Kodi nthawi zina mumamva kupweteka pachifuwa mwadzidzidzi kapena kupuma movutikira pang'ono? Nthawi zina, zizindikirozi zimatha kutsagana ndi kumva kufooka kapena kutentha thupi. N'zosavuta kunyalanyaza zizindikirozi ngati kuti si zazikulu, koma kwenikweni zingakhale zizindikiro za vuto linalake lokhudza mtima wanu. Lero, ku Nirogi Lanka, tikufuna kukambirana za vuto lokhudzana ndi mtima lomwe nthawi zambiri limanyalanyazidwa koma lofunika kulidziwa.
Kodi matenda a mtima (Myopericarditis) ndi chiyani? Tiyeni tikhale osavuta!
Mwachidule, Myopericarditis ndi matenda omwe amakhudza minofu ya mtima (yomwe imadziwika kuti myocardium ) komanso nembanemba yoteteza mtima (yomwe imadziwika kuti pericardium ). Ngati minofu ya mtima wanu yatupa kapena ikuvutika ndi kutupa , timatcha myocarditis . Mofananamo, ngati thumba loteteza mtima latupa, limatchedwa pericarditis .
Ngati matenda a myocarditis ndi pericarditis onse awiri achitika pamodzi, koma vuto lalikulu limakhala pa nembanemba yoteteza , timatcha matenda a Myopericarditis. Izi zingayambe ngati kusapeza bwino pang'ono koma zitha kukhala zoopsa kwambiri. Mosiyana ndi zimenezi, ngati matenda onse awiriwa alipo koma vuto lalikulu liri pa minofu ya mtima , amatchedwa perimyocarditis . Ngakhale pali kusiyana kwapadera, zizindikiro zimakhalabe zofanana kwambiri.
Kodi pali kusiyana kotani pakati pa matenda a mtima ndi mtima (pericarditis)?
Anthu onse omwe ali ndi Myopericarditis ndi omwe ali ndi Pericarditis yosavuta ( kutupa komwe kumangokhala pa nembanemba yozungulira mtima) akhoza kukhala ndi zizindikiro zofanana, monga:
- Kupweteka pachifuwa
- Kupuma movutikira
- Kutopa ( kutopa )
- Malungo
Komabe, pali kusiyana kwakukulu pakati pa matenda. Odwala omwe ali ndi matenda a Myopericarditis nthawi zambiri amakhala ndi vuto la kugunda kwa mtima (kugunda mofulumira kapena kosasinthasintha kwa mtima) komanso kufooka kwa ntchito ya minofu ya mtima .
Kumbali ina, anthu omwe ali ndi matenda a Pericarditis omwe ali okhaokha amakhala ndi vuto la pericardial effusion , lomwe ndi kuchulukana kwa madzi m'thumba lozungulira mtima.
Kodi zizindikiro za matenda a mtima (Myopericarditis) ndi ziti? Khalani maso!
Ngati muli ndi matenda a myopericarditis, muyenera kudziwa zizindikiro izi:
- Kupuma movutikira: Kumva kuvutika kupuma, makamaka mukakwera masitepe kapena mukuchita khama.
- Malungo: Kumva kutentha kapena kutentha kukukwera.
- Kutopa: Kutopa kosalekeza mosasamala kanthu za kuchuluka kwa nthawi yomwe mumapuma, kuphatikiza ndi kusowa mphamvu pa zochita za tsiku ndi tsiku.
- Kugunda kwa mtima: Kumva mtima wanu ukugunda, "kugunda" pachifuwa panu, kapena kumva ngati mtima wanu wagunda kwambiri.
- Kupweteka pachifuwa: Ichi nthawi zambiri chimakhala chizindikiro chovutitsa kwambiri. Mungamve kupweteka kwambiri , komwe ambiri amakutcha kuti kumamveka ngati mpeni ukubaya pachifuwa. Kupweteka kumeneku kumatha kukulirakulira mukamapuma mpweya kapena kutsokomola. Nthawi zina ululuwo umakhala wosalekeza, kapena ungachepe pang'ono mukawerama patsogolo.Mwachitsanzo, taganizirani kuti mwayamba kumva ululu pakati pa chifuwa chanu kutembenukira kumanzere. Kumapweteka kupuma, koma kuwerama patsogolo kumabweretsa mpumulo kwakanthawi pamene mukugona kumapangitsa ululuwo kukhala woipitsitsa. Ngati mukukumana ndi zizindikiro izi, musanyalanyaze—funani thandizo lachipatala nthawi yomweyo.
