Izimpawu inhliziyo pericarditis kanye nokwelashwa. pericarditis Dry: Izimpawu

Kukhona izifo ezihlukahlukene ukuthi zingaba nomthelela onamandla omubi umsebenzi isitho eyinhloko isimiso sokujikeleza kwegazi - inhliziyo. Lesi sihloko sigxile kakhulu yezinkinga ezivamile, esibizwa pericarditis. Lesi sifo kuyingozi futhi afanelwe abayinakanga wakhe.

Hlobo luni isifo okukhulunywa

Uma sizama ukuchaza ngokwesayensi ukuthi inhliziyo pericarditis, izimpawu zazo abantu abaningi bakhathazeka, singasho okulandelayo: kuba ukuvuvukala aseptic noma ezithathelwanayo we parietal futhi visceral amapheshana pericardium. Kodwa uma kuziwa kulula, sikhuluma yisishiso efanayo njalo noma okukhulu ulwelwesi lwangaphandle inhliziyo (pericardium), imbangela okuyinto rheumatism, umthelela unesifo noma eminye imiphumela.

Ukuze uzwisise imvelo yalesi sifo, kunengqondo ukuba banake ulwazi jikelele.

Pericardium - a pericardium, futhi lapho kuyinto umzimba ebalulekile efana inhliziyo. Ngakho iqiniso ukusikwa okusebenzayo isikhwama ezinjalo kuba Sibonga kungenzeka ukuba oyiyo ekhethekile, kuvimbela ukuzihlikihla eqinile.

Izimpawu pericarditis e abadala inethonya isimo ukuthi umsebenzi begodu nesakhiwo ulwelwesi lwesisu, kwenze inhliziyo ayaphuka. Kuyinto inqwaba kungenzeka effusion pericardial (imfihlo) kokuba imvelo serous noma ubovu. uketshezi okunjalo kuchazwa njenganoma exudates. Kwaba ngaphansi kwethonya inhliziyo yakhe nokukhama kwenzeka ngenxa yalokho siyabhubha ukuqaliswa kwemisebenzi yayo eqondile. Kusobala ukuthi isimo esinjalo kuyingozi futhi akunakugwenywa.

Uma pericardial kwenzeke ngokweqile ekuqongeleleni uketshezi, kunosongo oqondile ekuphileni komuntu. Kuleli zinga, ukugwema ukufa kuphela kube kokungenela ngokushesha.

Kuyaphawuleka ukuthi lesi sifo kwenzeka zivame ukubonakala kwabesifazane, okungenani - amadoda. Njengoba for the izingane, zisencane akuvamile ukubeka lokhu uphethwe, nakuba ngezinye izikhathi kwenzeka.

izimbangela

Ngaphambi kokucabangela izimpawu pericarditis kubantu, kubalulekile ukuthola ukuthi yini udla ukubukeka isifo elukhuni kanje.

Kumele baqonde iqiniso ezilandelayo - ekuqongeleleni uketshezi kungenzeka kube umphumela izinqubo ezahlukene emzimbeni:

- kwetintfo izifo yezitho zangaphakathi;

- uphawu izifo zenhliziyo ngqo;

- umphumela ukulimala;

- ukubonisa kwezifo ezithathelwanayo olujwayelekile;

- inkomba yokuthi izifo letindzala.

Kodwa uma sikhuluma izizathu ezijwayeleke kakhulu, okokuqala ukunakekelwa okufanele ikhokhwe ukuze umthelela ukutheleleka. Kulokhu, izimpawu pericarditis kungenzeka kubonisa esifika ngezindlela ezihlukahlukene:

- ezithathelwanayo-iguliswa;

- Izifo ezithelelanayo;

- non-esithathelanayo (ubovu, aseptic).

Eqinisweni, sikhuluma izinkinga nge isimo pericardium e lezi zifo ezilandelayo:

- izifo ezibangelwa amagciwane ezinjengomkhuhlane kanye nesimungumungwane;

- KWAMAGUNDANE yisinanakazana;

- sofuba, inqobo ukutheleleka okudlulela sofuba extrapulmonary noma eyinhloko kwemizi yamaphaphu;

- izifo microbial (izinqubo ukonakala, scarlet fever, umphimbo obuhlungu);

- ukutheleleka fungal.

Ngaphezu umthelela lezi zifo, izimpawu pericarditis kungase kubangelwe serum ukugula noma yokungezwani komzimba izidakamizwa.

