Ingaba isifuba sakho sibuhlungu? Ngaba kunzima ukuphefumla? Oku kusenokuba yi-Acute Pericarditis!

Ngaba wakha waziva unesicaphucaphu ngequbuliso, waba neentlungu esifubeni, waza waba nobunzima bokuphefumla? Mhlawumbi iintlungu ziya ziba mandundu xa ulele phantsi, kwaye ziba ngcono xa ugoba phambili? Ukuba unale mpawu, isenokuba kukudumba kwe-pericardium, oogqirha abayibiza ngokuba yi-Acute Pericarditis . Ungakhathazeki, siza kuthetha ngale nto ngendlela elula onokuyiqonda.

Yintoni i-Acute Pericarditis?

Ngamafutshane, i-acute pericarditis kukudumba, okanye ukudumba, kwe -pericardium , ingxowa ejikeleze intliziyo. Idla ngokubangela iintlungu zesifuba, ezinokuba zimbi ngakumbi xa ulala phantsi okanye uphefumla nzulu. Iindaba ezimnandi zezokuba inokunyangeka rhoqo, kuxhomekeke kwisizathu, kwaye uninzi lwabantu abanale meko bayachacha ngaphandle kweengxaki ezinkulu.

Ngoko ke yintoni le pericardium?

Cinga nje, intliziyo yethu ifana nelitye elinqabileyo. Kukho ingxowa encinci ejikeleze eli litye elinqabileyo ukuze liyikhusele. Elo ngxowa libizwa ngokuba yi-pericardium . Le yingxowa enamaleko amabini. Oku kunceda ukugcina intliziyo ikwindawo enye ngaphakathi esifubeni sethu. Kwakhona, kukho umaleko omncinci wolwelo phakathi kwentliziyo kunye nolwelo lwangaphakathi lwale ngxowa. Le ngxowa yolwelo inciphisa ukungqubana okwenzekayo xa intliziyo ibetha. Ukuchaneka, ibonelela ngokhuseleko kunye nenkxaso efana nomqamelo entliziyweni. Nangona kunjalo, kunokwenzeka ukuba umntu aphile ngaphandle kwe-pericardium. Abanye abantu bazalwa bengenayo i-pericardium, ngelixa abanye bephila ubomi obusempilweni nokuba isusiwe ngotyando.

Le meko iyichaphazela njani imizimba yethu?

Ngokwesiqhelo, kukho indawo eyaneleyo ngaphakathi kweli pericardium ukuze intliziyo igcwale igazi kwaye ikhule ngexesha lokubetha kwentliziyo. I-Pericarditis yodwa ayisiyonto inkulu. Nangona kunjalo, inokubangela iingxaki eziyingozi. Uyazi ukuba kwenzeka njani? Ingxaki yenzeka xa ulwelo luqokelelana ngaphakathi kwi-pericardium - esiyibiza ngokuba yi -pericardial effusion - kwaye olo lwelo luqala ukucinezela intliziyo.

Khawucinge nje, xa i-pericardium idumba ize igcwale lulwelo, indawo yentliziyo iyancitshiswa. Xa oku kusenzeka, ngamanye amaxesha i-pericardium iyanwebeka, ivumela ulwelo olongezelelweyo ukuba lungene kwaye intliziyo ibethe ngokufanelekileyo. Kodwa ukuba oku kwenzeka ngequbuliso, ngokukhawuleza, ulwelo lucinezela intliziyo. Emva koko intliziyo ayinandawo yaneleyo yokukhula, ngoko ke ayinakuzaliswa ligazi ngokufanelekileyo. Oku kunciphisa inani legazi elinokupompa intliziyo. Sibiza le meko ngokuthi yi-cardiac tamponade . Le yingxamiseko yezonyango esongela ubomi. Le tamponade inokubangela ukuba intliziyo ime, kwaye inokubulala kwimizuzu embalwa.

Ngubani onokutyala kangaka?

I-Acute Pericarditis inokwenzeka nakweyiphi na iminyaka, kodwa ixhaphake kakhulu kumadoda. Ixhaphake kakhulu nakubantu abaphakathi kweminyaka engama-20 ukuya kwengama-50.

