I-pericarditis ecindezelayo

-Delile

• Izimpawu ze-pericarditis ecindezelayo
• Izimbangela ze-pericarditis ecindezelayo
• Ukuxilongwa kwe-pericarditis ecindezelayo
• Ukwelashwa kwe-pericarditis ecindezelayo

I-constrictive pericarditis yisifo esivela lapho izicubu ezinemicu, ezifana nesibazi, zikhula zizungeze inhliziyo, ezinganciphisa ubukhulu nokusebenza kwaso.
Ukubalwa kwamanani kungenzeka futhi kubangele ukwanda kwengcindezi emithanjeni ehambisa igazi liye enhliziyweni, kubangele ukuthi uketshezi lwehluleke ukungena enhliziyweni futhi ekugcineni luqongelele emaphethelweni omzimba, kudale ukuvuvukala esiswini nasezinyaweni.

Izimpawu ze-pericarditis ecindezelayo

Izimpawu ze-constrictive pericarditis zimi kanje:

• Ukuvuvukala kusatshalaliswa esikhumbeni noma ku-anasarca;
• Usayizi owandisiwe wemithambo yentamo;
• Ukuhamba kwesisu ngenxa yokuqunjelwa;
• Ukuvuvukala emilenzeni nasemaqakaleni;
• Kunzima ukuphefumula;
• Ukukhathala;
• Ukuntula ukudla nokuncipha;
• Kunzima ukugaya.

Izimbangela ze-pericarditis ecindezelayo

Izimbangela ze-constrictive pericarditis ngokuvamile azaziwa, kepha kungaba umphumela we:

• Izifo ezifana ne-rheumatoid arthritis noma i-systemic lupus erythematosus;
• Inxeba langaphambilini;
• Ukuhlinzwa kwenhliziyo;
• Ukutheleleka kwamagciwane;
• isifo sofuba (imbangela enkulu emazweni asathuthuka);
• imisebe yangaphakathi;
• izimila;
• ukuhlukumezeka;
• izidakamizwa.

Ukuxilongwa kwe-pericarditis ecindezelayo

Ukuxilongwa kwe-pericarditis ecindezelayo kwenziwa ngokusebenzisa:

• Ukuhlolwa ngokomzimba;
• I-X-ray yesifuba;
• I-Electrocardiogram;
• I-Echocardiogram;
• I-tomography ehlanganisiwe;
• Ukucabanga kwemagnetic resonance.

Ukuqinisekisa ukuxilongwa, kungenziwa futhi isifundo se-hemodynamic, okuwuhlobo lwe-catheterization yenhliziyo ukuze kuhlolwe izimo ezijwayelekile zenhliziyo.

Ukwelashwa kwe-pericarditis ecindezelayo

Ukwelashwa kwe-pericarditis ecindezelayo kufanele kwenziwe ngokuthatha amakhambi alandelayo:

• Imithi elwa nesifo sofuba: kufanele iqalwe ngaphambi kokuhlinzwa futhi inakekelwe unyaka owodwa;
• Imithi ethuthukisa ukusebenza kwenhliziyo;
• Izidakamizwa: kusiza ukunciphisa uketshezi oluningi;
• ama-anti-inflammatories ne-colchicine angasiza;
• Ukuhlinzwa ukususa i-pericardium: ikakhulukazi ezimweni ezihlobene nezinye izifo zenhliziyo ezinjengokwehluleka kwenhliziyo -> ukwelashwa okucacile ezimweni ezingamahlalakhona.

Kubalulekile ukuthi wazi ukuthi ukuhlinzwa akufanele kuhlehliswe, njengoba iziguli ezinokulinganiselwa okukhulu ekusebenzeni kwenhliziyo zingaba sengozini enkulu yokufa kanti inzuzo yokuhlinzwa incane.