I-Pericarditis

Incazelo jikelele yalesi sifo

Ukuvuvukala kwe-pericardium (isaka elizungeze isitho, lisibambe futhi lisize lisebenze). Le nqubo yokuvuvukala ingaba umphumela noma uphawu lwezinye izifo (fungal, bacterial, infectious, virus, rheumatic). Noma kube inkinga yokulimala, izifo zezitho zangaphakathi. Uphawu oluvame kakhulu lwe-pericarditis ubuhlungu besifuba obubangelwa ukuvuvukala mhlawumbe nokuhlikihlwa kwenhliziyo. Uma uzwa ubuhlungu obunjalo, sincoma ukuthi uxhumane nodokotela ngokushesha ukuze uthole iseluleko.

I-Pericarditis ingaba nayo ifomu elibukhali - avele ngokungazelelwe futhi anyamalale ngokwanele ngokwelashwa okufanele, hamba okungapheliyo - ukukhula kancane kancane isikhathi eside, nokuthatha isikhathi esiningi kakhulu sokwelapha. Zombili lezi zinhlobo ziphazamisa isigqi esijwayelekile, ukusebenza kwenhliziyo. Kwesinye isikhathi, yize lokhu kwenzeka ngokungavamile, kuyabulala[1].

Izimbangela ze-pericarditis

Kunezimbangela eziningi ze-pericarditis, kepha imvamisa iziveza njengenkinga yokutheleleka ngegciwane (i-viral pericarditis) - imvamisa ngemuva kwegciwane langaphambilini lamathumbu, umkhuhlane noma i-AIDS. Lesi sifo singabuye sibangelwe ukutheleleka kwebhaktheriya, ukhunta noma i-parasitic.

Ezinye izifo ezizimele njenge-lupus, i-rheumatoid arthritis kanye ne-scleroderma, lapho amasosha omzimba ehlasela izicubu ezinempilo, nazo zingadala i-pericarditis.

Phakathi kwezimbangela ezivamile ze-pericarditis kukhona ukulimala kwesifuba, ngokwesibonelo, ngemuva kwengozi yemoto (i-pericarditis ebuhlungu). Noma ezinye izinkinga zempilo njengokuhluleka kwezinso (i-uremic pericarditis), izimila, izifo zofuzo. Ezimweni ezingavamile, imishanguzo ecindezela amasosha omzimba iba yisikhuthazi sesifo.

Ingozi yokuthola i-pericarditis iphezulu ngemuva kokuhlaselwa yinhliziyo noma ngemuva kokuhlinzwa kwenhliziyo (i-Dressler syndrome) ngoba imisipha yenhliziyo eyonakele ingayicasula i-pericardium. Futhi ngemuva kokwelapha ngemisebe noma ukwelashwa okufana ne-catheterization yenhliziyo noma i-radiofrequency ablation. Kulezi zimo, ochwepheshe abaningi bakholelwa ukuthi i-pericarditis ingumphumela womzimba okhiqiza ngephutha impendulo yokuvuvukala ku-pericardium. Ngemuva kokuhlinzwa okudlula, izimpawu ze-pericarditis zingase zingabikho kuze kube amasonto ambalwa ngemuva kwenqubo.

Imvamisa akunakwenzeka ukuthola imbangela yokuthuthukiswa kwe-pericarditis, futhi kulokhu kubizwa ngokuthi "i-pericarditis ye-idiopathic".

Imvamisa ibuyela emuva ngemuva kwesiqephu sokuqala, futhi ukuhlaselwa kungaphinda kwenzeke eminyakeni edlule[2].

Izimpawu ze-Pericarditis

Uphawu oluvame kakhulu lwe-pericarditis, njengoba kushiwo ngenhla, ubuhlungu besifuba. Kungabuye kuhambisane nalezi zimpawu ezilandelayo:

  • lobu buhlungu, njengomthetho, bubukhali, buthuntu, bunamandla kakhulu;
  • Kungaba kubi ngokukhwehlela, ukugwinya, ukuphefumulela phezulu noma ngokulala phansi;
  • wehlise umoya ngenkathi uhleli noma uncike phambili;
  • ubuhlungu bungazwakala ngemuva, entanyeni, endaweni yehlombe lesobunxele.

