Kodi chifuwa chanu chikupweteka? Kodi kupuma n'kovuta? Izi zitha kukhala Acute Pericarditis!

Kodi mwadzidzidzi munayamba mwamvapo nseru , kupweteka pachifuwa, komanso kuvutika kupuma? Mwina ululuwo umakula kwambiri mukagona, ndipo umachepa mukawerama? Ngati muli ndi zizindikiro izi, zitha kukhala kutupa kwa pericardium, komwe madokotala amatcha Acute Pericarditis . Musadandaule, tikambirana izi m'njira yosavuta yomwe mungamvetse.

Kodi Pericarditis Yoopsa Ndi Chiyani?

Mwachidule, acute pericarditis ndi kutupa, kapena kutupa, kwa pericardium , thumba lomwe limazungulira mtima. Nthawi zambiri limayambitsa kupweteka pachifuwa, komwe kumatha kukulirakulira mukagona pansi kapena kupuma mozama. Nkhani yabwino ndi yakuti nthawi zambiri imatha kuchiritsidwa, kutengera chifukwa chake, ndipo anthu ambiri omwe ali ndi vutoli amachira popanda mavuto akulu.

Ndiye kodi pericardium iyi ndi chiyani?

Taganizirani izi, mtima wathu uli ngati mwala wamtengo wapatali. Pali thumba laling'ono lozungulira mwala uwu kuti uliteteze. Chikwama chimenecho chimatchedwa pericardium . Ichi ndi thumba la magawo awiri. Izi zimathandiza kuti mtima ukhale pamalo amodzi mkati mwa chifuwa chathu. Komanso, pali gawo laling'ono la madzi pakati pa mtima ndi gawo lamkati la thumba ili. Gawo lamadzili limachepetsa kukangana komwe kumachitika mtima ukugunda. Kunena zoona, limapereka chitetezo ndi chithandizo chofanana ndi cha mtima. Komabe, n'zotheka kukhala popanda pericardium. Anthu ena amabadwa opanda pericardium, pomwe ena amakhala ndi moyo wathanzi ngakhale atachotsedwa opaleshoni.

Kodi vutoli limakhudza bwanji matupi athu?

Kawirikawiri, mkati mwa pericardium iyi mumakhala malo okwanira kuti mtima udzaze ndi magazi ndikufutukuka panthawi ya kugunda kwa mtima. Pericarditis yokha si nkhani yaikulu. Komabe, ingayambitse mavuto oopsa. Kodi mukudziwa momwe zimachitikira? Vutoli limachitika pamene madzi akusonkhana mkati mwa pericardium - timatcha kuti pericardial effusion - ndipo madziwo amayamba kukanikiza mtima.

Tangoganizirani, pamene pericardium ikufufuma ndikudzaza ndi madzi, malo a mtima amachepa. Izi zikachitika, nthawi zina pericardium imatambasuka, zomwe zimapangitsa kuti madzi owonjezera alowe ndipo mtima ukugunda bwino. Koma ngati izi zitachitika mwadzidzidzi, mwachangu, madziwo amakanikizira mtima. Kenako mtima umakhala wopanda malo okwanira oti ukule, kotero sungadzaze ndi magazi bwino. Izi zimachepetsa kuchuluka kwa magazi omwe mtima ungathe kupopa. Matendawa timawatcha kuti cardiac tamponade . Ichi ndi vuto lachipatala lomwe lingayambitse imfa. Tamponade iyi ingayambitse mtima kuyima, ndipo ikhoza kupha munthu mkati mwa mphindi zochepa.

Ndani angakule motere?

Matenda a mtima otchedwa acute pericarditis amatha kuchitika pa msinkhu uliwonse, koma amapezeka kwambiri mwa amuna. Amafalanso kwambiri mwa anthu azaka zapakati pa 20 ndi 50.

Kodi vutoli ndi lofala bwanji?

Matenda a mtima otchedwa acute pericarditis ndi matenda ofala kwambiri , omwe amakhudza 5% yokha ya odwala omwe amapita kuchipatala chadzidzidzi omwe ali ndi ululu pachifuwa.

Kodi zizindikiro za izi ndi ziti?

