pericarditis

General tsananguro yechirwere

Iko kuzvimba kweiyo pericardium (saga rakakomberedza iyo nhengo, inoibata panzvimbo uye ichiibatsira kushanda). Iyi nzira yekuzvimba inogona kuva mhedzisiro kana chiratidzo cheimwe hosha (fungal, bhakitiriya, hutachiona, hutachiona, rheumatic). Kana kuve kusagadzikana kwekukuvara, pathologies yenhengo dzemukati. Chiratidzo chinowanzozivikanwa che pericarditis kurwadziwa kwepfupa kunokonzerwa nekuzvimba uye pamwe kukwiza kwemoyo. Kana iwe uchinzwa kurwadziwa kwakadai, tinokurudzira kuti iwe ubve waonana nachiremba kuti akupe mazano.

Pericarditis inogona kunge iine fomu yakaoma - zvinongoerekana zvaonekwa uye zvinonyangarika nekukurumidza zvakakwana nekurapwa kwakakodzera, enda tora nguva refu - zvishoma nezvishoma kukura kwenguva yakareba, uye kutora yakawanda nguva yekurapwa. Ose marudzi aya anokanganisa zvakajairwa mutinhimira, mashandiro emoyo. Dzimwe nguva, kunyange izvi zvichiitika zvisingawanzoitika, zvinouraya[1].

Zvinokonzera pericarditis

Kune zvikonzero zvakawanda zve pericarditis, asi kazhinji inozviratidza sekuomarara kwehutachiona hutachiona (hutachiona pericarditis) - kazhinji mushure mehutachiona hwepashure hwemudumbu, kashoma furuwenza kana AIDS. Ichi chirwere chinogonawo kukonzerwa nehutachiona, fungal kana hutachiona hutachiona.

Zvimwe zvirwere zvekuzvimiririra zvakadai se lupus, rheumatoid arthritis uye scleroderma, umo immune system inorwisa matishu ane hutano, inogona zvakare kukonzera pericarditis.

Pakati pezvikonzero zvinowanzoitika zve pericarditis pane kukuvara pachifuva, semuenzaniso, mushure metsaona yemotokari (zvinoshungurudza pericarditis). Kana mamwe matambudziko ehutano akadai seitsvo kutadza (uremic pericarditis), mamota, zvirwere zvechibereko. Muzviitiko zvisingawanzoitika, mishonga inodzvinyirira immune system inova chinodenha chirwere.

Njodzi yekuvandudza pericarditis yakakwira mushure mekurwadziwa kwemoyo kana mushure mekuvhiyiwa kwemoyo (Dressler syndrome) nekuti mhasuru dzemwoyo dzakakuvara dzinogona kutsamwisa iyo pericardium. Zvakare mushure mekurapwa nemwaranzi kana kurapa senge moyo catheterization kana radiofrequency ablation. Muzviitiko izvi, nyanzvi zhinji dzinotenda kuti pericarditis mhedzisiro yemuviri nekukanganisa kuburitsa mhinduro yekuzvimba kune pericardium. Mushure mekupfuura nekuvhiya, zviratidzo zve pericarditis zvinogona kunge zvisipo kwemavhiki anoverengeka mushure mekuitwa.

Kazhinji hazvigoneke kumisikidza chinokonzera kukura kwe pericarditis, uye mune iyi nyaya inonzi "idiopathic pericarditis".

Inowanzo dzoka shure kwechikamu chekutanga, uye kurwiswa kunogona kudzoka pamusoro pemakore[2].

Pericarditis zviratidzo

Chiratidzo chinowanzozivikanwa che pericarditis, sezvataurwa pamusoro apa, kurwadziwa muchipfuva. Inogonawo kuperekedzwa nezviratidzo zvinotevera:

  • uku kurwadziwa, sekutonga, kwakapinza, kunetesa, kwakasimba kwazvo;
  • Zvinogona kuwedzera nekukosora, kumedza, kufema zvakadzika, kana kurara pasi;
  • inogona kudzikama wakagara kana kusendamira kumberi;
  • kurwadziwa kunogona kunzwika kumashure, mutsipa, munzvimbo yebendekete reruboshwe.

