Pericarditis Amasonyeza Kutupa kwa Mtima Wopaka
Pericarditis ndi chikhalidwe chomwe chimapangidwira (zotetezera zotsekemera zomwe zimapangitsa mtima), zimatuluka. Kawirikawiri kutupa uku ndi kofatsa komanso kochepa. Koma nthawi zina, pericarditis imayambitsa matenda aakulu komanso kuwonongeka kwa mtima.
Nchiyani Chimachititsa Pericarditis?
Pericarditis ingayambitsidwe ndi zinthu zingapo, kuphatikizapo matenda, matenda a mtima , matenda osokoneza bongo , chifuwa chachikulu , khansa, kuphwanya kwa impso , kapena mankhwala osokoneza bongo.
Matenda omwe angayambitse matenda a pericarditis amatenga matenda a tizilombo, matenda a bakiteriya, chifuwa chachikulu komanso matenda opatsirana . Anthu omwe ali ndi kachilombo ka HIV / kachilombo kawirikawiri amatenga kachilombo koyambitsa matendawa.
Matenda osokoneza bongo omwe angayambitse matenda a pericarditis ndi odwala nyamakazi , lupus , ndi scleroderma .
Pericarditis imapezeka pakati pa odwala 15% omwe ali ndi vuto lalikulu la mtima. Palibenso mtundu wa mapulaneti otchedwa "pericarditis", wotchedwa Dressler's syndrome , omwe amapezeka masabata mpaka miyezi ingapo pambuyo pa kupweteka kwa mtima.
Zina mwa mankhwala omwe angathe kupanga pericarditis ndi procainamide, hydralazine, phenytoin, ndi isoniazid.
Mitundu yambiri ya khansara ikhoza kusokoneza (kufalikira) kuwonongeka, ndipo imatulutsa pericarditis.
Nthaŵi zambiri, palibe chifukwa chomveka cha pericarditis chomwe chingadziŵike - ichi chimatchedwa "idiopathic" pericarditis.
Ndi Zizindikiro Ziti Zogwirizana ndi Pericarditis?
Chizindikiro chofala kwambiri chifukwa cha pericarditis ndi kupweteka pamtima .
Ululu ukhoza kukhala wovuta, ndipo nthawi zambiri umakhala woipitsitsa mwa kusintha malo kapena kupuma kwambiri.
Anthu omwe ali ndi pericarditis angakhalenso ndi dyspnea (kupuma pang'ono) ndi malungo.
Kodi Pericarditis Amadziwika Bwanji?
Madokotala amatha kupeza matenda a pericarditis mwakumvetsera mbiri yachipatala, kuchita kafukufuku, ndikupanga electrocardiogram (yomwe imasonyeza kusintha kwa khalidwe).
Nthawi zina kafukufuku amatha kuwathandiza.
Kodi Ndi Mavuto Otani Amene Angakhalepo ndi Pericarditis?
Ngakhale kuti pericarditis imathera masiku angapo kapena masabata angapo, mavuto atatu angathe kuchitika. Izi ndi zokakamiza za mtima , pericarditis, kapena constrictive pericarditis.
Mphungu imapezeka pamene madzi akupezeka mu pericardial sac (vuto lotchedwa pericardial effusion ) amalepheretsa mtima kuti udzaze. Izi zikachitika, kuthamanga kwa magazi kumadumpha ndipo mapapu amatha kufalikira, nthawi zambiri kutsogolera kufooka, chizungulire , kupsa mtima komanso dyspnea. Popanda chithandizo chokwanira, kupweteka kwa mtima kumatha kufa. Zomwe zimawoneka kuti zimapangidwira zimapangidwa ndi echocardiogram.
Odwala matenda a pericarditis amapezeka kuti alipo pamene kutupa kwapadera sikukhazikitsa mkati mwa masabata angapo. Zitha kugwirizanitsidwa ndi zizindikiro zonse za piricitisitis, komanso kuwonjezera nthawi zambiri zimaphatikizapo makamaka zazikulu zowonongeka.
Kukonzekera kwa pericarditis kumachitika pamene thumba lopwetekedwa kwambiri lomwe limatuluka komanso limatayika, lomwe (mofanana ndi tamponade) limaletsa mtima kuti usadzaze. Zizindikiro zimakhala zofanana ndi tamponade, koma nthawi zambiri zimakhala zochepa kwambiri.
Kodi Pericarditis Imatengedwa Bwanji?
Otsogolera a piriciditis ovuta akuwunikira ndi kuzindikira zomwe zimayambitsa. Zizindikirozi zimakhala bwino ndi mankhwala osokoneza bongo (makamaka mankhwala osagwiritsa ntchito mankhwala othandizira, koma nthawi zina steroid therapy ndi yofunika), ndi analgesics. Matenda ambiri a pericarditis amawongolera mkati mwa masabata pang'ono ndikusiya mavuto osatha a mtima.
Katemera wa kachipata amachitidwa ndi kukhetsa madzi kuchokera ku pericardial sac, kawirikawiri kupyolera mu catheter kakang'ono. Kutulutsa madzi kumachepetsa kupanikizika pamtima, ndi kubwezeretsa ntchito yachibadwa ya mtima pafupi nthawi yomweyo.
Matenda a pericarditis amachiritsidwa mofulumira ndi matenda omwe amachititsa kutupa, komanso kukhetsa mliri waukulu womwe umakhalapo nthawi zambiri.
Ngati zovuta zowoneka bwino zikupitirira kubwereza, opaleshoni ikhoza kuchitidwa kuti pakhale chitseko chokhazikika (chomwe chimatchedwa loti window), chomwe chimalola kuti madzi amachoke ku pepala la pericardial, motero amalepheretsa kutsegula.
Kukonzekera kwa pericarditis kungakhale vuto lalikulu lachipatala. Zizindikiro zimatha kuchiritsidwa ndi mpumulo wa mphasa, diuretics, ndi digitalis, koma chithandizo chotsimikizika chimafuna opaleshoni kuti chichotsere chophimba cholimba chochokera pamtima. Opaleshoniyi nthawi zambiri imakhala yaikulu ndipo imakhala ndi chiopsezo chachikulu.
Mawu Ochokera
Pericarditis kawirikawiri ndi vuto lodziperekera lomwe limathetsa pamene vuto lalikulu lachipatala likuchiritsidwa. Komabe, nthawi zina, pericarditis ikhoza kukhala yachilendo, ndipo ingayambitse mavuto aakulu. Monga momwe zilili ndi vuto lirilonse la mtima, ndikofunikira kwa aliyense amene ali ndi pericarditis kulandira chithandizo chabwino cha mankhwala.
> Zotsatira:
> Imazio M. Otsogolera Otsogolera Odwala Matenda Oopsa. Curr Opin Cardiol 2012; 27: 308.
> Adler Y, Charron P, Imazio M, ndi al. Maphunziro a ESC a 2015 Otsogolera Kuzindikira ndi Kuwongolera Matenda a Pericardial: Task Force for Discover and Management of Pericardial Matenda a European Society of Cardiology (ESC) Ovomerezedwa ndi: European Association for Cardio-Thoracic Surgery (EACTS). Mtima; 36: 2921.