Cudurka 'Pericarditis'

Cudurka 'Pericarditis' waa xaalad ay ku darsato bacda u eg dahaarka wadnaha (pericardium).

Sababta cudurka 'pericarditis' lama yaqaan ama lama caddeeyo xaalado badan. Waxay badanaa ku dhacdaa ragga da'doodu tahay 20 ilaa 50 sano.

Pericarditis badanaa waa natiijada infekshinka sida:

• Infekshannada fayraska keena ee laabta qabow ama oof-wareen
• Cudurrada bakteeriyada ku dhaca (oo aan caadi ahayn)
• Qaar ka mid ah infekshannada fungal (dhif)

Xaaladda waxaa lagu arki karaa cuduro ay ka mid yihiin:

• Kansarka (oo ay ku jiraan leukemia)
• Cilladaha nidaamka difaaca jirka uu si qalad ah ugu weeraro unugyada jirka ee caafimaadka qaba
• Cudurka HIV iyo AIDS
• Qanjirka 'thyroid' qanjirka 'thyroid'
• Kelyaha oo hawl gab
• Xumad xanuun
• Qaaxada (TB)

Sababaha kale waxaa ka mid ah:

• Wadne qabad
• Qalliinka wadnaha ama dhaawaca ku dhaca laabta, hunguriga, ama wadnaha
• Daawooyinka qaarkood, sida procainamide, hydralazine, phenytoin, isoniazid, iyo daawooyinka qaar ee loo isticmaalo daaweynta kansarka ama lagu cabudhiyo nidaamka difaaca jirka.
• Barar ama caabuq muruqa wadnaha
• Daaweynta shucaaca ee laabta

Laabta xanuun badanaa had iyo jeer way jirtaa. Xanuunka:

• Waxaa laga dareemi karaa qoorta, garabka, dhabarka, ama caloosha
• Badanaa waxay ku sii kordheysaa neefsashada qoto dheer iyo jiifsan, waxayna ku sii kordhi kartaa qufac iyo liqitaan
• Waxaan dareemi karaa fiiq iyo mindi
• Badanaa waxaa lagu nastaa fadhiisiga iyo foorarsiga ama foorarsiga

Waxaad yeelan kartaa qandho, qarqaryo, ama dhidid haddii xaaladdu ay sababto infekshan.

Calaamadaha kale waxaa ka mid noqon kara:

• Canqawyada, cagaha, iyo lugta oo barara
• Walaac
• Neefsashada oo dhib ah markaad jiifto
• Qufac qallalan
• Daal

Markaad ku dhageysato wadnaha stethoscope, bixiyaha xanaanada caafimaadka wuxuu maqli karaa dhawaq loo yaqaan 'pericardial rub'. Dhawaqa wadnaha ayaa suuxsan ama fog. Waxaa jiri kara calaamado kale oo ah dheecaanka xad-dhaafka ah ee ku jira xuubka 'pericardial effusion'.

Haddii cilladdu daran tahay, waxaa jiri kara:

• Dildilaaca sanbabada
• Codadka neefta oo yaraada
• Calaamadaha kale ee dareeraha ee hareeraha sanbabada

Tijaabooyinka imaging ee soo socda ayaa loo samayn karaa si loo hubiyo wadnaha iyo lakabka unugyada ku hareeraysan (pericardium):

• Skaanka MRI
• Raajo xabadka ah
• Echocardiogram
• Qalabka korantada
• Wadnaha MRI ama wadnaha CT scan
• Raadinta Radionuclide

Si loo raadsado dhaawaca muruqa wadnaha, adeeg bixiyaha ayaa laga yaabaa inuu dalbado troonin aan tijaabiyo. Tijaabooyinka kale ee shaybaarka waxaa ka mid noqon kara:

• Ka hortaga Antinuclear antibody (ANA)
• Dhaqanka dhiigga
• CBC
• C-fal-celinta protein
• Qiyaasta qanjirka 'Erythrocyte' (ESR)
• Baaritaanka HIV
• Cudurka rheumatoid
• Tijaabada cudurka maqaarka

Sababta keenta cudurka pericarditis waa in la aqoonsadaa, haddii ay suurogal tahay.