Zvimwe zviratidzo nezviratidzo zvechirwere zvinosanganisira:

  • kunetseka kufema paunenge wakarara pasi;
  • kuoma kukosora;
  • kunzwa kunetseka uye kuneta;
  • mune zvimwe zviitiko, pericarditis inokonzera kuzvimba kwemakumbo nemakumbo mumunhu anorwara. Semutemo, ichi chiratidzo chechimiro chakakomba chirwere - zvinokanganisa pericarditis[2]… Unogona kudzidza zvakawanda nezvayo gare gare muchinyorwa.

Mhando dze pericarditis

  1. 1 Acute pericarditis - apo zviratidzo zvave zviripo pasi pemwedzi mitatu. Kana iwe ukabvunza chiremba nenguva yakakodzera uye ukangotanga kurapwa, ipapo chirwere chakakomba chepervicitis chinogona kugadziriswa nekukasira zvakakwana.[3]… Iyo fomu yakaoma, zvakare, yakakamurwa kuita mhando dzinoverengeka. Ngatimbotaurai nezveumwe neumwe wavo muchidimbu. Yakaoma pericarditis (mune ino kesi, iyo mvura iriko mune zvidiki zvidiki, mhando iyi inokura semhedzisiro yekuwedzera kuzadza neropa reiyo serous membrane yemoyo nekuwedzera kudikitira kwefibrin mune yepervical cavity). Pericardial effusion kana tsvina - iyi ndeimwe mhando yeoma. Muchiitiko ichi, mvura kana semi-liquid exudate yakavanzwa uye yakaunganidzwa mudumbu pakati pezvikamu zvepervical. Mvura inosanganiswa inogona kuve nehunhu hwakasiyana. Semuenzaniso, kuva serous-fibrous (musanganiswa wemvura uye epurasitiki zvinhu, zvinowoneka zvidiki zvidiki uye zvinogona kunyungudika nekukasira zvakakwana), hemorrhagic (ropa reropa) kana purulent.
  2. 2 Kazhinji pericarditis - iyo kesi kana zviratidzo zveacute pericarditis ine mamwe maficha anoonekwa mumurwere.
  3. 3 Chisingaperi pericarditis - fomu yakaoma yechirwere, apo zviratidzo zvinogara kwenguva inopfuura mwedzi mitatu. Iyo inoshambawo mune yekunyepedzera kana exudative fomu. Dzimwe nguva inonamatira kana inonamira (apo, mushure mekuchinja kweiyo nzira yekuzvimba kubva padanho rekuwedzera kuenda padanho rine zvibereko, zvinyama zvinyoro zvinotanga kuumbika mu pericardium, machira ayo anonamira pamwe chete kana nehunyama hwakavakidzana - iyo sternum, pleura , diaphragm)[3].

Matambudziko epericarditis

  • Zvinokanganisa pericarditis Icho chakakomba chimiro chechirwere chisingaperi pericarditis. Muchiitiko ichi, mafomu emavanga akashata akakomberedza moyo, ayo anosanganisira kudzikira kwehukuru hweperoicium. Inomanikidza moyo, inodzivirira kubva pakuwedzera zvakajairika, uye inodzivirira ma ventricles kubva pakuzadza mushe panguva ye diastole. Nekuda kweizvozvo, makamuri emoyo haana kuzadzwa neropa. Izvi zvinogona kukonzera zviratidzo zvekutadza kwemoyo, kusanganisira kupfupika kwemweya, kuzvimba kwemakumbo, kuchengetedza kwemvura, uye zvisina kujairika moyo zvitaira. Nokurapwa kwakakodzera, izvi zviratidzo zvisina kunaka zvinogona kubviswa.[2].
  • Kana yakawandisa mvura inovaka munzvimbo iri pakati pezvikamu zveperiki, inotungamira kune mamiriro anozivikanwa se kukanganisa… Kuwedzera kwemvura mu "pericardium" kunokonzeresa moyo tamponade (kuremerwa kwakanyanya kwemoyo kunoitadzisa kushanda nemazvo). Cardiac tamponade inokonzerwa neparicardial effusion inogona kutyisidzira hupenyu uye chirwere chekukurumidzira chinoda kubviswa kwemvura ne pericardial puncture[2].

