Esivimba amanzi Dressler Syndrome

Dressler Syndrome, noma Dressler syndrome ngokuvamile iningi kwenzeka amasonto ambalwa ngemva kokuhlaselwa yisifo senhliziyo wahlupheka yisiguli. Ngokwezibalo, angaphezu kwayisithupha isenti iziguli othola ngayinye isilethikusebenza, yilesi sifo njengoba injalo evamile. Banikezwe ezihlukahlukene ephansi uphawu kanye namafomu atypical kwezifo, okungenzeka lezibalo ekuthuthukiseni lesi sifo lizofinyelela amaphesenti angu-22.

Ukuze Dressler Syndrome libhekene izimpawu kwenhliziyo wamaphaphu nesifo ongakaphathelani isilethikusebenza. It pleurisy, pericarditis, futhi pneumonitis. Ngaphezu kwalokho, ukuvuvukala angaya nemisipha lwamalunga ezizungezile emalungeni. Nokho, kuqabukela kutholakale isiguli amademeshe kanyekanye ubuke zonke izimpawu ezintathu.

Ngokuvamile in iziguli isilethikusebenza, ukuthuthukisa pericarditis - yisishiso pericardium. Izimpawu zayo zimi ubuhlungu besifuba, izinga lokushisa komzimba ephakeme. Udokotela, ngokusebenzisa uchungechunge izinqubo ezikhethekile kanye nezivivinyo angathola nesineke i anda erythrocyte sedimentation isilinganiso, leukocytosis, futhi lapho ngilalele ukuzwa umsindo esikhishwa pericardium nabo nezinye izicubu esifubeni. Ngokuqondene ubuhlungu, ngokuvamile unomphela, owenziwe waba owasendaweni endaweni ethile ngemuva breastbone futhi zinganikwa endaweni phakathi izindwani ehlombe, kulesi simo, uma isiguli kuthatha umoya, ukwanda ubuhlungu.

Dressler Syndrome, imakwe pericarditis, libhekene iqiniso lokuthi ubuhlungu alikwazi ukunwetshwa izinsuku ezingaphezu kwezingu ezimbili noma ezintathu, futhi emva kwalesi sikhathi abanasibalo iyiphi indlela yokwelapha. Ngalesi sikhathi, ukuvuvukala pericardial sinciphile uqala ukwakha exudate - uketshezi ayizwayo ngalo ingaphakathi pericardial. Ngakho exudate kungaba oluhambisana - ngenxa ukopha futhi serous - saveza nezindlala lwamafinyila. Ukuze sithole ekuqongeleleni oketshezini ingaphakathi pericardial kungaba ngemibandela eziningana: iphele ngaphambili ezwakalayo umsindo ngomshikisho inhliziyo imisindo bayathuliswa.

Olunye uphawu elivela Dressler Syndrome - a pleurisy, okungukuthi, ukuvuvukala pleura. Kungaba noma ezomile noma exudative. Esimweni sokuqala, udokotela angaba ukunquma ngokunembile lapho ngilalele umsindo adalwe ngomshikisho we pleura. Ukuze pleurisy exudative libhekene ekuqongeleleni semali uketshezi ngalo ingaphakathi pleural, ngenxa okuyinto imisindo zinyamalale, imizwa eshaywayo umsindo (prostukivanii). Kusukela exudate zanqwabelana iyehlisa ivolumu esiphezulu emoyeni imuncwe, isiguli likuthola kunzima ukuphefumula, iphika noma ubuhlungu lapho ukuphefumula.

Uphawu yesithathu singenzeka uma ethuthukisa Dressler Syndrome - kuyinto pneumonitis. Litholakala ingasaphathwa njalo kuka ukubonakaliswa zokugula kuchaziwe ngenhla. Ngokuvamile, ukuvuvukala izikhungo zitholakala ezingxenyeni engezansi yamaphaphu. Kulokhu, isiguli sibe ubuhlungu lapho ukuphefumula ngesikhathi isikhwehlela labelwe ukukhwehlela kukhona njalo igazi. Lapho eshaywayo ephawulwe blunting umsindo kuthiwa wamuzwa kwesifuba. Ekwelapheni pneumonitis Kubalulekile ukuthi imithi elwa namagciwane ungayeki nomphumela omuhle, okuyinto kuphela azuzwe uma usebenzisa corticosteroids.