Ngu iqembu ahlukene zezinkinga pericardium kuthiwa wenziwa labo izinhlobo pericarditis, ezikhula ngaphansi kwethonya ukukhubazeka abasafufusa we pericardium kumiswa diverticula futhi izinhlumba.

zinhlobo isifo

Kungakhathaliseki bheka izimpawu pericarditis, bona kuyohlale eyabonisa ukuthuthukiswa omunye izinhlobo ezimbili ezisemqoka zesifo: oyingozi noma ezingamahlalakhona.

Uma sikhuluma ifomu okungamahlalakhona, kubalulekile ukuba banake yokuthi yenzeka kancane kancane futhi kungenzeka wazizwa iminyaka eminingi. Kulokhu, a pericarditis has izinhlobo eziningana ezivamile:

- anamathelayo noma ingcina, phakathi kwesikhathi lapho kwakhiwa izibazi kanye nokunamathisela ngomthofu;

- nesenzakalo okuxubile ukuvuvukala, uketshezi kanye nezibazi;

- exudative, noma ifomu exudative, elinesimo ekuqongeleleni enkulu oketshezini pericardium.

pericarditis olunamandla, ogama izimpawu zibonakala ngokushesha okungaka, futhi ine amafomu eziningana key:

- exudative, ukwakha yenqwaba uketshezi (ubomvu, okuqukethwe okunegazi noma i-plasma);

- fibrinous noma owomile, elinesimo ekuqongeleleni enkulu pericardial ingaphakathi ingcina sidakamizwa plasma (fibrin).

pericarditis Constrictive futhi pericardial: Izimpawu

Ukuze ngesikhathi esifanele aphendule isifo futhi baqala ukwelashwa, odinga ukukwazi okungenani izimpawu jikelele inkinga. Futhi uma sikhuluma ifomu exudative zesifo se-pericardium, kubalulekile ukuba banake lokhu okulandelayo: uma inkinga iqiniso ukugcwala uketshezi ngokuvamile bethola ngesikhathi fluorography luhlolo, kanye ngokusebenzisa echocardiography.

Uma isimila kwesifuba noma amaphaphu sabhalwa futhi kunengqondo usola ukuthuthukiswa pericarditis. kokutshelwa ngokukhubazeka kwengane zingenziwa in iziguli uremia, phakathi kwesikhathi lapho eba cardiomegaly ngaphandle kwesizathu, futhi kukhona ukwanda ingcindezi emithambo yegazi.

Ngandlela-thile isimo ezahlukene inkinga efanayo pericarditis constrictive, izimpawu ngendlela efanele usaqala ngokuvamile akulona ebonakalayo. izimpawu ezingokoqobo zesifo azibonakali kakade lapho uketshezi ngokwanele aqoqana pericardium ukuze izinkinga umsebenzi inhliziyo. Sula izimpawu ziyaphuma nge isikhathi ngemva kokuzivivinya ngesimo kufushane okunzima umoya futhi babekhathele kakhulu. Abantu nale nkinga ingalungiswa Iqiniso okungazelelwe kwesisindo futhi ukwehla okuphawulekayo ngesifiso.

Zikhona nezinye izimpawu zesifo senhliziyo pericarditis constrictive. Izimpawu ngokuhamba kwesikhathi, ngaphezulu zingase zifane imithelela kwesokudla ventricular yokumelwa yinhliziyo. Kuyinto ascites, edema neuropathy, ubuhlungu futhi ukusinda ilungelo quadrant engenhla.

Yiziphi izimpawu pericarditis ezomile

Ekhuluma ngale uhlobo isifo pericardium, kubalulekile ukuba banake yokuthi lolu daba ngokuvamile kwandulelwe imfiva noma myalgia. Kodwa azigcini eyinkimbinkimbi, elibangela pericarditis ezomile. Izimpawu ekugcineni azibonakali njengoba ubuhlungu, okuyinto itholakala endaweni esifubeni.

izimpawu ezinjalo kungase kuphikelele izinsuku eziningana noma amasonto, ezwakalisa ngokwabo ngesikhathi esifubeni ngokucaca okwanele. ubuhlungu Kunokwenzeka kokubili izandla kanye komunye umkhawulo engenhla, kanye imisipha trapezoid. Ubuhlungu iba acute ikakhulukazi lapho bezama ukushintsha isikhundla umzimba. Lapho ukukhwehlela, ukugwinya futhi ephefumula ukungakhululeki ingaphinda wazizwa.

Endabeni inkinga ezifana pericarditis ezomile, izimpawu kancane buthaka, uma umuntu ethatha awulutho kuNkulunkulu. Kodwa uma isiguli lona olele emuva kwakhe, umphumela kuyoba okuphambene - isimo sempilo liwohloka.

