Ukugeleza Kwamanzi E-Pericardium: Izimpawu, Izimbangela, Nokwelashwa

Ukugeleza kwamanzi e-pericardium kwenzeka lapho amanzi engeziwe eqokelela esikhwameni esincinyane esizungezile inhliziyo yakho okuthiwa yi-pericardium. Cabanga ngakho njengamanzi aqoqekile esikhwameni esivikela esizungezile inhliziyo yakho. Lesi simo singaba ukusuka ezimweni ezilula ezingabangeli zimpawu kuya ezimweni ezinzima ezidinga ukunakekelwa ngokushesha kwezokwelapha.

Izindaba ezinhle ukuthi abantu abaningi abane-pericardial effusion bangaphathwa ngempumelelo uma odokotela beqaphela ukuthi yini ebangela ukuqokelela kwamanzi. Ukuqonda izimpawu nokwazi ukuthi nini kufanele ufuna usizo kungenza umehluko omkhulu ekutholeni ukunakekelwa okufanele ngesikhathi esifanele.

Iyini i-pericardial effusion?

I-Pericardial effusion ukubuthana kwamanzi amaningi phakathi kwezendlalelo ezimbili ze-pericardium, okuyi-sac evikela esizungezile inhliziyo yakho. Ngokuvamile, le ndawo inamanzi amancane okuhlanza asisiza inhliziyo yethu ukuba ishayise ngokulinganayo.

Uma amanzi amaningi eqokelela kule ndawo, angacindezela isimiso senhliziyo yakho. Lokhu kucindezela kungaphazamisa ikhono lenhliziyo yakho lokugcwalisa ngokufanele ngegazi phakathi kwemishayelo. Ubunzima buyahluka kuye ngokuthi amanzi amaningi aqokelela kangakanani nokuthi akha kangcono kangakanani.

Umzimba wakho ngokuvamile ukhulula futhi uthathe amanzi e-pericardial ngokulinganayo. Uma lokhu kulingana kuphazamiseka ngenxa yokulimala, ukutheleleka, noma ezinye izimo zezokwelapha, amanzi angaqokelela ngokushesha kunalokho umzimba wakho ongakwazi ukuwasusa.

Ziyini izimpawu ze-pericardial effusion?

Abantu abaningi abane-pericardial effusion elula abanawo nhlobo izimpawu, kungakho lesi simo ngezinye izikhathi singaqaphelwa kuze kube yilapho sitholakala ngesikhathi sokuhlolwa okuvamile kwezokwelapha. Kodwa-ke, njengoba amanzi eqokelela, ungaqala ukubona izimpawu ezithile zokuqapha ongadingi ukuzigwegwela.

Izimpawu ezivamile zihlanganisa:

• Ubuhlungu obusengifubeni obungase bube sibi uma ulele noma uthatha imfutho ejulile
• Ukuphefumula okunzima, ikakhulukazi ngesikhathi somsebenzi womzimba noma uma ulele phansi
• Ukukhathala nokukhathala okungavamile ngesikhathi semisebenzi evamile
• Ukuhlanza okwomile okubonakala kungenawo omunye umbangela
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ukukhungatheka noma ukukhanya ekhanda
• Ukuvuvukala ezinyaweni, ezinkulwini, noma esiswini

Ezimweni ezinzima, ungase ube nokuthi odokotela bakubiza ngokuthi i-cardiac tamponade, lapho amanzi ebekela umkhawulo omkhulu emsebenzini wenhliziyo yakho. Lokhu kuyisimo esiphuthumayo sezokwelapha esidinga ukunakekelwa ngokushesha.

Izimpawu ezinzima ezidinga ukunakekelwa ngokushesha kwezokwelapha zihlanganisa ubuhlungu obunzima esifubeni, ubunzima obukhulu bokuphumula, ukuhlanza, noma i-pulse ebuthakathaka esheshayo. Lezi zimpawu zibonisa ukuthi amanzi acindezela inhliziyo yakho futhi ayivimbela ukusebenza kahle.

Yini ebangela i-pericardial effusion?

