A pericardial effusion is builddup ye fluid mukati me pericardium, yakatsetseka yemasukisi anoisa mwoyo. A pericardial effusion inogona kukura zvishoma (chronic pericardial effusion) uye inokonzera zviratidzo zvishomanana. Pane kudaro, kana ichikura nokukurumidza (acute pericardial effusion), inowanzokonzera zvirwere zvinopisa upenyu uye inofanirwa mune zvehutano. Kana mvura yakakwana inowedzera munharaunda ino uye inogadzirisa zvakanyanya kufamba kwemoyo, mamiriro ezvinhu anozivikanwa sechigamba chemoyo .
A pericardial effusion inogona kuitika nekuda kwezvikonzero zvakawanda (zvimwe zvezvizvi zvakanyorwa pasi apa) asi zvinowanzoonekwa nevanhu vane kenza yemapapu. Zvinowanzoitika kusvika 21 kubva muzana yevanhu vane kenza uye kazhinji vanobatanidzwa nehurombo husina kunaka, asi kukurumidza kukurumidza uye kuongororwa kunopa mukana wekutarisira kurapa. Kufa kwehutachiwana kwakaderera zvikuru mumakumi mashoma emakore apfuura nemhaka yekukurumidza kuongorora uye kutarisira. Mune zvinenge zviviri zvezvitatu zvevanhu, kupisa hakuiti kuti zviratidzo zvioneke.
Zviratidzo
Kana uine pericardial effusion iduku uye yakakurudzirwa zvishoma nezvishoma, iwe unogona kungoziva chete pamusoro pekuvapo kwayo nemhaka yezvakawanikwa pane x-ray kana CT scan. Kusiyana neizvi, kana pericardial effusion yakakura, kana kana ichikura nokukurumidza inogona kukonzera zviratidzo zvinosanganisira:
- Kupfupika kwemhepo (kunyanya nekurara pasi)
- Lightheadedness
- Chipfuva chepfu
- Kakawanda kwepfungwa yemwoyo (sezvo mwoyo wakadzivirirwa uye usingakwanisi kurova sezvinoita simba, kutengesa kwemoyo kunowedzera kuti uchengetedze ropa rimwechete kusvika kune tishu)
Zvinosuruvarisa, zviratidzo zve pericardial effusion zvinogona kutevedzera avo vemukenza wemapapu, kunonoka kuongororwa.
Zvinokonzera
Kune zvikonzero zvakawanda zve pericardial effusions. Zvimwe zvezvi zvinosanganisira:
- Zvirwere
- Mamiriro ezvinhu ega (zvakadai se rheumatoid arthritis)
- Cancers (zvose izvo zvakapararira kune pericardium kubva kune dzimwe nzvimbo dzomuviri uye izvo zvinotanga mu pericardium)
- Kuora kweiyo
- Kuvhiringidza (kusanganisira pericarditis )
- Chest chirurgic
- Heart attack
- Mishonga
Mimwe yemishonga inogona kukonzera maitiro ezvinyorwa zvinosanganisira:
- Mishonga yechemotherapy Adriamycin (doxorubicin) uye Cytoxan (cyclophosphamide)
- Chirwere chechirwere chesafura Isoniazid
- Mushonga wokutora Dilantin (phenytoin)
- Mishonga inonzi Rogaine (minoxidil) inoshandiswa kumurume wemapara uye kuwedzerwa kweropa
Pericardial Effusions NeKenza
Pericardial effusions inogona kuitika nemhando ipi neipi yekenza, asi yakawanda inosanganisira kenza yemapapu, kenza yemvere, uye lymphomas.
Nemukenza wemapapu, maitiro evanhu vanonyanya kushandiswa akawandisa, uye inenge hafu yevanhu vanotapurirwa nehutachiona hwemapapu emapapu vanovandudza dhigirii rimwe remusika. Adjuvant chemotherapy inowedzera kuwedzera iyi ngozi.
Munenge makumi mashanu kubva muzana yevanhu vane kenza avo vane pericardial effusion, inonzi pericardial effusion ndiyo chiratidzo chokutanga uye inoita kuti kuongororwa kwekenza.
Mishonga
Mushonga we pericardial effusions iviri. Chokutanga, kuparara kwepisicardial inoda kurapwa, kazhinji pakarepo kana iri kuomesa mwoyo. Chechipiri, chikonzero che pericardial effusion chinofanira kugadziriswa.
Nehutachiwana, mishonga inorwisa mabhakitiriya kana mishonga yemishonga inorapwa inoda kudiwa.
Nokuputika, mishonga inopesana nekuputika kana steroid ingashandiswa. Kana kukanganisa kunokonzerwa nemishonga, mushonga wacho kazhinji unomira uye mishonga inoshandiswa inoshandiswa kana zvichibvira. Nekenza, kutungamirirwa kwekenza kuchasiyana zvichienderana nehuwandu hwekenza (ona pasi apa).
Mishonga yekugadzirisa pericardial effusion inogona kusanganisira:
- Pericardiocentesis
- Kuisa shunt (kazhinji mumumimba kuramba ichidonha mvura)
- Balloon pericardiotomy
- Pericardiectomy (kubvisa pericardium) kuburikidza ne thoracoscopic kana kuti chirwere chakasununguka
Kana kukanganiswa kwakakura kana kuti kuine zviratidzo, nzira inonzi video-yakabatsirwa thoracoscopic (VATS) pericardiectomy inogona kuitwa.
Kune vanhu vane maitiro anononoka pamusana pekunetseka kunokonzera) (zvakadai sehutachiwana) kubvumirana neyiyi nzira yakanaka. Zvichipa zvikonzero zvakakonzerwa nekubudirira kwehutano hwehutachiona kune vanhu vane kenza, kufungidzira kwakanaka zvakashata pasinei nehutano hwakasarudzwa.
Kurapa
Kurapa kunogona kusiyana zvichienderana nekuwanda kwekenza. Mune zvimwe zviitiko, chemotherapy uye remishonga inonzi radiation yakagadzirisa kumira kwepisicardial kuitira kuti kuvhiyiwa kunogona kubudirira kubudirira. Nguva zhinji, zvisinei, kuparara kwepisicardial kunosanganiswa nedzimwe nzvimbo dzechirwere chekenza uye kurapwa kunopisa: zvakaitwa nokuda kwezvikonzero zvekunyaradza asi kwete nekuedza kurapa kenza.
Prognosis
Kufananidzira kwepisicardial effusion kunowanzoenderana nechikonzero. Nehutachiona, chirwere chinoputika, kana chirwere chetsvo chinogona kutarirwa, kusarudzwa kungave kwakanaka chaizvo.
Nekenza yemapapu, kukurudzirwa kwepisicardial effusion chiratidzo chisina kunaka chekutsanangurira, kunyange nehuwandu hwakawanda.
Chetatu chevanhu vane chirwere chekenza kune peicardium vachafa kubva pazvisikwa zvepicardial.
> Sources:
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> Mizukami, Y., Ueda, N., Adachi, H., Arikura, J., naK. Kondo. Migumisiro Yenguva Dzakapfuura mushure meVhidhiyo-Yakabatsiriwa Thoracoscopic Pericardiectomy yePericardial Effusion. Annals of Thoracic and Cardiovascular Surgery . 2017 August 9. (Epub mberi kwekudhinda).
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