Fungidzira kuti unonzwa kamwe kamwe kurwadziwa kwakanyanya muchipfuva chako, pamwe chete nekurutsa . Kurwadziwa uku kunowedzera kana ukafema zvakadzama kana kurara pasi. Asi zvinoshamisa kuti paunogara pasi wokotama mberi, zvinoita sekunge kwaderera zvishoma. Vanhu vazhinji vanotya kuti uku kurwara kwemoyo panguva yakaita seiyi. Kutya ikoko kune musoro, asi zviratidzo izvi zvakasiyana nekurwadziwa kwemoyo, asi zvinogona kunge zviri chirwere chinoda kutariswa. Nhasi tiri kutaura nezvechirwere ichi chine chekuita nemoyo wedu. Ndiyo inonzi Pericarditis .
Zvichitaurwa zviri nyore, chii chinonzi Pericarditis?
Mwoyo wedu hausi nhengo chete. Wakakomberedzwa nekafukidziro katete kakaita sebhegi rekudzivirira. Izvi ndizvo zvatinodaidza kuti pericardium mukurapa. Basa guru rekafu aka nderekuderedza kukweshana kunoitika kana moyo uchirova uye kudzivirira mwoyo kubva kuzvirwere zvinobva kunze.
Saka, Pericarditis kuzvimba kwebhegi rekudzivirira rinopoteredza moyo. Patinoti "kuzvimba," funga nezvazvo sekunge patinokuvara pane imwe nzvimbo mumuviri wedu, nzvimbo yacho inotsvuka, inozvimba, uye inorwadza. Ichi chirwere chinoitika mubhegi iri rinopoteredza moyo. Izvi zvinowanzotanga kamwe kamwe uye zvinogona kugara kwemavhiki kana mwedzi.
Kunyangwe chirwere ichi chichigona kuitika chero pazera ripi zvaro, chinonyanya kuitika kuvarume vane makore ari pakati pe16 ne65. Chinhu chakanaka ndechekuti chinowanzo rapa uye chinorapwa zvinobudirira.
Ndeapi marudzi makuru e pericarditis?
Dambudziko iri rinogona kukamurwa kuita mhando dzakasiyana-siyana zvichienderana nenguva uye chikonzero chekukura kwaro. Zvakakosha kuti uzive izvi.
| Rudzi | Tsananguro iri nyore |
|---|---|
| Zvichienderana nenguva yechirwere | |
| Acute Pericarditis (kutanga kamwe kamwe) | Zvinotanga kamwe kamwe. Zviratidzo zvinowanzotora mavhiki asingasviki mana kusvika matanhatu. |
| Subacute Pericarditis (inotora nguva yakati rebei) | Zviratidzo zvinogara kwemavhiki anopfuura 4-6, asi zvinowanzopera mukati memwedzi mitatu. |
| Chirwere chePericarditis Chisingaperi | Zviratidzo zvinoramba zviripo kwemwedzi inopfuura mitatu mushure mechiitiko chekutanga. |
| Pericarditis Inowanzoitika | Mushure mekurapwa kwekutanga uye kupora, chirwere ichi chinodzoka zvakare. Izvi zvinogona kuitika kune vanenge 30% yevarwere. |
| Zvichienderana nechikonzero chechirwere | |
| Idiopathic Pericarditis | Hapana chikonzero chaicho cheizvi. Urwu ndirwo rudzi runowanzoonekwa. |
| Pericarditis inotapukira | Inokonzerwa nehutachiona hwakadai semavhairasi, mabhakitiriya, kana fungi. |
| Pericarditis Inouraya | Inogona kukonzerwa negomarara riri kune imwe nzvimbo mumuviri. |
| Kushungurudzika kwePericarditis | Zvinogona kuitika mushure mekukuvara kwechipfuva, semuenzaniso, tsaona yemotokari. |
| Uremic Pericarditis | Chirwere chinokonzerwa nekutadza kushanda zvakanaka kweitsvo. |
Pamusoro pezvo, pane dambudziko guru rinonzi Constrictive Pericarditis . Apa ndipo apo matumbu ebhegi rakakomberedza moyo anokora, anova nemavanga, uye anonamatirana. Izvi zvinoderedza nzvimbo yekuti mwoyo urove zvakasununguka.
Ndezvipi zviratidzo zve pericarditis? Unozviziva sei?
Chiratidzo chikuru uye chinowanzoonekwa chechirwere ichi kurwadziwa muchipfuva . Asi uku hakusi kurwadziwa kwechipfuva kwakajairika.
- Zvinonzwa sekurwadziwa kwakapinza, kunobaya .
- Kurwadziwa uku kunowedzera kana uchikosora, uchimedza, uchifema zvakadzika, uye uchirara pasi .
- Marwadzo anoderera kana wakagara wakakotama .
Zviratidzo zviviri izvi zvekupedzisira (zvinowedzera kana munhu akakotama uye zvichiderera kana munhu akakotama mberi) zvakakosha zvikuru pakusiyanisa pericarditis nechirwere chemwoyo.
Kurwadziwa uku pachipfuva dzimwe nguva kunogona kupararira kumusana, mutsipa, kana kunyange pafudzi rekuruboshwe.
