Ngaba into efana nale inokwenzeka entliziyweni yakho? Masifunde nge-myopericarditis!

Ngaba ngamanye amaxesha ukhe uzive ngequbuliso iintlungu esifubeni, ukuphefumla kancinci, okanye ukuziva ubuthathaka kancinci? Usenokuziva nomkhuhlane okanye uzive ungaphili kakuhle. Xa sineempawu ezinje, sihlala sicinga ukuba ziqhelekile size sizityeshele. Nangona kunjalo, ngamanye amaxesha ezi zinokuba ziimpawu zemeko ekhethekileyo enxulumene nentliziyo yethu. Namhlanje siza kuthetha ngemeko echaphazela intliziyo, kodwa engathethwa kakhulu ngayo kuluntu, kodwa kubaluleke kakhulu ukuba siyiqaphele.

Yintoni iMyopericarditis? Masiyiqonde ngokulula!

Ngamafutshane, i-myopericarditis yimeko echaphazela zombini izihlunu zentliziyo yakho (ngokwezonyango ezibizwa ngokuba yi-myocardium) kunye ne-membrane ekhuselayo eyijikelezileyo (i-pericardium). Khawuthelekelele, izihlunu zentliziyo yakho ziyavuvukala, okanye ziyavuvukala . Yiloo nto siyibiza ngokuba yi-myocarditis. Kwaye, ukuba i-membrane ekhuselayo ejikeleze intliziyo nayo iyavuvukala, ibizwa ngokuba yi-pericarditis .

Ngoku, nangona zombini ezi meko, `(Myocarditis)` kunye `(Pericarditis)` zenzeka kunye, ukuba eyona ndawo ichaphazeleka kakhulu yi-membrane ekhuselayo ejikeleze intliziyo , yiloo nto siyibiza ngokuba yi`(Myopericarditis)`. Oku ngamanye amaxesha kunokuqala njengengxaki encinci kwaye kuqhubekele kwimeko embi kakhulu. Nangona kunjalo, ukuba zombini ezi meko zikhona, kwaye ingxaki ikwimisipha yentliziyo , ibizwa ngokuba yi`(Perimyocarditis)`. Kukho umahluko omncinci wobuchwephesha phakathi kwezi zimbini, kodwa iimpawu zinokufana kakhulu.

Yintoni umahluko phakathi kwe-Myopericarditis kunye ne-Pericarditis?

Abantu abane-myopericarditis kunye nabo bane-pericarditis yodwa ( ukudumba kwenwebu ejikeleze intliziyo kuphela) bobabini banokufumana iimpawu ezifanayo. Ezi ziquka:

• Iintlungu zesifuba
• Ubunzima bokuphefumla
• Ukudinwa
• Ifiva

Nangona kunjalo, kukho umahluko obalulekileyo apha. Abantu abane-myopericarditis banamathuba amaninzi okuba neengxaki zesingqisho sentliziyo (utshintsho kwindlela intliziyo ebetha ngayo, njengokubetha ngokukhawuleza kakhulu okanye ngokungacwangciswanga) kunye nokungasebenzi kakuhle kwemisipha yentliziyo (imeko apho imisipha yentliziyo ingasebenzi kakuhle).

Kwelinye icala, kwabo bane-pericarditis kuphelaKukho umngcipheko omkhulu wokuphuma kwegazi kwi-pericardial (ukuqokelelwa kolwelo ngaphakathi kwingxowa ejikeleze intliziyo).

Zithini iimpawu ze-myopericarditis? Ziqaphele ezi!

Ngoko ke, zithini kanye kanye iimpawu ze-myopericarditis? Ngokuqinisekileyo kufuneka uzazi ezi:

• Ukuphefumla nzima: Kuvakala ngathi unengxaki yokuphefumla, ngathi uza kutyhafa xa unyuka izinyuko, okanye xa udiniwe kancinci.
• Umkhuhlane: Ukuziva ubushushu emzimbeni.
• Ukudinwa: Ukuziva udiniwe kwaye ungenamdla kwinto ethile, nokuba ulala kangakanani na.
• Ukubetha kwentliziyo: Ukuziva ngathi intliziyo yakho ibetha ngesiquphe ngokukhawuleza, okanye ukuba yenza isandi "esibethayo" esifubeni sakho, okanye ukuba intliziyo yakho ibetha ngesantya esinye okanye ezimbini.
• Intlungu yesifuba: Le yeyona mpawu ixhaphakileyo neyikhathazayo kubantu abaninzi. Inokuba yintlungu ebukhali . Ingavakala ngathi kukho umntu okuhlaba esifubeni ngemela. Intlungu inokuba mandundu xa uphefumla okanye ukhohlela. Ngamanye amaxesha le ntlungu yesifuba inokuba yinto engapheliyo okanye ingancitshiswa ngokugoba phambili . Khawuthelekelele ukuba umhlobo wakho, masithi uSunil, ngequbuliso waqala ukuziva intlungu iqala phakathi kwesifuba sakhe iye kwicala lasekhohlo. Waziva nobunzima bokuphefumla. Waziva ekhaphukhaphu kancinci xa egoba phambili, kodwa intlungu yaba mandundu xa ezama ukulala phantsi. Ukuba ukhe waba nale meko, musa ukuyityeshela.

