Zizindikiro za mtima pericarditis ndi mankhwala. Youma pericarditis: Zizindikiro

Pali matenda osiyanasiyana kuti akhoza kukhala amphamvu zoipa amadza pa ntchito ya pa limba chachikulu cha m'thupi - mtima. M'nkhani ino tikukamba za limodzi mwa mavuto ambiri, wotchedwa pericarditis. matenda ndi oopsa ndipo ayenera tcheru kwa iye.

Kodi mtundu wa matenda mu funso

Ngati timayesetsa kufotokoza mawu sayansi zimene pericarditis mtima, zizindikiro zimene anthu ambiri akuona, tikhoza kunena izi: ndi aseptic kapena matenda kutupa kwa parietal ndi choipidwa timapepala ta pericardium. Koma pamene izo zifika mosavuta, tikulankhula za yemweyo kutupa aakulu kapena pachimake wa akalowa kunja kwa mtima (pericardium), chifukwa cha umene uli enaake ophwanya, mmene matenda kapena zinthu.

Kuti timvetsetsetse chikhalidwe cha matenda, n'zomveka kuti kulabadira zambiri.

Pericardium - ndi pericardium, ndi imene imakhala thupi zofunika monga mtima. Choncho mfundo za yogwira chidule ngati thumba n'zotheka zikomo dongosolo yache, chindiletsa amphamvu akusisita.

Zizindikiro za pericarditis akuluakulu kukhala ndi chikhalidwe chimene ntchito ndiponso dongosolo la akalowa za mtima osweka. N'zotheka kudzikundikira mu effusion pericardial (chinsinsi) kukhala serous kapena purulent chikhalidwe. madzi amenewa limanenedwa ngati exudates. Zinali mchikakamizo cha mtima wake akamalimbikira kumachitika chifukwa cha zimene kusokonezedwa kukhazikitsa ntchito zake mwachindunji. N'zoonekeratu kuti boma ndi oopsa ndipo sitingakane.

Ngati pericardial kuchitika kwambiri madzimadzi kudzikundikira, pali kuopseza mwachindunji kwa moyo wa munthu. Mmenemonso, kupewa imfa zitha kukhala nthawi yomweyo alowererepo.

Dziwani kuti matenda limapezeka nthawi zambiri mu akazi, osachepera - amuna. Monga ana, ali aang'ono kawirikawiri kuika matenda, ngakhale kuti nthawi zina zimachitika.

zimayambitsa

Musanawerenge zizindikiro pericarditis anthu, ndikofunikira kuti tipeze chimene chiri patsogolo maonekedwe a matenda amenewa zovuta.

Muyenera kumvetsetsa mfundo zotsatirazi - kudzikundikira madzimadzi mwina chifukwa cha njira zosiyana mu thupi:

- vuto la matenda a ziwalo;

- chizindikiro cha matenda a mtima mwachindunji;

- zotsatira zoipa;

- anasonyeza matenda opatsirana za chikhalidwe ambiri;

- limasonyeza matenda zokhudza zonse.

Koma ngati ife kulankhula za zifukwa ambiri, choyamba tcheru ziperekedwe kwa mphamvu ya matenda. Pankhaniyi, zizindikiro za pericarditis mwina kumasonyeza kosiyanasiyana:

- opatsirana-matupi awo sagwirizana;

- opatsirana Matenda;

- osakhala matenda (purulent, aseptic).

Ndipotu, tikulankhula za mavuto ndi chikhalidwe cha pericardium matenda otsatirawa:

- matenda tizilombo monga fuluwenza ndi chikuku;

- parasitic infestation;

- chifuwa chachikulu, malinga matenda kufalikira kwa TB extrapulmonary kapena chachikulu m'mapapo mwanga moto;

- matenda ndi tizilombo tating'onoting'ono (njira septic, fever, zilonda zapakhosi);

- mafangasi matenda.

Kuwonjezera zotsatira za matenda amenewa, zizindikiro za pericarditis ingayambe matenda seramu kapena ziwengo mankhwala.

