Effusion qalalan iyo pericardial: Calaamadaha, Cilad-iyo Daaweynta

Pericarditis yeedhay caabuq daran ama joogtada ah pericardium ah (ku serosal dibadda lakabka of wadnaha). Geedi socodka bararka inta badan waa myocardium lug. Ka cabanaya cudur this badan oo lab ah. Fursada pericarditis ee carruurta iyo dhallinyarada.

Sida caadiga ah, pericarditis - cudurada sare complicating for cudurro kala duwan. The sababaha ay horumarka noqon kartaa caabuqyada ba'an, shalalka (laabotooyinka iyo cudurrada kale ee collagen), cudurada dheefshiidka, Wadnaxanuun myocardial, dhaawacyada xabadka, aneurysm aortic, xaalad qaliin wadnaha ka dib.

Ka dambeysa kala soocaan pericarditis ba'an iyo chronic. Caafimaad ahaan, pericarditis noqon kartaa qalalan, fibrinous weli u yeedhay, oo exudative - exudative.

Pericarditis: Astaamaha cudurka on baaritaan kiliinikada

In pericarditis ba'an waxa lagu gartaa xanuunka xabadka, radiating in dhinaca bidix ee xabadka iyo gacanta bidixda. xanuun Tani waa arrin aad u daran, dheer, xoojinaya height neefsado inta lagu guda jiro qufac booska la jiifo. Si xanuunka yareeyo, bukaannada inta badan qaadan Dhehana qasbay: fadhiya, weeraryahanka tiirsanaa. Xaaladdan waxaa loo yaqaan qaabka tukashada Baadiyaha. xoojinta Xanuun koror ku xiran tahay booska uu ka jidhka, iyo waxqabadka dhaqdhaqaaqa. Xaaladaha qaarkood, xanuun pericardial laga yaabaa maqlaan, caajis.

La socon wax calaamado pericarditis sarkhaan - xummad, xanuun wadajir ah iyo muruq xanuun, qidmeyntiibulshada, uurkuna waa, madax-xanuun. Raasamaal ah ee dareeraha ah ee saabka bacda exudative wadnaha lasoo pericardium ah, oo ay la socdaan muuqaalka kore ee dyspnea, taas oo hoos u meel fadhi. Marka neefta oo ku qabata noqon kartaa qufac aan wax soo saar leh oo qallalan.

raasamaal ee mugga weyn oo ah dheecaan in saabka of bacaha qalbiga ku keenaysaa in horumarka syndrome ah ee tamponade wadnaha, taasoo lagu muujiyey astaamaha Stasis arooriyaha. Bukaanka ayaa la go'aamin karaa inta lagu guda jiro xididdada qoorta baaritaan dhulka qarqinaya, kororka beerka, dhacdo bararka iyo ascites (dheecaanka oo lacag la'aan ah saabka caloosha).

Haddii pericarditis qalalan horumariyo, calaamadaha beddelo meelo soohdintooda ah qalbigiisa waa la la'yahay. Haddii cadadka exudate ka badan 500 ml, ku kabayso la go'aamin karaa xuduudaha dullness wadnaha labada dhinacba. Marka metrik qalalan auscultation wadnaha pericarditis aan la bedelay. Iyadoo horumarinta wadnaha pericarditis exudative codadka hoos mugga maratay qeexay tachycardia.

Muuqaalka gaar ah oo pericarditis qalalan goostay inta lagu guda jiro auscultation, - khilaaf pericardial. qaylada Tani waxay noqon kartaa maqal meel kooban oo xabadka, on bidix ee cidhifka sternum ka. Buuq la sii hagaajin karaa by qalab cadaadis on derbiga xabadka. Isagu wuxuu maqlay inta lagu guda jiro systole iyo diastole, waa lumeyso.

effusion qalalan iyo pericardial - calaamadaha cilmi dheeraad ah

Si loo ogaado cudurka qori baaritaan caadi ah dhiig, ECG, echocardiography, xubnaha rentgenissledovanie ee xabadka. In falanqaynta guud ee calaamadaha caabuq dhiig go'an. ECG ee pericarditis ogaado ilkaha hoos height exudative keeni karaan garaaca, in pericarditis qalalan ogaado isbeddelka ku meel ST qeybta ka badan isoline ah. Isbedelada on X-ray goostay markii kooxdu waxaa ay 200 ml oo exudate dheeraad ah. Marka echocardioscopy ogaado habka jihaynta iyo xaddiga exudate. Ujeedooyinka ogaanshaha dalool pericardial waxaa la sameeyaa raacay by baaritaan ee dareeraha ah ka dhalanaya.

pericarditis Ba'an waa kooras benign qalalan. effusion pericardial Subacute dhacdaa si joogto ah ama noqdo chronic.

In daaweynta pericarditis isticmaalo non-steroidal anti-bararka daroogada, corticosteroids. Marka effusion pericardial qori diuretics, dillacinin saabka pericardial ujeeddooyin-daweynta. Tusaya magacaabidda therapy bakteeriyada, cunto la xannibaadyo milix iyo dheecaanka.