Dry uye pericardial effusion: Zviratidzo, kuongorora chirwere neMarapirwo

Pericarditis akadana chenjera kana chirwere kuzvimba pericardium (chokunze serosal rukoko mwoyo). Kushoma kazhinji zvaisanganisira myocardium. Kutambura kubva chirwere ichi vakawanda makono. Mukana pericarditis muvana uye kuyaruka.

Kazhinji, pericarditis - yechipiri chirwere complicating kuti zvirwere zvakasiyana-siyana. Zvikonzero zvayo kukura kunogona kuva chakasimba zvirwere, autoimmune (rheumatism nezvimwe zvirwere collagen), metabolic zvirwere, myocardial infarction, muchipfuva kunotevera, kutsemuka aneurysm, mamiriro pashure pokuvhiyiwa pamwoyo.

Regedzeka kusiyanisa pakati chakasimba uye chisingaperi pericarditis. Akaora, pericarditis zvinogona pakaoma, fibrinous akadana asi, uye exudative - exudative.

Pericarditis: Zviratidzo chirwere pamusoro zvekuchipatara ongororo

In chenjera pericarditis kunoratidzwa kurwadziwa muchipfuva, zvichiratidza kurutivi chipfuva uye rworuboshwe ruoko rworuboshwe. marwadzo Izvi chaizvo kwazvo, kwenguva refu, dzinowedzerwa inhalation yakakwirira panguva chikosoro ari supine chinzvimbo. Kuderedza marwadzo, kazhinji varwere kutora kumanikidzwa mamiriro: agere, akasendamira mberi. Izvi zvinonzi mamiriro yomunyengetero Bedouin. Marwadzo kuchinyanya kunowedzera zvichienderana nzvimbo muviri, uye mabasa kufamba. Mune zvimwe zviitiko, pericardial marwadzo angava mikukutu, mikukutu.

Kuenda chero pericarditis zviratidzo kudhaka - nefivhiri, kurwadza kwemajoini uye tsandanyama marwadzo, zvakawanda zvive, palpitations, nomusoro. Kuunganidza Urume ari mhango exudative cardiac bhegi lining ari pericardium, kusanganisira nechitarisiko dyspnea, iyo ipfupi ari nokugara chinzvimbo. Kana kupfupika kufema kunogona kuva yakaoma non-zvibereko chikosoro.

Kuunganidza hombe Vhoriyamu mvura iri mhango mwoyo mumasaga kunotungamirira kukura urwere pakati cardiac tamponade, iri richiratidzwa zviratidzo venous stasis. Murwere inogona tsunga panguva pakuongorora nokupararira mutsipa mutsinga, chiropa kuwedzera, panowanikwa edema uye ascites (vakasununguka mvura iri abdominal mhango).

Kana dzakabudirira akaoma pericarditis, zviratidzo kushandura moyo pamiganhu zvisipo. Kana uwandu exudate zvinopfuura 500 Rine mamiririta, kuti zvaizopedza inogona vakatsunga miganhu cardiac dullness mune zvose kumativi. Kana yakaoma pericarditis cardiac auscultation zvenzwi haana kuchinja. With kukura exudative pericarditis mwoyo rinonzwika vhoriyamu kunodzikira Mavara tachycardia.

A dzakananga kuchiitwa akaoma pericarditis akatsunga panguva auscultation, - pericardial kukweshera. ruzha Izvi zvinogona kuva kunzwa zvishoma nzvimbo mubhokisi, kuruboshwe pana kumucheto sternum. Ruzha zvinogona dzinowedzerwa kumanikidza stethoscope pamusoro pachipfuva pamadziro. Akateerera panguva systole uye diastole, ndiye kutsanya Kunyangarika.

Dry uye pericardial effusion - zvakawanda tsvakurudzo zviratidzo

Rokuongorora hosha varayire zvakafanana bvunzo ropa, ECG, echocardiography, rentgenissledovanie nhengo pechipfuva. In zvinonyatsorehwa kuongorora zviratidzo kuzvimba ropa vakatsunga. The ECG mu exudative pericarditis dzakaonekwa kukwirira rutapudzo mazino kungaita arrhythmias, rakaoma pericarditis kuona shanduko munzvimbo ST chidimbu pamusoro isoline. Nokuchinja X-ray ndakatsunga apo sumbu 200 Rine mamiririta uye zvakawanda exudate. Kana echocardioscopy kuziva localization rikurumidze uye uwandu exudate. For chirwere zvinangwa pericardial ponji rinoitwa kunoteverwa kuongorora zviri zvichiguma mvura.

Chenjera pericarditis chaoma benign kosi. Subacute pericardial effusion kunoitika kakawanda kana yava chisingaperi.

In pakurapa pericarditis anoshandiswa zvisiri steroidal Anti-anogumbura zvinodhaka, corticosteroids. Kana pericardial effusion varayire diuretics, kuponjesa pericardial mhango nokuda kuchirapa zvinangwa. Kuratidza kugadzwa antibacterial kurapa, kudya pamwe akavarambidza yomunyu uye mvura mvura.