Isifo esinganyangekiyo

Umxholo

• Yintoni i-myocarditis?
• Yintoni ebangela i-myocarditis?
• Iintsholongwane
• Iintsholongwane
• Ngunda
• IiParasites
• Izifo ezizenzekelayo
• Ziintoni iimpawu?
• Kufunyaniswa njani?
• Iingxaki ze-myocarditis
• Unyango lwe-myocarditis lonyango njani?
• Ngaba inokuthintelwa?
• Yintoni imbono?

Yintoni i-myocarditis?

I-Myocarditis sisifo esiphawulwa kukudumba kwentliziyo yemisipha eyaziwa ngokuba yi-myocardium- umaleko wemisipha wodonga lwentliziyo. Esi sihlunu sinoxanduva lokungena kunye nokuphumla ukupompa igazi ngaphakathi nangaphandle kwentliziyo nakuwo wonke umzimba.

Xa esi sihlunu sidumbile, amandla aso okupompa igazi ayisebenzi. Oku kubangela iingxaki ezinje ngokubetha kwentliziyo okungaqhelekanga, iintlungu esifubeni, okanye ingxaki yokuphefumla. Kwiimeko ezigabadeleyo, inokubangela amahlwili egazi akhokelele ekuhlaselweni sisifo sentliziyo okanye ukubetha, ukonakalisa intliziyo ngokusilela kwentliziyo, okanye ukufa.

Ngokwesiqhelo, ukudumba kukuphendula komzimba kulo naluphi na uhlobo lwenxeba okanye usulelo. Khawufane ucinge xa ​​usika umnwe wakho: ngexeshana nje elifutshane, izicwili ezijikeleze ukusika zidumba kwaye zijike zibe bomvu, eziziimpawu zakudala zokudumba. Amajoni omzimba emzimbeni wakho avelisa iiseli ezizodwa zokungxamela kwindawo enenxeba kunye nokwenza ulungiso.

Kodwa ngamanye amaxesha amajoni omzimba okanye esinye isizathu sokudumba sikhokelela kwi-myocarditis.

Yintoni ebangela i-myocarditis?

Kwiimeko ezininzi, oyena nobangela we-myocarditis akafumaneki. Xa imbangela ye-myocarditis ifunyenwe, ihlala isisifo esenze indlela yaso kwimisipha yentliziyo, enjengokusuleleka kwintsholongwane (eyona ixhaphakileyo) okanye intsholongwane, iparasiti, okanye usulelo lokungunda.

Njengokuba usulelo luzama ukubamba, amajoni omzimba alwa umva, ezama ukuphelisa esi sifo. Oku kukhokelela kwimpendulo yokuvuvukala enokuthi ibuthathaka intliziyo yomzimba womzimba. Ezinye izifo ezizimele, ezifana ne-lupus (SLE), zinokubangela ukuba amajoni omzimba ajike ajonge entliziyweni, oku kubangele ukuvuvukala kunye nomonakalo we-myocardial.

Ngokusoloko kunzima ukufumanisa ngqo ukuba yintoni ebangela i-myocarditis, kodwa izinto ezinokubakho zibandakanya ezi zinto zilandelayo.

Iintsholongwane

NgokweMyocarditis Foundation, intsholongwane yenye yezona zinto zixhaphakileyo zemyocarditis esosulelayo. Iintsholongwane eziqhelekileyo ezibangela i-myocarditis zibandakanya iqela le-Coxsackievirus B (i-enterovirus), i-Human Herpes Virus 6, kunye neParvovirus B19 (ebangela isifo sesihlanu).

Amanye amathuba abandakanya i-echoviruses (eyaziwa ngokuba ibangela usulelo lwesisu), intsholongwane ye-Epstein-Barr (ibangela isifo se-mononucleosis esosulelayo), kunye ne-virus ye-Rubella (ibangela imasisi yaseJamani).

