Kuyini iConstrictive Pericarditis?

-Delile

• Ziyini izimpawu ze-constrictive pericarditis?
• Ziyini izimbangela ze-constrictive pericarditis?
• Yiziphi izimbangela zobungozi be-pericarditis ecindezelayo?
• I-Pericarditis
• Ukuphazamiseka okuzenzakalelayo
• Ukuhlukumezeka noma ukulimala enhliziyweni
• Imithi
• Ubulili nobudala
• Itholakala kanjani i-pericarditis ecindezelayo?
• Ukuhlola ukuhlolwa
• I-catheterization yenhliziyo
• I-Electrocardiogram
• I-Echocardiogram
• Yiziphi izinketho zokwelashwa?
• Uyini umbono wesikhathi eside?

Yini i-pericarditis ecindezelayo?

IConstrictive pericarditis isikhathi eside, noma esingapheli, ukuvuvukala kwe-pericardium. I-pericardium ulwelwesi olufana nesaka oluzungeze inhliziyo. Ukuvuvukala kule ngxenye yenhliziyo kubangela ukuqina, ukuqina, nokuqina kwemisipha, noma isivumelwano. Ngokuhamba kwesikhathi, i-pericardium ilahlekelwa ukuqina kwayo futhi ibe lukhuni.

Lesi simo asivamile kubantu abadala, futhi sande kakhulu ezinganeni.

Kungaba yinkinga enkulu yezempilo. Uma ishiywe ingalashwa, i-pericardium eqinile ingaholela ezimpawu zokuhluleka kwenhliziyo, futhi ingahle isongele nokuphila. Kunezindlela zokwelashwa eziphumelelayo zalesi simo.

Ziyini izimpawu ze-constrictive pericarditis?

Izimpawu ze-constrictive pericarditis zifaka:

• ubunzima bokuphefumula obukhula kancane bese buba bubi kakhulu
• ukukhathala
• isisu esivuvukile
• ukuvuvukala okungapheli, okunzima emilenzeni nasemaqakaleni
• ubuthakathaka
• umkhuhlane osezingeni eliphansi
• ubuhlungu besifuba

Ziyini izimbangela ze-constrictive pericarditis?

Lapho ukumbozwa kwenhliziyo yakho kuvutha okungapheli, kuba lukhuni. Ngenxa yalokho, inhliziyo yakho ayikwazi ukwelula kakhulu njengoba kufanele lapho ishaya. Lokhu kungavimbela amakamelo enhliziyo yakho ukuthi angagcwalisi inani elifanele legazi, okuholele ezimpawu zokuhluleka kwenhliziyo.

Isizathu se-constrictive pericarditis asaziwa njalo. Noma kunjalo, izimbangela ezingenzeka zingafaka:

• ukuhlinzwa kwenhliziyo
• ukwelashwa ngemisebe esifubeni
• isifo sofuba

Ezinye zezimbangela ezingandile kakhulu yilezi:

• ukutheleleka ngegciwane
• ukutheleleka kwamagciwane
• mesothelioma, okuwuhlobo lomdlavuza olungavamile olubangelwa ukuvezwa kwe-asbestos

Kwezinye izimo, udokotela wakho kungenzeka angakwazi ukuthola imbangela yokuvuvukala. Kunezinketho eziningi zokwelashwa noma ngabe imbangela yalesi simo ayikaze inqunywe.

Yiziphi izimbangela zobungozi be-pericarditis ecindezelayo?

Izici ezilandelayo zandisa ubungozi bokuthuthukisa lesi simo:

I-Pericarditis

I-pericarditis engalashwa ingaba yisifo esingelapheki.

Ukuphazamiseka okuzenzakalelayo

I-systemic lupus, i-rheumatoid arthritis, nezinye izifo ezizimele zikhonjisiwe ukukhulisa ubungozi bakho be-pericarditis eqinile

Ukuhlukumezeka noma ukulimala enhliziyweni

Ukuhlaselwa yisifo senhliziyo noma ukuhlinzwa kwenhliziyo kungakhulisa ubungozi bakho.

