Yintoni iConstrictive Pericarditis?

Umxholo

• Zithini iimpawu zecervicative pericarditis?
• Zithini izizathu zoxinzelelo lwe-pericarditis?
• Yeyiphi imeko yomngcipheko we-pericarditis enyanzelekileyo?
• Pericarditis
• Ukuphazamiseka ngokuzenzekelayo
• Ukonzakala okanye ukwenzakala entliziyweni
• Amayeza
• Isini kunye nobudala
• Ichongwa njani isifo se-pericarditis?
• Ukujonga iimvavanyo
• Ukucinywa kwentliziyo
• Electrocardiogram
• Echocardiogram
• Zithini iindlela zokhetho zonyango?
• Ithini imbono yexesha elide?

Yintoni i-pericarditis enganyangekiyo?

Ukunqongophala kwe-pericarditis kukuhlala ixesha elide, okanye okungapheliyo, ukudumba kwe-pericardium. I-pericardium yimbumba efana nengxowa ejikeleze intliziyo. Ukudumba kule nxalenye yentliziyo kubangela ukuqaqamba, ukuqina, kunye nokuqina kwemisipha, okanye ikhontrakthi. Ixesha elingaphezulu, i-pericardium iphulukana nobuthathaka bayo kwaye iyaqina.

Imeko inqabile kubantu abadala, kwaye ayiqhelekanga nakubantwana.

Ingangumba onzima kwezempilo. Ukuba ishiywe inganyangwa, i-pericardium eqinile inokukhokelela kwiimpawu zentliziyo yokusilela, kwaye inokuba isongela ubomi. Kukho unyango olusebenzayo kule meko.

Zithini iimpawu zecervicative pericarditis?

Iimpawu ze-pericarditis enyanzelekileyo zibandakanya:

• ubunzima bokuphefumla obukhula kancinci kwaye buba mandundu
• ukudinwa
• isisu esidumbileyo
• ukudumba okungapheliyo, okunzima emilenzeni nasemaqatheni
• ubuthathaka
• umkhuhlane ophantsi
• iintlungu zesifuba

Zithini izizathu zoxinzelelo lwe-pericarditis?

Xa isigqubuthelo sentliziyo yakho singekapheli, siba lukhuni. Ngenxa yoko, intliziyo yakho ayinakulula kangangoko kufanelekile xa ibetha. Oku kunokuthintela amagumbi entliziyo yakho ekugcwaliseni isixa esifanelekileyo segazi, ekhokelela kwiimpawu zokungaphumeleli kwentliziyo.

Unobangela we-constrictive pericarditis ayisoloko aziwa. Nangona kunjalo, izizathu ezinokubakho zinokubandakanya:

• uqhaqho lwentliziyo
• unyango ngemitha esifubeni
• isifo sephepha

Ezinye zezizathu eziqhelekileyo azi:

• usulelo lwentsholongwane
• usulelo lwebhaktiriya
• mesothelioma, eluhlobo oluqhelekileyo lomhlaza olubangelwa kukuvezwa kwe-asbestos

Ngamanye amaxesha, ugqirha wakho usenokungakwazi ukufumana unobangela wokudumba. Zininzi iindlela zokhetho nokuba imeko ayikaze ichazwe.

Yeyiphi imeko yomngcipheko we-pericarditis enyanzelekileyo?

Ezi zinto zilandelayo zonyusa umngcipheko wokukhula kwale meko:

Pericarditis

I-pericarditis enganyangekiyo inokuba sisifo esinganyangekiyo.

Ukuphazamiseka ngokuzenzekelayo

Inkqubo ye-lupus, i-rheumatoid arthritis, kunye nezinye izifo ezizimeleyo ziye zaboniswa ukwandisa umngcipheko we-pericarditis.

Ukonzakala okanye ukwenzakala entliziyweni

Ukuhlaselwa sisifo sentliziyo okanye ukuhlinzwa ngentliziyo kunokuwonyusa umngcipheko.

Amayeza

I-Pericarditis sisiphumo esisecaleni samayeza athile.

