Undwendwe emva kokuhlaselwa yintliziyo: Masifunde ngeDressler's Syndrome?

Emva kokuba uhlaselwe yintliziyo kwaye ungasakwazi ukuphola, kuyinto eqhelekileyo ukuziva udanile kakhulu, uloyiko, kwaye ukhathazekile xa usiva ngengxaki yentliziyo kwakhona, akunjalo? Kodwa iindaba ezimnandi zezokuba oogqirha bayayazi kakuhle le meko ibizwa ngokuba yi-Dressler's syndrome, kwaye kukho unyango olufanelekileyo lwayo. Ngoko ke, masithethe ngayo kancinci, akunjalo?

Yintoni i-Dressler's Syndrome?

Ngamafutshane, i-Dressler's syndrome yimeko engaqhelekanga enokwenzeka emva kokuhlaselwa yintliziyo. Ikwabizwa ngokuba yi-post-myocardial infarction syndrome. Ngokwenene luhlobo lwe-pericarditis. I-Pericarditis kukudumba kwesingxobo esikhuselayo esijikeleze intliziyo yakho, i-pericardium. Oku kudumba kufana nokudumba okwenzeka xa sisenzakele.

Xa uhlaselwa yintliziyo, izihlunu zentliziyo ziyawohloka. Ngenxa yaloo monakalo, emva 'kwexesha elifihlakeleyo' leentsuku ukuya kwiiveki, inkqubo yomzimba wakho yokuzikhusela iqala ukusebenza. Le mpendulo yenkqubo yokuzikhusela yiyo ebangela ukudumba kwe-pericardium.

Njengezinye iintlobo ze-pericarditis, i-Dressler's syndrome inokubangela iintlungu zesifuba. Oku kwenzeka xa i-pericardium evuvukileyo (i-heart sac) igudla intliziyo. Ngamanye amaxesha, ulwelo olongezelelweyo lunokwakheka phakathi kweengqimba ezimbini ze-pericardium. Oku kubizwa ngokuba yi-pericardial effusion. Oku kubeka uxinzelelo entliziyweni. Kodwa ungakhathazeki, uninzi lwexesha, amayeza anokunciphisa oku kuvutha kwaye athintele iingxaki.

Ngaphambili, malunga nabantu abathathu ukuya kwabane kwikhulu ababenesifo sentliziyo babenesifo sikaDressler. Kodwa ngoku, ngenxa yokuqhubela phambili kunyango lokuhlaselwa sisifo sentliziyo, esi sifo senzeka kubantu abangaphantsi komnye kwikhulu abanesifo sentliziyo.

Zithini iimpawu ze-Dressler's Syndrome?

Iimpawu zokuhlaselwa yintliziyo zihlala zibonakala kwiiveki ezimbini ukuya kwezine emva kokuhlaselwa yintliziyo. Uphawu oluphambili yintlungu ebukhali nehlabayo esifubeni . Le ntlungu inokuba mandundu xa uphefumla nzulu, uginya, ukhohlela, okanye ulala phantsi. Nangona kunjalo, inokukhululeka ngokuhlala phantsi uze ugobe phambili.

Ukongeza kwiintlungu zesifuba, unokufumana iimpawu ezifana nezi:

• Ubunzima bokuphefumla , ingakumbi xa ugobile okanye ulele phantsi.
• Usenokuba nomkhuhlane ophantsi.
• Usenokuziva udiniwe kwaye udiniwe .
• Umzimba usenokuziva ungenabomi kwaye ungenamdla kuyo nayiphi na into (ukungakhululeki).
• Ukubetha kwentliziyo ngokukhawuleza kunye noxinzelelo lwegazi oluphantsi kunokuba ziimpawu zemeko engxamisekileyo ebizwa ngokuba yi-cardiac tamponade.

Kutheni i-Dressler's Syndrome isenzeka?

Iingcali azikaqondi ngokupheleleyo ukuba yintoni kanye kanye ebangela i-Dressler's syndrome. Kodwa zikholelwa ukuba yindlela umzimba wakho osabela ngayo xa uhlaselwa yintliziyo. Ukonakala kwezicubu zentliziyo kubangela uthotho lweempendulo zenkqubo yomzimba ezikhokelela ekuvuvukeni kwe-pericardium, ingxowa ejikeleze intliziyo.

