I-Myocarditis isifo esivuthayo esiswini senhliziyo, ngokuqhelekileyo kubangelwe izifo, izifo zokuzivikela, okanye i-toxins. Kwiimeko ezinzima, i-myocarditis inokubangela ukuba umonakalo wentliziyo isigxina, ngokukodwa, i-cardiomyopathy ne- heart failure .
Iimpawu zeMyocarditis
Iimpawu ezibangelwa yi-myocarditis ziyahlukahluka phakathi kobubele obukhulu kwaye bunzima kakhulu.
Iimpawu zivame ukuhambelana nobunzima bokuvuvukala kwintliziyo yesisu. Izimpawu ezincinci zidibaniswa neemeko ezinamandla ze-myocarditis, ngelixa iimpawu ezinzima zivame ukubonisa inkqubo ebalulekileyo yokuvuvukala.
Kwimininzi yabantu i-myocarditis isifo esincinci kwaye sinokulinganisela kunye neempawu ezimbalwa kakhulu. Ngamanye amaxesha umntu one-myocarditis uya kuba nesifo esifana nesifo sengculazi esisombululo kwisonto okanye ezimbini.
Kwiimeko ezininzi ezibalulekileyo iimpawu zomzimba zibonakala. Intlungu yesifuba ingaba uphawu oluphawulekayo. Ukuba i-myocarditis iba yomelele ngokwaneleyo ukudala ukungaphumeleli kwintliziyo, i- dyspnea (ukuphefumula okufutshane) kunye ne- edema (ukuvuvukala) kwemilenze kunye neenyawo ezinokuthi zenzeke kunye nazo zonke ezinye iingxaki ezinokuthi zenzeke ngokusilela kwintliziyo.
Ngamanye amaxesha, i-myocarditis ivelisa ukungaphumeleli kwintliziyo ngokukhawuleza, ezinzima kwaye ezingenakuphikelela.
I- arrhythmias yenhliziyo ingenzeka ngexesha le-myocarditis enzima.
Ezi i-arrhythmias zingaba phantse naziphi na uhlobo, kubandakanye zombini i bradycardias ( iincinci zeengqondo ezinqabileyo) kunye ne- tachycardias (izandi zentliziyo ezikhawulezayo), ezifana ne- frilling atrial kunye ne- tachycardia ye-ventricular . Ezi i-arrhythmias zihamba ngokukhawuleza emva kokuba i-myocarditis ekhangayo isombulula.
Yintoni eyenza i-Myocarditis?
Zininzi ezibangelwa i-myocarditis.
Ezi ziquka:
- Izifo ezinamayeza amaninzi afanelekileyo, kuquka ukusuleleka kwintsholongwane, ukusuleleka kubaktheriya, isifo seLyme, isifo se- fungal, i-parasites kunye ne-toxoplasmosis.
- Izifo ezikhuselweyo zomzimba okanye izifo, eziquka i- lupus , i-sarcoidosis, isifo sesisu , isifo se- postpartum cardiomyopathy (myocarditis emva kokuvelisa umntwana), kunye ne- Graves disease
I-Myocarditis Ifunyaniswa Njani?
Ukuxilongwa kwe-myocarditis ngokuqhelekileyo kwenziwa xa ugqirha ebeka ndawonye iimpawu ezivela kwimithombo ethile, kubandakanya iimpawu zesigulane kunye nokuhlolwa komzimba, i- electrocardiogram (edla ngokubonisa utshintsho lwezinto), kunye nokuhlolwa kwegazi ezininzi (kuquka i- enzymes ephezulu ye- cardiac , i-blood count, engavamile iimvavanyo zokuhlola i-rheumatologic, okanye iimvavanyo zegazi). Ukuba iimpawu zesifo senhliziyo zikhoyo, i- echocardiogram inokukunceda ekuhloleni ubungakanani bomonakalo wenhliziyo. Ngamanye amaxesha, i-heart hyper biopsy iyadingeka ukuba ibhale ubungakanani kunye nohlobo lokuvuvukala olukhoyo kwintliziyo yesisu.
I-Myocarditis Yenzelwa Njani?
Unyango lwe-myocarditis lujoliswe kuqala kwaye luphambili ekuchongeni nasekuphatheni isizathu esiyintloko. Ngokomzekelo, kubaluleke kakhulu ukuphatha unyango olusisiseko kwi-antibiotiki ezifanelekileyo, ukuphatha kakubi i-dismune disorder, okanye ukususa umthombo we-toxin exhaust (njenge cocaine okanye utywala).
Ukongezelela, ukuba kukho ukungaphumeleli kwentliziyo, unyango olunefuthe lwenkohlakalo lwenhliziyo kufuneka lusekwe ngokukhawuleza.
Ukongezelela, abantu abane-myocarditis ekhuselekileyo kufuneka baphephe ukuzivocavoca okanye naluphi na umzamo ongeyomfuneko wokunciphisa umsebenzi weentliziyo ngeli nqanaba elibi.
Isishwankathelo
Kwiimeko ezininzi, i-myocarditis iyinkathazo yentliziyo enobunene kwaye ingenakulinganiswa. Kodwa kwabanye abantu i-myocarditis inokukhokelela ekuphelelweni kwentliziyo ebalulekileyo, kwaye inokuyenza ngokunjalo okanye ngokuthe ngcembe. Ukuba wena okanye othandekayo unayo i-myocarditis, kubalulekile ukusebenza kunye nogqirha wakho ukufumanisa isizathu esivakalayo sokwenza unyango olufanelekileyo kwaye uzame ukuthintela ezinye izipapawu.
Umthombo:
Caforio AL, Pankuweit S, Arbustini E, et al. Umoya wamanje wolwazi kwi-etiology, ukuxilongwa, ukuphathwa, kunye nokunyangwa kwe-myocarditis: isitatimenti sesikhundla se-European Society of Cardiology Working Group kwiMyocardial and Pericardial Diseases. I-Eur Heart J 2013; 34: 2636.