Ixhaphake kangakanani le meko?

I-Acute pericarditis yimeko eqhelekileyo , ibandakanya i-5% kuphela yezigulana ezifika kwicandelo longxamiseko ezineentlungu zesifuba.

Zithini iimpawu zoku?

I-Acute Pericarditis inokuba neempawu ezininzi. Ezinye zeempawu zixhomekeke kwisizathu esiyintloko. Iimpawu ezinokubakho ziquka:

• Iintlungu zesifuba (siza kuthetha ngakumbi ngale nto ngezantsi).
• Ifiva .
• Ubunzima bokuphefumla (i-Dyspnea).
• I-Tachycardia okanye i-palpitations – oku kuthetha ukuva intliziyo yakho ibetha ngaphandle komzamo.
• Iintlungu zemisipha (njengosulelo lwentsholongwane), ingakumbi kwiintsuku ezimbalwa ezidlulileyo.
• Ukuqunjelwa okanye ubunzima bokuginya (i-Dysphagia).
• Ukukhohlela okomileyo .

Masifunde ngokukodwa malunga neentlungu zesifuba.

Uphawu oluphambili lwe-acute pericarditis ziintlungu zesifuba . Nangona le ntlungu ifana kakhulu nentlungu yesifuba eyenzeka ngexesha lokuhlaselwa yintliziyo, kukho umahluko obalulekileyo. Intlungu eyenzeka kwi-acute pericarditis idla ngokuba nezi mpawu:

• Ukuqala ngokukhawuleza: Olu phawu lunokubonakala ngokukhawuleza, luze luvele intlungu epheleleyo kwisithuba seyure okanye ezimbini.
• Ingahluka kumntu nomntu: le ntlungu inokuba bukhali kwabanye, kwaye ibe buthuntu kwabanye.
• Ukusasazeka kwiindawo ezikufutshane: Njengakwisifo sentliziyo, le ntlungu idla ngokusasazeka kwiindawo zomzimba ezikufutshane.
• Utshintsho kwindlela oma ngayo: Intlungu ye-pectus ebukhali idla ngokuba mandundu xa ulele phantsi ize ibe ngcono xa uhleli okanye ugobile phambili . Le yenye yeempawu eziphambili ezinokuyahlula kwintlungu yokuhlaselwa sisifo sentliziyo.

Ezinye iimpawu

Ezinye iimpawu zinokwenzeka kwi-acute pericarditis. Nangona kunjalo, zixhomekeke kwimeko engundoqo. Oko kukuthi, i-pericarditis inokubangelwa sisifo esithile, kwaye i-pericarditis inokubangela ezinye iimpawu.

Yintoni ebangela oku?

Zininzi izinto ezinokubangela i-acute pericarditis. Ezinye zezinto ezinokubangela oku ziquka:

• Izifo: Ezi ziquka izifo ezibangelwa ziintsholongwane, ingakumbi isifo sephepha , kunye nezifo ezibangelwa ziintsholongwane ezifana ne -HIV . Iifungus okanye iiparasite nazo zinokubangela i-pericarditis, kodwa ezo zifo azixhaphakanga.
• Umhlaza: Umhlaza wentliziyo unokwenzeka, kodwa awuqhelekanga. I-Pericarditis inokwenzeka nokuba iiseli zomhlaza zikhula kwenye indawo emzimbeni zize zisasazeke ziye kwi-pericardium.
• Izifo zomzimba okanye iimeko zokudumba: Umzekelo , i-lupus ,Iimeko ezifana ne-rheumatoid arthritis okanye i-Sjögren's syndrome .
• Iingxaki okanye iingxaki zehomoni: Izinto ezifana ne -hypothyroidism kunye ne-ovarian hyperstimulation syndrome.
• Ukonzakala: Ukonzakala esifubeni (njengokubethwa okanye inxeba elingene njengemela okanye inxeba lokudutyulwa) kunokubangela ukuba i-pericardium yenzekele kwaye ivuvuke.
• Isifo sentliziyo okanye iingxaki zenkqubo yokujikeleza kwegazi: Iimeko ezinje ngokuhlaselwa yintliziyo okanye ukuqhekeka kwe-aorta .
• Izizathu zonyango: I-Acute pericarditis inokwenzeka emva kotyando lwentliziyo, unyango lwe-radiation lomhlaza, okanye njengemiphumo emibi yamayeza athile.
• Ezinye izizathu: I-Acute pericarditis inokwenzeka kwiimeko ezifana nokusilela kwentliziyo, isifo sezintso esingapheliyo okanye ukusilela kwezintso, i-liver cirrhosis, okanye ngaphandle kwesizathu esaziwayo (idiopathic) .