Matenda a mtima otchedwa Acute Pericarditis amatha kukhala ndi zizindikiro zingapo. Zizindikiro zina zimadalira chomwe chimayambitsa matendawa. Zizindikiro zomwe zingatheke ndi izi:

• Kupweteka pachifuwa (tidzakambirana zambiri za izi pansipa).
• Malungo .
• Kuvuta kupuma (Dyspnea).
• Tachycardia kapena palpitations - izi zikutanthauza kumva mtima wanu ukugunda popanda khama lililonse.
• Kupweteka kwa minofu (monga matenda a kachilombo), makamaka m'masiku ochepa apitawa.
• Kuvutika kumeza (Dysphagia).
• Chifuwa chouma .

Tiyeni tiphunzire makamaka za kupweteka pachifuwa.

Chizindikiro chachikulu cha acute pericarditis ndi kupweteka pachifuwa . Ngakhale kuti ululu uwu ndi wofanana kwambiri ndi ululu pachifuwa womwe umachitika panthawi ya matenda a mtima, pali kusiyana kwakukulu. Ululu womwe umachitika ndi acute pericarditis nthawi zambiri umakhala ndi zizindikiro izi:

• Kuyamba mwachangu: Chizindikirochi chingabwere mwachangu kwambiri, ndipo ululu wonse umachitika mkati mwa ola limodzi kapena awiri.
• Zingasiyane malinga ndi munthu: ululu uwu ukhoza kukhala woopsa kwa ena, komanso wosasangalatsa kwa ena.
• Kufalikira kumadera ozungulira: Monga momwe zimakhalira ndi matenda a mtima, ululuwu nthawi zambiri umafalikira ku ziwalo za thupi lozungulira.
• Kusintha kwa kaimidwe kanu: Ululu wa pectus umakula kwambiri mukagona ndipo umakula bwino mukakhala pansi kapena mukamawerama . Ichi ndi chimodzi mwa zizindikiro zazikulu zomwe zingasiyanitse ululu ndi ululu wa mtima.

Zizindikiro zina

Zizindikiro zina zingachitike ndi pericarditis yoopsa. Komabe, zimadalira vuto lomwe limayambitsa. Izi zikutanthauza kuti pericarditis ikhoza kuyambitsidwa ndi matenda ena, ndipo pericarditis ingayambitse zizindikiro zina.

Kodi n’chiyani chimayambitsa izi?

Pali zifukwa zambiri zomwe zingayambitse matenda a mtima otchedwa acute pericarditis. Zina mwa zifukwa zomwe zingayambitse matendawa ndi izi:

• Matenda: Izi zikuphatikizapo matenda a bakiteriya, makamaka chifuwa chachikulu , ndi matenda a mavairasi monga HIV . Bowa kapena tizilombo toyambitsa matenda tingayambitsenso pericarditis, koma matenda otere ndi osowa kwambiri.
• Khansa: Khansa ya m'mimba ndi yotheka, koma si yofala. Matenda a m'mimba amathanso kuchitika ngati maselo a khansa akukula kwina m'thupi ndikufalikira ku pericardium.
• Matenda a chitetezo chamthupi kapena matenda otupa: Mwachitsanzo , lupus ,Matenda monga nyamakazi kapena matenda a Sjögren .
• Matenda a mahomoni: Zinthu monga hypothyroidism ndi ovarian hyperstimulation syndrome.
• Kuvulala pachifuwa: Kuvulala pachifuwa (monga kumenyedwa kapena bala lolowera monga mpeni kapena bala lowombera) kungayambitse kuvulala ndi kutupa kwa pericardium.
• Matenda a mtima kapena mavuto a kayendedwe ka magazi: Matenda monga matenda a mtima kapena kusweka kwa mtsempha wamagazi .
• Zifukwa zachipatala: Kutupa kwa mtima (acute pericarditis) kungachitike pambuyo pa opaleshoni ya mtima, chithandizo cha khansa pogwiritsa ntchito radiation, kapena ngati zotsatirapo za mankhwala ena.
• Zina zomwe zimayambitsa: Matenda a mtima (acute pericarditis) amatha kuchitika ndi matenda monga kulephera kwa mtima, matenda a impso osatha kapena kulephera kwa impso, matenda a chiwindi (liver cirrhosis), kapena popanda chifukwa chodziwika (idiopathic) .

