Matenda a m'mapapo

Kufotokozera kwathunthu kwa matendawa

Ndi kutupa kwa pericardium (thumba lomwe limazungulira chiwalocho, limachigwira ndikuthandizira kugwira ntchito). Njira yotupayi imatha kukhala chotsatira kapena chizindikiro cha matenda ena (fungal, bakiteriya, matenda, ma virus, rheumatic). Kapena kukhala Vuto la kuvulala, pathologies wa ziwalo zamkati. Chizindikiro chofala kwambiri cha pericarditis ndi kupweteka pachifuwa chifukwa cha kutupa komanso kusisita kwa mtima. Ngati mukumva ululu wotere, tikukulimbikitsani kuti mukumane ndi dokotala mwamsanga kuti akuthandizeni.

Pericarditis ikhoza kukhala mawonekedwe ovuta - kuwonekera mwadzidzidzi ndikutha msanga ndi chithandizo choyenera, pitani osatha - kukula kwapang'onopang'ono kwa nthawi yayitali, ndikutenga nthawi yochulukirapo yolandira chithandizo. Mitundu yonse iwiri imasokoneza kayimbidwe wamba, kugwira ntchito kwa mtima. Nthawi zina, ngakhale izi zimachitika kawirikawiri, zimakhala zakupha[1].

Zifukwa za pericarditis

Pali zifukwa zambiri za pericarditis, koma nthawi zambiri zimawonekera ngati vuto la matenda opatsirana (viral pericarditis) - kawirikawiri pambuyo pa kachilombo ka m'mimba, kawirikawiri fuluwenza kapena AIDS. Matendawa amathanso kuyambitsidwa ndi matenda a bakiteriya, mafangasi kapena parasitic.

Matenda ena a autoimmune monga lupus, nyamakazi ya nyamakazi ndi scleroderma, momwe chitetezo chamthupi chimaukira minofu yathanzi, amathanso kuyambitsa pericarditis.

Zina mwa zomwe zimayambitsa pericarditis ndi kuvulala pachifuwa, mwachitsanzo, pambuyo pa ngozi yagalimoto (zoopsa pericarditis). Kapena mavuto ena azaumoyo monga kulephera kwa impso (uremic pericarditis), zotupa, matenda obadwa nawo. Nthawi zina, mankhwala omwe amapondereza chitetezo cha mthupi amakhala oyambitsa matendawa.

Chiwopsezo chokhala ndi pericarditis chimakhala chachikulu pambuyo pa vuto la mtima kapena pambuyo pa opaleshoni ya mtima (Dressler syndrome) chifukwa minofu ya mtima yowonongeka imatha kukhumudwitsa pericardium. Komanso pambuyo pa chithandizo cha radiation kapena chithandizo chamankhwala monga mtima catheterization kapena radiofrequency ablation. Pazochitikazi, akatswiri ambiri amakhulupirira kuti pericarditis ndi zotsatira za thupi molakwika limatulutsa kuyankha kotupa kwa pericardium. Pambuyo pa opaleshoni yodutsa, zizindikiro za pericarditis zikhoza kukhala palibe kwa masabata angapo mutatha opaleshoni.

Nthawi zambiri ndizosatheka kukhazikitsa chifukwa cha kukula kwa pericarditis, ndipo pamenepa amatchedwa "matenda a ubongo".

Nthawi zambiri imayambiranso pambuyo pa gawo loyamba, ndipo kuukira kumatha kuchitikanso pakapita zaka[2].

Zizindikiro za pericarditis

Chizindikiro chodziwika bwino cha pericarditis, monga tafotokozera pamwambapa, ndi kupweteka pachifuwa. Ikhozanso kutsagana ndi zizindikiro zotsatirazi:

  • ululu uwu, monga lamulo, ndi wakuthwa, wosasunthika, ndi wamphamvu kwambiri;
  • Zitha kuipiraipira mwa kutsokomola, kumeza, kupuma mozama, kapena kugona;
  • amatha kukhala pansi atakhala kapena atatsamira kutsogolo;
  • kupweteka kumamveka kumbuyo, khosi, m'dera la phewa lakumanzere.

Zizindikiro zina za matendawa ndi izi:

  • kuvutika kupuma atagona;
  • chifuwa chowuma;
  • kumva nkhawa ndi kutopa;
  • Nthawi zina, pericarditis imayambitsa kutupa kwa miyendo ndi akakolo mwa munthu wodwala. Monga lamulo, ichi ndi chizindikiro cha matenda aakulu - constrictive pericarditis[2]… Mutha kuphunzira zambiri za izi pambuyo pake m'nkhaniyo.

