Pericarditis - kamora lefu la pelo

Pericarditis ke ho ruruha le ho ruruha ha sekoaelo sa pelo (pericardium). E ka etsahala matsatsing kapa libeke tse latelang tlhaselo ea pelo.

Mefuta e 'meli ea pericarditis e ka hlaha kamora lefu la pelo.

Pericarditis ea pele: Foromo ena hangata e hlaha matsatsing a 1 ho isa ho a 3 kamora ho hlaseloa ke pelo. Ho ruruha le ho ruruha hoa hlaha ha 'mele o leka ho hloekisa lisele tsa pelo tse kulang.

Pericarditis ea morao: Sena se boetse se bitsoa Dressler syndrome. E boetse e bitsoa lefu la ho lemala kamora 'pelo kapa postcardiotomy pericarditis). Hangata e hlaha libeke kapa likhoeli tse 'maloa ka mor'a lefu la pelo, opereishene ea pelo, kapa khatello e' ngoe ea pelo. E ka etsahala hape kamora beke kamora ho lemala ha pelo. Ho nahanoa hore lefu la Dressler le etsahala ha sesole sa 'mele se hlasela lisele tsa pelo tse phetseng hantle ka phoso.

Lintho tse u behang kotsing e kholo ea lefu la pericarditis li kenyelletsa:

• Tlhaselo ea pelo e fetileng
• Bula opereishene ea pelo
• Tlokotsi ea sefuba
• Lefu la pelo le amileng botenya ba mesifa ea pelo ea hau

Matšoao a kenyelletsa:

• Ho tšoenyeha
• Bohloko ba sefuba bo bakoang ke ho ruruha ha pericardium pelong. Bohloko bo ka ba bo bohale, bo thata kapa bo sithabetsa mme bo ka ea molaleng, lehetleng kapa mpeng. Bohloko bo ka mpefala le ho feta ha o hema mme o ya tloha ha o its'etleha pele, o ema kapa o lula.
• Ho hema ka thata
• Khohlela e ommeng
• Lebelo la pelo le potlakileng (tachycardia)
• Mokhathala
• Feberu (e tloaelehileng le mofuta oa bobeli oa pericarditis)
• Malaise (ho kula ka kakaretso)
• Ho phatloha ha likhopo (ho inama kapa ho tšoara sefuba) ka ho hema haholo

Mofani oa tlhokomelo ea bophelo o tla mamela pelo ea hao le matšoafo ka stethoscope. Ho kanna ha ba le molumo oa ho pikitla (o bitsoang `` pericardial friction rub, '' o sa lokelang ho ferekanngoa le ho honotha hoa pelo) Melumo ea pelo ka kakaretso e kanna ea fokola kapa ea utloahala hole hole.

Mokelikeli o mongata o koahelang pelo kapa sebaka se potileng matšoafo (pericardial effusion) ha o tloaelehe kamora lefu la pelo. Empa, hangata ho etsahala ho batho ba bang ba nang le lefu la Dressler.

Liteko li ka kenyelletsa:

• Matšoao a kotsi ea pelo (CK-MB le troponin a ka thusa ho bolella pericarditis ho tsoa tlhaselong ea pelo)
• Sekena sa CT
• MRI ea sefuba
• X-ray sefubeng
• Palo e felletseng ea mali (CBC)
• ECG (motlakase oa motlakase)
• Echocardiogram
• ESR (sekhahla sa sedimentation) kapa C-protheine e sebetsang (mehato ea ho ruruha)

Morero oa kalafo ke ho etsa hore pelo e sebetse hantle le ho fokotsa bohloko le matšoao a mang.

Aspirin e ka sebelisoa ho phekola ho ruruha ha pericardium. Hangata lithethefatsi tse bitsoang colchicine le tsona lia sebelisoa.

Maemong a mang, mokelikeli o feteletseng o pota-potileng pelo (pericardial effusion) o ka hloka ho tlosoa. Sena se etsoa ka ts'ebetso e bitsoang pericardiocentesis. Haeba mathata a hlaha, karolo e 'ngoe ea pericardium ka linako tse ling e ka hloka ho tlosoa ka opereishene (pericardiectomy).

Boemo bo kanna ba ipheta maemong a mang.

Mathata a ka bang teng ha pericarditis ke:

• Tamponade ea pelo
• Ho hloleha ha pelo ha pelo
• Matšoafo a lefu la pericarditis

Bitsa mofani oa hau haeba:

• U ba le matšoao a pericarditis kamora lefu la pelo
• U fumanoe u e-na le pericarditis mme matšoao a ntse a tsoela pele kapa a khutla leha a na le kalafo

Lefu la Dressler; Post-MI pericarditis; Lefu la ho lemala kamora 'pelo; Postcardiotomy pericarditis

• MI e matla
• Pericardium
• Post-MI pericarditis
• Pericardium

Litsela NJ. Pericardial le lefu la myocardial. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 72.

LeWinter MM, Maloetse a Pericardial. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 83.

Maisch B, Ristic AD. Maloetse a Pericardial. Ka: Vincent JL, Abraham E, Moore FA, Tonakholo ea Kochanek, MP ea Fink, eds. Buka ea sengolo ea Tlhokomelo e Bohlokoa. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 84.