Kodi izi ndi zopatsirana?

Ngakhale kuti matenda a mtima otchedwa acute pericarditis angayambitsidwe ndi matenda opatsirana, simungathe kufalitsa matendawa kwa munthu wina kapena kuwatenga.

Kodi mumazindikira bwanji izi?

Dokotala akhoza kuzindikira matenda a mtima omwe ali pachimake potengera mbiri yanu yachipatala, zizindikiro, kuyezetsa thupi, komanso kuphatikiza mayeso ozindikira matenda ndi mayeso a labotale.

Kawirikawiri, zizindikiro ziwiri kapena zingapo mwa zisanu zotsatirazi ziyenera kukhalapo kuti mudziwe izi:

• Kupweteka pachifuwa.
• Kupukuta kwa pericardial friction: Uku ndi phokoso la pericardium yanu ikupukuta mkati mwa khoma la chifuwa chanu. Phokoso ili silimveka kawirikawiri. Dokotala amatha kumva phokosoli akamamvetsera kupuma kwanu pogwiritsa ntchito stethoscope.
• Kusintha kwa ntchito zamagetsi: Ntchito zamagetsi za mtima wanu zimachitika mwanjira inayake. Izi zitha kuzindikirika ndi electrocardiogram (ECG kapena EKG) . Mu pericarditis yoopsa, ECG imawonetsa kusintha komwe kumatenga masiku ambiri, nthawi zina milungu ingapo.
• Kutuluka kwa madzi m'mimba mwatsopano kapena kuwonjezeka: Izi zikutanthauza kuchuluka kwa madzi m'mimba mwa mtima kapena kuchuluka kwa madzi omwe alipo kale.
• Pericarditis: Izi zitha kuwoneka pa zithunzi zapadera za MRI ya mtima ndi/kapena mayeso a magazi.

Ndi mayeso otani omwe amachitidwa kuti adziwe vutoli?

Pali mayeso ambiri omwe angathandize kuzindikira matenda a mtima (acute pericarditis). Mayeso omwe mumachita adzadalira zizindikiro zanu, zomwe dokotala wanu akukayikira, ndi matenda ena omwe muli nawo. Mayeso omwe angachitike ndi awa:

Mayeso a labu

Mayesowa amafufuza kusintha kwa magazi anu ndi zizindikiro za matenda enaake. Izi nthawi zambiri zimaphatikizapo:

• Kuchuluka kwa magazi konse ndi kusiyana.
• Troponin.
• Puloteni yogwira ntchito ya C (CRP).
• Mlingo wa sedimentation wa maselo ofiira a m'magazi (ESR).
• Kuyesa chitetezo chamthupi kuti aone ngati pali matenda odziteteza ku matenda enaake.
• Kuyesa kwa chifuwa chachikulu kuti muwone ngati chili ndi chifuwa chachikulu .
• Kusanthula magazi kuti muwone ngati pali matenda a bakiteriya.
• Kuyezetsa kuchuluka kwa urea nitrogen m'magazi (BUN) ndi mayeso a creatinine clearance .

Mayeso ozindikira matenda

Mayeso awa angakuthandizeni kudziwa ngati muli ndi vuto la pericarditis komanso kupereka zizindikiro zofunika kwambiri chifukwa chake layamba.

• Electrocardiogram (ECG kapena EKG): Izi zimaphatikizapo kuyika masensa otchedwa ma electrode (nthawi zambiri 10) pakhungu la chifuwa ndikulemba momwe magetsi a mtima amagwirira ntchito ngati mafunde papepala kapena pazenera. Madokotala amatha kuyang'ana mafunde awa kuti adziwe ngati pali vuto lililonse.
• Kufufuza za minofu ya mtima: Kutenga chitsanzo cha minofu kuchokera ku pericardium ndikuwunika nthawi zina kungathandize kudziwa chomwe chimayambitsa.
• Pericardiocentesis: Iyi ndi njira yochotsera madzi ochulukirapo mu pericardium ngati muli ndi pericardial effusion ndi/kapena cardiac tamponade . Kusanthula madzi awa kungathandizenso kudziwa chomwe chinayambitsa vutoli poyamba.

