Isivakashi ngemva kokuhlaselwa yinhliziyo: Ake sifunde nge-Dressler's Syndrome?

Ngemva kokuhlaselwa yinhliziyo nokungalulami kahle kukho, kuyinto evamile ukuzizwa udumele kakhulu, wesaba, futhi ukhathazekile uma uzwa ngenkinga yenhliziyo futhi, akunjalo? Kodwa izindaba ezinhle ukuthi odokotela bayazi kahle ngalesi simo esibizwa ngokuthi i-Dressler's syndrome, futhi kunezindlela ezinhle zokwelapha lesi sifo. Ngakho-ke, ake sixoxe ngaso kancane, akunjalo?

Iyini i-Dressler's Syndrome?

Kalula nje, i-Dressler's syndrome yisimo esingavamile esingaba khona ngemva kokuhlaselwa yinhliziyo. Sibizwa nangokuthi i-post-myocardial infarction syndrome. Empeleni uhlobo lwe-pericarditis. I-Pericarditis ukuvuvukala kwesikhwama esivikelayo esizungeze inhliziyo yakho, i-pericardium. Lokhu kuvuvukala kufana nokuvuvukala okwenzeka lapho silimele.

Uma uhlaselwa yinhliziyo, imisipha yenhliziyo iyalimala. Ngenxa yalowo monakalo, ngemva 'kwesikhathi esicashile' sezinsuku kuya emavikini, isimiso somzimba wakho sokuzivikela siqala ukusebenza. Lokhu kusabela kwesimiso somzimba sokuzivikela yikona okubangela ukuvuvukala kwe-pericardium.

Njengezinye izinhlobo ze-pericarditis, i-Dressler's syndrome nayo ingabangela ubuhlungu besifuba. Lokhu kwenzeka lapho i-pericardium evuvukele (isikhwama senhliziyo) igudla inhliziyo. Ngezinye izikhathi, uketshezi olwengeziwe lungakheka phakathi kwezingqimba ezimbili ze-pericardium. Lokhu kubizwa ngokuthi i-pericardial effusion. Lokhu kubeka ingcindezi enhliziyweni. Kodwa ungakhathazeki, isikhathi esiningi, imithi inganciphisa lokhu kuvuvukala futhi ivimbele izinkinga.

Esikhathini esidlule, cishe abantu abathathu kuya kwabane kwabayikhulu ababenesifo senhliziyo baba nesifo sikaDressler. Kodwa manje, ngenxa yentuthuko ekwelashweni kwesifo senhliziyo, lesi simo senzeka kubantu abangaphansi koyedwa kwabayikhulu abanesifo senhliziyo.

Ziyini izimpawu ze-Dressler's Syndrome?

Izimpawu zokuhlaselwa yinhliziyo zivame ukuvela emavikini amabili kuya kwamane ngemva kokuhlaselwa yinhliziyo. Uphawu oluyinhloko ubuhlungu obuhlabayo esifubeni . Lobuhlungu bungase bube bubi nakakhulu uma uphefumula kakhulu, ugwinya, ukhwehlela, noma ulala phansi. Kodwa-ke, bungadambisa ukuhlala phansi bese ugoba phambili.

Ngaphezu kobuhlungu besifuba, ungase ube nezimpawu ezifana nalezi:

• Ubunzima bokuphefumula , ikakhulukazi uma ugoba noma ulala phansi.
• Ungase ube nomkhuhlane ophansi.
• Ungase uzizwe ukhathele futhi ukhathele .
• Umzimba ungase uzizwe ungaphili futhi ungenasithakazelo kunoma yini (ukungakhululeki).
• Ukushaya kwenhliziyo okusheshayo kanye nomfutho wegazi ophansi kungaba izimpawu zesimo esiphuthumayo esibizwa ngokuthi i-cardiac tamponade.

Kungani kwenzeka i-Dressler's Syndrome?

Ochwepheshe abakaqondi ngokugcwele ukuthi yini ngempela ebangela i-Dressler's syndrome. Kodwa bakholelwa ukuthi kuyindlela umzimba wakho osabela ngayo ekuhlaselweni yinhliziyo. Ukulimala kwezicubu zenhliziyo kubangela uchungechunge lwezindlela zomzimba ezibangela ukuvuvukala kwe-pericardium, isikhwama esizungeze inhliziyo.

