Isifo esinganyangekiyo

I-myocarditis kukudumba kwentliziyo yemisipha.

Le meko ibizwa ngokuba ngumntwana myocarditis xa isenzeka ebantwaneni.

I-myocarditis sisifo esingaqhelekanga. Uninzi lwexesha, lubangelwa lusulelo olufikelela entliziyweni.

Xa unesifo, amajoni akho omzimba avelisa iiseli ezizodwa zokulwa izifo. Ukuba usulelo luchaphazela intliziyo yakho, iiseli ezilwa nezifo zingena entliziyweni. Nangona kunjalo, iikhemikhali ezenziwe zezi seli zinokonakalisa izihlunu zentliziyo. Ngenxa yoko, intliziyo inokuba ngqindilili, idumbe, kwaye ibuthathaka.

Iimeko ezininzi zibangelwa yintsholongwane efikelela entliziyweni. Oku kunokubandakanya intsholongwane yomkhuhlane (umkhuhlane), i-coxsackievirus, i-parovirus, i-cytomegalovirus, i-adenovirus kunye nabanye.

Kwakhona kunokubangelwa ukusuleleka kubhaktheriya njengesifo seLyme, i-streptococcus, i-mycoplasma kunye ne-chlamydia.

Ezinye izizathu ze-myocarditis zibandakanya:

• Ukuphendula kumayeza athile, anje ngamachiza athile e-chemotherapy
• Ukuvezwa kweekhemikhali kokusingqongileyo, ezinje ngesinyithi esinzima
• Usulelo ngenxa yokungunda okanye iiparasites
• Imitha
• Ukuphazamiseka okuzenzekelayo okubangela ukudumba emzimbeni wonke

Ngamanye amaxesha esona sizathu sinokungafunyanwa.

Kungangabikho mpawu. Iimpawu zinokufana nomkhuhlane. Ukuba iimpawu zenzeka, zinokubandakanya:

• Intlungu yesifuba enokufana nokuhlaselwa sisifo sentliziyo
• Ukudinwa okanye ukungakhathali
• Umkhuhlane kunye nezinye iimpawu zosulelo kubandakanya intloko ebuhlungu, iintlungu zemisipha, umqala obuhlungu, urhudo, okanye irhashalala
• Intlungu edibeneyo okanye ukudumba
• Ukudumba kwemilenze
• Pale, izandla neenyawo ezipholileyo (uphawu lokuhamba gwenxa)
• Ukuphefumla ngokukhawuleza
• Inqanaba lentliziyo elikhawulezayo

Ezinye iimpawu ezinokuthi zenzeke kwesi sifo:

• Ukuphelelwa ngamandla, kuhlala kunxulumene nesingqi sentliziyo esingaqhelekanga
• Iziphumo eziphantsi zomchamo

I-Myocarditis kunokuba nzima ukuyixilonga kuba iimpawu kunye neempawu zihlala zilingisa ezinye izifo zentliziyo kunye nemiphunga, okanye imeko embi yomkhuhlane.

Umboneleli wezempilo unokuva ukubetha kwentliziyo okukhawulezayo okanye izandi zentliziyo engaqhelekanga ngelixa umamele isifuba somntwana nge-stethoscope. Uvavanyo lomzimba lunokufumanisa ulwelo emiphungeni kunye nokudumba kwemilenze kubantwana abadala.

Kunokubakho iimpawu zosulelo, kubandakanya umkhuhlane kunye nerhashalala.

I-x-ray yesifuba ingabonisa ukwanda (ukudumba) kwentliziyo. Ukuba umboneleli ukrokrela i-myocarditis esekwe kuvavanyo nakwisifuba i-x-reyi, kusenokwenziwa i-electrocardiogram ukunceda ukufumanisa isifo. I-biopsy yentliziyo yeyona ndlela ichanekileyo yokuqinisekisa isifo, kodwa ayisoloko ifuneka. Kwakhona, i-biopsy yentliziyo ayinakukutyhila ukuxilongwa ukuba isiqwenga sentliziyo esisusiweyo asiqulathanga nto ikrokrelweyo okanye ezinye izikhombisi.

Olunye uvavanyo olunokufuneka lubandakanya:

• Iinkcubeko zegazi ukujonga usulelo
• Uvavanyo lwegazi ukukhangela izilwa-buhlungu ezichasene neentsholongwane okanye izihlunu zentliziyo uqobo
• Uvavanyo lwegazi ukujonga ukusebenza kwesibindi kunye nezintso
• Gcwalisa ubalo lwegazi
• Uvavanyo olukhethekileyo lokujonga ubukho beentsholongwane egazini (i-viral PCR)

Unyango lujolise kunobangela wengxaki, kwaye lunokubandakanya:

• Iintsholongwane zokulwa nosulelo lwebhaktiriya
• Amayeza abizwa ngokuba yi-steroids ukunciphisa ukudumba
• I-immunoglobulin (IVIG) efakwa ngaphakathi, iyeza elenziwa ngezinto (ezibizwa ngokuba ngamachiza omzimba) elenziwa ngumzimba ukulwa usulelo, ukulawula inkqubo yokuvuvukala
• I-diuretics ukususa amanzi amaninzi emzimbeni
• Ukutya okunetyuwa encinci
• Umsebenzi owehlisiweyo

Ukuba izihlunu zentliziyo zibuthathaka, umboneleli wakho uya kukuyalela amayeza ukunyanga ukusilela kwentliziyo. Isingqi sentliziyo esingaqhelekanga sinokufuna ukusetyenziswa kwamanye amayeza. Unokufuna isixhobo esinjenge-pacemaker, okanye isixhobo se-cardioverter-defibrillator ukuze ulungise ukubetha kwentliziyo okungaqhelekanga. Ukuba ihlwili legazi likwigumbi lentliziyo, uyakufumana amayeza okucoca igazi.

Rhoqo, ukufakelwa kwentliziyo kunokufuneka ukuba umsipha wentliziyo ube buthathaka kakhulu ukuba usebenze.

Isiphumo sinokuhluka, kuxhomekeke kwisizathu sengxaki kunye nempilo yomntu jikelele. Abanye abantu banokuchacha ngokupheleleyo. Abanye banokuba nokusilela kwentliziyo okungapheliyo.

Iingxaki zinokubandakanya:

• Cardiomyopathy
• Ukumelwa yintliziyo
• Pericarditis

Fowunela umboneleli wakho ukuba uneempawu ze-myocarditis, ngakumbi emva kosulelo lwamva nje.

Funa uncedo lwezonyango kwangoko ukuba:

• Iimpawu zakho zinzima.
• Ufumaniswe ukuba une-myocarditis, kwaye wandise iintlungu esifubeni, ukudumba, okanye iingxaki zokuphefumla.

Phatha iimeko ezibangela i-myocarditis ngokukhawuleza ukunciphisa umngcipheko.

Ukudumba - umsipha wentliziyo

• Isifo esinganyangekiyo
• Icandelo lentliziyo phakathi embindini
• Intliziyo - umbono wangaphambili

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UKnowlton KU, uSavoia MC, uOxman MN. I-myocarditis kunye ne-pericarditis. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahl 80.

UMcKenna WJ, uElliott P. Izifo ze-myocardium kunye ne-endocardium. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 54.