Ndi gulu osiyana mavuto pericardium ali zimachitika njira za pericarditis, yomwe kukhala mchikakamizo cha kupunduka akutulukira wa pericardium ndi mapangidwe diverticula ndi cysts.

mitundu matenda

Kaya yang'anani zizindikiro pericarditis, iwo adzakhala nthawi zonse zimasonyeza kukula kwa mmodzi wa awiriwo mitundu chifungulo cha matenda: yopweteka kwambiri kapena yokhalitsa.

Ngati ife kulankhula za mawonekedwe aakulu, m'pofunika kulabadira chakuti akufotokozera pang'onopang'ono ndipo sangathe kufika kwa zaka zingapo. Pankhaniyi, ndi pericarditis ali m'njira zosiyanasiyana wamba:

- zomatira kapena zomatira, imene anapanga zipsera ndi soldering;

- wosanganiza zosayembekezereka wa adhesions, madzimadzi ndi amamuyambitsa timabala;

- exudative, kapena mtundu exudative, yodziwika ndi kudzikundikira yaikulu ya madzimadzi mu pericardium lapansi.

Pachimake pericarditis, amene zizindikiro kuoneka mofulumira kwambiri, komanso ali ndi njira zosiyanasiyana izi:

- exudative, kupanga buku lalikulu la madzimadzi (mafinya, wamagazi zili kapena madzi a m'magazi);

- fibrinous kapena youma, yodziwika ndi kudzikundikira lalikulu mu pericardial M'mimbamo zomatira mankhwala kuchokera m'madzi a m'magazi (Ulimbo).

pericarditis Constrictive ndi pericardial: Zizindikiro

Pofuna yake kuyankha matenda ndi kuyamba kulandira chithandizo mwamsanga, muyenera kudziwa osachepera zizindikiro ambiri vuto. Ndipo ngati tikukamba za mtundu exudative wa matenda a pericardium ndi, m'pofunika kulabadira otsatirawa: pamene vuto Khrisu buildup madzimadzi zambiri kupeza nthawi fluorography bwinobwino komanso ntchito echocardiography.

Ngati chotupa cha chifuwa kapena mapapo analembedwa komanso n'zomveka kuganiza chitukuko cha pericarditis. Chotero matenda mukhoza kupanga odwala uremia, imene akufotokozera cardiomegaly popanda chifukwa akuoneka, ndipo pali kuwonjezeka kuthamanga venous.

Chinachake zochitika zosiyanasiyana ndi matenda ngati pericarditis constrictive, zizindikiro pa siteji oyambirira nthawi zambiri si kwenikweni kuonekera. Zizindikiro chogwirika cha matenda zimapezeka kale pamene madzimadzi zokwanira amasonkhana pericardium kuti kusokoneza ntchito ya mtima. Aya zofotokoza Momveka kutuluka ndi nthawi pambuyo zolimbitsa mu mawonekedwe a kufupika kwambiri chifukwa cha mpweya ndi kutopa. Anthu ndi vutoli akhoza atathana mfundo za imfa yadzidzidzi kulemera ndi kuchepa zikusintha kudya.

Pali zizindikiro zina mtima constrictive pericarditis. Zizindikiro pa nthawi zambiri amakhala ngati zotsatira za bwino yamitsempha yamagazi kulephera mtima. Ndi ascites, edema zotumphukira, ululu ndi chisoni mu lamanja nusu chapamwamba.

ndi zizindikiro za pericarditis youma Kodi

Ponena za mawonekedwe matenda a pericardium ndi, m'pofunika kulabadira chakuti nkhaniyi kawirikawiri yoyamba malungo kapena myalgia. Koma satanthauza Kuvuta, zomwe zimabweretsa pericarditis youma. Zizindikiro kenako zimapezeka monga ululu, omwe isanafalikire m'dera pachifuwa.

zizindikiro chotero kungapitirire kwa masiku angapo mwinanso masabata, kusonyeza okha pamene pamtima ndi momveka chokwanira. N'zotheka ululu manja ndi kumtunda malekezero, komanso minofu trapezoid. ululu amakhala makamaka pachimake pofuna kusintha udindo wa thupi. Pamene kutsokomola, Pomeza ndi kupuma kusapeza Angagwiritsidwenso anamvera.

Pankhani ya vuto monga pericarditis youma, zizindikiro ndi pang'ono ofooka, ngati munthu akakwatira wakhala malo. Koma ngati wodwala atagona pa nsana wake, zotsatira zake zidzakhala zosiyana - ukupeza chatsitsa.

