Hiki paha i kekahi mea e like me kēia ke hana i kou puʻuwai? E aʻo kākou e pili ana i ka myopericarditis!

Ke manaʻo koke nei ʻoe i kekahi manawa i ka ʻeha o ka umauma, ka pōkole o ka hanu, a i ʻole kahi manaʻo nāwaliwali iki? Hiki iā ʻoe ke manaʻo i ke kuni a i ʻole ka manaʻo o ka maʻi. Ke loaʻa iā mākou nā hōʻailona e like me kēia, manaʻo pinepine mākou he mea maʻamau lākou a hoʻowahāwahā iā lākou. Eia naʻe, i kekahi manawa hiki i kēia ke lilo i mau hōʻailona o kahi kūlana kūikawā e pili ana i ko mākou puʻuwai . I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e hoʻopilikia ai i ka puʻuwai, akā ʻaʻole i kamaʻilio nui ʻia i loko o ke kaiāulu, akā he mea nui loa ia e makaʻala.

He aha ka Myopericarditis? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka myopericarditis kahi maʻi e hoʻopilikia ai i ka ʻiʻo o kou puʻuwai (i kapa ʻia ʻo myocardium ma ke ʻano lapaʻau) a me ka membrane pale e hoʻopuni ana iā ia (ka pericardium). E noʻonoʻo, lilo kou ʻiʻo puʻuwai i mumū, a i ʻole ka mumū . ʻO ia ka mea a mākou e kapa nei he myocarditis. A, inā lilo pū ka membrane pale e hoʻopuni ana i ka puʻuwai i mumū, ua kapa ʻia ʻo ia he pericarditis .

I kēia manawa, ʻoiai ʻo kēia mau kūlana ʻelua, ʻo `(Myocarditis)` a me `(Pericarditis)` e hui pū ʻia, inā ʻo ka ʻāpana i hoʻopilikia nui ʻia ʻo ia ka membrane pale a puni ka puʻuwai , ʻo ia ka mea a mākou e kapa nei ʻo `(Myopericarditis)`. Hiki i kēia ke hoʻomaka i kekahi manawa ma ke ʻano he pilikia liʻiliʻi a holomua i kahi kūlana koʻikoʻi. Eia nō naʻe, inā loaʻa kēia mau kūlana ʻelua, a ʻo ka pilikia ka hapa nui ma ka ʻiʻo puʻuwai , ua kapa ʻia ʻo `(Perimyocarditis)`. Aia kahi ʻokoʻa loea ma waena o nā mea ʻelua, akā hiki ke like loa nā hōʻailona.

He aha ka ʻokoʻa ma waena o ka pericarditis a me ka myopericarditis?

Hiki i nā kānaka me ka myopericarditis a me ka poʻe me ka pericarditis wale nō ( ka mumū o ka membrane e hoʻopuni ana i ka puʻuwai) ke ʻike i nā hōʻailona like. ʻO kēia mau mea:

• ʻEha umauma
• Paʻakikī ka hanu ʻana
• Luhi
• kuni

Eia nō naʻe, aia kahi ʻokoʻa koʻikoʻi ma ʻaneʻi. ʻOi aku ka nui o ka poʻe me ka myopericarditis i ka ʻike ʻana i nā ʻano ʻē o ka puʻuwai (nā loli i ke ʻano o ka puʻuwai, e like me ka wikiwiki loa a i ʻole ke kuʻi ʻana) a me ka hana ʻino o nā ʻiʻo o ka puʻuwai (kahi kūlana i hana pono ʻole ai nā ʻiʻo o ka puʻuwai).

Ma ka ʻaoʻao ʻē aʻe, no ka poʻe i loaʻa wale i ka pericarditisAia kahi pilikia kiʻekiʻe o ka pericardial effusion (kahi hōʻiliʻili ʻana o ka wai i loko o ka ʻeke a puni ka puʻuwai).

He aha nā hōʻailona o ka myopericarditis? E makaʻala i kēia mau mea!

