Mlendo atadwala matenda a mtima: Tiyeni tiphunzire za Dressler's Syndrome?

Mukadwala matenda a mtima ndipo mukuchira pang'ono, ndi bwino kumva chisoni kwambiri, mantha, komanso nkhawa mukamva za vuto la mtima kachiwiri, sichoncho? Koma nkhani yabwino ndi yakuti madokotala amadziwa bwino za vuto ili lotchedwa Dressler's syndrome, ndipo pali mankhwala abwino ochiritsira. Ndiye, tiyeni tikambirane pang'ono za vutoli, sichoncho?

Kodi Dressler's Syndrome ndi chiyani?

Mwachidule, Dressler's syndrome ndi matenda osowa omwe angachitike munthu akadwala matenda a mtima. Amatchedwanso kuti post-myocardial infarction syndrome. Ndi mtundu wa pericarditis. Pericarditis ndi kutupa kwa thumba loteteza mtima, lomwe ndi pericardium. Kutupa kumeneku kumafanana ndi kutupa komwe kumachitika munthu akavulala.

Mukadwala matenda a mtima, minofu ya mtima imawonongeka. Poyankha kuwonongekako, pambuyo pa 'nthawi yobisika' ya masiku mpaka milungu, chitetezo cha mthupi lanu chimayamba kugwira ntchito. Kuyankha kumeneku kwa chitetezo cha mthupi ndi komwe kumayambitsa kutupa kwa pericardium.

Monga mitundu ina ya pericarditis, Dressler's syndrome ingayambitsenso kupweteka pachifuwa. Izi zimachitika pamene pericardium yotupa (thumba la mtima) ikugundana ndi mtima. Nthawi zina, madzi ochulukirapo amatha kusonkhana pakati pa zigawo ziwiri za pericardium. Izi zimatchedwa pericardial effusion. Izi zimaika mtima pansi. Koma musadandaule, nthawi zambiri, mankhwala amatha kuchepetsa kutupa kumeneku ndikuletsa mavuto.

Kale, anthu pafupifupi atatu kapena anayi mwa anthu zana aliwonse omwe anali ndi matenda a mtima anali ndi matenda a Dressler. Koma tsopano, chifukwa cha kupita patsogolo kwa chithandizo cha matenda a mtima, vutoli limapezeka mwa anthu osakwana mmodzi mwa anthu zana aliwonse omwe ali ndi matenda a mtima.

Kodi zizindikiro za Dressler's Syndrome ndi ziti?

Zizindikiro za matenda a mtima nthawi zambiri zimawonekera milungu iwiri kapena inayi pambuyo pa matenda a mtima. Chizindikiro chachikulu ndi ululu wakuthwa komanso wobaya pachifuwa . Ululuwu ukhoza kukulirakulira mukapuma mpweya wozama, kumeza, kukhosomola, kapena kugona pansi. Komabe, ukhoza kuchepetsedwa mukakhala pansi ndikuwerama patsogolo.

Kuwonjezera pa kupweteka pachifuwa, mungakumanenso ndi zizindikiro monga:

• Kuvuta kupuma , makamaka mukawerama kapena kugona pansi.
• Mungakhale ndi malungo otsika.
• Mungamve kutopa komanso kutopa .
• Thupi likhoza kumva ngati lopanda moyo komanso lopanda chidwi ndi chilichonse (malaise).
• Kugunda kwa mtima mofulumira komanso kuthamanga kwa magazi pang'ono kungakhale zizindikiro za vuto ladzidzidzi lotchedwa cardiac tamponade.

Nchifukwa chiyani Dressler's Syndrome imachitika?

Akatswiri sakumvetsabe bwino chomwe chimayambitsa matenda a Dressler's syndrome. Koma amakhulupirira kuti ndi momwe chitetezo cha mthupi lanu chimachitira ndi matenda a mtima. Kuwonongeka kwa minofu ya mtima kumayambitsa machitidwe ambiri a chitetezo cha mthupi omwe pamapeto pake amachititsa kutupa kwa pericardium, thumba lomwe limazungulira mtima.

