Kupweteka kwa pericarditis

Zamkati

• Zizindikiro za kupindika kwa pericarditis
• Zomwe zimayambitsa matenda a pericarditis
• Kuzindikira kwa matenda a pericarditis
• Chithandizo cha constrictive pericarditis

Constrictive pericarditis ndi matenda omwe amawoneka ngati minofu yolimba, yofanana ndi chilonda, ikukula mozungulira mtima, yomwe imatha kuchepetsa kukula kwake ndi magwiridwe ake.
Kuchulukanso kumatha kupezeka ndikupangitsa kupanikizika kwakukulu m'mitsempha yomwe imanyamula magazi kumtima, kupangitsa kuti madzimadzi alephera kulowa mumtima ndipo pamapeto pake amadziphatikizira pathupi pathupi, ndikupangitsa kutupa m'mimba ndi m'mapazi.

Zizindikiro za kupindika kwa pericarditis

Zizindikiro za constrictive pericarditis ndi izi:

• Kutupa kumagawidwa pakhungu lonse kapena anasarca;
• Kukula kukula kwa mitsempha ya khosi;
• Kutsekula m'mimba chifukwa cha kuphulika;
• Kutupa m'miyendo ndi akakolo;
• Kupuma kovuta;
• Kutopa;
• Kusowa kwa njala ndi kuchepa thupi;
• Zovuta m'mimba.

Zomwe zimayambitsa matenda a pericarditis

Zomwe zimayambitsa matenda a pericarditis sizidziwika, koma zitha kukhala zotsatira za:

• Matenda monga nyamakazi kapena systemic lupus erythematosus;
• Chilonda choyambirira;
• Opaleshoni ya mtima;
• Matenda a bakiteriya;
• chifuwa chachikulu (chomwe chimayambitsa mayiko omwe akutukuka kumene);
• kutentha kwapakati;
• zotupa;
• kupwetekedwa mtima;
• mankhwala osokoneza bongo.

Kuzindikira kwa matenda a pericarditis

Kuzindikira kwa constrictive pericarditis kumachitika kudzera:

• Kuyezetsa thupi;
• X-ray pachifuwa;
• Electrocardiogram;
• Echocardiogram;
• Kujambula tomography;
• Kujambula kwama maginito.

Kuti mutsimikizire matendawa, kafukufuku wa hemodynamic amathanso kuchitidwa, womwe ndi mtundu wa catheterization yamtima kuti muwone momwe mtima ulili.

Chithandizo cha constrictive pericarditis

Chithandizo cha kuponderezana kwa pericarditis kuyenera kuchitidwa pomwa mankhwalawa:

• Mankhwala oletsa TB: ayenera kuyamba asanachitike opareshoni ndikusungidwa kwa chaka chimodzi;
• Mankhwala omwe amathandizira kugwira ntchito kwamtima;
• Okodzetsa: kuthandiza kuchepetsa madzi owonjezera;
• anti-inflammatories ndi colchicine zitha kuthandiza;
• Kuchita opaleshoni yochotsa pericardium: makamaka pakagwa matenda ena amtima monga mtima kulephera -> chithandizo chamankhwala chambiri.

Ndikofunikira kudziwa kuti opaleshoni sayenera kuchedwetsedwa, chifukwa odwala omwe ali ndi zofooka zazikulu pamtima amatha kukhala pachiwopsezo chachikulu chakufa ndipo phindu la opaleshoni ndilocheperako.