Kodi chimayambitsa matenda a mtima (Myopericarditis) ndi chiyani?
Kawirikawiri, chomwe chimayambitsa matenda a mtima (Myopericarditis) sichikudziwika bwino. Komabe, akatswiri azachipatala apeza zinthu zingapo zomwe zingayambitse matendawa, kuphatikizapo:
- Mavairasi: Ichi ndiye chifukwa chofala kwambiri. Zitsanzo zake ndi izi:
- Kachilombo ka covid19
- Mavairasi a fuluwenza omwe amayambitsa chimfine ndi fuluwenza
- Mavairasi a Herpes
- Kachilombo ka Coxsackie (komwe kamayambitsa matenda a manja, mapazi, ndi pakamwa)
- HIV
- Chiwindi cha chiwindi C
- Mabakiteriya: Monga mabakiteriya omwe amayambitsa chifuwa chachikulu .
- Tizilombo toyambitsa matenda.
- Bowa.
- Katemera wina: Kawirikawiri, katemera wa nthomba kapena COVID-19 angayambitse vutoli. Ngakhale nthawi zina, milandu yokhudzana ndi katemera wa COVID-19 nthawi zambiri siipita patsogolo kukhala matenda oopsa.
- Hypothyroidism (chithokomiro chosagwira ntchito mokwanira).
- Kulephera kwa impso.
- Chotupa mumtima mwanu.
- Matenda otupa m'thupi: Monga Lupus , IBD (Matenda Otupa M'matumbo) , kapena Rheumatoid Arthritis .
- Khansa ya metastatic: Monga khansa ya Melanoma , khansa ya m'mawere, kapena khansa ya m'mapapo yomwe yafalikira kumtima.
- Chithandizo cha radiation pachifuwa (chochiritsira khansa).
Ndani ali pachiwopsezo chachikulu?
Popeza matenda opatsirana ndi mavairasi ndiye chifukwa chachikulu, mbiri ya matenda opatsirana ndi mavairasi ndi chinthu chachikulu chomwe chimayambitsa chiopsezo. Kutenga kachilombo ka Herpes , Influenza , COVID-19 , Coxsackie , HIV , kapena Hepatitis C kumawonjezera chiopsezo chanu. Kuphatikiza apo, ziwerengero zikuwonetsa kuti matenda a Myopericarditis amapezeka kwambiri mwa amuna ndi omwe ali pansi pa zaka 40 .
Kodi mavuto a Myopericarditis ndi ati?
Ngati sichikuthandizidwa bwino, matenda a mtima (Myopericarditis) angayambitse mavuto. Komabe, khalani ndi chiyembekezo, chifukwa odwala ambiri amachira bwino ndi chisamaliro choyenera. Mavuto omwe angakhalepo ndi awa:
- Kutsekeka kwa mtima: Izi zimachitika pamene nembanemba yozungulira mtima wanu ikukula ndikukhala yolimba, zomwe zimalepheretsa mtima kukula bwino. Ngati myopericarditis yanu idayambitsidwa ndi kachilombo, chiopsezo cha vutoli ndi chochepera 1%. Komabe, ngati idayambitsidwa ndi kachilombo ka bakiteriya, chiopsezocho chikhoza kukwera kufika pakati pa 20% ndi 30%.
- Kulephera kwa Mtima: Mtima sungathe kupopa magazi moyenera kuti ukwaniritse zofunikira za thupi.
- Kulephera kwa Mitsempha Yakumanzere: Kumachitika pamene ventricle yakumanzere—chipinda chachikulu chopopera cha mtima wanu—sichigwira ntchito momwe chiyenera kukhalira.
- Miyimbo Yosazolowereka ya Mtima (Arrhythmias).
Kodi matenda a myopericarditis amachiritsidwa bwanji?
Ngati mukuganiza kuti muli ndi matenda a myopericarditis, dokotala wanu adzakuyesani thupi lanu ndikuyitanitsa mayeso enaake. Matendawa nthawi zambiri amaganiziridwa ngati muli ndi:
- Zizindikiro zofanana ndi pericarditis, makamaka kupweteka pachifuwa.
- Kuchuluka kwa madzi m'thupi (pericardial effusion) (madzimadzi omwe amasonkhana mozungulira mtima).
- Kuyezetsa magazi komwe kumasonyeza kutupa kwa thupi lonse.
- Lipoti la ECG (Electrocardiogram) losazolowereka.