No laila, he aha nā hōʻailona o ka myopericarditis? Pono ʻoe e makaʻala i kēia mau mea:

• Pōkole o ka hanu: Manaʻo ia e like me ʻoe e pilikia ana i ka hanu ʻana, me he mea lā e hiolo ana ʻoe ke piʻi ʻoe i ke alapiʻi, a i ʻole ke luhi iki ʻoe.
• Kuni: Ke ʻano o ka wela i loko o ke kino.
• Luhi: Manaʻo luhi a hoihoi ʻole i kekahi mea, ʻaʻohe mea i ka nui o kāu hiamoe.
• Nā palpitations o ka puʻuwai: He manaʻo e kuʻi wikiwiki ana kou puʻuwai, a i ʻole ke hana nei i kahi leo "kuʻi" i loko o kou umauma, a i ʻole ke lele nei kou puʻuwai i hoʻokahi a ʻelua paha kuʻi.
• ʻEha umauma: ʻO kēia ka hōʻailona maʻamau a hoʻopilikia hoʻi no nā poʻe he nui. Hiki ke lilo i ʻeha ʻoi . Hiki ke manaʻo e like me ke hou ʻana o kekahi iā ʻoe i ka umauma me ka pahi. Hiki ke ʻoi aku ka ʻeha ke hanu ʻoe a i ʻole ke kunu. I kekahi manawa hiki ke mau kēia ʻeha umauma a i ʻole hiki ke hoʻomaha ʻia ma ke kūlou ʻana i mua . E noʻonoʻo ua hoʻomaka koke kekahi hoaaloha ou, e ʻōlelo kākou ʻo Sunil, e ʻeha e hoʻomaka ana ma waenakonu o kona umauma a neʻe i ka ʻaoʻao hema. Ua paʻakikī hoʻi ʻo ia i ka hanu ʻana. Ua manaʻo ʻo ia ua māmā iki i kona kūlou ʻana i mua, akā ua ʻoi aku ka ʻeha i kona hoʻāʻo ʻana e moe i lalo. Inā ua loaʻa iā ʻoe kēia ʻike, mai hoʻowahāwahā iā ia.

He aha nā kumu o ka myopericarditis?

I ka hapa nui o ka manawa, paʻakikī i nā kauka ke hoʻomaopopo pono i ke kumu o ka myopericarditis. ʻO ia hoʻi, ʻaʻole maopopo ke kumu. Eia nō naʻe, aia kekahi mau mea i ʻike ʻia e hiki ke hoʻoulu i kēia maʻi. E nānā kākou i ke ʻano o lākou:

• Nā maʻi: ʻO kēia paha ke kumu maʻamau. Eia kekahi laʻana:
• ʻO ka maʻi COVID-19
• ʻO ka maʻi influenza, ka mea e hoʻoulu ai i ke anu maʻamau a me ka maʻi flu
• Nā ʻano o nā maʻi Herpes
• ʻO ka maʻi Coxsackie (ʻo ia hoʻi ke kumu o ka maʻi lima, wāwae, a me ka waha)
• ʻO ka HIV (Human Immunodeficiency Virus) (ʻo ia hoʻi, ka maʻi e hoʻoulu ai i ka AIDS)
• Hepatitis C (kahi maʻi e hoʻopilikia ai i ke akepaʻa)
• Bacteria: No ka laʻana, nā bacteria e hoʻoulu ai i ka maʻi puʻupuʻu.
• Nā Parasite.
• Nā ʻūlū.
• ʻO kekahi mau lāʻau pale: ʻAʻole hiki i nā lāʻau pale smallpox a i ʻole COVID-19 ke hana pinepine i kēia maʻi.Hana ʻia ia. Eia nō naʻe, inā paha e hoʻoulu ka lāʻau pale COVID-19 i ka myopericarditis, ua hōʻike ʻia ʻaʻole ia e holomua i kahi maʻi koʻikoʻi.
• Ka emi ʻana o ka hana thyroid (Hypothyroidism).
• Ka hāʻule ʻana o nā puʻupaʻa.
• He puʻupuʻu i loko o kou puʻuwai.
• Nā maʻi mumū ma nā wahi ʻē aʻe o ke kino: No ka laʻana, lupus, maʻi ʻōpū mumū (IBD), a me nā maʻi autoimmune e like me ka rheumatoid arthritis.
• Ka maʻi ʻaʻai i pālahalaha i nā ʻāpana ʻē aʻe o kou kino: No ka laʻana, ka maʻi ʻaʻai ʻili e like me ka melanoma, ka maʻi ʻaʻai umauma, a i ʻole ka maʻi ʻaʻai māmā i pālahalaha i ka puʻuwai.
• Ke loaʻa nei ka lāʻau lapaʻau radiation i kou umauma (no nā maʻi e like me ke kanesa).

