Post-Cardiac Injury Syndrome
Dressler's syndrome ndiro zita rekare rezvino zvinonzi "post-cardiac injection syndrome." Vakawanda vanachiremba vachiri kushandisa zita rekare, nokuti zviri nyore kutaura.
Dressler's syndrome rudzi rwe pericarditis , kana kuputika kwe pericardial sac. Iko peic perdiardial is sac-like layer of tissue which is around the heart, which contains a small amount of fluid that provides lubrication for the movement of the heart.
Apo munhu anokura pericarditis, chirwere chepiciciddial chinopisa, uye kuwedzera kwemvura kunowanzowedzera mukati maro (chirwere chinonzi pericardial effusion ). Dressler's syndrome inowanzoita chero imwe mhando ye pericarditis. Chikonzero icho chinowanikwa zita rakakonzerwa ndechekuti inofanirwa kutaridzika kwechiitiko-iyo, inoitika mavhiki mashomanana mushure meimwe rudzi rwekukuvara kumutsipa wemwoyo.
Kazhinji kacho, Dressler's syndrome inoitika mushure mekurwadziwa kwepfungwa , chirwere chepfungwa , kana kushungurudzika kwechipfuva. Kunyange zvazvo Dressler's syndrome inogona kukonzera zvinetso zvakakomba, kazhinji kacho kuzvidzora, uye kazhinji inogona kurapwa zvakanaka uye nyore.
Chii Chinokonzera Dressler's Syndrome?
Dressler's syndrome inogona kuitika chero nguva yenguva dzemaviri dzomuviri dzakatadza. Izvozvo zvinokonzera mapurotini emwoyo kuti adye kubva mumasero, uye mapuroteni aya anogona kuumba "immune complexes" - masumbu emamolekoro angaita kuti munhu apindure.
Izvo zvinodzivirira zvirwere zvinogona kuunganidzirwa mu pericardial sac, uye dzimwe nguva muchikamu chemapapu pamwe chete. Zvirwere zvemuviri zvemuviri zvinogona kutanga kurwisa zvirwere izvi zvekudzivirira muviri, zvinokonzera kuputika mu pericardial sac, iyo inobereka pericarditis, uye dzimwe nguva zvakare chiruritis (kuvhiringidza kwekamuri yemapapu).
Izvi zvinowanzoita nguva yekukura, saka Dressler's syndrome haina kuitika pakarepo mushure mekukuvara kwemoyo. Pane kudaro, inoitika masvondo kana mwedzi pashure.
Dressler's syndrome haisi nyore. Inogona kuonekwa mu15% kusvika 20% yevanhu vane chirwere chemwoyo.
Howler's Syndrome Inowanikwa Sei?
Kazhinji, hazvisi zvakaoma kuti uwane chirwere cheVirler's syndrome. Kuongororwa kunowanzove kwakananga kana pane nhoroondo yekukuvara kwemoyo mutsva, inoteverwa nezviratidzo zve pericarditis (kunyanya kurwadziwa kwepfupa kunokonzerwa nokufema), fivha, yakasvibiswa yeropa rekuyera masero, uye kuonekwa kwechimiro chinochinja pane electrocardiogram . Kushanda (fluid accumulation) kumativi emwoyo kana mapapu kunowanzoonekwa mubhokisi x-ray kana echocardiogram .
Kubata Dressler's Syndrome
Nenzira inofadza, kurapwa kweVilller's syndrome kazhinji kunofadzawo. Kuvhiringidza kunokonzera chirwere ichi kunowanzoita zvakanaka kune kurapa pamwe ne aspirin kana nonsteroidal anti-inflammatory drugs ( NSAIDs ) yakadai se ibuprofen. Kune vanhu vane chirwere chinonzi coronary artery , NSAIDs dzinofanira kudziviswa kazhinji ( verenga nei ), uye kurapwa ne-high-dose aspirin inowanzodiwa pane.
Dressler's syndrome inogonawo kurapa kurapa necolchicine , chirwere chinowanzoshandiswa kurapa gout yakaoma. Kana zviyero izvi zvichikundikana, kamukira kadiki kemishonga ne steroid, yakadai sa prednisone, inogara ichishanda.
Saka, chero bedzi iyo Dressler's syndrome ichizivikanwa uye kurapwa kwave kwatanga, hazviwanzoitiki kuva chirwere chakakomba.
Izvi zvichida nei chiremba wako asingarati kunyanya kunetseka.
Kudzivisa Dressler's Syndrome
Nezvemubvunzo wako wechipiri, pane humwe uchapupu hwokuti kupa colchicine mushure mekuvhiyiwa kwemoyo kunogona kuderedza dambudziko rekudzidzira Dressler's syndrome inenge 60%.
Zvisinei, colchicine inogona kuita kuti zvirwere zvive nemigumisiro inogona kuomesa kuporesa kupora uye inogona kukanganisa mamwe mishonga. Kunyangwe nehutano hweprophylactic, pakati pe5 kusvika ku10% yevarwere vane chirwere chemwoyo vachiri kutarisirwa kukura Dressler's syndrome. Saka, kunyanya sezvo nguva dzakawanda Dressler's syndrome inopindura nyore nyore pakurapa, vazhinji vanovhiya mwoyo vanofunga kuti zvingave zvinobatsira zveprophylactic colchicine zvakakonzerwa nezviitiko.
> Sources:
> Imazio M, Brucato A, Markel G, et al. Meta-kuongorora yeRandomized Trials Kutarisa Kudzivirira kwePotpericardiotomy Syndrome. Am J Cardiol 2011; 108: 575.
> Imazio M, Hoit BD. Kukuvara kwepasipo-cardiac Syndromes. Chinokonzera Chikonzero chePericardial Diseases. Int J Cardiol 2013; 168: 648.
> Wessman DE, Stafford CM. The Postcardiac Injury Syndrome: Case Report uye Kudzokorora kweMabhuku. South South J 2006; 99: 309.