Kwezinye izimo, ubuhlungu kungenzeka ukhathazekile usuku lonke. Kulokhu, ngemisebe okuyokwenzeka esisodwa noma zombili izandla. isimo esinjalo luyakwazi isilethikusebenza.

Kungenzeka futhi engekho ubuhlungu ngenhla echazwe ngesikhathi zavela kancane kancane uketshezi ekuqongeleleni inqubo. Ngokuvamile, isimo esinjalo kubangelwa inkinga nge ukwakheka pericardium ku isizinda sofuba, uremia, izilonda tumoral nangemva amaseshini njalo yokuchayeka emisebeni ye.

Kodwa ubuhlungu - akusiyo uphawu kuphela obuhambisana pericarditis ezomile. Kungadala iphika izimpawu dysphagia.

pericarditis acute

Kuleli fomu lesi sifo ekuseni futhi uphawu osobala kakhulu ubuhlungu enhliziyweni. Kulokhu, indawo lapho ivela khona futhi amandla ala unemizwa engemnandi zingase zishintshe.

Ngokuvamile ubuhlungu kwenzeka engxenyeni engezansi sternum noma sokudlondlobala inhliziyo. ngemisebe olungenzeka entanyeni, emahlombe kwesokunxele futhi ingalo.

Lapho kukhona exacerbation of pericarditis, izimpawu zibonakala ngesimo sebuhlungwini obunzima kakhulu. isimo esinjalo kufana isilethikusebenza, noma pleurisy. Kwezinye izimo, ubuhlungu kukhona uhlamvu ngiyaqaqanjelwa futhi zomile. Ngezinye izikhathi iziguli sebeqala ukuzizwa kobukhulu inhliziyo.

Uma kukhona exacerbation of ubuhlungu enhliziyweni, kungenzeka kudingeke basebenzelane pericarditis ezomile.

Phakathi exacerbation akusho ukubeka eceleni ukubukeka iphika, okuzokwenza ibonisa effusion ku pericardium. Kukhula ketshezi iye kwadingeka isikhathi buthelela ku pericardium, siyoba sikhulu nezinkinga nge ukuphefumula. Ukuze kwenziwe ngcono impilo ngesikhathi bona bahlale phasi. Kulokhu, dyspnea kakhulu ziyancipha ngenxa lokuhlushwa uketshezi ezansi le pericardium futhi, ngenxa yalokho, ukunciphisa ukucindezeleka inhliziyo uqobo. Kwegazi kuyathuthuka ngenxa yalokho, kanti isiguli uthola inkululeko.

Yena kungase kuhambisane iphika ukukhwehlela, futhi ngezinye izikhathi ngisho ukuhlanza.

Yiziphi izimpawu pericarditis ezinganeni

Njengoba kushiwo ngenhla, izinkinga ezifanayo ngenhliziyo zisencane akuvamile. Noma kunjalo, ingozi yokuba nesifo enjalo ngaphambi yobudala kungenzeka.

Ngakho kanjani ubheka pericarditis ezinganeni. Izimpawu ezigulini abanje, njengoba abadala, ngokuvamile izimpawu kwenye isifo ecashile. Ngokuvamile kuba umbuzo umthelela amagciwane ahlukene. Kakhulu kangakanani ngokuvamile isifo eba ku isizinda sofuba noma i-rheumatoid arthritis. Izimbangela ubuhlungu inhliziyo ingaba nomthelela umzimba zezinzwa izifo izicubu wengane ezifana omzimba izicubu erythematosus.

Esinye isizathu ukuthi kungani ekuqaleni kwenzekani kokunqotshwa kwe pericardium - a staph ezinzima futhi, ngaphansi ngokuvamile, izinqubo ukonakala. genesis Immunological esivamile izingane kakhulu pericarditis. Endabeni okubizwa ngokuthi uremic pericarditis nge ezinzima kwezinso esingamahlalakhona isifo kungaba anobuthi ngokwemvelo.

Izinkinga pericardium nezingane ubovu izinqubo ngokuvamile metastatic. Lokhu kusho ukuthi ukuthuthukisa ngenxa ikhefu ubovu focus infarction pericardial, noma ngenxa drift hematogenous.

Ngokuqondene izimpawu jikelele, khona-ke kungenzeka ukuba baphathe cyanosis ngokulinganisela, iphika, wagwaza ubuhlungu enhliziyweni nomkhuhlane.

Endabeni ukuthuthukiswa pericarditis ezomile izawulalelwa phezu kwenhliziyo ngomshikisho pericardial. Ngokuvamile ngenxa ome ifomu exudative kufanele kube futhi lokhu kufanele bakulungele. Kuleso simo zobuhlungu ngomshikisho imisindo zinyamalale, kodwa wawanda onokuqundeka zenhliziyo eziwohlokayo iyonke.