Pericarditis prophylaxis

Semutemo, munhu haakwanise kutora chero matanho kuitira kudzivirira kukura kweacic pericarditis. Asi isu tinogona kufurira hosha dzinogona kutungamira mukusanzwisisika kwakadai. Izvo zvakakosha pazviratidzo zvekutanga zvehutachiona, hutachiona, fungal, autoimmune chirwere kuti ubvunze chiremba kuitira kuti ave nenguva yekuraira kurapwa munguva yakakodzera. Iwe haufanire kutanga chirwere kana iwe ukaona zvinotyisa zviratidzo, uye nekudaro zvichimutsa kubuda kweye nyowani uye yakaoma matambudziko. Izvo zvakakoshawo kuti ugare uchiita bvunzo dzekudzivirira uye kuongorora hutano hwako.[5].

Pericarditis kurapwa mune akajairika mushonga

Chikonzero chakanyanya kukonzera pericarditis hutachiona hutachiona. Naizvozvo, kurapwa kwemishonga kunoitirwa kudzikisa kuzvimba uye kudzora marwadzo. Nechinangwa ichi, anti-anogumbura madhiragi (asiri-steroidal) anowanzo shandiswa. Iyo ipfupi nzira yekurwadziwa inodzora inogona kupihwa.

Kune mamwe marudzi epericarditis, kurapwa kwakatemwa kunobatsira kubvisa chiri kukonzera chikonzero chakakonzera kukura kwayo.

Neye tamponade yemoyo yataurwa pamusoro, vanachiremba vanoraira pericardiocentesis - maitiro ekuti tsono nhete inoiswa kuburikidza nechipfuva madziro mune pericardial sac kubvisa zvakawandisa mvura.

Ne purulent pericarditis, maitiro anogona kupihwa pericardotomy (kuvhura kwe pericardial cavity). Uye yekurapa chirwere chisingaperi uye chisingaperi chepervicalitis, oparesheni inonzi pericardectomy dzimwe nguva inogona kupihwa ... Inosanganisira kubviswa kwakazara kweperikiyo. [4].

Zvishandiso zvinobatsira zve pericarditis

Mune acute pericarditis, zvakakosha kutevedzera chakakodzera kudya, izvo zvinobatsira kudzikamisa mutoro pamoyo, kugadzirisa kutenderera kweropa, mamiriro akajairika ehurongwa hwemwoyo, uye zvakare kuunza zvese zvinovaka muviri zvinovaka muviri uye mavitamini mumuviri.

Inobvumirwa kudya:

