Konke malunga nePericarditis

Umxholo

• Yintoni i-pericarditis?
• Iinyani ezikhawulezayo malunga ne-pericarditis
• Amagama ePericarditis
• Iimpawu ze-pericarditis
• Oonobangela pericarditis
• Ukuchonga i-pericarditis
• Ukunyanga i-pericarditis
• Ii-NSAID
• Colchicine
• ICorticosteroids
• Ugqirha
• Ukuthintela i-pericarditis
• Yintoni imbonakalo?

Yintoni i-pericarditis?

I-Pericarditis kukudumba kwe-pericardium, ingqolowa encinci, enemigca emibini ejikeleze intliziyo yakho.

Amacwecwe anexabiso elincinci lamanzi phakathi kwabo ukukhusela ukungqubana xa intliziyo ibetha. Xa iileya zivutha, kunokubangela iintlungu esifubeni.

Indima ye-pericardial fluid kukuthambisa intliziyo kwaye i-pericardium iyikhusele kusulelo. I-pericardium ikwanceda ukugcina intliziyo yakho isendaweni ngaphakathi kodonga lwesifuba.

I-Pericarditis yimeko yokuvuvukala, ihlala ibuhlungu, iza ngesiquphe, kwaye ihlala iintsuku ezimbalwa ukuya kwiiveki ezimbalwa.

Unobangela wezifo ezininzi ze-pericarditis awaziwa, kodwa usulelo lwentsholongwane kucingelwa ukuba luxanduva lwamatyala.

Nantoni na eyenye ebangela ukudumba, njengomhlaza, nayo inokubangela i-pericarditis. Amanye amayeza angangunobangela.

Uninzi lwexesha, i-pericarditis isombulula yodwa. Nangona kunjalo, unyango lukhona ukunciphisa ixesha lokuthintela imeko ephindayo.

Ezinye iimeko ezivuthayo zentliziyo zezi:

• Endocarditis. Oku kubandakanya ukudumba kwe-endocardium, ulwelo lwangaphakathi lwamagumbi entliziyo kunye neevalvu. Ngokuqhelekileyo kubangelwa ukusuleleka kwintsholongwane.
• Isifo esinganyangekiyo. Olu kukudumba kwentliziyo yemisipha, okanye i-myocardium. Ngokuqhelekileyo kubangelwa ukusuleleka kwintsholongwane.
• Myopericarditis. Olu kukudumba kwentliziyo yemisipha kunye nepericardium.

Iinyani ezikhawulezayo malunga ne-pericarditis

• Nabani na unokufumana i-pericarditis.
• Phantse iipesenti ezi-5 zabantu abaya kwigumbi likaxakeka kwiintlungu zesifuba bane-pericarditis.
• Phantse iipesenti ezili-15 ukuya kuma-30 zabantu abane-pericarditis baya kuba nayo ngaphezu kweyodwa, ebizwa ngokuba yi-pericarditis ephindaphindiweyo.
• Izehlo ze-pericarditis zikubantu base-Afrika baseMelika.
• Isifo sephepha yenye yezona zinto zibangela isifo sepericarditis.
• I-Pericarditis ivela kwi-Greek "perikardion," oko kuthetha ukujikeleza intliziyo. Isimamva “-itis” sivela kwelesiGrike ngokudumba.

Amagama ePericarditis

• I-pericarditis efanelekileyo ixhaphake kakhulu. Inokwenzeka iyodwa okanye uphawu lwesifo esisisiseko.
• Ukuphindaphinda (okanye ukubuyela kwakhona) kwi-pericarditis inokuba ngexeshana okanye rhoqo. Ukuphindaphinda okokuqala kuhlala kuhlaselo lokuqala.
• I-Pericarditis ithathwa ezingapheliyo xa ukubuyela umva kwenzeka kwangoko xa unyango lokuchasayo luyekisiwe.
• Ukuchithwa kwepericardial ulwakhiwo lwamanzi kulungelelwaniso lwepericardium. Abantu abaneempembelelo ezinkulu ze-pericardial bakhulisa i-tamponade yentliziyo, engxamisekileyo kwezonyango.
• I-tamponade yentliziyo kukukhula ngesiquphe kolwelo kumaleko e-pericardium, ebangela uxinzelelo lwegazi ukuba lwehle kwaye luyekise intliziyo yakho ekubeni ikwazi ukugcwalisa. Oku kufuna unyango olungxamisekileyo.
• Ukulibaziseka kwe-pericarditis okanye i-Dressler syndrome kuxa i-pericarditis ikhula kwiiveki emva kotyando lwentliziyo okanye isifo sentliziyo.
• Ukunqongophala kwesisu kuxa i-pericardium iba nesiva okanye inamathele entliziyweni ukuze izihlunu zentliziyo zingakwazi ukwanda. Oku kunqabile kwaye kunokukhula kubantu abane-pericarditis engapheliyo okanye emva kotyando lwentliziyo.
• I-pericarditis esebenzayo kuxa zombini ukungcungcutheka kunye nokuxinana kubakho.

