Mlembi: Laura McKinney
Tsiku La Chilengedwe: 5 Epulo 2021
Sinthani Tsiku: 1 Epulo 2025
Anonim
Inflammtory Serositis; clinical approach Dr. ATHEER ALANSARY
Kanema: Inflammtory Serositis; clinical approach Dr. ATHEER ALANSARY

Zamkati

Kodi serositis ndi chiyani?

Ziwalo za pachifuwa ndi pamimba panu zimadzaza ndimatumba oonda otchedwa serous membranes. Ali ndi zigawo ziwiri: chimodzi cholumikizidwa ndi limba ndi china cholumikizidwa mkati mwa thupi lanu.

Pakati pa magawo awiriwa, pali filimu yopyapyala ya serous fluid yomwe imalola kuti ziwalo zanu ziziyenda bwino mthupi lanu. Mwachitsanzo, mapapu anu amatha kutuluka mukamapuma movutikira osawonongeka ndi mikangano.

Serositis imachitika pamene ma serous membranes atha. Izi zimapangitsa kuti zikhale zovuta kuti ziwalo zanu ziziyenda bwino mthupi lanu, zimapweteka komanso zizindikilo zina.

Zizindikiro zake ndi ziti?

Pali mitundu itatu ya serositis, kutengera serous nembanemba yomwe ikukhudzidwa.

Matenda a m'mapapo

Mtima wanu wazunguliridwa ndi nembanemba ya serous yotchedwa pericardium. Kutupa kwa nembanemba kumatchedwa pericarditis. Nthawi zambiri zimayambitsa kupweteka pachifuwa komwe kumayenda phewa lanu ndikusintha mukamasintha malo.


Kutengera pazomwe zimayambitsa, zizindikilo zina zimatha kuphatikiza:

  • kupuma pang'ono kumakulirakulira mukamagona pansi
  • malungo ochepa
  • chifuwa
  • kugunda kwa mtima
  • kutopa
  • kutupa m'miyendo kapena pamimba panu

Pleuritis

Pleuritis, yotchedwanso pleurisy, ndikutupa kwa pleura, nembanemba yomwe imazungulira mapapu anu. Pali chotupa chimodzi cha serous mozungulira mapapo onse, motero ndizotheka kukhala ndi pleuritis m'mapapu amodzi koma osati enawo.

Zizindikiro za Pleuritis ndi monga:

  • kupweteka kwakuthwa m'chifuwa chanu mukamatsokomola kapena kupuma
  • kupuma movutikira
  • kuvuta kupuma
  • chifuwa
  • malungo ochepa

Matenda a m'mimba

Ziwalo zanu zam'mimba zimazunguliridwa ndi serous membrane yotchedwa peritoneum. Kutupa kwa nembanemba kumatchedwa peritonitis. Chizindikiro chachikulu cha peritonitis ndi kupweteka kwambiri m'mimba.

Zizindikiro zina zomwe mungakhale nazo ndi izi:

  • Kutupa m'mimba
  • malungo
  • nseru ndi kusanza
  • chilakolako chochepa
  • kutsegula m'mimba kapena kudzimbidwa
  • Kutulutsa mkodzo kochepa
  • ludzu lokwanira

Kulumikizana ndi systemic lupus erythematosus

Systemic lupus erythematosus (SLE) ndimatenda amthupi okha, omwe amatanthauza vuto lililonse lomwe limakhudzana ndi chitetezo chamthupi chanu molakwika m'malo mozitchinjiriza. Ndiwo mtundu wofala kwambiri wa lupus, komanso chikhalidwe chomwe anthu ambiri amatchula akamanena za lupus.


Pankhani ya SLE, chitetezo chanu cha mthupi chimayambitsa matenda athanzi mthupi lanu. Nthawi zina, izi zimaphatikizapo minofu ya ma serous membranes, makamaka pericardium yanu ndi pleura. Mwachitsanzo, kafukufuku wa 2017 wa anthu 2,390 omwe ali ndi SLE adapeza kuti 22% anali ndi pericarditis ndipo 43% anali ndi pleuritis. Ngakhale sizachilendo, peritonitis itha kukhalanso chifukwa cha kupweteka m'mimba mwa anthu omwe ali ndi SLE.

