Bayyanar cututtuka na zuciya pericarditis da kuma magani. Dry pericarditis: Alamun

Akwai cututtuka daban-daban da za su iya samun karfi da mummunan tasiri a kan aikin na babban sashin jiki na jijiyoyi - zuciya. Wannan labarin ya mayar da hankali a kan daya daga cikin na kowa matsaloli, da ake kira pericarditis. Wannan cuta ne m, kuma ya cancanci a biya da hankali ga mata.

Wace irin cuta a cikin tambaya

Idan muka yi kokarin ayyana a kimiyance abin pericarditis zuciya, da bayyanar cututtuka na wanda mutane da yawa da damuwa, za mu iya ce da wadannan: shi ne aseptic ko dauke da kwayar cutar kumburi da parietal da visceral pericardium leaflets. Amma idan ya zo da sauki, muna magana ne game da wannan kullum ko m kumburi da m rufi na zuciya (pericardium), a cikin hanyar wanda shi ne rheumatic, da tasiri na kamuwa da cuta ko wasu effects.

Domin gane yanayin wannan cuta, shi ya sa hankali domin kula da janar bayani.

Pericardium - a pericardium, da kuma a cikin abin da yake irin wannan muhimmanci jiki kamar zuciya. Kamar wancan ne gaskiyar na aiki ƙanƙancewa a cikin irin wannan jakar shi ne yiwu godiya ta zuwa ga na musamman tsarin, ya hana karfi shafa.

A bayyanar cututtuka na pericarditis a manya da wani sakamako a kan yanayin da cewa aiki da tsarin da rufi na zuciya an karya. Yana yiwuwa jari a cikin pericardial effusion (m) da ciwon serous ko surkin jini yanayi. Irin wannan ruwa aka bayyana a matsayin exudates. Yana yana ƙarƙashin rinjayar da ta zuciya squeezing na faruwa saboda abin gaji da damuwa da aiwatar da ta kai tsaye ayyuka. Babu shakka cewa irin wannan jiha ne m, kuma ba za a iya watsi da.

Idan pericardial faru wuce kima m jari, akwai wani kai tsaye barazana ga rayuwar dan Adam. A wannan jiha, don kauce wa mutuwa iya zama nan da nan baki.

Shi ne ya kamata a lura da cewa wannan cuta na faruwa a mafi sau da yawa a cikin mata, akalla - maza. Amma ga yara, a wani wuri shekaru da wuya sa wannan ganewar asali, ko da yake da shi wani lokacin da ya faru.

Sanadin

Kafin la'akari pericarditis cututtuka a cikin mutane, shi wajibi ne don gano abin da ya biyo baya bayyanar da irin wannan rikitarwa cuta.

Kana da fahimtar da wadannan gaskiya - jari na ruwa iya zama sakamakon daban-daban matakai a cikin jiki:

- mai wahala na cututtuka na ciki gabobin.

- wata ãyã daga cututtuka na zuciya kai tsaye;

- sakamakon rauni.

- nuni cututtuka na wani janar yanayi.

- wani nuni ne na tsari cututtuka.

Amma idan muka yi magana game da mafi yawan na kowa dalilai, da farko na dukkan hankali ya kamata a biya su da tasiri na kamuwa da cuta. A wannan yanayin, da bayyanar cututtuka na pericarditis iya zama wata alama ta siffofin daban-daban:

- dauke da kwayar cutar-rashin lafiyan.

- cututtuka.

- maras dauke da kwayar cutar (surkin jini, aseptic).

A gaskiya, muna magana ne game da matsalolin da jihar na pericardium a cikin wadannan cututtuka:

- kwayar cututtuka kamar mura da kuma cutar kyanda.

- parasitic infestation.

- tarin fuka, bayar da cewa kamuwa da cuta shimfidawa daga extrapulmonary tarin fuka ko primary na huhu hearth.

- da ake dasu cututtuka (kwamin na tara tafiyar matakai, da mulufi zazzabi, ciwon makogwaro).

- fungal kamuwa da cuta.

Bugu da kari ga tasirin wadannan cututtuka, cututtuka na pericarditis iya sa magani ciwo ko magani alerji.

