Ubungazizwa kanjani ukube ubululama ekuhlaselweni yinhliziyo bese ngokuzumayo uba nobuhlungu besifuba obungajwayelekile futhi? Kujwayelekile ukwesaba nokucabanga ukuthi, "O, ingabe lokhu kuyinto endala futhi?" Kodwa ungakhathazeki. Akuwona wonke ubuhlungu besifuba obungenye inhlungu yenhliziyo. Ngezinye izikhathi, kungaba esinye isimo esikhula ngemva kokuhlaselwa yinhliziyo. Leso esinye salezo zimo ezingavamile, kodwa ezibalulekile okufanele uziqaphele.
Kalula nje, iyini i-Dressler's Syndrome?
Cabanga ngenhliziyo yethu njengento eyigugu ngaphakathi kwesikhwama esincane esivikelayo. Lesi sikhwama esivikelayo esizungeze inhliziyo ngokwezokwelapha sibizwa ngokuthi i-pericardium . I-Dressler's Syndrome yisimo lapho, ngemva kwamasonto ambalwa uhlaselwe yinhliziyo, amasosha omzimba wakho avuvukala futhi avuvuke. Lokhu kuvuvukala kubizwa ngokuthi i-pericarditis .
Kalula nje, i-Dressler's Syndrome uhlobo lwe-pericarditis oluvela ngemva kokuhlaselwa yinhliziyo. Esikhathini esidlule, lesi simo sasiba kubantu abangaba ngu-3-5 kwabayi-100 ababehlaselwe yinhliziyo . Kodwa manje, ngenxa yokwelashwa okuthuthukile , akuvamile ukwenzeka ngisho nakoyedwa kwabayi-100 abahlaselwe yinhliziyo. Akuzona yini izindaba ezinhle lezo?
Lesi simo singavela ngokuzumayo, ngaphandle kwezimpawu izinsuku noma amasonto ngemva kokuhlaselwa yinhliziyo . Lokhu kuvuvukala kubangela ukuthi inhliziyo kanye nesikhwama esizungezile, isikhwama senhliziyo, kushayisane, okubangela ubuhlungu besifuba esikhulume ngaso. Ngezinye izikhathi lesi sikhwama singagcwala uketshezi olunamanzi. Lokhu kubizwa ngokuthi i-pericardial effusion . Uma lolu ketshezi luqoqana, lungabeka ingcindezi enhliziyweni.
Kungani lokhu kwenzeka? Ingabe imizimba yethu iyasiphendukela?
Imbangela eqondile yalokhu ayaziwa ngokuphelele, kodwa umqondo oyinhloko ukuthi ukungaqondi kahle okuncane kwesimiso sethu somzimba okusenza sisho okunye.
Cabanga ngalokhu. Ukuhlaselwa yinhliziyo kuwukulimala kwemisipha yenhliziyo. Uma kwenzeka lokhu kulimala, amasosha ethu omzimba, afana "nesosha" emzimbeni wethu, ahlasela lokho kulimala.Kuyeza ukuphulukiswa lapho bekukhona. Kodwa ngezinye izikhathi, phakathi nale nqubo, amasosha ethu omzimba ayadideka kancane bese ephambanisa imisipha yenhliziyo eyonakele njengesitha. Bese iqala ukulwa nayo. Njengomphumela ongemuhle walokhu kulwa, leyo pericardium engenacala ezungeze inhliziyo iyavuvukala.
Ngenxa yokuthi lokhu kuyimpendulo yokuzivikela komzimba eyenzeka ngemva kokulimala kwenhliziyo, udokotela wakho angase akubize nangokuthi i-Post-Cardiac Injury Syndrome (PCIS) . Yigama elivamile elisetshenziselwa izimo eziningana ezinjengalezi.
Ziyini izimpawu zalesi simo? Uzibona kanjani?