I-Pericardial effusion ingathuthukiswa yizimo eziningi ezahlukene eziyisisekelo, kusukela ekutholakaleni kwezifo kuya ezifo ezizimele. Ukuqonda izimbangela ezingaba khona kusiza odokotela ukuthi banqume indlela yokwelapha engcono kakhulu yesimo sakho esithile.

Izimbangela ezivamile zihlanganisa:

• Izifo ezingabangelwa ama-virus njenge-influenza, i-COVID-19, noma ezinye izifo zokuphefumula
• Izifo ezingabangelwa ama-bacteria ezisakazekela ku-pericardium
• Izimo ze-autoimmune ezifana ne-lupus noma i-rheumatoid arthritis
• Umshuza osuka endaweni esizungezile inhliziyo
• Ukuhlinzwa kwenhliziyo noma izinqubo zenhliziyo
• Ukulimala kwesifuba ezingozi noma ekulimaleni
• Ukungasebenzi kahle kwempilo noma isifo esinzima somlomo
• Imithi ethile, ikakhulukazi ezinye izinto ezinciphisa igazi
• Ukwelashwa ngomgogodla endaweni yesifuba

Izimbangela ezingavamile kodwa ezibalulekile zihlanganisa i-tuberculosis, izifo ezingabangelwa ama-fungi, nezinye izimo ze-genetic ezihlasela i-connective tissue. Ngezinye izikhathi, odokotela abakwazi ukubona imbangela ethile, futhi lokhu kubizwa ngokuthi i-idiopathic pericardial effusion.

Ezimweni ezithile, ukugeleza kwamanzi kuthuthukiswa njengoba kuba yingxenye yezinye izimo zenhliziyo ezifana nokushaya kwenhliziyo noma ukwehluleka kwenhliziyo. Udokotela wakho uzozama ukuthola imbangela ebangela lesi simo ngoba ukwelapha inkinga ebangela lesi simo kuvame ukuba yiyona nto ebalulekile ekuxazululeni ukuqokelela kwamanzi.

Kufanele ubona nini udokotela nge-pericardial effusion?

Kufanele ufuna ukunakekelwa kwezokwelapha uma uhlangabezana nobuhlungu besifuba obuqhubekayo, ikakhulukazi uma bube sibi uma ulele noma uphefumula ngokujulile. Ungalindi ukubona ukuthi izimpawu ziyathuthuka ngokwazo, njengoba ukuxilongwa kwangaphambili nokwelashwa kuvame ukubangela imiphumela emihle.

Shaya udokotela wakho ngokushesha uma uqaphela ukuphefumula okunzima okuya kubi, ukukhathala okungachazwanga, noma ukuvuvukala ezinyaweni nasezinkulwini. Lezi zimpawu zingabonisa ukuthi amanzi athonya ikhono lenhliziyo yakho lokupompa kahle.

Funani ukunakekelwa kwezokwelapha okusheshayo uma uhlangabezana nobuhlungu besifuba obukhulu, ubunzima obukhulu bokuphumula, ukuhlanza, noma izimpawu zokushona njengomfutho obuthakathaka osheshayo nokudideka. Lokhu kungabonisa i-cardiac tamponade, edinga ukwelashwa okusheshayo ukuvimbela izinkinga ezingaba yingozi ebomini.

Ngisho noma izimpawu zakho zibonakala zingenazinkinga, kufanele ukuxoxe nazo umhlinzeki wakho wezempilo, ikakhulukazi uma unezingozi ezifana nesifo samuva, izimo ze-autoimmune, noma umlando wezinkinga zenhliziyo. Ukutholakala kwangaphambili nokwelashwa kungavimbela izinkinga ezinzima ezingase zivele.

Ziyini izingozi ze-pericardial effusion?

Izinto ezithile zingandisa amathuba akho okuthuthukisa i-pericardial effusion, nakuba ukuba nalezi zingozi akusho ukuthi uzokuthuthukisa ngokuqinisekile lesi simo. Ukwazi lezi zinto kuzokusiza wena nodokotela wakho ukuba niqaphele izimpawu ezingaba khona.

