He aha ka pericardial effusion, hōʻailona, ​​kumu nui a me ka mālama ʻana

Anter

• Nā ʻōuli o ka efficic pericardial
• Nā kumu nui
• Pehea e mālama ai

Kūlike ka efficic pericardial i ka hōʻiliʻili ʻana o ke koko a i ʻole nā ​​wai i loko o ka membrane e hoʻopuni ana i ka puʻuwai, ka pericardium, e hopena ana i ka tamponade puʻuwai, kahi e hoʻopilikia pono ai i ke kahe o ke koko i nā lālā a me nā ʻaʻa, a, no laila, manaʻo ʻia he koʻikoʻi a pono e mālama ʻia me ka hiki wawe.

ʻO kēia kūlana, ma ka hapanui o nā hihia, kahi hopena o ka mumū o ka pericardium, i ʻike ʻia ʻo pericarditis, i hiki i nā maʻi bacteria a viral paha, nā maʻi autoimmune, nā loli o ka puʻuwai. He mea nui ke kumu o ka pericarditis a, no laila, ua ʻike ʻia ka effic pericardial i mea e hoʻomaka ai ka lapaʻau ʻana.

Hiki ke hoʻōla i ka Pericardial effusion ke hana ʻia ke diagnostic ke ʻike ʻia nā ʻōuli a hoʻomaka koke ka lāʻau ma hope, e like me nā kuhikuhi a ka cardiologist, e hiki ai ke pale aku i nā pilikia ʻeha i ka puʻuwai.

Nā ʻōuli o ka efficic pericardial

Hoʻololi nā ʻōuli o ka effic pericardial e like me ka wikiwiki o ka hoʻoliʻiliʻi wai a me ka nui i hōʻiliʻili ʻia i ka wahi pericardial, kahi e hoʻopili pono i ka paʻakikī o ka maʻi. Pili nā hōʻailona hahau i ka loli o ka hāʻawi ʻana o ke koko a me ka oxygen i ke kino, a ʻo ia ka hopena i:

• Hanu paʻakikī;
• Hoʻonui i ka luhi ke moe i lalo;
• ʻO ka ʻeha o ka umauma, ma hope o ka sternum a i ʻole ka ʻaoʻao hema o ka pahu;
• Cough;
• Kaha wela;
• Hoʻonui i ka helu o ka puʻuwai.

ʻO ke kuhi o ka effic pericardial i hana ʻia e ka cardiologist e pili ana i ka loiloi o nā hōʻailona a me nā ʻōuli i hōʻike ʻia e ke kanaka, ka nānā ʻana i ka mōʻaukala olakino, a me nā hoʻokolohua e like me ka auscultation puʻuwai, x-ray umauma, electrocardiogram a me echocardiogram.

Nā kumu nui

ʻO ka efficic pericardial kahi hopena o ka mumū o ka pericardium, i ʻike ʻia ʻo pericarditis, a hiki i kēia ke kū ma muli o nā maʻi e nā bacteria, nā mea ʻino a me nā fungi, nā maʻi autoimmune e like me ka rheumatoid arthritis a i ʻole lupus, hypothyroidism, ka hoʻohana ʻana i nā lāʻau e kaohi i ke kahe kiʻekiʻe aiʻole ma muli o ka hōʻiliʻili o ka urea i ke koko ma muli o ka hopena o ke kōpaʻa.

Hoʻohui ʻia, hiki i ka pericarditis ke kū ma muli o ka maʻi ʻaʻai o ka puʻuwai, metastasis o ka akemāmā, ka umauma a i ʻole leukemia maʻi ʻaʻai, a ma muli paha o nā ʻeha a ʻeha hoʻi i ka puʻuwai. No laila, hiki i kēia mau hanana ke hoʻonā i ka momona o nāʻiʻo i nā laina i ka puʻuwai a makemake i ka hōʻiliʻili o nā wai i kēia wahi, e ala ana i ka effic pericardial. E aʻo hou aʻe e pili ana i ka pericarditis.

Pehea e mālama ai

Hōʻike ʻia ka lāʻau no ka pericarditis e ka mea maʻi puʻuwai e like me ke kumu o ka hahau, ka nui o ka wai i hōʻiliʻili ʻia a me ka hopena e hiki ai ke lawe i ka hana o ka puʻuwai.

No laila, i ka hihia o ka efficile pericardial effusion, a kahi haʻahaʻa o ka hoʻoweliweli ʻana i ka hana puʻuwai, hana ʻia ka lapaʻau me ka hoʻohana ʻana i nā lāʻau e like me ka aspirin, nā lāʻau anti-inflammatory non-steroidal e like me ka ibuprofen a i ʻole nā ​​corticosteroids e like me prednisolone, kahi hoʻemi i ka palahu a me nā ʻōuli o ka maʻi.

Eia nō naʻe, inā aia ka makaʻu o nā pilikia puʻuwai, pono paha e huki i kēia wai ma o:

• Pericardiocentesis: ke kaʻina hana e pili ana i ka hoʻokomo ʻana i kahi nila a me kahi catheter i loko o ka wahi pericardial e hoʻokahe i ka wai i hōʻiliʻili ʻia;
• ʻOki kino: hoʻohana ʻia e hoʻokahe i ka wai a hoʻoponopono i nā leona i ka pericardium e kumu ai ka hahau;
• Pericardiectomy: i loko o ka hemo ʻana, ma o ke kaha ʻana, o kahi ʻāpana a i ʻole nā ​​pericardium āpau, hoʻohana nui ʻia i ka mālama ʻana i nā efficion pericardial hou.

No laila, he mea nui e hana ʻia ke kuhi a me ka mālama ʻana i mea pōkole loa e hōʻalo ai i ka loaʻa ʻana o nā pilikia.