Youma ndi pericardial effusion: Zizindikiro, Matendawa ndi Chithandizo

Pericarditis wotchedwa pachimake kapena aakulu kutupa pericardium ndi (lakunja serosal wosanjikiza mtima). The ndondomeko yotupa zambiri mtsikana myocardium. Akudwala matenda ambiri wamwamuna. Chance wa pericarditis ana ndi achinyamata.

Childs, pericarditis - matenda sekondale complicating matenda osiyanasiyana. Chifukwa chitukuko akhoza kukhala matenda pachimake, autoimmune (la misempha ndi matenda ena kolajeni), matenda kagayidwe kachakudya, m'mnyewa wamtima infarction, zoopsa pachifuwa, kung'ambika aneurysm, chikhalidwe pambuyo opaleshoni pa mtima.

Akazitumiza kusiyanitsa pericarditis pachimake ndi aakulu. Kukomoka, pericarditis akhoza kukhala wouma fibrinous otchedwa panobe, ndipo exudative - exudative.

Pericarditis: Zizindikiro za matenda kuzionetsetsa matenda

Mu pericarditis pachimake amakhala ndi ululu pachifuwa, yochokera kwa kumanzere kwa chifuwa ndi dzanja lamanzere. Kupweteka ndi kwambiri ndithu, yaitali, kumatheka ndi kutalika inhalation pa chifuwa mu malo supine. Pofuna kuchepetsa ululu, odwala zambiri kutenga kaimidwe amakakamizidwa: atakhala, atatsamira patsogolo. Zimenezi amatchedwa kaimidwe pemphero mtundu wa Bedouin. Ululu mwamphamvu ukuwonjezeka malingana ndi malo a thupi, mu ntchito kayendedwe. Nthawi zina, ululu pericardial kungakhale kuzimiririka, wosasamala.

Ayende zizindikiro zilizonse pericarditis kuledzera - malungo, molumikizana mafupa ndi ululu minofu, malaise, palpitations, litsipa. Kudzikundikira madzimadzi mu M'mimbamo exudative mtima thumba mwake pericardium, limodzi ndi maonekedwe a dyspnea, amene yafupika udindo mosapumira. Pamene kufupika kwa mpweya angakhale youma sanali zipatso chifuwa.

Kudzikundikira buku lalikulu la madzimadzi mu M'mimbamo matumba mtima kumabweretsa kukula kwa vuto la tamponade mtima, amene anasonyeza zizindikiro za stasis venous. Wodwala titsimikize pa Kupenda zikusefukira khosi mitsempha, kuwonjezeka chiwindi, zosayembekezereka wa edema ndi ascites (ufulu madzimadzi mu zonse m'mimba).

Ngati anayamba pericarditis youma, zizindikiro kusintha kwa malire mtima zikusowa. Ngati kuchuluka kwa exudate owonjezera 500 ml, ndi kuchepetsa zingadziŵike malire mtima afiira malangizo onse. Pamene youma pericarditis mtima malankhulidwe auscultation sidzasinthika. Ndi chitukuko cha exudative pericarditis mtima zikumveka buku amachepetsa yokhudza ufiti kumatanthauza tachycardia.

Mbali enieni pericarditis youma anatsimikiza pa auscultation, - pericardial kukhululukirana. phokoso Zimenezi zingakhale kumva m'dera yochepa ya chifuwa, kumanzere pa nsonga ya sternum lapansi. Phokoso akhoza kumatheka chifukwa chotengera stethoscope pa khoma pachifuwa. Iye anamvera pa systole ndi diastole, ndi kudya Akusowera.

Youma ndi pericardial effusion - zizindikiro kufufuza zambiri

Matenda ndi mankhwala wamba magazi mayeso, ECG, echocardiography, ziwalo rentgenissledovanie a chifuwa. Mu kusanthula wonse wa zizindikiro za kutupa kwa magazi mwatsimikiza mtima. The ECG mu exudative pericarditis wapezeka mano kuchepetsa kutalika zikhoza arrhythmias, mu pericarditis youma kudziwa kusintha mu malo cha ku Switzerland gawo pa isoline lapansi. Kusintha pa X-ray imene limodzi 200 ml ndi zambiri exudate. Pamene echocardioscopy kudziwa ndondomeko kutanthauzira ndi kuchuluka kwa exudate. Zolinga matenda pericardial puncture imagwiridwa akutsatiridwa ndi kufufuza kwa madzi chifukwa.

Pachimake pericarditis youma chosaopsa Inde. Subacute pericardial effusion amapezeka pafupipafupi kapena amakhala aakulu.

Mankhwalawa pericarditis ntchito sanali steroidal odana ndi yotupa mankhwala, corticosteroids. Pamene pericardial effusion mankhwala okodzetsa, puncture pericardial M'mimbamo zolinga achire. Kusonyeza Kusankhidwa kwa mankhwala antibacterial, zakudya ndi kuletsa mchere ndi madzimadzi.