Izingozi eziyinhloko zihlanganisa:

• Izifo zamuva ze-virus noma ama-bacteria, ikakhulukazi izifo zokuphefumula
• Izifo ze-autoimmune ezifana ne-lupus, i-rheumatoid arthritis, noma i-scleroderma
• Umshuza, ikakhulukazi umdlavuza wolwimi, umdlavuza wesifuba, noma i-lymphoma
• Isifo somlomo noma ukwehluleka kwempilo
• Ukuhlinzwa kwenhliziyo noma izinqubo zenhliziyo
• Ukulimala kwesifuba noma ukulimala
• Ukuthatha imithi ethile efana nezinciphisa igazi noma ezinye izidakamizwa ze-chemotherapy
• Ukwelashwa ngomgogodla kwesifuba

Ubudala bungase futhi bube nomthelela, ngabantu abaphakathi nabaneminyaka ephakeme abangase babe sengozini ngenxa yezinga eliphezulu lezimo eziyisisekelo. Kodwa-ke, i-pericardial effusion ingase ibonakale kunoma yimuphi ubudala, kufaka phakathi abantwana nabantu abadala abasebasha.

Ukuba nezingozi eziningi akusho ukuthi ingozi yakho iyanda ngokulinganayo. Ngezinye izikhathi, i-pericardial effusion ivela kubantu abangenazo izingozi ezicacile, okusikhumbuza ukuthi lesi simo singathinta noma ubani.

Ziyini izinkinga ezingase zivele nge-pericardial effusion?

Nakuba izimo eziningi ze-pericardial effusion ziphela ngaphandle kwezinkinga ezinzima, kubalulekile ukuqonda izinkinga ezingase zivele ukuze ukwazi ukuqaphela izimpawu zokuqapha. Inkinga enkulu kakhulu ivela lapho amanzi eqokelela ngokushesha noma afinyelela emazingeni ayingozi.

Izinkinga eziyinhloko zihlanganisa:

• I-Cardiac tamponade, lapho amanzi ebekela umkhawulo omkhulu emsebenzini wenhliziyo
• I-Pericardial effusion ehlala isikhathi eside ehlala izinyanga
• Ukugeleza kwamanzi okuphindaphindayo okuqhubeka kubuyela
• I-Constrictive pericarditis, lapho i-pericardium iba nzima futhi inamabala
• Ukungahambi kahle komfutho wenhliziyo ngenxa yocindezelo enhliziyweni
• Ukunciphisa ukukhuthazeka komzimba kanye nekhwalithi yokuphila

I-Cardiac tamponade yinkinga eyingozi kakhulu futhi idinga ukusebenta kwezokwelapha ngokushesha. Lokhu kwenzeka lapho amanzi aqokelelayo ecinezela inhliziyo kangangokuthi ayikwazi ukuzalwa kahle ngegazi, okubangela ukwehla okusheshayo komfutho wegazi futhi kungase kube yingozi ebomini.

I-Pericardial effusion ehlala isikhathi eside, nakuba ingabi yingozi ngokushesha, ingathinta kancane kancane umsebenzi wenhliziyo yakho ngokuhamba kwesikhathi. Abanye abantu bathuthukisa izigameko eziphindaphindayo, ezingase zidinga ukuphathwa isikhathi eside ukuvimbela ukuqokelela kwamanzi okuphindaphindayo.

Izindaba ezinhle ukuthi ngokunakekelwa okufanele kwezokwelapha, izinkinga eziningi zingavikeleka noma ziphathwe ngempumelelo. Ukulandelela njalo nomhlinzeki wakho wezempilo kusiza ekutholeni noma yikuphi ukuguquka kwangaphambili.

I-pericardial effusion ixilongwa kanjani?

Ukuxilongwa kwe-pericardial effusion ngokuvamile kuqala ngodokotela wakho olalele izimpawu zakho futhi akuhloze. Bazolalela inhliziyo yakho nge-stethoscope, bahlole izwi lenhliziyo ezinzima noma izindlela ezingajwayelekile ezingase zibonise amanzi asendaweni yenhliziyo.

