Myocarditis

Myocarditis ndikutupa kwa minofu yamtima.

Vutoli limatchedwa kuti ana myocarditis likachitika mwa ana.

Myocarditis ndimatenda achilendo. Nthawi zambiri, zimayambitsidwa ndi matenda omwe amafika pamtima.

Mukakhala ndi kachilombo, chitetezo chanu chimatulutsa maselo apadera olimbana ndi matenda. Ngati matendawa akukhudza mtima wanu, maselo olimbana ndi matendawa amalowa mumtima. Komabe, mankhwala opangidwa ndi maselowa amathanso kuwononga minofu ya mtima. Zotsatira zake, mtima umatha kukhuthala, kutupa, ndi kufooka.

Matenda ambiri amayamba chifukwa cha kachilombo kamene kamafika pamtima. Izi zitha kuphatikizira kachilombo ka fuluwenza (chimfine), coxsackievirus, parovirus, cytomegalovirus, adenovirus, ndi ena.

Zingayambitsenso matenda a bakiteriya monga Lyme matenda, streptococcus, mycoplasma, ndi chlamydia.

Zina mwazomwe zimayambitsa myocarditis ndi monga:

• Zomwe zimachitika ndi mankhwala ena, monga mankhwala ena a chemotherapy
• Kuwonetsedwa ndi mankhwala m'chilengedwe, monga zitsulo zolemera
• Matenda chifukwa cha bowa kapena majeremusi
• Mafunde
• Matenda osokoneza bongo omwe amayambitsa kutupa mthupi lonse

Nthawi zina chifukwa chenicheni sichingadziwike.

Sipangakhale zizindikiro. Zizindikiro zitha kukhala zofanana ndi chimfine. Ngati zizindikiro zikuchitika, zingaphatikizepo:

• Kupweteka pachifuwa komwe kumafanana ndi vuto la mtima
• Kutopa kapena kusowa mndandanda
• Malungo ndi zizindikiro zina za matendawa kuphatikizapo kupweteka mutu, kupweteka kwa minofu, zilonda zapakhosi, kutsegula m'mimba, kapena zotupa
• Ululu wophatikizana kapena kutupa
• Kutupa kwamiyendo
• Wotuwa, manja ndi mapazi ozizira (chizindikiro chosayenda bwino)
• Kupuma mofulumira
• Kuthamanga kwa mtima mwachangu

Zizindikiro zina zomwe zingachitike ndi matendawa:

• Kukomoka, komwe kumakhudzana ndimitundumtima yosasinthasintha
• Kutulutsa mkodzo wotsika

Matenda a myocarditis amatha kukhala ovuta kuwazindikira chifukwa zizindikilo zake zimafanana ndimatenda ena amtima ndi m'mapapo, kapena chimfine.

Wopereka chithandizo chamankhwala amatha kumva kugunda kwamtima mwachangu kapena kumveka kwamtima kosamveka akumvera pachifuwa cha mwana ndi stethoscope. Kuyesedwa kwakuthupi kumatha kuzindikira zakumwa m'mapapu ndi kutupa m'miyendo mwa ana okulirapo.

Pakhoza kukhala zizindikilo za matenda, kuphatikiza malungo ndi zotupa.

X-ray pachifuwa imatha kuwonetsa kukulira (kutupa) kwa mtima. Ngati wothandizirayo akukayikira kuti myocarditis itengera mayeso ndi chifuwa cha x-ray, electrocardiogram itha kuchitidwanso kuti athandizire matendawa. Kusanthula mtima ndi njira yolondola kwambiri yotsimikizira kuti ali ndi matendawa, koma sikofunikira nthawi zonse. Komanso, mtima wam'mimba sungadziwitse matendawa ngati kachidutswa kakang'ono ka mtima kamene kamachotsedwa sikakhala ndi thupi kapena malingaliro ena.

Mayesero ena omwe angafunike ndi awa:

• Zikhalidwe zamagazi kuti muwone ngati alibe matenda
• Kuyezetsa magazi kuti ayang'ane ma antibodies olimbana ndi mavairasi kapena minofu ya mtima
• Kuyezetsa magazi kuti muwone momwe chiwindi ndi impso zimagwirira ntchito
• Kuwerengera kwathunthu kwa magazi
• Mayeso apadera owunikira kupezeka kwa ma virus m'magazi (virus PCR)

Chithandizochi chimapangidwa chifukwa cha vutoli, ndipo chitha kuphatikizira:

• Maantibayotiki olimbana ndi matenda a bakiteriya
• Mankhwala otchedwa steroids kuti achepetse kutupa
• Intravenous immunoglobulin (IVIG), mankhwala opangidwa ndi zinthu (zotchedwa ma antibodies) omwe thupi limatulutsa kuti athane ndi matenda, kuwongolera zotupa
• Odzetsa amachotsa madzi ochulukirapo m'thupi
• Zakudya zamcherecherere
• Kuchepetsa ntchito

Ngati minofu ya mtima ndi yofooka, omwe amakupatsirani mankhwala amakupatsani mankhwala kuti athane ndi vuto la mtima. Nyimbo zosazolowereka zimafuna kugwiritsa ntchito mankhwala ena. Mwinanso mungafunike chipangizo monga pacemaker, kapena implantable cardioverter-defibrillator ’kuti mukonze kugunda kwamtima koopsa kwachilendo. Ngati magazi amaundana ali m'chipinda chamtima, mudzalandiranso mankhwala opatulira magazi.

Kawirikawiri, kuika mtima kungafunike ngati minofu ya mtima yafooka kwambiri kuti igwire ntchito.

Zotsatira zake zimatha kusiyanasiyana, kutengera zomwe zimayambitsa vuto komanso thanzi la munthu. Anthu ena akhoza kuchira kwathunthu. Ena atha kulephera mtima mtima.

Zovuta zingaphatikizepo:

• Matenda a mtima
• Mtima kulephera
• Matenda a m'mapapo

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za myocarditis, makamaka mutadwala matenda aposachedwa.

Pitani kuchipatala nthawi yomweyo ngati:

• Zizindikiro zanu ndizovuta.
• Mwapezeka kuti muli ndi myocarditis, ndipo mwachulukitsa kupweteka pachifuwa, kutupa, kapena kupuma.

Chitani zinthu zomwe zimayambitsa myocarditis mwachangu kuti muchepetse chiopsezo.

Kutupa - minofu yamtima

• Myocarditis
• Mtima - gawo kupyola pakati
• Mtima - kuwonera kutsogolo

Cooper LT, Knowlton KU. Myocarditis. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 79.

Knowlton KU, Savoia MC, Oxman MN. Myocarditis ndi pericarditis. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 80.

McKenna WJ, Elliott P. Matenda a myocardium ndi endocardium. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 54.