Ingabe into efana nale ingenzeka enhliziyweni yakho? Ake sifunde nge-myopericarditis!

Ingabe ngezinye izikhathi uzizwa ubuhlungu besifuba ngokuzumayo, ukuphelelwa umoya, noma umuzwa omncane wobuthakathaka? Ungase uzizwe nomkhuhlane noma umuzwa wokungaphilile kahle. Uma sinezimpawu ezinjengalezi, sivame ukucabanga ukuthi zivamile bese sizishaya indiva. Kodwa-ke, ngezinye izikhathi lezi zingaba izimpawu zesimo esikhethekile esihlobene nenhliziyo yethu. Namuhla sizokhuluma ngesimo esithinta inhliziyo, kodwa okungakhulunywa ngaso kakhulu emphakathini, kodwa kubaluleke kakhulu ukuqaphela.

Kuyini i-Myopericarditis? Masiyiqonde kalula!

Kalula nje, i-myopericarditis yisimo esithinta kokubili imisipha yenhliziyo yakho (ngokwezokwelapha ebizwa ngokuthi i-myocardium) kanye ne-membrane evikelayo eyizungezile (i-pericardium). Cabanga nje, imisipha yenhliziyo yakho iyavuvukala, noma iyavuvukala . Yilokho esikubiza ngokuthi i-myocarditis. Futhi, uma i-membrane evikelayo ezungeze inhliziyo nayo ivuvukala, ibizwa ngokuthi i-pericarditis .

Manje, nakuba zombili lezi zimo, `(Myocarditis)` kanye `(Pericarditis)` zenzeka ndawonye, ​​​​uma ingxenye ethinteke kakhulu kuyi-membrane evikela inhliziyo , yilokho esikubiza ngokuthi `(Myopericarditis)`. Lokhu ngezinye izikhathi kungaqala njengenkinga encane futhi kuqhubekele esimweni esibucayi kakhulu. Kodwa-ke, uma zombili lezi zimo zikhona, futhi inkinga isemisipha yenhliziyo , ibizwa ngokuthi `(Perimyocarditis)`. Kukhona umehluko omncane wobuchwepheshe phakathi kwalezi zimo ezimbili, kodwa izimpawu zingafana kakhulu.

Uyini umehluko phakathi kwe-Myopericarditis ne-Pericarditis?

Abantu abane-myopericarditis kanye nalabo abane-pericarditis kuphela ( ukuvuvukala kolwelwesi oluzungeze inhliziyo) bobabili bangaba nezimpawu ezifanayo. Lezi zimpawu zifaka:

• Ubuhlungu besifuba
• Ubunzima bokuphefumula
• Ukukhathala
• Imfiva

Kodwa-ke, kunomehluko obalulekile lapha. Abantu abane-myopericarditis banamathuba amaningi okubhekana nokuphazamiseka kwesigqi senhliziyo (izinguquko endleleni inhliziyo eshaya ngayo, njengokushaya ngokushesha kakhulu noma ngokungajwayelekile) kanye nokungasebenzi kahle kwemisipha yenhliziyo (isimo lapho imisipha yenhliziyo ingasebenzi kahle).

Ngakolunye uhlangothi, kulabo abane-pericarditis kuphelaKukhona ingozi enkulu yokukhipha uketshezi oluvela e-pericardial (ukunqwabelana koketshezi ngaphakathi kwesikhwama esizungeze inhliziyo).

Ziyini izimpawu ze-myopericarditis? Qaphela lezi!

Ngakho-ke, ziyini ngempela izimpawu ze-myopericarditis? Kufanele nakanjani uqaphele lezi:

• Ukuphelelwa umoya: Ukuzizwa sengathi unenkinga yokuphefumula, njengokungathi uzoquleka lapho ukhuphuka izitebhisi, noma uma ukhathele kancane.
• Umkhuhlane: Umuzwa wokushisa emzimbeni.
• Ukukhathala: Ukuzizwa ukhathele futhi ungenasithakazelo kunoma yini, kungakhathaliseki ukuthi ulala kangakanani.
• Ukushaya kwenhliziyo: Umuzwa wokuthi inhliziyo yakho ishaya ngokushesha ngokuzumayo, noma ukuthi yenza umsindo "wokushaya" esifubeni sakho, noma ukuthi inhliziyo yakho ishaya kancane noma kabili.
• Ubuhlungu besifuba: Lesi yisibonakaliso esivame kakhulu nesikhathazayo kubantu abaningi. Kungaba ubuhlungu obubukhali . Kungazwakala sengathi othile ukugwaza esifubeni ngommese. Ubuhlungu bungakhula kakhulu uma uphefumula noma ukhwehlela. Ngezinye izikhathi lobu buhlungu besifuba bungahlala njalo noma bungadanjiswa ngokugoba phambili . Cabanga ukuthi umngane wakho, ake sithi uSunil, waqala ukuzwa ubuhlungu ngokuzumayo kusukela phakathi kwesifuba sakhe kuya ohlangothini lwesobunxele. Wazizwa nobunzima bokuphefumula. Wazizwa elula kancane lapho egoba phambili, kodwa ubuhlungu baba bubi kakhulu lapho ezama ukulala phansi. Uma uke waba nalokhu, ungakushayi indiva.