Ivivinyo elivamile nelisebenza kakhulu lokuhlola yi-echocardiogram, esebenzisa amaza e-ultrasound ukwenza izithombe zenhliziyo yakho. Leli vivinyo lingabonisa ngokucacile ukuqokelela kwamanzi asendaweni yenhliziyo futhi lisize odokotela ukuthi banqume ukuthi amanzi amaningi aqokelela kangakanani nokuthi ayithonya yini imisebenzi yenhliziyo.

Izivivinyo ezengeziwe udokotela wakho angase azincoma zihlanganisa i-X-rays yesifuba ukubuka isithunzi senhliziyo esikhulu, ama-electrocardiograms ukuhlola izinguquko zamandla enhliziyweni yakho, kanye ne-CT scans noma i-MRI yezithombe ezinemininingwane. Izivivinyo zegazi zingasiza ekutholeni izimbangela eziyisisekelo ezifana nezifo noma izimo ze-autoimmune.

Ezimweni ezithile, odokotela bangase badinge ukwenza i-pericardiocentesis, inqubo lapho basebenzisa khona unhlangothi ukususa amanzi amaningi ukuze ahlolwe. Lokhu akukusizi nje ekuxilongweni kodwa kungase futhi kunikeze impumuzo ngokushesha uma amanzi ebekela inhliziyo yakho ucindezelelo olukhulu.

Iyini indlela yokwelapha i-pericardial effusion?

Ukwelashwa kwe-pericardial effusion kuncike embangelweni ebangela lesi simo, inani lamanzi alikhona, nokuthi liyithonya yini imisebenzi yenhliziyo yakho. Udokotela wakho uzoqamba uhlelo lokwelapha olufanele isidingo sakho nesimo sakho sempilo.

Ezimweni ezilula ezingenazo izimpawu, odokotela bavame ukuncoma ukulinda ngokuqapha ngokuqapha nge-echocardiograms. Uma isimo esiyisisekelo sifana nesifo noma isifo se-autoimmune siqaphelwa, ukwelapha leso simo kuvame ukusiza ekuqedeni ukuqokelela kwamanzi ngokwemvelo.

Izindlela zokwelapha ezivamile zihlanganisa:

• Imithi yokulwa nokuvuvukala efana ne-ibuprofen noma i-colchicine ukunciphisa ukuvuvukala
• Ukwelapha izifo ezingabangelwa ama-bacteria ngama-antibiotics afanele noma imithi yokulwa nama-virus
• Ukuphatha izimo ze-autoimmune ngemithi yokucindezela isimiso somzimba
• I-Pericardiocentesis ukususa amanzi amaningi uma kudingeka
• Ukuhlinzwa ezimweni ezinzima noma eziphindaphindayo

Ezimweni ezinzima, ikakhulukazi lezo ezingabangela i-cardiac tamponade, ukususa amanzi ngokushesha kudingeka. Lokhu ngokuvamile kwenziwa nge-pericardiocentesis, lapho unhlangothi oluthambile lufakwa khona ukususa amanzi amaningi nokunciphisa ucindezelelo enhliziyweni.

Ezimweni ezimbalwa lapho ukugeleza kwamanzi kuqhubeka kubuyela, odokotela bangase bancome izinqubo zokwelapha ezifana nokwenza i-pericardial window noma ukususa ingxenye ye-pericardium. Lezi zinqubo zisiza ekuvimbeleni ukuqokelela kwamanzi kwesikhathi esizayo kodwa zigcinelwe izimo ezingaphenduli ezinye izindlela zokwelapha.

Ungayiphatha kanjani i-pericardial effusion ekhaya?

Nakuba i-pericardial effusion idinga ukunakekelwa kwezokwelapha, kunezindlela zokusekela ongazenza ekhaya ukusiza ekulawuleni izimpawu nokusekela impilo yakho. Landela njalo imiyalo ethile yodokotela wakho futhi ungalokothi ubeke izindlela zokwelapha eziqokiwe ngezindlela zokwelapha zasekhaya.

