Ka pāngia koe e te mamae ohorere o te uma, e te poto rānei o te manawa i ētahi wā? I ētahi wā, ka haere tahi ēnei tohu me te ngoikore, te kirika rānei. He ngāwari te whakakore i ēnei tohu me te mea kāore he kino, engari he tohu pea ēnei mō tētahi mate motuhake e pā ana ki tō ngākau . I tēnei rā, i Nirogi Lanka, e hiahia ana mātou ki te kōrero mō tētahi mate e pā ana ki te ngākau e warewarehia ana engari he mea nui kia mōhio.
He aha te Myopericarditis? Kia Māmā noa iho!
I te whakarapopototanga, ko te Myopericarditis he mate e pā ana ki te uaua o te ngākau (e mōhiotia ana i roto i te rongoā ko te myocardium ) me te kiriuhi tiaki e karapoti ana i te ngākau (e mōhiotia ana ko te pericardium ). Mena ka pupuhi tō uaua o te ngākau, ka mumura rānei, ka kiia ko te myocarditis . Waihoki, ki te mumura te pēke tiaki e karapoti ana i te ngākau, ka kiia ko te pericarditis .
Ina puta ngātahi te myocarditis me te pericarditis , engari ko te pānga matua kei te kiriuhi tiaki , ka kiia e mātou ko te Myopericarditis. Ka tīmata pea tēnei hei mamae iti engari ka taea te kino ake. I tetahi atu taha, ki te mea kei te kitea ngā āhuatanga e rua engari ko te uaua o te ngākau te raru matua , ka kiia ko te perimyocarditis . Ahakoa he rerekētanga hangarau, he rite tonu ngā tohu.
He aha te rerekētanga i waenga i te Myopericarditis me te Pericarditis?
Ka pāngia pea te hunga whai Myopericarditis me te hunga whai Pericarditis noa (he mumura e karapoti ana i te ngākau) e ngā tohu rite tonu, pēnei i:
- Mamae o te uma
- Te poto o te manawa
- Ngenge ( pau rawa )
- Kirika
Heoi anō, he rerekētanga haumanu nui kei reira. Ko ngā tūroro e pāngia ana e te Myopericarditis ka nui ake te tūponotanga ki te pāngia e ngā āhuatanga rerekē o te manawa o te ngakau (te tere o te ngakau, te koretake rānei o te ngakau) me te ngoikore o te mahi a te uaua o te ngakau .
I tētahi atu taha, ko te hunga whai Pericarditis takitahi ka nui ake te tūponotanga ki te whakawhanake i te pericardial effusion , arā, te kohikohinga o te wai i roto i te pēke e karapoti ana i te ngākau.
He aha ngā tohu o te Myopericarditis? Kia Mataara!
Mena ka pāngia koe e te Myopericarditis, me mōhio koe ki ēnei tohu motuhake:
- Te poto o te manawa: He uaua ki te manawa, inā koa i te piki arawhata, i te whakapau kaha rānei.
- Kirika: Te werawera, te pikinga rānei o te pāmahana.
- Ngenge: Te ngenge tonu ahakoa te roa o tō okiokinga, me te kore hoki o te kaha mō ngā mahi o ia rā.
- Te tere o te manawa: Te rongo i te tere o te manawa, te "pāorooro" i roto i tō uma, te rongo rānei me te mea kua peke te pao o tō manawa.
- Mamae o te uma: Koinei te tohu tino whakararuraru. Tērā pea ka pāngia koe e te mamae koi , e ai ki te tokomaha he rite ki te maripi e wero ana i te uma. Ka kino ake pea tēnei mamae ina manawa koe, ina maremare rānei. I ētahi wā ka mau tonu te mamae, ka ngawari ake rānei ina piko whakamua koe.Hei tauira, whakaarohia kei te tīmata koe ki te rongo i te mamae i waenganui o tō uma e horapa ana ki te taha maui. He mamae te manawa, engari mā te piko whakamua ka puta he whakamarie wā poto i a koe e takoto ana ka kino ake te mamae. Ki te pāngia koe e ēnei tohu, kaua e warewarehia - rapua tonutia he awhina hauora.
