Mwoyo wako uri kutamburawo nedambudziko iri here? Ngatidzidzei nezve myocarditis!

Dzimwe nguva unonzwa kuneta here, kushaya mweya wekufema? Kana kuti unonzwa sekuti chipfuva chako chiri kurwadza zvishoma, kana kuti moyo wako uri kurova nekukurumidza kupfuura zvakajairika? Izvi zvinogona kunge zviri zvinhu zvakajairika, asi dzimwe nguva zviratidzo izvi zvinogonawo kukonzerwa nedambudziko remwoyo. Nhasi tichataura nezvekuzvimba, ndiko kuti, kuzvimba, kwetsandanyama yemoyo. Mukurapa, tinodana izvi kuti myocarditis.

Chii chinonzi myocarditis?

Zvichitaurwa zviri nyore, myocarditis kuzvimba kana kuzvimba kwemhasuru yemwoyo wako, iyo myocardium. Funga nezvazvo sekunge patinochekwa paganda redu, nzvimbo yacho inozvimba, inotsvuka, uye inorwadza. Kana izvozvo zvikaitika mumhasuru yemwoyo, tinozvidaidza kuti myocarditis.

Kana tsandanyama yemwoyo ikazvimba nenzira iyi, mashandiro emoyo anogona kukanganisika. Izvi zvinoita kuti zviomere mwoyo kupomba ropa. Ichi chirwere chisingawanzoitiki, zvichireva kuti hachiwanzoitiki. Vamwe vanhu vanogona kuchitanga kamwe kamwe, nepo vamwe vanogona kutanga zviratidzo zvishoma nezvishoma nekufamba kwenguva.

Chirwere chemwoyo chakasiyana nezvimwe zvirwere zvemwoyo. Semuenzaniso:

• Pericarditis kuzvimba kwebhegi rakakomberedza moyo.
• Endocarditis chirwere kana kuzvimba kwemavharuvhu emwoyo.

Kunewo mamwe marudzi asingawanzoitiki e myocarditis:

• Lymphocytic myocarditis
• Myocarditis yemasero makuru
• Fulminant myocarditis
• Myocarditis yeEosinophilic

Unonzwa sei kana uine myocarditis?

Vanhu vazhinji vane myocarditis vanogona kunzwa kuneta, kushaya mweya, kurwadziwa pachipfuva, kana kurova kwemoyo zvakanyanya. Vamwe vanhu vanogona kutanga zviratidzo izvi zvishoma nezvishoma nekufamba kwenguva. Vamwe vanogona kutanga kurwara zvakanyanya. Kana myocarditis yanyanya kuipa, zviratidzo zvekushaya moyo zvinogona kutanga. Apa ndipo panotanga moyo kumira kushanda zvakanaka.

Ndezvipi zviratidzo zveMyocarditis?

Ungasava nezviratidzo zvachose. Kana kuti ungava nechiratidzo chimwe chete kana kupfuura. Kuoma kwezviratidzo izvi kunogona kusiyana kubva pamunhu kusvika pamunhu. Tarisa uone kana uine chimwe chezviratidzo izvi:

• Kuoma kufema (kunyanya pakurovedza muviri kana kurara pasi)
• Kuneta kwakanyanya, kuneta
• Fivha (kana yakabatana nehutachiona)
• Kurwadziwa pachipfuva (kunogona kunzwa sekunge kuri kurwadza, kubaya, kana sekumanikidzwa muchipfuva)
• Kunzwa sekuti moyo wako uri kurova nekukurumidzaKurova kwemoyo zvisina kurongeka kana kurova kwemoyo kusina kurongeka
• Kurwadziwa kwedumbu
• Vertigo (kunzwa sekunge uri kutenderera)
• Kurira kwemoyo kusina kujairika
• Kufenda
• Kuda kudya
• Muviri usina upenyu
• Kuzvimba kwemakumbo kana zvitsitsinho
• Kusakwanisa kurovedza muviri

Dambudziko iri rakajairika zvakadii?

Vaongorori vanofungidzira kuti vanhu vanosvika mamiriyoni 1.5 vane chirwere chemwoyo chinonzi myocarditis vanoshumwa pasi rose gore rega rega. Izvi zvinoreva kuti chirwere ichi chinogona kubata vanhu vari pakati pe10 ne20 pavanhu 100,000 . Saka, kunyange zvazvo zvingaita sezvisingawanzoitiki, zvakakosha kuyeuka kuti chero ani zvake anogona kuchibata.

Sei myocarditis ichiitika?