Mitundu ya pericarditis

  1. 1 Pachimake pericarditis - pamene zizindikiro zakhalapo kwa miyezi yosachepera itatu. Ngati mukaonana ndi dokotala munthawi yake ndikuyamba kulandira chithandizo, ndiye kuti pachimake pericarditis ikhoza kuthetsedwa mwachangu.[3]... The pachimake mawonekedwe nawonso anawagawa angapo mitundu. Tiyeni tikambirane mwachidule za aliyense wa iwo. Dry pericarditis (panthawiyi, madziwa amapezeka pang'onopang'ono, mtundu uwu umayamba chifukwa cha kuwonjezeka kwa magazi a serous nembanemba ya mtima ndi kutuluka thukuta kwa fibrin mu pericardial cavity). Pericardial effusion kapena effusion - uwu ndi mtundu wina wouma. Pachifukwa ichi, exudate yamadzimadzi kapena theka-lamadzi imatulutsidwa ndikuunjikana mkatikati mwa zigawo za pericardial. The effusion madzi akhoza kukhala osiyana khalidwe. Mwachitsanzo, kukhala serous-fibrous (kusakaniza kwa zinthu zamadzimadzi ndi pulasitiki, kumawoneka pang'ono ndipo kumatha kusungunuka msanga), wotaya magazi (magazi exudate) kapena mafinya.
  2. 2 Matenda a pericarditis - pamene zizindikiro za pachimake pericarditis ndi ena pafupipafupi kuonekera wodwalayo.
  3. 3 Matenda a pericarditis - mawonekedwe ovuta a matendawa, pamene zizindikiro zimatha nthawi yaitali kuposa miyezi itatu. Komanso amatsuka mu effusion kapena exudative mawonekedwe. Nthawi zina zimakhala zomatira kapena zomatira (pamene, pambuyo pa kusintha kwa kutupa kuchokera ku siteji ya exudative kupita kumalo obala, minofu ya chilonda imayamba kupanga mu pericardium, mapepala ake amamatira pamodzi kapena ndi minofu yoyandikana nayo - sternum, pleura. , diaphragm)[3].

Zovuta za pericarditis

  • Constrictive pericarditis Ndi woopsa mawonekedwe aakulu pericarditis. Pachifukwa ichi, minyewa yoyipa imakhala yozungulira pamtima, zomwe zimaphatikizapo kuchepa kwa kukula kwa pericardium. Imapanikiza mtima, kuulepheretsa kukula bwino, ndikulepheretsa ma ventricles kudzaza bwino pa diastole. Chifukwa cha zimenezi, zipinda za mtima sizidzadza ndi magazi. Izi zingayambitse zizindikiro za kulephera kwa mtima, kuphatikizapo kupuma movutikira, kutupa kwa miyendo, kusunga madzi, ndi kusinthasintha kwa mtima kwachilendo. Ndi chithandizo choyenera, zizindikiro zoipazi zimatha kuthetsedwa.[2].
  • Pamene madzi owonjezera achulukana pakati pa zigawo za pericardium, zimatsogolera ku chikhalidwe chodziwika kuti pericardial activation… Kuchulukana kwamadzimadzi mu pericardium kumayambitsa mtima tamponade (kupsinjika kwakukulu kwa mtima komwe kumalepheretsa kugwira ntchito bwino). Cardiac tamponade yobwera chifukwa cha pericardial effusion imatha kukhala pachiwopsezo chamoyo ndipo ndizochitika zadzidzidzi zomwe zimafuna kuti madzi achotsedwe ndi pericardial puncture.[2].

Pericarditis prophylaxis

Monga lamulo, munthu sangachite chilichonse kuti ateteze chitukuko cha pachimake pericarditis. Koma tikhoza kukhudza matenda omwe angayambitse vuto losasangalatsa. Ndikofunikira pazizindikiro zoyambirira za ma virus, matenda, mafangasi, matenda a autoimmune kukaonana ndi dokotala kuti akhale ndi nthawi yopereka chithandizo munthawi yake. Simuyenera kuyambitsa matendawa ngati mupeza zizindikiro zowopsa, ndipo potero zimayambitsa zovuta zatsopano komanso zovuta kwambiri. Ndikofunikiranso kumayesedwa pafupipafupi ndikuwunika thanzi lanu.[5].

Chithandizo cha pericarditis m'mankhwala odziwika

Choyambitsa chachikulu cha pericarditis ndi matenda a virus. Choncho, mankhwala osokoneza bongo cholinga chake ndi kuchepetsa kutupa ndi kulamulira ululu. Pachifukwa ichi, mankhwala odana ndi kutupa (non-steroidal) amagwiritsidwa ntchito. Njira yochepa yochepetsera ululu ikhoza kuperekedwa.

Kwa mitundu ina ya pericarditis, chithandizo chimaperekedwa kuti chithandize kuthetsa chifukwa chomwe chinayambitsa chitukuko chake.