Ziyini izimbangela ze-myopericarditis?

Esikhathini esiningi, odokotela bakuthola kunzima ukuthola ukuthi yini ngempela ebangela i-myopericarditis. Lokho kusho ukuthi imbangela ayicaci. Kodwa-ke, kunezinto ezithile ezitholakele ezingabangela lesi simo. Ake sibheke ukuthi ziyini:

• Amagciwane: Lena mhlawumbe imbangela evame kakhulu. Isibonelo:
• Igciwane le- 'COVID-19 '
• Igciwane le-Influenza, elibangela umkhuhlane ovamile kanye nomkhuhlane
• Izinhlobo zama-Herpes Virus
• Igciwane le-Coxsackie (liphinde libangele isifo sezandla, izinyawo, nomlomo)
• `Igciwane lesandulela ngculazi (igciwane lesandulela ngculazi)` (okungukuthi, igciwane elibangela ingculazi)
• I-Hepatitis C (igciwane elithinta isibindi)
• Amagciwane: Isibonelo, amagciwane abangela isifo sofuba.
• Izimuncagazi.
• Isikhunta.
• Eminye imigomo: Imithi yokugomela i-Smallpox noma i-COVID-19 ayivamile ukubangela lesi simo.Kuyenzeka. Kodwa-ke, noma ngabe umuthi wokugomela i-COVID-19 ubanga i-myopericarditis, kubikwa ukuthi ngokuvamile awuthuthukeli esimweni esibucayi.
• Ukungasebenzi kahle kwe-thyroid (i-Hypothyroidism).
• Ukwehluleka kwezinso.
• Isimila enhliziyweni yakho.
• Izifo zokuvuvukala kwezinye izindawo emzimbeni: Isibonelo, i-lupus, isifo samathumbu esivuvukalayo (i-IBD), kanye nezifo ezihlasela amasosha omzimba njenge-rheumatoid arthritis.
• Umdlavuza osusakazekele kwezinye izingxenye zomzimba wakho: Isibonelo, umdlavuza wesikhumba ofana ne-melanoma, umdlavuza webele, noma umdlavuza wamaphaphu osusakazekele enhliziyweni.
• Ukuthola ukwelashwa ngemisebe esifubeni sakho (kwezifo ezifana nomdlavuza).

Ubani osengozini enkulu yalesi simo?

Odokotela bakholelwa ukuthi ukutheleleka ngegciwane kuyimbangela eyinhloko ye-myopericarditis. Ngakho-ke, ukuba nokutheleleka ngegciwane kuyisici esikhulu esiyingozi salesi simo. Ukutheleleka ngegciwane njengalokho esixoxe ngakho ekuqaleni, njenge-herpes, i-influenza (flu), i-COVID-19, igciwane le-Coxsackie, i-HIV, kanye ne-Hepatitis C, kungakubeka engozini.

Futhi, ngokwezibalo, kuye kwabonakala ukuthi i-myopericarditis ithinta kakhulu amadoda futhi ivame ukwenzeka kubantu abasha abangaphansi kweminyaka engama-40 .

Yiziphi izinkinga ezingaba khona ze-myopericarditis?

Uma i-myopericarditis ingaphathwa kahle, kungase kube nezinkinga ezithile. Kodwa ungakhathazeki, isikhathi esiningi lesi simo sizilungisa kahle. Izinkinga ezingaba khona zifaka:

• I-Constrictive Pericarditis: Lokhu kwenzeka lapho ulwelwesi oluzungeze inhliziyo luba lujiyile futhi luqine, luvimbele inhliziyo ukuthi ikhule kahle. Ingozi yokuthi lokhu kwenzeke ingaphansi kuka-1% kubantu abane-viral myopericarditis. Kodwa-ke, uma kubangelwa ukutheleleka ngamagciwane, ingozi ingaba phakathi kuka-20% no-30%.
• Ukwehluleka Kwenhliziyo: Isimo lapho inhliziyo ingakwazi ukupompa igazi elanele emzimbeni.
• Ukungasebenzi kahle kwe-ventricle yesobunxele: I-ventricle yesobunxele, igumbi eliyinhloko lokupompa inhliziyo, ayisebenzi kahle.
• Izigqi zenhliziyo ezingavamile.