Serositis ndi chimodzi mwazinthu zazikulu zomwe madokotala amayang'ana akazindikira munthu yemwe ali ndi SLE.

Chimayambitsanso ndi chiyani?

Mavuto ena amthupi

Chitetezo chanu chamthupi chimakhala ndi magawo awiri, omwe amadziwika kuti chitetezo chanu chamthupi komanso chitetezo chamthupi chobadwa nacho.

Chitetezo chamthupi chanu chomwe mumapeza chimayamba chifukwa cha ma virus ndi mabakiteriya pazaka zambiri. Zimapanga ma antibodies apadera kwa wothandizila aliyense wopatsidwayo omwe mumawonekera. Ma antibodies awa amayambiranso ngati mungadzakumanenso ndi wothandizirayo.

Chitetezo chanu chabwinobwino chimagwiritsa ntchito maselo anu oyera amwazi kulimbana ndi ma virus ndi mabakiteriya. Imachita msanga ku matenda, koma siyimatulutsa maselo omwe angakumbukire ngati mudzayambukiranso ndi matenda omwewo mtsogolo.


Zinthu zomwe zimadzitchinjiriza zokha zimakhudzana ndi chitetezo chamthupi chanu chomwe mwakumana nacho molakwika. Zitsanzo za zinthu zomwe zingayambitse serositis ndizo:

  • matenda a nyamakazi a achinyamata
  • nyamakazi
  • matenda opatsirana

Matenda opatsirana pogonana, mbali inayi, amaphatikiza chitetezo chamthupi mwanu molakwika kuwukira thupi lanu.

Zinthu zina zomwe zimatha kupangitsa kuti mukhale ndi serositis ndi monga:

  • malungo a Mediterranean
  • Matenda akadali

Zochitika zina

Kuphatikiza pa zinthu zomwe zimayambitsa matendawa, zimatha kuyambitsa serositis, m'modzi kapena m'matumbo anu.

Zitsanzo zina ndi izi:

  • impso kulephera
  • Edzi
  • chifuwa chachikulu
  • khansa
  • matenda a mtima
  • mavairasi, bakiteriya, kapena matenda a mafangasi
  • kuvulala kapena kuvulala pachifuwa
  • mankhwala ena
  • matenda ena obadwa nawo, monga matenda a zenga

Kodi amapezeka bwanji?

Dokotala wanu amatha kuyesa thupi ndikuitanitsa mayeso amwazi ndi / kapena ma scan kuti athandizidwe. Kuyezetsa magazi kumathandizira kuyang'ana zizindikilo za matenda kapena zizindikiro za matenda amthupi. Zithunzi monga chifuwa cha X-ray, CT scan, ultrasound, kapena electrocardiogram (ECG kapena EKG) zitha kuthandiza kuzindikira komwe kukupezeka.

Ngati pali madzi owonjezera ambiri pakati pamagulu anu a serous, dokotala wanu amatha kuchotsa ena ndi singano ndikuisanthula kuti athandizire chomwe chingayambitse. Izi zitha kuchitika mosavuta kwa peritonitis ndi pleuritis.

Kwa pericarditis, dokotala wanu nthawi zambiri amagwiritsa ntchito ultrasound kuti athandizire kutsogolera singano ndikuwonetsetsa kuti sakupyoza mtima wanu.

Amachizidwa bwanji?

Kuchiza serositis kumadalira chomwe chimayambitsa, komanso ma serous membranes omwe akukhudzidwa. Poyamba, dokotala wanu angakuuzeni kumwa mankhwala osagwiritsa ntchito zotupa, monga ibuprofen (Advil, Motrin), kuti muchepetse kutupa.

Zomwe zimayambitsa vutoli zikadziwika, njira zina zochiritsira zomwe mungachite ndi izi:

  • maantibayotiki
  • mankhwala osokoneza bongo
  • mankhwala antiviral
  • corticosteroids

Mfundo yofunika

Serositis amatanthauza kutukusira kwa khungu lanu limodzi kapena angapo. Zinthu zambiri zimatha kuyambitsa, kuyambira matenda opatsirana ndi mabakiteriya mpaka mikhalidwe yama auto. Ngati mukuganiza kuti mutha kukhala ndi serositis, ndikofunikira kutsatira dokotala wanu kuti mudziwe chomwe chikuyambitsa.

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