Ndi tamponade ya mtima yomwe tatchula pamwambapa, madokotala amapereka pericardiocentesis - njira yomwe singano yopyapyala imalowetsedwa kudzera pakhoma la chifuwa mu thumba la pericardial kuchotsa madzi ochulukirapo.

Ndi purulent pericarditis, ndondomeko ikhoza kuperekedwa pericardotomy (kutsegula kwa pericardial cavity). Ndipo zochizira matenda constrictive ndi aakulu exudative pericarditis, opareshoni yotchedwa pericardectomy nthawi zina zotchulidwa ... Kumaphatikizapo wathunthu opaleshoni kuchotsa pericardium. [4].

Zothandiza zakudya pericarditis

Mu pachimake pericarditis, ndikofunika kutsatira zakudya zoyenera, zomwe zingathandize kuchepetsa katundu pamtima, kusintha magazi, chikhalidwe cha dongosolo la mtima, komanso kubweretsa zakudya zonse zofunika ndi mavitamini m'thupi.

Amaloledwa kudya:

  • Zakudya za nyama: ng'ombe, nkhumba, ng'ombe, kalulu, Turkey. Ndi zofunika kuti mankhwala owiritsa. Amaloledwanso kuzidya zophikidwa.
  • Zobiriwira monga parsley, sipinachi, letesi. Ali ndi mavitamini ambiri. Zamasamba zosaphika kapena zophika ndizothandiza. Koma tikulimbikitsidwa kuchepetsa kudya kwa mbatata, kabichi woyera ndi nandolo.
  • Msuzi - Ndikofunikira kuti muzidya nthawi zambiri zamasamba zamasamba. Mwachitsanzo, masamba kapena mkaka, beetroot. Muthanso kuphatikiza ma broths a nyama kapena nsomba muzakudya, koma ndi bwino kuchita izi pafupipafupi.
  • Rosehip decoction. Lili ndi vitamini C wochuluka kwambiri. Sikuti ndi othandiza kokha pa chitetezo cha mthupi, komanso kumapangitsanso kamvekedwe ka makoma a mtima, mitsempha ya magazi, ndikuletsa mapangidwe a magazi.
  • Dzungu, kaloti ndi masamba ena amtundu wa lalanje. Iwo ndi zothandiza pericarditis chifukwa ali ndi vitamini A. Komanso, kumathandiza kusintha mkhalidwe wa minofu ya mtima ndi kutenga nawo mbali mu normalization wa mafuta m`thupi thupi.
  • Porridge, chimanga, zosiyanasiyana phala-based puddings, mazira, mkaka. Zili ndi vitamini B. Zimalepheretsa kugunda kwa mtima, matenda a mtima, ndipo kawirikawiri zimakhala zabwino kwambiri pamtima.

Traditional mankhwala pericarditis

  • Njira yabwino yothetsera vutoli ndi decoction yokonzedwa pamaziko a singano za paini. Muyenera kutenga supuni 5 za singano zazing'ono (pine, juniper, spruce). Thirani iwo ndi magalasi awiri a madzi otentha ndi kuphika pa moto wochepa kwambiri. Madzi akafika ku chithupsa, wiritsani kwa mphindi 10, kenaka mulole kuti brew kwa maola 8 pamalo otentha, kupsyinjika ndi kumwa 4 pa tsiku, 100 ml.
  • Tincture yochokera ku ndolo za birch. Kuti mukonzekere, muyenera kutenga ndolo za staminate (zazikulu) za birch, mudzaze mtsuko wa lita imodzi ndi pafupifupi 2/3. Ndiye kutsanulira iwo ndi mowa wamphamvu ndi kupita 2 milungu. Komanso, simuyenera kusefa tincture. Ndibwino kuti mutenge madontho 20 (osakwana 1 tsp) theka la ola musanadye katatu patsiku. Zimathandiza kuchepetsa ululu mu mtima, kuthetsa kupuma movutikira komanso kulimbikitsa.
  • Mukhozanso kukonzekera decoction yochokera ku motherwort, maluwa a hawthorn, marsh dryweed (zitsambazi ziyenera kutengedwa mu magawo atatu). Kenako onjezerani ena mwa maluwa a pharmacy chamomile kwa iwo. 3 tbsp kutsanulira kusakaniza ndi kapu ya madzi otentha, mulole izo brew kwa maola 1, kupsyinjika ndi kumwa 8 ml katatu patsiku ola limodzi mutatha kudya.
  • Mu magawo ofanana, muyenera kusakaniza maluwa a hawthorn, linden, calendula, mbewu za katsabola ndi udzu wa oat. Izi zosonkhanitsira ziyenera wosweka kukhala ufa, ndiye kutenga 5 magalamu ndi kutsanulira kapu ya madzi otentha. Kuumirira mu thermos kwa maola atatu kuti madzi azizizira pang'onopang'ono. Kenako, sungani ndikuwotha 3-3 pa tsiku, 4 ml kwa theka la ola musanadye.[6].
  • Kwa rheumatic pericarditis, tincture wa maluwa a buluu wa cornflower amagwiritsidwa ntchito. Pakuti kukonzekera 1 tbsp. maluwa ayenera kuthiridwa ndi 100 ml ya mowa wa 70-degree, ndikuumirira mumtsuko pansi pa chivindikiro kwa masiku 12. Ndikoyenera kumwa mankhwalawa 20 madontho katatu patsiku theka la ola musanadye. Kutalika kwa nthawi ya chithandizo kumatsimikiziridwa ndi momwe wodwalayo alili.
  • Dry pericarditis mankhwala ndi rosehip ndi uchi kulowetsedwa. Kukonzekera machiritso, kutsanulira 1 tsp. akanadulidwa zipatso ndi magalasi awiri a madzi otentha. Gwiritsani ntchito thermos pa izi. Lolani kuti brew kwa maola 10, kenaka onjezerani 1 tbsp. uchi ndi kumwa tiyi 125 ml katatu patsiku.
  • Mankhwala osakaniza opangidwa ndi mandimu ndi uchi ndi chokoma komanso chothandiza pa pericarditis. Muyenera kugaya mandimu pamodzi ndi peel, koma popanda mbewu. Kenaka yikani ufa wa apurikoti maso, kuwonjezera pang'ono pelargonium gruel ndi 500 ml uchi. Imwani 1 tsp musanadye chilichonse.

