Yintoni i-pericardial effusion, iimpawu, izizathu eziphambili kunye nonyango

Umxholo

• Iimpawu zokuchithwa kwe-pericardial
• Izizathu eziphambili
• Unyango kufuneka lube njani

Ukuchithwa kwe-Pericardial kungqinelana nokuqokelelwa kwegazi okanye ulwelo kumbindi ojikeleze intliziyo, i-pericardium, ekhokelela kwitamponade yentliziyo, ephazamisa ngokuthe ngqo ukuhamba kwegazi kumalungu nakwizicubu, kwaye, ke ngoko, ithathwa njengembi kwaye mayisingathwe ngokukhawuleza.

Le meko, kwiimeko ezininzi, sisiphumo sokudumba kwe-pericardium, eyaziwa ngokuba yi-pericarditis, enokubangelwa kukusuleleka ziintsholongwane okanye intsholongwane, izifo ezizimela komzimba, utshintsho lweentliziyo. Kubalulekile ukuba unobangela we-pericarditis kwaye, ngenxa yoko, ye-pericardial effusion ichongiwe ukuze unyango luqale.

Ukuchithwa kwe-Pericardial kuyanyangeka xa kufunyaniswa isifo kwangoko emva kokuvela kweempawu kwaye unyango luqalwa kwakamsinya emva koko, ngokwesikhokelo se-cardiologist, esenza ukuba kuthintelwe iingxaki ezibulalayo entliziyweni.

Iimpawu zokuchithwa kwe-pericardial

Iimpawu ze-pericardial effusion ziyahluka ngokwesantya sokuqokelelwa kolwelo kunye nemali eqokelelwe kwisithuba se-pericardial, echaphazela ngokuthe ngqo ubungqongqo besifo. Iimpawu zestroke zinxulumene notshintsho kunikezelo lwegazi kunye neoksijini emzimbeni, enokubangela:

• Ubunzima bokuphefumla;
• Ukunyuka kokudinwa xa ulele;
• Intlungu yesifuba, ihlala ingemva kwe-sternum okanye kwicala lasekhohlo lesifuba;
• Khohlela;
• Umkhuhlane ophantsi;
• Ukunyuka kwentliziyo.

Ukuxilongwa kwe-pericardial effusion kwenziwa yi-cardiologist ngokusekelwe ekuhlolweni kweempawu kunye neempawu ezibonakaliswe ngumntu, uhlalutyo lwembali yezempilo, kunye neemvavanyo ezinjenge-cardiac auscultation, isifuba x-ray, i-electrocardiogram kunye ne-echocardiogram.

Izizathu eziphambili

I-Pericardial effusion ihlala isisiphumo sokudumba kwe-pericardium, eyaziwa ngokuba yi-pericarditis, kwaye oku kunokwenzeka ngenxa yokusuleleka ziibhaktheriya, ii-virus okanye i-fungi, izifo ezizimeleyo ezifana ne-rheumatoid arthritis okanye i-lupus, i-hypothyroidism, ukusetyenziswa kwamayeza ukulawula uxinzelelo lwegazi oluphezulu, okanye ngenxa yokufumba kwe-urea egazini ngenxa yokusilela kwezintso.

Ukongeza, i-pericarditis inokwenzeka ngenxa yomhlaza wentliziyo, imastastasis yemiphunga, umhlaza webele okanye umhlaza wegazi, okanye ngenxa yokulimala okanye ukwenzakala entliziyweni. Ke, ezi meko zinokubangela ukudumba kwethishu ebeka intliziyo kwaye ithande ukuqokelelwa kolwelo kulo mmandla, kunika ukungangqinelani kwe-pericardial. Funda ngakumbi malunga ne-pericarditis.

Unyango kufuneka lube njani

Unyango lwe-pericarditis luboniswa yi-cardiologist ngokubangela ukubetha, inani le-fluid eqokelelweyo kunye nesiphumo esinokuzisa ekusebenzeni kwentliziyo.

Yiyo ke loo nto kwimeko yokuphefumla okuncinci, apho kukho umngcipheko ophantsi wokungasebenzi kakuhle kwentliziyo, unyango luqukethe ukusetyenziswa kweziyobisi ezinje nge-aspirin, non-steroidal anti-inflammatory drugs such as ibuprofen or corticosteroids such as prednisolone, ukunciphisa ukudumba kunye neempawu zesi sifo.

Nangona kunjalo, ukuba kukho umngcipheko weengxaki zentliziyo, kunokuba yimfuneko ukurhoxisa olu lwelo ngokusebenzisa:

• UPericardiocentesis: Inkqubo equka ukufaka inaliti kunye ne-catheter kwisithuba se-pericardial ukukhupha ulwelo oluqokelelweyo;
• Ugqirha: isetyenziselwa ukukhupha ulwelo kunye nokulungisa izilonda kwi-pericardium ebangela ukubetha;
• IPericardiectomy: Kubandakanya ukususwa, ngotyando, ngenxalenye okanye ngayo yonke i-pericardium, esetyenziswa ikakhulu kunyango lweempazamo ezenzeka rhoqo ze-pericardial.

Ke, kubalulekile ukuba ukuxilongwa kunye nokunyanga kwenziwe ngokufutshane ngangokunokwenzeka ukuthintela ukubakho kweengxaki.