Mukati
Pericarditis inowanzoitika mushure mefuruwenza complication. Chirwere ichi chinokura semugumisiro wekurwiswa nefuruwenza uye parainfluenza virus. Iyo pericardium ibhegi chairo rakatenderedza moyo. Kana pane kurwisa kwehutachiona, kuzvimba kunogona kukura mu pericardium. Aya ndiwo maitiro anoita muviri pakurwiswa kwakadaro. Kazhinji, chirwere ichi chinoperekedzwa nezviratidzo zvakadai sekupfupika kwekufema, kurwadziwa shure kwe sternum, chikosoro chakaoma. Chirwere ichi chinogona kuva chinyoro, chichisiya pasina kukanganisa kuhutano, asi chinogonawo kuonekwa uye kuongororwa mumamiriro ezvinhu akaoma, izvo zvinomanikidza mhinduro yekurapa pakarepo. Pericarditis inogona kuva yakaoma, inowanzoitika kana isingagumi.
Pericarditis - chii zvikonzero uye zviratidzo?
Zvinokonzera pericarditis inofanira kutsvakwa mumashure efuruwenza matambudziko uye kurwisa kwehutachiona pamuviri. Kana kurwiswa uku kukaitika, mwoyo pericardium inotapukirwa, kuzvimba kunoitika. Zviratidzo cardiac pericarditis ivo vanowanzobatanidzwa nekukwira kwekushisa kana kupisa. Hunhu hwechirwere ichi kurwadziwa munzvimbo ye sternum, iyo inogona kuzivikanwa nekupenya kumusana, mutsipa nemapfudzi. Kurwadziwa uku kunonyanya kuoneka munzvimbo yekumusoro. Chimwe chiratidzo chakakosha pachiitiko chechirwere ichi chikosoro chinoshungurudza uye kupfupika kwekufema. Izvi, zvakare, zvine simba rakananga pakusashanda kwemoyo. Kazhinji kazhinji kunewo myocarditis - nemusoro, kurwadziwa kwetsandanyama, kurwadziwa kwemajoini, fivha, palpitations, kurwadziwa muchipfuva, kunzwa kupera simba, kuneta. Kuunganidza zvakare chiratidzo chechimiro chechirwere ichi mvura iri mu pericardial sac uye inozivikanwa pakuteerera basa remoyo - mitsindo inokosha, iyo inonzi pericardial friction. Kwete kashoma pericarditis inoperekedzwawo nekusagadzikana kwemetabolism mumuviri uye kuderera kwehuremu kwakabatana, uye dzimwe nguva kunyangwe kusada kudya.
Nzira yekuziva sei pericarditis?
Nzira iri nyore yekuziva chirwere ichi ndeyekuongorora ropa. Pano, zvakare, mhedzisiro inogona kukutungamira kune iyo chaiyo kuongororwa. Pachava nekuwedzera kweESR, kuwedzera kwehuwandu hweC-reactive protein, nhamba yemasero machena eropa ichawedzera pamusoro pemaitiro. pericarditis ECG, X-ray uye echocardiography inoitwa. Zvose X-ray uye echocardiography zvicharatidza kana pericardial sac kune mvura uye icharatidza shanduko mumorphology yemoyo - kana iripo. Mukuwedzera, nekuda kwe echocardiogram, kukanganisa mukushanda kwenhengo iyi kunogona kuongororwa. Nekudaro, nekuda kwekomputa tomography, density inogona kuongororwa mvura iri mu pericardial saczvichiita kuti paonekwe chinokonzera kuzvimba. Kana chirwere chacho chakakonzerwa nekuputika kwebhakitiriya, tomography ichabvumira kuongororwa kwezvipembenene zvepurulent. Mumamiriro ezvinhu anokosha, chiremba anorayira biopsy. Zvisinei, izvi zvinoitika kashoma.
Nzira yekurapa pericarditis?
Kuongororwa kwe pericarditis inotungamirira pakusarudzwa kwekurapa kwakakodzera. Non-steroidal anti-inflammatory drugs ndiyo inonyanya kushandiswa. Kana kuzvimba kuri kwebhakitiriya, mishonga inorwisa mabhakitiriya inokurudzirwa. Muchiitiko chechirwere chakaoma chechirwere, colchicine inopiwa. Ichi chinhu chinoshandiswawo kana pane kudzoka kwechirwere. Kana mishonga iyi isingaunzi zvinotarisirwa, mhinduro yekupedzisira ndeyekunyora murwere glucocorticoids. Kana pericarditis ndiyo mhedzisiro yekukanganisika mushure mefuruwenza, ipapo chirongwa chekubaya chinoitwa pericardial sac. Iyi sarudzo inoshandiswa munyaya yekuunganidza kwakakosha kwepurulent fluid, pamwe nekufungira maronda eplastic.