Mwoyo wako uri kutamburawo nedambudziko iri here? Ngatidzidzei nezveGiant Cell Myocarditis!

Dzimwe nguva unonzwa sekuti moyo wako uri kurova, kurova, kana kuti pane chimwe chinhu chisinganzwisisike muchipfuva chako here? Izvi zvinhu zvatisinganyatso nyatsoteerera, asi zvinogona kuva zviratidzo zvemamwe matambudziko emwoyo asingawanzoitiki. Nhasi tichataura nezvechimwe chirwere chemwoyo chisingawanzoitiki, asi chinogona kunge chakakomba. Zita racho rinonzi Giant Cell Myocarditis, kana kuti muchirungu `(Giant Cell Myocarditis)`.

Chii chinonzi Giant Cell Myocarditis? Ngatinzwisise zviri nyore.

Zvichitaurwa zviri nyore, Giant Cell Myocarditis rudzi rusingawanzoitiki rwekuzvimba kwetsandanyama dzemwoyo . Kuzvimba rudzi rwekuzvimba. Chinoitika muchirwere ichi ndechekuti mamwe 'masero ekuzvimba' emuviri wedu anoungana pamwe chete oumba rudzi rwesero guru rinonzi 'Masero Makuru'. Masero aya makuru, sevavengi, anorwisa tsandanyama dzemwoyo wako uye anokonzera mavanga.

Funga nezvazvo, mwoyo wedu wakaita sepombi yemvura. Ndiyo inopomba ropa mumuviri wese. Saka, kana masero aya makuru akakuvadza tsandanyama dzemwoyo, moyo haugone kushanda nemazvo. Izvi zvinoreva kuti:

• Zviri kuramba zvichioma kupomba ropa .
• Kana mwoyo uchirova, hazvisi zvikamu zvese zvawo zvinogumira panguva imwe chete .
• Masaini emagetsi anodzora kurova kwemoyo anokanganiswa , uye masaini iwayo haafambi zvakanaka mumoyo.

Nekuti chirwere ichi chinogona kukura nekukurumidza, vanhu vane chirwere ichi vanowanzo fanirwa kuisirwa moyo .

Ndeupi musiyano uripo pakati peMyocarditis neGiant Cell Myocarditis?

Myocarditis kuzvimba kwetsandanyama yemwoyo zvakare. Zvisinei, giant cell myocarditis imhando isingawanzoitiki uye chaiyo yemyocarditis. Kufanana nedzimwe mhando dzemyocarditis, inogonawo kukonzera kusagadzikana kwerhythm yemoyo, kana kuti arrhythmias.

Utachiona hwemavhairasi ndihwo hunowanzo kukonzera myocarditis. Zvisinei, vaongorori vachiri kuedza kutsvaga kuti sei iyi giant cell myocarditis (GCM) ichiitika.

Ndiani anonyanya kubatwa nechirwere ichi? Chinowanzoitika sei?

Giant cell myocarditis (GCM) inowanzoonekwa muvanhu vadiki vane hutano hwakanaka uye vane makore epakati nepakati . Zvisinei, inogona kuitika muvanhu vezera ripi zvaro, zvisinei nekuti murume kana mukadzi.

Kana tichitarisa kuti izvi zvakajairika sei, hazviwanzoitiki. Vanachiremba vanoongorora chirwere ichi muvanhu vasingasviki mumwe chete pavanhu 100,000 pagore. Izvi zvinoreva kuti chinoonekwa muvanhu vangangoita 0.13 pavanhu 100,000 .

Zviratidzo zvacho chii? Tinozviziva sei?

Zviratidzo zvekutanga zve giant cell myocarditis (GCM) zvinogona kusanganisira:

• Kurova kwemoyo (kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti chipfuva chako chiri kurova)
• Kurwadziwa kwechipfuva
• Kuoma kufemakana Kushaya mweya
• Maziso akazvimba
• Kuneta zvakanyanya

Kazhinji zviratidzo izvi zvinotanga nekukurumidza . Gare gare, kusashanda zvakanaka kwemoyo kunogona kuitika. Vanhu vanopfuura hafu vane chirwere ichi vanotanga kusagadzikana kwemoyo ('Ventricular arrhythmias'), izvo zvinotanga mumakamuri emwoyo . Izvi zvinogona kukonzera kuti moyo umire kamwe kamwe.

Uyewo, kurova kwemoyo kunogona kukurumidza kana kunonoka. Unganzwa dzungu kana kupera simba . Vamwe vanhu vanogona kutotanga chirwere chakakomba chinonzi ``cardiogenic shock,'' apo moyo haugone kupomba ropa nemazvo.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Vaongorori havasati vaziva kuti chii chinokonzera giant cell myocarditis (GCM). Vari kuongorora zvinhu zvakasiyana-siyana. Semuenzaniso, vari kuongorora kana zvimwe zvirwere, kusarongeka kwemuviri wako, kana chimwe chinhu mumajini ako chingakonzera kuti uve nechirwere ichi.