Mayeso ojambula zithunzi

Mayeso ena ojambulira zithunzi amatha kuzindikira matenda a mtima omwe amachitika mwadzidzidzi, pomwe ena amatha kuzindikira mavuto omwe angabwere chifukwa cha matendawa. Mayeso ojambulira zithunzi omwe angachitike ndi awa:

• X-ray ya pachifuwa.
• Kujambula kwa computerized tomography (CT).
• Kujambula zithunzi za maginito (MRI).
• Echocardiogram.

Kodi vutoli lingachiritsidwe bwanji? Kodi lingachiritsidwe?

Chithandizo cha matenda a mtima opweteka kwambiri chimadalira chomwe chimayambitsa matendawa. Ngati pali chifukwa chenicheni, chithandizo chidzayang'aniridwa ndi chomwe chimayambitsa matendawa komanso zizindikiro zomwe zimayambitsa matenda a mtima. Dokotala wanu ndiye munthu woyenera kukufotokozerani izi, chifukwa amatha kusintha chithandizocho kuti chigwirizane ndi vuto lanu.

Ndi mankhwala kapena chithandizo chamtundu wanji chomwe chimagwiritsidwa ntchito?

Ngati madokotala sangapeze chifukwa chenicheni cha pericarditis yoopsa, chithandizo chimayang'ana kwambiri pakuletsa zizindikiro.

Chimodzi mwa zotsatirazi chingagwiritsidwe ntchito pochiza zizindikiro izi:

• Mankhwala: Mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) nthawi zambiri amakhala oyamba kulandira chithandizo. Zitsanzo zake ndi ibuprofen ndi aspirin . Colchicine ndi mankhwala ena oletsa kutupa omwe amaperekedwa pamodzi ndi NSAIDs . Ngati izi sizigwira ntchito, ma steroids ndi njira ina. Komabe, izi zimabwera ndi chiopsezo chachikulu cha zotsatirapo zoyipa. Dokotala wanu angaperekenso mankhwala oteteza m'mimba mwanu, chifukwa kugwiritsa ntchito NSAIDs nthawi zonse kungayambitse kuwonongeka. Ngati mankhwala omwe atchulidwa pamwambapa sakuthandiza zizindikiro zanu, dokotala wanu angakulangizeni mtundu wa mankhwala otchedwa biologics . Awa ndi mankhwala amphamvu, koma akhoza kukhala ndi zotsatirapo zoyipa. Ndibwino kufunsa dokotala wanu ngati mankhwalawa ndi oyenera kwa inu.
• Pericardiocentesis: Njirayi ndi yothandiza ngati pericardial effusion yayamba chifukwa cha pericarditis yoopsa, makamaka ngati chifukwa chachikulu ndi matenda kapena khansa.
• Opaleshoni (Pericardiectomy): Nthawi zina, pericarditis imatha kuwononga kwambiri pericardium kotero kuti njira yabwino kwambiri ndi kuichotsa opaleshoni. Opaleshoni iyi, yotchedwa pericardiectomy, imachotsa gawo kapena pericardium yonse. N'zotheka kukhala popanda pericardium popanda zotsatirapo zilizonse za nthawi yayitali.

Dokotala wanu angakulangizeninso kuti musinthe zochita zanu za tsiku ndi tsiku ndikupumula mpaka mutachira ku vutoli.

Kodi mavuto/zotsatira zake za chithandizo ndi ziti?

Mavuto omwe angabwere chifukwa cha chithandizo amadalira chithandizo chomwe mumalandira, makamaka mankhwala. Dokotala wanu akhoza kufotokoza bwino izi ndi mavuto omwe angabwere. Angakutsogolereninso zomwe mungachite kuti mupewe mavutowa komanso zomwe mungachite ngati atachitika.

Kodi ndingadzisamalire bwanji ndikusamalira zizindikiro zanga?