I-Myopericarditis itholakala kanjani?

Uma usola ukuthi une-myopericarditis, udokotela wakho uzokuxilonga bese eyalela ukuhlolwa okuthile. Lesi simo sivame ukutholakala uma unalokhu okulandelayo:

• Izimpawu ezifana ne-pericarditis, ikakhulukazi ubuhlungu besifuba.
• Ukuphuma kwegazi enhliziyweni (ukunqwabelana koketshezi oluzungeze inhliziyo).
• Ukuhlolwa kwegazi okubonisa ukuvuvukala.
• Umbiko wokuhlolwa kwe-ECG (Electrocardiogram) okungavamile.
• Uma ukuhlolwa kwezithombe (isib. i-echocardiogram) kubonisa ukuthi amakamelo enhliziyo asebenza kahle (uma engasebenzi kahle, kungaba yi-perimyocarditis).

Ukuhlolwa kokuxilonga

Odokotela basebenzisa izivivinyo ezilandelayo ukuxilonga i-myopericarditis:

• Ukuhlolwa kwegazi: Hlola umonakalo wemisipha yenhliziyo kanye nokuvuvukala (isib., i-troponin, i-CRP, i-ESR).
• I-ECG (i-Electrocardiogram): Ukuhlola ukusebenza kukagesi kwenhliziyo nokuthola noma yikuphi ukukhubazeka ekushayweni kwenhliziyo.
• I-Echocardiogram: Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kungabheka ubukhulu nesimo senhliziyo, umsebenzi wamakamelo, isimo sama-valve, nokuthi ngabe kukhona yini ukuphuma kwegazi okubangelwa yi-pericardial.
• I-Heart MRI (I-Magnetic Resonance Imaging): Lokhu kusiza ukuthola izithombe ezicacile zenhliziyo kanye ne-pericardium nokubona kahle ukuthi kungakanani ukuvuvukala kanye nomonakalo okukhona.
• I-X-ray yesifuba: Hlola usayizi wenhliziyo kanye nesimo samaphaphu.
• I-CT Scan (i-Computed Tomography): Lokhu kungadingeka nakwezinye izimo ezikhethekile.

Iphathwa kanjani i-myopericarditis?

Kuye ngesimo sakho, udokotela wakho angase akunike imithi kanye/noma ukwelashwa okuthile. Ngezinye izikhathi, kungadingeka ukuthi ulaliswe esibhedlela, ikakhulukazi uma izimpawu zakho zinkulu.

Imithi ethile kanye nokwelashwa okusetshenzisiwe

Okulandelayo kusetshenziselwa ukuphatha i-myopericarditis:

• Imithi Engavimbi Ukuvuvukala (ama-NSAID): Isibonelo, i-ibuprofen. Umthamo ungahluka kuye ngokuthi izimpawu zakho zisemisipha yenhliziyo noma i-pericardium.
• Eminye imithi yokulwa nokuvuvukala: Imithi efana ne-'Prednisone' (uhlobo lwe-steroid) kanye ne-'Colchicine'.
• Izifo zenhliziyo/imithi yomfutho wegazi ophezulu: Ama-Beta-blockers, ama-ACE inhibitors (ama-Angiotensin-converting enzyme inhibitors), noma ama-diuretics (amaphilisi amanzi) anganikezwa ukusiza inhliziyo isebenze futhi ilawule umfutho wegazi.
• I-Pericardiocentesis: Inqubo esusa uketshezi esikhwameni senhliziyo esizungeze inhliziyo isebenzisa inaliti uma kukhona uketshezi olunqwabelene esikhwameni esizungeze inhliziyo futhi olubeka ingcindezi enhliziyweni.

Imiphumela emibi kanye nezinkinga zokwelashwa

Imithi enikezwa i-myopericarditis ingabangela imiphumela emibi emincane kwabanye abantu. Izibonelo:

• Ukuphazamiseka kwesisu, isicanucanu.
• Isiyezi.
• Ukudla akunambitheki.
• Ukukhathala.
• Ukukhwehlela okomile (ikakhulukazi ngenxa ye-ACE inhibitors).
• Ikhanda elibuhlungu.

I-Pericardiocentesis nayo ayivamile ukubangela izinkinga, njenge:

• Ukutheleleka.
• Ukulimala kwenhliziyo, emaphashini, esiswini, noma esibindini.
• Ukulimala kwemithambo yegazi emikhulu eduze kwenhliziyo.