Zithini izizathu ze-myopericarditis?

Amaxesha amaninzi, oogqirha banengxaki yokufumanisa ukuba yintoni kanye kanye ebangela i-myopericarditis. Oko kuthetha ukuba unobangela awucaci. Nangona kunjalo, kukho izinto ezithile ezichongiweyo ezinokubangela le meko. Makhe sijonge ukuba zeziphi:

• Iintsholongwane: Mhlawumbi le yeyona nto ixhaphakileyo. Umzekelo:
• Intsholongwane ye- 'COVID-19 '
• Intsholongwane yomkhuhlane, ebangela umkhuhlane oqhelekileyo kunye nomkhuhlane
• Iintlobo zeentsholongwane zeHerpes
• Intsholongwane yeCoxsackie (ikwabangela isifo sezandla, iinyawo, kunye nomlomo)
• `Intsholongwane kaGawulayo (i-Human Immunodeficiency Virus)` (oko kukuthi, intsholongwane ebangela i-AIDS)
• IHepatitis C (intsholongwane echaphazela isibindi)
• Iintsholongwane: Umzekelo, iintsholongwane ezibangela isifo sephepha.
• Iintsholongwane.
• Iifungi.
• Ezinye izitofu zokugonya: Izitofu zokugonya zeSmallpox okanye zeCOVID-19 azinakubangela esi sifo.Kuyenzeka. Nangona kunjalo, nokuba ugonyo lwe-COVID-19 lubangela i-myopericarditis, kubikwa ukuba aluhlali lufikelela kwimeko embi kakhulu.
• Ukungasebenzi kakuhle kwe-thyroid (i-Hypothyroidism).
• Ukungasebenzi kakuhle kwezintso.
• Ithumba entliziyweni yakho.
• Izifo zokudumba kwezinye iindawo emzimbeni: Umzekelo, i-lupus, isifo samathumbu esidumbayo (IBD), kunye nezifo ezizikhuselayo emzimbeni ezifana ne-rheumatoid arthritis.
• Umhlaza osasazeke kwamanye amalungu omzimba wakho: Umzekelo, umhlaza wolusu ofana ne-melanoma, umhlaza webele, okanye umhlaza wemiphunga osasazeke entliziyweni.
• Ukufumana unyango lwemitha esifubeni sakho (kwizifo ezifana nomhlaza).

Ngubani osengozini enkulu yokuba nale meko?

Oogqirha bakholelwa ukuba usulelo lwentsholongwane yeyona nto iphambili ebangela i-myopericarditis. Ngoko ke, ukuba nosulelo lwentsholongwane yeyona nto iphambili ebangela esi sifo. Usulelo lwentsholongwane olufana nolo siluthethe ngalo ngaphambili, olufana ne-herpes, i-influenza (flu), i-COVID-19, i-Coxsackie virus, i-HIV, kunye ne-Hepatitis C, lunokukubeka emngciphekweni.

Kwakhona, ngokwezibalo, kubonisiwe ukuba i-myopericarditis ichaphazela amadoda rhoqo kwaye inokwenzeka kakhulu kubantu abancinci abangaphantsi kweminyaka engama-40 ubudala .

Ziziphi iingxaki ezinokubakho ze-myopericarditis?

Ukuba i-myopericarditis ayiphathwa kakuhle, ezinye iingxaki zinokubakho. Kodwa ungakhathazeki, uninzi lwexesha le meko iyazilungisa kakuhle. Iingxaki ezinokubakho ziquka:

• I-Constrictive Pericarditis: Kulapho i-membrane ejikeleze intliziyo iba nkulu kwaye iqine, ithintela intliziyo ukuba ikhule ngokufanelekileyo. Umngcipheko wokuba oku kwenzeke ungaphantsi kwe-1% kubantu abane-viral myopericarditis. Nangona kunjalo, ukuba ibangelwa lusulelo lwebhaktheriya, umngcipheko unokuba phakathi kwe-20% kunye ne-30%.
• Ukusilela kwentliziyo: Imeko apho intliziyo ingakwazi ukupompa igazi elaneleyo emzimbeni.
• Ukungasebenzi kakuhle kwe-ventricle yasekhohlo: I-ventricle yasekhohlo, igumbi eliphambili lokumpompa lentliziyo, ayisebenzi kakuhle.
• Izingqisho zentliziyo ezingaqhelekanga.

