Okuqukethwe
I-Pericarditis iyinkinga evamile yangemva komkhuhlane. Lesi sifo sivela ngenxa yokuhlaselwa umkhuhlane kanye namagciwane e-parainfluenza. I-pericardium iyisaka elithile elizungeza inhliziyo. Uma kukhona ukuhlasela kwegciwane, ukuvuvukala kungakhula ku-pericardium. Yile ndlela umzimba osabela ngayo ekuhlaselweni okunjalo. Ngokuvamile, lesi sifo sihambisana nezimpawu ezifana nokuphefumula, ubuhlungu ngemuva kwe-sternum, ukukhwehlela okomile. Lesi sifo singaba mnene, singashiyi umonakalo empilweni, kodwa singabonakala futhi sitholakale esimweni esibucayi, okuphoqa impendulo yezokwelapha ngokushesha. I-Pericarditis ingaba yimbi, iphindaphindeka noma ingapheli.
I-Pericarditis - yiziphi izimbangela nezimpawu?
Izimbangela ze-pericarditis kufanele ifunwe ezinkingeni zangemva komkhuhlane kanye nokuhlasela kwegciwane emzimbeni. Uma lokhu kuhlasela kwenzeka, inhliziyo pericardium uba negciwane, ukuvuvukala kwenzeka. Izimpawu i-pericarditis yenhliziyo ngokuvamile zihlotshaniswa nezinga lokushisa eliphakeme noma imfiva. Isici salesi sifo ubuhlungu endaweni ye-sternum, engabonakala ngokukhipha ukukhanya emhlane, intamo nasemahlombe. Lobu buhlungu bubonakala ikakhulukazi endaweni ephansi. Olunye uphawu olubalulekile endabeni yalesi sifo ukukhwehlela okomile okungapheli kanye nezikhathi ezihambisana nokuphelelwa umoya. Lokhu-ke kunomthelela oqondile ekungasebenzi kahle kwenhliziyo. Kaningi kukhona futhi i-myocarditis - ngekhanda elibuhlungu, ubuhlungu bemisipha, ubuhlungu bamalunga, umkhuhlane, ukushaya kwenhliziyo, ubuhlungu besifuba, ukuzwa ubuthakathaka, ukukhathala. Ukunqwabelana nakho kuyisici esiwuphawu lwalesi sifo uketshezi ku-pericardial sac futhi ibonakala lapho ulalela umsebenzi wenhliziyo - imisindo ebalulekile, okuthiwa i-pericardial friction. Hhayi njalo i-pericarditis kubuye kuhambisane nokungalingani kwe-metabolic emzimbeni kanye nokuncipha kwesisindo okuhlobene, futhi ngezinye izikhathi ngisho nokungafuni ukudla.
Indlela yokuxilonga i-pericarditis?
Indlela elula yokubona lesi sifo ngokuhlola igazi. Nalapha futhi, imiphumela ingakuholela ekuxilongweni okufanele. Kuzoba khona i-ESR eyengeziwe, ukuhlushwa okukhulayo kwe-C-reactive protein, inani lamangqamuzana amhlophe egazi lizokhula ngaphezu kwesimiso. i-pericarditis I-ECG, i-X-ray kanye ne-echocardiography yenziwa. Kokubili i-X-ray ne-echocardiography izobonisa ukuthi isikhwama se-pericardial kukhona uketshezi futhi kuzobonisa izinguquko ku-morphology yenhliziyo - uma ikhona. Ngaphezu kwalokho, ngenxa ye-echocardiogram, ukungahambi kahle ekusebenzeni kwalesi sitho kungatholakala. Ngokulandelayo, ngenxa ye-computed tomography, ukuminyana kungahlolwa uketshezi ku-pericardial sacokuholela ekunqumeni imbangela yokuvuvukala. Uma ukugula kubangelwa ukuhlasela kwebhaktheriya, i-tomography izovumela ukuxilongwa kwezilonda ze-purulent. Ezimweni ezikhethekile, udokotela uyala i-biopsy. Nokho, lokhu kwenzeka kuyaqabukela.
Indlela yokwelapha i-pericarditis?
Ukuxilongwa kwe-pericarditis kuholela ekukhethweni kokwelashwa okufanele. Izidakamizwa ezingezona ukuvuvukala zisetshenziswa kakhulu. Uma ukuvuvukala kuyi-bacteria, ama-antibiotic anconywa. Endabeni yenkambo enzima yesifo, i-colchicine ilawulwa. Le nto ibuye isetshenziswe uma kukhona ukubuya kwesifo. Uma le mithi ingalethi umphumela olindelekile, isisombululo sokugcina ukubeka i-glucocorticoids yesiguli. Uma i-pericarditis kuwumphumela wenkinga ngemva komkhuhlane, bese kwenziwa inqubo yokubhoboza isikhwama se-pericardial. Lesi sixazululo sisetshenziswa esimweni sokuqoqwa okuphawulekayo kwe-purulent fluid, kanye nokusola kwezilonda ze-neoplastic.