He aha te take o te Myopericarditis?
He maha ngā wā, kāore anō kia mārama te tino pūtake o te Myopericarditis. Heoi, kua tautuhia e ngā tohunga hauora ētahi mea pea e whakaoho ana i tēnei mate, tae atu ki:
- Ngā huaketo: Koinei te tino take. Ko ētahi tauira:
- Huaketo COVID-19
- Ngā huaketo rewharewha e hua ai te makariri me te rewharewha noa
- Ngā huaketo herpes
- Ko te huaketo Coxsackie (he take anō hoki mō te mate ringa, waewae, me te waha)
- HIV
- Hepatitis C
- Huakita: Pērā i ngā huakita e hua ai te mate kohi .
- Ngā pirinoa.
- Harore.
- Ētahi kano ārai mate: I ētahi wā, ka pā mai tēnei mate i ngā kano ārai mate rewharewha, i ngā kano ārai mate COVID-19 rānei. Ahakoa i roto i ēnei āhuatanga onge, ko ngā kēhi e pā ana ki ngā kano ārai mate COVID-19 kāore e horapa ki te mate kino.
- Te ngoikore o te mahi o te tairoi (te ngoikore o te mahi o te tairoi).
- Te ngoikore o te whatukuhu.
- He pukupuku i roto i tō ngākau.
- Ngā mate mumura pūnaha: Pērā i te Lupus , te IBD (Mate Puku Mumura) , te Rūmatoid Arthritis rānei.
- Matepukupuku metastatic: Pērā i te melanoma , te matepukupuku ū, te matepukupuku pūkahukahu rānei kua horapa ki te ngākau.
- Te rongoā irahiko ki te uma (mō te maimoatanga matepukupuku).
Ko wai kei te mōrearea nui ake?
Nā te mea ko ngā mate huaketo te tino take, he take nui te mōrearea o te mate huaketo i roto i te hītori . Mā te pangia e ngā huaketo pēnei i te Herpes , te Influenza , te COVID-19 , te Coxsackie , te HIV , te Hepatitis C rānei ka piki ake tō mōrearea. Hei tāpiri, e whakaatu ana ngā tatauranga he nui ake te kitea o te Myopericarditis i roto i ngā tāne me te hunga kei raro iho i te 40 tau te pakeke .
He aha ngā raruraru o te Myopericarditis?
Ki te kore e tika te whakahaere, ka pā mai pea ngā raruraru i te Myopericarditis. Heoi, kia noho pai, nā te mea ka ora pai te nuinga o ngā tūroro me te tiaki tika. Ko ngā raruraru pea ko:
- Pericarditis Whakapūmau: Ka puta tēnei ina matotoru te kiriuhi e karapoti ana i tō ngākau, ā, ka pūmau, ka kore ai e whānui tika te ngākau. Mena i puta tō myopericarditis i te huaketo, he iti iho i te 1% te mōrearea o tēnei mate. Heoi, mena i puta mai i te mate kitakita, ka piki ake te mōrearea ki waenga i te 20% me te 30%.
- Te ngoikore o te ngākau: He āhua e kore ai e taea e te ngākau te pupuhi toto kia tutuki ai ngā hiahia o te tinana.
- Te ngoikore o te ventricle maui: Ka puta ina kore te ventricle maui—te ruma papu matua o tō ngākau—e mahi pērā me tōna tikanga.
- Ngā Auautanga o te Manawa (Arrhythmias).
Me pēhea te tātaritanga o te myopericarditis?
Ki te whakapae koe he myopericarditis tōu, ka whakahaerehia e tō tākuta he whakamātautau tinana, ā, ka whakahau i ngā whakamātautau motuhake. Ka whakaarohia he mate tākuta mēnā ka puta mai koe me:
- He rite ngā tohu ki te pericarditis, inā koa te mamae o te uma.
- Te rerenga wai i roto i te ngākau (te kohi wai huri noa i te ngākau).
- Ngā whakamātautau toto e whakaatu ana i te mumura o te pūnaha io.
- He pūrongo ECG (Electrocardiogram) rerekē.
