Pericarditis - inodzvinyirira

Kuzvidzivirira pericarditis inzira iyo saga-senge yekufukidza yemoyo (iyo pericardium) inowedzerwa uye kuora.

Mamiriro ezvinhu akafanana anosanganisira:

• Hutachiona pericarditis
• Pericarditis
• Pericarditis mushure mekurwadziwa kwemoyo

Kazhinji yenguva, constricive pericarditis inoitika nekuda kwezvinhu zvinokonzeresa kuzvimba kutenderedza kutenderedza moyo, senge:

• Kuvhiya kwemoyo
• Radiation kurapa kuchipfuva
• Tiibhii

Zvikonzero zvishoma zvakajairika zvinosanganisira:

• Asina kujairika emvura anovaka mukuvhara kwemoyo. Izvi zvinogona kuitika nekuda kwehutachiona kana sekupokana kwekuvhiyiwa.
• Mesothelioma

Mamiriro acho anogona zvakare kukura pasina chikonzero chakajeka.

Kashoma muvana.

Paunenge uine constrictive pericarditis, iko kuzvimba kunokonzera kufukidzwa kwemoyo kuve kwakakora uye kuomarara. Izvi zvinoita kuti zviomere moyo kutwasuka zvakanaka kana uchirova. Nekuda kweizvozvo, dzimba dzemwoyo hadzizadzi neropa rakakwana. Ropa rinodzokera kumashure kwemoyo, zvichikonzera kuzvimba kwemoyo uye zvimwe zviratidzo zvekutadza kwemoyo.

Zviratidzo zvechirwere chisingaperi chinokonzera pericarditis chinosanganisira:

• Kuoma kufema (dyspnea) iyo inokura zvishoma uye ichiwedzera kuwedzera
• Kuneta
• Yenguva refu-kuzvimba (edema) yemakumbo nemakumbo
• Dumbu rakazvimba
• Kushaya simba

Constrictive pericarditis yakaoma kwazvo kuti uongorore. Zviratidzo nezviratidzo zvakafanana nemamwe mamiriro sekudzivirira cardiomyopathy uye moyo tamponade. Mutapi wako wezvehutano anozoda kutonga kunze aya mamiriro kana uchiita kuongororwa.

Kuongorora kwepanyama kunogona kuratidza kuti mutsipa wako mutsinga unonamira kunze. Izvi zvinoratidza kumanikidzwa kwakakomberedza moyo. Iye mupi anogona kuona kushaya simba kana kure kure nemoyo mheremhere kana uchiteerera chipfuva chako ne stethoscope. Ruzha rwekugogodza runogona kunzwikawo.

Iko kuongorora kwepanyama kunogona zvakare kuratidza kuzvimba kwechiropa uye fluid munzvimbo yedumbu.

Iyi bvunzo inotevera inogona kurairwa:

• Chest MRI
• Chest CT scan
• Chest x-ray
• Coronary angiography kana moyo catheterization
• ECG
• Echocardiogram

Chinangwa chekurapa ndechekuvandudza moyo basa. Chikonzero chinofanira kuzivikanwa nekurapwa. Zvichienderana nekonzeresa yedambudziko, kurapwa kunogona kusanganisira anti-anogumbura, maantibayoti, mishonga yetibhii, kana kumwe kurapa.

Diuretics ("mapiritsi emvura") anowanzo shandiswa mune zvidiki diki kubatsira muviri kubvisa zvakawandisa mvura. Mishonga yemarwadzo inogona kudikanwa kusagadzikana.

Vamwe vanhu vangangoda kutapudza pabasa ravo. Kudya kwakaderera-sodium kunogona zvakare kukurudzirwa.

Kana dzimwe nzira dzikasadzora dambudziko, kuvhiya kunodaidzwa kuti pericardiectomy kunogona kudikanwa. Izvi zvinosanganisira kucheka kana kubvisa mavanga uye chikamu chesaga-senge yekuvhara moyo.

Zvinokanganisa pericarditis zvinogona kutyisidzira hupenyu kana zvisina kurapwa.

Zvisinei, kuvhiyiwa kurapa mamiriro acho kune njodzi yakanyanya yezvinetso. Neichi chikonzero, zvinowanzoitwa kune vanhu vane zvakakomba zviratidzo.

Zvinetso zvinogona kusanganisira:

• Kutadza kwemoyo
• Pulmonary edema
• Chiropa uye itsvo kusagadzikana
• Kuora kweiyo mhasuru yemoyo

Fonera mupi wako kana iwe uine zviratidzo zveconstrictive pericarditis.

Mune zvimwe zviitiko, zvinodzivirira pericarditis hazvidziviririke.

Nekudaro, mamiriro ezvinhu anogona kutungamira kuumbwe pericarditis inofanirwa kurapwa nemazvo.

Inoita pericarditis

• Pericardium
• Inoita pericarditis

Hoit BD, Ah JK. Zvirwere zvepericardial. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsama 68.

Jouriles NJ. Pericardial uye myocardial chirwere. Mumasvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 72.

Lewinter MM, Imazio M. Zvirwere zvepericardial. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 83.