Ezinye izimpawu nezimpawu zesifo zifaka:

  • ubunzima bokuphefumula ngenkathi ulele phansi;
  • ukukhwehlela okomile;
  • ukuzizwa ukhathazekile futhi ukhathele;
  • kwezinye izimo, i-pericarditis ibangela ukuvuvukala kwemilenze namaqakala kumuntu ogulayo. Njengomthetho, lokhu kuyisibonakaliso sohlobo olubi lwezifo - i-pericarditis ecindezelayo[2]… Ungafunda kabanzi ngayo ngokuhamba kwesikhathi ku-athikili.

Izinhlobo ze-pericarditis

  1. 1 I-pericarditis enamandla - lapho izimpawu bezikhona isikhathi esingaphansi kwezinyanga ezintathu. Uma uthintana nodokotela ngendlela efike ngesikhathi futhi uqala ngokushesha ukwelashwa, khona-ke i-pericarditis ebukhali ingaphathwa ngokushesha ngokwanele.[3]… Ifomu elibukhali, nalo, lihlukaniswe ngezinhlobo eziningana. Ake sixoxe ngamunye wabo kafushane. I-pericarditis eyomile (kulokhu, uketshezi lukhona ngamanani amancane, lolu hlobo lukhula njengomphumela wokugcwala okwengeziwe kwegazi le-serous membrane yenhliziyo ngokujuluka okuqhubekayo kwe-fibrin emgodini we-pericardial). Ukukhishwa kwe-Pericardial noma i-effusion - lolu olunye uhlobo lokoma. Kulesi simo, kukhishwa i-exudate ewuketshezi noma eyi-semi-liquid exudate emgodini ophakathi kwezingqimba ze-pericardial. Uketshezi lwe-effusion lungaba nohlamvu oluhlukile. Isibonelo, ukuba i-serous-fibrous (ingxube yezinto eziwuketshezi nezeplastiki, ivela ngamanani amancane futhi ingancibilika ngokushesha ngokwanele), ukopha (i-exudate enegazi) noma ubovu.
  2. 2 I-pericarditis ephindaphindiwe - icala lapho kuvela izimpawu zesifo esibucayi se-pericarditis esinemvamisa ethile esigulini.
  3. 3 I-pericarditis engapheli - isimo esiyinkimbinkimbi sesifo, lapho izimpawu zihlala isikhathi eside kunezinyanga ezintathu. Iphinde igeze nge-effusion noma nge-exudative form. Kwesinye isikhathi kunamathela noma kunamathela (lapho, ngemuva kokushintshwa kwenqubo yokuvuvukala kusuka esigabeni se-exudative kuya esigabeni esikhiqizayo, izicubu ezibomvu ziqala ukwakheka ku-pericardium, amashidi ayo anamathela ndawonye noma ngezicubu ezingomakhelwane - i-sternum, pleura , uvalo)[3].

Izinkinga ze-pericarditis

  • I-pericarditis ecindezelayo Ingabe uhlobo olunzima lwe-pericarditis engapheli. Kulokhu, amafomu wesibazi amabi azungeze inhliziyo, okubandakanya ukwehla kosayizi we-pericardium. Icindezela inhliziyo, iyivimbele ukuthi ikhule ngokwejwayelekile, futhi ivimbela ama-ventricles ukuthi angagcwalisi kahle ngesikhathi se-diastole. Ngenxa yalokhu, amakamelo enhliziyo awagcwaliswa ngegazi. Lokhu kungadala izimpawu zokwehluleka kwenhliziyo, kufaka phakathi ukuphefumula, ukuvuvukala kwemilenze, ukugcinwa kwamanzi, kanye nesigqi senhliziyo esingajwayelekile. Ngokwelashwa okufanele, lezi zimpawu ezimbi zingaqedwa.[2].
  • Lapho uketshezi oluningi lwakha esikhaleni esiphakathi kwezendlalelo ze-pericardium, kuholela esimweni esaziwa njenge ukufakwa kwe-pericardial… Ukwakheka okunamandla koketshezi ku-pericardium kubanga i-tamponade yenhliziyo (ukucindezelwa okusindayo kwenhliziyo okuyivimbela ukuthi isebenze kahle). I-tamponade yenhliziyo ebangelwa yi-pericardial effusion ingaba yingozi empilweni futhi iyisimo esiphuthumayo sezokwelapha esidinga ukususwa kuketshezi ngokuhlatshwa nge-pericardial[2].