Iimpawu ze-pericarditis

I-Pericarditis inokuziva ngathi kukuhlaselwa sisifo sentliziyo, iintlungu ezibukhali okanye ezihlabayo esifubeni sakho eziza ngesiquphe.

Intlungu ingaba phakathi okanye kwicala lasekhohlo lesifuba sakho, emva kwesifuba sesifuba. Ubuhlungu bunokuthi buphume emagxeni akho, entanyeni, kwiingalo, okanye emhlathini.

Iimpawu zakho zingahluka, kuxhomekeke kuhlobo lwe-pericarditis onayo.

Xa unentlungu ebukhali esifubeni, kungcono ufumane uncedo lwezonyango kwangoko.

Phantse iipesenti ezingama-85 ukuya kuma-90 zabantu abane-pericarditis baneentlungu zesifuba njengempawu. Ezinye iimpawu zibandakanya:

• umkhuhlane ophantsi
• ubuthathaka okanye ukudinwa
• ingxaki yokuphefumla, ngakumbi xa ulele phantsi
• ukubetha
• ukukhohlela owomileyo
• ukudumba iinyawo zakho, imilenze, kunye namaqatha

Iimpawu zakho zinokuba mandundu xa:

• lala ucabalele
• phefumla nzulu
• ukukhohlela
• ukugwinya

Ukuhlala kwaye uncike phambili kunokukwenza uzive ungcono.

Ukuba unobangela we-pericarditis yakho ibacteria, unokuba nomkhuhlane, ukubanda, kunye nokubala okungaphezulu kwesiqhelo esimhlophe. Ukuba unobangela wentsholongwane, unokuba neempawu zomkhuhlane okanye zesisu.

Oonobangela pericarditis

Rhoqo, unobangela we-pericarditis awaziwa. Oku kubizwa ngokuba yi-idiopathic pericarditis.

Ngokubanzi, i-pericarditis inokuba nezizathu ezosulelayo okanye ezingosuleliyo. Unobangela osulelayo ubandakanya:

• iintsholongwane
• iintsholongwane
• isikhunta kunye nezidudu, ezizezona zizathu zinqabileyo kakhulu

Izizathu ezingosuleliyo zibandakanya:

• Imiba yentliziyo, enje ngokuhlaselwa sisifo sentliziyo okanye uqhaqho
• Amathumba anyanzela i-pericardium
• ukwenzakala
• Unyango ngemitha
• iimeko ezizimeleyo, ezifana ne-lupus
• amanye amayeza, anqabile
• ukuphazamiseka emzimbeni, ezifana sifo
• ukusilela kwezintso
• ezinye izifo zofuzo, ezinje ngomkhuhlane wosapho kwiMeditera

Ukuchonga i-pericarditis

Ugqirha wakho uya kubuza malunga nembali yakho yezonyango, zithini iimpawu zakho, zaqala nini iimpawu zakho, kwaye kubonakala ngathi kubenza babe mandundu.

Baza kukunika uvavanyo lomzimba. Xa i-pericardium yakho ivuvukala, isixa samanzi sinokunyuka phakathi kwezi zibini zethishu engxoweni, nto leyo ikhokelela ekuphelisweni. Ugqirha uya kumamela nge-stethoscope kwiimpawu zolwelo oluninzi.

Bazokumamela nokukhuhlana. Le yingxolo ye-pericardium yakho yokuhlikihla kumaleko wangaphandle wentliziyo yakho.

