Pericarditis - wadno qabad kadib

Pericarditis waa barar iyo barar ku dhaca daboolka wadnaha (pericardium). Waxay dhici kartaa maalmaha ama toddobaadyada ka dambeeya wadne qabad.

Laba nooc oo cudurka pericarditis ayaa dhici kara wadno qabad kadib.

Cudurka 'pericarditis' ee hore: Foomkan badanaa wuxuu dhacaa 1 illaa 3 maalmood gudahood kadib wadno qabad. Caabuq iyo barar ayaa soo baxa iyadoo jidhku isku dayayo inuu nadiifiyo unugyada wadnaha ee buka.

Cudurka 'pericarditis' dambe: Tan waxaa sidoo kale loo yaqaan 'Dressler syndrome'. Waxaa sidoo kale loo yaqaan 'syndrome-post-cardiac Syndrome' ama 'postcardiotomy pericarditis'). Badanaa waxay soo baxdaa dhowr toddobaad ama bilo kadib wadno qabad, qalliin wadne, ama dhaawacyo kale oo soo gaara wadnaha. Waxay sidoo kale dhici kartaa toddobaad kadib dhaawaca wadnaha. Cudurka 'Dressler Syndrome' waxaa loo maleynayaa inuu dhaco marka habka difaaca jirka uu si qalad ah ugu weeraro unugyada wadnaha ee caafimaadka qaba.

Waxyaabaha halista sare kuugu haya cudurka 'pericarditis' waxaa ka mid ah:

• Wadne xanuun hore
• Qalitaanka furan
• Dhaawac laabta ah
• Wadne qabad saameyn ku yeeshay dhumucda murqaha wadnahaaga

Calaamadaha waxaa ka mid ah:

• Walaac
• Laab xanuun ka yimaada bararka wadnaha oo xoqma. Xanuunku wuxuu noqon karaa mid fiiqan, cidhiidhi ah ama jajaban oo u dhaqaaqi kara qoorta, garabka, ama caloosha. Xanuunku sidoo kale wuu ka sii xumaan karaa markaad neefsato oo aad tagto markaad horay u foorarsato, istaagto ama aad fadhiisato.
• Neefsashada oo dhib ah
• Qufac qallalan
• Qiyaasta garaaca wadnaha (tachycardia)
• Daal
• Qandho (caan ku ah nooca labaad ee cudurka pericarditis)
• Malaise (dareen xanuun guud)
• Kabay ka soo kabashada feeraha (foorarsiga ama qabashada xabadka) iyadoo neefsasho qoto dheer leh

Bixiyaha xanaanada caafimaadka wuxuu ku dhageysan doonaa wadnahaaga iyo sambabahaaga stethoscope. Waxaa jiri kara dhawaq qashin ah (oo loo yaqaan 'rubic friction rubic, oo aan lagu qaldin murug wadnaha). Guud ahaan dhawaqa wadnaha ayaa daciif noqon kara ama dhawaqa meel fog.

Kordhin dheecaan ah oo ku dhaca daboolka wadnaha ama boosaska ku wareegsan sambabaha (pericardial effusion) maahan wax caadi ah wadno qabad kadib Laakiin, badanaa waxay ku dhacdaa dadka qaarkood ee qaba xanuunka 'Dressler syndrome'.

Tijaabooyinka waxaa ka mid noqon kara:

• Calaamadaha dhaawaca wadnaha (CK-MB iyo troponin ayaa laga yaabaa inay kaa caawiyaan inaad u sheegto cudurka wadnaha)
• Laabta CT iskaanka
• Laabta MRI
• Raajo xabadka ah
• Tirinta dhiigga oo dhameystiran (CBC)
• ECG (qalabka korontada)
• Echocardiogram
• ESR (heerka sedimentation) ama borotiinka C-reactive (cabirka caabuqa)

Ujeedada daaweyntu waa in wadnaha laga dhigo mid si fiican u shaqeeya lana yareeyo xanuunka iyo calaamadaha kale.

Aspirin waxaa loo isticmaali karaa in lagu daaweeyo caabuqa xuubka hoose ee 'pericardium'. Daawada loo yaqaan 'colchicine' badiyaa sidoo kale waa la isticmaalaa.

Xaaladaha qaarkood, dheecaanka xad dhaafka ah ee ku xeeran wadnaha (pericardial effusion) ayaa laga yaabaa in loo baahdo in laga saaro. Tan waxaa lagu sameeyaa habka loo yaqaan 'pericardiocentesis'. Haddii dhibaatooyinku soo baxaan, qayb ka mid ah xubnaha 'pericardium' ayaa mararka qaarkood u baahan kara in qalliin looga saaro (pericardiectomy).

Xaaladda ayaa laga yaabaa inay soo noqoto mararka qaarkood.

Dhibaatooyinka suurtagalka ah ee cudurka 'pericarditis' waa:

• Tamponade wadnaha
• Wadnaha oo hawl gab ah
• Cudurka 'pericarditis'

Wac adeeg bixiyahaaga haddii:

• Waxaad isku aragtaa astaamaha cudurka pericarditis wadno qabad kadib
• Waxaa lagaa helay cudurka 'pericarditis' oo astaamuhu way sii socdaan ama waad soo laaban kartaa inkastoo aad daaweyn leedahay

Cudurka 'Dressler Syndrome'; Cudurka 'pericarditis' kadib-MI; Cudurka dhaawaca wadnaha ka dib; Xinjirowga 'Postcardiotomy pericarditis'

• MI daran
• Pericardium
• Cudurka 'pericarditis' kadib-MI
• Pericardium

Jouriles NJ. Cudurka 'Pericardial' iyo 'myocardial disease'. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 72.

LeWinter MM, Imazio M. Cudurrada Pericardial. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 83.

Maisch B, Ristic AD. Cudurada faafa Gudaha: Vincent JL, Abraham E, Moore FA, Kochanek PM, MP Fink, eds. Buugga waxbarashada ee daryeelka halista ah. 7aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 84.