Ifunyanwa njani i-Myopericarditis?

Ukuba ukrokrela ukuba une-myopericarditis, ugqirha wakho uza kukuhlola aze akuyalele uvavanyo oluthile. Esi sifo sidla ngokufunyaniswa ukuba unale ngxaki ilandelayo:

• Iimpawu ezifana ne-pericarditis, ingakumbi iintlungu zesifuba.
• Ukukhupha ulwelo olujikeleze intliziyo (i-Pericardial effusion).
• Uvavanyo lwegazi olubonisa ukudumba.
• Ingxelo yovavanyo olungaqhelekanga lwe-ECG (Electrocardiogram).
• Ukuba iimvavanyo zokujonga imifanekiso (umz., i-echocardiogram) zibonisa ukuba amagumbi entliziyo asebenza kakuhle (ukuba awenzi kakuhle, isenokuba yi-perimyocarditis).

Uvavanyo lokuxilonga

Oogqirha basebenzisa ezi mvavanyo zilandelayo ukufumanisa i-myopericarditis:

• Uvavanyo lwegazi: Jonga umonakalo kunye nokudumba kwemisipha yentliziyo (umz., i-troponin, i-CRP, i-ESR).
• I-ECG (i-Electrocardiogram): Ukujonga umsebenzi wombane wentliziyo kunye nokufumanisa naziphi na iingxaki kwintliziyo.
• I-Echocardiogram: Oku kufana ne-ultrasound scan yentliziyo. Ingajonga ubungakanani kunye nokuma kwentliziyo, umsebenzi wegumbi, imeko yeevalvu, kunye nokuba kukho na ukuphuma kwegazi kwi-pericardial.
• I-MRI yentliziyo (iMagnetic Resonance Imaging): Oku kunceda ukufumana imifanekiso ecacileyo yentliziyo kunye ne-pericardium kunye nokubona ngqo ubuninzi bokudumba kunye nomonakalo.
• I-X-ray yesifuba: Jonga ubungakanani bentliziyo kunye nemeko yemiphunga.
• I-CT Scan (i-Computed Tomography): Oku kunokuba yimfuneko nakwezinye iimeko ezikhethekileyo.

Iphathwa njani i-myopericarditis?

Ngokuxhomekeke kwimeko yakho, ugqirha wakho unokukunika amayeza kunye/okanye unyango oluthile. Ngamanye amaxesha, unokufuna ukulaliswa esibhedlele, ingakumbi ukuba iimpawu zakho zinzima.

Amayeza athile kunye nonyango olusetyenzisiweyo

Ezi zilandelayo zisetyenziselwa ukuphatha i-myopericarditis:

• Amayeza Angalwiyo Nee-steroidal Alwa Nokuvuvukala (NSAIDs): Umzekelo, i-ibuprofen. Umthamo ungahluka ngokuxhomekeke ekubeni iimpawu zakho zikwimisipha yentliziyo okanye kwi-pericardium.
• Amanye amayeza okulwa nokuvuvukala: Amayeza afana ne-'Prednisone' (uhlobo lwe-steroid) kunye ne-'Colchicine'.
• Amayeza esifo sentliziyo/uxinzelelo lwegazi oluphezulu: Ii-Beta-blockers, ii-ACE inhibitors (ii-Angiotensin-converting enzyme inhibitors), okanye ii-diuretics (iipilisi zamanzi) zinokunikwa ukunceda intliziyo isebenze kwaye ilawule uxinzelelo lwegazi.
• I-Pericardiocentesis: Inkqubo yokususa ulwelo kwi-pericardial sac ejikeleze intliziyo isebenzisa inaliti ukuba kukho ulwelo oluqokelelene kwi-sac ejikeleze intliziyo kwaye ibeka uxinzelelo entliziyweni.

Iziphumo ebezingalindelekanga kunye neengxaki zonyango

Amayeza anikwayo e-myopericarditis anokubangela iziphumo ebezingalindelekanga ezincinci kwabanye abantu. Imizekelo:

• Ukuphazamiseka kwesisu, isicaphucaphu.
• Isiyezi.
• Ukutya akunancasa.
• Ukudinwa.
• Ukukhwehlela okomileyo (ingakumbi ngenxa ye-ACE inhibitors).
• Intloko ebuhlungu.

I-Pericardiocentesis ayinakubangela iingxaki ezininzi, ezifana nezi:

• Usulelo.
• Ukulimala kwentliziyo, imiphunga, isisu, okanye isibindi.
• Ukonakala kwemithambo yegazi emikhulu kufutshane nentliziyo.

