Zonse Zokhudza Pericarditis

Zamkati

• Kodi pericarditis ndi chiyani?
• Zambiri pazokhudza pericarditis
• Mawu a Pericarditis
• Zizindikiro za pericarditis
• Zimayambitsa pericarditis
• Kuzindikira matenda a pericarditis
• Kuchiza matenda a pericarditis
• NSAIDs
• Colchicine
• Corticosteroids
• Opaleshoni
• Kupewa matenda a pericarditis
• Maganizo ake ndi otani?

Kodi pericarditis ndi chiyani?

Pericarditis ndikutupa kwa pericardium, thumba lochepa, lokhala ndi magawo awiri lomwe lazungulira mtima wanu.

Magawo ake amakhala ndimadzimadzi pang'ono pakati pawo kuti ateteze mkangano mtima ukagunda. Magawo atatupa, zimatha kupweteka pachifuwa.

Udindo wamadzi amadzimadzi ndi mafuta mumtima ndipo pericardium imateteza ku matenda. Pericardium imathandizanso kuti mtima wanu ukhale mkati mwa khoma lachifuwa.

Pericarditis ndimatenda, nthawi zambiri amakhala ovuta, amabwera modzidzimutsa, ndipo amatha masiku angapo mpaka masabata angapo.

Zomwe zimayambitsa matenda a pericarditis sizidziwika, koma matenda opatsirana amaganiza kuti ndi omwe amachititsa milandu.

China chilichonse chomwe chimayambitsa kutupa, monga khansa, chimatha kuyambitsa matenda a pericarditis. Mankhwala ena amathanso kukhala chifukwa.

Nthawi zambiri, pericarditis imatha yokha. Komabe, mankhwala alipo kuti achepetse nthawi ya vutoli ndikupewa kubwereranso.

Zinthu zina zotupa mumtima ndi izi:

• Endocarditis. Izi zimaphatikizapo kutupa kwa endocardium, mkatikati mwa zipinda zamtima wanu ndi ma valve. Nthawi zambiri zimayambitsidwa ndi matenda a bakiteriya.
• Myocarditis. Uku ndiko kutupa kwa minofu ya mtima, kapena myocardium. Nthawi zambiri zimayambitsidwa ndi matenda a ma virus.
• Myopericarditis. Uku ndikutupa kwa minofu yamtima ndi pericardium.

Zambiri pazokhudza pericarditis

• Aliyense atha kudwala matenda a pericarditis.
• Pafupifupi 5 peresenti ya anthu omwe amapita kuchipinda chadzidzidzi kupweteka pachifuwa ali ndi pericarditis.
• Pafupifupi 15 mpaka 30 peresenti ya anthu omwe ali ndi pericarditis amakhala nawo kangapo, otchedwa recicrent pericarditis.
• Matenda a pericarditis ndi omwe amapezeka ku Africa American.
• Matenda a chifuwa chachikulu ndi chimodzi mwazomwe zimayambitsa matenda a pericarditis.
• Pericarditis imachokera ku Greek "perikardion," zomwe zikutanthauza kuzungulira mtima. Chokwanira "-itis" chimachokera ku Chi Greek chifukwa cha kutupa.

Mawu a Pericarditis

• Pachimake pericarditis ndizofala kwambiri. Zitha kuchitika zokha kapena ngati chizindikiro cha matenda obwera.
• Kubwereza (kapena kubwereranso) kwa pericarditis itha kukhala yapakatikati kapena yosasintha. Kubwereza koyamba nthawi zambiri kumakhala mkati mwa chiwonongeko choyambirira.
• Pericarditis imalingaliridwa osatha kuyambiranso kumachitika posachedwa pomwe mankhwala opatsirana ndi kutupa atayimitsidwa.
• Kutulutsa kwapericardial ndi kuchuluka kwa madzimadzi m'magawo a pericardium. mwa anthu omwe ali ndi vuto lalikulu la matendawa amakhala ndi tamponade yamtima, yomwe ndi ngozi yachipatala.
• Tamponade yamtima ndimadzimadzi mwadzidzidzi m'magawo a pericardium, omwe amachititsa kuti kuthamanga kwa magazi kwanu kugwere ndikuletsa mtima wanu kuti usakwaniritse. Izi zimafunikira chithandizo chadzidzidzi.
• Kuchedwa kwa pericarditis kapena Dressler syndrome ndipamene matenda a pericarditis amakula patatha milungu ingapo atachitidwa opaleshoni yamtima kapena matenda amtima.
• Kupweteka kwa pericarditis ndipamene vuto la pericardium limakhala ndi zipsera kapena limamatira pamtima kuti minofu ya mtima isakulire. Izi ndizochepa ndipo zimatha kukhala ndi anthu omwe ali ndi matenda a pericarditis kapena atachitidwa opaleshoni yamtima.
• Yovuta-constrictive pericarditis ndipamene kuwonongeka ndi kukokomeza kumakhalapo.

