Mob rau hlwv

General piav qhia ntawm tus kab mob

Nws yog o ntawm pericardium (lub hnab uas nyob ib puag ncig lub cev, tuav nws hauv qhov chaw thiab pab nws ua haujlwm). Cov txheej txheem inflammatory no tuaj yeem yog qhov tshwm sim los yog cov tsos mob ntawm lwm yam kab mob (fungal, bacterial, kis, viral, rheumatic). Los yog ua ib qho teeb meem ntawm kev raug mob, pathologies ntawm sab hauv nruab nrog cev. Feem ntau cov tsos mob ntawm pericarditis yog mob hauv siab los ntawm o thiab tej zaum yuav rub lub plawv. Yog tias koj hnov ​​​​qhov mob zoo li no, peb xav kom koj hu rau tus kws kho mob tam sim ntawd rau kev tawm tswv yim.

Pericarditis tuaj yeem muaj mob ua foos - dheev tshwm sim thiab ploj sai sai nrog kev kho kom raug, mus mob ntev - maj mam txhim kho lub sijhawm ntev, thiab siv sijhawm ntau ntxiv rau kev kho mob. Ob qho tib si cuam tshuam qhov kev sib dhos ib txwm muaj, kev ua haujlwm ntawm lub plawv. Qee lub sij hawm, txawm tias qhov no tshwm sim tsawg heev, nws ua rau tuag taus[1].

Ua rau pericarditis

Muaj ntau yam ua rau mob pericarditis, tab sis feem ntau nws tshwm sim nws tus kheej yog ib qho teeb meem ntawm kev kis kab mob (viral pericarditis) - feem ntau tom qab tus kab mob plab hnyuv dhau los, tsis tshua muaj mob khaub thuas lossis AIDS. Tus kab mob no tuaj yeem tshwm sim los ntawm kab mob, fungal lossis kab mob parasitic.

Qee cov kab mob autoimmune xws li lupus, rheumatoid mob caj dab thiab scleroderma, uas lub cev tiv thaiv kab mob tawm tsam cov ntaub so ntswg noj qab haus huv, tuaj yeem ua rau pericarditis.

Ntawm cov ua rau pericarditis yog mob hauv siab, piv txwv li, tom qab tsheb sib tsoo (mob pericarditis). Los yog lwm yam teeb meem kev noj qab haus huv xws li raum tsis ua haujlwm (uremic pericarditis), qog, kab mob caj ces. Nyob rau hauv tsawg zaus, cov tshuaj uas suppress lub cev tiv thaiv kab mob ua ib tug provocateur ntawm tus kab mob.

Qhov kev pheej hmoo ntawm kev tsim cov kab mob pericarditis yog siab dua tom qab lub plawv nres lossis tom qab phais plawv (Dressler syndrome) vim tias cov leeg nqaij puas tuaj yeem ua rau lub pericardium. Tsis tas li ntawd tom qab kev kho hluav taws xob lossis kev kho mob xws li mob plawv catheterization lossis radiofrequency ablation. Hauv cov xwm txheej no, ntau tus kws tshaj lij ntseeg tias pericarditis yog qhov tshwm sim ntawm lub cev ua yuam kev ua cov lus teb rau pericardium. Tom qab bypass phais, cov tsos mob ntawm pericarditis yuav tsis tuaj txog li ob peb lub lis piam tom qab tus txheej txheem.

Feem ntau nws tsis tuaj yeem tsim qhov ua rau muaj kev txhim kho ntawm pericarditis, thiab qhov no yog hu ua "idiopathic pericarditis nyob rau hauv cov poj niam".

Nws feem ntau rov qab ua dua tom qab thawj ntu, thiab kev tawm tsam tuaj yeem rov tshwm sim ntau xyoo[2].

Cov tsos mob ntawm pericarditis

Feem ntau cov tsos mob ntawm pericarditis, raws li tau hais los saum no, yog mob hauv siab. Nws tuaj yeem ua tau nrog cov cim hauv qab no:

  • qhov mob no, raws li txoj cai, yog ntse, npub, nws muaj zog heev;
  • Tej zaum yuav tshwm sim los ntawm hnoos, nqos, ua pa tob, lossis pw;
  • tuaj yeem ua siab ntev thaum zaum lossis tig mus rau pem hauv ntej;
  • mob tuaj yeem hnov ​​​​qab, caj dab, hauv thaj tsam ntawm sab laug xub pwg.

