I-Pericarditis - iimpawu

I-Pericarditis isifo esivuthayo apho i-membrane ye-serous ichaphazelekayo (i-pericardium). I-Pericarditis ayibonakali njengesifo esizimeleyo, ngokuqhelekileyo isicalulo sezinye izifo. Ngaloo ntsholongwane, isakhiwo kunye nomsebenzi we-pericardium uyaphazanyiswa, kwaye imfihlelo ye-purulent okanye i-serous nature (i-exudate) inokuqokelela ngaphakathi ngaphakathi. Emva koko, khawucinge ngeempawu kunye nokunyangwa kwe-pericarditis.

Iimpawu ze-pericarditis yentliziyo

Ngokuxhomekeka kwimeko yesifo, iimpawu ze-pericarditis zihlukile. Cinga indlela ezinye iintlobo ze-pericarditis ezibonakala ngayo.

I-pericarditis eyomileyo - iimpawu

I-pericarditis eyomileyo yindlela eqhelekileyo yesifo, kwaye ihlala isenza isigaba sokuqala kwezinye iifom ye-pericarditis. Kukhona ukubunjwa kwe-fibrinous exudate kunye nokufakwa kweentambo ze-fibrin kwi-pericardium.

Ukubonakaliswa kwe-pericarditis eyomile yile ndlela ilandelayo:

• malaise jikelele;
• kunciphisa ukutya;
• ukukhupha;
• ukwanda kancinci kumbindi womzimba;
• ukuphikelela okuvezela iintlungu zesifuba sokusila, ukuchithwa okanye ukutshisa;
• ukwanda kwentlungu ngexesha lokuphefumlelwa, ukukhwehlela, kwindawo ekhohlo, kunye noxinzelelo kwindawo yesifuba;
• ngamanye amaxesha - ukukhwehlela owomileyo.

I-Constrictive pericarditis - iimpawu

I-Constrictive pericarditis yindlela ephezulu kakhulu yesifo. Kukhona ukubunjwa kwezicubu ezinqabileyo, ezikhokelela ekuqiniseni nasekunciphiseni ubukhulu be-pericardium. Ngenxa yoko, intliziyo iyacinywa, ukunyuka okuqhelekileyo nokuzaliswa kwee-ventricle akunakwenzeka. Kwixesha elide lesi sifo, i-calcium deposits ifakwe kwi-pericardium, isisu senhliziyo kunye nezitho ezungeleleyo zixhatshazwayo: isithintelo, i-pleura, i-hepatic ne-splenic capsules, njl.

Kukho izigaba ezi-4 ze-pericarditis eziqinileyo, zibonakaliswe ngale ndlela:

1. Isigaba esifihlakeleyo (esihlala kwiinyanga eziliqela ukuya kwiminyaka emininzi) - kukho iziphumo ezithinteleyo zokudluliselwa kwe-pericarditis exudative.
2. Isigaba sokuqala:

• buthathaka;
• ukuphefumula okufutshane ;
• ubuqhophololo kunye ne-cyanosis ebusweni, entanyeni, kwiigobolondo zeendlebe;
• ukuvuvukala kwemvini yomlomo wesibeleko;
• tachycardia;
• ubunzima kwi-hypochondrium efanelekileyo;
• ukunyanzelisa.

• ubuthathaka obunamandla;
• ukuphakama okuqhubekayo kweengcinezelo zentlungu;
• ukukhukhuma nokukhukhuma kwe-face kunye nentamo;
• phezulu .

• ukuphelelwa ngamandla;
• i-edema yemilenze, umzimba kunye nobuso;
• i-atrophy ye-muscle muscle;
• ukuphazamiseka kwentliziyo yesigqi.

I-Exudative (effusive) ye-pericarditis - iimpawu

Ngokuqhelekileyo ukubunjwa kwe-pericarditis exudative kubandakanya isigaba se-pericarditis eyomileyo. Ukwandisa ukuhamba kweempahla ze-serosa entliziyweni ngexesha lokuvuvukala kwi-pericardium kubangela ukubunjwa kunye nokuqokelela kwe-exudate. Ngalolu hlobo lwesifo unako ukuqokelela ukuya kuma-2 ilitha e-fluid, ekhokelela ekutyikityeni eduze kwentliziyo yezitho kunye neendlela ze-neural.

Izikhalazo eziphambili nge-pericarditis exudative zilandelayo:

• iintlungu ezibuhlungu esifubeni;
• ukuphazamiseka kwenkqubo yokugwinya;
• "Ukukhahlela" ukukhwehlela;
• ukuvuvukala kobuso nentamo;
• ukuvuvukala kwemivilini yomlomo ngokuphefumlelwa;
• ukwanda kwimiqondiso yentliziyo yokuhluleka.

ECG iimpawu ze-pericarditis

Utshintsho kwi-ECG ngeendlela ezahlukeneyo ze-pericarditis zineengxaki ezahlukeneyo. Kodwa iimpawu eziphambili ze-electrocardiographic ziyimpawu zesifo nangona kungakhathaliseki i-etiology. Kwi-ECG uvavanyo lwe-pericarditis, ixabiso eliphambili kukutshintshwa kwecandelo le-RS-T ukusuka kumgca we-isoelectric.

Unyango lwe-pericarditis

Kwiindlela ezinzima ze-pericarditis, ukuphumla kokulala kunconywa. Ngokuxhomekeke kwi-etiology yesi sifo, imithi inqunywe, enokubandakanya ukuthatha amayeza:

• glucocorticoids;
• i antibiotics;
• analgesics;
• iziyobisi ezichasayo;
• ukulungiselela i-potassium, njl

Xa ukuqokelela okukhulu kwe-exudate kubonisa ukugqitywa kwe-pericardium. Ulwahlulo lwe-pericarditis luya kunyangwa unyango.