I-myocarditis yisifo sokuvuvukala esiswini senhliziyo, ngokuvamile esibangwa izifo, izifo zomzimba noma izidakamizwa. Ezimweni ezimbi, i-myocarditis ingaholela ekulimaleni kwenhliziyo unomphela, ikakhulukazi, ukuphelelwa yisifo senhliziyo nokuhluleka kwenhliziyo .
Izimpawu ze-Myocarditis
Izimpawu ezibangelwa i-myocarditis zingahlukahluka phakathi kokunciphisa kakhulu nokuqine kakhulu.
Izimpawu zivame ukuhambisana nokuqina kwesibindi esivela emisipha yenhliziyo. Izimpawu ezincane zihlotshaniswa nezimo ezinzima ze-myocarditis, kanti izimpawu ezinzima ngokuvamile zibonisa inqubo ephawulekayo yokuvuvukala.
Kulabantu abaningi i-myocarditis isifo esibucayi futhi esingenakubalwa nesimpawu ezimbalwa kakhulu. Ngezinye izikhathi umuntu onomzimba we-myocarditis uzothola ukugula okunjenge-flu okuxazulula ngesonto noma amabili.
Ezimweni ezibaluleke kakhulu izimpawu zangempela zenhliziyo zivela. Ubuhlungu besifuba kungaba uphawu oluvelele. Uma i-myocarditis iba kakhulu ngokwanele ekubangele ukuhluleka kwenhliziyo, i- dyspnea (ukuphefumula okuncane) kanye ne- edema (ukuvuvukala) kwemilenze nezinyawo kungenzeka, kanye nazo zonke ezinye izinkinga umuntu angakwazi ukubhekana nokuhluleka kwenhliziyo.
Ngezinye izikhathi, i-myocarditis ikhiqiza ukuhluleka kwenhliziyo okusheshayo, okunzima, nokungenakunyakaziswa.
I- arrhythmias yenhliziyo ingenzeka ngesikhathi se-myocarditis enzima.
Lawa ma-arrhythmias angaba cishe noma yiluphi uhlobo, kuhlanganise kokubili ama- bradycardias (izinhliziyo ezincipha kancane) kanye nama- tachycardias (imizwa yenhliziyo esheshayo), njenge -fibrillation ye-atrial kanye ne -tachycardia ye-ventricular . Lezi zi-arrhythmias ngokuvamile ziyahamba uma i-myocarditis enzima ixazulula.
Yini Ebangelwa I-Myocarditis?
Kunezimbangela eziningi ze-myocarditis.
Lokhu kufaka:
- Izifo ezinama-anti-infectious amaningi, kuhlanganise nezifo ezibangelwa amagciwane, ukutheleleka kwebhaktheriya, isifo se-Lyme , isifo sofungal, izimpungushe kanye ne-toxoplasmosis.
- Izifo zokuzivikela zomzimba noma zokuvuvukala, kuhlanganise ne- lupus , sarcoidosis, isifo sofuba esiswini , isifo se- postpartum cardiomyopathy (i-myocarditis ngemva kokuletha umntwana), nesifo se-Graves
I-Myocarditis Iqhathaniswa Kanjani?
Ukuxilongwa kwe-myocarditis ngokuvamile kwenziwa uma udokotela ebeka ndawonye izinkomba ezivela emithonjeni eminingana, kuhlanganise nezimpawu zesiguli nokuhlolwa komzimba, i- electrocardiogram (okuvame ukukhombisa ukushintsha kwezinto), nokuhlolwa kwegazi eziningana (kuhlanganise ne- enzymes ephakeme ye- cardiac , ukubala kwegazi okungavamile, okungavamile ukuhlola ukuhlolwa kwesifo se-rheumatologic, noma ukuhlola kwegciwane lesandulela ngculazi). Uma izimpawu zokuhluleka kwenhliziyo zikhona, i- echocardiogram ingasiza ekuhloleni izinga lokulimala kwenhliziyo. Ngezinye izikhathi, i-muscle biopsy ye-heart iyadingeka ukuthi ibhale ukuthi ubukhulu nobunjani bokuvuvukala bukhona emzimbeni wenhliziyo.
I-Myocarditis Iphathwe Kanjani?
Ukwelashwa kwe-myocarditis kuhloswe kuqala ekuboneni nasekuphatheni imbangela eyimbangela. Isibonelo, kubalulekile ukuphatha ukutheleleka okuyisisekelo ngama-antibiotiki afanelekile, ukuphatha ngokuhlukumezeka ukugula okuzenzakalelayo, noma ukususa umthombo wokuchayeka kwe-toxin (njenge-cocaine noma utshwala).
Ngaphezu kwalokho, uma ukwehluleka kwenhliziyo kukhona, ukwelashwa okunamandla kokuhluleka kwenhliziyo kufanele kuqaliswe ngokushesha.
Ngaphezu kwalokho, abantu abane-myocarditis ejulile kufanele bagweme ukuzivocavoca noma noma yikuphi ukuzama ngokomzimba okungadingekile ukunciphisa umsebenzi wenhliziyo phakathi nalesi sigaba esiyingozi.
Isifingqo
Ezimweni eziningi, i-myocarditis yinkinga yenhliziyo ephansi futhi enomkhawulo. Kodwa kwabanye abantu i-myocarditis ingaholela ekuhlulekeni kwenhliziyo ephawulekayo, futhi ingenza kanjalo kancane noma kancane kancane. Uma wena noma othandekayo enesifo se-myocarditis, kubalulekile ukusebenza nodokotela wakho ukuthola ukuthi yini eyimbangela yokwenza ukwelashwa okufanele futhi uzame ukuvimbela iziqephu ezengeziwe.
Umthombo:
Caforio AL, Pankuweit S, Arbustini E, et al. Isimo solwazi lwamanje nge-etiology, ukuxilongwa, ukuphathwa, kanye nokwelashwa kwe-myocarditis: isitatimende sesikhundla se-European Society of Cardiology Working Group kwiMyocardial and Pericardial Diseases. I-Eur Heart J 2013; 34: 2636.