Izimpawu zivame ukuvela zingakapheli amasonto amabili kuya kwamane ngemuva kokuhlaselwa yinhliziyo. Lezi zihlukile kancane kunezimpawu zokuhlaselwa yinhliziyo. Ake sibheke ngokujulile izimpawu eziyinhloko.
| Isibonakaliso | Indlela okuzizwa ngayo |
|---|---|
| Ubuhlungu besifuba | Lesi yisibonakaliso esiyinhloko. Ubuhlungu obubukhali, njengokugwazwa ngommese . Lobuhlungu buyanda uma uphefumula kakhulu, ugwinya, ukhwehlela, futhi ulala phansi. Ngokumangazayo, ubuhlungu buyancipha uma ugoba phambili futhi uhlala phansi . Lesi yisibonakaliso esiqondile kakhulu. |
| Ubunzima bokuphefumula | Ungase uzizwe kunzima ukuphefumula, ikakhulukazi uma ugoba noma ulala phansi. |
| Ukukhathala | Ukuzizwa ukhathele futhi ukhathele ngaphandle kwesizathu. |
| Imfiva | Umuzwa wokushisa, kodwa hhayi umkhuhlane ophezulu. |
| Ukungakhululeki okuvamile | Ukuzizwa ungaphilile futhi ungakhululekile. |
Into ebaluleke kakhulu ukuthi noma yiluphi uhlobo lobuhlungu besifuba ngemva kokuhlaselwa yinhliziyo akufanele lunganakwa. Kuwukuhlakanipha ukukhuluma nodokotela wakho ngokushesha.
Ingabe lokhu kungabanga izinkinga eziyingozi?
I-Dressler's Syndrome ivame ukuba yisimo esingelapheka uma selashwa ngokushesha. Kodwa-ke, ezimweni ezingavamile, izinkinga ezinkulu zingavela uma zingelashwa. Yingakho kubalulekile ukubona udokotela ngokushesha nje lapho uzwa izimpawu.
- I-Cardiac Tamponade: Lena yinkinga eyingozi kakhulu. Isikhwama esizungeze inhliziyo (i-pericardium) sigcwala uketshezi kangangokuthi asikwazi ukupompa kahle. Lesi yisimo esiphuthumayo sezokwelapha . Izimpawu zifaka phakathi ukushaya kwenhliziyo okusheshayo kanye nomfutho wegazi ophansi.
- I-Constrictive Pericarditis: Lesi yisimo lapho i-pericardium ivuvukala, ijiye, futhi iqine ngokuhamba kwesikhathi. Lokhu kunciphisa ikhono lenhliziyo lokushaya ngokukhululeka. Lokhu kungaholela ezimweni ezimbi kakhulu njengokwehluleka kwenhliziyo.
Lezi zinto zingase zesabe ukuzwa. Kodwa khumbula, azivamile futhi zingavinjelwa ngokuphelele ngokwelashwa ngesikhathi esifanele .
Odokotela bakuthola kanjani lokhu ngqo?
Udokotela wakho angase asole ukuhlaselwa yinhliziyo ngemva kokuzwa ngezimpawu zakho, ikakhulukazi uma usanda kuba nokuhlaselwa yinhliziyo. Bangase benze izivivinyo ezimbalwa ukuqinisekisa izinsolo zakho.
Into yokuqala eyenziwa udokotela
Into yokuqala oyenzayo ukufaka i-stethoscope esifubeni sakho bese ulalela ngokucophelela. Ngemuva kwalokho, uzozwa imisindo emibili eqondile kakhulu.
1. I-Pericardial Friction Rub: Umsindo ophuma lapho i-pericardium evuvukele igudla inhliziyo. Kuzwakala sengathi izingcezu ezimbili zesikhumba esomile zigudlana ndawonye.
2. Ukuhlikihla nge-Pleural: Ngezinye izikhathi lokhu kuvuvukala kungathinta nolwelwesi oluzungeze amaphaphu (i-pleura). Lokhu kungabangela umsindo ofanayo lapho uphefumula.
