I-Pericarditis - iyancipha

IConstrictive pericarditis yinqubo lapho ukumbozwa kwenhliziyo okufana nesaka (i-pericardium) kuyaqina futhi kunezibazi.

Izimo ezihlobene zifaka:

• I-pericarditis yebhaktheriya
• I-Pericarditis
• I-Pericarditis ngemuva kokuhlaselwa yinhliziyo

Esikhathini esiningi, i-pericarditis ecindezelayo yenzeka ngenxa yezinto ezidala ukuvuvukala okuzungeze inhliziyo, njenge:

• Ukuhlinzwa kwenhliziyo
• Ukwelashwa ngemisebe esifubeni
• Isifo sofuba

Izimbangela ezingavamile kakhulu zifaka:

• Ukwakheka okungamanzi okungavamile ekusibekeleni kwenhliziyo. Lokhu kungenzeka ngenxa yokutheleleka noma njengenkinga yokuhlinzwa.
• I-Mesothelioma

Isimo singaphinde sikhule ngaphandle kwesizathu esicacile.

Kuyaqabukela ezinganeni.

Uma une-pericarditis ebophelelayo, ukuvuvukala kubangela ukumbozwa kwenhliziyo kube kukhulu futhi kube lukhuni. Lokhu kwenza kube nzima enhliziyweni ukuthi yelule kahle uma ishaya. Ngenxa yalokho, amakamelo enhliziyo awagcwalisi igazi elanele. Igazi libuyela emuva enhliziyweni, lidale ukuvuvukala kwenhliziyo nezinye izimpawu zokwehluleka kwenhliziyo.

Izimpawu ze-pericarditis engapheli zifaka:

• Ubunzima bokuphefumula (i-dyspnea) obukhula kancane buye bube bubi kakhulu
• Ukukhathala
• Ukuvuvukala kwesikhathi eside (i-edema) yemilenze namaqakala
• Isisu esivuvukile
• Ubuthakathaka

I-consticive pericarditis kunzima kakhulu ukuyithola. Izimpawu nezimpawu ziyefana nezinye izimo ezifana ne-cardiomyopathy evimbelayo kanye ne-tamponade yenhliziyo. Umhlinzeki wakho wokunakekelwa kwezempilo uzodinga ukulawula lezi zimo lapho enza ukuxilongwa.

Ukuhlolwa komzimba kungakhombisa ukuthi imithambo yakho yentamo iyanamathela. Lokhu kukhombisa ingcindezi eyengeziwe enhliziyweni. Umhlinzeki angabona imisindo yenhliziyo ebuthakathaka noma ekude lapho elalela isifuba sakho nge-stethoscope. Umsindo ongqongqozayo nawo ungazwakala.

Ukuhlolwa komzimba kungaveza nokuvuvukala kwesibindi noketshezi esiswini.

Lezi zivivinyo ezilandelayo zinga-odwa:

• I-MRI yesifuba
• Isikena se-CT esifubeni
• I-x-ray yesifuba
• I-Coronary angiography noma i-catheterization yenhliziyo
• ECG
• I-Echocardiogram

Umgomo wokwelashwa ukuthuthukisa ukusebenza kwenhliziyo. Imbangela kumele ikhonjwe futhi yelashwe. Ngokuya ngomthombo wenkinga, ukwelashwa kungafaka ama-anti-inflammatory agents, ama-antibiotic, imithi yesifo sofuba, noma ezinye izindlela zokwelapha.

Ama-diuretics ("amaphilisi amanzi") asetshenziswa kakhulu ngemithamo emincane ukusiza umzimba ukuthi ususe uketshezi oluningi. Imithi yezinhlungu ingadingeka ukuze ungakhululeki.

Abanye abantu bangadinga ukunciphisa umsebenzi wabo. Kunganconywa nokudla okune-sodium eningi.

Uma ezinye izindlela zingayilawuli inkinga, kungadingeka ukuhlinzwa okubizwa nge-pericardiectomy. Lokhu kufaka ukusika noma ukususa isibazi nengxenye yesembozo senhliziyo esifana nesaka.

Ukucinana kwe-pericarditis kungasongela impilo uma kungalashwa.

Kodwa-ke, ukuhlinzwa ukwelapha lesi simo kunengozi enkulu yezinkinga. Ngalesi sizathu, kuvame ukwenziwa kubantu abanezimpawu ezinzima.

Izinkinga zingafaka:

• Ukwehluleka kwenhliziyo
• I-edema yamaphaphu
• Ukungasebenzi kwesibindi nezinso
• Ukugqashuka kwemisipha yenhliziyo

Shayela umhlinzeki wakho uma unezimpawu ze-constrictive pericarditis.

Kwezinye izimo, i-constrictive pericarditis ayivikeleki.

Kodwa-ke, izimo ezingaholela ekucinaneni kwe-pericarditis kufanele ziphathwe kahle.

I-pericarditis ecindezelayo

• I-Pericardium
• I-pericarditis ecindezelayo

Hoit BD, Oh JK. Izifo ze-Pericardial. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 68.

Ama-Jouriles NJ. Isifo se-Pericardial ne-myocardial. Ezindongeni RM, Hockberger RS, Gausche-Hill M, eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 72.

I-Lewinter MM, Imazio M. Izifo zepericardial. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Izifo Zenhliziyo zeBraunwald: Incwadi Yemithi Yezinhliziyo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 83.