Udokotela wakho angase futhi akubize ngokuthi 'i-post-cardiac injury syndrome' (PCIS). Igama elithi 'PCIS' liyigama elijwayelekile leqembu lezimo lapho amasosha omzimba esabela khona ekulimaleni kwenhliziyo. Ezinye izinhlobo ze-'PCIS' zingenzeka ngemva kokuhlinzwa kwenhliziyo noma ngemva kokulimala kwenhliziyo engozini.

Ingabe lesi simo singadala izinkinga?

Nakuba kungavamile kakhulu, izinkinga ezihlobene ne-Dressler's syndrome ngezinye izikhathi zingaba yingozi empilweni , yingakho kubaluleke kakhulu ukuthola ukuxilongwa nokwelashwa ngokushesha okukhulu.

Izinkinga ezingavamile ze-Dressler's syndrome zifaka:

• I-tamponade yenhliziyo: Lokhu kwenzeka lapho uketshezi luqoqana esikhwameni esizungeze inhliziyo, i-pericardium, okuvimbela inhliziyo ukuthi ipompe igazi kahle. Lokhu kungaba yingozi uma kungelashwa ngokushesha. Cabanga ngenhliziyo yakho icindezelwa amanzi.
• I-Constrictive pericarditis: Kulesi simo, i-pericardium iyaqina noma iqine, okwenza kube nzima ngenhliziyo ukushaya ngokukhululeka. Lokhu kungaholela ezinkingeni ezinkulu njengokwehluleka kwenhliziyo.

Odokotela bakubona kanjani lokhu?

Uma udokotela wakho esola ukuthi unesifo sikaDressler, uzokwenza ukuhlolwa ngokomzimba futhi akhulume nawe ngezimpawu zakho. Kungase kudingeke futhi ukuthi wenze izivivinyo ezifana nalezi:

• Ukuhlolwa kwegazi: Lokhu kuhlola ukuvuvukala emzimbeni. Isibonelo, kuhlola amazinga aphezulu eprotheyini e-C-reactive.
• I-Electrocardiogram (ECG/EKG): I-ECG igrafu ekhombisa ukusebenza kukagesi kwenhliziyo. Ingasiza ekuxilongeni isifo senhliziyo.
• I-X-ray yesifuba: Izithombe ze-X-ray zingabonisa ukuthi inhliziyo ikhulisiwe yini. Uma kunjalo, kungaba uphawu lokunqwabelana koketshezi.
• I-Echocardiogram `(I-Echocardiogram - I-Echo)`:Ukuhlolwa kwe-echo kungabona ngokucacile ukuthi uketshezi luqongelelene yini eduze kwenhliziyo. Kungahlola nokuthi lolu ketshezi lubangela umonakalo emisipheni yenhliziyo.
• I-MRI Yenhliziyo: Lokhu kungathatha izithombe ezinemininingwane eminingi zenhliziyo. Lokhu kubaluleke kakhulu ekuxilongeni ukuvuvukala. Lokhu kungenziwa uma ezinye izivivinyo zinganikezi ulwazi olwanele.

Lapho ethola isifo, udokotela uzonaka nezimpawu ezifana nalezi:

• Umsindo wokuklwebheka ozwakala lapho ulalele inhliziyo nge-stethoscope (i-pericardial friction rub).
• I-pleural rub umsindo onzima, okhuhlayo ovela emaphashini uma uphefumula ungena futhi uphuma.
• Imiphumela yokuhlolwa kwegazi ekhombisa ukuvuvukala, njengeprotheni ephezulu ye-C-reactive noma amazinga amhlophe egazi.
• Izimpawu ku-ECG ezibonisa ukuvuvukala kwe-pericardium noma ukunqwabelana koketshezi ku-pericardium (i-pericardial effusion).

Uma unezici ezimbili kwezilandelayo okungenani , udokotela wakho angase anqume ukuthi une-Dressler's syndrome:

• Unomkhuhlane ngaphandle kwesinye isizathu esibonakalayo.
• Unezinhlungu zesifuba ezivamile njenge-pericarditis.
• Udokotela uzwa "ukuhlikihla kwe-pericardial" kanye/noma "ukuhlikihla kwe-pleural" esifubeni sakho.
• Uketshezi olwengeziwe luqongelelene ku-pericardium yenhliziyo yakho (i-pericardial effusion).
• Une-fluid eyengeziwe emaphashini akho (i-pleural effusion), kanti amazinga akho e-C-reactive protein nawo akhuphukile.