By a raba rukuni na matsaloli pericardium ne dangana da waɗanda siffofin pericarditis, wanda ci gaba a ƙarƙashin rinjayar kunno kai lahani na pericardium tare da samuwar diverticula da cysts.

cutar jinsin

Abin duba pericarditis bayyanar cututtuka, za su zama ko da yaushe nuni da ci gaban da daya daga cikin biyu key iri da cutar: m ko na kullum.

Idan muka magana game da kullum tsari, shi wajibi ne don kula da gaskiyar cewa shi tasowa sannu a hankali, kuma ba za a ji da dama shekaru. A wannan yanayin, a pericarditis yana da dama kowa siffofin:

- m ko m, a lokacin da kafa scars da soldering.

- gauraye da ya faru na adhesions, ruwa da kuma scarring.

- exudative, ko exudative form, halin da manyan jari na ruwa a cikin pericardium.

M pericarditis, wanda bayyanar cututtuka bayyana yawa sauri, kuma yana da dama key siffofin:

- exudative, ta samar da wata manyan girma na ruwa (ruɓaɓɓen jini, na jini da abun ciki ko jini jini).

- fibrinous ko bushe, halin da manyan jari a cikin pericardial rami m abu daga jini jini (fibrin).

Constrictive pericarditis da pericardial: Alamun

Domin dace amsa da cutar da kuma fara jiyya da wuri, kana bukatar ka sani a kalla general bayyanar cututtuka na matsalar. Kuma idan muka yi magana game da exudative nau'i na cutar da pericardium, shi wajibi ne don kula da wadannan: a lõkacin da wata matsala gaskiyar na ruwa buildup sau da yawa samu a lokacin fluorography jarrabawa, kazalika da yin amfani da echocardiography.

Idan ƙari daga cikin kirji ko huhu da aka rubuta ma sa hankali ga zargin da ci gaban pericarditis. Irin wannan ganewar asali za a iya sanya a cikin marasa lafiya da uremia, a lokacin da suke tasowa cardiomegaly ba tare da kwakkwaran dalili ba ne, kuma babu wani karuwa a venous matsa lamba.

Ɗan daban-daban halin da ake ciki shi ne wannan matsala kamar yadda constrictive pericarditis, da cututtuka a wani wuri mataki sau da yawa ba a zahiri a bayyane. Ri ãyõyi da cutar bayyana kansu riga lokacin da isasshen ruwa accumulates a cikin pericardium domin wahalad da aikin na zuciya. Da ãyõyi bayyanannu a fito fili tare da lokaci bayan motsa jiki a cikin nau'i na tsanani shortness na numfashi da kuma gajiya. Mutane tare da wannan matsala za a iya gyarawa al'amari na kwatsam nauyi asara da kuma wani alama karu a ci.

Akwai sauran ãyõyin a zuciya constrictive pericarditis. Alamun kan lokaci, mafi iya kama da sakamakon dama na ramin zuciya zuciya rashin cin nasara. Yana da wani ascites, na gefe edema, zafi da, wani nauyi a cikin dama babba quadrant.

Mene ne bayyanar cututtuka na bushe pericarditis

Da yake jawabi game da wannan nau'i na cuta daga cikin pericardium, shi wajibi ne don kula da cewa wannan batu ne sau da yawa riga da zazzabi ko myalgia. Amma ba su iyakance rikitaccen, wanda ya haddasa bushe pericarditis. Alamun ƙarshe bayyana kansu kamar yadda zafi, wanda aka sarrafa a cikin kirji yankin.

Irin wannan bayyanar cututtuka na iya dage ga dama, kwanaki ko makonni, bayyana kansu yayin da a cikin kirji da isa tsabta. Zai yiwu zafi a hannayensa biyu da daya babba ƙwarai, kazalika da trapezoid tsokoki. A zafi zama musamman m lokacin da yunƙurin canja wuri na jiki. Lokacin da tari, hadiya, kuma numfashi rashin jin daɗi ƙila za a ji.

A cikin hali na da matsala kamar bushe pericarditis, cututtuka su ne dan kadan weaker, idan wani mutum daukan wata Sitting matsayi. Amma idan haƙuri tana kwance a kan baya, sakamakon zai zama kishiyar - Jihar kiwon lafiya tabarbarewa.Idan.