Nthawi zina, ululu kuganizira za tsiku lonse. Pankhaniyi, walitsa zidzachitika mu dzanja limodzi kapena awiri. Otere amaneneratu amatha yotithandiza m'mnyewa wamtima infarction.

N'zotheka ndi pakalibe ululu pamwamba ananena kuti pa mwapang'onopang'ono madzimadzi ndondomeko kudzikundikira. Nthawi zambiri, monga chikhalidwe chifukwa cha vuto ndi mapangidwe a pericardium pa maziko a TB, uremia, zotupa tumoral ndipo pambuyo magawo cheza kukhudzana.

Koma ululu - si chizindikiro chabe kuti silipita pericarditis youma. Zikhoza kufupika kwa mpweya ndi zizindikiro za dysphagia.

pachimake pericarditis

Mu mawonekedwe a matenda oyambirira ndi chizindikiro odziwika ndi ululu mu mtima mwathu. Pankhaniyi, malo a yatsoka ndi mphamvu ya maganizo amenewa zosasangalatsa angasinthe.

Nthawi zambiri ululu akupezeka mmunsi mwa sternum kapena pamwamba pa mtima. N'zotheka walitsa wa khosi, mbasiya phewa ndi dzanja.

Pamene pali exacerbation wa pericarditis, zizindikiro kuonekera mu mawonekedwe a ululu kwambiri. Chotero chikhalidwe angafanane ndi infarction m'mnyewa wamtima, kapena pleurisy. Nthawi zina ululu ndi kupweteka ndi kukometsa khalidwe. Nthawi zina odwala ayamba kuona kuopsa kwa mtima.

Ngati pali exacerbation wa ululu mu mtima, zikuoneka kuti kuthana ndi pericarditis youma.

Pa exacerbation si kukusalani maonekedwe a kufupika kwa mpweya, amene adzasonyeza pamaso pa effusion mu pericardium lapansi. Kwakukulu madzi wakhala nthawi kudziunjikira mu pericardium m'pamenenso adzakhala mavuto ndi kupuma. Kuti thanzi pa nthawi pansi. Pankhaniyi, dyspnea kwambiri yafupika chifukwa anthu ambiri madzimadzi pansi pa pericardium ndi, monga Motero, kuchepetsa kuthamanga pa mtima yokha. magazi ali bwino chifukwa, ndipo wodwala akumva mpumulo.

Iye akhoza limodzi ndi kufupika kwa mpweya chifuwa, ndipo nthawi zina ngakhale kusanza.

Kodi zizindikiro za pericarditis ana

Monga tanena mavuto ofanana ndi mtima ali wamng'ono ali osowa. Komabe, kudwala matenda amenewa asanayambe zaka n'zotheka.

Kodi inuyo kuyang'ana pericarditis ana. Zizindikiro odwala aang'ono oterewa, monga anthu akuluakulu, nthawi zambiri zizindikiro za matenda ena chimapangitsa. Nthawi zambiri ndi funso amadza chifukwa cha mavairasi osiyana. Anaiwononga zambiri matenda akufotokozera pa maziko a TB kapena nyamakazi. Zimayambitsa kupweteka mtima mwina zimakhudza thupi mwana matenda connective minofu monga zokhudza zonse lupus erythematosus.

Chifukwa china chimene oyambirira zikuchitika kugonjetsedwa kwa pericardium ndi - ndi staph kwambiri ndi, kupatula ambiri, njira septic. Immunological Genesis mmene ana ambiri pericarditis. Pankhani ya otchedwa uremic pericarditis ndi aakulu aimpso matenda insufficiency angakhale oopsa m'chilengedwe.

Mavuto ndi pericardium ana ndi njira purulent kawirikawiri metastatic. Zimenezi zikutanthauza kuti kukhala chifukwa yopuma purulent cholinga cha infarction pericardial, kapena chifukwa cha kulowerera hematogenous.

Koma zizindikiro ambiri, ndiye n'zotheka kunyamula cyanosis zolimbitsa, kufupika kwa mpweya, kubaya ululu mu mtima ndi malungo.

