Pericarditis - constrictive

ʻO ka pericarditis constrictive kahi hana kahi e uhi ʻia ai ka maka o ka puʻuwai (e like me ka pericardium).

Nā kūlana pili i:

• Pericarditis koʻohune
• Pericarditis
• Pericarditis ma hope o ka hōʻeha puʻuwai

ʻO ka hapa nui o ka manawa, kū ka construsive pericarditis ma muli o nā mea e ulu ai ka mumū a puni ka puʻuwai, e like me:

• ʻOki kino puʻuwai
• ʻO ka radiation radiation i ka umauma
• Maʻi puʻu

ʻO nā kumu maʻamau ʻole ka:

• ʻO ka hana maʻamau o ka wai i ka uhi o ka puʻuwai. Hiki paha kēia ma muli o ka maʻi a i ʻole ma ke ʻano he pilikia o ke ʻoki.
• Mesothelioma

E ulu pū paha ke ʻano me ke kumu ʻole.

He kākaʻikahi wale nō i nā keiki.

Ke loaʻa ʻoe i ka pericarditis constrictive, hoʻonāukiuki ka mumū i ka uhi ʻana o ka puʻuwai e lilo i mānoanoa a paʻakikī. He mea paʻakikī kēia i ka puʻuwai e hoʻolōʻihi i ka wā e paʻi ai. ʻO ka hopena, ʻaʻole hoʻopiha nā keʻena puʻuwai i ke koko. Kūleʻa ke koko i hope o ka puʻuwai, e hoʻoulu ana i ka puʻuwai a me nā ʻōuli ʻē aʻe o ka puʻuwai ʻole.

ʻO nā ʻōuli o ka pericarditis constrictive mau loa:

• Ka hanu paʻakikī ʻana (dyspnea) e hoʻomōhala mālie a lilo i mea ʻino loa
• Ka luhi
• ʻO ka pehu wā lōʻihi (edema) o nā wāwae a me nā kuʻekuʻe wāwae
• ʻŌpū pehu
• Nawaliwali

He paʻakikī loa ka ʻike ʻana i ka pericarditis constrictive. ʻO nā hōʻailona a me nā ʻōuli e like me nā kūlana ʻē aʻe e like me ka cardiomyopathy kaohi a me ka tamponade cardiac. Pono kāu kauka olakino e kāpae i kēia mau ʻano ke hana i kahi hōʻailona.

Hōʻike kahi hoʻokolohua kino i ka hoʻopili ʻia o kou ʻāʻī o ka ʻāʻī. Hōʻike kēia i ka hoʻonui ʻana o ke kaomi a puni ka puʻuwai. Hoʻomaopopo paha ka mea hāʻawi i nā leo nāwaliwali a mamao paha i ka hoʻolohe ʻana i kou umauma me kahi stethoscope. Lohe ʻia paha ke kani kikeke.

Hōʻike paha ka hoʻokolohua kino i ka hu a ke ake a me ka wai i loko o ka ʻōpū.

E kauoha ʻia nā hōʻike aʻe:

• ʻO MRI umauma
• Scanner CT pahu
• Pākuʻi x-ray
• ʻO ka angiography coronary a i ʻole ka catheterization puʻuwai
• ECG
• ʻEchocardiogram

ʻO ka pahuhopu o ka mālama ʻana e hoʻomaikaʻi i ka hana puʻuwai. Pono e ʻike a mālama ʻia ke kumu. Kaukaʻi ʻia i ke kumu o ka pilikia, hiki i ka mālama ʻana ke komo pū me nā anti-inflammatory agents, antibiotics, nā lāʻau no ka tuberculosis, a i ʻole nā ​​lāʻau ʻē aʻe.

Hoʻohana pinepine ʻia nā diuretics ("pills wai") i nā kaha liʻiliʻi e kōkua i ke kino e hemo i ka nui o ka wai. Pono paha nā lāʻau ʻeha no ka maʻi.

Pono paha kekahi poʻe e ʻokiʻoki i kā lākou hana. Paipai ʻia kahi papaʻai sodium haʻahaʻa.

Inā ʻaʻole kāohi ʻia nā ʻano hana ʻē aʻe i ka pilikia, pono paha ke kīʻaha i kapa ʻia he pericardiectomy. Hoʻopili kēia i ka ʻoki a wehe ʻana paha i ka scarring a me kahi ʻāpana o ka ʻeke e like me ka uhi ʻana o ka puʻuwai.

Hoʻoweliweli ke ola ʻo pericarditis inā hana ʻole ʻia.

Eia nō naʻe, hiki i ke kīpoki e mālama i ke ʻano ke kūlana kiʻekiʻe no nā pilikia. No kēia kumu, hana pinepine ʻia ia i ka poʻe i loaʻa nā ʻōuli koʻikoʻi.

Komo pū nā pilikia:

• Hewa puʻuwai
• Edema pulmonary
• Hewa a me ka hakuʻala kāna hana
• Scarring o ka puʻuwai puʻuwai

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka pericarditis constrictive.

I kekahi mau hihia, ʻaʻole hiki ke pale ʻia ka pericarditis constrictive.

Eia nō naʻe, pono e mālama pono ʻia nā kūlana e hiki ai i ka pericarditis constrictive.

Pericarditis hōʻaha

• Pericardium
• Pericarditis hōʻaha

Hoit BD, Oh JK. Nā maʻi Pericardial. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 68.

ʻO Jouriles NJ. ʻO ka maʻi Pericardial a me myocardial. I nā paia RM, ʻo Hockberger RS, ʻo 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: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 83.