Ubuya kuziva njani ukuba ubuya kuphola kwisifo sentliziyo uze ngequbuliso ube nentlungu engaqhelekanga esifubeni kwakhona? Kuqhelekile ukuba woyike uze ucinge, "Owu, ingaba le yinto endala kwakhona?" Kodwa ungakhathazeki. Ayizizo zonke iintlungu esifubeni ezisisifo sentliziyo. Ngamanye amaxesha, inokuba yenye imeko eyenzeka emva kwesifo sentliziyo. Le yenye yezo meko zingaqhelekanga, kodwa zibalulekileyo ekufuneka uzazi.
Ngamafutshane, yintoni i-Dressler's Syndrome?
Cinga ngentliziyo yethu njengento exabisekileyo ngaphakathi kwengxowa ebhityileyo yokukhusela. Le ngxowa yokukhusela ejikeleze intliziyo ngokwezonyango ibizwa ngokuba yi-pericardium . I-Dressler's Syndrome yimeko apho, kwiiveki ezimbalwa emva kokuhlaselwa yintliziyo, inkqubo yomzimba wakho yokuzikhusela iyadumba ize idumbe. Oku kudumba kubizwa ngokuba yi-pericarditis .
Ngamafutshane, i-Dressler's Syndrome luhlobo lwe-pericarditis eyenzeka emva kokuhlaselwa yintliziyo. Ngaphambili, le meko yayisenzeka kubantu abamalunga ne-3-5 kwabayi-100 ababenesifo sentliziyo . Kodwa ngoku, ngenxa yonyango oluphambili , ayifane yenzeke nakubani na kwabayi-100 ababenesifo sentliziyo. Ayizondaba zimnandi ezo?
Le meko ingenzeka ngequbuliso, ngaphandle kweempawu kangangeentsuku okanye iiveki emva kokuhlaselwa yintliziyo . Oku kudumba kubangela ukuba intliziyo kunye nesingxobo esijikeleze yona, i-pericardial sac, zingqubane, nto leyo ebangela intlungu yesifuba esikhankanyileyo. Ngamanye amaxesha le singxobo ingazaliswa lulwelo olumanzi. Oku kubizwa ngokuba yi-pericardial effusion . Ukuba olu lwelo luyaqokelelana, lunokufaka uxinzelelo entliziyweni.
Kutheni oku kusenzeka? Ingaba imizimba yethu iyasijikela?
Isizathu esichanekileyo soku asikaziwa ngokupheleleyo, kodwa ingcamango ephambili kukuba kukungaqondi kakuhle kwenkqubo yethu yomzimba yokuzikhusela okubangela ukuba ithethe into eyahlukileyo.
Cinga ngale ndlela. Uhlaselo lwentliziyo kukulimala kwemisipha yentliziyo. Xa lo monakalo usenzeka, inkqubo yethu yomzimba yokuzikhusela, efana "nesosha" emzimbeni wethu, iyayihlasela loo ngozi.Iza kuphola apho yayikhona. Kodwa ngamanye amaxesha, ngeli xesha le nkqubo, inkqubo yethu yomzimba yokuzikhusela iyadideka kancinci ize iphosise izihlunu zentliziyo ezonakeleyo njengentshaba. Emva koko iqala ukulwa nayo. Njengesiphumo sale mpi, loo pericardium ingenatyala ejikeleze intliziyo iyadumba.
Ngenxa yokuba le yindlela umzimba osabela ngayo emva kokwenzakala kwentliziyo, ugqirha wakho usenokuyibiza ngokuba yiPost-Cardiac Injury Syndrome (PCIS) . Ligama eliqhelekileyo elisetyenziselwa iimeko ezininzi ezinje ngale.
Zithini iimpawu zale meko? Uyibona njani?