- Ngā whakamātautau whakaahua (hei tauira, te Echocardiogram) e whakaatu ana i te ngoikore o te mahi a te rūma ngākau (mēnā he noa te mahi, ka taea te kī he Pericarditis).
Ngā Whakamātautau Tātaritanga
Hei whakaū i te mate myopericarditis, ka whakamahia e ngā tohunga hauora o Nirogi Lanka ngā whakamātautau e whai ake nei:
- Ngā whakamātautau toto: Hei kite i ngā tohu o te pakaru me te mumura o te uaua o te ngākau (hei tauira, Troponin, CRP, ESR).
- ECG (Electrocardiogram): Hei tātari i ngā mahi hiko o tō ngākau, me te tautuhi i ngā hapa o te manawataki.
- Echocardiogram: Whakaarohia tēnei hei matawai ultrasound o tō ngākau. Mā tēnei ka taea e tātou te tiro i te rahi, te āhua, te mahi a te rūma, te hauora o te takirere o te ngākau, me te tirotiro mō te pericardial effusion.
- MRI o te Manawa (Whakaahua Āhua Matū o te Ngākau): Ka homai he whakaahua tino taipitopito o te manawa me te pericardium, hei āwhina i a tātou ki te whakatau i te whānuitanga tika o te mumura me te kino o te kiko.
- X-ray o te uma: Hei aromatawai i te rahi o tō ngākau me te āhua o ō pukahukahu.
- Matawai CT (Tomography Rorohiko): Tērā pea ka tonoa i roto i ngā take motuhake, uaua hoki.
Me pēhea te rongoā i te myopericarditis?
I runga i te āhua o tō mate, ka tohua e tō tākuta he rongoā me/ngā maimoatanga motuhake. I ētahi wā, inā koa he kino ngā tohu, me whakauru koe ki te hōhipera.
Ngā Rongoā me ngā Maimoatanga Motuhake
Ko te maimoatanga o te myopericarditis ko te nuinga o te wā:
- Ngā rongoā mamae mumura (NSAID): Pērā i te Ibuprofen. Ka rerekē pea te horopeta i runga i te mea kei te uaua o te ngākau, kei te pericardium rānei te mumura.
- Ētahi atu rongoā ārai-mumura: Tae atu ki te Prednisone (he corticosteroid) me te Colchicine.
- Ngā rongoā ngoikore o te ngākau/toto toto: Tērā pea ka tohua ngā Beta-blockers, ngā ACE inhibitors, ngā diuretics rānei (ngā pire wai) hei tautoko i te mahi a te ngākau me te whakahaere i te toto toto.
- Pericardiocentesis: He tikanga hei tango i te wai nui mai i te taha o te ngākau mā te whakamahi i te ngira mēnā kei te pēhanga te ngākau i te wai e pupū ake ana.
Ngā Pānga me ngā Whakararuraru
Ko ētahi rongoā e whakamahia ana mō te myopericarditis ka pāngia pea e ngā pānga taha ngawari, pēnei i:
- Te mamae o te puku, te whakapairuaki rānei.
- Pōuriuri.
- Te ngaronga o te hiahia kai.
- Te ngenge.
- Maremare maroke (he maha ngā wā e pā ana ki ngā aukati ACE).
- Ngā mamae o te upoko.
Ahakoa he tino onge, ka puta pea ngā raruraru mai i te pericardiocentesis, pēnei i:
- Te mate urutā i te wāhi i pangia ai.
- Te whara o te ngākau, o ngā pukahukahu, o te puku, o te ate rānei.
- Te kino ki ngā uaua toto nui e tata ana ki te ngākau.
Kia mārama koe, he tino onge ēnei āhuatanga, ā, ka whakapau kaha tā mātou tīma hauora ki te whakarite i tō haumaru.
He aha tāu e tumanako ai me te Myopericarditis?
Mena kua tāpaetia koe he myopericarditis, me whai wā motuhake tō ngākau ki te ora. Mena he kaitākaro koe, he nui rānei te pānga o tō uaua ngākau, ka tūtohu pea tō tākuta kia whakawhāitihia te mahi uaua, te whakakori tinana rānei mō te 6 marama. Hei tāpiri, ki te inu waipiro koe, he mea nui kia kaua e neke atu i te kotahi inu ia rā.
