Ingabe ngezinye izikhathi uzwa ubuhlungu besifuba obungazelelwe noma ukuphelelwa umoya okuncane? Ngezinye izikhathi, lezi zimpawu zingase zihambisane nomuzwa wobuthakathaka noma umuzwa wokushisa. Kulula ukuzilahla lezo zimpawu njengezingabalulekile, kodwa empeleni zingaba izinkomba zesimo esithile esihilela inhliziyo yakho. Namuhla, eNirogi Lanka, sifuna ukukhuluma ngesimo esihlobene nenhliziyo esivame ukunganakwa kodwa okubalulekile ukusazi.
Kuyini i-Myopericarditis? Masikwenze kube lula!
Kalula nje, i-Myopericarditis yisimo esithinta kokubili imisipha yenhliziyo (eyaziwa ngokwezokwelapha ngokuthi i- myocardium ) kanye nolwelwesi oluvikelayo oluzungeze inhliziyo (olwaziwa ngokuthi i- pericardium ). Uma imisipha yenhliziyo yakho ivuvukala noma ihlushwa ukuvuvukala , sikubiza ngokuthi i-myocarditis . Ngokufanayo, uma isikhwama esivikelayo esizungeze inhliziyo sivuvukala, sibizwa ngokuthi i-pericarditis .
Uma kokubili i-myocarditis kanye ne -pericarditis zenzeka ndawonye, kodwa umthelela oyinhloko uselulwelweni oluvikelayo , sikubiza ngokuthi i-Myopericarditis. Lokhu kungaqala njengokungakhululeki okuncane kodwa kungaba kubi kakhulu. Ngokuphambene nalokho, uma zombili lezi zimo zikhona kodwa inkinga eyinhloko isemisipha yenhliziyo uqobo , ibizwa ngokuthi i-perimyocarditis . Nakuba kukhona umehluko wobuchwepheshe, izimpawu zihlala zifana kakhulu.
Uyini umehluko phakathi kwe-Myopericarditis ne-Pericarditis?
Bobabili abantu abane-Myopericarditis kanye nalabo abane-Pericarditis elula ( ukuvuvukala okukhawulelwe olwelwesini oluzungeze inhliziyo) bangase babe nezimpawu ezifanayo, njenge:
Kodwa-ke, kukhona umehluko obalulekile wezokwelapha. Iziguli ezine-Myopericarditis zinamathuba amaningi okuba nokuphazamiseka kwesigqi senhliziyo (ukushaya kwenhliziyo okushesha noma okungajwayelekile) kanye nobuthakathaka ekusebenzeni kwemisipha yenhliziyo .
Ngakolunye uhlangothi, labo abane-Pericarditis ehlukanisiwe bathambekele kakhulu ekuthuthukisweni kokuphuma kwegazi e-pericardial , okuwukuqongelela koketshezi ngaphakathi kwesikhwama esizungeze inhliziyo.
Ziyini izimpawu ze-Myopericarditis? Hlala Uqaphile!
Uma une-Myopericarditis, udinga ukuqaphela lezi zimpawu ezithile:
- Ukuphelelwa umoya: Umuzwa wobunzima bokuphefumula, ikakhulukazi lapho ukhuphuka izitebhisi noma uzikhandla.
- Umkhuhlane: Ukuzizwa ushisa noma uzizwa izinga lokushisa likhuphuka.
- Ukukhathala: Ukukhathala okuqhubekayo kungakhathaliseki ukuthi uphumule kangakanani, kuhlangene nokuntuleka kwamandla okwenza imisebenzi yansuku zonke.
- Ukushaya kwenhliziyo: Ukuzwa inhliziyo yakho ishaya ngamandla, umuzwa "wokushaya" esifubeni sakho, noma ukuzizwa sengathi inhliziyo yakho yeqile.
- Ubuhlungu besifuba: Lokhu kuvame ukuba uphawu olucindezela kakhulu. Ungase uzizwe ubuhlungu obubukhali , obuchazwa abaningi njengokungathi ummese ugwaza isifuba. Lobuhlungu bungase bube bubi kakhulu uma uphefumula noma ukhwehlela. Ngezinye izikhathi ubuhlungu buhlala njalo, noma bungase bunciphe kancane uma ugoba phambili.Isibonelo, ake ucabange uqala ukuzwa ubuhlungu phakathi kwesifuba sakho bukhanya ngakwesobunxele. Kubuhlungu ukuphefumula, kodwa ukukhothamela phambili kuletha impumuzo yesikhashana ngenkathi ulele phansi kwenza ubuhlungu bube bubi kakhulu. Uma uhlangabezana nalezi zimpawu, ungazinaki—funa usizo lwezokwelapha ngokushesha.