Kazhinji, zvinonetsa kuwana chikonzero chaicho che myocarditis. Zvisinei, chikonzero chinowanzoonekwa chirwere chehutachiona. Mamwe mavhairasi anokonzera myocarditis ndeaya:

• Utachiona hwechidzihwa
• Herpes virus nhamba nhanhatu
• Adenovirus
• Utachiona hweCoxsackie
• Parvovirus B19
• Virusi reSARS-CoV-2 (COVID-19)

Ndezvipi zvimwe zvikonzero?

Myocarditis inogona kukonzerwa nezvimwe zvikonzero kunze kwemavhairasi:

• Utachiona hwehutachiona
• Utachiona hwefungus (izvi hazviwanzoitiki)
• Chirwere cheChagas
• Fivha yeRheumatic
• Zvirwere zve autoimmune - Semuenzaniso, rheumatoid arthritis kana lupus. Izvi zvirwere umo masoja emuviri anorwisa masero awo.
• Kusangana nezvimwe zvinhu - semuenzaniso, mwaranzi kana simbi dzinorema.

Zvingave zvichikonzerwa nemimwe mishonga here?

Ehe, myocarditis inogona kuitika semhedzisiro yemimwe mishonga. Mimwe yemishonga iyi inosanganisira:

• Mimwe mishonga yezvirwere zvemwoyo
• Mishonga yekuderedza kushushikana (Mishonga yekuderedza kushushikana)
• Mishonga yekurapa pfari
• Mishonga inorwisa mabhakitiriya
• Mimwe mishonga yekuderedza uremu
• Mishonga inobvisa mvura mumuviri (diuretics)
• Benzodiazepines (rudzi rwemushonga unokonzera hope uye unoderedza kuzvidya mwoyo)
• Mimwe mishonga yekurapa matambudziko epfungwa

Pane hukama here pakati pemyocarditis nejekiseni reCovid-19?

Ehe, izvi zvakakoshawo. Kashoma , nyaya dzechirwere chemwoyo dzakataurwa muvanhu vakagamuchira mushonga wePfizer-BioNTech® kana Moderna® COVID-19, kunyanya pakati pevechidiki. Zviratidzo zvinogona kuonekwa mukati mevhiki yekutanga yekugamuchira mushonga uyu.

Asi yeuka, ichi chiitiko chisingawanzoitiki.Vanhu vazhinji vakabatwa nechirwere chemwoyo (myocarditis) kubva pamushonga uyu vanopora nekukurumidza mushure mekurapwa uye vanodzokera kuhupenyu hwavo hwemazuva ese. Zvisinei, kana wakambobatwa nechirwere chemwoyo (myocarditis), unofanira kubvunza chiremba wemwoyo usati watanga kurovedza muviri zvakare.

Sangano reCDC (Centers for Disease Control and Prevention) rinoti njodzi yekubatwa neCOVID-19 inodarika njodzi yemhedzisiro iyi isingawanzoitiki, saka vachiri kukurudzira kuti munhu apihwe mushonga wekudzivirira chirwere ichi.

Ndiani ari panjodzi huru yekubatwa nechirwere chemwoyo chinonzi myocarditis?

Zvimwe zvinhu zvine njodzi zvatisingagoni kuchinja. Unogona kuwana myocarditis kana uine:

• Kana uri mudiki. Asi, izvi zvinogona kuitika kune chero ani zvake wezera ripi zvaro.
• Kana uri murume. Asi vakadzi vanogonawo kuzvikudziridza.
• Muviri wako unoita sei kana wazvimba? Myocarditis haisi chirwere chinogara nhaka. Zvisinei, majini ako anogona kukanganisa maitiro anoita muviri wako kana wazvimba uye njodzi yako yekubatwa nemyocarditis.
• Kana ukanwa doro rakawanda kupfuura rakanyorerwa nachiremba wako.

Mamwe marapirwo ekurapa anogonawo kuwedzera njodzi yekubatwa nechirwere chemwoyo chinonzi myocarditis. Izvi zvinosanganisira:

• Kuchenesa ropa (dialysis - kusefa ropa kana itsvo dzisisina kushanda zvakanaka)
• Zvishandiso zvemwoyo zvakaiswa
• Kurapa nemwaranzi
• Mamwe marapirwo ezvirwere zvemwoyo
• Kuva nemutsetse wepakati wetsinga wakaiswa mutsinga

Njodzi yekubatwa nechirwere chemwoyo (myocarditis) yakakura kana uine zvirwere zvinotevera:

• Chirwere cheshuga (chirwere cheshuga)
• HIV/AIDS
• Maronda eganda kana hutachiona
• Gomarara rinorapwa nemimwe mishonga
• Matambudziko ekudya
• Chirwere cheitsvo chekupedzisira
• Tsaona pachipfuva

Ndezvipi zvimwe zvinetso zvinogona kuitika nekuda kwe myocarditis?