Lwm cov tsos mob thiab cov tsos mob ntawm tus kab mob muaj xws li:

  • ua tsis taus pa thaum pw;
  • hnoos qhuav;
  • ntxhov siab thiab nkees;
  • Qee zaum, pericarditis ua rau o ntawm ob txhais ceg thiab pob taws hauv tus neeg mob. Raws li txoj cai, qhov no yog ib qho cim ntawm ib hom kab mob hnyav - constrictive pericarditis[2]… Koj tuaj yeem kawm paub ntxiv txog nws tom qab hauv kab lus.

Hom kab mob pericarditis

  1. 1 Mob pericarditis - thaum cov tsos mob tshwm sim tsawg dua 3 lub hlis. Yog tias koj mus ntsib kws kho mob raws sijhawm thiab pib kho tam sim ntawd, tus mob pericarditis tuaj yeem kho tau sai sai.[3]… Daim ntawv mob, dhau los, kuj muab faib ua ob peb hom. Cia peb tham txog lawv txhua tus luv luv. Qhuav pericarditis (nyob rau hauv cov ntaub ntawv no, cov kua yog tam sim no nyob rau hauv me me, qhov no tshwm sim raws li ib tug tshwm sim ntawm nce sau nrog cov ntshav ntawm lub serous daim nyias nyias ntawm lub plawv nrog ntxiv hws ntawm fibrin rau hauv lub pericardial kab noj hniav). Pericardial effusion los yog effusion - qhov no yog lwm hom qhuav. Nyob rau hauv cov ntaub ntawv no, ib tug ua kua los yog semi-kua exudate yog secreted thiab accumulated nyob rau hauv kab noj hniav ntawm lub pericardial txheej. Cov kua effusion tuaj yeem muaj qhov sib txawv. Piv txwv li, yuav serous-fibrous (ib qho sib xyaw ntawm cov kua thiab cov khoom yas, tshwm hauv qhov me me thiab tuaj yeem yaj sai txaus), hemorrhagic (ntshav exudate) los yog ua xua.
  2. 2 Recurrent pericarditis - rooj plaub thaum cov tsos mob ntawm tus mob pericarditis nrog qee zaus tshwm sim hauv tus neeg mob.
  3. 3 Mob pericarditis - ib daim ntawv nyuaj ntawm tus kab mob, thaum cov tsos mob ntev dua peb lub hlis. Nws kuj ntxuav nyob rau hauv ib tug effusion los yog exudative daim ntawv. Qee lub sij hawm nws yog nplaum los yog nplaum (thaum, tom qab kev hloov ntawm cov txheej txheem o los ntawm exudative theem mus rau theem tsim khoom, caws pliav nqaij pib tsim nyob rau hauv pericardium, nws cov nplooj ntawv lo ua ke nrog ib leeg los yog nrog cov ntaub so ntswg nyob sib ze - lub sternum, pleura. diaphragm)[3].

Cov teeb meem ntawm pericarditis

  • Constrictive pericarditis Nws yog ib hom mob ntev ntawm pericarditis. Nyob rau hauv cov ntaub ntawv no, ntxhib caws pliav daim ntaub ntawv nyob ib ncig ntawm lub plawv, uas entails ib tug txo nyob rau hauv qhov loj ntawm lub pericardium. Nws compresses lub plawv, tiv thaiv nws los ntawm kev nthuav dav ib txwm, thiab tiv thaiv cov ventricles los ntawm kev ua kom zoo thaum lub sijhawm diastole. Yog li ntawd, lub plawv chambers tsis puv nrog cov ntshav. Qhov no tuaj yeem ua rau cov tsos mob ntawm lub plawv tsis ua haujlwm, suav nrog ua tsis taus pa luv, o ntawm ob txhais ceg, dej tuav, thiab lub plawv dhia tsis zoo. Nrog kev kho kom raug, cov tsos mob tsis zoo no tuaj yeem raug tshem tawm.[2].
  • Thaum cov kua dej ntau dhau tsim nyob rau hauv qhov chaw nruab nrab ntawm cov txheej txheem ntawm pericardium, nws ua rau muaj qhov xwm txheej hu ua pericardial effusion… Qhov mob hnyav ntawm cov kua hauv lub pericardium ua rau lub plawv tamponade (hnyav compression ntawm lub plawv uas tiv thaiv nws los ntawm kev ua haujlwm zoo). Lub plawv tamponade uas tshwm sim los ntawm pericardial effusion tuaj yeem ua rau muaj kev hem thawj rau lub neej thiab yog kev kho mob xwm txheej ceev uas yuav tsum tau tshem tawm cov kua dej los ntawm pericardial puncture.[2].