- Mayeso ojambulira zithunzi (monga Echocardiogram) omwe akuwonetsa kusokonekera kwa magwiridwe antchito a chipinda cha mtima (ngati ntchito yake ndi yabwinobwino, ikhoza kugawidwa mu Pericarditis).
Mayeso Ozindikira
Kuti atsimikizire kupezeka kwa matenda a myopericarditis, akatswiri azachipatala ku Nirogi Lanka amagwiritsa ntchito mayeso otsatirawa:
- Kuyezetsa magazi: Kuzindikira zizindikiro za kuwonongeka kwa minofu ya mtima ndi kutupa (monga Troponin, CRP, ESR).
- ECG (Electrocardiogram): Kuwunika momwe mtima wanu umagwirira ntchito ndikupeza vuto lililonse la kayendedwe ka mtima.
- Echocardiogram: Ganizirani izi ngati ultrasound scan ya mtima wanu. Zimatithandiza kuona kukula kwa mtima, mawonekedwe ake, momwe chipindacho chikuyendera, thanzi la valavu yake, komanso kuwona ngati pali kutuluka kwa magazi m'mitsempha ya mtima.
- MRI ya Mtima (Cardiac Magnetic Resonance Imaging): Imapereka zithunzi zambiri za mtima ndi pericardium, zomwe zimatithandiza kudziwa kuchuluka kwa kutupa ndi kuwonongeka kwa minofu.
- X-ray ya pachifuwa: Kuyesa kukula kwa mtima wanu ndi momwe mapapo anu alili.
- Kujambula kwa CT (Computed Tomography): Kungapemphedwe pazochitika zinazake komanso zovuta.
Kodi matenda a myopericarditis amachiritsidwa bwanji?
Kutengera ndi momwe matenda anu akuyendera, dokotala wanu adzakupatsani mankhwala ndi/kapena mankhwala enaake. Nthawi zina, makamaka ngati zizindikiro zake zili zazikulu, wodwalayo angafunike kulowa m'chipatala.
Mankhwala ndi Mankhwala Apadera
Kuchiza myopericarditis nthawi zambiri kumaphatikizapo:
- Mankhwala ochepetsa ululu (NSAIDs): Monga Ibuprofen. Mlingo wake ungasiyane malingana ndi ngati kutupa kuli makamaka mu minofu ya mtima kapena pericardium.
- Mankhwala ena oletsa kutupa: Kuphatikizapo Prednisone (corticosteroid) ndi Colchicine.
- Kulephera kwa mtima/Mankhwala ochepetsa kuthamanga kwa magazi: Ma Beta-blockers, ACE inhibitors, kapena diuretics (mapiritsi amadzi) angapatsidwe kuti athandize kugwira ntchito kwa mtima komanso kuchepetsa kuthamanga kwa magazi.
- Pericardiocentesis: Njira yochotsera madzi ochulukirapo kuzungulira mtima pogwiritsa ntchito singano ngati madzi akuchulukirachulukira akuyambitsa kupanikizika pamtima.
Zotsatirapo ndi Mavuto
Mankhwala ena omwe amagwiritsidwa ntchito pa matenda a myopericarditis angayambitse zotsatirapo zochepa, monga:
- Kusamva bwino m'mimba kapena nseru.
- Chizungulire.
- Kusowa chilakolako.
- Kutopa.
- Chifuwa chouma (chomwe nthawi zambiri chimagwirizana ndi mankhwala oletsa ACE).
- Mutu.
Ngakhale kuti ndi zovuta kwambiri, mavuto ochokera ku pericardiocentesis amatha kuchitika, monga:
- Matenda pamalopo.
- Kuvulala kwa mtima, mapapo, m'mimba, kapena chiwindi.
- Kuwonongeka kwa mitsempha yayikulu yamagazi pafupi ndi mtima.
Dziwani kuti izi sizichitika kawirikawiri, ndipo gulu lathu lachipatala limayesetsa kusamala kuti mukhale otetezeka.
Kodi mungayembekezere chiyani ndi matenda a myopericarditis?
Ngati mwapezeka ndi matenda a myopericarditis, mtima wanu umafunika nthawi yokwanira kuti muchire. Ngati ndinu wothamanga, kapena ngati minofu ya mtima wanu yakhudzidwa kwambiri, dokotala wanu angakulangizeni kuti muchepetse kuchita masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi kwa miyezi 6. Kuphatikiza apo, ngati mumamwa mowa, ndikofunikira kuchepetsa kumwa mowa osapitirira kamodzi patsiku.
Kodi Myopericarditis Imatenga Nthawi Yaitali Bwanji?
