men wok we dis sak de du na fכ ridyus di frikshכn we de apin we di at de bit εn fכ protεkt di at frכm infεkshכn dεm we de kכmכt na do.
So, Pɛrikarditis na inflamɛns na di prɔtɛktiv sak we de rawnd di at. We wi se "inflammation," tink bɔt am lɛk we wi wund sɔmsay na wi bɔdi, di eria kin rɛd, swel, ɛn pen. Dis na wan kכndyushכn we de apin na dis sak we de rawnd di at. Dis kin bigin wantɛm wantɛm ɛn i kin las fɔ sɔm wik ɔ mɔnt.
Pan ɔl we dis sik kin kam pan ɛni ej, i kin bɔku pan man dɛn we ol bitwin 16 ɛn 65. Di bɛst tin na dat bɔku tɛm dɛn kin trit am fayn ɛn mɛn am.
Wetin na di men kayn pɔrsin wae gɛt pɔrsin wae gɛt dis sik?
dis kכndyushכn kin sheb to sεvεra men tכp dεm dipכnt pan di tεm we i tek εn di kכz we i de divεlכp. I impɔtant fɔ mek yu no dis.
| Kayn | Simpul ɛksplen |
|---|---|
| Dipen pan aw di sik de te | |
| Akyu Pɛrikarditis (we kin bigin wantɛm wantɛm) . | I kin bigin wantɛm wantɛm. Di sayn dɛm kin las fɔ lɛs 4-6 wik. |
| Subacute Pericarditis (we kin las fɔ sɔm tɛm) . | Di sayn dɛm kin las pas 4-6 wik, bɔt dɛn kin dɔn insay 3 mɔnt. |
| Pɛrikarditis we nɔ de mɛn | Di sayn dɛm kin de fɔ pas 3 mɔnt afta di fɔs ɛpisod. |
| Pɛrikarditis we kin kam bak | Afta di fɔs tritmɛnt ɛn wɛl, dis sik kin kam bak. Dis kin apin to lɛk 30% pan di sik pipul dɛm. |
| Akɔdin to wetin de mek di sik kam | |
| Idiopatik Pɛrikarditis we pɔsin kin gɛt | No patikyula rizin nɔ de fɔ dis. Dis na di kayn we we dɛn kin si bɔku tɛm. |
| Infεkshכn Pεrikarditis | Na wan infekshɔn lɛk vayrɔs, baktri, ɔ fɛns kin kam wit am. |
| Malignant Pɛrikarditis we kin mek pɔsin gɛt sik | I kin kam wit kansa ɔdasay na di bɔdi. |
| Traumatik Pɛrikarditis | I kin apin afta pɔsin wund in chɛst, fɔ ɛgzampul, motoka aksidɛnt. |
| Yuremik Pɛrikarditis | Wan kɔndishɔn we kin kam bikɔs di kidni nɔ de wok fayn. |
Apat frɔm dat, wan siriɔs prɔblɛm de we dɛn kɔl Constrictive Pericarditis . dis na we di mεmbran dεm na di sak we de rawnd di at kin tik, skata, εn stik togeda. Dis kin mek di at nɔ ebul fɔ bit fri wan.
Wetin na di sayn dɛm wae de sho se pɔrsin gɛt pɔrsin wae gɛt pɔrsin wae gɛt dis sik? Aw yu no am?
Di men ɛn kɔmɔn sayn fɔ dis sik na pen na yu chɛst . Bɔt dis nɔto wan tipik chɛst pen.
- I kin tan lɛk shap pen we de chuk pɔsin .
- Dis pen kin bɔku we yu kɔf, swɛla, brith dip, ɛn ledɔm .
- Di pen kin go dɔŋ we yu sidɔm ledɔm bifo .
dis las tu simptom dεm (we de inkrεs we yu bεnd ova εn dεn de dכn we yu bεnd fכ go bifo) rili imכtant fכ difrεnt di pεrikarditis frכm hat atak.
Sɔntɛnde dis chɛst pen kin pas to di bak, nɛk, ɔ ivin di lɛft sholda.
Apat frɔm di pen na yu chɛst, yu kin gɛt ɔda sayn dɛn bak lɛk:
- I nɔ kin izi fɔ yu fɔ blo we yu de ledɔm
- Dray kɔf we de mek pɔsin fil pen
- Palpitations (fɔ fil lɛk se yu at de bit fast ɔr nɔr de bit ɔltɛm) .
- Taya
- Fiva
- Di leg, ankles, ɛn fut kin swel if i bad bad wan
If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm . If yu tink se yu sik bad bad wan, go na di ɔspitul imejensi rum (ETU) we de nia yu kwik kwik wan. I nɔ fayn fɔ put tin dɛn bifo.
Wetin mek Pɛrikaditis kin apin? Wetin na di men tin dɛn we kin mek pɔsin gɛt dis sik?
