Umbhali: Laura McKinney
Umhla Wokudalwa: 5 Utshazimpuzi 2021
Hlaziya Umhla: 19 Eyenkanga 2024
Anonim
Inflammtory Serositis; clinical approach Dr. ATHEER ALANSARY
Ividiyo: Inflammtory Serositis; clinical approach Dr. ATHEER ALANSARY

Umxholo

Yintoni i-serositis?

Amalungu esifuba sakho kunye nesisu sakho axhonywe yimizimba emincinci yethishu ebizwa ngokuba yirous membranes. Banamacala amabini: elinye lixhumeke kwilungu elinye lixhumeke ngaphakathi kumzimba womzimba wakho.

Phakathi kwala macandelo mabini, kukho ifilimu ebhityileyo yeseridi fluid evumela amalungu akho ukuba ahambe kakuhle emzimbeni wakho. Umzekelo, imiphunga yakho inokwanda xa uthatha umoya ophefumlayo ngaphandle kokonakaliswa kukungqubana.

I-Serositis yenzeka xa iimbumba zakho ze-serous zivutha. Oku kwenza ukuba kube nzima kumalungu akho ukuba atyibilike emzimbeni wakho, kubangele iintlungu kunye nezinye iimpawu.

Ziintoni iimpawu?

Zintathu iintlobo ze-serositis, kuxhomekeke kwimbonakalo yesero ebandakanyekayo.

Pericarditis

Intliziyo yakho ijikelezwe yimbumba yeserous ebizwa ngokuba yi-pericardium. Ukudumba kwenwebu ibizwa ngokuba yi-pericarditis. Ihlala ibangela iintlungu zesifuba ezibukhali ezihamba egxalabeni lakho kunye notshintsho njengoko utshintsha indawo.


Kuxhomekeka kwisizathu, ezinye iimpawu zinokubandakanya:

  • ukuphelelwa ngumphefumlo okuya kusiba mandundu xa ulala phantsi
  • umkhuhlane ophantsi
  • ukukhohlela
  • ukubetha kwentliziyo
  • ukudinwa
  • ukudumba emilenzeni okanye esiswini

Ipleuritis

I-Pleuritis, ekwabizwa ngokuba yi-pleurisy, kukudumba kwe-pleura, inwebu ejikeleze imiphunga yakho. Kukho inwebu enye ye-serous ejikeleze imiphunga nganye, ke kunokwenzeka ukuba ube ne-pleuritis kwenye imiphunga kodwa hayi enye.

Iimpawu zePleuritis zibandakanya:

  • iintlungu ezibukhali esifubeni sakho xa ukhohlela okanye uphefumla
  • ukuqhawukelwa ngumphefumlo
  • ubunzima bokuphefumla
  • ukukhohlela
  • umkhuhlane ophantsi

I-Peritonitis

Amalungu akho esiswini ajikelezwe yimbumba yeserous ebizwa ngokuba yiperitoneum. Ukudumba kwale membrane ibizwa ngokuba yi-peritonitis. Uphawu oluphambili lwe-peritonitis lubuhlungu obukhulu besisu.

Ezinye iimpawu ezinokubakho zibandakanya:

  • isisu esiswini
  • ifiva
  • isicaphucaphu nokugabha
  • iphango eliphantsi
  • urhudo okanye ukuqhina
  • ukuphuma komchamo omncinci
  • unxano olugqithisileyo

Unxibelelwano nenkqubo ye-lupus erythematosus

Inkqubo ye-lupus erythematosus (SLE) sisifo esizimela komzimba, esibhekisa kuyo nayiphi na imeko ebandakanya amajoni akho omzimba ngokuhlasela ngempazamo umzimba wakho endaweni yokuwukhusela. Luhlobo oluqhelekileyo lwe lupus, kunye nemeko uninzi lwabantu ekubhekiswa kuyo xa bethetha nge lupus.


Kwimeko ye-SLE, amajoni akho omzimba ahlasela izicwili ezisempilweni emzimbeni wakho. Ngamanye amaxesha, oku kubandakanya izicubu zeembumba zakho ze-serous, ngakumbi i-pericardium kunye ne-pleura. Umzekelo, uphononongo luka-2017 lwabantu abayi-2,390 abane-SLE bafumanisa ukuba iipesenti ezingama-22 zine-pericarditis kunye neepesenti ezingama-43 zine-pleuritis. Ngelixa lingaqhelekanga kakhulu, i-peritonitis inokuba sisizathu sentlungu esiswini kubantu abane-SLE.

