Kodi Constructive Pericarditis ndi Chiyani?

Zamkati

• Kodi Zizindikiro Za Kupanikizika Kwa Mitsempha?
• Kodi zimayambitsa zovuta za pericarditis ndi ziti?
• Kodi ndi zifukwa ziti zomwe zingayambitse matenda a pericarditis?
• Matenda a m'mapapo
• Matenda osokoneza bongo
• Kuvulala kapena kuvulala kwa mtima
• Mankhwala
• Jenda ndi msinkhu
• Kodi matenda a pericarditis amapezeka bwanji?
• Kuyesa mayeso
• Catheterization yamtima
• Electrocardiogram
• Zojambulajambula
• Kodi njira zamankhwala ndi ziti?
• Kodi chiyembekezo chanthawi yayitali ndichotani?

Kodi vuto la pericarditis ndi chiyani?

Constrictive pericarditis ndi nthawi yayitali, kapena yotupa, yotupa ya pericardium. Pericardium ndi membo yofanana ndi sac yomwe imazungulira mtima. Kutupa m'mbali yamtima iyi kumayambitsa kufooka, kunenepa, komanso kulimbitsa minofu, kapena mgwirizano. Popita nthawi, pericardium imatha kutambasuka ndipo imakhala yolimba.

Vutoli silikupezeka mwa achikulire, komanso ndilofala kwambiri kwa ana.

Itha kukhala nkhani yayikulu yathanzi. Ngati sanasamalidwe, pericardium yolimba imatha kubweretsa zizindikiritso zakulephera kwa mtima, ndipo itha kukhala yowopsa. Pali mankhwala othandiza a vutoli.

Kodi Zizindikiro Za Kupanikizika Kwa Mitsempha?

Zizindikiro za kuponderezana kwa pericarditis ndi monga:

• kupuma kovuta komwe kumayamba pang'onopang'ono ndikukula
• kutopa
• mimba yotupa
• otupa, otupa kwambiri m'miyendo ndi akakolo
• kufooka
• malungo otsika kwambiri
• kupweteka pachifuwa

Kodi zimayambitsa zovuta za pericarditis ndi ziti?

Chophimba cha mtima wanu chikatupa, chimakhazikika. Zotsatira zake, mtima wanu sungatambasulidwe mochuluka momwe uyenera kugunda. Izi zitha kuteteza zipinda zamtima wanu kuti zisadzaze magazi ochulukirapo, zomwe zimabweretsa zizindikiritso za mtima.

Zomwe zimayambitsa matenda a pericarditis sizodziwika nthawi zonse. Komabe, zomwe zingayambitse zingaphatikizepo:

• opaleshoni ya mtima
• mankhwala a radiation pachifuwa
• chifuwa chachikulu

Zina mwazimene zimayambitsa izi ndi izi:

• matenda opatsirana
• matenda a bakiteriya
• mesothelioma, yomwe ndi khansa yachilendo yomwe imayambitsidwa ndi asibesitosi

Nthawi zina, dokotala wanu sangathe kupeza chomwe chimayambitsa kutupa. Pali njira zambiri zochiritsira ngakhale zomwe sizingachitike.

Kodi ndi zifukwa ziti zomwe zingayambitse matenda a pericarditis?

Zinthu zotsatirazi zimawonjezera chiopsezo chanu chokhala ndi vutoli:

Matenda a m'mapapo

Matenda a pericarditis osachiritsidwa amatha kukhala aakulu.

Matenda osokoneza bongo

Matenda a lupus, nyamakazi ya nyamakazi, ndi matenda ena amadzimadzi awonetsedwa kuti akuwonjezera chiopsezo chanu cha kuponderezedwa kwa pericarditis.

Kuvulala kapena kuvulala kwa mtima

Kukhala ndi vuto la mtima kapena kuchitidwa opaleshoni ya mtima zonse zitha kukulitsa chiopsezo.

Mankhwala

Pericarditis ndi zotsatira zoyipa za mankhwala ena.

Jenda ndi msinkhu

Matenda a Pericarditis amapezeka kwambiri mwa amuna pakati pa.

Kodi matenda a pericarditis amapezeka bwanji?

Matendawa ndi ovuta kuwazindikira. Itha kusokonezedwa ndi zinthu zina zamtima monga:

• choletsa mtima, chomwe chimachitika pomwe zipinda zamtima sizitha kudzaza magazi chifukwa chouma mtima
• mtima tamponade, womwe umachitika pamene madzi pakati pa minofu ya mtima ndi pericardium amapondereza mtima

Matenda a pericarditis amapezeka nthawi zambiri pokana izi.

Dokotala wanu akufunsani za zizindikilo zanu ndikupimitsani. Zizindikiro zotsatirazi ndizofala:

• Mitsempha ya khosi yomwe imatuluka chifukwa cha kuthamanga kwa magazi, komwe kumatchedwa chizindikiro cha Kussmaul
• mawu ofooka kapena akutali akumveka
• kutupa kwa chiwindi
• madzimadzi m'mimba

Dokotala wanu akhoza kuyitanitsa chimodzi kapena zingapo za mayesero awa:

Kuyesa mayeso

Chifuwa cha MRIs, CT scan, ndi X-rays zimatulutsa zithunzi za mtima ndi pericardium. A CT scan ndi MRI imatha kuzindikira kukulira mu pericardium ndi magazi.

Catheterization yamtima

Mu catheterization yamtima, dokotala wanu amalowetsa chubu chowonda mumtima mwanu kudzera mu kubuula kwanu kapena mkono wanu. Kupyolera mu chubu ichi, amatha kusonkhanitsa magazi, kuchotsa minofu ya biopsy, ndikutenga zoyezera mkati mwamtima mwanu.

Electrocardiogram

An electrocardiogram amayesa mtima wanu pamagetsi. Zoyipa zimatha kunena kuti muli ndi vuto la pericarditis kapena vuto lina la mtima.

Zojambulajambula

Echocardiogram imapanga chithunzi cha mtima wanu pogwiritsa ntchito mafunde amawu. Imatha kuzindikira zamadzimadzi kapena zonenepa mu pericardium.

Kodi njira zamankhwala ndi ziti?

Chithandizo chimayang'ana pakukonzanso magwiridwe antchito amtima wanu.

Kumayambiriro kwa matenda a pericarditis, zotsatirazi zitha kulimbikitsidwa:

• kumwa mapiritsi amadzi kuchotsa madzi owonjezera, omwe amatchedwa okodzetsa
• kumwa mankhwala opweteka (analgesics) kuti muchepetse ululu
• kuchepetsa ntchito yanu
• kuchepetsa kuchuluka kwa mchere mu zakudya zanu
• kumwa anti-inflammatories, monga ibuprofen (Advil)
• kutenga colchicine (Colcrys)
• kutenga corticosteroids

Ngati zikuwonekeratu kuti muli ndi vuto la pericarditis ndipo zizindikilo zanu zafika povuta, dokotala wanu atha kunena kuti pericardiectomy. Pochita opaleshoniyi, zigawo za thumba lofiira zimadulidwa mozungulira mtima. Uku ndi opaleshoni yovuta yomwe imakhala ndi chiopsezo, koma nthawi zambiri ndiyo njira yabwino kwambiri.

Kodi chiyembekezo chanthawi yayitali ndichotani?

Ngati sangasamalidwe, vutoli limatha kuwopseza moyo, mwina zomwe zingayambitse kukulitsa zizindikiritso za mtima. Komabe, anthu ambiri omwe ali ndi vuto la pericarditis amatha kukhala ndi moyo wathanzi ngati atalandira chithandizo cha matenda awo.