Popeza zizindikiro zake zimafanana ndi matenda a mtima, musayese kuzizindikira nokha kapena kuzithetsa popanda kupita kwa dokotala.Matenda a mtima ndi vuto ladzidzidzi lomwe lingayambitse imfa, choncho ngati muli ndi ululu pachifuwa, ganizirani kuti ndi matenda a mtima. Pokhapokha ngati ndi Acute Pericarditis, kuchedwetsa chithandizo cha matenda a mtima kungayambitse kuwonongeka kwamuyaya kwa mtima wanu.

Chofunika: Ngati mukumva kupweteka pachifuwa, funsani upangiri wa dokotala nthawi yomweyo, chifukwa kungakhale kudwala kwa mtima. Musadziyese nokha.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Kutengera ndi kuopsa kwa vuto lanu, chomwe chimayambitsa, ndi chithandizo chomwe mwagwiritsa ntchito, nthawi yomwe imatenga kuti muchire matenda a Acute Pericarditis imasiyana. Nthawi zambiri, anthu ambiri amayamba kumva bwino atatha milungu imodzi kapena itatu akumwa mankhwalawa , koma zingatenge miyezi kuti achire mokwanira.

Kodi ndingapewe bwanji izi?

Matenda a mtima otchedwa Acute Pericarditis ndi matenda omwe sangapewedwe chifukwa amapezeka mwadzidzidzi. Chinthu chokhacho chomwe mungachite ndikuchepetsa chiopsezo chanu popewa zinthu kapena zomwe zimayambitsa matendawa.

Kodi ndingachepetse bwanji chiopsezo changa?

Njira yokhayo yopewera peccaditis ndi kupewa zinthu zomwe zimayambitsa. Nazi njira zina zomwe mungachitire izi:

• Pezani chithandizo cha matenda a bakiteriya: Matenda a bakiteriya osachiritsidwa akhoza kuwononga thupi lanu kwambiri, makamaka mtima wanu ndi ziwalo zapafupi. Ngati mukukayikira kuti muli ndi matenda a bakiteriya, ndikofunikira kuti muwapeze ndikuwachiza mwachangu.
• Pewani kuvulala: Kugwiritsa ntchito zida zoyenera zodzitetezera, makamaka kuvala lamba wapampando mukamakwera galimoto, ndi njira yofunika kwambiri yopewera kuvulala pachifuwa. Izi zimaphatikizaponso kusamala mukamagwiritsa ntchito zida kapena makina omwe angayambitse kuvulala pachifuwa kwambiri.
• Tsatirani malangizo a dokotala wanu: Kuonana ndi dokotala wanu monga momwe akulangizidwira, ndikumwa mankhwala/mankhwala anu monga momwe mwalangizidwira, kungathandize kupewa peritonitis yanu kuti isabwererenso kapena kukhala yosatha. Izi ndi zoona makamaka ngati muli ndi vuto la thanzi lomwe limawonjezera chiopsezo chanu chokhala ndi peritonitis yoopsa.

Kodi ndingayembekezere chiyani ngati ndili ndi vutoli, ndipo kodi vutoli lingachiritsidwe?

Matenda a mtima otupa nthawi zambiri amakhala ochiritsika komanso ochiritsika . Anthu ambiri amachira akalandira chithandizo. Pakati pa 20% ndi 50% ya anthu amakhala ndi vutoli kangapo. Komabe, mankhwala ena oletsa kutupa amatha kuchepetsa chiopsezo choti libwererenso.

Kutengera ndi chifukwa cha pericarditis yanu yoopsa, mutha kukhala ndi constrictive pericarditis.Pakhoza kukhala chiopsezo chowonjezeka cha matenda otchedwa pericarditis. Izi zimachitika pamene mkati mwa mtima mumakhala wokhuthala komanso wosalimba chifukwa cha zipsera. Izi zitha kuchepetsa mphamvu ya mtima yopopera. Izi zimachitika mwa 20% mpaka 30% ya odwala omwe ali ndi vuto la pericarditis yoyambitsidwa ndi chifuwa chachikulu kapena matenda a bakiteriya. Chiwerengerochi chimatsika kufika pa 2% mpaka 5% mwa odwala omwe ali ndi vuto la pericarditis yokhudzana ndi khansa kapena matenda a chitetezo chamthupi. Zimachitika mwa odwala osakwana 1% omwe ali ndi vuto la pericarditis yosadziwika bwino kapena yoyambitsidwa ndi kachilombo ka HIV.