Ugqirha wakho angabiza le 'post-cardiac injury syndrome' (PCIS). Igama elithi 'PCIS' ligama eliqhelekileyo leqela leemeko apho inkqubo yomzimba yokuzikhusela isabela khona kumonakalo owenzeka entliziyweni. Ezinye iintlobo ze-'PCIS' zinokwenzeka emva kotyando lwentliziyo okanye emva kokwenzakala kwentliziyo kwingozi.

Ngaba le meko ingabangela iingxaki?

Nangona kunqabile kakhulu, iingxaki ezinxulumene ne-Dressler's syndrome ngamanye amaxesha zinokuba yingozi ebomini , yiyo loo nto kubaluleke kakhulu ukufumana uxilongo kunye nonyango ngokukhawuleza.

Iingxaki ezingaqhelekanga ze-Dressler's syndrome ziquka:

• I-Cardiac tamponade: Oku kwenzeka xa ulwelo luqokelelana kwisingxobo esijikeleze intliziyo, i-pericardium, nto leyo ethintela intliziyo ekumpompeni igazi ngokufanelekileyo. Oku kunokuba yingozi ukuba akunyangeki ngokukhawuleza. Khawuthelekelele intliziyo yakho icinezelwa ngamanzi.
• I-Constrictive pericarditis: Kule meko, i-pericardium iyaqina okanye iqine, nto leyo eyenza kube nzima ukuba intliziyo ibethe ngokukhululekileyo. Oku kunokukhokelela kwiingxaki ezinkulu ezifana nokusilela kwentliziyo.

Oogqirha bayibona njani le nto?

Ukuba ugqirha wakho ukrokrela ukuba unesifo sikaDressler, uza kukwenza uvavanyo lomzimba aze athethe nawe ngeempawu zakho. Kusenokufuneka wenze uvavanyo olufana nolu:

• Uvavanyo lwegazi: Olu vavanyo lujonga ukudumba emzimbeni. Umzekelo, lujonga amanqanaba aphezulu eprotheyini ye-C-reactive.
• I-Electrocardiogram (ECG/EKG): I-ECG yigrafu ebonisa umsebenzi wombane wentliziyo. Inokunceda ekuxilongeni isifo sentliziyo.
• I-X-reyi yesifuba: Imifanekiso ye-X-reyi ingabonisa ukuba intliziyo ikhulu. Ukuba kunjalo, isenokuba luphawu lokwakheka kolwelo.
• I-Echocardiogram `(I-Echocardiogram - I-Echo)`:Uvavanyo lwe-echo lunokubona ngokucacileyo ukuba ulwelo luqokelelene na entliziyweni. Lunokujonga nokuba olu lwelo lubangela umonakalo kwimisipha yentliziyo.
• I-MRI yentliziyo: Oku kungathatha imifanekiso eneenkcukacha ezithe vetshe yentliziyo. Oku kubaluleke kakhulu ekuxilongeni ukudumba. Oku kungenziwa ukuba ezinye iimvavanyo aziboneleli ngolwazi olwaneleyo.

Xa esenza uxilongo, ugqirha uya kuqwalasela neempawu ezifana nezi:

• Isandi sokukrwela esivakalayo xa umamele intliziyo nge-stethoscope (i-pericardial friction rub).
• I-pleural rub sisandi esirhabaxa nesikrwela esiphuma emiphungeni xa uphefumlela ngaphakathi nangaphandle.
• Iziphumo zovavanyo lwegazi ezibonisa ukudumba, njengeproteni ephezulu ye-C-reactive okanye amanqanaba eeseli ezimhlophe zegazi.
• Iimpawu kwi-ECG ezibonisa ukudumba kwe-pericardium okanye ukuqokelelwa kolwelo kwi-pericardium (i-pericardial effusion).

Ukuba unezi mpawu zimbini kwezi zilandelayo, ugqirha wakho unokugqiba ekubeni une-Dressler's syndrome:

• Unomkhuhlane ngaphandle kwesizathu esinye esicacileyo.
• Unentlungu yesifuba efana ne-pericarditis.
• Ugqirha uva "ukuhlikihla kwe-pericardial" kunye/okanye "ukuhlikihla kwe-pleural" esifubeni sakho.
• Ulwelo olongezelelweyo luqokelelene kwi-pericardium yentliziyo yakho (i-pericardial effusion).
• Une-fluid engaphezulu ejikeleze imiphunga yakho (i-pleural effusion), kwaye amanqanaba eeprotheyini zakho ze-C-reactive nawo anyukile.