Kodwa ezi zizinto ezingaqhelekanga kakhulu, kwaye oogqirha bakhathazekile kakhulu ngale nto.

Yintoni onokuyilindela ukuba une-myopericarditis?

Ukuba une-myopericarditis, kufuneka unike intliziyo yakho ixesha lokuba iphile. Ukuba ungumdlali wezemidlalo okanye ukuba imeko ichaphazele izihlunu zentliziyo yakho, ugqirha wakho angakuxelela ukuba unciphise umsebenzi onzima kangangeenyanga ezi-6. Kwakhona, ukuba usela utywala, kubalulekile ukuba unciphise isiselo esinye ngosuku.

Ihlala ixesha elingakanani i-myopericarditis?

Kusenokufuneka uthathe amayeza afana ne-ibuprofen kangangeentsuku okanye iiveki ezimbalwa. I-Myopericarditis ingathatha iiveki ezi-4 ukuya kwezi-6 ukuze iphile ngokupheleleyo. Kubalulekile ukuphepha ukwenza imisebenzi enzima ngeli xesha.

Iyintoni imbonakalo ye-myopericarditis?

Ezi zezona ndaba zimnandi. Ingqikelelo yesifo sentliziyo ilungile kakhulu. Uninzi lwabantu luyaphola ngaphandle kweengxaki okanye iziphumo zexesha elide. Emva konyango, isifo sentliziyo asihlali siphinda sibuye. Ngoko ke lumka, fumana unyango olufanelekileyo, kwaye ulandele imiyalelo kagqirha wakho.

Ndingazinyamekela njani? Ezi zinto zibalulekile ngexesha lokuchacha!

Eyona nto ibalulekileyo xa uphola kwi-myopericarditis kukulandela imiyalelo kagqirha wakho ngokuchanekileyo.

• Sela amayeza akho kanye njengoko kuyalelwe, ngexesha elifanelekileyo, ixesha elifanelekileyo. Musa ukuyeka ukuwasela phakathi.
• Qiniseka ukuba uyaya kwiindibano zokulandelela. Ezi zihlala zisenzeka ngenyanga enye, iinyanga ezintandathu, kunye nonyaka. Kwezi ndibano, ugqirha uza kukuhlola kwaye angaphinda iimvavanyo ezifana nezi:
• `I-Echocardiogram`
• `ECG (I-Electrocardiogram)`
• Uvavanyo lwegazi
• `I-MRI yentliziyo`
• Mamela umzimba wakho. Ukuba uziva udiniwe, phumla. Musa ukwenza umsebenzi omninzi ngaxeshanye.
• Fumana uncedo kusapho lwakho. Inkxaso ibaluleke kakhulu kuwe ngeli xesha.

Ndifanele ndimbone nini ugqirha? Lumka kwezi mpawu!

Nokuba emva konyango, ukuba ubonakalisa iimpawu ze-constrictive pericarditis, bona ugqirha ngokukhawuleza. Ezi mpawu ziquka:

• Ukubetha kwentliziyo.
• Ubunzima bokuphefumla, ingakumbi xa uhamba okanye ulele.
• Ukudumba kwemilenze neenyawo (i-Edema).
• Ukugcina amanzi.
• Ukudumba okukhulu kwesisu.

Ukuba uziva into efana nale, musa ukulibazisa, bonana nogqirha ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha?

Xa usiya kugqirha, bhala phantsi imibuzo onayo. Ngale ndlela awuyi kulibala nto. Umzekelo, ungabuza imibuzo efana nale:

• Yintoni enokuba ngunobangela we-myopericarditis?
• Kuza kufuneka ndithathe eli yeza ixesha elingakanani?
• Ndiza kuqala nini ukuziva ngcono?
• Ndifanele ndiqale nini imisebenzi yam yesiqhelo nomsebenzi?
• Ngaba kufuneka ndilawule nantoni na ngokukodwa ngokutya nokusela?
• Ngawaphi amathuba okuba le meko iphinde yenzeke?

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuziva usoyika xa unentlungu esifubeni. Kodwa, ngokufuna ingcebiso kagqirha ngoko nangoko, unokwazi kakuhle ukuba yintoni engalunganga. Nokuba ufunyaniswe une-myopericarditis, kukho unyango olufanelekileyo, kwaye amayeza anokunceda ukulawula iimpawu zakho. Eyona nto ibalulekileyo kukuthatha amayeza njengoko ugqirha wakho ekuyalele kwaye uye kwiintlanganiso zakho zokulandelela. Nyamekela intliziyo yakho, kuba ligazi lakho lobomi!