Yini ebangela i-Myopericarditis?
Ngokuvamile, imbangela eqondile ye-Myopericarditis ayicaci. Kodwa-ke, ochwepheshe bezokwelapha bathole izinto eziningana ezingaba yimbangela, okuhlanganisa:
- Amagciwane: Lena imbangela evame kakhulu. Izibonelo zifaka:
- Igciwane le-covid19
- Amagciwane omkhuhlane abangela umkhuhlane ovamile kanye nomkhuhlane
- Amagciwane e- Herpes
- Igciwane le-Coxsackie (eliphinde libe nomthelela ezifweni zezandla, izinyawo, nomlomo)
- I-HIV
- I-Hepatitis C
- Amabhaktheriya: Njengamabhaktheriya abangela isifo sofuba .
- Izimuncagazi.
- Isikhunta.
- Imithi ethile yokugoma: Akuvamile ukuthi imithi yokugoma i-smallpox noma i-COVID-19 ibangele lesi simo. Ngisho nakulezi zimo ezingavamile, amacala ahlobene nemithi yokugoma i-COVID-19 ngokuvamile awathuthukeli ekuguleni okubi kakhulu.
- I-Hypothyroidism (i-thyroid engasebenzi kahle).
- Ukwehluleka kwezinso.
- Isimila enhliziyweni yakho.
- Izifo zokuvuvukala kwesistimu: Njenge- Lupus , i-IBD (Isifo Sokuvuvukala Kwamathumbu) , noma i-Rheumatoid Arthritis .
- Umdlavuza we-Metastatic: Njenge -Melanoma , umdlavuza webele, noma umdlavuza wamaphaphu osusakazekele enhliziyweni.
- Ukwelashwa ngemisebe esifubeni (ukwelashwa ngomdlavuza).
Ubani osengozini enkulu?
Ngenxa yokuthi ukutheleleka ngegciwane kuyimbangela eyinhloko, umlando wokutheleleka ngegciwane uyisici esikhulu sengozi. Ukutheleleka ngamagciwane afana ne -Herpes , i-Influenza , i-COVID-19 , i-Coxsackie , i-HIV , noma i-Hepatitis C kwandisa ingozi yakho. Ngaphezu kwalokho, izibalo zibonisa ukuthi i-Myopericarditis ivame kakhulu kwabesilisa nakwabangaphansi kweminyaka engama-40 .
Yiziphi izinkinga ze-Myopericarditis?
Uma ingaphathwa kahle, i-Myopericarditis ingadala izinkinga. Kodwa-ke, hlala unethemba, njengoba iziguli eziningi zithola kahle ngokunakekelwa okufanele. Izinkinga ezingaba khona zifaka:
- I-Constrictive Pericarditis: Lokhu kwenzeka lapho ulwelwesi oluzungeze inhliziyo yakho luqina futhi luqina, okuvimbela inhliziyo ukuthi ikhule kahle. Uma i-myopericarditis yakho ibangelwe yigciwane, ingozi yalesi simo ingaphansi kuka-1%. Kodwa-ke, uma ibangelwe ukutheleleka ngamagciwane, ingozi ingakhuphuka ibe phakathi kuka-20% no-30%.
- Ukwehluleka Kwenhliziyo: Isimo lapho inhliziyo ingakwazi ukupompa igazi ngempumelelo ukuze ihlangabezane nezidingo zomzimba.
- Ukungasebenzi Kahle Kwe-Ventricle Yesobunxele: Kwenzeka lapho i-ventricle yesobunxele—igumbi eliyinhloko lokupompa lenhliziyo yakho—ingasebenzi ngendlela efanele.
- Izigqi Zenhliziyo Ezingavamile (i-Arrhythmias).
Itholakala Kanjani I-Myopericarditis?
Uma usola ukuthi une-myopericarditis, udokotela wakho uzokwenza ukuhlolwa ngokomzimba futhi ahlele ukuhlolwa okuqondile. Ukuxilongwa kuvame ukucatshangelwa uma ubonisa:
- Izimpawu ezifana ne-pericarditis, ikakhulukazi ubuhlungu besifuba.
- Ukuphuma kwegazi enhliziyweni (ukunqwabelana koketshezi oluzungeze inhliziyo).
- Ukuhlolwa kwegazi okubonisa ukuvuvukala komzimba.
- Umbiko we-ECG (i-Electrocardiogram) ongavamile.
- Ukuhlolwa kwezithombe (isb., i-Echocardiogram) okubonisa ukusebenza kwegumbi lenhliziyo okuphazamisekile (uma ukusebenza kujwayelekile, kungahlukaniswa ngokuthi i-Pericarditis).