Zakudya zowopsa komanso zovulaza za pericarditis

Pali zinthu zingapo, zomwe kugwiritsa ntchito ndi pericarditis kuyenera kuchepetsedwa kapena kuchotsedwa kwathunthu pazakudya. Izi zikuphatikizapo:

  • Mchere - pali mlingo wotsimikizika wa tsiku womwe sungathe kupitirira. Ndi 5 magalamu a mchere patsiku muzakudya zonse zomwe zimadyedwa. Kuti muzindikire za msinkhu uwu, ndi bwino kuti musamadye mchere mbale panthawi yophika, koma onjezerani zonunkhira ku mbale yomalizidwa musanadye.
  • Zamadzimadzi - ndithudi, mukhoza kumwa madzi, tiyi, timadziti, decoctions. Koma tiyi iyenera kukhala yofooka, khofi ndi koko ziyenera kuchotsedwa palimodzi. Kuchuluka kwamadzi omwe mumamwa sayenera kupitirira malita 1,5 patsiku. Mowa ndi woletsedwa kotheratu.
  • Pickles, nyama zosuta - kuzidya kungayambitse edema, komanso kusunga madzi m'thupi. Ndi pericarditis, ichi ndi chodabwitsa kwambiri.
  • Zakudya zamafuta, kuphatikizapo nyama, broths, nyama yankhumba, nyama zamzitini, chiwindi, soseji. Amatha kukweza mlingo wa kolesterolini m’mwazi, umene umakhudza nthaŵi yomweyo ntchito ya mtima m’njira yoipa.
  • Zakudya za nyemba, kabichi, bowa zilizonse ndi zakudya zomwe zimayambitsa flatulence, ndipo madokotala amalangizanso kuti azikana.
  • Chokoleti, maswiti, ufa wa ufa, komanso tonic decoctions ndi tiyi wa zitsamba, zomwe zimakhudza kwambiri dongosolo lamanjenje.
  • Ndikofunika kupewa zakudya zokazinga, zokometsera. Njira yabwino yotenthetsera chakudya ndikuphika, kuphika kapena kuphika.

Panthawi ya pericarditis, ndikofunikira kuti tisamalemedwe ndi m'mimba, kudya zakudya zopatsa thanzi, zosavuta kupukusa m'magawo ang'onoang'ono. Chiwerengero choyenera cha zakudya patsiku ndi pafupifupi 5-6. Ndikofunika kuphika chakudya chanu, osati kugula zopangidwa kale kapena kugwiritsa ntchito zinthu zomwe zatha. Kotero inu mukhoza kulamulira, choyamba, ubwino wa zinthu zomwe zimatengedwa ngati maziko. Ndipo chachiwiri, pewani zakudya zoletsedwa: mafuta ochulukirapo, mchere.

Kusindikizanso kwa zinthu

Kugwiritsa ntchito chinthu chilichonse popanda chilolezo cholemba kale sikuletsedwa.

Malamulo achitetezo

Oyang'anira sakhala ndiudindo pakayesedwe kalikonse kogwiritsa ntchito chinsinsi, upangiri kapena zakudya, komanso sikutsimikizira kuti zomwe zanenedwa zikuthandizani kapena kukuvulazani. Khalani anzeru ndipo nthawi zonse muzifunsira kwa dokotala woyenera!

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!

Chakudya cha matenda ena:

Siyani Mumakonda