I-Serositis yenye yezinto eziphambili oogqirha abazijongayo xa befumanisa umntu one-SLE.

Yintoni enye ebangela oko?

Ezinye iimeko zomzimba

Amajoni akho omzimba anamalungu amabini, awaziwa njengamajoni omzimba owafumeneyo kunye ne-immune system.

Amajoni omzimba wakho owafumeneyo ayakhula njengoko usivavane neentsholongwane kunye neentsholongwane kule minyaka idlulileyo. Yenza ii-antibodies ezithile kwiarhente nganye echaphazelayo ovezwayo. Ezi ntsholongwane zenziwa zisebenze kwakhona ukuba uthe waphinda wadibana ne-arhente kwakhona.

Amajoni omzimba wakho asebenzisa iiseli ezimhlophe zegazi ukuze uhlasele iintsholongwane kunye neentsholongwane. Iyasabela ngokukhawuleza kusulelo, kodwa ayivelisi iiseli eziza kukhumbula ukuba ufumene usulelo olufanayo kwixesha elizayo.


Iimeko zokuzimela ngokuzenzekelayo zibandakanya amajoni akho omzimba ahlasele ngempazamo umzimba wakho. Imizekelo yeemeko ezizimeleyo ezinokubangela i-serositis ibandakanya:

  • ulutsha lwe-idiopathic arthritis
  • irheumatoid Arthritis
  • isifo sokudumba

Izimo ezinokutsha, kwelinye icala, zibandakanya amajoni akho omzimba angaphakathi ahlasela ngempazamo umzimba wakho.

Ezinye zeemeko ezinokutsha ezinokubandakanya i-serositis zibandakanya:

  • usapho lweMeditera
  • Sisesifo

Ezinye iimeko

Ukongeza kwi-autoimmune kunye ne-autinflammatory conditions, ezinye iimeko ezininzi zinokubangela i-serositis, nokuba kukwenye okanye kuzo zonke inwebu yakho ye-serous.

Eminye imizekelo ibandakanya:

  • ukusilela kwezintso
  • UGawulayo
  • isifo sephepha
  • umhlaza
  • isifo sentliziyo
  • iintsholongwane, iintsholongwane, okanye usulelo lokungunda
  • ukwenzakala okanye ukwenzakala esifubeni
  • amayeza athile
  • izifo ezithile ezizuzwe njengelifa, njengesifo serhengqa

Kufunyaniswa njani?

Ugqirha wakho angenza uvavanyo lomzimba kunye noku-odola uvavanyo lwegazi kunye / okanye iskena ukunceda ekufumaneni isifo. Uvavanyo lwegazi luyanceda ukujonga iimpawu zosulelo okanye iimpawu zesifo somzimba. Izikena ezinjenge-X-ray yesifuba, i-CT scan, i-ultrasound, okanye i-electrocardiogram (i-ECG okanye i-EKG) inokunceda ekuchongeni umthombo weempawu.

Ukuba kukho ulwelo oluninzi olongezelelweyo phakathi kweembumba zakho ze-serous, ugqirha wakho angayisusa enye ngenaliti kwaye ayihlalutye ukunceda ukufumanisa ukuba yintoni enokubangela oko. Oku kunokwenziwa ngokulula kwi-peritonitis kunye ne-pleuritis.

Kwi-pericarditis, ugqirha wakho uhlala esebenzisa i-ultrasound ukukunceda ukukhokela inaliti kwaye uqiniseke ukuba ayigqobhozi ntliziyo yakho.

Inyangwa njani?

Ukunyanga i-serositis kuxhomekeke kwisizathu esingunobangela, kunye neembumba ze-serous ezichaphazelekayo. Ukuqala, ugqirha wakho unokucebisa ukuba uthathe amayeza angasebenziyo, njenge-ibuprofen (Advil, Motrin), ukunciphisa ukudumba.

Nje ukuba kunqunywe unobangela, ezinye iindlela zonyango ezinokubakho zibandakanya:

  • iyeza lokubulala iintsholongwane
  • iyeza lokuzikhusela emzimbeni
  • amayeza antiviral
  • icorticosteroids

Umgca wezantsi

I-Serositis ibhekisa kukudumba kwenwebu yakho enye okanye nangaphezulu. Izinto ezininzi zinokubangela, ukusuka kusulelo lwebhaktiriya ukuya kwiimeko ezizimeleyo. Ukuba ucinga ukuba unokuba ne-serositis, kubalulekile ukulandela ugqirha wakho ukufumanisa ukuba yintoni ebangela oko.

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