I-Pericarditis prophylaxis

Njengomthetho, umuntu akakwazi ukuthatha noma yiziphi izinyathelo ukuvimbela ukuthuthukiswa kwe-pericarditis enamandla. Kepha singazithonya izifo ezingaholela enkingeni enjalo. Kubalulekile kwizimpawu zokuqala zesifo segciwane, esithathelwanayo, isikhunta, isifo sokuzivikela komzimba ukubonisana nodokotela ukuze abe nesikhathi sokubeka ukwelashwa ngesikhathi esifanele. Awudingi ukuqala lesi sifo uma uthola izimpawu ezethusayo, futhi ngaleyo ndlela uvuse ukuvela kwezinkinga ezintsha nezinzima kakhulu. Kubalulekile futhi ukuthi uvivinywe njalo ukuvikela impilo yakho.[5].

Ukwelashwa kwe-Pericarditis emithini ejwayelekile

Isizathu esivame kakhulu se-pericarditis ukutheleleka ngegciwane. Ngakho-ke, ukwelashwa kwezidakamizwa kuhlose ukunciphisa ukuvuvukala nokulawula ubuhlungu. Ngale njongo, imishanguzo elwa nokuvuvukala (engeyona i-steroidal) ivame ukusetshenziswa. Inkambo emfushane yokuqeda izinhlungu ingabekwa.

Kwezinye izinhlobo ze-pericarditis, kunqunywa ukwelashwa okusiza ukuqeda imbangela ebangele ukukhula kwayo.

Nge-tamponade yenhliziyo eshiwo ngenhla, odokotela bayanquma phusokuhle - inqubo lapho kufakwa khona inaliti ezacile odongeni lwesifuba esikhwameni se-pericardial ukususa uketshezi oluningi.

Nge-puric pericarditis, inqubo ingabekwa i-pericardotomy (ukuvulwa kwesikhala se-pericardial). Futhi ekwelapheni i-pericarditis engapheli futhi exinene engapheli, kwesinye isikhathi kungaqokwa umsebenzi obizwa nge-pericardectomy… Kubandakanya ukukhishwa ngokuphelele kwe-pericardium. [4].

Ukudla okuwusizo kwe-pericarditis

Ku-pericarditis ebukhali, kubalulekile ukunamathela ekudleni okulungile, okuzosiza ukunciphisa umthwalo osenhliziyweni, ukuthuthukisa ukujikeleza kwegazi, isimo esijwayelekile sohlelo lwe-cardiovascular, kanye nokuletha zonke izakhamzimba namavithamini adingekayo emzimbeni.

Kuvunyelwe ukudla:

  • Imikhiqizo yenyama: inyama yenkomo, ingulube, i-veal, unogwaja, i-turkey. Kuyinto efiselekayo ukuthi imikhiqizo ibilisiwe. Kuvunyelwe futhi ukuwadla abhakiwe.
  • Imifino efana neparsley, isipinashi, ulethisi. Zicebile ngamavithamini. Imifino eluhlaza noma ebilisiwe iwusizo. Kodwa kunconywa ukunciphisa ukudla kwamazambane, iklabishi elimhlophe kanye nophizi.
  • Isobho - Kunconywa ukuthi udle kaningi ukwahluka kwemifino kwesobho. Isibonelo, imifino noma ubisi, i-beetroot. Ungafaka futhi inyama noma umhluzi wezinhlanzi ekudleni, kepha kungcono ukukwenza lokhu njalo.
  • I-decoction ye-rosehip. Iqukethe inani elikhulu kakhulu likavithamini C. Ayisebenzisi kuphela amasosha omzimba, kepha futhi ithuthukisa ithoni yezindonga zenhliziyo, imithambo yegazi, futhi ivimbela ukwakheka kwamahlule egazi.
  • Ithanga, izaqathe neminye imikhiqizo yemifino enombala osawolintshi. Ziwusizo ku-pericarditis ngoba ziqukethe i-vitamin A. Ngokulandelayo, kusiza ukuthuthukisa isimo semisipha yenhliziyo futhi ibambe iqhaza ekujwayelekile kwamazinga e-cholesterol emzimbeni.
  • Iphalishi, okusanhlamvu, izinhlobonhlobo zama-puddings asekelwe okusanhlamvu, amaqanda, imikhiqizo yobisi. Aqukethe uvithamini B. Ivimbela ukuhlaselwa yisifo senhliziyo, ukuhlaselwa yinhliziyo, futhi ngokuvamile iyinhle kakhulu inhliziyo.