Imithi

I-Pericarditis ingumphumela oseceleni wemithi ethile.

Ubulili nobudala

I-Pericarditis ivame kakhulu emadodeni phakathi kwe.

Itholakala kanjani i-pericarditis ecindezelayo?

Lesi simo kunzima ukusithola. Kungadideka nezinye izimo zenhliziyo ezinjenge:

• i-cardiomyopathy evimbelayo, eyenzeka lapho amakamelo enhliziyo engakwazi ukugcwalisa igazi ngenxa yokuqina kwenhliziyo
• i-tamponade yenhliziyo, eyenzeka lapho uketshezi oluphakathi kwemisipha yenhliziyo ne-pericardium lucindezela inhliziyo

Ukuxilongwa kwe-pericarditis ecindezelayo kuvame ukwenziwa ngokukhipha lezi zimo.

Udokotela wakho uzokubuza ngezimpawu zakho bese enza ukuhlolwa komzimba. Izimpawu ezilandelayo zivamile:

• imithambo yentamo ephuma ngaphandle ngenxa yokwanda komfutho wegazi, obizwa ngokuthi uphawu lukaKussmaul
• imisindo yenhliziyo ebuthakathaka noma ekude
• ukuvuvukala kwesibindi
• uketshezi endaweni yesisu

Udokotela wakho angalawula isivivinyo esisodwa noma eziningi ezilandelayo:

Ukuhlola ukuhlolwa

I-Chest MRIs, i-CT scan, nama-X-ray akhiqiza izithombe eziningiliziwe zenhliziyo ne-pericardium. I-CT scan neMRI kungathola ukuqina ku-pericardium nasezingxenyeni zegazi.

I-catheterization yenhliziyo

Ku-catheterization yenhliziyo, udokotela wakho ufaka ithubhu elincanyana enhliziyweni yakho ngokusebenzisa imbila noma ingalo yakho. Ngalesi tube, bangaqoqa amasampula egazi, basuse izicubu ze-biopsy, futhi bathathe izilinganiso ngaphakathi kwenhliziyo yakho.

I-Electrocardiogram

I-electrocardiogram ilinganisa imizwa kagesi yenhliziyo yakho. Ukungahambi kahle kungahle kusikisele ukuthi une-pericarditis ebophelelayo noma esinye isimo senhliziyo.

I-Echocardiogram

I-echocardiogram yenza isithombe senhliziyo yakho isebenzisa amaza omsindo. Iyakwazi ukubona uketshezi noma ukuqina ku-pericardium.

Yiziphi izinketho zokwelashwa?

Ukwelashwa kugxile ekwenzeni ngcono umsebenzi wenhliziyo yakho.

Ezigabeni zokuqala ze-pericarditis, okulandelayo kunganconywa:

• ukuthatha amaphilisi amanzi ukususa uketshezi oluningi, olubizwa ngokuthi isisu
• ukuthatha imithi yezinhlungu (analgesics) ukulawula izinhlungu
• ukunciphisa izinga lomsebenzi wakho
• ukunciphisa inani likasawoti ekudleni kwakho
• ukuthatha ama-anti-inflammatories, njenge-ibuprofen (Advil)
• ukuthatha i-colchicine (ama-Colcrys)
• ukuthatha ama-corticosteroids

Uma kusobala ukuthi une-pericarditis eqinile futhi izimpawu zakho seziba nzima, udokotela wakho angase asikisele i-pericardiectomy. Kulokhu kuhlinzwa, izingxenye zesaka elibomvu zisikiwe zisuselwa enhliziyweni. Lokhu ukuhlinza okuyinkimbinkimbi okunobungozi obuthile, kepha imvamisa kuyindlela engcono kakhulu.

Uyini umbono wesikhathi eside?

Uma ishiywe ingalashwa, lesi simo singasongela impilo, mhlawumbe siholele ekwakhiweni kwezimpawu zokwehluleka kwenhliziyo. Kodwa-ke, abantu abaningi abane-constrictive pericarditis bangahola impilo enempilo uma bethola ukwelashwa ngesimo sabo.