  • Zvigadzirwa zvenyama: nyama yemombe, nyama yenguruve, veal, tsuro, turkey. Izvo zvinodikanwa kuti zvigadzirwa zvakabikwa. Inobvumirwawo kudzidya dzakabikwa.
  • Greens senge parsley, sipinashi, lettuce. Ivo vakapfuma mavitamini. Miriwo mbishi kana yakabikwa inobatsira. Asi zvinokurudzirwa kudzikisira kudyiwa kwembatatisi, chena kabichi uye pizi.
  • Soups - Zvinokurudzirwa kudya kazhinji musiyano wezvirimwa zvemuto. Semuenzaniso, muriwo kana mukaka, beetroot. Iwe unogona zvakare kusanganisira nyama kana hove muto mukudya, asi zviri nani kuzviita zvisingawanzo.
  • Rosehip decoction. Iine huwandu hwakakura kwazvo hwevhitamini C. Haingobatsire chete immune system, asi zvakare inovandudza matauriro emadziro emoyo, tsinga dzeropa, uye inodzivirira kuumbwa kweropa.
  • Dzungu, makarotsi uye zvimwe zvigadzirwa zvemuriwo zveruvara rweorenji. Izvo zvinobatsira kune pericarditis nokuti ine vhitamini A. Uyewo, inobatsira kuvandudza mamiriro emwoyo yemhasuru uye inotora chikamu mukugadzirisa kwemazinga echolesterol mumuviri.
  • Porridge, zviyo, zvakasiyana-siyana zvezviyo-based puddings, mazai, zvigadzirwa zvemukaka. Zvine vhitamini B. Inodzivirira arrhythmias, kurwisa kwemoyo, uye kazhinji yakanakira mwoyo.

Chinyakare mushonga wepericarditis

  • Mushonga unoshanda ndeye decoction yakagadzirirwa pamusoro pesingano dzepaini. Iwe unofanirwa kutora 5 mashupuni ediki tsono (paini, juniper, spruce). Vadururire nemagirazi maviri emvura inodzika uye bika pamusoro pekupisa kwakanyanya. Kana mvura yacho ikauya pamota, wira kwemamwe maminetsi gumi, wozoisiya ichibika kwemaawa masere munzvimbo inodziya, svinudza uye unwe kanomwe pazuva, 10 ml.
  • Tincture yakavakirwa pamabhureki emhete. Kuti uigadzirire, iwe unofanirwa kutora staminate (hombe) birch mhete, zadza chirongo che litre pamwe navo neinenge 2/3. Wobva waadira nevodka uye woenda kwemavhiki maviri. Uyezve, haufanire kusefa iyo tincture. Inokurudzirwa kuitora mumadonhwe makumi maviri (asingasviki 2 tsp) hafu yeawa usati wadya katatu pazuva. Inobatsira kunyevenutsa marwadzo mumoyo, kubvisa kupfupika kwemweya uye kusimbisa.
  • Iwe unogona zvakare kugadzirira decoction yakavakirwa pana motherwort, hawthorn maruva, maruva akaomeswa (aya mahebhu anoda kutorwa muzvikamu zvitatu). Wobva wawedzera mamwe maruva ekamesi yemishonga kwavari. 3 tbsp dururira uyu musanganiswa negirazi remvura irikufashaira, rega iribike kwemaawa masere, simbisa nekunwa 1 ml katatu pazuva paawa imwe mushure mekudya.
  • Muzvikamu zvakaenzana, iwe unofanirwa kusanganisa maruva e hawthorn, linden, calendula, mbeu yedhiri uye oat mashanga. Iko kuunganidza kunofanira kupwanywa kuita hupfu, wobva watora magiramu mashanu acho wodira girazi remvura irikufashaira. Simbirira mu thermos kwemaawa matatu kuitira kuti mvura itonhorere zvishoma. Wobva waomesa uye woitora ichidziya 5-3 nguva pazuva, 3 ml kwehafu yeawa usati wadya.[6].
  • Kune rheumatic pericarditis, tincture ye cornflower maruva ebhuruu inoshandiswa. Nekugadzirira kwayo 1 tbsp. maruva anoda kudururwa ne100 ml ye 70-degree doro, uye akasimbirira muhari pasi pechivharo kwemazuva gumi nemaviri. Zvakakodzera kutora mushonga uyu madonhwe makumi matatu katatu pazuva, hafu yeawa usati wadya. Nguva yenguva yekurapa inotsanangurwa neyakajairika mamiriro emurwere.
  • Dry pericarditis inorapwa ne rosehip uye huchi infusion. Kugadzirira mushonga wekuporesa, dururira 1 tsp. michero yakagurwa nemagirazi maviri emvura iri kufashaira. Shandisa thermos yechinangwa ichi. Rega iribike kwemaawa gumi, wobva wawedzera 10 tbsp. uchi uye kunwa iyi tii 1 ml katatu pazuva.
  • Musanganiswa wekurapa wakanangana nemoni uye uchi mushonga unonaka uye unobatsira pericarditis. Iwe unofanirwa kukuya malemoni pamwe chete nepepa, asi pasina mhodzi. Wobva wawedzera poda dzeapurikoti tsanga, wedzera zvishoma pelargonium gruel uye 500 ml yeuchi. Shandisa 1 tsp usati wadya.

