Pericarditis - bayan ciwon zuciya

Pericarditis shine kumburi da kumburin rufin zuciya (pericardium). Zai iya faruwa a cikin kwanaki ko makonni bayan bugun zuciya.

Nau'in cututtukan zuciya guda biyu na iya faruwa bayan bugun zuciya.

Farkon cuta: Wannan nau'i yakan fi faruwa tsakanin kwana 1 zuwa 3 bayan ciwon zuciya. Kumburi da kumburi suna haɓaka yayin da jiki ke ƙoƙarin tsabtace ƙwayar ƙwayar cuta.

Late pericarditis: Wannan kuma ana kiransa Ciwan Dressler. Hakanan ana kiransa ciwo mai rauni na post-cardiac ko postcardiotomy pericarditis). Mafi yawan lokuta yakan sami makonni da yawa ko watanni bayan bugun zuciya, tiyatar zuciya, ko wani rauni ga zuciya. Hakanan zai iya faruwa mako guda bayan raunin zuciya. Ana tsammanin cututtukan Dressler na faruwa ne lokacin da tsarin rigakafi ya afkawa lafiyayyar ƙwayar zuciya cikin kuskure.

Abubuwan da suka saka ku cikin haɗarin cutar pericarditis sun haɗa da:

• Ciwon zuciya na baya
• Budewar tiyata
• Ciwon kirji
• Ciwon zuciya wanda ya shafi kaurin tsokar zuciyarka

Kwayar cutar sun hada da:

• Tashin hankali
• Ciwon kirji daga kumburin pericardium shafawa a zuciya. Ciwo na iya zama mai kaifi, matse ko murkushewa kuma yana iya matsawa zuwa wuya, kafaɗa, ko ciki. Zafin kuma na iya zama mafi muni lokacin da kake numfashi ka tafi lokacin da ka jingina, tsayawa, ko zaune.
• Matsalar numfashi
• Dry tari
• Saurin bugun zuciya (tachycardia)
• Gajiya
• Zazzaɓi (gama gari tare da nau'in pericarditis na biyu)
• Malaise (rashin lafiya na gaba ɗaya)
• Fantsuwa da haƙarƙari (lanƙwasawa ko riƙe kirji) tare da zurfin numfashi

Mai ba da sabis na kiwon lafiya zai saurari zuciyarku da huhu tare da stethoscope. Za a iya samun sautin shafawa (wanda ake kira goge gogayya na pericardial, don kada a rikice da gunaguni na zuciya). Sautunan zuciya gaba ɗaya na iya zama masu rauni ko sauti a nesa.

Ruwan ruwa a cikin rufin zuciya ko sarari a kusa da huhu (zubar kwayar cutar) ba kowa bane bayan bugun zuciya. Amma, yakan faru ne a cikin wasu mutane masu fama da cututtukan Dressler.

Gwaje-gwaje na iya haɗawa da:

• Alamar cututtukan zuciya (CK-MB da troponin na iya taimakawa wajen faɗar cututtukan zuciya daga bugun zuciya)
• Kirjin CT
• Chest MRI
• Kirjin x-ray
• Kammala ƙididdigar jini (CBC)
• ECG (lantarki)
• Echocardiogram
• ESR (ƙididdigar ƙira) ko furotin C-mai amsawa (matakan ƙonewa)

Burin magani shine sanya zuciya tayi aiki sosai da rage radadin ciwo da sauran alamu.

Ana iya amfani da asfirin don magance kumburin jikin mutum. Wani magani da ake kira colchicine galibi ana amfani da shi.

A wasu lokuta, yawan ruwa da ke kewaye da zuciya (kwayar cutar kwayar cutar) na iya bukatar cirewa. Ana yin wannan tare da hanyar da ake kira pericardiocentesis. Idan rikitarwa suka ci gaba, wani lokaci daga cikin cututtukan jijiyoyin na iya wasu lokuta a cire su tare da tiyata (pericardiectomy).

Yanayin na iya sake faruwa a wasu lokuta.

Matsalolin da ka iya faruwa na cutar sankarau sune:

• Diacarfafa zuciya
• Ciwon zuciya mai narkewa
• Pericarditis mai rikitarwa

Kira mai ba da sabis idan:

• Kuna ci gaba da alamun cutar pericarditis bayan bugun zuciya
• An gano ku tare da cutar pericarditis kuma alamomin ci gaba ko dawowa duk da magani

Ciwon Dressler; Post-MI pericarditis; Ciwon cututtukan zuciya bayan-zuciya; Ciwon kwakwalwa

• Babban MI
• Harshen
• Ciwon bayan-MI
• Harshen

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LeWinter MM, Imazio M. Cutar cututtuka. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 83.

Maisch B, Ristic AD. Cututtukan cututtuka. A cikin: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Littafin rubutu na Kulawa mai mahimmanci. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 84.