Chimwezve ndechekuti vanhu vanosvika 20% vanorwara nechirwere ichi vakaonekwa vaine zvirwere zve autoimmune . Zvirwere zve autoimmune zvinoitika apo dziviriro yemuviri wedu, kureva, dziviriro yemuviri, inorwisa masero emuviri wedu. Saka, mhando idzi dzezvirwere dzinogonawo kuva chikonzero kana njodzi yekukudziridza GCM.

Ungaongorora sei chirwere ichi nemazvo?

Kuti chiremba wako asimbise kuongororwa kwechirwere chemwoyo chinonzi giant cell myocarditis (GCM), anofanira kutora tsananguro diki yetsandanyama yemwoyo wako . Izvi zvinonzi heart biopsy. Tsananguro yacho inotumirwa kurabhoritari uye inoongororwa nachiremba wezvirwere zvemwoyo.

Zvakakosha kuti sampuli iongororwe nachiremba akadai nekuti mhedzisiro ye biopsy ye giant cell myocarditis inogona kufanana neyezvimwe zvirwere zvinokonzera kuzvimba kwetsandanyama yemwoyo, zvakaita se cardiac sarcoidosis. Saka, kuongororwa kwakarurama kwakakosha pachirongwa chekurapa.

Kuongororwa uku kwe `(Biopsy)` kune njodzi, asi ndiyo chete nzira yekuziva zvechokwadi kana uine chirwere ichi. Mamwe ematambudziko anogona kuitika netsandanyama yemwoyo `(Biopsy)` ndeaya:

• Kubuda kwemvura mumoyo (pericardial effusion)
• Tamponade yemwoyo
• Kuboorwa kwemadziro ekamuri remoyo (madziro eventricular)

Pakutora muenzaniso uyu, chiremba anoisa chubhu yakatetepa kwazvo, inonzi catheter, mumoyo mako kuburikidza netsinga huru yeropa iri mumutsipa wako kana muhudyu. Catheter iyi inotungamirirwa mumoyo uchishandisa mudziyo wakakosha (`Imaging`). Zvadaro, chishandiso chakakosha chiri mukati me catheter chinotora chidimbu chidiki chetsandanyama yemoyo.

Dzimwe nguva `(Biopsy)` inopfuura imwe chete inogona kudiwa. Izvi zvinodaro nekuti `(GCM)` inogona kusakanganisa zvikamu zvese zvemoyo nenzira imwechete. Kuita chimwe chinhu chakadai se`(MRI)` scan yemoyo kuchabatsira chiremba kusarudza kuti oenda kupi `(Biopsy)`.

Ndezvipi zvimwe zviedzo zvamunoita?

Kuti uve nechokwadi chekuti hauna chimwe chirwere chemwoyo, chiremba wako anogona kuraira mimwe miedzo. Mimwe yacho inosanganisira:

• Kuongororwa kweElektrocardiogram (EKG)
• Echocardiogram
• Kuisa katheta mumoyo

Ndezvipi zviri kurapwa?

Chiremba wako anogona kukupa mishonga yakasiyana-siyana yekurapa chirwere ichi. Mishonga iyi inosanganisira:

• Inogona kuderedza kuzvimba .
• Zvinobatsira kudzivirira kuitika kwekurohwa kwemoyo kusina kujairika kana kutadza kushanda zvakanaka kwemoyo.
• Unogona kupihwa nguva yakareba kusvika wava kuda kuisirwa moyo.
• Zvinobatsira kuwedzera hupenyu .

Mimwe mishonga yekurapa giant cell myocarditis (GCM) inobatsira kudzora kutadza kwemoyo uye kurova kwemoyo kusina kujairika. Mishonga iyi inogona kusanganisira:

• Mishonga
• Kubvisa catheter
• Chinopa simba remoyo
• Muchina wekudzikisa kurova kwemoyo unoiswa mumuviri (ICD) unoiswa mumuviri kuti udzore uye ushamise kurova kwemoyo.
• Kuisirwa moyo

Paunenge wakamirira kuisirwa moyo, ungangoda mudziyo wekubatsira ventricular yeruboshwe (LVAD). Kana uchida kuisirwa moyo, uchafanirwa kuongororwa uye kurapwa kuchipatara chine nzvimbo dzekuita izvozvo.

Mishonga yerudzii inoshandiswa?

Kurapa giant cell myocarditis (GCM) kunosanganisira mishonga inodzora masoja emuviri wako (immunosuppressants). Kureva, mishonga inoderedza masoja emuviri. Mimwe yeiyi inosanganisira:

• Cyclosporine (semuenzaniso Gengraf®, Neoral®)
• Corticosteroids yakaita seprednisone (semuenzaniso Sterapred®, Rayos®)
• Azathioprine (semuenzaniso Imuran®, Azasan®)

Zvakakosha kutanga mishonga iyi nekukurumidza. Pasina mishonga iyi, kuisirwa moyo kunogona kudiwa mukati memwedzi mitatu kubva pakutanga kwezviratidzo, kana kuti chirwere ichi chinogona kuuraya. Zvisinei, vanhu vanotora mishonga inodzora masoja emuviri vanowanzo rarama kwemwedzi inenge gumi nemiviri.

