Eyomileyo pericardial effusion: Iimpawu, diagnosis and Treatment

Pericarditis ebizwa ukudumba oyingozi okanye okondeleyo pericardium (engaphandle serosal umaleko kwentliziyo). Le nkqubo yokukrala kudla inxaxheba myocardium. Ukubandezeleka na kwesi sifo ubukhulu becala eyindoda. Amathuba pericarditis ebantwaneni nakulutsha.

Ngokuqhelekileyo, pericarditis - isifo eziziisekondari nzima kwizifo ngezifo. Izizathu zophuhliso alo izifo ezihlasela zosulele, samathambo (rheumatism kunye nezinye izifo collagen), izifo pathways, iposi engabalulekanga, isifuba kwentlungu, kwemithambo aortic, imeko emva kotyando entliziyweni.

Yinjongo umahluko phakathi pericarditis etsolo kunye ezigulo ezondeleyo. Ngokwezonyango, pericarditis inokuba owomileyo, fibrinous ngokuba okwangoku, kunye exudative - exudative.

Pericarditis: Iimpawu zesi sifo kwi kuxilonga

Xa pericarditis etsolo luphawulwa iintlungu esifubeni, ebusweni kwicala lasekhohlo esifubeni kunye nengalo yasekhohlo. Le buhlungu kakhulu obukhulu, elide, omelezwe ukuphakama inhalation ngexesha ukhohlokhohlo kwindawo lisalele. Ukunciphisa intlungu, izigulane kuthatha ngendlela ethile ngenkani: ehleli, bekwayame phambili. Le meko kuthiwa yokuma umthandazo esenjalo. ukunyuka Pain kwegalelo ngokuxhomekeke kwindawo ye-mzimba, kwaye xa esenza iintshukumo. Kwezinye iimeko, intlungu pericardial inokuba buthuntu, buthuntu.

Kunye naziphi na iimpawu pericarditis kunxilwe - ifiva, iintlungu ngokudibeneyo kunye neentlungu kwezihlunu, umkhuhlane, iyangongoza, intloko ebuhlungu. Ukuqhubeka kolwelo em- exudative ingxowa kwentliziyo olunga- phakathi pericardium, sikhatshwe ukubonakala dyspnea, nto leyo reduced isikhundla ekuhlaleni. Xa uphelelwa ngumphefumlo kunokuba owomileyo a ukukhohlela non-nemveliso.

Ukuqokelelela umthamo omkhulu kolwelo em- ezingxobo intliziyo kukhokelela kuphuhliso syndrome of tamponade kwentliziyo, nto leyo ebonakalisa iimpawu stasis lwemithambo. Esi sigulane asikwazi kumiselwa ngethuba emithanjeni entanyeni loviwo ziyaphuphuma, ukwanda kwesibindi, isenzeko nokudumba kunye ascites (fluid ezamahala kwi kwisisu).

Xa kuphuhliswa pericarditis ezomileyo, iimpawu atshintshe na imida zentliziyo zilahlekile. Ukuba isixa exudate elingaphaya ml 500, lisisiqalo icaciswa imida anozizi kwentliziyo kumacala omabini. Xa owomileyo pericarditis iithowuni auscultation kwentliziyo hayi zitshintshiwe. Ngophuhliso exudative pericarditis intliziyo izandi liyancipha volume kabukhali echazwe tachycardia.

Eyona oluthile pericarditis owomileyo ugqibe ngexesha auscultation, - ukukhuhlana pericardial. Le ingxolo ingaba ukuva kwindawo eliqingqiweyo esifubeni, ekhohlo ekupheleni kwentamo. Ingxolo kungenziwa ngcono yeSkrini uxinzelelo phezu kodonga esifubeni. Yabagqala ngexesha systole kunye diastole, na anyamalale fast.

effusion eyomileyo pericardial - iimpawu uphando ngaphezulu

Ukufumanisa isifo amisele uvavanyo lwegazi eqhelekileyo, ECG, echocardiography, amalungu rentgenissledovanie kwesifuba. Xa Ucazululo ngokupheleleyo iimpawu ukudumba igazi bazimisele. Le ECG in pericarditis elibhaqiweyo amazinyo zokunciphisa ukuphakama exudative kunokubangela arrhythmias, xa pericarditis eyomileyo ukukhangela utshintsho kwindawo ST ingxenye phezu isoline. Utshintsho kwi X-ray kumiselwa xa cluster 200 ml kunye exudate ngakumbi. Xa echocardioscopy limisele inkqubo ukuthengwa kunye mali exudate. Ukulungiselela iinjongo diagnostic okuhlatywa pericardial luyenziwa ilandelwa yi uphando engamanzi onesiphumo.

pericarditis Acute na ikhondo owomileyo ebubonisayo. effusion Subacute pericardial kwenzeka qho okanye engapheliyo.

Xa unyango pericarditis non-steroidal amachiza anti-ukudumba, corticosteroids. Xa effusion pericardial amisele womchamo, kwenzakalani kwisisu pericardial ukulungiselela iinjongo zonyango. Ukubonisa nokuqeshwa unyango antibacterial, ukutya kunye luthintelo ityuwa neencindi.