Imithi yendabuko ye-pericarditis

  • Ikhambi eliphumelelayo yi-decoction elungiselelwe ngesisekelo sezinaliti zikaphayini. Udinga ukuthatha izipuni eziyi-5 zezinaliti ezincane (uphayini, umjunipha, isi-spruce). Thela ngezingilazi ezimbili zamanzi abilayo bese upheka emlilweni omncane kakhulu. Lapho uketshezi lufika emathunjini, ubilise eminye imizuzu eyi-10, bese ulukhipha amahora ayisishiyagalombili endaweni efudumele, uhlunge futhi uphuze ama-8 ngosuku, i-4 ml.
  • I-Tincture isekelwe kumacici e-birch. Ukuze uyilungiselele, udinga ukuthatha amacici e-stirate (amakhulu) e-birch, ugcwalise imbiza yelitha ngawo cishe ngo-2/3. Bese uwathela nge-vodka bese ushiya amasonto ama-2. Ngaphezu kwalokho, awudingi ukuhlunga i-tincture. Kunconywa ukuyithatha ngamaconsi angama-20 (ngaphansi kwe-1 tsp) isigamu sehora ngaphambi kokudla kathathu ngosuku. Kuyasiza ukudambisa ubuhlungu enhliziyweni, kuqede ukuphefumula okuncane futhi kuvuselele.
  • Ungalungisa futhi i-decoction ngokuya nge-motherwort, izimbali ze-hawthorn, i-marsh dryweed (la makhambi adinga ukuthathwa ngezingxenye ezi-3). Bese ufaka ezinye zezimbali ze-chamomile ekhemisi kubo. 1 tbsp uthele le ngxube ngengilazi yamanzi abilayo, mayiyeke ibile amahora ayisishiyagalombili, hlunga futhi uphuze u-8 ml kathathu ngosuku ngehora elilodwa ngemuva kokudla.
  • Ezingxenyeni ezilinganayo, udinga ukuxuba izimbali ze-hawthorn, i-linden, i-calendula, imbewu ye-dill kanye ne-oat straw. Leli qoqo kumele lichotshozwe libe yimpuphu, bese uthatha amagremu ama-5 alo bese uthela ingilazi yamanzi abilayo. Phikelela ku-thermos amahora amathathu ukuze amanzi aphole kancane. Bese uyihluza uyithathe ifudumele izikhathi eziyi-3-3 ngosuku, ama-4 ml isigamu sehora ngaphambi kokudla.[6].
  • I-pericarditis ye-rheumatic, i-tincture yezimbali eziluhlaza okwesibhakabhaka isetshenziswa. Ukuze ulungiselele 1 tbsp. izimbali zidinga ukuthululwa nge-100 ml yotshwala obuyi-70-degree, futhi zigcizelelwe embizeni ngaphansi kwesembozo izinsuku eziyi-12. Kufanelekile ukuthatha lo muthi amaconsi angama-20 kathathu ngosuku isigamu sehora ngaphambi kokudla. Isikhathi senkambo yokwelashwa sinqunywa yisimo esijwayelekile sesiguli.
  • I-pericarditis eyomile iphathwa nge-rosehip nokumnika uju. Ukulungisa ikhambi lokuphulukisa, thela i-1 tsp. izithelo eziqoshiwe ezinezingilazi ezimbili zamanzi abilayo. Sebenzisa i-thermos ngale njongo. Masikhiqize amahora ayi-10, bese ufaka u-1 tbsp. uju bese uphuza letiye 125 ml kathathu ngosuku.
  • Ingxube yokwelapha esuselwa kulamula noju iyikhambi elihlwabusayo nelisebenzisekayo le-pericarditis. Udinga ukugaya ulamula kanye ne-peel, kodwa ngaphandle kwembewu. Bese wengeza izikhwebu ze-apricot eziyimpuphu, engeza i-pelargonium gruel encane kanye no-500 ml wezinyosi. Sebenzisa i-1 tsp ngaphambi kokudla ngakunye.

