Esomile pericardial effusion: Izimpawu, Sifo Nokuselapha

Pericarditis ngokuthi ukuvuvukala oyingozi noma ezingamahlalakhona we pericardium (elingaphandle serosal ungqimba inhliziyo). ngokuvamile ukuvuvukala kuhileleke myocardium. Abaphethwe yilesi sifo ogxile besilisa. Ithuba pericarditis ezinganeni kanye intsha.

Ngokuvamile, pericarditis - isifo yesibili nzima izifo ezihlukahlukene. Izizathu ukuthuthukiswa yayo kungaba izifo sibi, sokuhlasela kwamasosha omzimba (rheumatism nezinye izifo collagen), izifo umzimba, isilethikusebenza, esifubeni umuntu elimele, isifo sokuvuvukala kwemithambo yomthambo i-aorta, isimo ngemuva kokuhlinzwa enhliziyweni.

Olwandle ukuhlukanisa phakathi pericarditis oyingozi futhi ezingalapheki. Emtholampilo, pericarditis kungaba ezomile, fibrinous ngokuthi okwamanje, futhi exudative - exudative.

Pericarditis: Izimpawu zesifo kuhlolisiswa emitholampilo

Ngo pericarditis acute libhekene ubuhlungu besifuba, imbuthuma kuze kufike ohlangothini lwesobunxele of the esifubeni kanye nasengalweni ngakwesokunxele. Lokhu ubuhlungu ngempela okukhulu, isikhathi eside, okuthuthukiswa ukuphakama ephefumula ngesikhathi ukukhwehlela in the isikhundla lisalele. Ukuze banciphise ubuhlungu, iziguli kaningi ukuthatha ukuma ophoqelelwe: ehlezi, encike phambili. Lesi simo sibizwa ngokuthi ukuma womthandazo zamaBedouin. Ubuhlungu umfutho inyuka kuye isikhundla umzimba, futhi ukusebenza ukunyakaza. Kwezinye izimo, ubuhlungu pericardial kungenzeka zomile, libe buthuntu.

Ezihambisana nezimpawu pericarditis lokudakwa - imfiva, ubuhlungu bamalunga futhi ubuhlungu bemisipha, ukucobeka, palpitations, ikhanda. Ukuthola oketshezini ingaphakathi exudative isikhwama inhliziyo ezazigudla pericardium, ephelezelwa ukubukeka dyspnea, okuyinto kuyehla endaweni awulutho kuNkulunkulu. Lapho iphika kungaba ezomile ukukhwehlela non-elikhiqizayo.

Ukubuthelela umthamo omkhulu oketshezini umgodi we izikhwama inhliziyo kuholela ukuthuthukiswa sifo ka tamponade inhliziyo, okuyinto kubonakala izimpawu of stasis emithambo yegazi. Isiguli kungaba azimisele ngesikhathi luhlolo ukuchichima entanyeni emithanjeni, isibindi ukwanda, okuvela edema kanye ascites (uketshezi khulula e ngaphakathi komgodi ongaphakathi kwamathumbu).

Uma athuthukile pericarditis ezomile, izimpawu ukushintsha yemida inhliziyo azikho. Uma inani exudate okweqa 500 ml, le offset kungaba azimisele imingcele onokuqundeka inhliziyo zombili izinkomba. Lapho esomile pericarditis inhliziyo auscultation amathoni azishintshiwe. With ukuthuthukiswa exudative pericarditis inhliziyo umsindo ivolumu liyancipha ngokucijile kuchazwe tachycardia.

Isici ezithile pericarditis ezomile kunqunywa ngesikhathi auscultation, - ngomshikisho pericardial. Lokhu umsindo kungaba ukuzwa endaweni elilinganiselwe esifubeni, ngakwesokunxele at emaphethelweni sternum. Noise bungathuthukiswa ingcindezi IselulekoSesihenqo ebodeni esifubeni. Wayilalela ngesikhathi systole futhi diastole, kuyinto anyamalale ngokushesha.

effusion esomile pericardial - izimpawu olunye ucwaningo

Ukuxilonga izifo linqume kwegazi ezivamile, ECG, echocardiography, izitho rentgenissledovanie kwesifuba. Ekuhlaziyeni jikelele izimpawu ukuvuvukala igazi bazimisele. I ECG e exudative pericarditis Kutholwe ukuphakama ukuncishiswa namazinyo kungadala arrhythmias, e pericarditis ezomile ukucacisa ushintsho ST isikhundla ingxenye phezu isoline. Izinguquko ku-X-ray kunqunywa lapho cluster 200 ml bese exudate ngaphezulu. Lapho echocardioscopy ukunquma inqubo kwasendaweni kanye nenani exudate. Ngezinhloso zokuxilonga wokubhoboza pericardial is ezenziwe kulandele uphenyo ketshezi ewumphumela.

pericarditis olunamandla kuyinto Yiqiniso ezomile kungavamile ukuba ingozi. Subacute effusion pericardial ivela kaningi noma kuba amahlala khona.

Ekwelapheni pericarditis esetshenziswa non-steroidal anti-inflammatory izidakamizwa, corticosteroids. Lapho effusion pericardial linqume isisu, lubhoboze ingaphakathi pericardial ngezinjongo zokwelapha. Ukubonisa ukuqokwa yokwelapha elwa namagciwane, ukudla kanye Umkhawulo usawoti uketshezi.