Vamwe vanhu vanogona kuva nemamwe matambudziko ehutano nekuda kwechirwere chemwoyo chinonzi myocarditis. Mamwe acho ndeaya:

• Cardiomyopathy - Kupera simba kana kukura kwetsandanyama yemwoyo.
• Matambudziko emapapu
• Arrhythmia - kurova kwemoyo kusina kurongeka
• Kurasikirwa nepfungwa
• Kukundikana kwemoyo - kutadza kwemoyo
• Kuvhunduka kwemwoyo - chirwere chinotyisidzira hupenyu chinokonzerwa nekusakwanisa kwemoyo kupomba ropa rakakwana
• Kufa kamwe kamwe kwemwoyo

Chiremba anoongorora sei myocarditis?

Chiremba wako achashandisa zvinhu izvi kuti aone kana uine myocarditis:

• Kuongororwa kwemuviri: Chiremba achaita zvinhu zvakaita sekuteerera mwoyo wako uye kuongorora kurova kwemoyo wako.
• Nhoroondo yezvekurapa: Uchabvunzwa nezvezvirwere zvawakamborwara nazvo kare, kana paine munhu mumhuri mako ane chirwere chemwoyo, uye mishonga yauri kutora.
• Miedzo Yakakosha: Miedzo yakasiyana-siyana inogona kuitwa kuti kusimbiswe chirwere chacho.

Miedzo ipi iri kuitwa?

Kuti aone kana iri myocarditis kana rimwe dambudziko, chiremba anogona kuraira bvunzo dzakadai se:

• MRI (Magnetic Resonance Imaging) scan: Inogona kuwana mifananidzo yakadzama yemoyo.
• Kuongororwa kwemoyo: Kutorwa kwechidimbu chidiki chenyama yemoyo wochiongorora pasi pemaikorosikopu ndiyo nzira yakanakisisa yekusimbisa chirwere chacho.
• Kuongororwa kwePET (Positron Emission Tomography): Kunobatsira kuona nzvimbo dzine kuzvimba mumoyo.
• X-ray yechipfuva: Kuongorora kukura kwemoyo uye kana paine mvura yakaungana mumapapu.
• Kuisa catheter mumoyo: Kuyera kumanikidzwa mumakamuri emwoyo uye kutsvaga kuvharika kwetsinga dzemwoyo.
• ECG/EKG (Electrocardiogram): Inonyora mashandiro emagetsi emwoyo. Inogona kuona kusarongeka kwemoyo.
• Echocardiogram: Kuongororwa kwemoyo neultrasound. Kunogona kutarisa zvinhu zvakaita sehukuru, chimiro, uye kuti mwoyo unopomba ropa zvakanaka sei.
• Kuongororwa kweropa: Tarisa zvinhu zvakaita semazinga ema enzyme anoungana muropa kana tsandanyama yemwoyo yakuvara, uye zviratidzo zvekuzvimba.

Myocarditis inogona kurapwa here? Mishonga yacho ndeipi?

Kana uine chirwere chemwoyo chisina kunyanya kuoma, chinogona kupera chega. Kana zvisina kudaro, chiremba wako anogona kukupa mishonga.

Inogona kurapwa nemishonga here?

Ehe, chiremba anogona kunyora mishonga inotevera yekurapa myocarditis:

• Mishonga yekushaya simba kwemoyo: Iyi inobatsira kuvandudza mashandiro emoyo uye kuderedza zviratidzo zvechirwere. Semuenzaniso, mishonga inodzivirira ACE, beta blockers, uye diuretics.
• Corticosteroids: Iyi imhando yemishonga inoderedza kuzvimba.
• Mushonga weIntravenous (IV) immunoglobulin (IVIG): Uyu mushonga unochinja mashandiro emuviri wemuviri uye unoderedza kuzvimba.

Kuvhiyiwa kuchadiwa here?

Kana myocarditis iri kukonzera kutadza kushanda kwemoyo kana kuti kurova kwemoyo kusina kujairika, uye mamiriro acho akaoma, kuvhiyiwa kwekuisa mudziyo wakadai kunogona kudiwa:

• LVAD (Chishandiso Chekubatsira Ventricular Yekuruboshwe): Mudziyo unobatsira ventricle yekuruboshwe yemoyo kupomba ropa.
• Chinopa simba remoyo: Mudziyo unoiswa kuti ugadzirise kurova kwemoyo kusina kurongeka.
• Kuisirwa moyo (Mwoyo wemupi): Chekupedzisira, moyo une hutano kubva kune mumwe munhu ungangoda kusimwa.