Ingaba oku kuyasulela?

Nangona i-acute pericarditis inokubangelwa lusulelo olusulelayo, awunakusasaza esi sifo okanye usifumane komnye umntu.

Uyibona njani le nto?

Ugqirha unokuxilonga i-acute pericarditis ngokusekelwe kwimbali yakho yezonyango, iimpawu, uvavanyo lomzimba, kunye nokudibanisa iimvavanyo zokuxilonga kunye novavanyo lwelebhu.

Ngokwesiqhelo, kufuneka kubekho ezimbini okanye ngaphezulu kwezi mpawu zilandelayo ezintlanu ukuze kufunyanwe oku:

• Iintlungu zesifuba.
• Ukuhlikihla kwe-pericardial friction: Esi sisandi se-pericardium yakho ehlikihla ngaphakathi eludongeni lwesifuba sakho. Esi sandi asiqhelekanga ukuviwa. Ugqirha unokusiva esi sandi xa emamele ukuphefumla kwakho nge-stethoscope.
• Utshintsho kumsebenzi wombane: Umsebenzi wombane wentliziyo yakho wenzeka ngendlela ethile. Oku kunokubonwa nge- electrocardiogram (ECG okanye EKG) . Kwi-acute pericarditis, i-ECG ibonisa utshintsho oluthile oluhlala iintsuku, ngamanye amaxesha iiveki.
• Ukuphuma kwe-pericardial okutsha okanye okwandayo: Oku kuthetha ukuqokelelana okutsha kolwelo ngaphakathi kwi-pericardium okanye ukwanda kobuninzi bolwelo olusele lukhona.
• I-Pericarditis: Oku kunokubonwa kwimifanekiso ekhethekileyo ye-MRI yentliziyo kunye/okanye kuvavanyo lwegazi.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?

Kukho iimvavanyo ezininzi ezinokunceda ekuxilongeni i-acute pericarditis. Uvavanyo olwenzayo luya kuxhomekeka kwiimpawu zakho, izinto ezirhanelwa ngugqirha wakho, kunye nezinye iimeko zempilo onazo. Uvavanyo olunokwenziwa luquka:

Uvavanyo lwelebhu

Olu vavanyo lujonga utshintsho egazini lakho kunye neempawu zosulelo oluthile. Ezi ziquka:

• Ubalo lwegazi olupheleleyo oluneempawu ezahlukeneyo.
• ITroponin.
• Iprotheyini esebenzayo ye-C (CRP).
• Isantya sedimentation ye-erythrocyte (ESR).
• Uvavanyo lwenkqubo yomzimba yokuzikhusela ukuze kuhlolwe izifo ezibangelwa kukuzikhusela komzimba.
• Uvavanyo lweTuberculin ukuze kuhlolwe isifo sephepha .
• Iinkcubeko zegazi ukujonga usulelo lweentsholongwane.
• Uvavanyo lwe-urea nitrogen egazini (BUN) kunye novavanyo lwe-creatinine clearance .

Uvavanyo lokuxilonga

Olu vavanyo lunokufumanisa ukuba unayo na i-acute pericarditis kwaye lunike iingcebiso ezibalulekileyo malunga nokuba kutheni ivele.

• I-Electrocardiogram (ECG okanye EKG): Oku kuquka ukubeka ii-sensors ezibizwa ngokuba zii-electrodes (ngesiqhelo ziyi-10) eluswini lwesifuba kunye nokurekhoda umsebenzi wombane wentliziyo njengamaza ephepheni okanye kwisikrini. Oogqirha banokujonga la maza ukuze babone ukuba kukho naziphi na iingxaki.
• I-Pericardial biopsy: Ukuthatha isampuli yethishu kwi-pericardium nokuyihlola ngamanye amaxesha kunokunceda ekufumaneni unobangela oyintloko.
• I-Pericardiocentesis: Le yinkqubo yokususa ulwelo olugqithisileyo kwi-pericardium ukuba une -pericardial effusion kunye/okanye i-cardiac tamponade . Ukuhlalutya olu lwelo kunokunceda ekufumaneni ukuba yintoni ebangele le meko kwasekuqaleni.

