Ukwelashwa kwezifo ezibucayi, ezingapheli nezinye izinhlobo ze-pericarditis
-Delile
- 1. I-pericarditis enamandla ebangelwa amagciwane noma ngaphandle kwesizathu esaziwayo
- 2. I-Pericarditis ebangelwa amagciwane
- 3. I-pericarditis engapheli
- 4. I-Pericarditis eseceleni kwezinye izifo
- 5. I-Pericarditis nge-stroke
- 6. I-pericarditis ehlangene
I-Pericarditis ifana nokuvuvukala kolwelwesi olugxilisa inhliziyo, i-pericardium, okuholela ebuhlungu obukhulu besifuba, ikakhulukazi. Lokhu kuvuvukala kungaba nezimbangela eziningana, okuvame kakhulu ukubangelwa ukutheleleka.
Ngenxa yezimbangela nezinhlobo ezahlukahlukene ze-pericarditis, ukwelashwa kufanele kwenziwe ngokuya ngendaba ngayinye, ngokujwayelekile kwenziwa ekhaya ngokuphumula nokusetshenziswa kwamaphilisi ezinhlungu akhonjiswa ngudokotela. Qonda ukuthi yini i-pericarditis nokuthi ungayibona kanjani.
Ukwelashwa kwe-pericarditis kuncike embangela yayo, inkambo yesifo kanye nezinkinga ezingavela. Ngakho-ke, ukwelashwa okungasungulwa yi-cardiologist kuvame uku:
1. I-pericarditis enamandla ebangelwa amagciwane noma ngaphandle kwesizathu esaziwayo
Lolu hlobo lwe-pericarditis lubonakala ngokuvuvukala kwe-pericardium, okuyisicubu esizungeze inhliziyo, ngenxa yokutheleleka ngegciwane noma esinye isimo ebesingaziwa.
Ngakho-ke, ukwelashwa okusungulwe udokotela wenhliziyo kuhlose ukunciphisa izimpawu, kuyanconywa:
- Ama-painkillers, akhonjiswa ukukhulula abasemzimbeni;
- Ama-antipyretics, ahlose ukunciphisa umkhuhlane;
- Imithi engeyona i-steroidal elwa nokuvuvukala, okufanele ithathwe ngokuyalelwa ngudokotela, ngemithamo ephezulu evame ukukhonjiswa amasonto amabili;
- Amakhambi okuvikela isisu, uma kwenzeka isiguli sinezinhlungu esiswini noma izilonda;
- IColchicine, okufanele ingezwe emithini engeyona eye-steroidal elwa nokuvuvukala futhi igcinwe unyaka ukuvimbela ukuphindeka kwezifo. Funda kabanzi mayelana ne-colchicine.
Ngaphezu kwalokho, kubaluleke kakhulu ukuthi isiguli sihlale siphumule kuze kuphele izimpawu bese ukuvuvukala kulawulwa noma kuxazululwe.
2. I-Pericarditis ebangelwa amagciwane
Kulokhu, ukuvuvukala kwezicubu ezizungeze inhliziyo kubangelwa amagciwane, ngakho-ke, ukwelashwa kwenziwa ikakhulukazi ngokusetshenziswa kwama-antibiotic ukuze kuqedwe amabhaktheriya.
Ngaphezu kokusetshenziswa kwama-antibiotic, udokotela wenhliziyo angancoma ukusetshenziswa kwezidakamizwa ezingezona ukuvuvukala futhi ezingekho ukuvuvukala futhi, ezimweni ezinzima kakhulu, ukulaliswa esibhedlela, ukukhishwa kwe-pericardium noma ukukhishwa kokuhlinzwa.
3. I-pericarditis engapheli
I-pericarditis engapheli ibangelwa ukuvuvukala okuhamba kancane nokuhamba kancane kwe-pericardium, futhi izimpawu kaningi aziqashelwa.Funda kabanzi mayelana ne-pericarditis engapheli.
Ukwelashwa kwalolu hlobo lwe-pericarditis kuvame ukwenziwa ngenhloso yokuqeda izimpawu, njengokusebenzisa imishanguzo ekhishwa isisu esiza ukuqeda uketshezi oluningi. Ngaphezu kwalokho, ngokuya ngesizathu kanye nokuqhubekela phambili kwalesi sifo, ukusetshenziswa kwemithi yokuvikela ukuzivikela noma ukuhlinzwa ukususa i-pericardium kungakhonjiswa ngudokotela.
4. I-Pericarditis eseceleni kwezinye izifo
Lapho i-pericarditis ivela ngenxa yesifo, ukwelashwa kwenziwa ngokuya ngesizathu sayo, futhi kuvame ukunconywa udokotela:
- I-non-hormonal anti-inflammatory (NSAID), efana ne-Ibuprofen;
- I-Colchicine, engathathwa yodwa noma ihlotshaniswe nama-NSAID, kuya ngesincomo sezokwelapha. Ingasetshenziswa ekwelashweni kokuqala noma ezinkingeni zokuphindaphinda;
- I-Corticosteroids, evame ukukhonjiswa ezimweni zezifo zezicubu ezixhumanayo, i-uremic pericarditis, nasezimweni ezingaphendulanga kumaColchicine noma ama-NSAID.
5. I-Pericarditis nge-stroke
Lolu hlobo lwe-pericarditis lubonakala ngokuqongelela kancane kuketshezi ku-pericardium ngakho-ke, ukwelashwa kwenziwa ngokusebenzisa ukubhoboza i-pericardial ukukhipha uketshezi oluqoqiwe, kunciphise izimpawu zokuvuvukala.
6. I-pericarditis ehlangene
Kulolu hlobo lwe-pericarditis, kukhona ukukhula kwesicubu, esifana nesibazi, ku-pericardium, okungaholela, ngaphezu kokuvuvukala, ukuvinjelwa nokubalwa, okuphazamisa ukusebenza okujwayelekile kwenhliziyo.
Ukwelashwa kwalolu hlobo lwe-pericarditis kwenziwa nge:
- Imithi yesifo sofuba, okumele iqalwe ngaphambi kokuhlinzwa futhi inakekelwe unyaka owodwa;
- Imithi ethuthukisa ukusebenza kwenhliziyo;
- Imithi yokwelapha;
- Ukuhlinzwa ukususa i-pericardium.
Kubalulekile ukuthi wazi ukuthi ukuhlinzwa, ikakhulukazi ezimweni ze-pericarditis ezihambisana nezinye izifo zenhliziyo, akufanele kuhlehliswe, ngoba iziguli ezinokulinganiselwa okukhulu ekusebenzeni kwenhliziyo zingaba sengozini enkulu yokufa kanti inzuzo yokuhlinzwa incane.