Myocarditis ndi matenda opweteka a minofu ya mtima, kawirikawiri imayambitsidwa ndi matenda, matenda a chitetezo cha mthupi, kapena poizoni. Pa milandu yoopsa, myocarditis ikhoza kuwononga mtima wamuyaya, makamaka, kuchepa kwa mtima ndi mtima wosalimba .
Zizindikiro za Myocarditis
Zizindikiro zomwe zimayambitsa myocarditis zimasiyana kwambiri pakati pa zowawa kwambiri ndi zoopsa kwambiri.
Zizindikiro zimagwirizanitsa ndi kuuma kwa kutupa komwe kumapezeka minofu ya mtima. Zizindikiro zochepa zimakhudzana ndi matenda akuluakulu a myocarditis, pomwe zizindikiro zoopsa zimasonyeza kuti zimakhala zotupa kwambiri.
Kwa anthu ambiri myocarditis ndi matenda ochepa komanso ochepa omwe ali ndi zizindikiro zochepa. Nthawi zina munthu amene ali ndi myocarditis adzadwala matenda ofanana ndi chimfine omwe amatha sabata kapena awiri.
Muzochitika zazikulu kwambiri zizindikiro zenizeni za mtima ziwonekera. Kupweteka pachifuwa kungakhale chizindikiro chachikulu. Ngati myocarditis imakhala yovuta kwambiri kufooketsa mtima, dyspnea (kupuma pang'ono) ndi edema (kutupa) kwa miyendo ndi mapazi zingakhoze kuchitika, limodzi ndi mavuto ena onse omwe munthu angakhoze kukhala nawo ndi mtima wolephera.
Nthaŵi zina, myocarditis imatulutsa mtima mwamsanga, wovuta, komanso wosasinthika.
Mtima wa arrhythmias ukhoza kuchitika panthawi yovuta ya myocarditis.
Izi zikhoza kukhala pafupifupi mtundu uliwonse, kuphatikizapo bradycardias (yochedwa mtima miyendo) ndi tachycardia (miyendo ya mtima yofulumira), monga tizilombo toyambitsa matenda ndi tachycardia . Izi zimayambira nthawi yomweyo pamene myocarditis ikutha.
Kodi Chimachititsa Bwanji Myocarditis?
Zambiri zomwe zimayambitsa myocarditis zadziwika.
Izi zikuphatikizapo:
- Matenda opatsirana ambiri, kuphatikizapo matenda a tizilombo, matenda a bakiteriya, matenda a Lyme , matenda a fungal, tizilombo toyambitsa matenda, ndi toxoplasmosis.
- Matenda a chitetezo cha mthupi kapena opweteka, kuphatikizapo lupus , sarcoidosis, matenda opweteka a m'mimba , postpartum cardiomyopathy (myocarditis atapereka mwana), ndi matenda a Graves
Kodi Myocarditis Amadziwika Bwanji?
Kutulukira kwa myocarditis kawirikawiri kumapangidwa pamene dokotala amaika pamodzi zizindikiro kuchokera m'magulu angapo, kuphatikizapo zizindikiro za mthupi ndi kupima thupi, electrocardiogram (yomwe kawirikawiri imasonyeza kusinthika kwa thupi), ndi mayesero ambiri a magazi (kuphatikizapo mapulaneti ambiri a mtima , mapiritsi osakwanira a magazi, osadziwika ma ARV, kapena mayeso a magazi). Ngati zizindikiro za mtima zilipo, pulogalamu yamakono ingakhale yothandiza poyesa kuchuluka kwa minofu ya mtima. Nthaŵi zina, chifuwa cha mtima chimakhala choyenera kufotokozera kukula kwake ndi mtundu wa kutupa komwe kumapezeka m'mitima ya mtima.
Kodi Myocarditis Yotani?
Chithandizo cha myocarditis chili chofunika kwambiri pozindikira ndi kuchiza chifukwa chomwe chimayambitsa. Mwachitsanzo, ndizofunika kwambiri kuti muzitha kuchiza matenda opatsirana pogwiritsa ntchito maantibayotiki oyenerera, kuti musamalire matenda aakulu, kapena kuchotsa chitsime cha poizoni (monga cocaine kapena mowa).
Kuwonjezera pamenepo, ngati mtima ulipo, chithandizo chamanyazi cha mtima woperewera chiyenera kukhazikitsidwa mwamsanga.
Kuonjezera apo, anthu omwe ali ndi myocarditis akuyenera kupewa masewera olimbitsa thupi kapena kuchita zofunikira zofunikira kuti athetse ntchito ya mtima panthawiyi.
Chidule
Nthaŵi zambiri, myocarditis ndi vuto la mtima lodzichepetsa komanso lokhazikika. Koma mwa anthu ena myocarditis ikhoza kutsogolera kufooka kwa mtima, ndipo ikhoza kutero mwina pang'onopang'ono kapena pang'onopang'ono. Ngati inu kapena wokondedwa wanu muli ndi myocarditis, nkofunika kuti mugwire ntchito ndi dokotala kuti mudziwe chomwe chimayambitsa chithandizo choyenera ndikuyesera kupewa zigawo zina.
Chitsime:
Caforio AL, Pankuweit S, Arbustini E, et al. Zomwe zilipo pakali pano pa zapamwamba, matenda, matenda, ndi mankhwala a myocarditis: ndemanga ya European Society ya Cardiology Working Group pa Myocardial ndi Pericardial Diseases. Mtima; 34: 2636.