Dry da pericardial effusion: Bayyanar cututtuka, bincike da kuma magance

Pericarditis kira m ko na kullum kumburi da pericardium (matsanancin serosal Layer na zuciya). A kumburi tsari ne sau da yawa shiga myocardium. Fama da wannan cuta yawanci namiji. Chance na pericarditis a yara da kuma matasa.

Yawanci, pericarditis - sakandare cuta complicating ga cututtuka daban-daban. A dalilai domin cin gaban su iya zama m cututtuka, autoimmune (rheumatism da sauran collagen cututtuka), rayuwa cututtuka, tsokar zuciya infarction, kirji rauni, aortic aneurysm, a yanayin bayan tiyata a kan zuciya.

Bisa ikon Allah rarrabe tsakanin m da kullum pericarditis. Asibiti, pericarditis iya zama a bushe, fibrinous kira tukuna, kuma exudative - exudative.

Pericarditis: Bayyanar cututtuka da cutar a asibiti jarrabawa

A m pericarditis ne halin da ciwon kirji, haskakawa da gefen hagu na kirji da hannun hagu. Wannan zafi ne quite m, shafe tsawon, inganta da inhalation tsawo a lokacin tari a cikin supine matsayi. Don rage zafi, marasa lafiya sau da yawa kama a tilasta hali: zaune, ya jingina a gaba. Wannan halin da ake ciki da aka kira wani hali na da salla, makiyayi. Pain tsanani ƙaruwa dangane da matsayin da na jiki, da kuma a cikin wasan kwaikwayon na ƙungiyoyi. A wasu lokuta, pericardial zafi na iya zama maras ban sha'awa, maras ban sha'awa.

Bi da wani pericarditis bayyanar cututtuka na maye - zazzabi, hadin gwiwa zafi da tsoka zafi, malaise, palpitations, ciwon kai. Jari na ruwa a cikin kogo exudative cardiac jakar rufi da pericardium, tare da bayyanar dyspnea, wanda aka rage a cikin wani Sitting matsayi. Lokacin da nakasa daga 'ya'yan numfashin iya zama a bushe ba m tari.

A jari na wani manyan girma na ruwa a cikin kogo na zuciya bags kaiwa zuwa ga cigaban da ciwo na cardiac tamponade, wanda aka bayyana bayyanar cututtuka na venous stasis. A haƙuri za a iya ƙaddara a lokacin jarrabawa ambaliya wuyansa veins, hanta karuwa, abin da ya faru na edema da ascites (free ruwa a cikin kogon ciki).

Idan ɓullo da bushe pericarditis, cututtuka canza na zuciya da kan iyakoki sun bata. Idan adadin exudate a wuce haddi na 500 ml, da biya diyya za a iya ƙaddara iyakoki cardiac dullness a duka kwatance. Lokacin da bushe pericarditis cardiac auscultation sautunan an canza ba. Tare da ci gaban exudative pericarditis zuciya sauti girma tayi sharply ayyana tachycardia.

A takamaiman alama na bushe pericarditis m lokacin auscultation, - pericardial gogayya. Wannan amo iya zama ji a wata iyaka yanki daga cikin kirji, a kan hagu a gefen sternum. Surutu za a iya inganta hanyar matsa lamba stethoscope a kan kirjin bango. Ya saurari a lokacin systole da diastole, tana bacewa cikin hanzari.

Dry da pericardial effusion - karin bincike cututtuka

Don gane asali cutar rubũta na kowa jini gwajin, ECG, echocardiography, rentgenissledovanie gabobin da kirji. A] aukacin bincike na ãyõyin kumburi jini ne niyya. A ECG a exudative pericarditis gano tsawo rage hakora iya sa arrhythmias, a bushe pericarditis ƙayyade da canji a matsayin ST kashi kan isoline. Canje-canje a X-ray m lokacin da tari 200 ml kuma mafi exudate. Lokacin da echocardioscopy ƙayyade sarrafawa aiwatar da adadin exudate. Domin bincike da manufar da pericardial huda aka yi bi ta gudanar da bincike na sakamakon ruwa.

M pericarditis ne bushe benign hanya. Subacute pericardial effusion faruwa akai-akai ko zama na kullum.

A lura da pericarditis amfani ba-steroidal anti-mai kumburi da kwayoyi, corticosteroids. Lokacin da pericardial effusion rubũta diuretics, huda pericardial rami domin warkewa dalilai. Nuna da nada antibacterial far, rage cin abinci tare da ƙuntatawa na gishiri da ruwa.