Pericarditis Yoyamba Ikhoza Kukhala Moyo-Kuopseza ngati Simunamvere
Kuwopsa kwa matenda a mtima pambuyo pa matenda a mtima kumachitika pamene chitetezo cha mthupi chimalowa muyeso kuti chiyeretse minofu yowonongeka. Chitetezo cha mthupi chimapangitsa kuti thupi likhale ndi thanzi labwino ngati likuwonongeka ndi kulimbana nalo, zomwe zimawononga kwambiri ndi kutupa.
Chifukwa cha kugwiritsa ntchito mankhwala osokoneza bongo, omwe amachepetsa minofu ya mtima ndi kutupa, vutoli lakhala lochepa kwambiri.
Komabe, kupweteka kwambiri kwa matendawa kungakhale koopsa pokhapokha ngati osatetezedwa, komanso kuti ayambe kupweteka mtima, odwala ayenera kulengeza zizindikiro zilizonse nthawi yomweyo, kaya akadali m'chipatala kapena kale kunyumba.
Kutupa Kumakhudza Chikondi cha Mtima
Mankhwala ovuta kwambiri amayamba pamene magawo awiri a thumba ali ndi mtima - pulojekiti - amakwiya ndipo amawotcha. Kutupa kumapangitsa kuti zigawo ziwiri ziziphwanya wina ndi mnzake ndi mtima uliwonse.
Kawirikawiri, madzi ochepa amapezeka pakati pa zigawo ziwiri, kupereka mafuta kwa kuyenda kwa mtima. Mankhwalawa amachititsa kuti madzi ochulukirapo asungunuke mkatikati mwa mtima, kusokoneza kugunda kwa mtima ndi kuwonetsa zizindikiro za mtima wosalimba. Mankhwala owonjezera amatha kumanganso m'mapapu, kuti zikhale zovuta kupuma komanso kuonjezera chiopsezo cha chibayo.
Kuopsa kwa pericarditis kumatengedwa "oyambirira" ngati kumachitika sabata yoyamba ya matenda a mtima; mtundu uwu wa pericarditis umakhudza anthu 10 mpaka 15 peresenti ya anthu omwe ali ndi vuto la mtima.
Mtundu wa pericarditis nthawi zambiri umatsimikiza mwachangu masiku angapo ndi mankhwala.
Dressler's Syndrome
Mapuloteni ochedwa, omwe amatchedwanso "Dressler's syndrome," amakhudza pafupifupi 1 mpaka 3 peresenti ya anthu omwe adwala matenda a mtima. Mtundu uwu wa pericarditis umachitika masabata kapena miyezi ingapo pambuyo pa matenda enieni a mtima ndipo ukhoza kubwereranso ngakhale pambuyo powoneka bwino.
Kutupa kwa mtundu uwu wa pericarditis ukufala kwambiri, kumakhudza madera akuluakulu a pericardium.
Zizindikiro za Pericarditis Yoyamba:
- Kutopa
- Fever
- Kukula kwa mtima mofulumira
- Kukuda
- Kuvuta kupuma
Kupweteka kwa Thupi
Ululu ukhoza kukhala mu chifuwa, mmbuyo, paphewa ndi / kapena mimba. Zikhoza kukhala nthawi zonse kapena kubwera ndi kupita, ndipo nthawi zambiri zimakhala zovuta pamene mukuyesera kupuma. Ululu ukhoza kukhala wovuta kwambiri pamene mutakhala wolunjika ndipo mukhoza kusintha pang'ono ngati mukutsamira patsogolo. Mwinamwake mungamve kuti mukuda nkhawa kwambiri.
Dokotala wanu angayese kufufuza zowoneka ngati mukutsatira mtima wanu ndi stethoscope. Phokoso lachidziwitso lotchedwa "kutsuka" limapezeka chifukwa cha kusokonezeka kumene kumakhalapo ndi mapulaneti awiri otupa. Kutupa ndi kuwonjezereka kwina kulikonse kumapangitsa kuti mtima wanu ukhale wambiri komanso wosasinthasintha kuposa nthawi zonse.
Mayesero kuti atsimikizidwe kuti angapeze matendawa angachoke ku chifuwa cha x-ray ndi mayeso a magazi ku ECG ndi echocardiogram , momwe mafunde amawonekedwe akuyendera mtima.
Ndondomeko ndi Mafupa
Mankhwala, monga antisteroidal anti-inflammatory drugs kapena aspirin, steroids kapena anti-inflammatory drug colchicine muzovuta kwambiri, nthawi zambiri amachititsa kutupa. Ngati muli ndi madzi ambiri mumtima mwanu, ndiye kuti pangakhale ndondomeko yotchedwa "pericardiocentesis".
Mu pericardiocentesis, singano yochuluka kwambiri kapena chubu (catheter) imayikidwa kudzera mu khoma la chifuwa ndi mumtima wa sac, ndipo mchere wambiri umachotsedwa, ndikukweza mtima wanu.
Matenda ambiri a pericarditis amakhudzidwa ndi mavuto omwe amakumana nawo. Kuchitapo kanthu mwamsanga pachiyambi zikuwoneka kuchepetsa chiopsezo cha kubwereza.
Zotsatira:
Hoit, BD "Matenda a Pericardial ndi mapuloteni oyenda bwino." Zovuta Zothandiza Mankhwala Mankhwala 35 (2007): S355-64.
Manning, Warren J. "Matenda Ovuta Kwambiri." Cecil Textbook of Medicine . Mkonzi. Lee Goldman. Philadelphia: Saunders, 2008.
Zima, Martin M. "Matenda Ovuta Kwambiri." Matenda a mtima wa Braunwald: Buku Lophunzitsa Mankhwala a Maganizo . Mkonzi. Peter Libby. Philadelphia: Saunders, 2007.
Maisch, B. "Kuwonjezera Colchicine kwa Aspirin Momwe Mungapewere Kowonjezereka kwa Pericarditis Yoyamba." Umboni Wokhudzana ndi Kugwiritsa Ntchito Mankhwala Opatsirana Momwemo 10 (1 March 2006): 64-6. 18 September 2008