Zizindikiro za pericarditis

Pericarditis imatha kumva ngati matenda amtima, ndikumva kuwawa kapena kubaya m'chifuwa mwanu komwe kumabwera mwadzidzidzi.

Ululu ukhoza kukhala pakati kapena kumanzere kwa chifuwa, kumbuyo kwa mafupa. Ululu ukhoza kutuluka m'mapewa anu, khosi, mikono, kapena nsagwada.

Zizindikiro zanu zimatha kusiyanasiyana, kutengera mtundu wa pericarditis womwe muli nawo.

Mukakhala ndi kupweteka pachifuwa, ndibwino kuti mupite kuchipatala nthawi yomweyo.

Pafupifupi 85 mpaka 90 peresenti ya anthu omwe ali ndi matenda a pericarditis ali ndi kupweteka pachifuwa ngati chizindikiro. Zizindikiro zina ndizo:

• malungo ochepa
• kufooka kapena kutopa
• kuvuta kupuma, makamaka mukamagona pansi
• kugwedeza
• chifuwa chowuma
• kutupa pamapazi, miyendo, ndi akakolo

Zizindikiro zanu zitha kukulirakulira mukamadzachita izi:

• bodza mosabisa
• pumirani kwambiri
• chifuwa
• kumeza

Kukhala pansi ndikutsamira kutsogolo kungakupangitseni kuti mukhale bwino.

Ngati chifukwa cha pericarditis yanu ndi bakiteriya, mutha kukhala ndi malungo, kuzizira, komanso kuchuluka kwama cell oyera. Ngati chifukwa chake ndi tizilombo toyambitsa matenda, mutha kukhala ndimatenda ngati chimfine kapena m'mimba.

Zimayambitsa pericarditis

Nthawi zambiri, chifukwa cha pericarditis sichidziwika. Izi zimatchedwa idiopathic pericarditis.

Mwambiri, pericarditis imatha kukhala ndi zifukwa zopatsirana kapena zosafalikira. Zomwe zimayambitsa matenda ndi monga:

• mavairasi
• mabakiteriya
• bowa ndi majeremusi, zomwe ndizoyambitsa kawirikawiri

Zomwe zimayambitsa matendawa ndi monga:

• mavuto amtima, monga matenda amtima am'mbuyomu kapena opaleshoni
• zotupa zomwe zimakhudza pericardium
• kuvulala
• chithandizo cha radiation
• mikhalidwe yodziyimira payokha, monga lupus
• mankhwala ena, omwe ndi osowa
• matenda amadzimadzi, monga gout
• impso kulephera
• Matenda ena amtundu, monga banja fever Mediterranean

Kuzindikira matenda a pericarditis

Dokotala wanu akufunsani za mbiri yanu yamankhwala, zomwe zizindikiro zanu zimakhala, zizindikiro zanu zidayamba liti, komanso zomwe zikuwoneka kuti zikuwipitsa.

Akupatsani mayeso athupi. Pamene pericardium yanu yatupa, kuchuluka kwa madzimadzi kumatha kuchuluka pakati pa zigawo ziwiri za thumba, zomwe zimapangitsa kuti pakhale kuwonongeka. Dokotala amamvetsera ndi stethoscope pazizindikiro zamadzimadzi owonjezera.

Amamveranso zopaka mkangano. Awa ndi phokoso la pericardium yanu yopaka motsutsana ndi gawo lakunja la mtima wanu.