Dokotala wanu angatchulenso kuti 'post-cardiac injury syndrome' (PCIS). 'PCIS' ndi mawu ofala a matenda osiyanasiyana omwe chitetezo cha mthupi chimayankha kuwonongeka kwa mtima. Mitundu ina ya 'PCIS' imatha kuchitika pambuyo pa opaleshoni ya mtima kapena pambuyo pa kuvulala kwa mtima pangozi.

Kodi vutoli lingayambitse mavuto?

Ngakhale kuti nthawi zambiri zimakhala zovuta, mavuto okhudzana ndi matenda a Dressler nthawi zina amatha kupha anthu , ndichifukwa chake ndikofunikira kupeza chithandizo mwamsanga.

Mavuto osowa a Dressler's syndrome ndi awa:

• Kuthamanga kwa mtima: Izi zimachitika pamene madzi amasonkhana m'thumba lozungulira mtima, lomwe ndi pericardium, zomwe zimalepheretsa mtima kupopa magazi moyenera. Izi zitha kupha ngati simulandira chithandizo mwachangu. Tangoganizirani mtima wanu ukufinyidwa ndi madzi.
• Kutsekeka kwa mtima: Pa vutoli, pericardium imakhuthala kapena kuuma, zomwe zimapangitsa kuti mtima usamagunde bwino. Izi zingayambitse mavuto aakulu monga kulephera kwa mtima.

Kodi madokotala amazindikira bwanji izi?

Ngati dokotala wanu akukayikira kuti muli ndi matenda a Dressler, adzakuyesani thupi ndikukuuzani za zizindikiro zanu. Mungafunikenso kuyesedwa monga:

• Kuyezetsa magazi: Izi zimayesa kutupa m'thupi. Mwachitsanzo, zimayesa kuchuluka kwa mapuloteni a C-reactive.
• Electrocardiogram (ECG/EKG): ECG ndi graph yomwe imasonyeza momwe magetsi a mtima amagwirira ntchito. Ingathandize kuzindikira matenda a mtima.
• X-ray ya pachifuwa: Zithunzi za X-ray zimatha kusonyeza ngati mtima wakula. Ngati ndi choncho, ikhoza kukhala chizindikiro cha kuchulukana kwa madzi m'thupi.
• Echocardiogram `(Echocardiogram - Echo)`:Kuyesa kwa echo kungathe kuona bwino ngati madzi asonkhana mozungulira mtima. Kungathenso kuwona ngati madzi awa akuwononga minofu ya mtima.
• MRI ya Mtima: Izi zitha kujambula zithunzi za mtima mwatsatanetsatane. Izi ndizofunikira kwambiri pozindikira kutupa. Izi zitha kuchitika ngati mayeso ena sapereka chidziwitso chokwanira.

Pofufuza matenda, dokotala adzayang'aniranso zizindikiro monga:

• Phokoso lokanda lomwe limamveka pomvera mtima pogwiritsa ntchito stethoscope (pericardial friction rub).
• Kupukuta kwa pleural ndi phokoso lopweteka komanso lokwawa lomwe limachokera m'mapapo mukapuma mpweya wotuluka ndi wotuluka.
• Zotsatira za mayeso a magazi zomwe zimasonyeza kutupa, monga kuchuluka kwa mapuloteni a C-reactive kapena kuchuluka kwa maselo oyera a magazi.
• Zizindikiro pa ECG zomwe zimasonyeza kutupa kwa pericardium kapena kuchulukana kwa madzi mu pericardium (pericardial effusion).

Ngati muli ndi zifukwa ziwiri kapena zingapo zotsatirazi, dokotala wanu angasankhe kuti muli ndi matenda a Dressler:

• Muli ndi malungo popanda chifukwa china chilichonse chodziwikiratu.
• Muli ndi ululu pachifuwa womwe umadziwika ndi pericarditis.
• Dokotala akumva ``kukanda kwa pericardial'' ndi/kapena ``kukanda kwa pleural'' pachifuwa panu.
• Madzi ochulukirapo asonkhana mu pericardium ya mtima wanu (pericardial effusion).
• Muli ndi madzi ochulukirapo m'mapapo mwanu (pleural effusion), ndipo kuchuluka kwa mapuloteni anu a C-reactive kwawonjezekanso.