Ukuphumula kubalulekile ngesikhathi sokuphulukisa kwakho, ikakhulukazi uma uhlangabezana nokukhathala noma ukuphefumula okunzima. Gwema imisebenzi enzima kuze kube yilapho udokotela wakho ekukhulula ukubuyela emisebenzini yakho evamile. Imisebenzi elula njengokuhamba okufushane ngokuvamile ilungile ngaphandle uma udokotela wakho ekweluleka ngenye indlela.

Qaphela isikhundla somzimba wakho uma uphumula noma ulele. Abantu abaningi bathola ukuthi ukuhlala uqonde noma ukukhuthazwa ngama-pillows kusiza ekuthuthukiseni ukuphefumula okunzima. Uma ukuwela phansi kwenza ukuphefumula kube nzima, ungaziphoqi ukuba ulele ngokuphelele.

Thatha imithi ebekiwe ngokuqondile njengoba kuqondiswe, kufaka phakathi imithi yokulwa nokuvuvukala noma imithi yezimo eziyisisekelo. Gcina ulandelela izimpawu zakho futhi ubhale noma yikuphi ukuguquka kumhlinzeki wakho wezempilo ngokushesha. Qapha izimpawu zokuqapha ezifana nobuhlungu besifuba obuya kubi, ukuphefumula okunzima, noma ukuvuvukala ezinyaweni.

Hlala uthola amanzi futhi ugcine ukudla okunempilo yenhliziyo, kodwa landela noma yikuphi ukunciphisa ukudla udokotela wakho akunikeza, ikakhulukazi ngokudla usawoti uma unezinyathelo. Gwema utshwala nokubhema, njengoba lokhu kungaphazanyiswa impilo futhi kwenze ukuvuvukala kube sibi.

Kufanele uzilungiselele kanjani i-appointment yakho nodokotela?

Ukulungiselela i-appointment yakho kusiza ekuqinisekiseni ukuthi uthola okuningi ngesikhathi sakho nomhlinzeki wakho wezempilo. Bhala izimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini eyenza zibe ngcono noma zibe sibi, nokuthi zikuthinta kanjani imisebenzi yakho yansuku zonke.

Letha uhlu oluphelele lwazo zonke imithi, izithasiselo, namavithamini owaqaphela, kufaka phakathi imithamo kanye nokuvamile. Futhi, lungiselela uhlu lomlando wakho wezokwelapha, kufaka phakathi izifo zamuva, ukuhlinzwa, noma ukulimala, njengoba lokhu kungase kuhlobene nesimo sakho samanje.

Cabanga ngemibuzo ofuna ukuyibuza, njengokuthi yini engase ibe yimbangela yezimpawu zakho, yiziphi izivivinyo ongazidinga, kanye nezinketho zokwelapha ezikhona. Unganqikazi ukubuza ngesikhathi esilindelekile sokuphulukisa nokuthi kufanele ubhukhe nini i-appointment yokulandelela.

Uma kungenzeka, letha ilungu lomndeni noma umngani ongakusiza ukuba ukhumbule ulwazi olukhulu oluxoxwe ngesikhathi se-appointment. Cabanga ukugcina idayari yezimpawu eholela ekuhambeni kwakho, ubhale izimpawu zansuku zonke, amazinga wemisebenzi, kanye nendlela ozizwa ngayo ngokujwayelekile.

Iyini into ebaluleke kakhulu nge-pericardial effusion?

I-Pericardial effusion yisimo esilawuleka uma sixilongwa futhi siphathwe ngokufanele. Nakuba kungase kubonakale kuyinkinga, abantu abaningi bayaphulile ngokuphelele ngokunakekelwa okufanele kwezokwelapha nokuphathwa kwanoma yiziphi izimbangela eziyisisekelo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukutholakala kwangaphambili nokwelashwa kubangela imiphumela emihle. Ungawagwegweli ubuhlungu besifuba obuqhubekayo, ukuphefumula okunzima okungachazwanga, noma ezinye izimpawu ezithinta inhliziyo. Ukufuna ukunakekelwa kwezokwelapha ngokushesha kungavimbela izinkinga futhi kukusize ukuba ubuyele ekuzizweni kwakho.

