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I-Pericarditis iwukuvuvukala kwe-pericardium, isikhwama esincinyane esizungezile inhliziyo yakho njengoba isivikela. Uma lesi sikhwama siqala ukuvuvukala, singabangela ubuhlungu esifubeni nezinye izimpawu ezingakukhathaza.
Cabanga nge-pericardium njengoba inezigaba ezimbili ngamanzi ambalwa phakathi kwazo, okwenza inhliziyo yakho ishaye ngokukhululekile. Uma kwenzeka i-pericarditis, lezi zigaba zingavuvukala futhi zisuke zithintane, okwenza kube nokuqabula nokungakhululeki.
Eziningi ze-pericarditis ziyamila futhi ziyaphela zodwa ngokwelashwa okuhle. Nakuba izimpawu zingase zikukhathaze, ikakhulukazi ubuhlungu esifubeni, i-pericarditis ivame ukuphatheka kalula futhi ayibangeli izinkinga zenhliziyo zesikhathi eside.
Isimpawu esivame kakhulu se-pericarditis yibuhlungu elikhulu, elibukhali esifubeni, eliba sibi uma uphefumula ngokujulile, ukhwehlela, noma ulele phansi. Lobu buhlungu buvame ukuthuthuka uma uhlala ukhononde.
Ake sibheke izimpawu ongazihlangabezana nazo, khumbula ukuthi akuwona wonke umuntu ozoba nazo zonke lezi:
Kwezinye izimo, ungase ubone nokuvuvukala ezinyaweni, ezinzwini, noma esiswini, nakuba lokhu kungavamile. Ubuhlungu esifubeni obuvela kwi-pericarditis buhlukile kakhulu kunokuhlushwa kwenhliziyo - buvame ukuba bukhulu kunokucindezela futhi buyahluka ngesimo sakho nokuphumula.
I-Pericarditis ingahlelwa ngezindlela eziningi ngokusekelwe ekutheni ithuthuka kanjani nokuthi ihlala isikhathi esingakanani. Ukuqonda lezi zinhlobo kungakusiza wazi ukuthi yini ongayilindela esimweni sakho.
I-Pericarditis ebukhali ithuthuka ngokuzumayo futhi ngokuvamile ihlala isikhathi esingaphansi kwezinyanga ezintathu. Lona uhlobo oluvamile futhi ngokuvamile luphendula kahle ekwelapheni ngemithi yokulwa nokuvuvukala.
I-Pericarditis yobudala ihlala izinyanga ezingaphezu kwezintathu futhi ingaba nzima ukuyiphatha. Ngezinye izikhathi ithuthuka kancane kancane ngaphandle kokuthi uqaphele izimpawu ezinkulu ekuqaleni.
I-Pericarditis ephindaphindayo isho ukuthi isimo sibuya ngemuva kwesikhathi eside singabi nazimpawu. Lokhu kwenzeka cishe ku-15-30% yabantu abake baba ne-pericarditis ebukhali, nakuba isaphatheka kalula.
Kukhona ne-constrictive pericarditis, uhlobo olungavamile kodwa olukhulu lapho i-scar tissue yakhiwa eduze kwenhliziyo, okwenza kube nzima inhliziyo yakho ukugcwalisa igazi ngokufanele. Lolu hlobo lufuna ukunakekelwa okukhulu kwezokwelapha.
Eziningi zezikhathi, odokotela abakwazi ukubona imbangela eqondile ye-pericarditis, futhi lokhu kuyinto evamile. Uma kungekho sizathu esitholakalayo, kubizwa ngokuthi i-idiopathic pericarditis, futhi ngokuvamile iphendula kahle ekwelapheni okuvamile.
Nazi izimbangela ezivame ukubonakala, kusukela kwezivamile kuya kwezingavamile:
Ezinye izimbangela ezingavamile zihlanganisa i-tuberculosis, ukutheleleka kwamagciwane, noma umdlavuza othile oya kwi-pericardium. Udokotela wakho uzokwenza umzamo wokuthola noma yimuphi umbangela ophakathi, kodwa khumbula ukuthi ukwelashwa okuphumelelayo kungenzeka ngisho noma imbangela ingaziwa.