Uvavanyo lokufota

Ezinye iimvavanyo zokujonga imifanekiso zinokubona i-acute pericarditis, ngelixa ezinye zinokubona kuphela iingxaki ezinokuvela kuyo. Uvavanyo lokujonga imifanekiso olunokwenziwa luquka:

• Ii-X-reyi zesifuba.
• I-computerized tomography (CT) scan.
• I-MRI (i-magnetic resonance imaging).
• I-Echocardiogram.

Inganyangwa njani le nto? Ngaba inganyangeka?

Unyango lwe-acute pericarditis luxhomekeke kwisizathu. Ukuba kukho isizathu esithile esisisiseko, unyango luya kujoliswa kweso sizathu kunye neempawu ezibangela i-pericarditis. Ugqirha wakho ngumntu ongcono ukukuchazela oku, njengoko enokwenza unyango luhambelane nemeko yakho ethile.

Loluphi uhlobo lonyango okanye unyango olusetyenziswayo?

Ukuba oogqirha abakwazi ukufumana unobangela othile we-acute pericarditis, unyango lugxile ekulawuleni iimpawu.

Enye okanye ezingaphezulu kwezi zilandelayo zingasetyenziselwa ukunyanga ezi mpawu:

• Amayeza: Amayeza alwa nokuvuvukala angengowe-steroidal (NSAIDs) adla ngokuba lolona nyango luphambili. Imizekelo ibandakanya i-ibuprofen kunye ne -aspirin . I-Colchicine lelinye iyeza elilwa nokuvuvukala elinikwa kunye ne -NSAIDs . Ukuba ezi azisebenzi, ii-steroids ziyindlela yokukhetha. Nangona kunjalo, ezi ziza nomngcipheko ophezulu weziphumo ebezingalindelekanga. Ugqirha wakho unokukunika amayeza okukhusela ulwelo lwesisu sakho, njengoko ukusebenzisa rhoqo ii-NSAIDs kunokulonakalisa. Ukuba amayeza akhankanyiweyo apha ngasentla awancedi iimpawu zakho, ugqirha wakho unokucebisa uhlobo lwamayeza abizwa ngokuba yi-biologics . La ngamayeza anamandla, kodwa anokuba neziphumo ebezingalindelekanga. Kungumbono olungileyo ukubuza ugqirha wakho ukuba olu nyango lukulungele na.
• I-Pericardiocentesis: Le nkqubo iluncedo ukuba i-pericardial effusion ivele ngenxa ye-acute pericarditis, ingakumbi ukuba imbangela eyintloko lusulelo okanye umhlaza.
• Utyando (Pericardiectomy): Kwiimeko ezingaqhelekanga, i-pericarditis inokubangela umonakalo omkhulu kwi-pericardium kangangokuba ukhetho olufanelekileyo kukuyisusa ngotyando. Olu tyando, olubizwa ngokuba yi-pericardiectomy, lususa inxalenye okanye yonke i-pericardium. Kunokwenzeka ukuba uphile ngaphandle kwe-pericardium ngaphandle kwemiphumo emibi yexesha elide.

Ugqirha wakho unokukucebisa ukuba utshintshe indlela oqhele ukwenza ngayo imihla ngemihla uze uphumle de uphile kule meko.

Zithini iingxaki/iziphumo ebezingalindelekanga zonyango?

Iingxaki ezinokubakho ngenxa yonyango zixhomekeke kunyango olufumanayo, ingakumbi amayeza. Ugqirha wakho unokuzichaza kakuhle ezi kunye neengxaki ezinokubakho. Angakukhokela kwinto onokuyenza ukuze uphephe ezi ngxaki kunye nento omawuyenze ukuba ziyavela.

Ndingazinyamekela njani kwaye ndilawule iimpawu zam?