Chii chatingaita kuti tideredze njodzi yekubatwa nechirwere chemwoyo chinonzi myocarditis?

Zvinosuwisa kuti zvakawanda zvezvikonzero zvinokonzera myocarditis (kunyanya hutachiona hwehutachiona) zvakaoma kudzivirira. Chinhu chakanakisa kuita kugeza maoko ako nguva nenguva uye kugara uine hutano hwakanaka. Izvi zvichakubatsira kudzivirira hutachiona hunogona kukonzera myocarditis.

Zvakakoshawo kuti upiwe jekiseni refuruu yako nenguva. Kuderedza kunwa doro uye kusashandisa zvinodhaka zvisiri pamutemo zvimwe zvezvinhu zvinogona kukonzera njodzi.

Ramangwana rangu richange rakaita sei kana ndikawana chirwere chemwoyo chinonzi myocarditis?

Kufanotaura kwako nezvechirwere chemwoyo kunoenderana nekuti zviratidzo zvako zvakakomba sei uye kuti mwoyo wako une kuzvimba kwakadii. Vanhu vazhinji vanorarama kwemakore vasina matambudziko mushure mekurapwa. Vamwe vangangoda kuramba vachitora mishonga. Zvakare, une mukana mudiki wekuti utange chirwere chemwoyo zvakare.

Kune vamwe vanhu, myocarditis inogona kukonzera matambudziko akakomba, akadai se dilated cardiomyopathy. Apa ndipo apo mwoyo unotanga kukura uye kusasimba. Nekufamba kwenguva, izvi zvinogona kukonzera kutadza kushanda kwemoyo, izvo zvingada kuisirwa moyo. Myocarditis inonziwo ndiyo inokonzera 20% yekufa kamwe kamwe muvechidiki. Kunyangwe vanhu vazhinji vachipora, inogona kuva chirwere chinotyisidzira hupenyu.

Kazhinji, pakati pe50% ne80% yevanhu vane chirwere chemwoyo chinotapukira vanorarama makore mashanu kana kupfuura mushure mekuonekwa vaine chirwere ichi. Vanhu vazhinji, kunyanya vechidiki, vanopora zvizere uye vanorarama hupenyu hune hutano uye hunoshanda.

Tingaita sei kuti tibatsire nechirwere chemwoyo (myocarditis)?

Kana uine myocarditis kamwe chete, inogona kuitika zvakare mushure memakore. Saka, iva nechokwadi chekuudza chiremba wako kana uine zviratidzo zvakare. Kuti urambe uine hutano hwakanaka, ita zvinhu izvi:

• Iva nechokwadi chekuenda kuna chiremba pamazuva akarongwa.
• Inwa mushonga wakanyorwa nenguva chaiyo uye nemazvo.
• Usaite maekisesaizi kusvika chiremba wako akuudza kuti uite.
• Deredza munyu mukudya kwako.
• Rega kushandisa zvigadzirwa zvefodya.
• Usanwa doro.

Uyewo, chiremba angada kudzokorora mimwe yemiedzo inoshandiswa pakuongorora chirwere (semuenzaniso, echocardiogram, MRI scan).

Mibvunzo inokosha yekubvunza chiremba wako

Paunoenda kunoona chiremba, unogona kubvunza mibvunzo yakaita seiyi:

• Sei ndakaita myocarditis?
• Ndichada kurapwa kwemyocarditis here?
• Ndingaitei kuti ndirambe ndiine hutano hwakanaka?

Pakupedzisira, zvinhu zvekurangarira

Myocarditis chirwere chisingawanzoitiki chinogona kunetesa tsandanyama dzemwoyo. Zvinosuwisa kuti zvinhu zvakawanda zvinokonzera chirwere ichi zvakaoma kudzivirira. Kunyange hazvo vamwe vanhu vangava nezviratidzo zvakakomba, vanhu vazhinji vanorarama kwemakore vasina matambudziko mushure mekurapwa.

Chinhu chakanakisa chaungaita ndechekugara uchiona chiremba wako nenguva, kunwa mishonga yawakanyorerwa, uye kuzivisa chiremba wako kana zviratidzo zvako zvadzoka. Usavhunduke, asi ziva izvi.

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