Kufanele ufuna ukunakekelwa kwezokwelapha uma uhlangabezana nobuhlungu obusha, obukhulu esifubeni, ikakhulukazi uma bukhulu futhi bube sibi uma uphefumula ngokujulile noma ulele phansi. Nakuba i-pericarditis ivame ukuphatheka kalula, ubuhlungu esifubeni buhlale bufuna ukuhlolwa okufanele kwezokwelapha.
Shaya udokotela wakho ngokushesha uma unebuhlungu esifubeni kanye nokuthuthumela, ukuphefumula okunzima, noma ukuzwa ubuthakathaka. Lezi zimpawu zibonisa ukuthi isimo sakho sidinga ukuhlolwa nokwelashwa okuqeqeshwe.
Funani ukunakekelwa okusheshayo uma uhlangabezana nobuhlungu obukhulu esifubeni, ukuphefumula okunzima, ukuphulukela, noma uma ubuhlungu bakho esifubeni buhlukile kunalokho obuye wakutshelwa nge-pericarditis. Lokhu kungase kubonise izinkinga ezidinga ukunakekelwa okusheshayo.
Uma uke wabhekwa njengoba une-pericarditis futhi izimpawu zakho zibe sibi noma izimpawu ezintsha zivele, xhumana nodokotela wakho. Bangalungisa uhlelo lwakho lokwelapha futhi baqinisekise ukuthi uphulukana njengoba kulindelekile.
Izinto eziningi zingakwandisa amathuba okuthola i-pericarditis, nakuba ukuba nalezi zinto akusho ukuthi uzoyithola ngokuqinisekile le simo. Ukuziqonda kungakusiza uhlale uqaphile impilo yakho.
Nazi izinto eziyinhloko ezingakwandisa amathuba okuthola i-pericarditis, kusukela kwezivamile kuya kwezingavamile:
Abanye abantu bathuthukisa i-pericarditis ngaphandle kwanoma yiziphi izinto ezingakwandisa amathuba okuthola i-pericarditis ezibonakalayo, futhi lokho kuyinto evamile. Isistimu yakho yokuziphatha komzimba nempilo yakho iyonke zidlalela indima ebalulekile endleleni umzimba wakho uphendula ngayo ezintweni ezingabangela i-pericarditis.
Abantu abaningi abane-pericarditis baphulile ngokuphelele ngaphandle kwanoma yiziphi izinkinga ezihlala njalo. Noma kunjalo, kuwusizo ukuqonda izinkinga ezingase zenzeke ukuze ukwazi ukuqaphela izimpawu zokuqaphela futhi ufuna ukunakekelwa okufanele.
Inkinga evamile kakhulu yi-pericarditis ephindaphindayo, lapho isimo sibuya ngemuva kokuba uphulukile. Lokhu kwenzeka cishe ku-15-30% yezimo kodwa ngokuvamile kuphendula kahle ekulungisweni kokwelashwa.
Izinkinga ezingavamile kodwa ezikhulu zihlanganisa:
I-Cardiac tamponade iyinto engavamile kodwa idinga ukwelashwa okusheshayo ngoba ivikela inhliziyo yakho ukugcwalisa igazi ngokufanele. Izimpawu zihlanganisa ukuphefumula okunzima, ukushaya kwenhliziyo okusheshayo, nokuzwa ubuthakathaka.
Udokotela wakho uzokulandelela lezi zinkinga ngokuya kokubheka okuqhubekayo, ikakhulukazi uma unezimpawu ezinzima noma ungaphenduli ekwelapheni okuqala njengoba kulindelekile.
Ukubona i-pericarditis kuqala ngodokotela wakho olalela izimpawu zakho nokukuhlola. Bazogxila kakhulu esimweni sobuhlungu bakho esifubeni futhi balalele inhliziyo yakho nge-stethoscope.
Phakathi kokuhlolwa komzimba, udokotela wakho angase azwe i-pericardial friction rub - umsindo oqabula owenziwa uma izigaba ze-pericardium ezivuvukile zisuke zithintane. Lo umsindo uyisibonakaliso esibalulekile esibonisa i-pericarditis.
