Post-Cardiac Injury Syndrome
Dressler's syndrome ke lebitso la khale la seo hona joale se bitsoa "lefu la lefu la lefu la post-cardiac." Bongaka ba bangata ba ntse ba sebelisa lebitso la khale, hobane ho bonolo ho bua.
Dressler's syndrome ke mofuta oa pericarditis , kapa ho ruruha ha pola ea pericardial. Sesepa sa pericardial ke lesela le kang la lisele tse potolohileng pelo, tse nang le metsi a mangata a fanang ka lubrication bakeng sa ho tsamaea ha pelo.
Ha motho a hlahisa lefu la pericarditis, sesepa sa bona sa pericardial se chesoa, 'me metsi a mangata a atisa ho bokella ka hare ho eona (boemo bo bitsoang pericardial effusion ). Dressler's syndrome hangata e tšoana le mofuta leha e le ofe oa pericarditis. Lebaka leo le fumanang lebitso le ikhethileng ke ka lebaka la mokhoa oa lona oa ho hlahella-e leng, ho etsahala libeke tse 'maloa ka mor'a mofuta o itseng oa kotsi ho mesifa ea pelo.
Hangata, bothata ba Dressler's syndrome bo etsahala ka mor'a lefu la pelo , ho buuoa ke pelo kapa ho tšoaroa hampe sefubeng. Le hoja boloetse ba Dressler's syndrome bo ka baka mathata a maholo ka linako tse ling, hangata bo na le bofokoli bo itseng, 'me hangata bo ka phekoloa ka mokhoa o bonolo le ka katleho.
Ke Eng e Bakang Dressler's Syndrome?
Dressler's syndrome e ka ba nako leha e le efe nako ea mesifa ea mesifa e senyehileng. Tšenyo e lumella liprotheine tsa pelo hore li tsoe ka lisele, 'me liprotheine tsena li ka theha "lik'hemik'hale tsa' mele" - lihlopha tsa limolek'hule tse ka susumetsang karabo ea ho ruruha.
Ts'ebetso ena ea 'mele ea ho itšireletsa mafung e ka bokella pola ea pericardial,' me ka linako tse ling e le ka lesela la matšoafo. 'Mele oa' mele oa 'mele o qetelle o ka qala ho hlasela meriana ena ea' mele ea ho itšireletsa mafung, e bakang ho ruruha pola ea pericardial, e hlahisang lefu la pericarditis, 'me ka linako tse ling hape le pleuritis (ho ruruha ha lesela la matšoafo).
Ho itšireletsa mafung ho tloaelehile ho nka nako e itseng hore e hōle, ka hona, boloetse ba Dressler's syndrome ha bo hlahe kapele ka mor'a kotsi ea pelo. Ho e-na le hoo, e etsahala libeke kapa likhoeli hamorao.
Dressler's syndrome ha e tloaelehe. E ka bonoa ho 15% ho 20% ea batho ba nang le ts'ebetso ea pelo.
Dressler's Syndrome e Tsejoa Joang?
Ka kakaretso, ha ho thata haholo ho hlahloba lefu la Dressler's syndrome. Hangata lefu lena le otlolohile haeba ho na le histori ea tšenyo ea pelo ea morao-rao, e lateloa ke matšoao a lefu la pericarditis (haholo-holo bohloko ba sefuba bo fapaneng le ho phefumoloha), feberu, palo e phahameng ea sele ea mali ea mali, le ponahalo ea liphetoho tse itseng ho electrocardiogram . Mathata a (fluid accumulations) ho potoloha pelo kapa matšoafo a atisa ho bonoa sefubeng sa X-ray kapa echocardiogram .
Ho tšoara Dressler's Syndrome
Ka lehlohonolo, phekolo ea Dressler's syndrome hangata e boetse e nepahetse haholo. Ho ruruha ho bakang boemo bona hangata ho arabela kalafo ka lefu la aspirin kapa lithethefatsi tsa anti-inflammatory (non-steroidal anti-inflammatory) tse kang ibuprofen. Bakeng sa batho ba nang le lefu la methapo ea lefuba , li-NSAID li lokela ho qojoa ka kakaretso ( bala hore na ke hobane'ng ), mme phekolo e nang le aspirin e phahameng-ngata hangata e khethoa.
Dressler's syndrome le eona e ka 'na ea arabela kalafo ka colchicine , e leng lithethefatsi tse atisang ho sebelisoa ho phekola gout e matla. Haeba litekanyo tsena li hlōleha, phekolo e khutšoanyane ea li-steroid, tse kang prednisone, e batla e atleha kamehla.
Kahoo, hafeela liaparo tsa Dressler's syndrome li tsejoa 'me phekolo e qalile, hangata ha e e-ba boemo ba bongaka bo tebileng.
Hona ho ka etsahala hore na ke hobane'ng ha ngaka ea hau e sa bontše ho tšoenyeha haholo.
Ho thibela Dressler's Syndrome
Mabapi le potso ea hau ea bobeli, ho na le bopaki ba hore ho fana ka colchicine ka mor'a ho buuoa pelo ho ka fokotsa monyetla oa ho hlahisa Dressler's syndrome ka hoo e ka bang 60%.
Leha ho le joalo, colchicine e ka baka litla-morao tse kholo tsa 'meleng tse ka etsang hore ho sebetsanoe le ho buuoa ha meriana' me ho ka kena-kenana le meriana e meng. Esita le kalafo ena ea prophylactic, pakeng tsa 5 ho isa ho 10 lekholong ea bakuli ba etsoang ke pelo ba ntse ba lebeletsoe hore ba hlahise Dressler's syndrome. Ka hona, haholo-holo kaha liaparo tsa Dressler's syndrome li arabela hangata kalafo, lingaka tse ngata tsa masapo tsa pelo li lumela hore melemo e ka fumanoang ke colchicine ea prophylactic e feta tekano.
> Mehloli:
> Imazio M, Brucato A, Markel G, et al. Tlhaloso ea litlhaloso tsa mefuta-futa ea liteko tse lebisitseng tlhokomelo ea thibelo ea Postpericardiotomy Syndrome. Am J Cardiol 2011; 108: 575.
> Imazio M, Hoit BD. Kotsi ea lefu la pelo ea Syndromes. Lebaka le Senyang la Mafu a Pericardial. Int J Cardiol 2013; 168: 648.
> Wessman DE, Stafford CM. Kotsi ea Meriana ea Ts'oaetso ea 'Meriana: Tlaleho ea Tlaleho le Tlhahlobo ea Lingoliloeng. South Med J 2006; 99: 309.