I-Pericarditis - iyangqinelana

I-pericarditis e-constrictive yinkqubo apho isigqubuthelo sentliziyo esifana nesigqubuthelo sentliziyo (i-pericardium) siba sisityebile kwaye sinobunzima.

Imiqathango enxulumene noku ibandakanya:

• I-pericarditis yebhakteria
• Pericarditis
• I-Pericarditis emva kokuhlaselwa kwentliziyo

Uninzi lwexesha, i-pericarditis enyanzelekileyo yenzeka ngenxa yezinto ezibangela ukuba ukudumba kuphuhle ngaphakathi kwentliziyo, njenge:

• Utyando lwentliziyo
• Ukunyanga ngemitha esifubeni
• Isifo sephepha

Izizathu eziqhelekileyo ziquka:

• Ulwakhiwo olungaqhelekanga lolwelo kwisigqubuthelo sentliziyo. Oku kunokwenzeka ngenxa yosulelo okanye njengengxaki yoqhaqho.
• Mesothelioma

Le meko inokukhula ngaphandle kwesizathu esicacileyo.

Inqabile ebantwaneni.

Xa une-pericarditis enyanzelekileyo, ukudumba kubangela ukuba isigqubuthelo sentliziyo sibe ngqindilili kwaye siqine. Oku kwenza ukuba kube nzima ukuba intliziyo yolule ngokufanelekileyo xa ibetha. Ngenxa yoko, amagumbi entliziyo awazalisi gazi laneleyo. Igazi libuyela umva emva kwentliziyo, libangela ukudumba kwentliziyo kunye nezinye iimpawu zentliziyo ukusilela.

Iimpawu ze-pericarditis engapheliyo kubandakanya:

• Ubunzima bokuphefumla (iDyspnea) obukhula kancinci kwaye buba mandundu
• Ukudinwa
• Ukudumba kwexesha elide (i-edema) yemilenze kunye namaqatha
• Isisu esidumbileyo
• Ubuthathaka

I-pericarditis eyoneleyo kunzima kakhulu ukuyichonga. Iimpawu kunye neempawu ziyafana nezinye iimeko ezinje ngokuthintela i-cardiomyopathy kunye ne-tamponade yentliziyo. Umboneleli wakho wokhathalelo lwempilo kuya kufuneka ukuba akhuphe ngaphandle kwezi meko xa esenza isifo.

Uvavanyo lomzimba lunokubonisa ukuba imithambo yakho yentamo iyaphuma. Oku kubonisa uxinzelelo olonyukayo olujikeleze intliziyo. Umboneleli unokuqaphela izandi zentliziyo ebuthathaka okanye ekude xa umamele esifubeni sakho nge-stethoscope. Isandi enkqonkqozayo sinokuvakala.

Uvavanyo lomzimba lunokubonisa ukudumba kwesibindi kunye nolwelo kwindawo esiswini.

Ezi mvavanyo zilandelayo zinoku-odolwa:

• I-MRI yesifuba
• Isifuba se-CT scan
• I-x-ray yesifuba
• I-Coronary angiography okanye i-catheterization yentliziyo
• ECG
• Echocardiogram

Injongo yonyango kukuphucula ukusebenza kwentliziyo. Unobangela kufuneka achongwe kwaye anyangwe. Kuxhomekeke kumthombo wengxaki, unyango lunokubandakanya ii-anti-inflammatory agents, ii-antibiotics, amayeza wesifo sephepha, okanye ezinye iindlela zonyango.

I-diuretics ("iipilisi zamanzi") zihlala zisetyenziswa kwiidosi ezincinci ukunceda umzimba ukuba ususe ulwelo olugqithisileyo. Amayeza obuhlungu anokufuneka ukuze ungonwabi.

Abanye abantu banokufuna ukunciphisa umsebenzi wabo. Ukutya okune-sodium encinci kunokucetyiswa.

Ukuba ezinye iindlela azilawuli ingxaki, utyando olubizwa ngokuba yi-pericardiectomy lunokufuneka. Oku kubandakanya ukusika okanye ukususa isiva kunye nenxalenye yesigqubuthelo sentliziyo esifana nengxowa.

Ukuthintela i-pericarditis kunokuba sesichengeni sobomi xa kunganyangwa.

Nangona kunjalo, utyando lokunyanga le meko lunomngcipheko omkhulu weengxaki. Ngesi sizathu, ihlala isenziwa kubantu abaneempawu ezinzima.

Iingxaki zinokubandakanya:

• Ukumelwa yintliziyo
• Ukudumba kwemiphunga
• Ukungasebenzi kwesibindi kunye nezintso
• Ukurhawuzelela kwesihlunu sentliziyo

Fowunela umnikezeli wakho ukuba unempawu ze-pericarditis enyanzelekileyo.

Kwezinye iimeko, i-pericarditis enyanzelekileyo ayinqandi.

Nangona kunjalo, iimeko ezinokukhokelela kuxinzelelo lwe-pericarditis kufuneka ziphathwe ngokufanelekileyo.

Ukuthintela ukungaboni kakuhle

• IPericardium
• Ukunqongophala kwesisu

Hoit BD, Oh JK. Izifo zePericardial. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 68.

IiJouriles NJ. Isifo sepericardial kunye ne-myocardial. Kwiindonga RM, Hockberger RS, Gausche-Hill M, eds. Unyango lukaRosen oluNgxamisekileyo: Iikhonsepthi kunye nokuziqhelanisa neKlinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 72.

I-Lewinter MM, i-Imazio M. Izifo zepericardial. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 83.