Yileyo indlela izingane sibonakalise pericarditis. Izimpawu kanye nokwelashwa kuleli cala - siku kwekhono le udokotela. Abazali kangcono hhayi bazame ukuthonya umzimba siqu umntwana othandekayo. Uma ungase uthi qu esibhedlela kungaba isixazululo esingcono kakhulu.

ukuhlola

Yiqiniso, akubona bonke abakhileyo kukhona eyinkimbinkimbi ngakho Ongoti imithi ukuze ngokuzimela ukucacisa izimpawu ezisobala pericarditis ezomile ngaphandle kosizo udokotela. Yingakho-ke kubalulekile ukukhumbula ukuthi kuhlale kuyinto engenzeka lapho ethola ukuthi unesifo ukubamba iqhaza kwabasebenzi bezempilo abaqeqeshiwe imithi yesimanje.

Ngakho, uma isimo saba sibi kakhulu futhi kwakukhona ukuzwa ngisho ukude efana izimpawu pericarditis, kufanele ngokushesha ukuya kudokotela, abangakwazi ukunquma ngesikhathi kuhlolwa khona izimpawu zangaphandle lesi sifo umsuka imfiva kanye. Esebenzisa palpation uma pericarditis angathola umsindo friction we pericardium phezu kwendawo onokuqundeka inhliziyo.

Njengomthetho, nomsindo wokuhlokoma enjalo futhi ulalele uthole isithombe esinembile kwesimiso lesiguli. Isebenzisa IselulekoSesihenqo, okuyinto kakhulu yayicindezele esifubeni. Isiguli ngalesi sikhathi kufanele sibe isikhundla uqotho, ubambe umoya wakho njengoba exhale.

Ukuze uthole ukuxilongwa esinembile ingasetshenziswa idatha laboratory kanye ECG ukufundwa.

Izimpawu pericarditis ku ECG, ikakhulukazi acute injalo ezomile, wezwakalisa njengoba izici isici umonakalo subepicardial esivimba amanzi. Uma kukhona olwenzeka abalulekile ewuketshezi, izimpawu zesifo ngesikhathi uphethwe njengoba lokhu siyofezwa ngokunciphisa inani voltage ka QRS izakhiwo.

ukwelashwa

Ngo leso sifo, pericarditis, izimpawu kanye nokwelashwa zidinga ukuhlolwa abanekhono futhi indlela. Okokuqala, udinga ukunikeza ukuphumula embhedeni. Lo mthetho kuyiqiniso ikakhulukazi uma ekuhlonzweni kwezifo exudative. Ngokwesilinganiso, umbuso enjalo ihlala isikhathi esingangenyanga futhi banganwebisa kuphela uma appreciable ekwenteni ncono isimo lesiguli.

Uma salotshwa pericarditis ezomile, nesidingo esiphuthumayo ukuhlala unomphela embhedeni akukho.

Kodwa, ngemva kwalokho abuyela ifomu exudative, kufanele kuphawulwe ukuthi ngesikhathi exacerbation yayo kudinga esibhedlela ngokushesha i labagula kakhulu. Isiguli kuyodingeka ukuba bahlole udokotela ohlinzayo thoracic. Ngokuphathelene nokudla phakathi izifo ezifana pericarditis, lolu daba ulawulwa umbono lesi sifo ecashile.

Uma imbangela ekuqongeleleni oketshezini pericardium kwaba ukutheleleka, kungaba zabelwe ukwelashwa ngemithi elwa namagciwane. Endabeni sofuba ziyasebenza imithi ezifanele, kodwa ukwelashwa okunjalo kuyodinga isikhathi esiningi.

Ngokuvamile, lapho izinkinga pericardium uqokwa umthelela izidakamizwa eqeda ukuvuvukala. Ukuze ukunciphisa ububi besimo sokuguquka pericarditis futhi neutralization ubuhlungu izidakamizwa efanele steroidal ezifana "Voltaren", "Indomethacin" et al.

Ngaphandle imiphumela ngenhla echazwe kwezidakamizwa zingaba immunosuppressive nomphumela anti-iguliswa. Ngenxa yalesi sizathu baba kuchazwa ngokuthi indlela ephumelelayo yokwelapha pathogenetic.

amalungiselelo anjalo kubonakala endabeni ukuxilongwa lezi zinhlobo ezilandelayo pericarditis:

- uma isilethikusebenza, kuba Dressler Syndrome;

- endabeni letindzala zezinzwa izifo izicubu;

- uma kukhona inqubo rheumatoid esebenzayo;

- Lapho ukumelana pericarditis tuberculous;

- ifomu exudative nge imbangela okungacaci futhi ephelezelwa ezinzima.