Iintsholongwane

I-myocarditis nayo inokubangelwa Usulelo ngeStaphylococcus aureus okanye Corynebacterium diptheriae. IStaphylococcus aureus yibacteria enokubangela i-impetigo kwaye ibe kukunganyangeki kwe-methicillin (MRSA). I-Corynebacterium diptheriae yintsholongwane leyo ibangela i-diphtheria, usulelo olubi olutshabalalisa iiseli zomqala kunye neetoni.

Ngunda

Usulelo lwegwele, ukungunda kunye nezinye iifungi ngamanye amaxesha kunokubangela i-myocarditis.

IiParasites

Iincukuthu ziintsholongwane eziphila kwezinye izinto eziphilayo ukuze ziphile. Banokubangela i-myocarditis. Oku kunqabile e-United States kodwa kubonakala kakhulu kuMbindi nakuMzantsi Merika (apho sisidleleli I-Trypanosoma cruzi kubangela imeko eyaziwa ngokuba sisifo sikaChagas).

Izifo ezizenzekelayo

Izifo ezizimeleyo ezibangela ukuvuvukala kwamanye amalungu omzimba, njenge-rheumatoid arthritis okanye i-SLE, ngamanye amaxesha kunokubangela i-myocarditis.

Ziintoni iimpawu?

Into eyingozi malunga ne-myocarditis kukuba inokuchaphazela nabani na, yenzeka nakweyiphi na iminyaka, kwaye inokuqhubeka ngaphandle kokubonisa naziphi na iimpawu. Ukuba iimpawu ziyakhula, zihlala zifana nezo mpawu umntu anokufumana umkhuhlane, njenge:

• ukudinwa
• ukuqhawukelwa ngumphefumlo
• ifiva
• intlungu edibeneyo
• ukudumba komda osezantsi
• ukuva iintlungu esifubeni

Amaxesha amaninzi, i-myocarditis inokuzithoba ngaphandle konyango, kufana nokusikwa kumnwe wakho ekugqibeleni kuyaphilisa. Nokuba iimeko ezithile eziqhubeka ixesha elide azinakuze zenze ngequbuliso iimpawu zokungaphumeleli kwentliziyo.

Kodwa, ngasese, zinokubangela ukonakala kwimisipha yentliziyo apho iimpawu zokusilela kwentliziyo zibonakala kancinci emva kwexesha. Ngamanye amaxesha, intliziyo inokukhawuleza ukuveza ubunzima bayo, eneempawu ezifana nentlungu esifubeni, ukuphefumla kancinci, ukubetha kwentliziyo, kunye nokusilela kwentliziyo.

Kufunyaniswa njani?

Nangona i-myocarditis inokuba nzima ukuyichonga, ugqirha wakho angasebenzisa iimvavanyo ezininzi ukunciphisa umda weempawu zakho. Olu vavanyo lubandakanya:

• ukuvavanywa kwegazi: ukujonga iimpawu zosulelo okanye imithombo yokudumba
• X-reyi yesifuba: ukubonisa i-anatomy yesifuba kunye neempawu ezinokubangela ukusilela kwentliziyo
• i-electrocardiogram (ECG): ukufumanisa iirhafu zentliziyo ezingaqhelekanga kunye nezingqisho ezinokubonisa ukonakala kwentliziyo yemisipha
• qeebloyi (umfanekiso we-ultrasound wentliziyo): ukunceda ukufumanisa imiba yolwakhiwo okanye yokusebenza entliziyweni nakwimikhumbi ekufuphi
• i-myocardial biopsy (isampulu yentliziyo yemisipha): Kwezinye iimeko, inokwenziwa ngexesha lokuthotyelwa kwentliziyo ukuze uvumele ugqirha ukuba ahlole isiqwenga somzimba esivela entliziyweni.

Iingxaki ze-myocarditis

I-myocarditis inokubangela umonakalo omkhulu entliziyweni. Impendulo yomzimba yokuzikhusela komzimba, ngenxa yentsholongwane okanye olunye usulelo olwenza i-myocarditis, inokubangela ukonakala okubonakalayo njengamachiza athile okanye izifo ezizimele zodwa ezinokubangela i-myocarditis. Oku kunokukhokelela kukusilela kwentliziyo kunye nokufa ekugqibeleni. Ezi meko zinqabile, njengoko uninzi lwezigulana ezine-myocarditis ziphila kwaye ziphinde ziqhubeke nomsebenzi wentliziyo.