Kuwedzera pakurwadziwa kwechipfuva, unogona kunge uine zvimwe zviratidzo zvakaita se:
- Kuoma kufema kana wakarara pasi
- Kukosora kunorwadza kwakaoma
- Kurova kwemoyo (kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti zvisina kurongeka)
- Kuneta
- Kupindwa nechando
- Kuzvimba kwemakumbo, zvitsitsinho, netsoka muzviitiko zvakakomba
Kana uine chimwe chezviratidzo izvi, enda kuna chiremba nekukasika . Kana uchifunga kuti zviratidzo zvako zvakakomba, enda kuchipatara chiri pedyo nekukurumidza. Hazvina kunaka kunonoka.
Sei Pericarditis ichiitika? Ndezvipi zvikonzero zvikuru?
Pericarditis inogona kukonzera zvinhu zvakasiyana-siyana. Zvisinei, munyika dzekuMadokero, inowanzoonekwa seyakavanzika kana kuti inokonzerwa nehutachiona. Vanachiremba vakakamura zvikonzero izvi muzvikamu zviviri zvikuru.
1. Zvikonzero zvinotapukira:
- Mavhairasi: Mavhairasi akaita sefuruwenza, COVID-19, adenovirus, HIV.
- Mabhakitiriya: Utachiona hwemabhakitiriya hwakaita sechirwere cherurindi.
- Mafungus netupukanana: Izvi hazviwanzoonekwa.
2. Zvikonzero zvisingatapurire:
- Kuvhiyiwa kwechipfuva kana tsaona .
- Kenza inowanikwa kune dzimwe nzvimbo mumuviri.
- Zvirwere zve autoimmune: Sezvakaita lupus ne rheumatoid arthritis, izvi zvirwere apo masoja emuviri wedu anorwisa masero edu.
- Uremia, dambudziko rinokonzerwa nekutadza kushanda kweitsvo kusina kurapwa.
- Kushaikwa kwakanyanya kwehomoni ye thyroid (hypothyroidism yakanyanya) .
Zvinhu zvinowedzera njodzi
Uri panjodzi huru yekubatwa ne pericarditis mushure mezvimwe zviitiko.
- Mushure mekurwara nemoyo:Izvi zvinonziwo Dressler's syndrome.
- Mushure mekuvhiyiwa kwemoyo kwakavhurika: Izvi zvinonzi postpericardiotomy syndrome.
- Mushure mekugamuchira kurapwa nemwaranzi.
- Mushure memamwe marapirwo ekurapa, akadai se cardiac catheterization kana radiofrequency ablation (RFA) .
Ndezvipi zvinetso zvinogona kukonzera izvi?
Kana pericarditis ikasarapwa nenguva, matambudziko ane njodzi anogona kuitika.
Chikuru ndechePericardial Effusion . Zvichitaurwa zviri nyore, kuungana kwemvura (mvura) mukati mebhegi rakatenderedza moyo. Kunyange zvazvo mvura shoma isiri nyaya hombe, kana mvura iyi ikaungana nekukurumidza, inogona kukonzera chirwere chakakomba chinonzi Cardiac Tamponade .
Kubata mwoyo ne tamponade chirwere chinokonzerwa nekuti mvura inoungana yakakomberedza mwoyo, zvichiita kuti isakwanise kupomba zvakanaka. Iyi idambudziko rehutano rinogona kuisa upenyu panjodzi.
Ndosaka zvichikosha kuona chiremba kana wangoona zviratidzo zve pericarditis. Kana ukatanga kurapwa nekukurumidza, unogona kudzivirira matambudziko aya akakomba kuti asaitike.
Chiremba, unoongorora sei izvi?
Paunoenda kunoona chiremba wako, anotanga abvunza nezvezviratidzo zvako uye kana wakamborwara nguva pfupi yadarika. Zvadaro achaisa stethoscope pachipfuva chako ochiongorora.
Kana paine pericarditis, matumbu akazvimba anokweshana pamwe chete mwoyo uchirova, zvichiita ruzha rwekukweshana, sekunge mashizha maviri ari kukweshwa pamwe chete. Vanachiremba vanoti izvi "pericardial rub." Kana ukanzwa ruzha urwu, chiratidzo chakasimba chekuti une pericarditis.
Pamusoro pezvo, kuti asimbise chirwere ichi uye kuti aone kana paine matambudziko, chiremba wako anogona kukupa bvunzo dzakati wandei dzakadai.
| Bvunzo | Chii chaunoona pane izvi? |
|---|---|
| X-ray yechipfuva | Tarisa zvinhu zvakaita sehukuru hwemwoyo uye kana mumapapu muine mvura. |
| Kuongororwa kweElectrocardiogram (ECG) | Tsvaga shanduko mukushanda kwemagetsi kwemoyo. Maitiro chaiwo e pericarditis anogona kuonekwa paECG. |
| Echocardiogram (Echo) | Tarisa kuti moyo uri kushanda sei uye kana bhegi rakatenderedza moyo rakazara nemvura yakawanda. |
| MRI yemwoyo | Tarisa zvakanaka kana paine kuzvimba, kukora, kana kuti kuvharika kwemoyo mubhegi rakatenderedza moyo. |
| Kuongororwa kweCT | Tarisa bhegi racho kuti harina calcium yakawanda here kana kuti harina nzungu. |
| Kugadziriswa kweCatheter yemwoyo | Kuti usimbise mamiriro akaita se constrictive pericarditis, ongorora kumanikidzwa kuri mukati memoyo. |
| Kuongororwa kweropa | Zviratidzo zvekuzvimba mumuviri zvinobatsira kuziva chikonzero chechirwere. |
Ndeipi mishonga yekurapa pericarditis?
