Kupweteka pachifuwa pambuyo pa matenda a mtima? Tiyeni tikambirane za Dressler's Syndrome!

Kodi mungamve bwanji ngati mukuchira ku matenda a mtima kenako mwadzidzidzi n’kuyambanso kupweteka pachifuwa? Ndizachibadwa kuchita mantha ndi kuganiza kuti, “O, kodi izi ndi zomwezo?” Koma musadandaule. Sikuti ululu uliwonse pachifuwa ndi matenda ena a mtima. Nthawi zina, ukhoza kukhala vuto lina lomwe limayamba pambuyo pa matenda a mtima. Imeneyo ndi imodzi mwa matenda osowa koma ofunikira omwe muyenera kudziwa.

Mwachidule, kodi Dressler's Syndrome ndi chiyani?

Taganizirani mtima wathu ngati chinthu chamtengo wapatali mkati mwa thumba loteteza lopyapyala. Chikwama choteteza ichi chozungulira mtima chimatchedwa pericardium . Dressler's Syndrome ndi vuto lomwe, patatha milungu ingapo kuchokera pamene mtima wagunda, chitetezo cha mthupi lanu chimatupa ndi kutupa. Kutupa kumeneku kumatchedwa pericarditis .

Mwachidule, Dressler's Syndrome ndi mtundu wa pericarditis womwe umachitika munthu akadwala matenda a mtima. Kale, vutoli linkachitika mwa anthu pafupifupi 3-5 mwa anthu 100 aliwonse omwe anali ndi matenda a mtima . Koma tsopano, chifukwa cha chithandizo chapamwamba , silimachitika kawirikawiri ngakhale munthu m'modzi mwa anthu 100 aliwonse omwe ali ndi matenda a mtima. Kodi si nkhani yabwino imeneyi?

Matendawa amatha kuchitika mwadzidzidzi, popanda zizindikiro zilizonse kwa masiku kapena milungu ingapo pambuyo pa matenda a mtima . Kutupa kumeneku kumapangitsa kuti mtima ndi thumba lozungulira, thumba la pericardial, zigundane, zomwe zimayambitsa kupweteka pachifuwa komwe tatchula. Nthawi zina thumba ili limatha kudzaza ndi madzi. Izi zimatchedwa pericardial effusion . Ngati madzi awa asonkhana, amatha kukakamiza mtima.

N’chifukwa chiyani izi zikuchitika? Kodi thupi lathu likutiukira?

Chifukwa chenicheni cha izi sichinadziwike 100%, koma lingaliro lalikulu ndilakuti kusamvetsetsa pang'ono za chitetezo chathu chamthupi komwe kumachipangitsa kunena zinazake.

Taganizirani izi motere. Matenda a mtima ndi kuwonongeka kwa minofu ya mtima. Kuwonongeka kumeneku kukachitika, chitetezo chathu cha mthupi, chomwe chili ngati "msilikali" m'thupi lathu, chimaukira kuvulalako.Imabwera kuti ichire pomwe inali. Koma nthawi zina, panthawiyi, chitetezo chathu chamthupi chimasokonezeka pang'ono ndikusokoneza minofu ya mtima yowonongekayo kukhala mdani. Kenako imayamba kulimbana nayo. Zotsatira zake, pericardium yopanda chilema yomwe imazungulira mtima imatupa.

Popeza ichi ndi chitetezo chamthupi chomwe chimachitika mtima ukawonongeka, dokotala wanu angachitchenso kuti Post-Cardiac Injury Syndrome (PCIS) . Ndi dzina lofala lomwe limagwiritsidwa ntchito pa matenda angapo ngati awa.

Kodi zizindikiro za vutoli ndi ziti? Kodi mumazindikira bwanji?

Zizindikiro nthawi zambiri zimawonekera mkati mwa milungu iwiri kapena inayi kuchokera pamene munthu wadwala matenda a mtima. Izi zimasiyana pang'ono ndi zizindikiro za matenda a mtima. Tiyeni tiwone bwino zizindikiro zazikulu.

Kodi izi zingayambitse mavuto oopsa?

Matenda a Dressler nthawi zambiri amakhala ochiritsika ngati atachiritsidwa mwachangu. Komabe, nthawi zina, mavuto aakulu amatha kuchitika ngati sanachiritsidwe. Ndicho chifukwa chake ndikofunikira kuonana ndi dokotala mukangoyamba kuona zizindikiro.

