I-Myocarditis kukuvuvukala kwintliziyo yesisu, kwaye enye yeemeko zengqondo ezinxulumene nokufa ngokukhawuleza kubadlali abancinci . Xa kwenzeka, i-myocarditis kaninzi ayinayo impawu ngaphambili, kwaye umdlali omncinci angase azive kakuhle ngokwaneleyo ukukhuphisana, engazi ukuba yingxaki. Emva koko, emva kokuxilongwa, uvavanyo luya kuba lula. Umntu omncinci onomdla we-myocarditis unokubuya njani ekusebenziseni umzimba, ingaba uqeqesho luya kuthinteka kangakanani kwixesha elizayo, kwaye yiyiphi into eyenziwa okanye ayiyi kucetyiswa?
Ngaphambi kokuxoxa ngokugqithisileyo kwe-myocarditis kunye nokusebenzisa iziphakamiso, kubalulekile ukuthetha ngamagqabi amancinci aphethe imyocarditis encinci, kwaye ngenxa yoko, abanako ukuqonda imida yabo yokusebenza. Ngandlela-thile, ukuba ne-myocarditis enobungozi kunokuba yingozi ngaphezu kokufumana isifo esibi. Ekuqaleni kwinqanaba le-myocarditis, abantu banokuba nabambalwa ukuba kukho naziphi iimpawu. Oku kuthetha ukuba umdlali omncinci onomdla we-myocarditis uya kuhlala evakalelwa ngokufanelekileyo ukwenzela ukuncintisana, kwaye akanako ukungazi ngokupheleleyo ingozi. Nangona nge-myocarditis enobumnene, abagijimi abatsha kufuneka banqande kakhulu imisebenzi yabo yezemidlalo baze banikwe "konke kucace" yi-cardiologist yabo.
I-Myocarditis ngokubanzi
I-Myocarditis isifo esivuthayo esichaphazela isisu senhliziyo. I-Myocarditis inokubangelwa ziziganeko ezininzi ezibandakanya izifo (ezifana ne-Coxsackie virus, i-toxoplasmosis, nesifo seLyme ), izifo ezahlukahlukeneyo (ezifana ne- lupus ), kunye neempendulo kwiiyobisi ezahlukeneyo kunye neziyobisi (ezifana ne-cocaine).
Kwiimeko ezingaphezu kwembalwa akukho nto ebangela ukuba ifumaneke, kwimeko apho i-myocarditis kuthiwa "idiopathic."
Iimpawu ze-myocarditis ziyahlukahluka kakhulu kwizigulane ezine-myocarditis, ngokuxhomekeke kwinqanaba lokuvuvukala elikhoyo entliziyweni kunye nenani lentliziyo ewonakaliswe yintlungu.
Xa i-myocarditis inzima yaye inokuchaphazela inxalenye enkulu yentliziyo yesisipha, ingavelisa i- cardiomyopathy ne-heart failure . Oku kuvame ukuhamba kunye neempawu ezibandakanya i- dyspnea (ukuphefumula okufutshane), ukukhathala, ubuthathaka, kunye ne-edema (ukuvuvukala).
Ngakolunye uhlangothi, i-myocarditis inokuchaphazela kuphela iincinci ezincinci zesisu senhliziyo, ezinempawu ezinobunzima kakhulu ezifana nobuthakathaka obuthathaka okanye ukululazeka okulula. Ngamanye amaxesha, impawu kuphela yintlungu yesifuba eyenzeka kuphela ngexesha lokuzivocavoca. Kwezinye iimeko ze-myocarditis, ayikho impawu nhlobo.
I-Myocarditis inokuvela njengesifo esibi kakhulu, okanye ivelise isigulo esingapheliyo.
Ukuchonga iMyocarditis
Kukho inani leemvavanyo ezisetyenziselwa ukuxilonga i-myocarditis, kuquka i- electrocardiogram (ECG). Kwakhona, kubalulekile ukuqaphela, ukuba abantu abaninzi abafumana ukufa ngokukhawuleza ngenxa ye-myocarditis baye bafumana iimpawu ezintle, ngoko ke, abazange bafumane ukuvavanywa okuza kubonakalisa ukuxilongwa.