Mungafunike kumwa mankhwala monga Ibuprofen kwa masiku angapo kapena milungu ingapo. Kuchira kwathunthu ku matenda a mtima nthawi zambiri kumatenga milungu 4 mpaka 6. Kupewa kuchita zinthu mopitirira muyeso panthawiyi ndikofunikira kwambiri kuti muchiritse.
Kodi Chiyembekezo (Kulosera) n'chiyani?
Nkhani yabwino kwambiri ndi yakuti nthawi zambiri matendawa amapezeka chifukwa cha matenda a myopericarditis. Anthu ambiri amachira bwino popanda mavuto a nthawi yayitali. Akalandira chithandizo, matenda a myopericarditis obwerezabwereza sachitika kawirikawiri. Khalani ndi chiyembekezo, tsatirani dongosolo lanu la chithandizo, ndipo tsatirani malangizo a dokotala wanu mosamala.
Kudzisamalira ndi Kuchira
Kutsatira malangizo a dokotala wanu ndi gawo lofunika kwambiri paulendo wanu wochira:
- Imwani mankhwala onse monga momwe mwalangizidwira, panthawi yoyenera, komanso nthawi yonse. Musasiye msanga.
- Pitani ku misonkhano yonse yotsatira mosalephera. Nthawi zambiri nthawi zambiri imakhala ya mwezi umodzi, miyezi isanu ndi umodzi, ndi chaka chimodzi. Pa maulendo amenewa, dokotala wanu adzayang'anira momwe mukuyendera ndipo angabwerezenso:
- Echocardiogram
- ECG
- Kuyezetsa magazi
- MRI ya mtima
- Mvetserani thupi lanu. Pumulani nthawi iliyonse mukatopa; musafulumire kubwerera ku zochita zanu zonse.
- Funani thandizo. Thandizani banja lanu ndi anzanu panthawi yochira.
Nthawi Yoyenera Kupeza Chithandizo Chachipatala Chadzidzidzi
Ngakhale mutalandira chithandizo, ngati mukuona zizindikiro zosonyeza kuti muli ndi vuto la mtima lotchedwa Constrictive Pericarditis, funsani ogwira ntchito zadzidzidzi (911) kapena funani chithandizo chamankhwala mwachangu. Zizindikiro zochenjeza zikuphatikizapo:
- Kugunda kwa mtima (kumva kugunda kwa mtima kapena kugwedezeka).
- Kupuma movutikira, makamaka poyenda kapena kugona pansi.
- Kutupa m'miyendo ndi m'mapazi (Edema).
- Kusunga madzi ambiri.
- Kutupa kwakukulu m'mimba.
Musazengereze ngati muwona zizindikiro izi; funani thandizo la akatswiri nthawi yomweyo.
Mafunso Oyenera Kufunsa Dokotala Wanu
Mukapita kwa dokotala wanu, lembani mafunso anu pasadakhale kuti musaiwale chilichonse. Mwachitsanzo, mungafunse kuti:
- Kodi n’chiyani chingayambitse matenda a mtima (myopericarditis)?
- Kodi ndiyenera kumwa mankhwala kwa nthawi yayitali bwanji chifukwa cha vutoli?
- Kodi ndiyenera kuyamba liti kumva mpumulo kapena kusintha kwa zizindikiro zanga?
- Kodi ndi liti pamene ndingabwerere kuntchito yanga ya tsiku ndi tsiku komanso kuntchito bwinobwino?
- Kodi pali malamulo enaake okhudza zakudya kapena kusintha komwe ndiyenera kutsatira?
- Kodi pali kuthekera kotani kuti vutoli lidzabwerenso mtsogolo?
Uthenga Wofunika Kwambiri Wopita Nawo Kunyumba
Ndizachibadwa kukhala ndi nkhawa mukakumana ndi kupweteka pachifuwa. Komabe, kufunafuna chithandizo chamankhwala mwachangu kumakupatsani mwayi wopeza matenda olondola. Ngakhale mutapezeka ndi matenda a myopericarditis, khalani otsimikiza kuti pali mankhwala othandiza, ndipo zizindikiro zanu zitha kuthetsedwa bwino ndi mankhwala oyenera. Gawo lofunika kwambiri ndikutsatira mosamala dongosolo la chithandizo lomwe dokotala wanu wakupatsani ndikupita kukaonana ndi dokotala nthawi zonse. Samalani mtima wanu, chifukwa ndi momwe umagwirira ntchito pa moyo wanu!