Ukuhlolwa okulandelayo
Lezi zivivinyo zingaqinisekisa ngokwengeziwe lesi sifo.
| Ukuhlolwa | Ufunani kuyo? |
|---|---|
| Ukuhlolwa Kwegazi | Babheka ukuvuvukala emzimbeni, ikakhulukazi ukuhlola iphrotheni ephezulu ye-C-reactive (CRP) kanye nenani lamaseli amhlophe egazi. |
| I-ECG (i-Electrocardiogram) | Lolu vivinyo, olubheka umsebenzi kagesi wenhliziyo, lungabona izinguquko ezithile ezihlobene nokuvuvukala kwe-pericardium. |
| I-X-ray yesifuba | Uma kukhona uketshezi oluzungeze inhliziyo, inhliziyo ingase ibonakale ikhukhumele ku-X-ray. |
| I-Echocardiogram (i-Echo) | Lokhu ukuskena kwenhliziyo. Kungahlola ngqo ukuthi kukhona yini uketshezi oluzungeze inhliziyo, ukuthi lungakanani, nokuthi luthinta inhliziyo yini. |
| I-MRI yenhliziyo | Uma ezinye izivivinyo zinganikezi isithombe esicacile, lokhu kuskena kwe-MRI kungabonisa ukuvuvukala kwenhliziyo kanye ne-pericardium ngokucacile. |
Iyini indlela yokwelapha? Ingabe lokhu kungelapheka?
Yebo, impela! Ukwelashwa kwe-Dressler's Syndrome kulula kakhulu futhi kuyasebenza. Ezimweni eziningi, imithi ingalawula ukuvuvukala futhi iqede izimpawu.
Udokotela wakho angase akunike umthamo omkhulu we -aspirin , kodwa umuthi obizwa ngokuthi i-colchicine ungasiza ekunciphiseni ukuvuvukala nokuvimbela ukuphindaphinda kwalesi sifo.
Kubaluleke kakhulu ukuthatha le mithi njengoba udokotela wakho ekuyalele amasonto amaningana, mhlawumbe izinyanga eziningana . Ungayeki ukuthatha imithi phakathi nendawo ngoba nje ubuhlungu sebuphelile. Ukwenza kanjalo kuzokwandisa amathuba okuba lesi sifo siphinde sivele.
Ngakho-ke, kufanele ngenzeni?
Uma ululama ekuguleni okukhulu njengokuhlaselwa yinhliziyo, kuyinto evamile ukuzizwa wesaba futhi ukhungathekile lapho into efana nalena iphinda yenzeke. Kodwa into ebaluleke kakhulu ukuqonda ukuthi lesi yisimo esingalawuleka.
- Landela ngqo lokho okushiwo udokotela: Thatha imithi yakho ngesikhathi esifanele, isikhathi esiphelele esinqunyiwe.
- Ungaphuthelwa ama-aphoyintimenti okulandelela: Ngisho noma uzizwa ungcono, qiniseka ukuthi ubuya ngosuku udokotela wakho akutshele ngalo. Lokhu kubaluleke kakhulu ukuze ubone ukuthi ukwelashwa kusebenza kahle kangakanani.
- Qaphela izimpawu: Uma izimpawu ziphinde zibuya noma ziba zimbi kakhulu, yazisa udokotela wakho ngokushesha.
- Buza imibuzo: Uma unemibuzo mayelana nalesi simo noma umuthi, cela udokotela wakho akuchazele.
I-Dressler's Syndrome yisimo esingabuye sibuye ngezinye izikhathi ngisho nangemva kokwelashwa, yingakho kubalulekile ukuqhubeka nokubhekwa ngudokotela.
Umlayezo Wokuya Nawe Ekhaya
- I-Dressler's Syndrome yisimo esingaba khona emavikini ambalwa ngemva kokuhlaselwa yinhliziyo, kodwa manje asivamile kakhulu .
- Imbangela yalokhu impendulo evela ohlelweni lokuzivikela lomzimba, hhayi olunye uhlaselo lwenhliziyo.
- Uphawu oluyinhloko ubuhlungu obubukhali besifuba obunciphayo uma ugoba phambili.
- Lesi simo singalawulwa ngempumelelo futhi siphiliswe ngokuphelele ngemithi.
- Into ebaluleke kakhulu ukwazisa udokotela wakho ngokushesha nganoma yibuphi ubuhlungu besifuba obuvela ngemva kokuhlaselwa yinhliziyo. Ngokungathuki nokwenza ngendlela efanele, ungavimbela noma yiziphi izinkinga.
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