Kodwa lezi yizinto ezingavamile kakhulu, futhi odokotela bakhathazekile kakhulu ngalokhu.

Yini ongayilindela uma une-myopericarditis?

Uma une-myopericarditis, udinga ukunikeza inhliziyo yakho isikhathi sokululama. Uma ungumsubathi noma uma lesi simo sithinte imisipha yenhliziyo yakho, udokotela wakho angakutshela ukuthi unciphise umsebenzi onzima cishe izinyanga eziyisithupha. Futhi, uma uphuza utshwala, kubalulekile ukuthi unciphise isiphuzo esisodwa ngosuku.

I-myopericarditis ihlala isikhathi esingakanani?

Kungadingeka ukuthi uphuze imithi efana ne-ibuprofen izinsuku ezimbalwa noma amasonto. I-myopericarditis ingathatha amasonto amane kuya kwayisithupha ukuze ilulame ngokuphelele. Kubalulekile ukugwema ukwenza umsebenzi onzima phakathi nalesi sikhathi.

Iyini i-myopericarditis engenzeka?

Lezi yizindaba ezinhle kakhulu. Isibikezelo se-myopericarditis sihle kakhulu. Iningi labantu liyalulama ngaphandle kwezinkinga noma imiphumela yesikhathi eside. Ngemva kokwelashwa, i-myopericarditis ayivamile ukuphinda ivele. Ngakho-ke qaphela, thola ukwelashwa okufanele, bese ulandela imiyalelo kadokotela wakho.

Ngizinakekela kanjani? Lezi zinto zibalulekile ngesikhathi sokululama!

Into ebaluleke kakhulu lapho ululama ku-myopericarditis ukulandela imiyalelo kadokotela wakho ngqo.

• Phuza imithi yakho njengoba nje uyalelwe, ngesikhathi esifanele, isikhathi esifanele. Ungayeki ukuyiphuza phakathi nesikhathi.
• Qiniseka ukuthi uya kuma-aphoyintimenti okulandelela. Lokhu kuvame ukuba senyangeni eyodwa, ezinyangeni eziyisithupha, kanye nonyaka. Kula ma-aphoyintimenti, udokotela uzokuxilonga futhi angase aphinde izivivinyo ezifana nalezi:
• `I-Echocardiogram`
• `ECG (i-Electrocardiogram)`
• Ukuhlolwa kwegazi
• `I-MRI Yenhliziyo`
• Lalela umzimba wakho. Uma uzizwa ukhathele, phumula. Ungenzi umsebenzi omningi ngesikhathi esisodwa.
• Thola usizo emndenini wakho. Ukusekelwa kubaluleke kakhulu kuwe ngalesi sikhathi.

Kufanele ngimbone nini udokotela? Qaphela lezi zimpawu!

Ngisho nangemva kokwelashwa, uma uba nezimpawu ze-constrictive pericarditis, bona udokotela ngokushesha. Lezi zimpawu zifaka:

• Ukushaya kwenhliziyo.
• Ubunzima bokuphefumula, ikakhulukazi uma uhamba noma ulele phansi.
• Ukuvuvukala kwemilenze nezinyawo (i-Edema).
• Ukugcina amanzi.
• Ukuvuvukala okukhulu kwesisu.

Uma uzizwa kanje, ungalibali, bonana nodokotela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uya kudokotela, bhala phansi imibuzo onayo. Ngaleyo ndlela ngeke ukhohlwe lutho. Isibonelo, ungabuza imibuzo efana nale:

• Yini engaba imbangela ye-myopericarditis?
• Kuzodingeka ngithathe lo muthi isikhathi esingakanani?
• Ngizoqala nini ukuzizwa ngingcono?
• Kufanele ngiqale nini imisebenzi yami evamile kanye nomsebenzi?
• Ingabe ngidinga ukulawula noma yini ngokukhethekile ngokudla neziphuzo?
• Amathuba okuthi lesi simo siphinde senzeke angakanani?

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa wesaba uma unesihlungu esifubeni. Kodwa, ngokufuna iseluleko sezokwelapha ngokushesha, ungazi kahle ukuthi yini engalungile. Ngisho noma kutholakale ukuthi une-myopericarditis, kunezindlela zokwelapha ezinhle, futhi imithi ingasiza ekulawuleni izimpawu zakho. Into ebaluleke kakhulu ukuphuza imithi njengoba nje udokotela wakho ekuyalele futhi ube khona lapho uqokwa khona. Nakekela inhliziyo yakho, ngoba iyigazi lakho lokuphila!