Iphathwa njani i-Dressler's Syndrome?

Kwiimeko ezininzi, amayeza anele ukunciphisa ukudumba kwe-pericardium kunye nokunciphisa iimpawu ze-Dressler's syndrome. Kusenokufuneka uthathe la mayeza kangangeeveki, okanye iinyanga, de iimpawu zakho ziphele ngokupheleleyo. Ugqirha wakho unokukunika amayeza anjenge -aspirin kunye ne-colchicine .

Kodwa ukuba imeko yakho iba yengapheliyo, oko kuthetha ukuba iyaqhubeka, kuya kufuneka ubone ugqirha ogxile kwizifo zentliziyo uze uxoxe ngezinye iindlela zonyango eziphucukileyo.

Ndifanele ndimbone nini ugqirha?

Gcina amadinga akho kagqirha . Olu vavanyo lokulandelela lubaluleke kakhulu kuba luvumela ugqirha wakho ukuba abone ukuba unyango lwakho lusebenza kakuhle kangakanani na. Kwakhona, ukuba ufumanisa iimpawu ezintsha okanye ukuba iimpawu zakho ziba mandundu, kufuneka ufowunele ugqirha wakho ngoko nangoko .

Ndingalindela ntoni kule meko?

Isifo sikaDressler singathintelwa ukuba sinyangwa ngokukhawuleza.Amathuba okuchacha mahle kakhulu. Ngoko ke, kubaluleke kakhulu ukusebenzisa amayeza njengoko ugqirha ewayalele kwaye ulandele imiyalelo yakhe.

Nangona kunjalo, isifo sikaDressler sinokuphinda sibuye emva konyango. Yiyo loo nto kubalulekile ukubona ugqirha wakho rhoqo ukuze ahlolwe, nokuba sele uzive ungcono. Ugqirha wakho uza kujonga intliziyo yakho ngokusondeleyo. Uza kukwazisa ukuba ufuna unyango olongezelelweyo.

Xa uphola kwisifo sentliziyo, asinto umntu ayithandayo ukuyiva ngenye ingxaki yentliziyo. Oku kufunyaniswa kwesifo sikaDressler kunokukushiya udidekile, usoyika kwaye udanile. Kodwa iindaba ezimnandi zezokuba oogqirha bayayazi indlela yokunyanga esi sifo .

Ungayikhusela intliziyo yakho kwaye ube ngcono ngokuthatha amayeza akho ngokuchanekileyo nangokuhlala unxibelelana nogqirha wakho. Qiniseka ukuba uyayiqonda isicwangciso sakho sonyango. Ungoyiki ukubuza imibuzo ukuba kukho into ongayiqondiyo.

Umyalezo Wokuya Ekhaya

• I-Dressler's syndrome kukudumba kwesingxobo esijikeleze intliziyo (pericardium) okungaqhelekanga emva kokuhlaselwa yintliziyo.
• Oku kwenzeka kuba inkqubo yomzimba yokuzikhusela isabela kumonakalo obangelwe kukuhlaselwa yintliziyo.
• Uphawu oluphambili ziintlungu ezibukhali esifubeni, kodwa zinokuhamba nokuphefumla nzima, umkhuhlane kunye nokudinwa.
• Oogqirha bayakuqinisekisa oku ngokwenza iimvavanyo ezininzi.
• Oku kunokuphuculwa rhoqo ngamayeza.
• Kubaluleke kakhulu ukuqaphela isifo kwangethuba uze ufumane unyango.
• Landela imiyalelo kagqirha ngokuchanekileyo, thatha amayeza akho ngokuchanekileyo, kwaye ungaphoswa kukuhlolwa kwakho. Phila ngokukhawuleza!

Isifo sikaDressler , uhlaselo lwentliziyo, isifo sasemva kohlaselo lwentliziyo, i-pericarditis, i-pericarditis, iintlungu zesifuba, impilo yentliziyo