Mu nkhani ya chitukuko cha pericarditis youma zidzamveka pa mtima pericardial kukhululukirana. Nthawi zambiri chifukwa ziume exudative mawonekedwe ayenera kukhala ndi ayenera kukhala okonzeka. Mu chikhalidwe ngati cha ululu ndi mikangano phokoso kutha, koma zinkakonda afiira mtima ndi chatsika wonse.

Umo ndi momwe ana kumawonetsera pericarditis. Zizindikiro ndi mankhwala Pankhaniyi - ndi oyeretsedwa ndi wokhoza ya dotoloyo. Makolo bwino kuchititsa kuti thupi wokondedwa mwana. A ulendo mwamsanga kuchipatala adzakhala yabwino yothetsera.

diagnostics

N'zoona kuti anthu onse ali chipangizo connoisseurs mankhwala paokha kudziwa zizindikiro zoonekeratu pericarditis youma popanda thandizo la dokotala. N'chifukwa chake tiyenera kukumbukira kuti pali kuthekera kuti apezeke ndi nawo zachipatala woyenerera mankhwala amakono.

Choncho, ngati chikhalidwe anakula ndipo panali kutengeka chosonyeza chokhala zizindikiro pericarditis, muyenera yomweyo kupita kwa dokotala, amene angathe kudziwa pa anayendera pamaso pa zizindikiro kunja kwa matenda chimapangitsa ndi malungo komanso. Kudzera palpation ngati pericarditis angazindikire phokoso la mikangano ya pericardium pa dera afiira mtima.

Monga ulamuliro, ngati phokoso komanso kumvetsera kupeza chithunzi bwino kwambiri mmene alili. Lidalembedwa stethoscope, amene mwamphamvu mbamuikha ndi chifuwa. Wodwala pa nthawi iyi ayenera kukhala mu malo olungama, angoti anu ngati inu kutulutsa.

Kwa matenda zolondola angagwiritsidwe ntchito deta zasayansi ndi kuwerenga ECG.

Zizindikiro pericarditis pa ECG, makamaka pachimake mawonekedwe ake youma, chimaonetsera mbali khalidwe la subepicardial kuwonongeka m'mnyewa wamtima. Ngati pali kudzikundikira kwambiri madzi, zizindikiro za matenda pa matenda monga izi adzalamulira ndi kwachepetsa voteji wa QRS maofesi.

chithandizo

Mu matenda amenewa, pericarditis, zizindikiro ndi chithandizo amafuna ziyenera woyenera ndi njira. Choyamba, muyenera kupereka bedi zina. ulamuliro Izi zimachitika makamaka pa nkhani ya Kupeza Vuto matenda exudative. Pa avareji, monga ulamuliro kumatenga mwezi umodzi ndipo ikaponda pokhapokha ngati appreciable kwambiri kusintha mmene alili.

Ngati analembedwa pericarditis youma, Akufunika kukhala okhazikika bedi palibe.

Koma, kubwerera ku mawonekedwe exudative, tisaiwale kuti pa exacerbation ake amafuna hospitalization mwamsanga ndi odwala mwakayakaya. Wodwalayo adzayenera kufufuza dokotala thoracic. Pankhani ya zakudya pa matenda monga pericarditis, nkhani imeneyi malamulo polingalira matenda chachikulu.

Ngati chifukwa cha kudzikundikira madzimadzi mu pericardium panali matenda, akhoza kupatsidwa mankhwala ndi mankhwala. Pankhani ya TB amagwiranso ntchito mankhwala oyenerera, koma zimenezi kungafune nthawi zambiri.

Nthawi zambiri, pamene mavuto ndi pericardium ndi Amasankhidwa ndi zotsatira za mankhwala odana ndi yotupa. Kuchepetsa zovuta pericarditis ndi neutralization ululu mankhwala zogwirizana steroidal monga "Voltaren", "Indomethacin" neri Al.

Kuwonjezera zotsatira pamwambapa anafotokoza za mankhwala atha immunosuppressive ndi odana ndi matupi awo sagwirizana kwenikweni. Chifukwa cha ichi iwo anafotokozedwa monga njira wogwira mtima mankhwala pathogenetic.

zinthuzi amaoneka pa nkhani ya matenda a mitundu zotsatirazi pericarditis:

- ngati infarction m'mnyewa wamtima, ndi matenda Dressler ndi;

- zinachitikira zokhudza zonse matenda connective minofu;

- ngati pali yogwira rheumatoid ndondomeko;

- Pamene kugonjetsedwa tuberculous pericarditis;

- exudative mawonekedwe ndi bwinobwino chifukwa ndi limodzi mwa kwambiri.