Udokotela wakho cishe uzokwenza ukuhlolwa okuningi ukuqinisekisa ukubona futhi ukhiphe ezinye izimo zenhliziyo:
Ngezinye izikhathi ukuhlolwa okwengeziwe njenge-CT scans noma i-MRI kungase kudingeke uma isimo sakho siyinselele noma uma kukhona izinkinga ezingase zenzeke. Lokhu kuhlolwa kusiza udokotela wakho ukubona izithombe eziningiliziwe zenhliziyo yakho ne-pericardium.
Ukuhlanganiswa kwezimpawu zakho, imiphumela yokuhlolwa komzimba, nemiphumela yokuhlolwa kusiza udokotela wakho ukwenza ukubona okuqondile nokwenza uhlelo lokwelapha oluhle kakhulu kuwe.
Ukwelapha i-pericarditis kugxile ekunciphiseni ukuvuvukala nokuphatha ubuhlungu bakho. Eziningi zezimo ziphendula kahle emithi yokulwa nokuvuvukala, futhi ungalindela ukuzizwa uthuthuke phakathi kwezinsuku kuya emavikini ngemuva kokuqala ukwelashwa.
Ukwelashwa okuqala ngokuvamile kuhlanganisa imithi engalwi nokuvuvukala (NSAIDs) njenge-ibuprofen noma i-aspirin. Le mithi ikusiza ukunciphisa kokubili ukuvuvukala nobuhlungu, ikhulume imbangela yangempela yezimpawu zakho.
Udokotela wakho angase afake ne-colchicine, imithi esiza ukuvimbela i-pericarditis ukuba ibuyele. Ucwaningo lubonisa ukuthi ukufaka i-colchicine ekwelapheni kwe-NSAID kunciphisa ingozi yokuphindaphinda kwezimo.
Nansi into uhlelo lwakho lokwelapha lungase luhlanganise:
Uma i-pericarditis yakho ibangelwa ukutheleleka ngamabhaktheriya, uzodinga ne-antibiotics. Ezimeni ezinzima ezingaphenduli ekwelapheni okuvamile, udokotela wakho angase acabange nge-corticosteroids, nakuba lezi zisetshenziswa ngokucophelela.
Abantu abaningi baqala ukuzizwa bephilile ngaphakathi kwezinsuku ezimbalwa zokwelashwa, nakuba ukwelashwa okuphelele kungathatha amasonto amaningana. Udokotela wakho uzolungisa imithi yakho ngokusekelwe endleleni oyiphendula ngayo nanoma yiziphi izingozi ezivela emithini oyithathayo.
Ukunakekela wena ekhaya kudlala indima ebalulekile ekuphulukeni kwakho kwi-pericarditis. Izindlela ezifanele zokunakekela wena zingakusiza uzizwe ukhululekile ngesikhathi umzimba wakho uphulukana.
Ukuphumula kubalulekile phakathi kwesigaba esibukhali se-pericarditis. Lokhu kusho ukugwema ukuzivocavoca okunzima, ukuphakamisa izinto ezisindayo, noma imisebenzi eyenza ubuhlungu bakho esifubeni bube sibi. Lalela umzimba wakho futhi ungaphuli ubuhlungu.
Thatha imithi yakho ngendlela eyalwe ngayo, ngisho noma uqala ukuzizwa uthuthuke. Ukumisa imithi yokulwa nokuvuvukala ngokushesha kakhulu kungabangela ukuphindaphinda kwezimpawu noma izinkinga.
Nazi izindlela eziwusizo zokunakekela ekhaya:
Ungabuya kancane kancane emisebenzini evamile njengoba izimpawu zakho ziphulukana, kodwa gwema ukuzivocavoca okunzima kuze kube yilapho udokotela wakho ekunikeza imvume. Abantu abaningi bangabuya emisebenzini elula ngaphakathi nesonto noma amabili.
Xhumana nodokotela wakho uma izimpawu zakho zibe sibi, uthuthukisa izimpawu ezintsha, noma unezinkinga ngemithi yakho noma intuthuko yokwelashwa.
Nakuba ungakwazi ukuvimbela zonke izimo ze-pericarditis, ikakhulukazi lezo ezivela ezimbangelweni ezingaziwa, kunezinyathelo ongazithatha ukuze unciphise ingozi yokuthuthukisa le simo.