Isini kunye nobudala

I-Pericarditis ixhaphake kakhulu phakathi kwamadoda.

Ichongwa njani isifo se-pericarditis?

Le meko kunzima ukuyifumanisa. Inokudideka nezinye iimeko zentliziyo ezinje:

• isithintelo se-cardiomyopathy, esenzeka xa amagumbi entliziyo engakwazi ukugcwalisa igazi ngenxa yokuqina kwentliziyo
• I-tamponade yentliziyo, eyenzeka xa ulwelo phakathi kwentliziyo yemisipha kunye ne-pericardium icinezela intliziyo

Ukuxilongwa kwe-pericarditis engapheliyo kwenziwa ngokugweba ezinye iimeko.

Ugqirha wakho uya kubuza malunga neempawu zakho kwaye enze uvavanyo lomzimba. Ezi mpawu zilandelayo ziqhelekile:

• Imithambo yentamo ebambekayo ngenxa yokonyuka koxinzelelo lwegazi, olubizwa ngokuba luphawu lukaKussmaul
• izandi zentliziyo ebuthathaka okanye ezikude
• ukudumba kwesibindi
• ulwelo kwindawo esiswini

Ugqirha unokuyalela enye okanye nangaphezulu kwezi mvavanyo zilandelayo:

Ukujonga iimvavanyo

I-MRIs zesifuba, i-CT scan, kunye ne-X-ray zivelisa imifanekiso eneenkcukacha zentliziyo kunye ne-pericardium. Iskena se-CT kunye neMRI inokufumana ukuqina kwi-pericardium kunye ne-clots yegazi.

Ukucinywa kwentliziyo

Kwi-catheterization yentliziyo, ugqirha wakho ufaka ityhubhu encinci entliziyweni yakho nge-groin yakho okanye ngengalo. Ngale ityhubhu, banokuqokelela iisampulu zegazi, basuse izicwili ze-biopsy, kwaye bathathe imilinganiselo ngaphakathi kwentliziyo yakho.

Electrocardiogram

I-electrocardiogram ilinganisa iimpembelelo zombane zentliziyo yakho. Izitenxo zinokucebisa ukuba une-pericarditis enyanzelekileyo okanye enye imeko yentliziyo.

Echocardiogram

I-echocardiogram yenza umfanekiso wentliziyo yakho usebenzisa amaza esandi. Iyakwazi ukubona uketshezi okanye ukuqina kwi-pericardium.

Zithini iindlela zokhetho zonyango?

Unyango lujolise ekuphuculeni umsebenzi wentliziyo yakho.

Kumanqanaba okuqala e-pericarditis, kunokucetyiswa oku kulandelayo:

• ukuthatha iipilisi zamanzi ukususa ulwelo oluninzi, olubizwa ngokuba ngumchamo
• ukuthatha amayeza entlungu (iintlungu) ukulawula iintlungu
• ukunciphisa inqanaba lomsebenzi wakho
• ukunciphisa inani leetyuwa ekutyeni kwakho
• ukuthatha i-anti-inflammatories, njenge-ibuprofen (Advil)
• ukuthatha i-colchicine (Colcrys)
• ukuthatha iicorticosteroids

Ukuba kuyacaca ukuba une-pericarditis enyanzelekileyo kwaye iimpawu zakho ziye zaba nzima, ugqirha wakho unokucebisa nge-pericardiectomy. Kolu tyando, iinxalenye zesingxobo esiqhenqethweyo zinqunyulwe zisondele entliziyweni. Olu luvavanyo olunzima olunomngcipheko othile, kodwa kuhlala kuyeyona ndlela ilungileyo.

Ithini imbono yexesha elide?

Ukuba ishiywe ingakhange inyangwe, le meko inokusongela ubomi, inokuthi ikhokelele kuphuhliso lweempawu zentliziyo yokusilela. Nangona kunjalo, abantu abaninzi abane-pericarditis enyanzelekileyo banokukhokelela kubomi obunempilo ukuba bafumana unyango kwimeko yabo.