Nthawi zambiri, kukonzekera otere kukachita "prednisolone". Maphunzirowa bwinobwino kumatenga masabata ochepa ndi chiyembekezo chakuti m'kupita kwa ntchito chida ichi.

Chidwi ayenera kulipira puncture pericardium. Tikuyankhula zokhudza puncture wa M'mimbamo wa pericardium ndi gulu la effusion, kulenga kuthamanga pa mtima. puncture amenewa ikuchitika nkhani yofunika kukachitika kuti pali kudzikundikira mofulumira kutsogolera madzimadzi ndi vuto tamponade mtima.

Needling angathe kuchitidwa pansi mawonekedwe a matenda purulent momwe pambuyo kuchotsa madzi kupyolera singano mu pericardium kutumikiridwa mankhwala ndi zogwirizana zina pa nkhani ya odwala ndi mankhwala enieni.

Rapid kudzikundikira madzimadzi komanso kungachititse kuti chitukuko cha pericarditis constrictive. Mmenemonso, m'pofunika asagwiritse sodium kolorayidi kudya 2 ga patsiku ndi kuchepetsa kuchuluka kwa madzi ankadya ndi mtima. Leni adzatero kusankhidwa okodzetsa.

opaleshoni akhoza kuchitika milandu kwambiri makamaka. Iwo makamaka ntchito, pakalibe anthu a mtima pambuyo mankhwala pa pericarditis constrictive. Pamene alili bwino dokotalayo ndi amene amachita perikardektomiyu kumasula kumanzere ventricle mtima kuchokera akamalimbikira zonse.

mankhwala wowerengeka

Pali njira zina kusonkhezera nkhani monga pericarditis. Zizindikiro ndi mankhwala azitsamba wowerengeka kuwonekera kwa matenda - ndi imakambidwa mobwerezabwereza. Koma m'pofunika kumvetsa m'malo mwa njira otchuka a ndondomeko chithandizo chachikulu - chibwana. kudzikundikira madzimadzi mu pericardium ndi vuto, namtsata mofulumira ndi mavuto izo sizigwira ntchito kwa n'chongoletsa popanda woyenera matenda ndi katswiri mankhwala.

azitsamba Folk pokhapokha amaloledwa mu nthawi ayambe, monga zotsatira m'munsili. Koma Mulimonsemo kanthu si olandiridwa, ndi bwino kuchitapo kanthu atakambirana ndi dokotala nawo.

Koma zamdziko lenileni concoctions zovomerezeka kwa chiuno, strawberries, hawthorn, ndi liziwawa St. Yohane.

Kwa anthu amene ali ziweto, adzakhala mutu zogwirizana: "Pericarditis mu Agalu:. Zizindikiro ndi Chithandizo" Mfundo za pericardium mwina mavuto nyama zina. Zizindikiro za vutoli yafupika maonekedwe a malungo, kupweteka mtima, komanso kupondereza ambiri nyama akuvutika. Ambiri, zizindikiro ofanana ndi zochita za matenda mwa anthu, kotero boma maganizo a ziweto ndi bwino kupita naye ku owona zanyama ndi, mwinamwake angakutsutseni mavuto aakulu.

Zizindikiro za pericarditis angayambe nyama ndi pambuyo kuvulala zamitundu yosiyanasiyana. Choncho ngati galu mumaikonda yavulala, kukonza fufuzani udindo wake mu nthawi lofunika.

zotsatira

Pericarditis ndi matenda, choncho sitingakane. Pachifukwa ichi, townsfolk ayenera kuwerenga osachepera ndi zizindikiro zofanana. Izi adzalola nthawi kuzindikira matenda oopsa ndipo pitani kuchipatala. Ndi njira imeneyi, pali mwayi uliwonse wa mankhwala, kupewa mavuto zotheka. Musaiwale kuti ngati mfundo za kudzikundikira madzimadzi padziko mtima sachiza, angayambe kufa. Kotero inu kulibwino kupeza nthawi kukaona zina kwa dokotala.