Kodi Dressler's Syndrome imachiritsidwa bwanji?

Nthawi zambiri, mankhwala amakhala okwanira kuchepetsa kutupa kwa pericardium ndikuchepetsa zizindikiro za Dressler's syndrome. Mungafunike kumwa mankhwalawa kwa milungu ingapo, kapena miyezi ingapo, mpaka zizindikiro zanu zitatha. Dokotala wanu angakupatseni mankhwala monga aspirin ndi colchicine .

Koma ngati vuto lanu likhala losatha, zomwe zikutanthauza kuti likupitirira, muyenera kuonana ndi dokotala yemwe ndi katswiri wa matenda a pericardial ndikukambirana njira zina zochiritsira zapamwamba.

Kodi ndiyenera kupita kwa dokotala liti?

Sungani nthawi yokumana ndi dokotala . Kuyezetsa kotsatira kumeneku n'kofunika kwambiri chifukwa kumathandiza dokotala wanu kuona momwe chithandizo chanu chikugwirira ntchito. Komanso, ngati mukupeza zizindikiro zatsopano kapena ngati zizindikiro zanu zikuipiraipira, muyenera kuyimbira dokotala nthawi yomweyo .

Kodi ndingayembekezere chiyani ndi vutoli?

Matenda a Dressler amatha kupewedwa ngati atachiritsidwa mwachangu.Mwayi wochira ndi wabwino kwambiri. Chifukwa chake, ndikofunikira kwambiri kugwiritsa ntchito mankhwalawo monga momwe dokotala wanenera ndikutsata malangizo ake.

Komabe, matenda a Dressler amatha kubwereranso mukalandira chithandizo. Ndicho chifukwa chake ndikofunikira kupita kwa dokotala nthawi zonse kuti akakupimeni, ngakhale mutamva bwino. Dokotala wanu adzayang'anira mtima wanu mosamala. Iye adzakudziwitsani ngati mukufuna chithandizo china.

Mukachira ku matenda a mtima, palibe amene amakonda kumva za vuto lina la mtima. Kuzindikira kwa Dressler's syndrome kumeneku kungakupangitseni kusokonezeka, kuchita mantha, komanso kukhumudwa. Koma nkhani yabwino ndi yakuti madokotala amadziwa momwe angachiritsire vutoli .

Mukhoza kuteteza mtima wanu ndikukhala bwino mwa kumwa mankhwala anu moyenera komanso kulankhulana ndi dokotala wanu. Onetsetsani kuti mwamvetsa dongosolo lanu la chithandizo. Musaope kufunsa mafunso ngati pali chilichonse chomwe simukumvetsa.

Uthenga Wopita Nawo Kunyumba

• Matenda a Dressler ndi kutupa kwa thumba lozungulira mtima (pericardium) komwe kumachitika kawirikawiri munthu akadwala matenda a mtima.
• Izi zimachitika chifukwa chitetezo cha mthupi chimayankha kuwonongeka komwe kumachitika chifukwa cha matenda a mtima.
• Chizindikiro chachikulu ndi kupweteka kwambiri pachifuwa, koma kumathanso kutsagana ndi kupuma movutikira, kutentha thupi, komanso kutopa.
• Madokotala akutsimikizira izi mwa kuchita mayeso angapo.
• Izi nthawi zambiri zimatha kukonzedwa ndi mankhwala.
• Ndikofunikira kwambiri kuzindikira matendawa msanga ndikupeza chithandizo.
• Tsatirani malangizo a dokotala molondola, imwani mankhwala anu molondola, ndipo musaphonye kupita kuchipatala. Chirani msanga!

Matenda a Dressler, matenda a mtima, matenda a post-heart attack, pericarditis, pericarditis, kupweteka pachifuwa, thanzi la mtima