Ukuhlolwa Kokuxilonga
Ukuqinisekisa ukutholakala kwe-myopericarditis, ochwepheshe bezokwelapha baseNirogi Lanka basebenzisa lezi zivivinyo ezilandelayo:
- Ukuhlolwa kwegazi: Ukuthola izimpawu zokulimala kwemisipha yenhliziyo kanye nokuvuvukala (isib. i-Troponin, i-CRP, i-ESR).
- I-ECG (i-Electrocardiogram): Ukuhlaziya ukusebenza kukagesi kwenhliziyo yakho nokubona noma yikuphi ukungasebenzi kahle kwesigqi.
- I-Echocardiogram: Cabanga ngalokhu njengokuskena kwenhliziyo yakho nge-ultrasound. Kusivumela ukuthi sibone usayizi wenhliziyo, ukuma kwayo, ukusebenza kwegumbi, impilo yevalvu, kanye nokuhlola ukuphuma kwegazi emithanjeni yenhliziyo.
- I-Heart MRI (I-Cardiac Magnetic Resonance Imaging): Inikeza izithombe ezinemininingwane eminingi zenhliziyo kanye ne-pericardium, okusisiza ukuthi sinqume izinga eliqondile lokuvuvukala kanye nomonakalo wezicubu.
- I-X-ray yesifuba: Ukuhlola ubukhulu benhliziyo yakho kanye nesimo samaphaphu akho.
- I-CT Scan (i-Computed Tomography): Ingacelwa ezimweni ezithile neziyinkimbinkimbi.
Iphathwa kanjani i-Myopericarditis?
Kuye ngokwesimo sakho sezokwelapha, udokotela wakho uzokunikeza imithi ethile kanye/noma ukwelashwa. Kwezinye izimo, ikakhulukazi uma izimpawu zinzima, kungadingeka ukuthi ulaliswe esibhedlela.
Imithi Eqondile Nokwelashwa
Ukwelashwa kwe-myopericarditis ngokuvamile kuhilela:
- Ama-anti-inflammatory pain trealer (NSAIDs): Njenge-Ibuprofen. Umthamo ungahluka kuye ngokuthi ukuvuvukala kusemisipha yenhliziyo noma i-pericardium.
- Eminye imithi yokulwa nokuvuvukala: Kufaka phakathi i-Prednisone (i-corticosteroid) kanye ne-Colchicine.
- Ukwehluleka kwenhliziyo/Imithi yokucindezeleka kwegazi: Ama-Beta-blockers, ama-ACE inhibitors, noma ama-diuretics (amaphilisi amanzi) anganikezwa ukusekela ukusebenza kwenhliziyo nokulawula ukucindezeleka kwegazi.
- I-Pericardiocentesis: Inqubo yokususa uketshezi oluningi oluzungeze inhliziyo usebenzisa inaliti uma uketshezi oluqongelelekile lubangela ingcindezi enhliziyweni.
Imiphumela Engemihle Nezinkinga
Eminye imithi esetshenziselwa i-myopericarditis ingabangela imiphumela emibi emincane, njenge:
- Ukungakhululeki esiswini noma isicanucanu.
- Isiyezi.
- Ukulahlekelwa yisifiso sokudla.
- Ukukhathala.
- Ukukhwehlela okomile (okuvame ukuhlotshaniswa nemithi yokuvimbela i-ACE).
- Ubuhlungu bekhanda.
Nakuba kungavamile kakhulu, izinkinga ezivela ku-pericardiocentesis zingavela, njenge:
- Ukutheleleka endaweni.
- Ukulimala kwenhliziyo, emaphashini, esiswini, noma esibindini.
- Ukulimala kwemithambo yegazi emikhulu eduze kwenhliziyo.
Sicela uqiniseke ukuthi lezi yizinto ezingavamile kakhulu, futhi ithimba lethu lezokwelapha lithatha zonke izinyathelo zokuphepha ukuqinisekisa ukuphepha kwakho.
Yini Ongayilindela Nge-Myopericarditis?
Uma kutholakale ukuthi une-myopericarditis, inhliziyo yakho idinga isikhathi esizinikele ukuze ilulame. Uma ungumsubathi, noma uma imisipha yenhliziyo yakho ithinteke kakhulu, udokotela wakho angancoma ukunciphisa umsebenzi onzima noma ukuzivocavoca kuze kube yizinyanga eziyisithupha. Ngaphezu kwalokho, uma uphuza utshwala, kubalulekile ukunciphisa ukuphuza utshwala kube ngaphezu kwesiphuzo esisodwa ngosuku.