A wasu lokuta, zafi na iya zama da damuwa game da duk rana. A wannan yanayin, sakawa a iska mai guba da za su faru a daya ko hannayensa biyu. Irin wannan jiha ne iya ta da tsokar zuciya infarction.

Yana yiwuwa kuma babu na sama-aka bayyana zafi a lokacin da cigaba na ruwa jari tsari. Mafi sau da yawa, irin wannan yanayin ne ya sa ta matsala tare da samuwar da pericardium a kan bango na da tarin fuka, uremia, tumoral raunuka da kuma bayan zaman na radiation daukan hotuna.

Amma da zafi - shi ne ba kawai alama cewa accompanies bushe pericarditis. Na iya haifar da nakasa daga 'ya'yan numfashin da ãyõyin dysphagia.

m pericarditis

A wannan nau'i na cutar da wuri, ya fi na fili alama ne zafi a cikin zuciya. A wannan yanayin, da wurin da ya faru da kuma ƙarfin wadannan m ji iya canza.

Mafi sau da yawa zafi yakan faru a cikin ƙananan ɓangare na sternum ko a cikin koli na zuciya. Zai yiwu sakawa a iska mai guba daga cikin wuyansa, bar kafada da kuma hannu.

Lokacin da akwai wani exacerbation na pericarditis, bayyanar cututtuka bayyana a cikin nau'i na sosai ciwo mai tsanani. Irin wannan yanayin zai iya kama wata tsokar zuciya infarction, ko pleurisy. A wasu lokuta, da zafi ne aching kuma maras ban sha'awa hali. Wani lokaci marasa lafiya suna fara jin tsanani daga cikin zuciya.

Idan akwai wani exacerbation na jin zafi a zuciya, shi ne wata ila don yi aiki da su bushe pericarditis.

A lokacin exacerbation ba ware bayyanar shortness na numfashi, wadda za ta nuna gaban effusion a pericardium. A mafi girma da ruwa ya na da lokacin da za a tara a cikin pericardium, haka nan muradinka zai kasance da matsaloli tare da numfashi. Domin inganta kiwon lafiya a lokacin da za a zauna. A wannan yanayin, dyspnea rage muhimmanci saboda da taro na ruwa a kasa na pericardium kuma, kamar yadda wani sakamako, rage matsa lamba a kan zuciya da kanta. Jini wurare dabam dabam da aka inganta a sakamakon, kuma da mãsu haƙuri ji taimako.

Ta iya a tare da nakasa daga 'ya'yan numfashin tari, da kuma wani lokacin har amai.

Mene ne bayyanar cututtuka na pericarditis a yara

Kamar yadda aka ambata a sama, irin wannan matsaloli da zuciya a wani wuri shekaru ne rare. Duk da haka, hadarin tasowa irin cuta kafin shekaru ne zai yiwu.

To yaya za ka duba pericarditis a yara. Alamun a irin wannan matasa marasa lafiya, kamar yadda manya, sau da yawa alamun wani tamkar cuta. Mafi sau da yawa shi ne mai tambaya na da tasiri na daban-daban ƙwayoyin cuta. Da yawa kasa sau da yawa cutar tasowa a kan bango na da tarin fuka ko rheumatoid amosanin gabbai. A Sanadin zafi a cikin zuciya na iya zama wani tasiri a kan yaro ta jiki connective nama cututtuka irin na tsari lupus erythematosus.

Wani dalilin da ya sa farkon faruwa da shan kashi na pericardium - mai tsanani staph kuma, kasa fiye, kwamin na tara tafiyar matakai. Immunological Farawa shi ne hankula ga mafi yara pericarditis. A cikin hali na da ake kira uremic pericarditis da tsanani na koda insufficiency cutar na iya zama mai guba a yanayi.

Matsaloli tare da pericardium a yara tare da surkin jini matakai ne sau da yawa metastatic. Wannan yana nufin cewa da suka ci gaba saboda hutu a surkin jini mayar da hankali na pericardial infarction, ko a sakamakon hematogenous gantali.

Amma ga janar bayyanar cututtuka, to, shi ne mai yiwuwa a gudanar da wani matsakaici cyanosis, shortness na numfashi, daba sha raɗaɗin a cikin zuciya da kuma zazzabi.