Ezinye iimvavanyo ezisetyenziselwa ukuxilongwa zibandakanya:

• i-X-ray yesifuba, ebonisa imilo yentliziyo yakho kunye nolwelo oluninzi olugqithisileyo
• i-electrocardiogram (i-ECG okanye i-EKG) ukujonga isigqi sentliziyo yakho kwaye ubone ukuba ngaba umbane wevolthi uncitshisiwe ngenxa yolwelo olungaphezulu
• i-echocardiogram, esebenzisa amaza esandi ukubonisa ukumila kunye nobukhulu bentliziyo yakho nokuba kukho ingqokelela yolwelo ejikeleze intliziyo
• I-MRI, enika umbono ocacileyo we-pericardium yakho, kubandakanya nokuba iyatyebile, iyavutha, okanye ukuba kukho ingqokelela yolwelo
• Ukuvavanywa kwe-CT, enika umfanekiso opheleleyo wentliziyo yakho kunye ne-pericardium
• catheterization yentliziyo elungileyo, enika ulwazi malunga noxinzelelo lokugcwalisa entliziyweni yakho
• Uvavanyo lwegazi ukukhangela amanqaku okudumba acebisa i-pericarditis okanye nasiphi na isifo esikrokrelwayo

Ukunyanga i-pericarditis

Unyango lwe-pericarditis luya kuxhomekeka kwisizathu sayo, ukuba kuyaziwa. Ukuba unentsholongwane yebhaktiriya, unokufumana i-antibiotics.

Kwiimeko ezininzi, ngokwe-American Heart Association, i-pericarditis ithambile kwaye iya kuzicoca yodwa ngonyango olulula, njengonyango lokuchasana kunye nokuphumla.

Ukuba uneminye ingozi yonyango, ugqirha wakho unokukunyanga esibhedlele.

Unyango lujolise ekunciphiseni iintlungu kunye nokudumba kunye nokunciphisa umngcipheko wokuphindaphinda. Unyango oluqhelekileyo kubantu abangenazo ezinye iingozi zonyango lubandakanya:

Ii-NSAID

Iziyobisi ezichasayo ezingaphaya kwamayeza (ii-NSAID) zichazwe kwiintlungu kunye nokudumba. I-Ibuprofen okanye iasprini ibonelela ngoncedo ngokukhawuleza.

Ukuba intlungu yakho inzima, ugqirha wakho unokumisela iyeza elinamandla.

Colchicine

IColchicine sisiyobisi esinciphisa ukudumba esisebenza ekunciphiseni ubude beempawu kunye nokuthintela ukuphindaphinda kwe-pericarditis.

ICorticosteroids

I-Corticosteroids iyasebenza ekunciphiseni iimpawu ze-pericarditis.

Kodwa ukusetyenziswa kwangoko kwe-corticosteroids kunokuba nomngcipheko okhulayo wokuphindaphinda kwe-pericarditis kwaye kufuneka kuthintelwe ngaphandle kweemeko ezimbi ezingaphenduliyo kunyango lwesintu.

Ugqirha

Ugqirha lunokuqwalaselwa kwi-pericarditis ephindaphindayo engaphenduliyo kolunye unyango. Ukususwa kwe-pericardium kuthiwa yi-pericardiectomy. Olu nyango luhlala lugcinwa njengonyango lokugqibela.

Umjelo wamanzi ogqithisileyo unokuba yimfuneko. Oku kunokwenziwa ngonyango okanye ngokufaka i-catheter. Oku kubizwa ngokuba yi-pericardiocentesis okanye iwindow ye-pericardial.

Ukuthintela i-pericarditis

Awungekhe ukwazi ukuthintela i-pericarditis, kodwa ungawunciphisa umngcipheko wokuphindaphinda kwe-pericarditis. Kubalulekile ukulandela isicwangciso sakho sonyango.

Kude kube uyachacha ngokupheleleyo, phumla kwaye uphephe umthambo onzima. Xoxa nogqirha wakho ukuba uza kuwuthintela kangakanani umsebenzi wakho.

Ukuba ubona nayiphi na imiqondiso yokuphindaphinda, khangela ugqirha wakho ngokukhawuleza.

Yintoni imbonakalo?

Ukuchacha kwi-pericarditis kuthatha ixesha.Ngamanye amaxesha, kunokuthatha iiveki ukuba iimpawu zigqibe ukusombulula.

Uninzi lweziganeko ze-pericarditis ziphakathi kwaye ngaphandle kwengxaki. Kodwa kunokubakho iingxaki nge-pericarditis engapheliyo, kubandakanya ukwanda kolwelo kunye nokuxinana kwe-pericardium.

Unyango lwezi ngxaki lukhona, kubandakanya utyando. Uphando malunga nokhetho lonyango luyaqhubeka.

Ukuba i-pericarditis iba yinto engapheliyo, unokufuna ukuqhubeka nokuthatha ii-NSAID okanye ezinye iziyobisi.

Funa uncedo kwangoko ukuba unayo nayiphi na intlungu yesifuba, njengoko inokuba luphawu lwento ebaluleke ngakumbi.