Pericarditis prophylaxis

Raws li txoj cai, ib tus neeg tsis tuaj yeem ua txhua yam kev ntsuas txhawm rau tiv thaiv kev txhim kho ntawm tus mob pericarditis. Tab sis peb tuaj yeem cuam tshuam cov kab mob uas tuaj yeem ua rau muaj kev cuam tshuam tsis zoo. Nws yog ib qho tseem ceeb ntawm thawj cov cim qhia ntawm tus kab mob, kis kab mob, fungal, kab mob autoimmune mus ntsib kws kho mob kom nws muaj sijhawm los sau tshuaj kho raws sijhawm. Koj tsis tas yuav pib tus kab mob yog tias koj pom cov tsos mob txaus ntshai, thiab yog li provoke qhov tshwm sim ntawm cov teeb meem tshiab thiab hnyav dua. Nws tseem yog ib qho tseem ceeb kom tsis tu ncua kev ntsuam xyuas kev tiv thaiv thiab saib xyuas koj txoj kev noj qab haus huv.[5].

Kev kho mob pericarditis hauv cov tshuaj tseem ceeb

Feem ntau ua rau mob pericarditis yog kab mob viral. Yog li ntawd, kev kho tshuaj yog tsom rau txo qhov mob thiab tswj qhov mob. Rau lub hom phiaj no, cov tshuaj tiv thaiv kab mob (non-steroidal) feem ntau yog siv. Tej zaum yuav raug muab tshuaj rau cov tshuaj kho mob luv luv.

Rau lwm hom kab mob pericarditis, kev kho mob tau sau tseg uas pab tshem tawm cov hauv paus hauv paus uas ua rau nws txoj kev loj hlob.

Nrog rau lub plawv tamponade tau hais los saum no, kws kho mob tau sau ntawv pericardiocentesis - ib txoj kev uas ib rab koob nyias yog ntxig los ntawm lub hauv siab phab ntsa mus rau hauv lub hnab pericardial kom tshem tawm cov kua dej ntau dhau.

Nrog purulent pericarditis, tus txheej txheem yuav raug muab tshuaj pericardotomy (qhib ntawm pericardial kab noj hniav). Thiab rau kev kho mob ntawm cov kab mob constrictive thiab chronic exudative pericarditis, ib qho kev ua haujlwm hu ua pericardectomy qee zaum tuaj yeem raug sau ... [4].

Cov khoom noj muaj txiaj ntsig rau pericarditis

Nyob rau hauv mob pericarditis, nws yog ib qho tseem ceeb uas yuav tsum tau ua raws li kev noj haus kom raug, uas yuav pab txo cov load ntawm lub plawv, txhim kho cov ntshav ncig, cov kab mob ntawm cov hlab plawv system, thiab kuj coj tag nrho cov tsim nyog as-ham thiab vitamins rau hauv lub cev.

Tso cai noj:

  • Cov khoom noj nqaij: nqaij nyuj, nqaij npuas, nqaij nyug, luav, qaib ntxhw. Nws yog ntshaw tias cov khoom yog boiled. Nws kuj raug tso cai noj lawv ci.
  • Cov zaub ntsuab xws li parsley, spinach, lettuce. Lawv yog cov nplua nuj nyob rau hauv cov vitamins. Cov zaub nyoos los yog boiled yog pab tau. Tab sis nws yog pom zoo kom txwv tsis pub noj cov qos yaj ywm, dawb cabbage thiab peas.
  • Soups - Nws raug pom zoo kom noj ntau zaus cov neeg tsis noj nqaij variations ntawm cov kua zaub. Piv txwv li, zaub los yog mis nyuj, beetroot. Koj tuaj yeem suav nrog nqaij lossis ntses broths hauv cov zaub mov, tab sis nws yog qhov zoo dua los ua qhov no tsis tu ncua.
  • Rosehip decoction. Nws muaj cov vitamin C ntau heev. Nws tsis yog tsuas yog pab tau rau lub cev tiv thaiv kab mob, tab sis kuj txhim kho lub suab ntawm lub plawv phab ntsa, cov hlab ntsha, thiab tiv thaiv kev tsim cov ntshav txhaws.
  • Pumpkin, carrots thiab lwm yam txiv kab ntxwv-xim zaub khoom. Lawv muaj txiaj ntsig zoo rau pericarditis vim tias lawv muaj vitamin A. Nyob rau hauv lem, nws pab txhim kho cov mob ntawm lub plawv cov leeg thiab koom nrog rau normalization ntawm cov cholesterol nyob rau hauv lub cev.
  • Porridge, cereals, ntau yam cereal-based puddings, qe, khoom noj siv mis. Lawv muaj vitamin B. Nws tiv thaiv arrhythmias, plawv nres, thiab feem ntau zoo heev rau lub plawv.