Ukudla okuyingozi nokulimazayo kwe-pericarditis

Kunenqwaba yemikhiqizo, ukusetshenziswa kwayo nge-pericarditis kufanele kukhawulwe ngokuqinile noma kukhishwe ngokuphelele ekudleni. Lokhu kubandakanya:

  • Usawoti - kunenani elichazwe ngokuqinile losuku olungadlulwa. Kungu-5 amagremu kasawoti ngosuku kukho konke ukudla okudliwayo. Ukugcina umkhondo waleli zinga, kungcono ukungawusawoti izitsha ngesikhathi sokupheka, kepha engeza lesi sinongo esitsheni esiphelile ngaphambi kokudla.
  • Uketshezi - yebo, ungaphuza amanzi, itiye, ama-juice, ama-decoctions. Kepha itiye kufanele libe buthakathaka, ikhofi nokhokho kufanele ukhishwe ngokuphelele. Isamba esiphelele soketshezi osiphuzayo akumele seqe amalitha ayi-1,5 ngosuku. Utshwala abuvunyelwe nakancane.
  • Ama-pickle, inyama ebhemayo - ukuwadla kungaholela ku-edema, kanye nokugcinwa koketshezi emzimbeni. Nge-pericarditis, lesi yisimo esingathandeki neze.
  • Ukudla okunamafutha, okuhlanganisa inyama, ama-broths, ubhekeni, inyama ekheniwe, isibindi, amasoseji. Bangakwazi ukuphakamisa izinga le-cholesterol egazini, elithinta ngokushesha umsebenzi wenhliziyo ngendlela embi.
  • Ama-legumes, iklabishi, noma imaphi amakhowe angukudla okubangela ukuqumba, futhi odokotela bancoma ngokuqinile ukuwenqaba.
  • Ushokoledi, amaswidi, imikhiqizo kafulawa, kanye nama-decoctions we-tonic kanye ne-herbal teas, enomphumela othakazelisayo ohlelweni lwezinzwa.
  • Kubalulekile ukugwema ukudla okuthosiwe, okubabayo. Indlela engcono yokushisa ukudla ukubilisa, ukupheka noma ukubhaka.

Phakathi nenkathi ye-pericarditis, kubalulekile ukuthi ungathwali uhlelo lokugaya ukudla, udle ukudla okunempilo, okugayeka kalula ezingxenyeni ezincane. Inani eliphelele lokudla ngosuku cishe izikhathi ezingama-5-6. Kubalulekile ukupheka ukudla kwakho, futhi ungathengi imikhiqizo esenziwe ngomumo noma usebenzise imikhiqizo eseqediwe. Ngakho ungakwazi ukulawula, okokuqala, ikhwalithi yemikhiqizo ethathwa njengesisekelo. Futhi okwesibili, gwema ukudla okunqatshelwe: okuqukethwe kwamafutha amaningi, usawoti.

Ukuphrinta kwezinto

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Imithetho yokuphepha

Abaphathi ababophezelekile kunoma imuphi umzamo wokusebenzisa noma iyiphi iresiphi, iseluleko noma ukudla, futhi futhi akuqinisekisi ukuthi imininingwane ebekiwe izokusiza noma ikulimaze wena uqobo. Hlakanipha futhi ngaso sonke isikhathi uthintane nodokotela ofanele!

Qaphela!

Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!

Ukudla okunomsoco kwezinye izifo:

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