I-Pericarditis - izimpawu

I-Pericarditis yisifo esibangela ukuvuvukala lapho i-serous ulwelwesi yenhliziyo ithintekile (i-pericardium). I-Pericarditis ayitholakali njengesifo esizimele, kaningi isifo sezinye izifo. Ngalesi sifo, isakhiwo kanye nomsebenzi we-pericardium uphazamiseka, futhi imfihlo yemvelo ehlanzekile noma e-serous (i-exudate) ingaqongelela ngaphakathi kwendawo yayo. Okulandelayo, cabangela ukuthi yiziphi izimpawu kanye nokuphathwa kwe-pericarditis.

Izimpawu ze-pericarditis yenhliziyo

Kuye ngesimo sesifo, izimpawu ze-pericarditis zihlukile. Cabanga ukuthi ezinye izinhlobo ze-pericarditis zibonakala kanjani.

I-pericarditis eyomile - izimpawu

I-pericarditis eyomile iyindlela ejwayelekile kunazo zonke zesifo, futhi ngokuvamile isebenza njengesigaba sokuqala ekuthuthukiseni ezinye izinhlobo ze-pericarditis. Kukhona ukwakheka kwe-fibrinous exudate nokufakwa kwama filaments we-fibrin kwi-pericardium.

Ukubonakaliswa kwe-pericarditis eyomile kanje:

• i-malaise jikelele;
• ukunciphisa ukudla;
• ukuthuthumela;
• ukwanda kancane ekushiseni komzimba;
• ukuphikelela okuvelele ukuhlunguphazwa kwesifuba sosizi, ukuphazamisa noma ukushisa;
• ubuhlungu obukhulu ngesikhathi sokuphefumulelwa, ukukhwehlela, endaweni ehlangothini lwesobunxele, ngokucindezela endaweni yesifuba;
• ngezinye izikhathi - ukukhwehlela owomile.

I-constrictive pericarditis - izimpawu

I-pericarditis yokuqothula isimo esibi kunazo zonke zesifo. Kukhona ukwakheka kwezicubu ezibomvu, okuholela ekuqiniseni futhi kunciphise ngobukhulu be-pericardium. Ngenxa yalokho, inhliziyo iyacwiliswa, ukukhuliswa okujwayelekile nokugcwaliswa kwe-ventricles akunakwenzeka. Esikhathini eside eside lesi sifo, i-calcium deposits ifakwe kwi-pericardium, imisipha yomzimba kanye nezitho ezizungezile zenzelwe ukulimala kwesibhakabhaka: i-diaphragm, i-pleura, i-hepatic ne-splenic capsules, njll.

Kunezinyathelo ezingu-4 ze-pericarditis eqinisayo, eboniswa kanje:

1. Isigaba esilandelayo (esihlala ezinyangeni eziningana kuya eminyakeni eminingana) - kunemiphumela ehleliwe ye-pericarditis edluliselwe e-exudative.
2. Isinyathelo sokuqala:

• ubuthakathaka jikelele;
• ukuphefumula ;
• ukukhukhumeza kanye ne-cyanosis ebusweni, entanyeni, emabhokisini endlebe;
• ukuvuvukala kwemivimbo yomlomo wesibeletho;
• i-tachycardia;
• ubunzima ku-hypochondrium enhle;
• indigestion.

• ubuthakathaka obuqinile;
• ukuphakama okuqhubekayo komgogodla we-venous central;
• ukukhuphuka nokuvuvukala kwe-face nes neck;
• ascites .

• ukukhathala okukhulu;
• i-edema yemilenze, umzimba nobuso;
• i-atrophy yemisipha yamathambo;
• ukuphazamiseka kwenhliziyo yesigqi.

I-exudative (effusive) i-pericarditis - izimpawu

Ngokuvamile ukwakheka kwe-pericarditis exudative kuhlanganisa nesiteji se-pericarditis eyomile. Ukwandisa ukuphelela kwezitsha ze-serosa zenhliziyo ngenkathi inqubo yokuvuvukala ku-pericardium kubangela ukwakheka nokuqoqwa kwe-exudate. Ngalesi simo sesifo singakwazi ukuqoqa kuze kufike ku-2 amalitha kagesi, okuholela ekucindezeni eduze kwenhliziyo yezitho nezindlela ze-neural.

Izikhalazo eziyinhloko nge-pericarditis exudative zimi kanje:

• ukuhlunguphazwa esifubeni;
• ukuphazanyiswa kwenqubo yokugwinya;
• "Barking" ukukhwehlela;
• ukuvuvukala kobuso nentamo;
• ukuvuvukala kwemithanjeni yomlomo wesibeletho ngokuphefumulelwa;
• ukwanda kwezibonakaliso zokuhluleka kwenhliziyo.

Izimpawu ze-ECG ze-pericarditis

Izinguquko ku-ECG ezinhlobo ezahlukene ze-pericarditis zinehlukile. Kodwa izibonakaliso ezinkulu ze-electrocardiographic ziyizici zesifo kungakhathaliseki ukuthi i-etiology. Ekuhloleni kwe-ECG ye-pericarditis, inani eliyinhloko ukushintsha kwesigaba se-RS-T kusuka kumzila we-isoelectric.

Ukwelashwa kwe-pericarditis

Ngezinhlobo ezimbi ze-pericarditis, ukuphumula kombhede kunconywa. Ngokuya nge-etiology yesifo, imithi inqunywe, okungabandakanya ukuthatha imithi enjalo:

• i-glucocorticoids;
• ama-antibiotics;
• ama-analgesics;
• izidakamizwa ezilwa nokuvuvukala;
• amalungiselelo we-potassium, njll.

Lapho ukuqoqwa okukhulu kwe-exudate kukhombisa ukukhishwa kwe-pericardium. Ukuhlukaniswa kwe-pericarditis kuncike ekunakekeleni ukwelashwa.