I-Myopericarditis ihlala isikhathi esingakanani?
Kungadingeka ukuthi uphuze imithi efana ne-Ibuprofen izinsuku eziningana noma amasonto. Ukululama ngokuphelele kwi-myopericarditis kuvame ukuthatha amasonto amane kuya kwayisithupha. Ukugwema ukuzikhandla ngokweqile phakathi nalesi sikhathi kubalulekile ekululameni kwakho.
Iyini i-Outlook (Prognosis)?
Izindaba ezinhle kakhulu ukuthi isibikezelo se-myopericarditis ngokuvamile sihle kakhulu. Iningi labantu liyalulama ngokuphelele ngaphandle kwezinkinga zesikhathi eside. Uma selilashwe, i-myopericarditis ephindaphindayo ayivamile. Hlala unethemba, landela uhlelo lwakho lokwelashwa, futhi unamathele ngokuqinile eselulekweni sikadokotela wakho.
Ukuzinakekela Nokululama
Ukulandela imiyalelo kadokotela wakho kuyisinyathelo esibaluleke kakhulu ohambweni lwakho lokululama:
- Phuza yonke imithi njengoba nje uyalelwe, ngesikhathi esifanele, futhi isikhathi sonke. Ungayeki kusenesikhathi.
- Yiba khona kuzo zonke izikhathi zokulandelela ngaphandle kokwehluleka. Lokhu kuvame ukuhlelwa inyanga eyodwa, izinyanga eziyisithupha, kanye nonyaka owodwa. Phakathi nalokhu kuvakashela, udokotela wakho uzoqapha intuthuko yakho futhi angase aphinde:
- I-Echocardiogram
- I-ECG
- Ukuhlolwa kwegazi
- I-MRI yenhliziyo
- Lalela umzimba wakho. Phumula noma nini lapho uzizwa ukhathele; ungasheshi ukubuyela emsebenzini wakho ogcwele.
- Funa ukwesekwa. Thembela emndenini wakho nakubangani bakho phakathi nalesi sikhathi sokululama.
Isikhathi Sokufuna Ukunakekelwa Kwezokwelapha Okuphuthumayo
Ngisho nangemva kokwelashwa, uma ubona izimpawu ezibonisa i-Constrictive Pericarditis, xhumana nezinsizakalo eziphuthumayo (911) noma ufune usizo lwezokwelapha oluphuthumayo ngokushesha. Izimpawu eziyisixwayiso zifaka:
- Ukushaya kwenhliziyo (ukuzwa ukushaya kwenhliziyo yakho noma ukushaya kwe-skip).
- Ukuphefumula kanzima, ikakhulukazi uma uhamba noma ulele phansi.
- Ukuvuvukala emilenzeni nasezinyaweni (i-Edema).
- Ukugcinwa koketshezi ngokweqile.
- Ukuvuvukala okukhulu kwesisu.
Ungalibali uma ubona lezi zimpawu; funa usizo lochwepheshe bezokwelapha ngokushesha.
Imibuzo Okufanele Uyibuze Udokotela Wakho
Uma uvakashela udokotela wakho, bhala phansi imibuzo yakho kusengaphambili ukuze ungakhohlwa lutho. Isibonelo, ungase ubuze:
- Yini eyayingabangela i-myopericarditis yami?
- Kuyodingeka ngisebenzise imithi isikhathi esingakanani ngenxa yalesi simo?
- Kufanele ngiqale nini ukuzwa impumuzo noma ukuthuthuka kwezimpawu zami?
- Ngingabuyela nini ngokuphephile emisebenzini yami yansuku zonke nasemsebenzini?
- Ingabe kukhona imikhawulo ethile yokudla noma izinguquko okufanele ngizilandele?
- Amathuba okuba lesi simo siphinde sivele esikhathini esizayo angakanani?
Umyalezo Obalulekile Wokuya Nawo Ekhaya
Kungokwemvelo ngokuphelele ukuzizwa ukhathazekile lapho uzwa ubuhlungu besifuba. Kodwa-ke, ukufuna usizo lwezokwelapha ngokushesha kukuvumela ukuthi uthole ukuxilongwa okunembile. Ngisho noma utholakale une-myopericarditis, qiniseka ukuthi ukwelashwa okuphumelelayo kuyatholakala, futhi izimpawu zakho zingaphathwa ngempumelelo ngemithi efanele. Isinyathelo esibaluleke kakhulu ukulandela ngokuqinile uhlelo lokwelashwa olunikezwe udokotela wakho futhi ube khona kuzo zonke izikhathi zakho zokulandelela. Nakekela inhliziyo yakho, njengoba iyisigqi sempilo yakho!