A cikin hali na ci gaba da bushe pericarditis za a ji kan zuciya pericardial gogayya. Sau da yawa saboda bushe exudative form kasance da wannan ya zama ya shirya. A irin wannan jihar na jin zafi da kuma gogayya noises bace, amma fadada girman cardiac dullness da kuma tabarbarewar matsayin dukan.

Wannan yadda yara bayyana pericarditis. Alamun da kuma lura a cikin wannan harka - shi ne na musamman da iyawa na likita. Iyaye mafi alhẽri ba ƙoƙarin yin tasiri jiki ƙaunataccen yaro. A sauri ziyarar zuwa asibitin zai zama mafi kyau bayani.

bincikowa da

Hakika, ba dukan mazaunan ne don haka nagartaccen connoisseurs magani to da kansa sanin ko shakka akwai ayoyi na bushe pericarditis ba tare da taimakon wani likita. Wannan shi ne dalilin da ya sa yana da muhimmanci a tuna cewa akwai ko da yaushe wani yiwuwar za a yi fama tare da sa hannu na kwararrun kiwon lafiya kwararru a zamani magani.

Saboda haka, idan da yanayin worsened kuma akwai wani abin mamaki ko da mugun kama pericarditis cututtuka, ya kamata ka nan da nan zuwa likita, wanda zai iya sanin ko a lokacin dubawa na gaban waje ãyõyin tamkar cuta da kuma zazzabi da. Ta wajen palpation idan akwai pericarditis iya gane da amo na gogayya na pericardium kan yankin na cardiac dullness.

Matsayin mai mulkin, wannan wani amo kuma sauraron samun karin m hoto na haƙuri da yanayin. Yana amfani da stethoscope, wanda aka karfi da guga man a kan kirji. A haƙuri a wannan lokaci ya kamata ta kasance a cikin mike matsayi, rike ka numfashi kamar yadda ka exhale.

Domin a more m ganewar asali za a iya amfani da dakin gwaje-gwaje data da kuma ECG karatu.

Alamun pericarditis a kan ECG, musamman a cikin m ta bushe form, ya bayyana a matsayin siffofin halayyar subepicardial tsokar lalacewa. Idan akwai wani gagarumin jari na ruwa, da bayyanar cututtuka da cutar a ganewar asali kamar yadda wannan za a bayyana ta ragewa ƙarfin lantarki na QRS gidaje.

magani

A irin wannan cuta, pericarditis, cututtuka da kuma magani bukatar m kima da kuma m. Da farko, kana bukatar ka samar da wani gado sauran. Wannan mulki Gaskiya ne, a cikin hali na diagnosing exudative cuta. A kan talakawan, irin wannan tsarin mulki yana for game da wata, kuma ta iya fadada kawai idan appreciable gagarumin ci gaba a cikin haƙuri da yanayin.

Idan aka rubuta bushe pericarditis, bukatar samar da m tsaya a gado ba.

Amma, ya dawo da exudative form, ya kamata a lura da cewa a da exacerbation bukatar nan da nan asibiti a wani m kula naúrar. A haƙuri za su bincika thoracic likita. Game da abinci mai gina jiki a lokacin irin wannan cututtuka kamar pericarditis, wannan batu ne kayyade a cikin ra'ayi na tamkar cuta.

Idan hanyar jari na ruwa a cikin pericardium shi ne kamuwa da cuta, shi za a iya sanya wa jiyya da maganin rigakafi. A cikin hali na da tarin fuka ma nema dace magunguna, amma irin wannan magani zai bukatar fiye da lokaci.

Sau da yawa, a lokacin da matsaloli tare da pericardium aka nada ta da tasiri na anti-kumburi kwayoyi. Don rage tsananin pericarditis da neutralization zafi dacewa steroidal kwayoyi kamar "Voltaren", "Indomethacin" et al.

Bayan da sama-da aka bayyana sakamakon steroids iya samun wani immunosuppressive kuma anti-rashin lafiyan sakamako. Domin wannan dalili aka bayyana a matsayin wani tasiri wajen pathogenetic far.