Traditional tshuaj rau pericarditis

  • Ib qho kev kho mob zoo yog ib qho decoction npaj rau lub hauv paus ntawm Pine koob. Koj yuav tsum noj 5 tablespoons ntawm cov tub ntxhais hluas koob (pine, juniper, spruce). Ncuav lawv nrog ob khob ntawm boiling dej thiab ua noj tshaj tsawg cua sov. Thaum cov kua los rau hauv ib lub boil, boil rau lwm 10 feeb, ces cia nws brew rau 8 teev nyob rau hauv ib tug sov so qhov chaw, lim thiab haus 4 zaug ib hnub twg, 100 ml.
  • Tincture raws li birch tsej. Txhawm rau npaj nws, koj yuav tsum noj staminate (loj) qhwv ntsej muag, sau ib lub liter thawv nrog lawv li 2/3. Tom qab ntawd ncuav lawv nrog vodka thiab tawm rau 2 lub lis piam. Tsis tas li ntawd, koj tsis tas yuav lim cov tincture. Nws raug nquahu kom noj nws hauv 20 tee (tsawg dua 1 tsp) ib nrab teev ua ntej noj mov peb zaug hauv ib hnub. Nws pab soothe mob hauv lub plawv, tshem tawm ua tsis taus pa thiab invigorate.
  • Koj tuaj yeem npaj cov decoction raws li motherwort, hawthorn paj, marsh dryweed (cov tshuaj ntsuab no yuav tsum tau noj hauv 3 qhov chaw). Tom qab ntawd ntxiv qee cov paj ntawm lub tsev muag tshuaj chamomile rau lawv. 1 tablespoon ncuav no sib tov nrog ib khob ntawm boiling dej, cia nws brew rau 8 teev, lim thiab haus 100 ml peb zaug ib hnub twg ib teev tom qab noj mov.
  • Hauv qhov sib npaug, koj yuav tsum sib tov cov paj ntawm hawthorn, linden, calendula, dill noob thiab oat straw. Cov khoom no yuav tsum tau crushed rau hauv cov hmoov, ces noj 5 grams ntawm nws thiab ncuav ib khob ntawm boiling dej. Insist nyob rau hauv ib lub thermos rau 3 teev kom cov dej txias maj mam. Tom qab ntawd lim nws thiab coj nws sov 3-4 zaug hauv ib hnub, 50 ml rau ib nrab teev ua ntej noj mov.[6].
  • Rau rheumatic pericarditis, ib tug tincture ntawm cornflower xiav paj yog siv. Rau nws cov kev npaj 1 tbsp. paj yuav tsum tau nchuav nrog 100 ml ntawm 70-degree cawv, thiab insisted nyob rau hauv ib lub hub hauv qab lub hau rau 12 hnub. Nws yog tsim nyog noj cov tshuaj no 20 tee peb zaug ib hnub twg ib nrab teev ua ntej noj mov. Lub sijhawm ntawm kev kho mob yog txiav txim siab los ntawm cov xwm txheej ntawm tus neeg mob.
  • Qhuav pericarditis yog kho nrog rosehip thiab zib mu infusion. Txhawm rau npaj kev kho mob, ncuav 1 tsp. tws txiv hmab txiv ntoo nrog ob khob ntawm boiling dej. Siv lub thermos rau lub hom phiaj no. Cia nws brew rau 10 teev, ces ntxiv 1 tbsp. zib mu thiab haus cov tshuaj yej 125 ml peb zaug ib hnub twg.
  • Ib qho tshuaj sib xyaw ua ke raws li txiv qaub thiab zib ntab yog ib qho tshuaj tsw qab thiab pab tau zoo rau pericarditis. Koj yuav tsum tau zom cov txiv qaub ua ke nrog tev, tab sis tsis muaj cov noob. Tom qab ntawd ntxiv cov hmoov apricot kernels, ntxiv me ntsis pelargonium gruel thiab 500 ml ntawm zib mu. Noj 1 tsp ua ntej noj mov.