ʻO wai ka mea i pilikia nui no kēia maʻi?

Manaʻo nā kauka ʻo nā maʻi viral ke kumu nui o ka myopericarditis. No laila, ʻo ka loaʻa ʻana o kahi maʻi viral he kumu nui ia no kēia maʻi. ʻO nā maʻi viral e like me nā mea a mākou i kūkākūkā ai ma mua, e like me ka herpes, influenza (flu), COVID-19, Coxsackie virus, HIV, a me Hepatitis C, hiki ke hoʻoweliweli iā ʻoe.

Eia kekahi, e like me nā helu helu, ua hōʻike ʻia ua hoʻopilikia pinepine ka myopericarditis i nā kāne a ʻoi aku ka nui o ka hiki ke loaʻa i nā poʻe ʻōpio ma lalo o 40 mau makahiki .

He aha nā pilikia e hiki ke loaʻa mai ka myopericarditis?

Inā ʻaʻole mālama pono ʻia ka myopericarditis, hiki ke loaʻa kekahi mau pilikia. Akā, mai hopohopo, ʻo ka hapa nui o ka manawa e hoʻoponopono maikaʻi ʻia kēia kūlana. ʻO nā pilikia e hiki mai ana:

• ʻO ka Pericarditis Constrictive: ʻO kēia ka wā e mānoanoa a paʻakikī ai ka membrane a puni ka puʻuwai, e pale ana i ka puʻuwai mai ka hoʻonui pono ʻana. ʻOi aku ka liʻiliʻi o ka pilikia o kēia ma mua o 1% i nā poʻe me ka myopericarditis viral. Eia nō naʻe, inā i hoʻokumu ʻia e kahi maʻi bacteria, hiki ke piʻi ka pilikia ma waena o 20% a me 30%.
• Ka Holo ʻole o ka Puʻuwai: He kūlana kahi i hiki ʻole ai i ka puʻuwai ke pamu i ke koko lawa i ke kino.
• Ka hana pono ʻole o ka ventricle hema: ʻO ka ventricle hema, ke keʻena pumping nui o ka puʻuwai, ʻaʻole hana pono.
• Nā ʻano puʻuwai ʻē.

Pehea e ʻike ʻia ai ka myopericarditis?

Inā kānalua ʻoe he myopericarditis kou, e nānā kāu kauka iā ʻoe a kauoha i kekahi mau hoʻokolohua. ʻIke pinepine ʻia ke kūlana inā loaʻa iā ʻoe kēia mau mea:

• Nā hōʻailona like me ka pericarditis, ʻoi aku ka ʻeha o ka umauma.
• ʻO ka hoʻokahe ʻana o ka wai a puni ka puʻuwai (ka hoʻopili ʻana o ka wai a puni ka puʻuwai).
• Nā hoʻāʻo koko e hōʻike ana i ka mumū.
• He hōʻike hoʻāʻo ECG (Electrocardiogram) kūpono ʻole.
• Inā hōʻike nā hoʻokolohua kiʻi (e.g., echocardiogram) e hana pono ana nā keʻena o ka puʻuwai (inā ʻaʻole lākou e hana pono ana, he perimyocarditis paha ia).

Nā hoʻokolohua diagnostics

Hoʻohana nā kauka i nā hoʻokolohua e hiki mai ana e ʻike i ka myopericarditis:

• Nā hoʻāʻo koko: E nānā no ka hōʻino ʻana o nā ʻiʻo puʻuwai a me ka mumū (e.g., troponin, CRP, ESR).
• ECG (Electrocardiogram): No ka nānā ʻana i ka hana uila o ka puʻuwai a ʻike i nā ʻano ʻē i loko o ka puʻuwai.
• Echocardiogram: Ua like kēia me kahi scan ultrasound o ka puʻuwai. Hiki iā ia ke nānā i ka nui a me ke ʻano o ka puʻuwai, ka hana o nā keʻena, ke kūlana o nā valves, a inā he pericardial effusion.
• MRI o ka puʻuwai (Magnetic Resonance Imaging): Kōkua kēia i ka loaʻa ʻana o nā kiʻi maopopo loa o ka puʻuwai a me ka pericardium a ʻike pono i ka nui o ka mumū a me ka pōʻino ma laila.
• X-ray o ka umauma: E nānā i ka nui o ka puʻuwai a me ke kūlana o nā māmā.
• CT Scan (Computed Tomography): Pono paha kēia i kekahi mau hihia kūikawā.