Kia pēhea te roa o te Myopericarditis?
Me tango pea koe i ngā rongoā pēnei i te Ibuprofen mō ētahi rā, wiki rānei. E 4 ki te 6 wiki te roa o te whakaoranga katoa mai i te myopericarditis. He mea nui te karo i te mahi nui rawa i tēnei wā kia ora ai koe.
He aha te Tirohanga (Matapae)?
Ko te rongo pai rawa atu, he tino pai te matapae mō te myopericarditis. Ka ora katoa te nuinga o te tangata, kāore he raruraru roa. Kia rongoatia, he mea onge te myopericarditis e hoki mai ana. Kia mau tonu te pai, whai i tō mahere maimoatanga, me te piri ki ngā tohutohu a tō tākuta.
Te Manaaki i a Koe Anō me te Whakaora
Ko te whai i ngā tohutohu a tō tākuta te taahiraa tino nui i roto i tō haerenga whakaora:
- Tangohia ngā rongoā katoa kia rite ki te whakahaunga, i te wā tika, ā, kia roa te wā e pau ana. Kaua e mutu wawe.
- Haere ki ngā wā tirotiro katoa, kaua e whakaroa. Ko te tikanga ka whakaritea ēnei i te kotahi marama, i te ono marama, me te kotahi tau. I roto i ēnei haerenga, ka aroturukihia e tō tākuta tō ahunga whakamua, ā, ka kōrero anō pea:
- Te Echocardiogram
- ECG
- Ngā whakamātautau toto
- MRI o te ngākau
- Whakarongo ki tō tinana. Okioki ina ngenge koe; kaua e hohoro te hoki ki te mahi katoa.
- Rapua te tautoko. Whakawhirinaki ki tō whānau me ō hoa i tēnei wā whakaora.
Āhea me rapu awhina hauora ohorere
Ahakoa i muri i te maimoatanga, ki te kite koe i ngā tohu e tohu ana i te Constrictive Pericarditis, whakapā atu ki ngā ratonga ohorere (911) me rapu awhina hauora tonu. Ko ngā tohu whakatūpato ko:
- Te tere o te manawa (te rongo i te tere o te manawa, te kore rānei e tere te pao).
- Te poto o te manawa, ina koa i te wā e hikoi ana, e takoto papatahi ana rānei.
- Te pupuhi i ngā waewae me ngā kapu waewae (Edema).
- Te nui rawa o te pupuri wai.
- Te pupuhi nui o te puku.
Kaua e whakaroa mēnā ka kite koe i ēnei tohu; rapua tonutia he awhina hauora ngaio.
Ngā Pātai hei Pātai atu ki tō Tākuta
Ina toro atu koe ki tō tākuta, tuhia ō pātai i mua i te wā kia kore ai koe e wareware i tetahi mea. Hei tauira, ka taea e koe te pātai:
- He aha pea te take i pā mai ai te myopericarditis ki ahau?
- Kia pēhea te roa me kai rongoā ahau mō tēnei mate?
- Āhea ahau ka tīmata ai te rongo i te whakamarie, i te whakapai ake rānei i aku tohumate?
- Āhea ahau ka taea ai te hoki haumaru ki taku mahi me taku mahi o ia rā?
- He here kai motuhake, he whakarerekētanga rānei me whai e au?
- He aha te tūponotanga ka hoki anō tēnei āhuatanga ā muri ake nei?
Te Karere Matua mō te Tango-Kāinga
He mea tino noa te manukanuka ina pāngia koe e te mamae o te uma. Heoi, mā te rapu awhina hauora tonu ka taea e koe te whiwhi i te tātaritanga tika. Ahakoa kua kitea koe he myopericarditis, kia māia kei te wātea ngā maimoatanga whai hua, ā, ka taea te whakahaere angitu i ō tohu mā te rongoā tika. Ko te taahiraa nui ko te whai i te mahere maimoatanga kua whakaritea e tō tākuta, me te haere ki ō wā tirotiro katoa. Tiakina tō ngākau, koinei hoki te manawataki o tō oranga!
