Kuyini ukukhishwa kwe-pericardial, izimpawu, izimbangela eziyinhloko nokwelashwa

-Delile

• Izimpawu ze-pericardial effusion
• Izimbangela eziyinhloko
• Ukwelashwa kufanele kube kanjani

Ukuchithwa kwe-Pericardial kufana nokuqongelelwa kwegazi noma oketshezi kulwelwesi oluzungeze inhliziyo, i-pericardium, okuholela ekuthambekeni kwenhliziyo, okuthikameza ngqo ukugeleza kwegazi kuya ezithweni nasezicubu, ngakho-ke, kubhekwa njengokubi futhi kufanele kubhekwane nayo ngokushesha okukhulu.

Lesi simo, ezimweni eziningi, siwumphumela wokuvuvukala kwe-pericardium, eyaziwa njenge-pericarditis, engabangelwa ukutheleleka kwamagciwane noma kwegciwane, izifo ezizimele, ukushintsha kwenhliziyo. Kubalulekile ukuthi imbangela ye-pericarditis futhi, ngenxa yalokho, ye-pericardial effusion ikhonjwe ukuze kuqale ukwelashwa.

Ukuchithwa kwe-Pericardial kuyelapheka lapho kutholakala ukuxilongwa ngokushesha nje lapho kuvela izimpawu bese kwelashwa ngokushesha ngemuva kwalokho, ngokusho kwemihlahlandlela kadokotela wenhliziyo, okwenza ukuthi kugwenywe izinkinga ezibulalayo enhliziyweni.

Izimpawu ze-pericardial effusion

Izimpawu ze-pericardial effusion ziyahluka ngokwejubane lokuqongelela uketshezi kanye nenani eliqoqwe esikhaleni se-pericardial, okuthonya ngqo ubucayi besifo. Izimpawu zesifo sohlangothi zihlobene noshintsho ekunikezelweni kwegazi ne-oxygen emzimbeni, okungaholela ku:

• Kunzima ukuphefumula;
• Ukuqina kokukhathala lapho ulele;
• Ubuhlungu besifuba, imvamisa ngemuva kwe-sternum noma ohlangothini lwesobunxele sesifuba;
• Khwehlela;
• Umkhuhlane ophansi;
• Ukunyuka kwenhliziyo.

Ukuxilongwa kwe-pericardial effusion kwenziwa yi-cardiologist ngokususelwa ekuhlolweni kwezimpawu nezimpawu ezethulwe ngumuntu, ukuhlaziywa komlando wezempilo, kanye nokuhlolwa okufana ne-auscultation yenhliziyo, i-x-ray yesifuba, i-electrocardiogram kanye ne-echocardiogram.

Izimbangela eziyinhloko

I-Pericardial effusion imvamisa ingumphumela wokuvuvukala kwe-pericardium, eyaziwa njenge-pericarditis, futhi lokhu kungenzeka ngenxa yokutheleleka ngamagciwane, amagciwane noma isikhunta, izifo ezizimele njenge-rheumatoid arthritis noma i-lupus, i-hypothyroidism, ukusetshenziswa kwemithi yokulawula umfutho wegazi ophakeme, noma ngenxa yokuqongelelwa kwe-urea egazini ngenxa yokwehluleka kwezinso.

Ngaphezu kwalokho, i-pericarditis ingenzeka ngenxa yomdlavuza wenhliziyo, imethastasis yamaphaphu, umdlavuza webele noma we-leukemia, noma ngenxa yokulimala noma ukuhlukumezeka enhliziyweni. Ngakho-ke, lezi zimo zingadala ukuvuvukala kwezicubu ezihambisa inhliziyo futhi zivune ukuqoqwa koketshezi kulesi sifunda, okudala ukwanda kwe-pericardial. Funda kabanzi mayelana ne-pericarditis.

Ukwelashwa kufanele kube kanjani

Ukwelashwa kwe-pericarditis kuboniswa ngudokotela wenhliziyo ngokusho kwesifo sohlangothi, inani loketshezi oluqoqiwe nomphumela ongaletha ekusebenzeni kwenhliziyo.

Ngakho-ke, esimweni se-pericardial effusion emnene, lapho kunengozi encane yokusebenza komzimba okhubazekile, ukwelashwa kubandakanya ukusetshenziswa kwezidakamizwa ezinjenge-aspirin, izidakamizwa ezingezona ukuvuvukala ezifana ne-ibuprofen noma i-corticosteroids efana ne-prednisolone, ukunciphisa ukuvuvukala kanye nezimpawu zesifo.

Kodwa-ke, uma kunengozi yezinkinga zenhliziyo, kungadingeka ukukhipha lolu ketshezi ngokusebenzisa:

• UPericardiocentesis: inqubo equkethe ukufaka inaliti kanye ne-catheter esikhaleni se-pericardial ukukhipha uketshezi oluqoqiwe;
• Ukuhlinzwa: kusetshenziselwa ukukhipha izilonda eziwuketshezi nokulungisa ku-pericardium edala unhlangothi;
• I-Pericardiectomy: siqukethe ukususwa, ngokuhlinzwa, kwengxenye noma yonke i-pericardium, esetshenziswa kakhulu ekwelapheni ukuphindaphindeka kwe-pericardial effusions.

Ngakho-ke, kubalulekile ukuthi ukuxilongwa nokwelashwa kwenziwe kufushane ngangokunokwenzeka ukugwema ukuvela kwezinkinga.