Iphathwa kanjani i-Dressler's Syndrome?

Ezimweni eziningi, imithi yanele ukunciphisa ukuvuvukala kwe-pericardium nokuqeda izimpawu ze-Dressler's syndrome. Kungase kudingeke ukuthi uthathe le mithi amasonto, noma ngisho nezinyanga, kuze kube yilapho izimpawu zakho seziphelile ngokuphelele. Udokotela wakho angase akunike imithi efana ne -aspirin ne-colchicine .

Kodwa uma isimo sakho siba sibi kakhulu, okusho ukuthi siyaqhubeka, kuzodingeka ubone udokotela ochwepheshe bezifo zenhliziyo bese uxoxa ngezinketho zokwelapha ezithuthukisiwe.

Kufanele ngimbone nini udokotela?

Gcina isikhathi sokubonana nodokotela wakho . Lokhu kuhlolwa okulandelayo kubaluleke kakhulu ngoba kuvumela udokotela wakho ukuthi abone ukuthi ukwelashwa kwakho kusebenza kahle kangakanani. Futhi, uma uba nezimpawu ezintsha noma uma izimpawu zakho ziba zimbi kakhulu, kufanele ushayele udokotela wakho ucingo ngokushesha .

Yini engingayilindela ngalesi simo?

I-Dressler's syndrome ingavinjelwa uma yelashwa ngokushesha.Amathuba okululama mahle kakhulu. Ngakho-ke, kubaluleke kakhulu ukusebenzisa umuthi njengoba nje udokotela emyalile futhi ulandele imiyalelo yakhe.

Kodwa-ke, i-Dressler's syndrome ingaphinde ivele ngemva kokwelashwa. Yingakho kubalulekile ukubona udokotela wakho njalo ukuze ahlolwe, ngisho noma usuzizwa ungcono. Udokotela wakho uzobe eqapha inhliziyo yakho eduze. Uzokwazisa uma udinga ukwelashwa okwengeziwe.

Uma ululama ekuhlaselweni yinhliziyo, akuyona into umuntu athanda ukuyizwa ngenye inkinga yenhliziyo. Lokhu kutholakala kwe-Dressler's syndrome kungakushiya udidekile, wesaba futhi ukhungathekile. Kodwa izindaba ezinhle ukuthi odokotela bayazi ukuthi bangayelapha kanjani le nkinga .

Ungavikela inhliziyo yakho futhi ube ngcono ngokuthatha imithi yakho ngendlela efanele nangokuhlala uxhumana nodokotela wakho. Qiniseka ukuthi uyaluqonda uhlelo lwakho lokwelashwa. Ungesabi ukubuza imibuzo uma kukhona ongakuqondi.

Umlayezo Wokuya Nawe Ekhaya

• I-Dressler's syndrome ukuvuvukala kwesikhwama esizungeze inhliziyo (i-pericardium) okungajwayelekile ukwenzeka ngemva kokuhlaselwa yinhliziyo.
• Lokhu kwenzeka ngoba amasosha omzimba asabela emonakalweni obangelwa ukuhlaselwa yinhliziyo.
• Uphawu oluyinhloko ubuhlungu obubukhali besifuba, kodwa lungabuye luhambisane nokuphelelwa umoya, umkhuhlane kanye nokukhathala.
• Odokotela bayakuqinisekisa lokhu ngokwenza izivivinyo eziningana.
• Lokhu kungathuthukiswa kaningi ngemithi.
• Kubaluleke kakhulu ukuqaphela lesi sifo kusenesikhathi bese ucela ukwelashwa.
• Landela imiyalelo kadokotela kahle, thatha imithi yakho kahle, futhi ungaphuthelwa ukuhlolwa kwakho. Ululame ngokushesha!

I- Dressler syndrome, ukuhlaselwa yinhliziyo, i-post-heart attack syndrome, i-pericarditis, i-pericarditis, ubuhlungu besifuba, impilo yenhliziyo