Qiyaaso badan oo ah daawooyinka anti-bararka ee nonsteroidal (NSAIDs) sida ibuprofen ayaa badanaa lasiiyaa daawo loo yaqaan colchicine. Daawooyinkani waxay yareeyaan xanuunkaaga waxayna yareeyaan bararka ama caabuqa ku jira kiishka ku wareegsan wadnahaaga. Waxaa lagu weydiin doonaa inaad u qaadato maalmo illaa toddobaadyo ama ka badan xaaladaha qaarkood.

Haddii sababta cudurka 'pericarditis' uu yahay infakshan:

• Antibiyootikada ayaa loo isticmaali doonaa infekshannada bakteeriyada
• Dawooyinka antifungal waxaa loo isticmaali doonaa fungal pericarditis

Daawooyinka kale ee loo isticmaali karo waa:

• Corticosteroids sida prednisone (dadka qaarkiis)
• "Kiniinnada biyaha" (durayo) si looga saaro dheecaanka xad-dhaafka ah

Haddii soosaarka dheecaanka uu wadnaha ka shaqeeyo si liita, daaweynta waxaa ka mid noqon kara:

• Dheecaanka ka soo dareeraya kiishka. Nidaamkan, oo loo yaqaan 'pericardiocentesis', waxaa lagu samayn karaa iyadoo la isticmaalayo cirbad, taas oo lagu hagayo ultrasound (echocardiography) inta badan kiisaska.
• Goynta dalool yar (daaqad) xuubka hoose (subxiphoid pericardiotomy) si loogu oggolaado dheecaanka cudurka qaba inuu ugu daato saabka caloosha. Tan waxaa sameeya dhakhtar qalliin.

Qalliinka loo yaqaan 'pericardiectomy' ayaa loo baahan karaa haddii xuubka pericarditis uu yahay mid muddo dheer soconaya, soo noqda daaweynta ka dib, ama sababa nabar ama adkeynta unugyada ku wareegsan wadnaha. Hawlgalku wuxuu ku lug leeyahay jarista ama ka-goynta qayb ka mid ah xuubka hoose ee 'pericardium'.

Cudurka 'Pericarditis' wuxuu u dhexeeyaa jirro khafiif ah oo keligiis ka soo raysa, illaa xaalad nafta halis gelisa. Kordhinta dheecaanka ee wadnaha iyo shaqeynta wadnaha oo liidata waxay sii adkeyn kartaa ciladda.

Natiijadu way wanaagsan tahay haddii cudurka pericarditis isla markiiba la daaweeyo. Dadka badankood waxay ku bogsadaan 2 toddobaad illaa 3 bilood. Hase yeeshe, cudurka 'pericarditis' ayaa laga yaabaa inuu soo noqdo. Tan waxaa loogu yeeraa soo noqnoqosho, ama daba-dheer, haddii calaamadaha ama dhacdooyinku sii socdaan.

Nabar iyo xoqid daboolida kiishka la midka ah iyo muruqa wadnaha ayaa dhici kara markay dhibaatadu daran tahay. Tan waxaa loo yaqaan 'conrictive pericarditis'. Waxay sababi kartaa dhibaatooyin waqti dheer ah oo la mid ah kuwa wadnaha oo istaaga.

Wac adeeg bixiyahaaga haddii aad leedahay astaamaha cudurka 'pericarditis'. Cilladaan nafteeda khatar kuma aha inta badan. Si kastaba ha noqotee, waxay noqon kartaa mid khatar badan haddii aan la daaweyn.

Kiisas badan lama hor istaagi karo.

• Pericardium
• Cudurka 'Pericarditis'

Chabrando JG, Bonaventura A, Vecchie A, iyo al. Maareynta xannuunka 'pericarditis' ba'an iyo soo noqnoqda: Dib-u-eegis heer-sare ah oo JACC ah. J Am Coll Cardiol. 2020; 75 (1): 76-92. PMID: 31918837 pubmed.ncbi.nlm.nih.gov/31918837/.

Knowlton KU, Savoia MC, Oxman MN. Cudurka 'Myocarditis' iyo 'pericarditis'. Gudaha: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, iyo Bennett Mabaadi'da iyo Ku Dhaqanka Cudurada faafa. 9aad. Philadelphia, PA: Elsevier; 2020: cutubka 80.

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.