Chithandizo cha pachimake, chosatha komanso mitundu ina ya pericarditis

Zamkati

• 1. Pachimake pericarditis yoyambitsidwa ndi ma virus kapena popanda chifukwa chodziwika
• 2. Pericarditis yoyambitsidwa ndi mabakiteriya
• 3. Matenda a pericarditis
• 4. Pericarditis yachiwiri ndi matenda ena
• 5. Pericarditis ndi sitiroko
• 6. Matenda opatsirana a pericarditis

Pericarditis imafanana ndi kutupa kwa nembanemba komwe kumayendetsa mtima, pericardium, komwe kumabweretsa kupweteka kwambiri pachifuwa, makamaka. Kutupa uku kumatha kukhala ndi zifukwa zingapo, nthawi zambiri kumachitika chifukwa cha matenda.

Chifukwa cha mitundu yosiyanasiyana ya matenda a pericarditis, mankhwalawa amayenera kuchitidwa malinga ndi vuto lililonse, kuchitidwa kunyumba nthawi zonse ndi kupumula komanso kugwiritsa ntchito mankhwala opha ululu otchulidwa ndi dokotala. Mvetsetsani chomwe pericarditis ndi momwe mungachizindikirire.

Mankhwalawa a pericarditis amatengera chifukwa chake, matenda ndi zovuta zomwe zingabuke. Chifukwa chake, chithandizo chomwe chitha kukhazikitsidwa ndi katswiri wamatenda nthawi zambiri chimakhala:

1. Pachimake pericarditis yoyambitsidwa ndi ma virus kapena popanda chifukwa chodziwika

Mtundu uwu wa pericarditis umadziwika ndikutupa kwa pericardium, yomwe ndi minofu yomwe yazungulira mtima, chifukwa cha matenda a virus kapena vuto lina lomwe silikadadziwika.

Chifukwa chake, chithandizo chokhazikitsidwa ndi katswiri wa zamankhwala cholinga chake ndi kuchepetsa zizindikilozo, ndikulimbikitsidwa:

• Ma painkiller, omwe amawonetsedwa kuti amathandizira omwe ali mthupi;
• Antipyretics, yomwe cholinga chake ndi kuchepetsa kutentha thupi;
• Mankhwala osagwiritsa ntchito zotupa, omwe amayenera kutengedwa molingana ndi malangizo a dokotala, omwe nthawi zambiri amawonetsedwa kwa milungu iwiri;
• Njira zothandizira kuteteza m'mimba, ngati wodwalayo ali ndi ululu m'mimba kapena zilonda;
• Colchicine, yomwe imayenera kuwonjezeredwa ku mankhwala osagwiritsa ntchito zotupa komanso kusungidwa kwa chaka chimodzi kuti apewe kubwereza matenda. Dziwani zambiri za colchicine.

Kuphatikiza apo, ndikofunikira kwambiri kuti wodwalayo akhale kupumula mpaka zizindikirazo zitatha ndipo kutupa kumalamuliridwa kapena kutha.

2. Pericarditis yoyambitsidwa ndi mabakiteriya

Pachifukwa ichi, kutupa kwa minofu yomwe yazungulira mtima kumayambitsidwa ndi mabakiteriya, chifukwa chake, mankhwalawa amachitika makamaka pogwiritsa ntchito maantibayotiki kuti athetse mabakiteriya.

Kuphatikiza pa kugwiritsa ntchito maantibayotiki, katswiri wa zamtima angalimbikitse kugwiritsa ntchito mankhwala osagwiritsa ntchito zotupa ndipo, nthawi zovuta kwambiri, kuchipatala, ngalande ya pericardium kapena kuchotsedwa kwa opaleshoni.

3. Matenda a pericarditis

Matenda a pericarditis amayamba chifukwa cha kutupa pang'ono pang'onopang'ono kwa pericardium, ndipo zizindikilo sizimadziwika.Dziwani zambiri za matenda a pericarditis.

Chithandizo cha mtundu uwu wa pericarditis nthawi zambiri chimachitidwa ndi cholinga chotsitsira zizindikiro, monga kugwiritsa ntchito mankhwala a diuretic omwe amathandiza kuthetsa madzi owonjezera. Kuphatikiza apo, kutengera chifukwa komanso kukula kwa matendawa, kugwiritsa ntchito mankhwala opatsirana pogonana kapena opaleshoni kuchotsa pericardium kumatha kuwonetsedwa ndi dokotala.

4. Pericarditis yachiwiri ndi matenda ena

Matenda a pericarditis akachitika chifukwa cha matenda, chithandizo chimachitika malinga ndi chifukwa chake, ndipo dokotala amalimbikitsa kuti:

• Opanda mahomoni odana ndi kutupa (NSAID), monga Ibuprofen;
• Colchicine, yomwe imatha kutengedwa yokha kapena kuphatikizidwa ndi ma NSAID, kutengera malingaliro azachipatala. Itha kugwiritsidwa ntchito pachithandizo choyambirira kapena pamavuto obwereza;
• Corticosteroids, omwe nthawi zambiri amawonetsedwa ngati ali ndi matenda olumikizana ndi minofu, uremic pericarditis, komanso ngati sanayankhe pa Colchicine kapena NSAIDs.

5. Pericarditis ndi sitiroko

Mtundu uwu wa pericarditis umadziwika ndi kuchepa kwakanthawi kwamadzimadzi mu pericardium motero, chithandizocho chimachitika kudzera pakuboola kwa pericardial kuti atulutse madziwo, ndikuchepetsa zizindikilo zotupa.

6. Matenda opatsirana a pericarditis

Mu mtundu uwu wa pericarditis, pali kukula kwa minofu, yofanana ndi chilonda, mu pericardium, yomwe imatha kubweretsa, kuwonjezera pa kutupa, kutsekeka ndi kuwerengera, kusokoneza magwiridwe antchito amtima.

Mankhwala a pericarditis amachitika ndi:

• Mankhwala a chifuwa chachikulu, omwe ayenera kuyambitsidwa asanachitike opaleshoni ndikusungidwa kwa chaka chimodzi;
• Mankhwala omwe amathandizira kugwira ntchito kwamtima;
• Mankhwala okodzetsa;
• Opaleshoni kuti achotse pericardium.

Ndikofunika kuzindikira kuti opaleshoni, makamaka ngati matenda a pericarditis okhudzana ndi matenda ena amtima, sayenera kuimitsidwa, chifukwa odwala omwe ali ndi zolephera zazikulu pamtima amatha kukhala pachiwopsezo chachikulu chakufa ndipo phindu la opaleshoni ndilocheperako.