Pericarditis Inotsanangura Kuvhiringidza Mwoyo Kuchengetedza
Pericarditis inzvimbo iyo iyo pericardium (iyo inodzivirira elastic sac inowedzera mwoyo), inopisa. Kakawanda uku kuvhiringidza kune zvinyoro uye zvishoma. Asi mune dzimwe nguva, pericarditis inogona kukonzera kurwara kwakanyanya uye kunyange kutadza kwemwoyo.
Chii Chinokonzera Pericarditis?
Pericarditis inogona kukonzerwa nemitemo yakawanda, kusanganisira utachiona, kurwisa kwemwoyo , zvinetso zvekudzivirira muviri , chifukidzo chechifuva , kenza, kupererwa kwepvo , kana zvinodhaka.
Zvirwere zvinogona kubudisa pericarditis zvinosanganisira zvirwere zvehutachiona, zvirwere zvebhakitiriya, tuberculosis , uye zvirwere zvehutachiona . Vanhu vane HIV / AIDS vanowanzoita zvirwere zvinokonzera pericarditis.
Zvirwere zvinokonzerwa nehutachiona zvinogona kukonzera pericarditis zvinosanganisira rheumatoid arthritis , lupus , uye scleroderma .
Pericarditis inowanikwa kusvika ku15% yevarwere vane chirwere chemwoyo chinotyisa. Iko kunewo nguva yakapedzisira yema-post-moyo-kurwisa pericarditis, inonzi Dressler's syndrome , inoitika masvondo kusvika mwedzi mushure mekurwa kwemoyo.
Mimwe yemishonga inogona kubudisa pericarditis inosanganisira procainamide, hydralazine, phenytoin, uye isoniazid.
Mhando dzakawanda dzekenza dzinogona kuparadzanisa (kupararira) kune pericardium, uye kubudisa pericarditis.
Muzviitiko zvakawanda, hapana chikonzero chakakwana che pericarditis chinogona kuonekwa - ichi chinonzi "idiopathic" pericarditis.
Ndezvipi Zviratidzo Zvinosanganiswa nePericarditis?
Chiratidzo chakakurumbira chinokonzerwa nehutachiyarditis chirwere chepfuva .
Zvinorwadza zvinogona kuva zvakanyanya, uye zvinowanzowedzera kuipa nekushandura nzvimbo kana kutora kufema kwakadzika.
Vanhu vane pericarditis vanogonawo kukura dyspnea (kukurumidza kufema) uye fever.
Pericarditis Inozivikanwa Sei?
Vanachiremba vanokwanisa kazhinji kuongororesa pericarditis nekutora nhoroondo yezvokurapa, kunyatsoongorora, nekuita electrocardiogram (iyo inoratidza kuchinja kwehutano).
Dzimwe nguva echocardiogram inogona kubatsira mukugadzirisa.
Ndezvipi Zvinetso Zvingaitika NePericarditis?
Nepo pericarditis kazhinji inogadzirisa mukati memazuva mashoma kana masvondo mashomanana, matambudziko matatu anogona kuitika. Aya ndiwo matanhi emwoyo , asingagoneki pericarditis, kana kuvhiringidza pericarditis.
Tamponade inowanikwa apo mvura inonaya yakazara mu pericardial sac (inonzi inonzi pericardial effusion ) inodzivisa mwoyo kubva pakuzadza zvizere. Apo izvi zvinenge zvichiitika, ropa rinodonha uye mapapu anokonzera kusangana, kazhinji anotungamirira kuutera, dutu , kuchena uye dyspnea yakanyanya. Pasina kurapa kwakakwana, tamponade yemwoyo inogona kuuraya. Kuonekwa kwechigunun'una kunoitwa ne echocardiogram.
Chronic pericarditis inonzi inowanikwa apo chirwere chinopisa chisina kugadzirisa mukati memavhiki mashoma. Inogona kubatanidzwa nezvose zviratidzo zveacute pericarditis, uye kuwedzerwa kazhinji inowanikwa pamwe nekurukuru pericardial effusions.
Constrictive pericarditis inowanikwa apo chiitiko chisingaperi chine chimiro chepisicardial chinomesa uye chinorasikirwa nekusimba kwayo, iyo (yakafanana neyikudzivirira) inovhara moyo kubva pakuzadza zvakakwana. Zviratidzo zvakangofanana nekwakaputika, asi kazhinji zvinowedzera zvishoma nezvishoma.
Pericarditis Inoitwa Sei?
Kutungamirirwa kwehutachiona hwe pericarditis hunangwa pakutsanangura nekurapa chinokonzera chikonzero. Zviratidzo zvinowanzovandudzwa nemishonga inopesana nekuputika (kazhinji isiri steroidal anti-inflammatory drugs, asi dzimwe nguva steroid therapy inodiwa), uye analgesics. Kazhinji zviitiko zveaicic pericarditis zvinogadzirisa mukati memavhiki mashomanana uye hazvizosiyi matambudziko emwoyo.
Cardiac tamponade inobatwa nekudha mvura inobva pa pericardial sac, kazhinji kuburikidza nekanyaduku kadiki. Kubvisa mvura inosunungura kunoderedza kushungurudzika pamwoyo, uye kunodzosera basa remaitiro evanhu vanenge vangoita.
Chronic pericarditis inorapwa nekubata nechisimba chikonzero chekuvhiringidzika kwepanyika, nekudhonza yakawanda yakawanda yepicardial effusion inowanzovapo.
Kana kuonekwa kwepicardial kuchiramba kuchidzoka, kuvhiyiwa kunogona kuitwa kuumba kuvhura kusingagumi (ainzi inonzi pericardial window), iyo inobvumira kuti mvura inonaya kubva muvharasi ye pericardial, nokudaro kudzivisa kukonzera.
Constrictive pericarditis inogona kuva dambudziko rakaoma kwazvo rerapa. Zviratidzo zvinogona kurapwa nemubhedha wezororo, diuretics, uye digitalis, asi kugadziriswa kwekurapa kunoda kuvhiyiwa kuti ibvise ruvara rwakasimba rwemicaricardial kure nemoyo. Izvi zvinowanzovhiyiwa uye zvinowedzera ngozi.
Shoko Rinobva
Pericarditis inowanzova yega-yega inogadzirisa iyo inogadzirisa apo dambudziko rezvoutano rinotarisirwa. Mune zvimwe zviitiko, zvakadaro, pericarditis inogona kuva isingaperi, uye inogona kutungamirira kune zvinetso zvakakomba. Sezvakangoita nechinetso chipi nechipi chemoyo, zvinokosha kune ani nani ane pericarditis kuti awane rubatsiro rwakanaka rwemishonga.
> Sources:
> Imazio M. Contemporary Management Of Pericardial Diseases. Curr Opin Cardiol 2012; 27: 308.
> Adler Y, Charron P, Imazio M, et al. 2015 ESC Zvinyorwa Zvokurapa Uye Kutungamirirwa kwePericardial Diseases: The Task Force for the diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) Inotsigirwa ne: European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 2015; 36: 2921.