Ngenxa yokuba iimpawu zifana nokuhlaselwa yintliziyo, musa ukuzama ukuyixilonga okanye ukuyilawula ngokwakho ngaphandle kokubona ugqirha.Uhlaselo lwentliziyo yingxaki yezonyango esongela ubomi, ngoko ke ukuba uneentlungu esifubeni, cinga ukuba luhlaselo lwentliziyo. Ngaphandle kokuba yi-Acute Pericarditis, ukulibazisa unyango lohlaselo lwentliziyo kunokubangela umonakalo ongunaphakade entliziyweni yakho.

Kubalulekile: Ukuba uva iintlungu esifubeni, funa ingcebiso kagqirha ngoko nangoko, kuba isenokuba kukuhlaselwa yintliziyo. Musa ukuzixilonga.

Ndiza kuziva bhetele nini emva konyango?

Ngokuxhomekeke kubukhali bemeko yakho, unobangela oyintloko, kunye nonyango olusetyenzisiweyo, ixesha elithathayo ukuze uphile kwi-Acute Pericarditis liyahluka. Ngokwesiqhelo, uninzi lwabantu luqala ukuziva lungcono emva kweveki enye ukuya kwezintathu zonyango , kodwa kungathatha iinyanga ukuba luphile ngokupheleleyo.

Ndingayithintela njani le nto?

I-Acute Pericarditis yimeko engenakukhuselwa kuba yenzeka ngequbuliso. Into onokuyenza kukunciphisa umngcipheko wakho ngokuphepha iimeko okanye izizathu ezinokubangela oko.

Ndingawunciphisa njani umngcipheko wam?

Eyona ndlela yokuthintela i-peccaditis kukuphepha izinto ezinokubangela oku. Nazi ezinye iindlela onokukwenza ngazo oku:

• Fumana unyango lwezifo ezibangelwa yintsholongwane: Usulelo olunganyangwanga lunokubangela umonakalo omkhulu emzimbeni wakho, ingakumbi intliziyo yakho kunye namalungu akufutshane. Ukuba ukrokrela ukuba unentsholongwane, kubalulekile ukuba uyifumane kwaye uyinyange ngokukhawuleza.
• Kuphephe ukwenzakala: Ukusebenzisa izixhobo zokhuseleko ezifanelekileyo, ingakumbi ukunxiba ibhanti xa ukhwela emotweni, yindlela ephambili yokuthintela ii-acute peccadillos ekonzakaleni esifubeni. Oku kuquka nokuqaphela xa usebenza ngezixhobo okanye oomatshini abanokubangela ukwenzakala esifubeni kakhulu.
• Landela imiyalelo kagqirha wakho: Ukubona ugqirha wakho njengoko kucetyisiwe, kunye nokuthatha amayeza/unyango lwakho njengoko kumiselwe, kunokunceda ukuthintela ukuba i-peritonitis yakho ingaphindi ivele okanye ibe yingxaki engapheliyo. Oku kuyinyani ngakumbi ukuba unemeko yempilo eyonyusa umngcipheko wakho wokuba ne-peritonitis ebukhali.

Ndingalindela ntoni ukuba ndinayo le meko, kwaye ingaba le nto inganyangeka?

I-Acute pericarditis idla ngokuba yimeko enokunyangwa nenganyangekayo . Uninzi lwabantu luyaphola emva konyango. Phakathi kwama-20% nama-50% abantu baya kuba nale meko ngaphezu kwesihlandlo esinye. Nangona kunjalo, ezinye iindlela zonyango zokulwa nokuvuvukala zinokunciphisa umngcipheko wokuba ibuyele umva.

Ngokuxhomekeke kwisizathu se-acute pericarditis yakho, usenokuba ne -constrictive pericarditis.Kunokubakho umngcipheko okhulayo wokuba nengxaki ebizwa ngokuba yi-pericarditis. Oku kwenzeka xa ulwelo lwentliziyo luba lukhuni kwaye lunganwebeki ngenxa yezibazi. Oku kunokunciphisa amandla entliziyo okupompa. Oku kwenzeka kwi-20% ukuya kwi-30% yezigulana ezine-acute pericarditis ebangelwa sisifo sephepha okanye usulelo lweebhaktheriya. Eli pesenti lehla liye kwi-2% ukuya kwi-5% kwizigulana ezine-pericarditis enxulumene nomhlaza okanye izifo zenkqubo yomzimba yokuzikhusela. Kwenzeka kwizigulane ezingaphantsi kwe-1% ezine-acute pericarditis engaziwayo okanye ebangelwa lusulelo lwentsholongwane.