Kodi vutoli lidzakhalapo kwa nthawi yayitali bwanji, ndipo ndi liti pamene ndingapitirize ntchito zanga zachizolowezi?

Matenda a mtima osachiritsidwa akhoza kuyambitsa matenda ena, ena mwa iwo akhoza kukhala oopsa komanso oopsa. Chifukwa chake, musasiye matendawa osachiritsidwa.

Ndi chithandizo, matenda a mtima otchedwa acute pericarditis ayenera kuchira mkati mwa milungu ingapo. Komabe, anthu ambiri amafunika kusiya kuchita masewera olimbitsa thupi - kuphatikizapo kuchita masewera olimbitsa thupi ndi masewera olimbitsa thupi - mpaka zizindikiro zawo zitachepa. Nthawi zambiri zizindikiro zimabwereranso ngati ayamba kuchita masewera olimbitsa thupi msanga. Dokotala wanu adzakufotokozerani zomwe mungayembekezere ndipo adzakonza nthawi yokumana ndi dokotala kuti ayang'anire kuchira kwanu kuti awone ngati pali mavuto aliwonse.

Kodi ndiyenera kupita kwa dokotala liti ndipo ndiyenera kupita kwa dokotala liti?

Ngati munakhalapo ndi vuto la pericarditis yoopsa kale, yang'anirani zizindikiro za kubwereranso pamene mukuchira, kapena zizindikiro za kusintha kapena kuipiraipira. Ngati muli ndi zizindikirozi, imbani dokotala wanu, kapena funsani chithandizo chamankhwala kunja kwa nthawi yawo yogwira ntchito.

Zizindikiro zazikulu zoti muzisamala nazo ndi izi:

• Kupweteka pachifuwa. *
• Malungo.
• Kuvuta kupuma (Dyspnea).

*> Chizindikiro ichi chikhoza kukhala chizindikiro cha matenda a mtima, choncho muyenera kuyimbira foni 1990 (kapena nambala yanu yadzidzidzi yapafupi) nthawi yomweyo.

Matenda a mtima otchedwa Acute Pericarditis ndi matenda omwe nthawi zambiri amayambitsa ululu. Ngakhale kuti nthawi zambiri si matenda aakulu okha, ali ndi zizindikiro zofanana ndi matenda a mtima, omwe ndi matenda adzidzidzi. Angagwirizanenso ndi matenda ena, monga matenda a mtima otchedwa cardiac tamponade, omwe ndi matenda adzidzidzi. Chifukwa cha kufanana ndi kugwirizana kumeneku, ndikofunikira kuti dokotala aone zizindikirozi. Ngati muli ndi matenda a mtima otchedwa acute pericarditis, nthawi zambiri amatha kuchiritsidwa, koma anthu ena akhoza kukhala ndi matenda opitirira limodzi.

Uthenga Wopita Nawo Kunyumba

Chabwino, takambirana zambiri za Acute Pericarditis. Chofunika kwambiri kukumbukira ndichakuti ngati muli ndi kupweteka pachifuwa, makamaka kupweteka komwe kumakulirakulira mukagona pansi ndikuchira mukawerama patsogolo, limodzi ndi zizindikiro monga kupuma movutikira ndi kutentha thupi, musatenge mopepuka.

Kungakhale matenda a mtima, choncho funsani upangiri wa dokotala nthawi yomweyo.

Pancreatitis yoopsa nthawi zambiri imakhala yochiritsika, koma chithandizo choyenera ndi chofunikira.

Tsatirani malangizo a dokotala molondola, pumulani kwa nthawi yomwe mwapatsidwa, ndipo imwani mankhwala anu moyenera.

Ngati muli ndi mafunso ena okhudza izi, musazengereze kulankhula ndi dokotala wanu. Khalani ndi thanzi labwino!

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