Ukugcina impilo enhle iyonke yiyona ndlela yakho engcono kakhulu yokuzivimbela. Lokhu kuhlanganisa ukulala ngokwanele, ukudla ukudla okulinganiselayo, ukuzivocavoca njalo, nokuphatha ukucindezeleka ngokuphumelelayo.
Sebenzisa ukuhlanzeka okuhle ukuvimbela ukutheleleka kwamagciwane namabhaktheriya angabangela i-pericarditis. Geza izandla zakho njalo, gwema ukusondelana nabantu abagulayo uma kungenzeka, futhi uhlale uthola izigaxa ezitholakalayo.
Uma unesimo sokuziphatha komzimba, sebenzisana eduze nodokotela wakho ukuze uligcine lilawulwa kahle. Ukuphathwa okuhle kwezimo eziphakathi kunganciphisa ingozi yezinkinga njenge-pericarditis.
Kubantu abake baba ne-pericarditis ngaphambili, ukuthatha i-colchicine njengoba kuyalwe udokotela wakho kungasiza ukuvimbela ukuphindaphinda kwezimo. Ungayeki le mithi ngaphandle kokuxoxa nodokotela wakho kuqala.
Uma unesongo olukhulu ngenxa yesifo senhliziyo, izinkinga zesibindi, noma ezinye izimo zezokwelapha, gcina ukunakekelwa okuqhubekayo nodokotela bakho futhi ubike noma yiziphi izimpawu ezintsha ngokushesha.
Ukulungiselela i-aphoyintimenti yakho nodokotela kungasiza ukuqinisekisa ukuthi uthola ukubona okuqondile nehlelo lokwelapha eliphumelelayo. Ukulungiselela okuhle kusiza futhi uzizwe uqinile futhi ungakhathazeki ngokuvakashela kwakho.
Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, yini ezenzayo zibe ngcono noma zibe sibi, nokuthi ziguquke kanjani ngokuhamba kwesikhathi. Yiba uchwepheshe ngebuhlungu bakho esifubeni - chaza indawo yalo, ikhwalithi yalo, nezinto ezilibangelayo.
Letha uhlu oluphelele lwazo zonke imithi oyithathayo njengamanje, kufaka phakathi imithi yokuthengwa ngaphandle kwesikripthi, izongezo, nemithi yemifino. Phawula nanoma yiziphi izinto ozithola ungazithandi noma izinto ezimbi oye wazithola ngaphambili.
Nansi into okufanele uyilungiselele ngaphambi kwe-aphoyintimenti yakho:
Cabanga ngokuletha umngani noma ilungu lomndeni omethembayo ukuze akusize ukukhumbula ulwazi olukhulu oluxoxwe ngesikhathi se-aphoyintimenti. Bangakwazi futhi ukukunikeza ukwesekwa ngokomzwelo ngesikhathi esingase sizizwe sinzima.
Ungangabazi ukubuza imibuzo ngokubona kwakho, izinketho zokwelapha, isikhathi sokuphulukana okulindelekile, nanoma yiziphi izinguquko zokuphila okufanele uzithathe. Udokotela wakho ufuna ukukusiza uqonde isimo sakho ngokuphelele.
I-Pericarditis, nakuba ikukhathaza uma uhlangabezana nobuhlungu esifubeni, ngokuvamile isimo esiphatheka kalula esineziphumo ezinhle kubantu abaningi. Ubuhlungu obukhulu esifubeni obukhulu uma uphefumula noma ulele phansi ngokuvamile yisibonakaliso esiyinhloko esiletha abantu ekunakekelweni kwezokwelapha.
Eziningi zezimo ziphendula kahle emithi yokulwa nokuvuvukala njenge-ibuprofen ehlanganiswe ne-colchicine, futhi ungalindela ukuzizwa uthuthuke kakhulu phakathi kwezinsuku kuya emavikini ngemuva kokuqala ukwelashwa. Okubalulekile ukufuna ukuhlolwa okufanele kwezokwelapha nokulandela uhlelo lwakho lokwelapha njalo.
Nakuba i-pericarditis ingabuya kwabanye abantu, ngisho nezimpawu eziphindaphindayo ziphatheka ngokulungiswa kokwelashwa. Izinkinga ezinzima azivamile, ikakhulukazi ngokunakekelwa kwezokwelapha okuqondile nokulandelela.