Inqaku eliKhethekileyo Kwabadlali Abaselula abaneMyocarditis Enhle
Njengoko kuthethwe ekuqaleni, ukuqhutyelwa kwabadlali abancinci abaneemyocarditis kuphela ezinobungozi kunokuba yingozi. Laba ngabantu abaxhomekeke ekufeni ngokukhawuleza ngexesha leemeko zezemidlalo.
Kuba baninzi kakhulu bala bantu, akubanga nesizathu sokwenza iimvavanyo zentliziyo eziza kunika iingqinisiso zokuba ukuvutha kwentliziyo kubakho.
Ukuba ungumzali one-myocarditis emnene, kubalulekile ukuqinisekisa ukuba umntwana wakho uyaziqhelanisa neziphakamiso zokusebenzisa njengoko ukhona. I-Myocarditis ihlala ikhula ngexesha elifanayo lobomi xa abantu abaselula bezama ukuzimela abazimeleyo baze benze izigqibo zabo. Ukongeza kwengozi yokufa, ukuzivocavoca kakhulu kunokubeka umntwana engozini yokulimala kwenhliziyo kunye nokukhubazeka, kwaye kubaluleke ukuba aba badlali abancinci bayakuqonda oku.
Xa ukuxilongwa kwe-myocarditis kwenziwa kumdlali osemncinci, kudla ngokucetyiswa ukuba banqabile yonke imidlalo yokukhuphisana ubuncinane ubuncinane kweenyanga ezintandathu, kuphela ukuqala ukukhuphisana ukuba iimvavanyo zentliziyo zibonisa ukuphucula ngokupheleleyo.
Ukuzivocavoca kwangaphambili Emva kokuxilongwa kweMyocarditis
Xa i-myocarditis ifunyaniswa okokuqala, umzimba uvame ukupheliswa ngokupheleleyo ukuqonda ngokupheleleyo iinkcukacha zemo meko. Ngokuqhelekileyo, ukusetyenziswa (kwanoma yiyiphi na idijithi) ayinyanzeliswa kude kube ngumsebenzi we-ventricle yekhohlo yentliziyo (ikamelo elikhulu lenhliziyo elipompoza igazi kuwo wonke umzimba) libuyela kwinto eqhelekileyo, kwaye akukho ziqhelo zentliziyo ezingavamile. Nangona kungekho zixhobo ze-arrhythmias, kwaye umsebenzi we-ventricular uqhelekileyo, umzimba awufanele uphinde ubuyiselwe ukuba kukho naziphi na iimpawu zokuvuvukala entliziyweni.
Kodwa ezinye iimeko ezininzi ziza kufuneka ziqwalaselwe ngokunjalo, kubandakanywa isizathu esinokubangela ukuba i-myocarditis, kwaye ukuba yinto engapheliyo (njengentsholongwane) okanye inkqubo eqhubekayo. Ezinye zibangele ukwanda kokufa ngokukhawuleza kuninzi kwabanye. Ngokomzekelo, kwafunyanwa ukuba ukunyusa umzimba kwandisa ingozi yokufa ngama-45 ekhulwini kulabo abane-myocarditis eyenziwa yi-Coxsackie.
Ukuqalisa Ukuzivocavoca Nge-Myocarditis
Njengoko imeko yomntu iphucula, kwaye ukuhlolwa ngokulinganisela kuthathwa njengokhuselekile, kunokunceda. Oko kwathiwa, naluphi na umsebenzi omele uqaliswe phantsi kolawulo olumkileyo lwe-cardiologist yakho. Kubantu abaninzi, ukulungiswa kwemizimba kunokumiselwa ukuba kuqinisekiswe ukuba oku kwenzeka kwindawo elawulwayo.
Ukuzivocavoca kwaziwa ngokuba neempembelelo ezichasayo kunye nemiphumo kwi-immune system eyenza ukulwa neentsholongwane (imbangela ecaleni kwama-50 ekhulwini amatyala e-myocarditis).
Xa umntu esicacisiwe ukuba abuyele ekusebenziseni, uqeqesho oluqhelekileyo luvame ukucetyiswa. Ukuzivocavoca okulinganayo kunele ukubonela inzuzo malunga nokuvuvukala, ngoxa uqeqesho olunzulu alukwazi nje ukuba lube yingozi, kodwa lunokuphucula imiphumo enobungozi bentliziyo ye-viral myocarditis.