Inowanzo shandiswa mishonga uye mitemo yekurovedza muviri, asi kana paine dambudziko guru, kushaya mvura mumuviri kana kuvhiyiwa zvinogona kudiwa.
Mishonga
Vanhu vazhinji vanowana zororo kubva kumishonga iyi.
- NSAIDs: Mishonga inouraya marwadzo uye inorwisa kuzvimba, yakaita se ibuprofen kana aspirin ine dose yakawanda.
- Colchicine: Uyu mushonga unoderedzawo kuzvimba. Chiremba wako anogona kukupa mushonga uyu kana zviratidzo zvako zvavepo kwemavhiki anopfuura maviri kana kuti chirwere ichi chichidzoka.
- Prednisone: Uyu rudzi rwemushonga westeroid. Uyu unogona kupihwa kana mimwe mishonga isingakushandire.
- Mishonga inorwisa mabhakitiriya kana inorwisa fungus: Kana chirwere chako chakakonzerwa nehutachiona hwebhakitiriya kana hwefungus, uchapihwa mushonga wakakodzera wemishonga inorwisa mabhakitiriya.
Kurambidzwa kwekuita zvemuviri uye kuzorora
Kuzorora kwakakosha paunenge uchipora kubva ku pericarditis. Kana ukaita maekisesaizi, uchimhanya, kana kuita zvimwe zvinhu zvinorema, zvinogona kuwedzera kuzvimba. Saka, chiremba wako achakuudza kuti unofanira kuderedza sei kurovedza muviri uye kusvika papi. Zvakakosha kutevedzera mirairo iyi nemazvo.
Kuburitsa mvura
Kana paine chirwere chakaita seCardiac Tamponade, chatakataura nezvacho kare, chikaitika, kureva kuti, kana moyo uzere nemvura uye moyo wavharika, mvura iyoyo yakawedzerwa inofanira kubviswa.
- Pericardiocentesis: Izvi zvinosanganisira kuisa chubhu refu, yakatetepa (catheter) nepachipfuva uye kubvisa mvura inenge yaungana mubhegi rakatenderedza moyo.
- Hwindo rePericardial: Kana mvura yacho isingabviswe netsono, chipfuva chinochekwa diki, muromo mudiki unogadzirwa mubhegi rakatenderedza moyo, uye mvura yacho inobvumirwa kubuda nepariri.
Kuvhiya
Kana uine chirwere chakakomba chakadai seConstrictive Pericarditis, ungangoda kuvhiyiwa kunonzi Pericardiectomy , uko kuvhiyiwa kubviswa kwechikamu chebhegi rakakora rakakomberedza moyo.
Chii chinotevera? Chii chatingatarisira?
Uchada kuzorora kwenguva yakati uchipora kubva ku pericarditis. Kana wapora zvakakwana, unogona kutangazve mabasa ako emazuva ese. Asi usadzokere kukurovedza muviri kunorema kusvika chiremba wako ati, "Zvakanaka, hazvina kuipa izvozvi."
Mashoko akanaka ndeekuti kana vanhu vazhinji vakarapwa nenguva, vanopora zvachose . Dzimwe nyaya dzisina kunyanya kuoma dzinogona kutopera nekuzorora. Asi kana dzikasarapwa, dzinogona kuramba dziripo kwenguva refu.
Pakati pe15% ne30% yevanhu vane pericarditis vachagara vachirwara nechirwere ichi kwemakore. Saka, zvakakosha kuti utore mishonga yaunonyorerwa nachiremba wako uye kuti ugare uchitevera nguva yaunoongororwa.
Mharidzo Yekuenda Nayo Kumba
- Hakusi kurwadziwa kwese kwepachipfuva kwaunonzwa kunokonzerwa nechirwere chemwoyo, asi kurwadziwa kwepachipfuva kunofanira kutorwa zvakakomba .
- Marwadzo e pericarditis ane hunhu hwakasiyana: kurwadziwa kwakanyanya kunowedzera kana wakarara pasi uye kunoderera kana wakakotama mberi .
- Kana ukaona chiremba nenguva wobva wawana rubatsiro, izvi zvinogona kurapwa zvachose .
- Inwa mushonga wawakanyorerwa nachiremba wako nenguva. Usamira pakati. Kana akakuudza kuti uzorore, tevera mirairo yake nemazvo.
- Kunyangwe chirwere chacho chapera, kuongororwa nachiremba nguva dzose kunobatsira kudzivirira kuti chirwere chisadzokorore.
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