Sebenzani eduze neqembu lakho lezokwelapha ukuqonda isimo sakho esithile futhi ulandele izincomo zabo zokwelapha. Ngokunakekelwa okufanele nokuqapha, abantu abaningi abane-pericardial effusion bangalindela ukubuyela emisebenzini yabo evamile futhi bagcine impilo enhle yenhliziyo.

Khumbula ukuthi ukuba ne-pericardial effusion akusho ukuthi unezinkinga ezinkulu zenhliziyo. Izimo eziningi zihlangene nezimo zesikhashana ezifana nezifo noma ukuvuvukala okuqeda ngokwelashwa okufanele.

Imibuzo evamile ebuzwa nge-pericardial effusion

Ingaphela yodwa yini i-pericardial effusion?

Amanani amancane e-pericardial effusion ngezinye izikhathi angaphela yodwa, ikakhulukazi uma ebangelwa izimo zesikhashana ezifana nezifo ze-virus. Kodwa-ke, akufanele ucabange ukuthi izohamba ngaphandle kokuhlolwa kwezokwelapha. Udokotela wakho udinga ukuthola imbangela ebangela lesi simo futhi aqaphe lesi simo ukuqinisekisa ukuthi alibi kakhulu noma alibangela izinkinga.

Ingabe i-pericardial effusion ifana nokushaya kwenhliziyo?

Cha, i-pericardial effusion ayisiye ukushaya kwenhliziyo, nakuba kokubili kungabangela ubuhlungu besifuba. Ukushaya kwenhliziyo kwenzeka lapho ukusakazeka kwegazi kwisigamu sesimo senhliziyo kuvinjelwe, kuyilapho i-pericardial effusion ikuqokelela kwamanzi asendaweni yenhliziyo. Kodwa-ke, kokubili izimo zidinga ukunakekelwa kwezokwelapha, futhi ngezinye izikhathi i-pericardial effusion ingase ivele ngemuva kokushaya kwenhliziyo.

Kuthatha isikhathi esingakanani ukuphulukisa i-pericardial effusion?

Isikhathi sokuphulukisa sihluka kuye ngombangela ebangela lesi simo kanye nobunzima besimo sakho. Izimo ezilula zingase ziphele phakathi kwezinsuku kuya emaviki ngokwelashwa okufanele, kuyilapho izimo ezinzima ezihilela izifo eziyisisekelo zingase zithathe izinyanga. Udokotela wakho uzoqapha intuthuko yakho futhi alungise ukwelashwa njengoba kudingeka kulo lonke ukuphulukisa kwakho.

Ungasebenza yini nge-pericardial effusion?

Ukunciphisa ukusebenza kuncike ebunzimeni besimo sakho kanye nezimpawu zakho. Ngokuvamile, kufanele ugweme imisebenzi enzima kuze kube yilapho udokotela wakho ekukhulula. Imisebenzi elula njengokuhamba okufushane ngokuvamile ilungile, kodwa landela njalo izincomo zezokwelapha zakho mayelana namazinga wemisebenzi ngesikhathi sokwelashwa nokuphulukisa.

Ingabe i-pericardial effusion izokuthinta yini impilo yakho yenhliziyo isikhathi eside?

Abantu abaningi abane-pericardial effusion abanawo nhlobo izinkinga zenhliziyo isikhathi eside, ikakhulukazi lapho lesi simo sixilongwa futhi siphathwe ngokushesha. Kodwa-ke, abanye abantu bangase bathuthukise ukugeleza kwamanzi okuphindaphindayo noma, ngokungavamile, izinkinga ezihlala isikhathi eside. Ukulandelela njalo nomhlinzeki wakho wezempilo kusiza ekuqinisekiseni ukuthi noma yiziphi izinkinga zesikhathi eside zitholakala futhi ziphathwe ngokushesha.