Iimpawu zihlala zibonakala kwiiveki ezimbini ukuya kwezine emva kokuhlaselwa yintliziyo. Ezi zahlukile kancinci kwiimpawu zokuhlaselwa yintliziyo. Makhe sijonge ngokusondeleyo iimpawu eziphambili.
| Uphawu | Indlela evakalelwa ngayo |
|---|---|
| Iintlungu zesifuba | Olu luphawu oluphambili. Intlungu ebukhali, njengokuhlaba ngemela . Le ntlungu iyanda xa uphefumla nzulu, uginya, ukhohlela, kwaye ulala phantsi. Okumangalisayo kukuba, intlungu iyancipha xa uthe tyaba uze uhlale phantsi . Olu luphawu oluthile. |
| Ubunzima bokuphefumla | Usenokuziva kunzima ukuphefumla, ingakumbi xa ugoba okanye ulele phantsi. |
| Ukudinwa | Ukudinwa nokudinwa ngaphandle kwesizathu. |
| Ifiva | Ukuziva ubushushu, kodwa kungekhona umkhuhlane ophezulu. |
| Ukungonwabi ngokubanzi | Ukuziva ungaphilanga kakuhle kwaye ungakhululekanga. |
Eyona nto ibalulekileyo kukuba naluphi na uhlobo lwentlungu yesifuba emva kokuhlaselwa yintliziyo akufanele lutyeshelwe. Kububulumko ukuthetha nogqirha wakho ngoko nangoko.
Ngaba oku kungabangela iingxaki eziyingozi?
I-Dressler's Syndrome idla ngokuba yimeko enokunyangwa ukuba inyangwa ngokukhawuleza. Nangona kunjalo, kwiimeko ezingaqhelekanga, iingxaki ezinkulu zinokwenzeka ukuba azinyangwa. Yiyo loo nto kubalulekile ukubona ugqirha kwangoko xa ubona iimpawu.
- I-Cardiac Tamponade: Le yeyona ngxaki iyingozi kakhulu. Ingxowa ejikeleze intliziyo (i-pericardium) igcwala lulwelo kangangokuba ayikwazi ukupompa kakuhle. Le yingxamiseko yezonyango . Iimpawu ziquka ukubetha kwentliziyo ngokukhawuleza kunye noxinzelelo lwegazi oluphantsi.
- I-Constrictive Pericarditis: Le yimeko apho i-pericardium idumba, ityebe, kwaye iqine ngokuhamba kwexesha. Oku kuthintela amandla entliziyo okubetha ngokukhululekileyo. Oku kunokukhokelela kwiimeko ezinzulu ezifana nokusilela kwentliziyo.
Ezi zinto zinokuba yinto eyoyikisayo ukuziva. Kodwa khumbula, azixhaphakanga kwaye zinokuthintelwa ngokupheleleyo ngonyango olukhawulezileyo .
Oogqirha bakuqonda njani oku kanye kanye?
Ugqirha wakho unokurhanela ukuba uhlaselwe yintliziyo emva kokuva ngeempawu zakho, ingakumbi ukuba usandul’ ukuba nesifo sentliziyo. Banokwenza uvavanyo oluthile ukuqinisekisa ukuba unesikrokro.
Into yokuqala eyenziwa ngugqirha
Into yokuqala oyenzayo kukubeka i-stethoscope esifubeni sakho uze umamele ngononophelo. Emva koko, uza kuva izandi ezibini ezicacileyo.
1. I-Pericardial Friction Rub: Isandi esenziwa xa i-pericardium evuvukileyo ikhuhla intliziyo. Ivakala ngathi ziziqwenga ezibini zesikhumba esomileyo zikhuhlana kunye.
2. I-Pleural Rub: Ngamanye amaxesha oku kudumba kunokuchaphazela nolwelo olujikeleze imiphunga (i-pleura). Oku kunokubangela isandi esifanayo xa uphefumla.
