Pericarditis - yokhazikika

Constituive pericarditis ndi njira yomwe chophimba ngati cha mtima (pericardium) chimakhuthala ndikufalikira.

Zinthu zina zikuphatikizapo:

• Bakiteriya pericarditis
• Matenda a m'mapapo
• Pericarditis pambuyo pamtima

Nthawi zambiri, constrictive pericarditis imachitika chifukwa cha zinthu zomwe zimayambitsa kutupa kukula mozungulira mtima, monga:

• Opaleshoni ya mtima
• Thandizo la radiation pachifuwa
• Matenda a chifuwa chachikulu

Zomwe zimayambitsa zochepa zimaphatikizapo:

• Kukhazikika kwamadzimadzi kosaphimbidwa pamtima. Izi zitha kuchitika chifukwa cha matenda kapena ngati vuto la opaleshoni.
• Mesothelioma

Vutoli likhoza kukhalanso popanda chifukwa chomveka.

Ndizochepa mwa ana.

Mukakhala ndi vuto la pericarditis, kutupa kumapangitsa kuti chophimba cha mtima chikhale cholimba komanso cholimba. Izi zimapangitsa kuti mtima ukhale wolimba bwino ukagunda. Zotsatira zake, zipinda zamtima sizidzaza magazi okwanira. Magazi amabwerera kumbuyo kwa mtima, ndikupangitsa kutupa kwa mtima ndi zizindikilo zina zakulephera kwa mtima.

Zizindikiro za matenda opatsirana a pericarditis ndi awa:

• Kuvuta kupuma (dyspnea) komwe kumayamba pang'onopang'ono ndikuipiraipira
• Kutopa
• Kutupa kwakanthawi (edema) kwamiyendo ndi akakolo
• Kutupa pamimba
• Kufooka

Constrictive pericarditis ndi yovuta kwambiri kuwazindikira. Zizindikiro ndizofanana ndi zina monga zoletsa mtima ndi tamponade yamtima. Wothandizira zaumoyo wanu adzafunika kuthana ndi izi mukamapanga matenda.

Kuyezetsa thupi kumatha kuwonetsa kuti mitsempha ya khosi lanu imatuluka. Izi zikuwonetsa kukakamizidwa kowonjezereka pamtima. Wothandizirayo atha kuwona mawu ofooka kapena akutali akumvera pachifuwa chanu ndi stethoscope. Kungomvekanso kugogoda.

Kuyezetsa thupi kumawunikiranso kutupa kwa chiwindi ndi madzimadzi m'mimba.

Mayeso otsatirawa atha kulamulidwa:

• Chifuwa cha MRI
• Chifuwa cha CT
• X-ray pachifuwa
• Coronary angiography kapena catheterization yamtima
• ECG
• Zojambulajambula

Cholinga cha chithandizo ndikuthandizira kugwira ntchito kwa mtima. Choyambitsa chikuyenera kudziwika ndikuchiritsidwa. Kutengera ndi komwe kumayambitsa vutoli, chithandizochi chingaphatikizepo mankhwala opha kutupa, maantibayotiki, mankhwala a chifuwa chachikulu, kapena mankhwala ena.

Okodzetsa ("mapiritsi amadzi") amagwiritsidwa ntchito pang'ono pang'ono kuti athandize thupi kuchotsa madzimadzi owonjezera. Mankhwala opweteka angafunike kuti musavutike.

Anthu ena angafunikire kuchepetsa zochita zawo. Chakudya chochepa kwambiri cha sodium chingalimbikitsidwenso.

Ngati njira zina sizingathetsere vutoli, pangafunike kuchitidwa opaleshoni yotchedwa pericardiectomy. Izi zimaphatikizapo kudula kapena kuchotsa zipsera ndi gawo lina lophimba ngati mtima wa thumba.

Constrictive pericarditis itha kukhala pachiwopsezo cha moyo ngati sichichiritsidwa.

Komabe, opaleshoni yothandizira vutoli ili pachiwopsezo chachikulu chazovuta. Pachifukwa ichi, zimachitika nthawi zambiri mwa anthu omwe ali ndi zizindikilo zoopsa.

Zovuta zingaphatikizepo:

• Mtima kulephera
• Edema ya m'mapapo
• Kulephera kwa chiwindi ndi impso
• Kukula kwa mtima waminyewa

Itanani omwe akukuthandizani ngati muli ndi zizindikilo za constrictive pericarditis.

Nthawi zina, kuponderezedwa kwa pericarditis sikungalephereke.

Komabe, zinthu zomwe zingayambitse matenda a pericarditis ayenera kuthandizidwa moyenera.

Kupweteka kwa pericarditis

• Zowonjezera
• Kupweteka kwa pericarditis

Hoit BD, Ah JK. Matenda a Pericardial. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 68.

Maulendo NJ. Matenda a Pericardial ndi myocardial. M'makoma a RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 72.

Lewinter MM, matenda a Imazio M. Pericardial. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 83.