Kusokonezeka kwa Cardiac Injury Syndrome
Dressler's syndrome ndi dzina lakale lomwe tsopano limatchedwa "post-cardiac syndrome syndrome." Madokotala ambiri amagwiritsabe ntchito dzina lakale, chifukwa ndi losavuta kunena.
Matenda a Dressler ndi mtundu wa pericarditis , kapena kutupa kwa sachesi ya pericardial. Thumba la pericardial ndi mthunzi wa minofu yomwe ili pamtima, yomwe imakhala ndi madzi ochepa omwe amapereka mafuta kuti aziyenda mozungulira mtima.
Munthu akayamba kudwala matenda a pericarditis, sachesi yowonongeka imakhala yotentha, ndipo madzimadzi ochulukirapo amawonjezeka mkati mwake (chikhalidwe chotchedwa pericardial effusion ). Matenda a Dressler amakhala ngati mtundu uliwonse wa pericarditis. Chifukwa chomwe chimakhalira ndi dzina lapadera ndi chifukwa cha zochitika zowonongeka - zomwe zimakhala patapita masabata angapo pambuyo pa mtundu wina wa kuvulala kwa minofu ya mtima.
Nthawi zambiri, matenda a Dressler amapezeka pambuyo pa matenda a mtima , opaleshoni ya mtima , kapena kupwetekedwa mtima pachifuwa. Ngakhale kuti matenda a Dressler amatha kuchititsa mavuto aakulu, nthawi zambiri amakhala ochepa, ndipo nthawi zambiri amatha kuchiritsidwa mosavuta komanso mogwira mtima.
Kodi Chimachititsa Bwanji Dressler's Syndrome?
Matenda a Dressler amatha kuchitika nthawi iliyonse pamene maselo a mtima amatha kuwonongeka. Kuwonongeka kumalola mapuloteni a mtima kuti alowe m'maselo, ndipo mapuloteniwa akhoza kupanga "maselo osokoneza bongo" - magulu a mamolekyu omwe angayambitse kutentha.
Matendawa amatha kudziunjikira m'thumba la pericardial, ndipo nthawi zina amapezeka m'mapapo. Thupi la chitetezo cha thupi likhoza kuyamba kuyambitsa ma chitetezo a chitetezo cha mthupi, zomwe zimayambitsa kutupa m'magazi a pericardial, omwe amachititsa pericarditis, ndipo nthawi zina komanso pleuritis (kutupa kwa mapaipi).
Izi zimatengera nthawi kuti thupi liziyenda bwino, choncho dressler's syndrome sichimachitika pokhapokha kupweteka kwa mtima. M'malo mwake, zimachitika masabata kapena miyezi pambuyo pake.
Matenda a Dressler si osowa. Zikuwoneka pa 15% mpaka 20% mwa anthu omwe ali opaleshoni ya mtima.
Kodi Dressler's Syndrome Amadziwika Bwanji?
Kawirikawiri, sizovuta kwambiri kupeza matenda a Dressler's. Kafukufukuyo amamveka bwino ngati pali mbiri ya kuwonongeka kwa mtima, posachedwa ndi zizindikiro za pericarditis (makamaka kupweteka kwa chifuwa komwe kumasiyana ndi kupuma), malungo, kuchuluka kwa maselo oyera a magazi, komanso maonekedwe a kusintha kwa electrocardiogram . Kugwiritsa ntchito (madzi ozizira) pamtima kapena m'mapapu kawirikawiri kumawonekera pa chifuwa cha x-ray kapena echocardiogram .
Kuchitira Dressler's Syndrome
Mwamwayi, chithandizo cha Dressler's syndrome kawirikawiri chimakhalanso chokongola. Kutupa komwe kumayambitsa matendawa kumakhala koyenera kuchipatala ndi aspirin kapena nonsteroidal anti-inflammatory drugs ( NSAIDs ) monga ibuprofen. Kwa anthu omwe ali ndi matenda a mitsempha , ma NSAID ayenera kupewa ( kuwerenga chifukwa chake ), ndipo mankhwala omwe ali ndi aspirin yapamwamba nthawi zambiri amawakonda m'malo mwake.
Matenda a Dressler ndi omwe angamuthandize ndi mankhwala a colchicine , mankhwala omwe amagwiritsidwa ntchito pochizira gout. Ngati izi zitheka, kafukufuku wamfupi ndi steroids, monga prednisone, nthawizonse amakhala ogwira ntchito.
Choncho, malinga ngati matenda a Dressler amavomereza ndipo mankhwala akuyamba, nthawi zambiri sayamba kudwala kwambiri.
Ichi ndi chifukwa chake dokotala wanu sakufotokoza zakukhosi kwake.
Kuletsa Dressler's Syndrome
Ponena za funso lanu lachiwiri, pali umboni wakuti kupatsa colchicine pambuyo pakuchita opaleshoni ya mtima kungachepetse chiopsezo chotenga Dressler's syndrome pafupifupi 60%.
Komabe, colchicine ingayambitse mavuto aakulu a m'mimba omwe angapangitse kuti opaleshoni ayambe kuchiza ndipo ingasokoneze mankhwala ena. Ngakhale ndi mankhwala opatsiranawa, pakati pa 5 ndi 10% a odwala opaleshoni ya mtima akadali kuyembekezera kukonza Dressler's syndrome. Choncho, makamaka popeza nthawi zambiri zovala za Dressler zimayankha mosavuta, madokotala ambiri a mtima amakhulupirira kuti phindu la mankhwalawa limakhala lopweteka kwambiri.
> Zotsatira:
> Imazio M, Brucato A, Markel G, et al. Kusanthula Meta Zowonongeka Zomwe Zimayang'ana Kupewa Postpericardiotomy Syndrome. Am J Cardiol 2011; 108: 575.
> Imazio M, Hoit BD. Kuvulala kwa mtima kwa Syndromes. Chifukwa Choyambitsa Matenda a Pericardial. Int J Cardiol 2013; 168: 648.
> Wessman DE, Stafford CM. Mauthenga Oopsya a Postcardiac Syndrome: Nkhani Yokambirana ndi Kukambitsirana kwa Mabuku. South Med J 2006; 99: 309.