Khumbula ukuthi ukuba nobuhlungu esifubeni akusho ukuthi kukhona okuthile okubi okwenzeka enhliziyweni yakho. I-Pericarditis ngokuvamile ibangelwa izinto ezivamile njengokutheleleka kwamagciwane futhi iphela ngokuphelele ngokwelashwa okufanele.
Hlala uxhumana nodokotela wakho phakathi nokuphulukana kwakho, thatha imithi njengoba kuyalwe, futhi kancane kancane ubuyele emisebenzini evamile njengoba izimpawu zakho ziphulukana. Ngokunakekelwa okuqondile, abantu abaningi abane-pericarditis baphulile ngokuphelele futhi babuyele empilweni yabo evamile, esebenzayo.
I-Pericarditis ngokwayo ayibangeli ukuhlushwa kwenhliziyo, kodwa ubuhlungu esifubeni bungase buzwakale bufana futhi bube ukukhathazeka. I-Pericarditis ihlanganisa ukuvuvukala kwesigaba sangaphandle senhliziyo, kuyilapho ukuhlushwa kwenhliziyo kwenzeka uma ukusabalala kwegazi emithanjeni yenhliziyo kuvinjelwe. Noma kunjalo, ukuba nokuhlushwa kwenhliziyo ngezinye izikhathi kungabangela i-pericarditis njengesimo esingemuva kwalokho. Uma uhlangabezana nobuhlungu esifubeni, kubalulekile njalo ukufuna ukuhlolwa kwezokwelapha ukuze uthole imbangela eqondile.
I-Pericarditis ebukhali ngokuvamile ihlala amasonto angu-1-3 ngokwelashwa okuqondile, nakuba abanye abantu bazizwa bephilile ngaphakathi kwezinsuku ezimbalwa ngemuva kokuqala imithi yokulwa nokuvuvukala. Ukwelashwa okuphelele kwe-pericardium kungathatha amasonto amaningana kuya ezinyangeni ezimbalwa. Cishe ku-15-30% yabantu bahlangabezana nezimpawu eziphindaphindayo, kodwa lezi nazo ziphatheka. I-Pericarditis yobudala, engavamile, ingaphikelela izinyanga futhi idinga ukuphathwa okuqhubekayo kwezokwelapha.
I-Pericarditis ngokwayo ayidluliseki - awukwazi ukuyithola ngokuqondile kumuntu oyitholayo. Noma kunjalo, uma i-pericarditis ibangelwa ukutheleleka kwamagciwane njengesiphuphu noma ukubanda, lokho kutheleleka kungase kudluliseke. I-Pericarditis ithuthuka njengendlela umzimba wakho uphendula ngayo ekuthelelekeni, hhayi ngokudluliselwa ngokuqondile kwesimo senhliziyo.
Kufanele ugweme ukuzivocavoca okunzima nemidlalo yomqhudelwano phakathi kwesigaba esibukhali se-pericarditis, ngokuvamile okungenani izinyanga ezingu-3-6 noma kuze kube yilapho udokotela wakho ekunikeza imvume. Imisebenzi elula njengokuhamba okuthambile ngokuvamile kulungile uma ingabi sibi ubuhlungu bakho esifubeni. Ukubuyela ekuzivocavoca okunzima ngokushesha kakhulu kungakwandisa ingozi yezinkinga noma ukuphindaphinda. Udokotela wakho we-cardiologist uzokukhokhela uma kulungile ukubuyela kancane kancane emsebenzini wakho ovamile wokuzivocavoca.
Yebo, i-pericarditis ngokuvamile ibonisa izinguquko ezibonakalayo kwi-electrocardiogram (EKG), ikakhulukazi ezigabeni zokuqala. Lezi zinguquko zihlanganisa i-ST-elevation ebanzi kuwo wonke ama-leads, ebukeka ehlukile kunesimiso esibonakala ekuhlushweni kwenhliziyo. Noma kunjalo, akuzona zonke izimo ze-pericarditis ezibonisa izinguquko ze-EKG, futhi abanye abantu bangase babe ne-EKG evamile nakuba benesimo. Udokotela wakho uzosebenzisa imiphumela ye-EKG kanye nezimpawu zakho, ukuhlolwa komzimba, nokuhlolwa okunye ukwenza ukubona.