I-Pericarditis: Ungayibona kanjani futhi uyiphathe kanjani inhlobo ngayinye

-Delile

• Izimpawu ze-pericarditis
• Ukwelashwa kwe-pericarditis
• Izinkinga ezingenzeka

I-Pericarditis ukuvuvukala kolwelwesi olumboza inhliziyo, olwaziwa nangokuthi i-pericardium, oludala ubuhlungu obukhulu kakhulu esifubeni, ngokufana nokuhlaselwa yinhliziyo. Ngokuvamile, izimbangela ze-pericarditis zifaka izifo, njenge-pneumonia kanye nesifo sofuba, izifo ze-rheumatological, njenge-lupus ne-rheumatoid arthritis, noma i-radiation therapy esifubeni.

Lapho i-pericarditis ivela ngokungazelelwe, yaziwa njenge-acute pericarditis futhi, imvamisa, ukwelashwa kwayo kuyashesha, lapho isiguli silulama cishe emavikini amabili. Kodwa-ke, kunamacala lapho i-pericarditis ikhula ngaphezu kwezinyanga ezimbalwa, ngokwelashwa okude.

Funda ngezinye izinhlobo ze-pericarditis: I-pericarditis engapheli ne-Constrictive pericarditis.

THE i-pericarditis ebukhali iyelapheka futhi, ezimweni eziningi, ukwelashwa kwayo kwenziwa ekhaya ngokuphumula nokusetshenziswa kwama-analgesics nemithi elwa nokuvuvukala ebekwe ngudokotela wenhliziyo, noma kunjalo, ezimweni ezinzima kakhulu kungadingeka ukwamukela isiguli esibhedlela.

Izimpawu ze-pericarditis

Uphawu oluyinhloko lwe-pericarditis ubuhlungu obukhulu besifuba obuba bucayi lapho ukhwehlela, ulele noma uphefumulela phezulu. Noma kunjalo, ezinye izimpawu zifaka:

• Ubuhlungu besifuba obuphuma ohlangothini lwesobunxele entanyeni noma ehlombe;
• Kunzima ukuphefumula;
• Ukuzwa ukushaya kwenhliziyo;
• Imfiva ephakathi kuka-37º no-38º C;
• Ukukhathala ngokweqile;
• Ukukhwehlela okuqhubekayo;
• Ukuvuvukala kwesisu noma kwemilenze.

Lapho isiguli sinezimpawu ze-pericarditis, kufanele sishayele usizo lwezokwelapha, sishayele ku-192, noma siye egumbini labezimo eziphuthumayo ngokushesha ukuze senze izivivinyo, njenge-electrocardiogram noma i-echocardiogram, kanye nokuphuthelwa yisifo senhliziyo, ngokwesibonelo. Ngemuva kwalokho, udokotela wenhliziyo anga-oda ezinye izivivinyo, njengokuhlolwa kwegazi noma i-X-ray yesifuba ukuqinisekisa ukutholakala kwe-pericarditis bese eqala ukwelashwa okufanele.

Ukwelashwa kwe-pericarditis

Ukwelashwa kwe-pericarditis kufanele kuqondiswe ngudokotela wenhliziyo, kepha imvamisa kwenziwa kuphela ngokusetshenziswa kwezidakamizwa ze-analgesic kanye ne-anti-inflammatory, njenge-Aspirin, Ibuprofen noma iColchicine, esiza ukunciphisa ukuvuvukala nobuhlungu, kuze kube yilapho umzimba wesiguli ususa igciwane lokho kubangela i-pericarditis. Endabeni ye-bacterial pericarditis, udokotela angaphinde anikeze ukusetshenziswa kwama-antibiotic afana ne-Amoxicillin noma i-Ciprofloxacin, ngokwesibonelo.

Ezimweni ezinzima kakhulu ze-pericarditis, isiguli kufanele singeniswe esibhedlela siyokwenza umuthi emthanjeni noma ekuhlinzeni, kuya ngezimpawu nobunzima.

Izinkinga ezingenzeka

Izinkinga ze-pericarditis zivame kakhulu esimweni se-pericarditis engapheli noma lapho ukwelashwa kungenziwa kahle, okungafaka:

• I-pericarditis ecindezelayo: kubangela ukwakheka kwezibazi ezenza izicubu zenhliziyo ziqine, kube nzima ukusebenza futhi kubangele izimpawu ezifana nokuvuvukala emzimbeni nokuphefumula kanzima;
• I-tamponade yenhliziyo: ukuqoqwa koketshezi ngaphakathi kolwelwesi enhliziyweni, kunciphisa ivolumu yegazi elimpompelwe igazi.

Izinkinga ze-pericarditis zingabeka impilo yesiguli engcupheni, ngakho-ke, kuhlale kudingekile ukuthi isiguli singeniswe esibhedlela.