• Mtima wothamanga: Ichi ndi vuto loopsa kwambiri. Thumba lozungulira mtima (pericardium) limadzaza ndi madzi kotero kuti silingathe kupopa bwino. Ichi ndi vuto lachipatala . Zizindikiro zake ndi monga kugunda kwa mtima mofulumira komanso kuthamanga kwa magazi pang'ono.
• Matenda a mtima otchedwa Constrictive Pericarditis: Uwu ndi matenda omwe pericardium imatupa, imakhuthala, komanso imauma pakapita nthawi. Izi zimapangitsa kuti mtima usamagwire bwino ntchito. Izi zingayambitse matenda aakulu monga kulephera kwa mtima.

Zinthu zimenezi zingakhale zoopsa kuzimva. Koma kumbukirani kuti sizichitika kawirikawiri ndipo zingatheke kupewedwa ndi chithandizo cha nthawi yake .

Kodi madokotala amamvetsa bwanji izi?

Dokotala wanu angaganize kuti muli ndi vuto la mtima atamva za zizindikiro zanu, makamaka ngati mwangodwala matenda a mtima posachedwapa. Angakuyezeni mayeso angapo kuti atsimikizire zomwe mukukayikira.

Chinthu choyamba chimene dokotala amachita

Choyamba chimene mungachite ndi kuika stethoscope pachifuwa panu ndikumvetsera mosamala. Kenako, mudzamva mawu awiri enieni.

1. Kupukuta kwa Mitsempha ya Pericardial Friction: Phokoso lomveka pamene pericardium yotupa ikugundana ndi mtima. Limamveka ngati zidutswa ziwiri za chikopa chouma zikukukuta pamodzi.

2. Kupukuta kwa pleural: Nthawi zina kutupa kumeneku kungakhudzenso minyewa yozungulira mapapo (pleura). Izi zingayambitse phokoso lofanana ndi limenelo popuma.

Mayeso otsatira

Mayeso awa angatsimikizire matendawa.

Kodi chithandizo chake ndi chiyani? Kodi ichi chingachiritsidwe?

Inde, ndithudi! Chithandizo cha Dressler's Syndrome ndi chosavuta komanso chothandiza. Nthawi zambiri, mankhwala amatha kuchepetsa kutupa ndikuchotsa zizindikiro.

Dokotala wanu angakupatseni mlingo waukulu wa aspirin , koma mankhwala otchedwa colchicine angathandizenso kuchepetsa kutupa ndikuletsa kubwereranso.

Ndikofunikira kwambiri kumwa mankhwala awa monga momwe dokotala wanu wanenera kwa milungu ingapo, mwina miyezi ingapo . Musasiye kumwa mankhwalawo pakati pa nthawi chifukwa chakuti ululu wachepa. Kuchita zimenezi kudzawonjezera mwayi woti matendawa abwererenso.

Ndiye, ndiyenera kuchita chiyani?

Mukachira matenda aakulu monga matenda a mtima, ndi zachilendo kumva mantha komanso kukhumudwa zinthu ngati zimenezi zikachitikanso. Koma chofunika kwambiri ndikumvetsa kuti vutoli ndi losavuta kulithetsa.

• Tsatirani zomwe dokotala wanena: Imwani mankhwala anu nthawi yake, kwa nthawi yonse yomwe mwapatsidwa.
• Musaphonye nthawi yokumana ndi dokotala: Ngakhale mutamva bwino, onetsetsani kuti mwabweranso tsiku lomwe dokotala wanu wakuuzani. Izi ndizofunikira kwambiri kuti muwone momwe chithandizocho chikugwirira ntchito.
• Dziwani zizindikiro: Ngati zizindikirozo zikubwereranso kapena kuipiraipira, dziwitsani dokotala nthawi yomweyo.
• Funsani mafunso: Ngati muli ndi mafunso okhudza vutoli kapena mankhwala, funsani dokotala wanu kuti akuthandizeni kumvetsa bwino.

Matenda a Dressler ndi matenda omwe nthawi zina amatha kubwereranso ngakhale atalandira chithandizo, ndichifukwa chake ndikofunikira kupitiliza kuyang'aniridwa ndi dokotala.