Ezinye iingxaki zibandakanya iingxaki kwisingqi sentliziyo okanye ireyithi, isifo sentliziyo, kunye nokubetha. Kwiimeko ezinqabileyo, ukufakelwa kwentliziyo okungxamisekileyo kunokuba yimfuneko.

I-Myocarditis ikwanxulunyaniswa nokufa ngesiquphe, ukuya kuthi ga kwiipesenti ze-9 zovavanyo lwabantu abadala ezibonisa ukudumba kwentliziyo yemisipha. Eli nani lixhuma liye kwiipesenti ezili-12 zovavanyo lwabantu abadala abancinci ababonisa ukudumba kwentliziyo yemisipha.

Unyango lwe-myocarditis lonyango njani?

Unyango lwe-myocarditis lunokubandakanya:

• unyango lwe-corticosteroid (ukunceda ukunciphisa ukudumba)
• amayeza enhliziyo, njenge-beta-blocker, i-ACE inhibitor, okanye i-ARB
• utshintsho kwindlela yokuziphatha, njengokuphumla, ukuthintelwa kolwelo, kunye nokutya okunetyuwa encinci
• Unyango lwe-diuretic ukunyanga ukugcwala kwamanzi
• unyango zintsholongwane

Unyango luxhomekeke kumthombo kunye nobukhali bokudumba okungabalulekanga. Kwiimeko ezininzi, oku kuyaphucuka ngamanyathelo afanelekileyo, kwaye uya kuphila ngokupheleleyo.

Ukuba i-myocarditis yakho iyaqhubeka, ugqirha wakho unokumisela i-corticosteroid ukukunceda ukunciphisa ukudumba. Kananjalo baya kuncoma ukuphumla, ukuthintela ulwelo, kunye nokutya okunetyuwa encinci. Unyango lwe-Antibiotic lunokunceda ukunyanga usulelo ukuba une-bacterium myocarditis. Unyango lwe-diuretic unokumiselwa ukuba ususe ulwelo olugqithisileyo emzimbeni. Ugqirha wakho unokuyalela amayeza anceda intliziyo ukuba isebenze ngokulula.

Phantse lonke olu nyango lusebenza ukunciphisa umthwalo womsebenzi entliziyweni ukuze luziphilise.

Ukuba intliziyo ayiphumeleli, ezinye iinkqubo ezingenayo zingenziwa esibhedlele. Ukufakelwa kwesincedisi-ntliziyo kunye / okanye isixhobo sokulungisa izixhobo kunokuba yimfuneko. Xa intliziyo yonakele kakhulu, oogqirha banokucebisa ukufakelwa kwentliziyo.

Ngaba inokuthintelwa?

Akukho manyathelo okukhusela ngokuqinisekileyo i-myocarditis, kodwa ukunqanda ukusuleleka kakhulu kunokunceda. Ezinye zeendlela ezicetyiswayo zokwenza oku zibandakanya:

• ukwenza isondo elikhuselekileyo
• ukuhlala usesikhathini kunye nokugonywa
• ucoceko olufanelekileyo
• ukuphepha amakhalane

Yintoni imbono?

Imbonakalo ye-myocarditis ikakhulu intle. Ithuba lokuphindaphinda kucingelwa ukuba limalunga ne-10 ukuya kwi-15 leepesenti, ngokweMyocarditis Foundation.Uninzi lwabantu abane-myocarditis bayachacha kwaye abanaziphumo zide zexesha elide entliziyweni yabo.

Kusekho okuninzi okunokufundwa malunga ne-myocarditis. Oogqirha bakholelwa ukuba i-myocarditis ayizuzwanga njengelifa kwaye abafumananga naziphi zofuzo ezibonisa ukuba kunjalo.