Pɛrikarditis kin gɛt difrɛn tin dɛn we kin mek i apin. Bɔt na di Wɛstɛn kɔntri dɛn, dɛn kin si am mɔ as idiopathic ɔ na wan vayral infɛkshɔn kin kam wit am. Dɔktɔ dɛn dɔn sheb dɛn tin ya we kin mek pɔsin gɛt dis sik to tu men grup dɛn.
1. Di tin dɛn we kin mek pɔsin gɛt di sik:
- Vayrɔs: Vayrɔs lɛk influenza, COVID-19, adenovirus, HIV.
- Baktri: Baktri infεkshכn lεk TB.
- Fɔngi ɛn parasayt: Dɛn nɔ kin si dɛn tin ya.
2. Di tin dɛn we nɔ de mek pɔsin gɛt di sik:
- Ɔpreshɔn na in chɛst ɔ aksidɛnt .
- Kansa we kin apin ɔdasay na di bɔdi.
- כtoimyun kכndishכn dεm: Lεk lupus εn rεumatoid at, dεn tin ya na kכndyushכn dεm we wi bכdi in כwn imyun sistεm de atak wi כwn sεl dεm.
- Yuremia, we na wan prɔblɛm we kin mek pɔsin in kidni nɔ wok fayn we dɛn nɔ trit am .
- Sivεr tayroyd כmon dεfichεns (Sεvεr haypotayroydism) .
Factor dɛm wae de mek di risk bɔku
Yu de pan ay risk fɔ gɛt pericarditis afta sɔm tin dɛn we apin.
- Afta we yu gɛt at atak:Dɛn kin kɔl dis bak di sik we dɛn kɔl Dressler’s syndrome.
- Afta dɛn dɔn ɔpreshɔn di at we opin: Dɛn kɔl dis postpericardiotomy syndrome.
- Afta dɛn dɔn gɛt redyushɔn tɛrapi.
- Afta ɔda mɛrɛsin dɛn, lɛk kadyak kateshɔn ɔ rediofrikyuɛnsi ablashɔn (RFA) .
Us prɔblɛm dɛn dis kin mek?
If dɛn nɔ trit di pericarditis insay di tɛm, denja kɔmplikeshɔn kin apin.
Di men wan na Pericardial Effusion . Fɔ tɔk am simpul wan, na di we aw wata (wata) de gɛda insay di sak rawnd di at. Pan ɔl we smɔl wata nɔto big tin, if dis wata gɛda kwik kwik wan, i kin mek pɔsin gɛt wan sik we rili siriɔs we dɛn kɔl Cardiac Tamponade .
Cardiac tamponade na wan kכndyushכn we wata de bכku rawnd di at, we de mek i nכ de pכmp fayn fayn wan. Dis na mɛdikal imejensi we kin mek pɔsin in layf de pan denja.
Na dat mek i rili impɔtant fɔ go to dɔktɔ jɔs lɛk aw yu si di sayn dɛm fɔ pericarditis. If yu bigin tritmɛnt kwik, yu kin mek dɛn siriɔs prɔblɛm ya nɔ kam.
Dɔktɔ, aw yu kin no dis?
We yu go to yu dɔktɔ, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt ɛn if yu dɔn gɛt ɛni sik i nɔ tu te yet. Dɔn i go put stetɔskɔp na yu chɛst ɛn chɛk am.
wit pεrikarditis, di mεmbran dεm we inflamed de rכb tכgeda as di at de bit, we de mek wan gret sawnd, lεk tu lif dεm we dεn de rכb tכgeda. Dɔktɔ dɛn kɔl dis “pericardial rub.” If yu yɛri dis sawnd, i de sho se yu gɛt perikarditis.
Apat frɔm dat, fɔ kɔnfirm di sik ɛn chɛk fɔ si if i gɛt prɔblɛm, yu dɔktɔ kin tɛl yu fɔ du sɔm tɛst dɛn lɛk dis.
| Tɛst | Wetin yu si pan dis? |
|---|---|
| X-ray na di chɛst | Chek tin dεm lεk di saiz fכ di at εn if wata de na di lכng. |
| Ilɛktrokardiogram (ECG) . | Luk fɔ chenj dɛn na di ilɛktrik aktiviti na di at. yu kin si pat dεm we spεsifi k fכ pεrikarditis pan di ECG. |
| Ikokardiogram (Echo) . | Chek aw di at de wok ɛn if di sak we de rawnd di at ful-ɔp wit ɛkstra wata. |
| MRI we de na di at | Luk gud wan fɔ si if yu gɛt inflamɛns, tik, ɔ at blɔk na di sak we de rawnd di at. |
| CT skan we dɛn kin du | Chek di bag fɔ si if i gɛt kalsiɔm ɛn nɛt. |
| Kadiak Kateterizashɔn | fכ kכnfכm di kכndishכn dεm lεk kכnstrikt pεrikarditis, mεzj di prεshכn insay di at. |
| Blɔd tɛst dɛn | Inflammatory markers na di bɔdi de ɛp fɔ no wetin de mek di sik kam. |
Wetin na di tritmɛnt dɛm fɔ pericarditis?