Pehea e mālama ʻia ai ka myopericarditis?

Ma muli o kou kūlana, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau a/a i ʻole kahi lāʻau lapaʻau kikoʻī. I kekahi manawa, pono paha ʻoe e lawe ʻia i ka haukapila, ʻoiai inā koʻikoʻi kou mau hōʻailona.

Nā lāʻau lapaʻau a me nā lāʻau lapaʻau i hoʻohana ʻia

No ka mālama ʻana i ka myopericarditis, hoʻohana ʻia nā lāʻau lapaʻau penei:

• Nā Lāʻau Anti-inflammatory Nonsteroidal (NSAID): No ka laʻana, ibuprofen. Hiki ke ʻokoʻa ka nui o ka lāʻau ma muli o ka ʻike ʻia ʻana o kāu mau hōʻailona ma ka ʻiʻo puʻuwai a i ʻole ka pericardium.
• Nā lāʻau lapaʻau ʻē aʻe e like me ka Prednisone (he ʻano steroid) a me Colchicine.
• Nā lāʻau lapaʻau no ka maʻi puʻuwai/ke koko kiʻekiʻe: Hiki ke kuhikuhi ʻia nā Beta-blockers, ACE inhibitors (Angiotensin-converting enzyme inhibitors), a i ʻole diuretics (nā pila wai) e kōkua i ka hana o ka puʻuwai a kaohi i ke koko.
• ʻO Pericardiocentesis: He kaʻina hana e wehe ai i ka wai mai ka ʻeke pericardial e hoʻopuni ana i ka puʻuwai me ka hoʻohana ʻana i ka nila inā he hōʻiliʻili ʻana o ka wai i loko o ka ʻeke e hoʻopuni ana i ka puʻuwai a ke kau nei i ke kaomi ma ka puʻuwai.

Nā hopena ʻaoʻao a me nā pilikia o ka mālama ʻana

Hiki i nā lāʻau lapaʻau i hāʻawi ʻia no ka myopericarditis ke hana i nā hopena ʻaoʻao liʻiliʻi i kekahi poʻe. Nā laʻana:

• ʻŌpū ʻeha, nausea.
• Pōʻaiʻī.
• ʻAʻohe ʻono o ka meaʻai.
• Luhi.
• ʻŪhū maloʻo (ʻoi aku hoʻi ma muli o ka hoʻohana ʻana i nā mea hoʻopaʻa ACE).
• ʻEha poʻo.

Hiki i ka Pericardiocentesis ke hoʻoulu pinepine i nā pilikia, e like me:

• Ka maʻi ʻana.
• Ka ʻeha i ka puʻuwai, nā māmā, ka ʻōpū, a i ʻole ke akepaʻa.
• Ka hōʻino ʻana i nā kīʻaha koko nui kokoke i ka puʻuwai.

Akā, he mau mea kakaikahi loa kēia, a ke hopohopo nui nei nā kauka no kēia.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka myopericarditis?

Inā loaʻa iā ʻoe ka myopericarditis, pono ʻoe e hāʻawi i kou puʻuwai i kekahi manawa e ho'ōla ai. Inā he mea pāʻani ʻoe a inā ua hoʻopilikia ke ʻano i kou ʻiʻo puʻuwai, e ʻōlelo paha kāu kauka iā ʻoe e kaupalena i ka hana ikaika no kahi o 6 mau mahina. Eia kekahi, inā inu ʻoe i ka waiʻona, he mea nui e kaupalena iā ia i hoʻokahi mea inu i kēlā me kēia lā.

Pehea ka lōʻihi o ke ola ʻana o ka myopericarditis?

Pono paha ʻoe e lawe i nā lāʻau lapaʻau e like me ka ibuprofen no kekahi mau lā a i ʻole mau pule. Hiki i ka myopericarditis ke hala i 4 a 6 mau pule e ho'ōla piha ai. He mea nui e pale i ka hana ikaika i kēia manawa.

