Dhaawaca Xanuunka Dhaawac ee Dambe ee Dhaawaca ka dib
Calaamadaha cudurrada dharku waa magacii hore ee loogu yeero waxa hadda la yiraahdo "post-cardiac injury syndrome". Dhakhaatiirta intooda badan waxay isticmaalaan magaca hore, sababtoo ah way sahlan tahay in la yiraahdo.
Calaamadaha cudurrada dharku waa nooc ka mid ah pericarditis , ama inflammation of pericardial. Qalabka pericardial waa lakab la mid ah oo ka mid ah unugyada ku wareegsan wadnaha, kaas oo ku jira qadar yar oo dheecaan ah oo bixiya ruxidda socodka wadnaha.
Marka qofku ku dhaco pericarditis, sarkhaantiisi waxay ku jirtaa barar, iyo dareeraha badanaa wuxuu ku ururaa gudaha (xaalad loo yaqaan 'efficion pericardial' ). Calaamadaha cudurrada dharku waa guud ahaan noocyada kale ee pericarditis. Sababta ay u hesho magac gaar ah waa sababtoo ah qaabka asaasiga ah ee dhacda - taas, waxay dhacdaa dhowr toddobaad ka dib marka nooc ka mid ah dhaawaca muruqa wadnaha.
Inta badan, Calaamadaha cudurrada dharku waxay dhacaan kaddib marka wadno-xanuun , qalliinka wadnaha , ama cirridka caanaha ku dhaca laabta. In kastoo ay tahay cudurrada dharka ee "Dressler's syndrome" mararka qaarkood waxay keeni karaan dhibaatooyin halis ah, badanaa waa xaalad xaddidan, inta badanna waxaa lagu daaweyn karaa si caddaalad ah oo waxtar leh.
Maxay Sababta Dhacdooyinka Xanuunka Dhici?
Calaamadaha cudurrada dharku waxay dhici karaan mar kasta oo unugyada muruqyada wadnaha oo dhaawacmay. Dhibaatadu waxay u oggolaataa borotiinada wadnaha inay ka soo baxdo unugyada, iyo borotiinnadaas waxay samayn karaan "dhismayaasha difaaca" - kooxo mecorillo ah oo kicin kara jawaab-celin barar ah.
Xarumahan difaaca waxay ku ururi karaan caanaha loo yaqaan 'pericardial sac', iyo mararka qaarkood gudaha sambabada sidoo kale. Nidaamka difaaca jirka ayaa ugu dambeyntii bilaabi kara inuu weeraro dhismooyinka isdifaaca, taasoo keenaysa caabuq ku dhaca caleemaha curikada ah, kaas oo soo saara pericarditis, iyo mararka qaarkood sidoo kale pleuriitis (caabuqa maqaarka sambabada).
Dareen-celinta tallaalku waxay caadi ahaan qaadataa wakhti si ay u kobciso, sidaas darteed dhar-geysashada cudurrada dharku ma'aha isla markiiba ka dib dhaawaca wadnaha laftiisa. Taas, waxay dhacdaa toddobaadyo ama bilo kadib.
Calaamadaha cudurrada dharku maaha mid dhif ah. Waxaa lagu arki karaa 15% ilaa 20% dadka qaba qalitaanka wadnaha.
Sidee loo Aqoonsi Yahay Xanuunka Calaamadaha?
Guud ahaan, ma ahan mid aad u adag in lagu ogaado cudurrada cudurrada dharka ee Dressler. Cilad-sheegiddu caadi ahaan waa mid toos ah haddii ay jirto taariikhda dhaawaca wadnaha ee dhow, oo ay ku xigto calaamadaha cudurka pericarditis-ka (gaar ahaan xanuunka laabta oo ku xiran neefsashada), xummad, tirada unugyada dhiigga oo sareeya, iyo muuqaalka isbeddelka isbeddelka ku yimaada qalabka korontada wadnaha . Saameynada (isku ururinta dareeraha) agagaarka wadnaha ama sambabada ayaa badanaa lagu arki karaa raajo laabta ah ama echocardiogram .
Daweynta Xanuunka Xiidmaha
Nasiib wanaag, daaweynta dhirta 'Dressler's syndrome' caadi ahaan waa mid toos ah. Xanuunka keena xaaladdan guud ahaan wuxuu si wanaagsan uga jawaabaa daaweynta asbiriin ama dawooyinka nonsteroidal anti-inflammatory ( NSAIDs ) sida ibuprofen. Dadka qaba cudurka halbowlaha wadnaha , waa in guud ahaan laga fogaadaa NSAID ( akhriso sababta ), iyo daaweynta qiyaasta daawada sare ee aspirin ayaa badanaa la door bidaa.
Xanuunka dharka ayaa sidoo kale laga yaabaa inay ka jawaabaan daaweynta colchicine , oo ah daroogo badanaa loo isticmaalo in lagu daaweeyo gout-ka daran. Haddii tallaabooyinkani ay ku fashilmaan, daweyn gaaban oo lagu daaweynayo steroids, sida prednisone, had iyo jeer waa mid waxtar leh.
Marka, ilaa iyo inta dhakhtarka loo yaqaan 'Dressler's syndrome' la aqoonsan yahay lana daweynayo, marar dhif ahna waxay ku dhacdaa xaalad caafimaad oo halis ah.
Tani waxay u badan tahay sababta uusan dhakhtarkaaga u sheegin wax welwel ah.
Ka Hortagga Xanuunka Xanuunada
Marka laga hadlayo su'aashaada labaad, waxaa jira caddayn muujinaysa in colchicin ka dib qaliin wadnaha ah uu yareeyo khatarta ah inuu ku soo baxo cudurrada dharka ee dharka (Dressler's syndrome) ku dhawaad 60%.
Si kastaba ha ahaatee, colchicine waxay sababi kartaa saameyno weyn oo caloosha ah oo keeni kara soo kabashada qalliinka waxayna faragalin karaan daawooyinka kale. Xataa iyada oo daaweyntan la isugeynayo, inta u dhexeysa 5 ilaa 10% bukaannada qalliinka wadnaha weli la filayo inay soo saaraan cudurrada cudurrada dharka (Dressler's syndrome). Sidaa darteed, gaar ahaan tan inta badan Calaamadaha cudurrada "Dressler's syndrome" waxay wax ka qabtaan daaweynta, dhakhaatiir badan oo wadnaha ah ayaa aaminsan in faa'iidooyinka ka iman kara kicinta kicinta ay aad uga culus yihiin khatarta.
> Ilo:
> Imazio M, Brucato A, Markel G, et al. Falanqaynta Meta-farsamooyinka Dhex-galka ah ee xooga saaraya ka-hortagga Xanuunka Postpartardiotomy Syndrome. Am J Cardiol 2011; 108: 575.
> Imazio M, Hoit BD. Dhaawaca dambe ee dhaawaca maqaarka Syndromes. Sababta Soo Saarista Cudurada Pericardial. Int J Cardio 2013; 168: 648.
> Wessman DE, Stafford CM. Calaamadaha Dhaawaca ee Wareegga Dambe: Warbixinta Dhacdooyinka iyo Dib u Eegista Suugaanta. South Med J 2006; 99: 309.