Ukuzivocavoca kunye neMyocarditis
Umsebenzi wokukhuphisana kufuneka ugwenywe ubuncinane ubuncinane kwiinyanga ezintandathu (iingcebiso zaseYurophu, iingcebiso zaseMelika ziinyanga ezintathu ukuya kwezi-6), kwaye emva koko zibuyele phantsi kolawulo lwe-cardiologist.
Ngaphambi kokubuyela kwimisebenzi, abadlali kufuneka bahlolisiswe ngokupheleleyo nge-ECG, i-ECG yokuxinzelela, ukubeka iliso kwi-Holter kunye ne-echocardiogram. Ezinye izazi ze-cardiologists zingancoma intliziyo ye-MRI, nangona asiqinisekanga ngenzuzo ngeli xesha. Abadlali abaphelelwa yintsikelelo yentliziyo yabo bangabikho mngcipheko weengcamango ezingavamile kunye nokufa ngokukhawuleza, kwaye ukubuyela kumncintiswano akunakucetyiswa.
Ixesha elide Ukujonga ngokuzivocavoca nge-Myocarditis
Umbono wexesha elide malunga nokusetyenziswa kweengcebiso kunye ne-myocarditis kuya kuxhomekeka kwisizathu, kunye naluphi na umonakalo wentliziyo osisigxina owawugcinwa ukuvuvukala. Izimbangela ezininzi zegciwane le-myocarditis zizodwa, kodwa zingashiya umonakalo ongapheliyo onokuthintela umsebenzi osebenzayo kwixesha elizayo.
Ukuziphatha okulungileyo nokubi kunye ne-Myocarditis
Uhlobo olungcono lomzimba lwabo abaya kubuya kwi-myocarditis luya kuxhomekeka kwimibandela emininzi, kubandakanywa nayiphi na umonakalo wentliziyo okanye umonakalo. Inkqubo yokusetyenziswa kufuneka isebenze ngokucophelela kunye ne-cardiologist yakho, kwaye ukuqala ngokuvuselelwa kwimizimba yindlela yokujonga umsebenzi ngokukhuselekileyo kunokwenzeka xa kusenokwenzeka xa umsebenzi uqalile.
Ngaphantsi kwi-Exercise With Myocarditis
I-Myocarditis idla ngokubangela izifo ezibangelwa yi-viral ezinokuchaphazela abadlali abanomdla. Ngelishwa, abo basemngciphekweni wokufa ngokukhawuleza kaninzi abo banesifo esibuhlungu kakhulu, njengoko iimpawu zabo azizange zibaxelele ingxaki.
Xa sele ufumaniswe, umsebenzi owenziwe ngomzimba unqande kakhulu kwiinyanga eziliqela. Ngaphambi kokubuyela kwimisebenzi, i-cardiologist iya kufuna ukubona ukuba umsebenzi we-muscle we-heart, ngokukodwa umsebenzi we-ventricular oshiyekileyo, ubuye wabuyiselwa, kwaye akukho ziqu zentliziyo ezingavamile. Kwakhona kubalulekile ukuqinisekisa ukuba ukuvuvukala kwe-myocarditis kuye kwagqiba, nangona kungekho ziindlela ezilula zokumisela oku. Ukuvavanya kweekardi kuquka ne-ECG, uvavanyo lwexinzelelo lwe-ECG, i-echocardiogram, ukubeka iliso kwi-Holter kunye nezinye iimvavanyo ezinokucetyiswa.
Ukunyanzeliswa kokusetyenziswa kokuqala kwangoko, kunye nemisebenzi ethile ekhuthazwayo, iya kuxhomekeka kwimeko ethile, kwaye kufuneka uxoxwe ngokucokisekileyo kunye ne-cardiologist yakho. Oku kufuneka kuhambisane naluphi na amanyathelo okucetyiswayo, kunye nolwazi malunga naziphi na iimpawu ukuba zijonge ukujonga ukuba umsebenzi uninzi kangakanani.
> Imithombo:
> Ikholeji yaseMerika yaseCarology. I-Myocarditis kwi-Athlete. 01/31/18. http://www.acc.org/latest-in-cardiology/articles/2018/01/18/15/00/myocarditis-in-the-thlete
> Cooper, L. Ukwelashwa kunye nokuxhamlaliswa kweMyocarditis kubantu abadala. UpToDate . Ukuhlaziywa 08/28/17.