Pericarditis - tom qab lub plawv nres

Pericarditis yog mob o thiab o ntawm daim npog ntawm lub plawv (pericardium). Nws tuaj yeem tshwm sim tau ob peb hnub lossis ntau lub hlis tom qab lub plawv nres.

Ob hom kev mob pericarditis tuaj yeem tshwm sim tom qab lub plawv nres.

Ntxov hlaus: Daim ntawv no feem ntau tshwm sim hauv 1 txog 3 hnub tom qab lub plawv nres. Kev voos thiab o tuaj thaum lub cev sim ua kom ntxuav cov leeg mob.

Qog mob lig: Qhov no tseem hu ua Dressler syndrome. Nws tseem hu ua kab mob post-cardiac raug mob lossis postcardiotomy pericarditis). Feem ntau nws tshwm sim ntau lub lim tiam lossis ob peb hlis tom qab lub plawv nres, phais plawv, lossis lwm yam kev raug mob ntawm lub plawv. Nws tseem tuaj yeem tshwm sim ib lub lis piam tom qab raug mob plawv. Cov tsos mob dressler xav tias tshwm sim thaum lub cev tiv thaiv kab mob hauv lub plawv ua rau lub siab noj qab haus huv los ntawm kev ua yuam kev.

Tej yam uas ua rau koj muaj kev pheej hmoo ua tus mob ua paug nrog rau:

• Lub plawv nres yav dhau los
• Qhib lub plawv phais
• Hauv siab raug mob
• Ib qho kev mob plawv uas tau cuam tshuam qhov tuab ntawm koj cov leeg plawv

Cov tsos mob muaj xws li:

• Ntxhov siab vim
• Kev mob hauv siab qhia tawm ntawm qhov o o hws rau ntawm lub plawv. Qhov mob yuav mob siab, nruj lossis zuaj thiab yuav txav mus rau caj dab, xwb pwg, lossis plab. Qhov mob kuj tseem yuav phem dua thaum koj ua pa thiab ploj mus thaum koj qoj ib ce, sawv ntsug, lossis zaum.
• Teeb meem ua pa
• Qhuav hnoos
• Lub plawv dhia ceev ceev (tachycardia)
• Nkees
• Kub taub hau (nquag nrog hom mob qog pericarditis)
• Malaise (kev mob siab xwb)
• Kev sib txig ntawm cov tav (khoov ntawm lossis tuav lub hauv siab) nrog kev ua pa tob

Tus kws kho mob yuav mloog koj lub plawv thiab lub ntsws nrog lub stethoscope. Tej zaum yuav muaj lub suab nplawm (hu ua pericardial txhuam txhuam, kom tsis meej pem nrog lub siab yws). Lub plawv suab hauv dav dav tuaj yeem tsis muaj zog lossis suab nrov.

A buildup kua hauv lub npog lub plawv los yog chaw ncig ntawm lub ntsws (pericardial effusion) yuav tsis tshwm sim tom qab lub plawv nres. Tab sis, nws feem ntau tshwm sim hauv qee leej neeg nrog Dressler syndrome.

Kev ntsuam xyuas yuav muaj xws li:

• Cov cim rau kev raug mob rau lub plawv (CK-MB thiab troponin yuav pab qhia rau tus mob pericarditis los ntawm kev mob plawv)
• Hauv siab CT scan
• Hauv siab MRI
• Kev ntsuas hluav taws xob xoo
• Ua kom tiav cov ntshav suav (CBC)
• ECG (electrocardiogram)
• Echocardiogram
• ESR (sedimentation tus nqi) lossis C-reactive protein (ntsuas ntawm o)

Lub hom phiaj ntawm kev kho mob yog ua kom lub siab ua haujlwm zoo dua thiab txo qhov mob thiab lwm yam tsos mob.

Cov tshuaj aspirin tuaj yeem siv los kho cov mob o ntawm pericardium. Ib lub tshuaj hu ua colchicine feem ntau kuj siv thiab.

Muaj qee kis, cov kua nyeem ntau dhau ntawm lub siab (mob pericardial effusion) yuav tsum tau muab tshem tawm. Qhov no ua tiav nrog cov txheej txheem hu ua pericardiocentesis. Yog tias muaj teeb meem tshwm sim, ib feem ntawm pericardium qee zaum yuav tsum tau muab tshem tawm nrog kev phais mob (pericardiectomy).

Qee zaum yuav rov tshwm sim qee zaum.

Muaj teeb meem ntawm tus mob pericarditis yog:

• Mob Lub Hlwb
• Congestive lub plawv tsis ua haujlwm
• Pericarditis mob heev

Hu rau koj tus kws khomob yog:

• Koj muaj cov tsos mob ntawm tus mob pericarditis tom qab lub plawv nres
• Koj tau muaj tus kab mob pericarditis thiab cov tsos mob txuas ntxiv los yog rov qab los txawm hais tias kev kho mob

Tawv khaub hlab syndrome; Qog Suab MI pericarditis; Cov mob tom qab mob plawv; Mob Postcardiotomy pericarditis

• Mob MI
• Pericardium
• Cov mob hnoos qhuav tom qab-MI
• Pericardium

Lus NJ. Muaj tus kab mob Pericardial thiab myocardial. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 72.

LeWinter MM, Imazio M. Cov kab mob Pericardial. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawvCov. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 83.

Maisch B, Ristic AD. Cov kab mob Pericardial. Hauv: Vincent J-L, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Phau Ntawv Hais Txog Kev Khomob Uas Tseem CeebCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: tshooj 84.