Pericarditis - ma hope o ka hōʻeha puʻuwai

ʻO Pericarditis ka mumū a me ka pehu ʻana o ka uhi o ka puʻuwai (pericardium). Hiki iā ia ke hana i nā lā a i ʻole mau pule ma hope o ka hōʻeha puʻuwai.

Hiki i ʻelua ʻano pericarditis ke hana ma hope o ka puʻuwai puʻuwai.

Pericarditis mua: Kū pinepine kēia palapala ma waena o 1 a 3 mau lā ma hope o ka puʻuwai puʻuwai. Hoʻomohala ka wela a me ka pehu i ka hoʻāʻo ʻana o ke kino e hoʻomaʻemaʻe i ka puʻuwai puʻuwai maʻi.

ʻO pericarditis Late: Kāhea ʻia kēia ʻo Dressler Syndrome. Kāhea ʻia ʻo ia ʻo ka maʻi ʻeha a me ka postcardiotomy pericarditis). Hoʻonui pinepine ia i mau pule a i ʻole mau mahina ma hope o ka puʻuwai puʻuwai, ʻoki ʻana i ka puʻuwai, a i ʻole nā ​​trauma ʻē aʻe i ka puʻuwai. Hiki iā ia ke hana i hoʻokahi pule ma hope o ka hōʻeha puʻuwai. Manaʻo ʻia ʻo Dressler Syndrome ke kū mai ka ʻōnaehana pale pale i nā puʻuwai puʻuwai olakino e ke kuhihewa.

Nā mea e hoʻokau iā ʻoe i ka makaʻu kiʻekiʻe o ka pericarditis me:

• Kahi puʻuwai mua
• ʻOki puʻuwai puʻuwai
• Hoʻopilikia umauma
• ʻO kahi puʻuwai puʻuwai i hoʻopili i ka mānoanoa o kou puʻuwai puʻuwai

ʻO nā hōʻailona me:

• Hopohopo
• ʻO ka ʻeha o ka umauma mai ka pākī ʻana i ka ʻānai ʻana i ka puʻuwai. ʻ sharpkihi paha ka ʻeha, ʻūiki a wāwahi paha a neʻe paha i ka ʻāʻī, poʻohiwi, a i ʻole ʻōpū. E ʻino paha ka ʻeha ke hanu ʻoe a hele aku ke hilinaʻi i mua, kū, a noho paha.
• Hī pilikia
• Mū maloo
• Ka helu puʻuwai wikiwiki (tachycardia)
• Ka luhi
• Fever (maʻamau me ka lua o ke ʻano o ka pericarditis)
• Malaise (manaʻo maʻi nui)
• Hoʻopiʻi i nā iwi ʻaoʻao (kūlou a paʻa i ka pahu) me ka hanu hohonu

E hoʻolohe ka mea mālama ola i kou puʻuwai a me kou māmā me kahi stethoscope. Aia paha he kani ʻōpala (i kapa ʻia he rubic fric pericardial, ʻaʻole e huikau me kahi ʻōhumu o ka naʻau). Maʻalahi paha nāwaliwali nā kani o ka naʻau a i ʻole kani mamao paha.

ʻO ka buildup o ka wai i ka uhi o ka puʻuwai a i kahi ākea paha e pili ana i nā akemāmā (pericardial effusion) ʻaʻole maʻamau ma hope o ka puʻuwai puʻuwai. Akā, hana pinepine ia i kekahi poʻe me Dressler Syndrome.

E komo pū paha nā hoʻāʻo:

• ʻO nā mea hōʻeha Cardiac (CK-MB a troponin paha e kōkua i ka haʻi ʻana i ka pericarditis mai ka puʻuwai puʻuwai)
• Scanner CT pahu
• ʻO MRI umauma
• Pākuʻi x-ray
• Helu piha koko (CBC)
• ECG (electrocardiogram)
• ʻEchocardiogram
• ESR (sedimentation rate) a i ʻole C-reactive protein (nā ana o ka pehu)

ʻO ka pahuhopu o ka mālama ʻana e hana i ka puʻuwai e ʻoi aku ka maikaʻi a hoʻemi i ka ʻeha a me nā hōʻailona ʻē aʻe.

Hiki ke hoʻohana ʻia ʻo Aspirin e mālama i ka mumū o ka pericardium. Hoʻohana pinepine ʻia kahi lāʻau i kapa ʻia ʻo colchinika.

I kekahi mau hihia, pono e hemo i ka wai a puni ka puʻuwai (pericardial effusion). Hana ʻia kēia me ke kaʻina hana i kapa ʻia pericardiocentesis. Inā hoʻomohala nā pilikia, pono e hemo kahi hapa o ka pericardium i kekahi manawa me ke ʻoki (pericardiectomy).

Kū hou paha ke ʻano i kekahi mau hihia.

ʻO nā pilikia kūpono o pericarditis:

• ʻO tamponade Cardiac
• Hoka puʻuwai Congestive
• Pericarditis hōʻaha

Kāhea i kāu mea hāʻawi inā:

• Hoʻolālā ʻoe i nā ʻōuli o ka pericarditis ma hope o ka hōʻeha puʻuwai
• Ua ʻike ʻia ʻoe me ka pericarditis a hoʻomau ʻia a hoʻi mai nā ʻōuli ma muli o ka mālama ʻana

Dressler maʻi pale; Pericarditis Post-MI; ʻO ka maʻi hōʻeha ma hope o ka naʻau; Pericarditis Postcardiotomy

• Acute MI
• Pericardium
• Pericarditis Post-MI
• Pericardium

ʻO Jouriles NJ. ʻO ka maʻi Pericardial a me myocardial. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 72.

LeWinter MM, Imazio M. Nā maʻi Pericardial. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 83.

Maisch B, Ristic AD. Nā maʻi Pericardial. I: ʻO Vincent J-L, ʻo Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Puke aʻo o ka mālama koʻikoʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 84.