Uvavanyo olulandelayo
Olu vavanyo lunokuqinisekisa ngakumbi esi sifo.
| Uvavanyo | Ufuna ntoni kuyo? |
|---|---|
| Uvavanyo lwegazi | Bakhangela ukudumba emzimbeni, ngakumbi ukujonga ukuba kukho iproteni ephezulu ye-C-reactive (CRP) kunye nenani leeseli ezimhlophe zegazi. |
| I-ECG (i-Electrocardiogram) | Olu vavanyo, olujonga umsebenzi wombane wentliziyo, lunokuchonga utshintsho oluthile olunxulumene nokudumba kwe-pericardium. |
| I-X-reyi yesifuba | Ukuba kukho ulwelo olujikeleze intliziyo, intliziyo inokubonakala ikhulu kwi-X-ray. |
| I-Echocardiogram (I-Echo) | Olu luvavanyo lwentliziyo. Lunokujonga ngqo ukuba kukho ulwelo olujikeleze intliziyo, ukuba lungakanani, kwaye ukuba luyayichaphazela na intliziyo. |
| I-MRI yentliziyo | Ukuba ezinye iimvavanyo aziphumeleli ukunika umfanekiso ocacileyo, olu vavanyo lwe-MRI lunokubonisa ukudumba kwentliziyo kunye ne-pericardium ngokucacileyo. |
Luluphi unyango? Ngaba olu nyango lunganyangeka?
Ewe, ngokuqinisekileyo! Unyango lwe-Dressler's Syndrome lulula kakhulu kwaye luyasebenza. Kwiimeko ezininzi, amayeza anokulawula ukudumba aze aphelise iimpawu.
Ugqirha wakho angakunika idosi ephezulu ye -aspirin , kodwa iyeza elibizwa ngokuba yi -colchicine linokunceda ekunciphiseni ukudumba nokuthintela ukuphinda kuvele isifo.
Kubaluleke kakhulu ukuthatha la mayeza njengoko ugqirha wakho ekuyalele kangangeeveki ezininzi, mhlawumbi iinyanga ezininzi . Musa ukuyeka ukuthatha la mayeza phakathi kuba nje intlungu iphelile. Ukwenza njalo kuya kwandisa amathuba okuba isifo siphinde sivele.
Ngoko ke, ndimele ndenze ntoni?
Xa uphola kwisifo esinzima esifana nokuhlaselwa yintliziyo, kuyinto eqhelekileyo ukuziva usoyika kwaye udanile xa into efana nale iphinda yenzeka. Kodwa eyona nto ibalulekileyo kukuqonda ukuba le yimeko elawulekayo.
- Landela kanye oko ugqirha akuthethayo: Sela amayeza akho ngexesha elifanelekileyo, ixesha elipheleleyo elimiselweyo.
- Ungaphoswa ziintlanganiso zokulandelela: Nokuba uzive ungcono, qiniseka ukuba ubuya ngomhla ugqirha wakho akuxelele ukuba ubuye ngawo. Oku kubaluleke kakhulu ukuze ubone ukuba unyango lusebenza kakuhle kangakanani.
- Qaphela iimpawu: Ukuba iimpawu ziyaphinda zibuye okanye ziyanda, yazisa ugqirha wakho ngoko nangoko.
- Buza imibuzo: Ukuba unemibuzo malunga nale meko okanye amayeza, cela ugqirha wakho akucacisele.
I-Dressler's Syndrome yimeko enokuthi ngamanye amaxesha ibuye ivele nasemva konyango, yiyo loo nto kubalulekile ukuqhubeka uphantsi kweliso likagqirha.
Umyalezo Wokuya Ekhaya
- I-Dressler's Syndrome yimeko enokwenzeka kwiiveki ezimbalwa emva kokuhlaselwa yintliziyo, kodwa ngoku ayiqhelekanga kakhulu .
- Isizathu soku kukusabela kwenkqubo yomzimba yokuzikhusela, kungekhona olunye uhlaselo lwentliziyo.
- Uphawu oluphambili yintlungu ebukhali esifubeni eyanciphayo xa ugoba phambili.
- Le meko ingalawulwa ngempumelelo kwaye inyangeke ngokupheleleyo ngamayeza.
- Eyona nto ibalulekileyo kukwazisa ugqirha wakho ngoko nangoko malunga nayo nayiphi na intlungu yesifuba eyenzeka emva kokuhlaselwa yintliziyo. Ngokungaphakuzeli kwaye wenze ngendlela eyiyo, unokuthintela naziphi na iingxaki.
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