Pane migumisiro yakaipa here yekurapwa kwacho?

Migumisiro inogona kusiyana zvichienderana nerudzi rwemushonga waunotora. Mimwe yemigumisiro inowanzo sanganisira:

• Kurwadziwa kwetsandanyama kana kushaya simba
• Musoro
• Shuga yakakwira muropa
• Manyoka
• Kushaya hope

Kana uchinzwa zvakadai, usakanganwa kuudza chiremba wako.

Hupenyu huchava hwakaita sei nechirwere ichi?

Kana uine giant cell myocarditis (GCM), zvinogona kukonzera kutadza kushanda kwemoyo kana kuti kuvharika kwemoyo . Kana zvirwere izvi zvikanyanya (kazhinji mukati memwedzi mishanu), ungangoda kuisirwa moyo, kana uchikwanisa. Vanhu vazhinji vanova vasina zviratidzo mushure mekugamuchira moyo mutsva, asi vachafanira kutora mishonga mitsva yakawanda yekutsigira moyo mutsva.

Ko giant cell myocarditis inogona kudzivirirwa here?

Kunyangwe vanhu vachigona kurarama kwenguva yakareba ne giant cell myocarditis (GCM) kupfuura zvavaimboita, ichiri chirwere chinouraya pasina kuisirwa moyo . Kwenguva yakawanda yemakore ekuma1900, vanhu vane GCM vakararama kwemwedzi isingasviki mitatu. Asi nhasi uno, kana chirwere ichi chikaonekwa nekukurumidza uye chikarapwa nemishonga inodzora masoja emuviri, 90% yevanhu vane GCM vanorarama kwegore rinenge rimwe chete. Mishonga iyi inogona kukupa mwedzi kana makore kusvika wada kuisirwa moyo.

Chii chinonzi fungidziro yechirwere ichi?

Mushure mekuisirwa moyo, vanhu vanosvika 71% vane giant cell myocarditis (GCM) vanorarama kwemakore mashanu (82% mune imwe ongororo) . Makore gumi mushure mekuisirwa moyo, mwero wekupona uri pa68%.

Zvisinei, masero makuru anogona kuonekazve pakati pe10% ne50% yevanhu vanogamuchira moyo mutsva. Izvi zvinogona kuitika chero kupi zvako kubva pamavhiki mashoma kusvika makore mapfumbamwe mushure mekuisirwa. Kana izvi zvikaitika, uchafanirwa kutora mishonga yekurapa kwemwedzi yakati wandei.

Ndinozvitarisira sei?

Kana uine giant cell myocarditis (GCM), unofanira kudzivisa mitambo yemakwikwi kwemwedzi mitatu kusvika mitanhatu . Kana GCM yako yagadzikana, bvunza chiremba wako kana zvakachengeteka kudzokera zvishoma nezvishoma kukurovedza muviri.

Unofanira kuona chiremba rini?

Kana ukasangana nemigumisiro yakaipa kubva pamushonga wako, kana kuti zviratidzo zvako zvichiwedzera kuipa, enda kuna chiremba wako nekukasika . Zvakakoshawo kuona chiremba wako nguva nenguva kuti utarise mamiriro ako ezvinhu.

Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uchinzwa kurwadziwa kwakanyanya pachipfuva kana kufema zvakaoma, fonera 911 kana kuenda kuchipatara nekukurumidza. Izvi zvakakosha zvikuru, sezvo izvi zvichigona kuva zviratidzo zvechirwere chakakomba.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Usakanganwa kubvunza mibvunzo iyi kana waona chiremba wako:

• Ndinofanira kuuya kakawanda sei kuzosangana nevamwe?
• Pane boka rekutsigirana rinogona kujoinhwa nevanhu vane chirwere ichi here?
• Munofunga kuti ndichada kuisirwa moyo here?

Chekupedzisira, chinhu chinonyanya kukosha chekurangarira

Saka, ikozvino ungangove wava kunzwisisa kuti Giant Cell Myocarditis chirwere chemwoyo chisingawanzoitiki, asi chakakomba zvikuru. Chinhu chakakosha kuziva zviratidzo nekukurumidza, kutsvaga mazano echiremba, uye kutanga kurapwa kwakakodzera. Usazvidya mwoyo, nekuti kune mishonga yechirwere ichi ikozvino, uye hupenyu hunogona kuwedzerwa. Saka, kana ukanzwa chimwe chinhu chisina kujairika nezvemoyo wako, usachiregeredza woona chiremba. Chengetedza moyo wako!

` Giant Cell Myocarditis, Giant Cell Myocarditis, Chirwere chemwoyo, Kuisirwa Mwoyo, MaSero Makuru, Matambudziko eRhythm yemwoyo, Masoja eMuviri, Kurwiswa kweMwoyo, Chirwere cheMwoyo