I-systemic lupus erythematosus (SLE), isifo esizimele, isifo ngempela sezimpawu. Ukuhlaselwa kwalo emzimbeni wesimzimba kungathinta konke esikhumbeni nasemalungeni ezitho zangaphakathi.
Izinkinga ezivela ku-SLE ezithinta inhliziyo zivamile kwiziguli ze-lupus. I-Lupus ingabangela ukuvuvukala kwesisu senhliziyo (i-myocardium). Uma kwenzeka, lesi simo sibizwa ngokuthi i- myocarditis , futhi ngezinye izikhathi i- lupus myocarditis .
I-Myocarditis ne-Lupus
Ngokuvamile i-myocarditis ibhekwa njengento engavamile, futhi umphumela wanoma yiliphi inani lezifo ezibangelwa amagciwane, nakuba ezinye izifo ezithathelwana ngamagciwane nezifo zingenza ku-myocarditis. Ukusabela okubi eminye imithi kungabangela i-myocarditis.
Ukuze iziguli ze-lupus, i-myocarditis ivame ukuvela ngenxa yesifo esiwusebenzayo se-lupus.
I-myocarditis ingaba yingozi kakhulu. Umphumela wayo ezinhlobonhlobo ze-muscle - ezivuthayo futhi ezibuthakathaka - zingabangela ukwehluleka kwenhliziyo. Izindaba ezinhle: Isifo senhliziyo esibi kakhulu asivamile ku-SLE, ngokusho kweLupus Foundation of America.
Okushiwo uDokotela
Enye inkomba udokotela wakho angayibona ngaphambi kokwenza ukuxilongwa kwe-myocarditis ukuvuvukala kwamanye izicubu zomzimba.
Ezinye izibonakaliso noma obonisa ukuthi udokotela wakho uzozibuka zihlanganisa:
- Umlando wegciwane lesandulela ngculazi esandulele
- Fever
- Ubuhlungu besifuba
- Ubuhlungu obuhlangene noma ukuvuvukala
- Ukushaya kwenhliziyo okungavamile
- Ukukhathala
- Ukuphelelwa umoya
- Ukuvuvukala komlenze
- Ukungakwazi ukulala phansi
- Ukuphelelwa amandla, okuvame ukuhlobene nama-arrhythmias
- Umkhiqizo ophansi we-urine
Ucwaningo lwe-autopsy lwembula ukuthi abanye abantu abane-SLE bangase babe nobufakazi bokuthi i-myocarditis izicubu zikhona ngisho noma zingekho izimpawu.
Kulabo abanezibonakaliso noma izimpawu ezibonisa ukuthi i-myocarditis, udokotela wakho angenza noma yiziphi izinombolo zokuhlolwa, okufaka i-electrocardiogram, i-chest x-ray, i-echocardiogram, umsebenzi wegazi kanye nenhliziyo ye-muscle biopsy.
Ukwelapha i-Myocarditis
Uma kunqunywa ukuthi une-myocarditis ehlobene neSLE, udokotela wakho angase anikeze enye yezinketho eziningi zokwelapha. Lokho okukhethwa kukho kungabandakanya imithi kanye nokushintsha endleleni yokuphila (umsebenzi omncane) kanye nokudla (ukudla okusawoti okuphansi).
Imithi ejwayele iziguli ze-lupus ingase ihlanganise i-corticosteroids kanye nezidakamizwa ze- immunosuppressive . Ngokuya ngamandla omzimba we-muscle, udokotela wakho angase anikeze imithi eminye yokwelapha izimpawu zokuhluleka kwenhliziyo.
Ukubikezela kuxhomeke ekubambeni nesiguli ngasinye. Nakuba ukubuyisela okuphelele kungenzeka kwabanye, abanye bangase bathole ukuhluleka kwenhliziyo okuhlala njalo. Futhi, ngeshwa, kwabanye, lesi simo singabulala.
Imithombo:
> I-Myocarditis. I-MedlinePlus Glossary. Kubuyekezwe ngoJulayi 2006.
> I-Myocardium ne-Myocarditis. I-American Heart Association.
> I-Cardiopulmonary Disease. Lupus Foundation of America.