Mayesero ena omwe amagwiritsidwa ntchito pofufuza ndi awa:

• X-ray pachifuwa, yomwe imawonetsa mawonekedwe a mtima wanu komanso kuthekera kwamadzimadzi owonjezera
• electrocardiogram (ECG kapena EKG) kuti muwone kugunda kwa mtima wanu ndikuwona ngati chizindikiro chamagetsi chachepetsedwa chifukwa chamadzimadzi owonjezera
• echocardiogram, yomwe imagwiritsa ntchito mafunde akumveka kuwonetsa mawonekedwe ndi kukula kwa mtima wanu komanso ngati pali zosungunuka zamadzimadzi kuzungulira mtima
• MRI, yomwe imafotokoza bwino za pericardium yanu, kuphatikiza ngati yayamba kukhathamira, yotupa, kapena ngati pali chopereka chamadzimadzi
• CT scan, yomwe imapereka chithunzi chatsatanetsatane cha mtima wanu ndi pericardium
• catheterization yamtima woyenera, yomwe imakupatsirani chidziwitso chokhuza kudzaza mumtima mwanu
• kuyezetsa magazi kuti ayang'ane zikwangwani zotupa zomwe zimafotokoza za pericarditis kapena matenda aliwonse omwe akukayikira

Kuchiza matenda a pericarditis

Chithandizo cha pericarditis chimadalira pazomwe zimayambitsa, ngati zikudziwika. Ngati muli ndi matenda a bakiteriya, mutha kupatsidwa maantibayotiki.

Nthawi zambiri, malinga ndi American Heart Association, pericarditis ndiyofatsa ndipo imadziwonekera yokha ndi mankhwala osavuta, monga mankhwala odana ndi zotupa komanso kupumula.

Ngati muli ndi zovuta zina zamankhwala, dokotala wanu atha kukuthandizani kuchipatala.

Chithandizo chimafuna kuchepetsa kupweteka kwanu ndi kutupa ndikuchepetsa chiopsezo chobwereza. Mankhwala ochiritsira kwa anthu omwe alibe zoopsa zina zachipatala ndi awa:

NSAIDs

Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) amalembedwa kuti amve kupweteka komanso kutupa. Ibuprofen kapena aspirin amapereka chithandizo mwachangu.

Ngati kupweteka kwanu kuli kwakukulu, dokotala wanu akhoza kukupatsani mankhwala amphamvu.

Colchicine

Colchicine ndi mankhwala ochepetsa kutupa omwe ndi othandiza pochepetsa nthawi yazizindikiro komanso kupewa kubwereranso kwa pericarditis.

Corticosteroids

Corticosteroids imathandiza kuchepetsa matenda a pericarditis.

Koma kugwiritsa ntchito koyambirira kwa corticosteroids kumatha kukhala ndi chiopsezo chowonjezereka cha kubwereranso kwa pericarditis ndipo kuyenera kupewedwa kupatula nthawi zovuta zomwe sizimayankha chithandizo chamwambo.

Opaleshoni

Opaleshoni imatha kuganiziridwa mu kubwereza kwa pericarditis komwe sikumayankha mankhwala ena. Kuchotsa kwa pericardium kumatchedwa pericardiectomy. Mankhwalawa nthawi zambiri amasungidwa ngati chithandizo chomaliza.

Ngalande yamadzi owonjezera imatha kukhala yofunikira. Izi zitha kuchitidwa opaleshoni kapena kuyika catheter. Izi zimatchedwa pericardiocentesis kapena zenera la pericardial.

Kupewa matenda a pericarditis

Simungathe kupewa matenda a pericarditis, koma mutha kuchepetsa chiopsezo cha kubwereranso kwa pericarditis. Ndikofunika kutsatira ndondomeko yanu ya mankhwala.

Mpaka mutachira, pumulani ndikupewa kuchita zolimbitsa thupi. Kambiranani ndi dokotala nthawi yomwe muyenera kuchepetsa ntchito yanu.

Mukawona zizindikiro zilizonse zobwereza, funsani dokotala mwamsanga.

Maganizo ake ndi otani?

Kuchira ku pericarditis kumatenga nthawi.Nthawi zina, zimatha kutenga milungu kuti zizindikiritso zithetse.

Matenda ambiri a pericarditis amakhala ofatsa komanso opanda zovuta. Koma pakhoza kukhala zovuta ndi matenda a pericarditis, kuphatikiza kupangika kwamadzimadzi ndikuchepetsa kwa pericardium.

Chithandizo cha mavutowa chilipo, kuphatikizapo opaleshoni. Kafukufuku wokhudza njira zamankhwala akupitilira.

Ngati pericarditis imakhala yayikulu, mungafunike kupitiliza kumwa ma NSAID kapena mankhwala ena.

Funani thandizo nthawi yomweyo ngati muli ndi vuto lililonse pachifuwa, chifukwa limatha kukhala chizindikiro cha china chachikulu.