Cov zaub mov txaus ntshai thiab teeb meem rau pericarditis

Muaj ib tug xov tooj ntawm cov khoom, kev siv uas nrog pericarditis yuav tsum nruj me ntsis txwv los yog kiag li cais los ntawm cov khoom noj. Cov no suav nrog:

  • Ntsev - muaj tus nqi nruj me ntsis rau ib hnub uas tsis tuaj yeem tshaj. Nws yog 5 grams ntsev ib hnub nyob rau hauv tag nrho cov zaub mov noj. Yuav kom taug qab qib no, nws yog qhov zoo dua tsis txhob ntsev cov tais diav thaum lub sijhawm ua noj, tab sis ntxiv cov txuj lom no rau cov tais diav ua ntej noj.
  • Kua - tau kawg, koj tuaj yeem haus dej, tshuaj yej, kua txiv, decoctions. Tab sis tshuaj yej yuav tsum tsis muaj zog, kas fes thiab cocoa yuav tsum raug cais tag nrho. Tag nrho cov kua dej uas koj haus yuav tsum tsis pub tshaj 1,5 litres ib hnub twg. Cawv yog txwv tsis pub.
  • Pickles, smoked nqaij - noj lawv tuaj yeem ua rau edema, nrog rau cov kua dej hauv lub cev. Nrog pericarditis, qhov no yog qhov tshwm sim tsis tshua muaj tshwm sim.
  • Cov zaub mov muaj roj, suav nrog nqaij, nqaij qaib, nqaij npuas kib, nqaij hauv kaus poom, daim siab, hnyuv ntxwm. Lawv tuaj yeem nce qib ntawm cov cholesterol hauv cov ntshav, uas tam sim ntawd cuam tshuam rau kev ua haujlwm ntawm lub plawv hauv txoj kev tsis zoo.
  • Legumes, zaub qhwv, txhua yam nceb yog cov khoom noj uas ua rau flatulence, thiab cov kws kho mob kuj xav kom tsis kam lees lawv.
  • Chocolate, khoom qab zib, hmoov nplej, nrog rau tonic decoctions thiab tshuaj ntsuab tshuaj yej, uas muaj txiaj ntsig zoo rau lub paj hlwb.
  • Nws yog ib qho tseem ceeb kom tsis txhob kib, ntsim zaub mov. Txoj hauv kev zoo tshaj plaws kom sov cov zaub mov yog boiling, steaming los yog ci.

Thaum lub sij hawm ntawm pericarditis, nws yog ib qho tseem ceeb kom tsis txhob hnyav lub plab zom mov, noj zaub mov noj qab nyob zoo, yooj yim digestible hauv me me. Qhov zoo tshaj plaws ntawm cov zaub mov ib hnub yog li 5-6 zaug. Nws yog ib qho tseem ceeb rau ua noj koj tus kheej cov zaub mov, thiab tsis txhob yuav npaj txhij los yog txawm siv cov khoom semi-tiav lawm. Yog li koj tuaj yeem tswj tau, ua ntej, qhov zoo ntawm cov khoom uas tau coj los ua lub hauv paus. Thiab qhov thib ob, zam cov zaub mov txwv tsis pub: muaj roj ntau, ntsev.

Reprint cov khoom siv

Txwv tsis pub siv cov ntaub ntawv yam tsis muaj peb kev sau ntawv tso cai ua ntej yog txwv.

Cov cai tswj kev nyab xeeb

Hauv paug tswj tsis muaj feem xyuam rau kev sim siv cov ntawv qhia, tswv yim lossis zaub mov noj, thiab tseem tsis tau lees tias cov ntaub ntawv sau tseg yuav pab lossis ua phem rau koj tus kheej. Ua tib zoo thiab ib txwm tham nrog kws kho mob tsim nyog!

Mloog!

Tus thawj coj tsis yog lub luag haujlwm rau kev sim los siv cov ntaub ntawv muab, thiab tsis tuaj yeem lav tias nws yuav tsis ua mob rau koj tus kheej. Cov ntaub ntawv tsis tuaj yeem siv rau sau ntawv kho mob thiab ua kev kuaj mob. Nco ntsoov tham nrog koj tus kws kho mob tshwj xeeb!

Khoom noj khoom haus rau lwm yam kab mob:

Sau ntawv cia Ncua