Bɔku tɛm dɛn kin trit am wit mɛrɛsin ɛn we nɔ de mek pɔsin nɔ ebul fɔ du in wok, bɔt if i rili bad, i kin nid fɔ mek i nɔ gɛt wata ɔ ɔpreshɔn.
Mɛrɛsin we dɛn kin gi
Bɔku pipul dɛn kin gɛt fridɔm frɔm dɛn mɛrɛsin ya.
- NSAID: Na mɛrɛsin dɛn we de mek pɔsin fil pen ɛn we de mek pɔsin nɔ fil bad, lɛk ibuprofen ɔ aspirin we gɛt bɔku bɔku mɛrɛsin.
- Kɔlchisin: Dis na wan kayn mɛrɛsin bak we de ridyus di inflamɛns. Yu dɔktɔ kin gi yu dis if yu sik dɔn de fɔ pas tu wik ɔ if de sik de kam bak.
- Prednisone: Dis na wan kayn stɛroyd. Dɛn kin gi dis if ɔda mɛrɛsin nɔr de woke fɔ yu.
- Antibayɔtik ɔ antifɔngal mɛrɛsin: If yu sik na baktri ɔ fɛns infɛkshɔn, dɛn go gi yu di rayt antibayɔtik mɛrɛsin.
Fyzikal aktiviti ristrikshɔn ɛn rɛst
Rɛst impɔtant we yu de wɛl frɔm di pericarditis. If yu de du ɛksɛsayz, rɔn, ɔ du ɔda tin dɛn we de mek yu strɛs, dɛn kin mek di inflamɛns wɔs. So, yu dɔktɔ go tɛl yu jɔs aw lɔng ɛn aw yu fɔ stɔp fɔ du bɔku tin dɛn. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
Fluid drenaj we dɛn kin yuz
If wan sik lɛk Cardiac Tamponade, we wi bin dɔn tɔk bɔt, apin, dat na if di at ful-ɔp wit wata ɛn di at blok, dɛn fɔ pul da ɛkstra wata de.
- di pεrikardiosεntesis: dis involv fכ put wan lכng tכn tכb (kateta) tru di chεst εn pul di wata we dεn kכlכm na di sak we de rawnd di at.
- Pɛrikardial winda: If dɛn nɔ ebul fɔ pul di wata wit nidul, dɛn kin kɔt smɔl say na di chɛst, dɛn kin mek smɔl opin na di sak we de rawnd di at, ɛn dɛn kin alaw di wata fɔ kɔmɔt tru am.
Ɔpreshɔn
If yu gɛt siriɔs sik lɛk Kɔnstriktiv Pɛrikarditis, yu kin nid fɔ du ɔpreshɔn we dɛn kɔl Pɛrikardiɛktɔmi , we na ɔpreshɔn fɔ pul wan pat pan di tik sak we de rawnd di at.
Wetin go apin nɛks? Wetin wi go ɛkspɛkt?
Yu go nid fɔ rɛst fɔ sɔm tɛm we yu de wɛl frɔm pericarditis. We yu dɔn wɛl, yu kin bigin fɔ du yu nɔmal tin dɛn bak. Bɔt nɔ go bak fɔ ɛksesaiz tranga wan te yu dɔktɔ se, "Okay, i nɔ bad naw."
Di gud nyus na dat , if dɛn trit pipul dɛn di rayt tɛm, bɔku pipul dɛn kin wɛl kpatakpata . Sɔm kayn kes dɛm wae nɔr kin ivin bɛtɛ we yu rɛst. Bɔt if dɛn nɔ trit am, i kin bi pɔsin we nɔ de mɛn.
Bitwin 15% ɛn 30% pan di pipul dɛm wae gɛt pericarditis go gɛt di episod dɛm wae de kam bak ɔva di ia dɛm. So, i rili impɔtant fɔ tek di mɛrɛsin we yu dɔktɔ gi yu ɛn fɔ kip di apɔntinmɛnt dɛn we yu fɔ fala.
Mɛsej we dɛn kin kɛr go na os
- Nɔto ɔl di pen we yu kin gɛt na yu chɛst na at atak, bɔt ɛni pen na yu chɛst yu fɔ tek am siriɔs wan .
- Di pen we pɔsin kin gɛt we i de fil lɛk se i gɛt sɔm patikyula tin dɛn: na shap pen we kin go ɔp we i de ledɔm ɛn i kin go dɔŋ we i bɛn fɔ go bifo .
- If yu go to dɔktɔ insay di rayt tɛm ɛn gɛt tritmɛnt, bɔku tɛm dis kin wɛl kpatakpata .
- Tek di mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm. Nɔ stɔp af-af. If i tɛl yu fɔ rɛst, fala wetin i tɛl yu fɔ du.
- Ivin afta di sik dɔn wɛl, we pɔsin de chɛk am ɔltɛm na di dɔktɔ, dat kin ɛp fɔ mek di sik nɔ kam bak.
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