Irin shirye-shirye aka nuna a yanayin saukan ganewar asali na wadannan iri pericarditis:

- idan na tsokar zuciya infarction, shi ne Dressler ta ciwo.

- a cikin hali na tsari connective nama cututtuka.

- idan akwai wani aiki rheumatoid tsari.

- Lokacin da resistant tuberculous pericarditis.

- exudative form tare da m hanyar da tare da tsanani.

A mafi yawan lokuta, irin wannan shiri da ake sa kamar yadda "prednisolone". Wannan hanya kullum yana 'yan makonni da hankali abolition na yin amfani da wannan kayan aiki.

Hankali ya kamata a biya da kuma huda pericardium. Muna magana ne game da wani huda na rami na pericardium da fitarwa na effusion, samar da matsa lamba a kan zuciya. Irin wannan huda ne da za'ayi a cikin wani al'amari na gaggawa a cikin taron cewa akwai wani m jari na ruwa jagorancin zuwa da barazana da cardiac tamponade.

Needling kuma iya za'ayi a karkashin nau'i na surkin jini cututtuka a cikinsa bayan cire ruwa ta cikin allura a cikin pericardium gudanar maganin rigakafi da sauran dacewa a cikin hali na marasa lafiya da takamaiman magunguna.

Rapid jari na ruwa iya kai wa ga ci gaban constrictive pericarditis. A wannan jiha, dole don takura sodium chloride ci to 2 g per day kuma significantly rage adadin ruwa ta cinye haƙuri. Actual ganawa so diuretics.

tiyata za a iya za'ayi a musamman mai tsanani lokuta. An fi dacewa a yi amfani da babu da ake so sakamako bayan jinya a lokacin constrictive pericarditis. Lokacin da haƙuri da yanayin inganta likita aikin perikardektomiyu su saki hagu ventricle na zuciya daga m squeezing.

jama'a magunguna

Akwai da dama daga madadin hanyoyin tasiri batutuwa kamar pericarditis. Alamun da magani daga mutãne magunguna manifestations da cutar - shi ne mai maimaituwa theme. Amma wajibi ne a fahimci cewa maye gurbin da m hanyoyin da primary magani tsari - babban kuskure ne. jari na ruwa a cikin pericardium ne matsala, bi da sauri da matsalolin da za su yi aiki ba, domin su kau ba tare da wani m bincike da kuma gwani magani.

Folk magunguna suna kawai halatta a dawo da lokaci, a matsayin rakiyar effects. Amma a wani hali da himma ba maraba, shi ne mafi alhẽri ya dauki mataki bayan shawara da halartar likita.

Amma ainihin potions, concoctions cewa ne m daga kwatangwalo, strawberries, hawthorn, kuma St. John wort.

Ga waɗanda suka yi dabbobi, zai zama dacewa topic: "Pericarditis a Dogs: Bayyanar cututtuka da kuma magani." A ka'ida, da pericardium iya zama matsaloli a sauran dabbobi. Alamun wannan matsala an rage wa bayyanar zazzabi, zafi a cikin zuciya, kazalika da janar dabba zalunci da cewa shan wahala. A general, cututtuka su ne kama da hanya da cuta a cikin mutane, sai da bakin ciki Jihar dabbobin gida ne mafi alhẽri ya dauki shi zuwa ga tsohon soja, in ba haka ba za ka iya fuskantar tsanani da rikitarwa.

A bayyanar cututtuka na pericarditis iya faruwa a dabbobi da kuma bayan raunin da ya faru na daban-daban iri iri. Saboda haka idan ka fi so kare ne suka ji rauni, to tsara duba da matsayi ta hanyar lokaci ne dole ne.

sakamakon

Pericarditis ne mai tsanani cuta, don haka ba za a iya watsi da. Domin wannan dalili ne, townsfolk kamata karanta a kalla tare da kowa bayyanar cututtuka. Wannan zai ba da damar lokaci don gane da hadarin gaske rashin lafiya da kuma kanemi shawara. Tare da wannan dabarar, akwai da dukan damar da na tasiri magani, su hana yiwu rikitarwa. Kada ka manta cewa idan al'amari na jari na ruwa a kusa da zuciya bai yi aiki ba, za su iya faruwa m. Saboda haka ku so fi samun lokaci don kara ziyarci ga likita.