Zamkatimu
Pericarditis ndizovuta zomwe zimachitika pambuyo pa chimfine. Matendawa amayamba chifukwa chogwidwa ndi fuluwenza ndi ma virus a parainfluenza. The pericardium ndi thumba lapadera lomwe limazungulira mtima. Ngati pali kuukira kwa ma virus, kutupa kumatha kuchitika mu pericardium. Umu ndi momwe thupi limachitira ndi kuwukiridwa koteroko. Childs, matenda limodzi ndi zizindikiro monga kupuma movutikira, ululu kumbuyo sternum, youma chifuwa. Matendawa akhoza kukhala ofatsa, osasiya kuwonongeka kwa thanzi, koma amathanso kudziwika ndikuzindikiridwa kuti ali ndi vuto lalikulu, lomwe limakakamiza kuyankha mwamsanga kwachipatala. Pericarditis ikhoza kukhala yovuta, yobwerezabwereza kapena yosatha.
Pericarditis - ndi chiyani komanso zizindikiro zake?
Zifukwa za pericarditis ayenera kufunidwa pambuyo fuluwenza mavuto ndi tizilombo kuukira thupi. Ngati izi zichitika, mtima pericardium amadwala, kutupa kumachitika. Zizindikiro mtima pericarditis kawirikawiri amagwirizanitsidwa ndi kutentha kwakukulu kapena kutentha thupi. Makhalidwe a matendawa ndi ululu m'dera la sternum, lomwe lingathe kuzindikirika ndi kutulutsa kumbuyo, khosi ndi mapewa. Kupweteka kumeneku kumawonekera makamaka pamalo ogona. Chizindikiro china chachikulu cha matendawa ndi chifuwa chowuma komanso kupuma movutikira. Izi, nazonso, zimakhudza mwachindunji kuwonongeka kwa mtima. Nthawi zambiri palinso myocarditis - ndi mutu, kupweteka kwa minofu, kupweteka kwa mafupa, kutentha thupi, palpitations, kupweteka pachifuwa, kumverera kufooka, kutopa. Kudzikundikira ndi khalidwe chizindikiro cha matenda madzimadzi mu thumba la pericardial ndi kuzindikira pomvetsera ntchito ya mtima - phokoso kwambiri, otchedwa pericardial kukangana. Osati kawirikawiri matenda a pericarditis Zimayenderanso ndi kusalinganika kwa kagayidwe kachakudya m'thupi komanso kuwonda komwe kumalumikizidwa, ndipo nthawi zina ngakhale kusafuna kudya.
Momwe mungadziwire pericarditis?
Njira yosavuta yodziwira matendawa ndi kuyesa magazi. Apanso, zotsatira zake zitha kukutsogolerani ku matenda olondola. Padzakhala ESR yowonjezereka, kuchuluka kwa mapuloteni a C-reactive, chiwerengero cha maselo oyera a magazi chidzawonjezeka kuposa momwe zimakhalira. matenda a pericarditis ECG, X-ray ndi echocardiography amachitidwa. Zonse za X-ray ndi echocardiography zidzawonetsa ngati thumba la pericardial pali madzimadzi ndipo zidzawonetsa kusintha kwa kachitidwe ka mtima - ngati kulipo. Kuphatikiza apo, chifukwa cha echocardiogram, zosokoneza pakugwira ntchito kwa chiwalo ichi zitha kupezeka. Komanso, chifukwa cha computed tomography, kachulukidwe amatha kuyesedwa madzimadzi mu thumba la pericardialkumabweretsa kudziwa chomwe chimayambitsa kutupa. Ngati matendawa adayambitsidwa ndi kuukira kwa bakiteriya, tomography imalola kuti azindikire zotupa za purulent. Muzochitika zapadera, dokotala amalamula biopsy. Komabe, izi zimachitika kawirikawiri.
Kodi kuchiza pericarditis?
Kuzindikira kwa pericarditis kumabweretsa kusankha chithandizo choyenera. Mankhwala osagwiritsa ntchito steroidal odana ndi kutupa amagwiritsidwa ntchito kwambiri. Ngati kutupa ndi bakiteriya, maantibayotiki amalangizidwa. Pankhani ya matenda oopsa, colchicine amaperekedwa. Mankhwalawa amagwiritsidwanso ntchito ngati matendawa ayambiranso. Mankhwalawa akapanda kubweretsa zotsatira zoyembekezeka, njira yomaliza ndiyo kulembera wodwala glucocorticoids. Ngati matenda a pericarditis ndi chifukwa cha vuto pambuyo fuluwenza, ndiye puncture ndondomeko ikuchitika thumba la pericardial. Njira imeneyi ntchito pa nkhani yaikulu kudzikundikira purulent madzimadzi, komanso kukayikira neoplastic zotupa.