Chikafu chine njodzi uye chinokuvadza chepervicitis

Kune huwandu hwezvigadzirwa, kushandiswa kweiyo ne pericarditis kunofanira kunyatsogadziriswa kana kubviswa zvachose kubva pakudya. Izvi zvinosanganisira:

  • Munyu - pane mwero wakanyatso tsanangurwa wezuva risingakwanise kudarika. Iwo magiramu mashanu emunyu pazuva muzvikafu zvese zvinodyiwa. Kuti uchengetedze mwero uyu, zvirinani kusaisa munyu madhishi panguva yekubika, asi wedzera zvinonhuwira izvi kudhishi rapera usati wadya.
  • Liquid - ehe saizvozvo, unogona kunwa mvura, tii, majisi, decoctions. Asi tii inofanira kunge isina kusimba, kofi uye cocoa zvinofanirwa kusadzikwa zvachose. Huwandu hwemvura yaunonwa haifanirwe kudarika 1,5 litita pazuva. Doro rakarambidzwa zvachose.
  • Pickles, nyama inopfungaira - kuidya kunogona kutungamira edema, pamwe nekuchengetedza kwemvura mumuviri. Ne pericarditis, ichi chinhu chisingadiwe zvakanyanya.
  • Chikafu chine mafuta, kusanganisira nyama, muto, bhekoni, nyama yemumagaba, chiropa, masoseji. Vanogona kukwidza mwero wecholesterol muropa, iyo inokurumidza kubata basa remwoyo nenzira yakaipa.
  • Tsvina, kabichi, chero howa zvimwe zvekudya zvinokonzeresa kubatira mweya, uye vanachiremba vanokurudzirawo zvakanyanya kuzviramba.
  • Chokoreti, zvihwitsi, zvigadzirwa zveupfu, pamwe ne tonic decoctions uye herbal teas, iyo ine mhedzisiro inonakidza pane tsinga system.
  • Izvo zvakakosha kudzivisa zvakakangwa, zvinwiwa zvekudya. Nzira yakanakisa yekupisa chikafu kubika, kupisa kana kubheka.

Munguva yepericarditis, zvakakosha kuti urege kuremedza chirongwa chekudya, kudya zvine utano, nyore nyore kudya zvokudya muzvikamu zviduku. Nhamba yakakwana yekudya pazuva ndeye 5-6 nguva. Izvo zvakakosha kuti uzvibikire chikafu chako wega, uye kwete kutenga zvakagadzirirwa-zvakagadzirwa kana kushandisa semi-yakapera zvigadzirwa. Saka iwe unogona kudzora, kutanga, kunaka kwezvigadzirwa zvinotorwa sehwaro. Uye chechipiri, dzivisa zvokudya zvinorambidzwa: mafuta akawandisa, munyu.

Kudhindazve zvinhu

Kushandiswa kwechinhu chero chipi zvacho pasina mvumo yedu yakanyorwa kare kunorambidzwa

Mitemo yekuchengetedza

Iwo manejimendi haakonzere chero kuyedza kushandisa chero nzira yekubikisa, kuraira kana chikafu, uye zvakare haivimbise kuti iyo yakatarwa ruzivo ichakubatsira kana kukukuvadza iwe pachako. Iva akangwara uye gara uchitsvaga chiremba akakodzera!

Chenjerera!

Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!

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