He aha ka manaʻolana no ka myopericarditis?

ʻO kēia ka nūhou maikaʻi loa. Maikaʻi loa ka wānana no ka myopericarditis. Hoʻōla ka hapa nui o ka poʻe me ka ʻole o nā pilikia a i ʻole nā ​​​​hopena lōʻihi. Ma hope o ka mālama ʻana, ʻaʻole pinepine ka myopericarditis e hoʻi hou. No laila e mālama pono, e kiʻi i ka lāʻau kūpono, a e hahai i nā ʻōlelo a kāu kauka.

Pehea wau e mālama ai iaʻu iho? He mea nui kēia mau mea i ka wā e hoʻōla ai!

ʻO ka mea nui i ka wā e ho'ōla ai mai ka myopericarditis, ʻo ia ke hahai pololei i nā ʻōlelo a kāu kauka.

• E lawe i kāu lāʻau lapaʻau e like me ke kauoha, i ka manawa kūpono, no ka lōʻihi o ka manawa. Mai ho'ōki i ka lawe ʻana i ka hapalua.
• E hōʻoia e hele i nā hālāwai hoʻomau. ʻO ka maʻamau, hoʻokahi mahina, ʻeono mahina, a me hoʻokahi makahiki kēia mau hālāwai. Ma kēia mau hālāwai, e nānā ke kauka iā ʻoe a e hana hou paha i nā hoʻokolohua e like me:
• ʻEchocardiogram
• ʻO ka ECG (Electrocardiogram)
• Nā hoʻāʻo koko
• ʻO ka MRI o ka puʻuwai
• E hoʻolohe i kou kino. Inā luhi ʻoe, e hoʻomaha. Mai hana nui i ka hana i ka manawa hoʻokahi.
• E ʻimi i ke kōkua mai kou ʻohana. He mea nui loa ke kākoʻo iā ʻoe i kēia manawa.

Āhea wau e ʻike ai i ke kauka? E makaʻala i kēia mau hōʻailona!

ʻOiai ma hope o ka mālama ʻana, inā loaʻa iā ʻoe nā hōʻailona o ka pericarditis constrictive, e ʻike koke i ke kauka. ʻO kēia mau hōʻailona:

• Nā palpitations o ka puʻuwai.
• Ka paʻakikī o ka hanu ʻana, ʻoiai i ka wā e hele ana a moe ana paha.
• Ka pehu ʻana o nā wāwae a me nā ʻūhā (Edema).
• Ka mālama ʻana i ka wai.
• Ka pehu nui o ka ʻōpū.

Inā ʻike ʻoe i kekahi mea e like me kēia, mai hoʻokaʻulua, e ʻike koke i ke kauka.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, e kākau i kekahi mau nīnau āu. Ma kēlā ʻano ʻaʻole ʻoe e poina i kekahi mea. Eia kekahi laʻana, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• He aha ka mea hiki ke kumu o ka myopericarditis?
• Pehea ka lōʻihi o kaʻu lawe ʻana i kēia lāʻau lapaʻau?
• Āhea wau e hoʻomaka ai e ʻoi aku ka maikaʻi?
• Āhea wau e hoʻi hou ai i kaʻu mau hana maʻamau a me kaʻu hana?
• Pono anei iaʻu e kaohi i kekahi mea e pili ana i ka meaʻai a me ka mea inu?
• He aha nā manawa kūpono e hiki hou mai ai kēia kūlana?

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

He mea maʻamau ka makaʻu i ka wā e loaʻa ai ka ʻeha o ka umauma. Akā, ma ka ʻimi koke ʻana i ke aʻo lapaʻau, hiki iā ʻoe ke ʻike pono i ka mea i pilikia. ʻOiai inā ua ʻike ʻia ʻoe me ka myopericarditis, aia nā lāʻau lapaʻau maikaʻi, a hiki i nā lāʻau lapaʻau ke kōkua i ka kaohi ʻana i kāu mau hōʻailona. ʻO ka mea nui loa, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka a hele i kāu mau manawa hoʻopaʻa. E mālama i kou puʻuwai, no ka mea, ʻo ia kou koko ola!