Le meko iza kuhlala ixesha elingakanani, kwaye ndingaqhubeka nini nemisebenzi yam yesiqhelo?

I-pericarditis ebukhali enganyangwanga ingakhokelela kwezinye iimeko, ezinye zazo ezinokuba yingozi kwaye zibe yingozi. Ngoko ke, musa ukuyishiya le meko inganyangwa.

Ngonyango, i-acute pericarditis kufuneka iphucuke kwiiveki ezimbalwa. Nangona kunjalo, abantu abaninzi kuya kufuneka bayeke ukwenza umthambo – kuquka umthambo kunye nemidlalo – de iimpawu zabo zibe ngcono. Kuqhelekile ukuba iimpawu zibuye ukuba baqala ukuzilolonga kwangoko. Ugqirha wakho uza kuchaza into omawuyilindele kwaye uza kucwangcisa amadinga okulandela ukuze ajonge ukuchacha kwakho ukuze abone ukuba kukho naziphi na iingxaki.

Ndifanele ndimbone nini ugqirha wam kwaye ndifanele ndifune uncedo lwezonyango nini?

Ukuba ukhe waba ne-acute pericarditis ngaphambili, qaphela iimpawu zokubuyela kwimeko yesiqhelo ngexesha lokuchacha kwakho, okanye iimpawu zokutshintsha okanye eziya ziba mandundu. Ukuba unale mpawu, fowunela ugqirha wakho, okanye ufune uncedo lwezonyango ngaphandle kweeyure zomsebenzi.

Iimpawu eziphambili ekufuneka uziqaphele zezi:

• Iintlungu zesifuba. *
• Ifiva.
• Ubunzima bokuphefumla (i-Dyspnea).

*> Olu phawu lunokuba luphawu lokuhlaselwa yintliziyo, ngoko ke kufuneka utsalele umnxeba ku-1990 (okanye inombolo yakho yongxamiseko yasekuhlaleni) ngoko nangoko.

I-Acute Pericarditis yimeko edla ngokubangela iintlungu. Nangona ingaqhelekanga ukuba yimeko embi kakhulu, ineempawu ezifana nokuhlaselwa yintliziyo, okuyingxamiseko yezonyango. Inganxulunyaniswa nezinye iimeko, ezifana ne -cardiac tamponade, eyingxamiseko yezonyango. Ngenxa yokufana nokunxulumana, kubalulekile ukuba ezi mpawu zihlolwe ngugqirha. Ukuba une-acute pericarditis, idla ngokunyangwa, kodwa abanye abantu banokuba neziganeko ezingaphezu kwesinye.

Umyalezo Wokuya Ekhaya

Kulungile, ngoko ke sithethe kakhulu nge-Acute Pericarditis. Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba ukuba unentlungu esifubeni, ingakumbi intlungu eba mandundu xa ulele phantsi ize ibe ngcono xa ugoba phambili, kunye neempawu ezifana nokuphefumla kancinci kunye nomkhuhlane, musa ukuyithatha lula loo nto.

Isenokuba sisifo sentliziyo, ngoko ke funa ingcebiso kagqirha ngokukhawuleza.

I-pancreatitis ebukhali idla ngokuba yimeko enokunyangeka, kodwa unyango olufanelekileyo lubalulekile.

Landela imiyalelo kagqirha ngokuchanekileyo, phumla ixesha elimiselweyo, kwaye usele amayeza akho ngokuchanekileyo.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho. Hlala usempilweni!

I-Pericarditis , i-Acute Pericarditis, Iintlungu Zesifuba, Isifo Sentliziyo, Ukuphelelwa Ngumphefumlo, Umkhuhlane, Ukubetha Kwentliziyo, I-Cardiac Tamponade, I-Pericardial Effusion