Ezimweni eziningi, wokulungiselela ezifana wabelwa ukuba abe "prednisolone". Le course ngokuvamile ihlala emasontweni ambalwa nge ukuqedwa kancane kancane ukusetshenziswa kwaleli thuluzi.

Ukunakwa kufanele ikhokhwe futhi wokubhoboza pericardium. Sikhuluma a wokubhoboza we umgodi we pericardium futhi kuhlengwe effusion, ukudala ingcindezi inhliziyo. wokubhoboza enjalo wenziwa erhabekileko kwenzeka ukuthi kukhona olwenzeka okusheshayo ehamba phambili fluid usongo tamponade inhliziyo.

Needling kungabuye kwenziwe ngaphansi eyizifo ubovu lapho emva kokukhipha ketshezi ngokusebenzisa inalithi lo pericardium iqondiswa antibiotic namanye efanele esimweni iziguli imithi ethize.

ekuqongeleleni Rapid uketshezi singaholela ukuthuthukiswa pericarditis constrictive. Kuleli zinga, kudingeka ukuze unciphise sodium chloride eyanele ukuba 2 g ngelanga futhi kakhulu ukunciphisa obusamanzi sokudliwa isiguli. aphoyintimenti ngeke yangempela isisu.

ukuhlinzwa kungaba kwenziwe ezimweni ezinzima kakhulu. It is mhlawumbe kusetshenziswa ukungabi khona nomphumela ofiselekayo emva ukusetshenziswa kwemithi yokwelapha phakathi pericarditis constrictive. Lapho isimo lesiguli kuthuthukisa kungudokotela ohlinzayo owenza perikardektomiyu ukukhulula i-ventricle engakwesobunxele wenhliziyo kusukela nokukhama njalo.

amakhambi abantu

Kunezindlela eziningana izindlela ukuthonya nezindaba ezifana pericarditis. Izimpawu kanye nokwelashwa amakhambi abantu zokubonisa sifo - kuyinto esasivela. Kodwa kubalulekile ukuqonda ukuthi esikhundleni izindlela ezidumile eyinhloko inqubo yokwelapha - iphutha elikhulu. ukunqwabelana oketshezini pericardium kuyinkinga, balandela ngokushesha izinkinga ngeke isebenze iwukudambisa ngaphandle Ihlahlubo uchwepheshe ukwelashwa abanekhono.

amakhambi Folk kuphela kuvunyelwe esikhathini yokutakula, njengoba imiphumela eyayihambisana nalo. Kodwa noma kunjalo isinyathelo akuyona wamukelekile, kungcono ukuthatha isinyathelo emva kokubonisana udokotela ukuba khona.

Ngokuqondene potions langempela, kwamakhambi ukuthi ziyamukeleka kusuka ezinqulwini, strawberry, hawthorn, futhi wort iSt John sika.

Kulabo abane ezifuywayo, kuyoba nesihloko esifanele kulokhu: "pericarditis e Izinja:. Izimpawu kanye Ukwelashwa" Ngomqondo onabile, inkulumo pericardium kungaba nezinkinga kwezinye izilwane. Izimpawu yale nkinga kuyehla kube ukubukeka imfiva, ubuhlungu enhliziyweni, kanye jikelele isilwane zokucindezela uyahlabeka. Ngokuvamile, izimpawu zifana phakathi izifo kubantu, ngakho isimo ecindezelekile zezilwane ezifuywayo kungcono ukuba bangahambi naye kuzo Vết, kungenjalo ungase ubhekane eziyingozi.

Izimpawu pericarditis kungavuka izilwane futhi emva ukulimala ezihlukahlukene. Ngakho uma inja yakho ozithandayo elimele, ukuhlela ukubheka isimo saso ngokusebenzisa isikhathi uyisidingo.

Imiphumela

Pericarditis isifo esiyingozi, ngakho-ke angeke anganakwa. Ngenxa yalesi sizathu, i-townsfolk kufanele ngifunde okungenani nge izimpawu ezivamile. Lokhu kuzovumela isikhathi ukuqaphela kokugula esiyingozi futhi bafune iseluleko wezokwelapha. Nale ndlela, kukhona njalo ithuba ukwelashwa okuphumelelayo, ukuvimbela yezinkinga kungenzeka. Ungakhohlwa ukuthi uma yokuthi wayenemfuyo uketshezi emhlabeni inhliziyo akusebenzi, singenzeka ebulalayo. Ngakho uzowathola ukuthola kangcono isikhathi ezithuthukile vakashela kudokotela.