Myocarditis

Myocarditis kuzvimba kwemutsipa wemwoyo.

Mamiriro acho anonzi pediatric myocarditis kana ichiitika muvana.

Myocarditis chirwere chisina kujairika. Kazhinji yenguva, zvinokonzerwa nehutachiona hunosvika pamoyo.

Paunenge uine hutachiona, immune system yako inogadzira maseru akakosha ekurwisa chirwere. Kana hutachiona hukanganisa moyo wako, masero anorwisa chirwere anopinda mumoyo. Nekudaro, makemikari akagadzirwa nemaseru aya anogona zvakare kukuvadza mhasuru yemoyo. Nekuda kweizvozvo, moyo unogona kukora, kuzvimba, uye kushaya simba.

Zviitiko zvakawanda zvinokonzerwa nehutachiona hunosvika pamoyo. Izvi zvinogona kusanganisira furuwenza (flu) hutachiona, coxsackievirus, parovirus, cytomegalovirus, adenovirus, nevamwe.

Inogona zvakare kukonzerwa nehutachiona hutachiona senge chirwere cheLyme, streptococcus, mycoplasma, uye chlamydia.

Zvimwe zvikonzero zve myocarditis zvinosanganisira:

• Reaction kune mimwe mishonga, senge mamwe machemotherapy madhiragi
• Kuratidzirwa kumakemikari mune zvakatipoteredza, senge simbi inorema
• Zvirwere zvinokonzerwa nefungus kana zvipembenene
• Radiation
• Autoimmune kusagadzikana kunokonzera kuzvimba mumuviri wese

Dzimwe nguva chikonzero chaicho chingasawanikwa.

Panogona kunge pasina zviratidzo. Zviratidzo zvinogona kunge zvakafanana nefuruu. Kana zviratidzo zvikaitika, zvinogona kusanganisira:

• Kurwadziwa pachifuva kunogona kufanana nechirwere chemwoyo
• Kuneta kana kusagadzikana
• Fivhiri uye zvimwe zviratidzo zvehutachiona zvinosanganisira kutemwa nemusoro, tsandanyama aches, kurwadziwa pahuro, manyoka, kana mapundu
• Joint kurwadziwa kana kuzvimba
• Kuzvimba kwegumbo
• Pale, inotonhorera maoko nemakumbo (chiratidzo chekutenderera kwakashata)
• Kukurumidza kufema
• Kukurumidza kurova kwemoyo

Zvimwe zviratidzo zvinogona kuitika nechirwere ichi:

• Kufenda, kazhinji kunoenderana neisina kujairika moyo mutinhimira
• Wakaderera weti kubuda

Myocarditis inogona kunge yakaoma kuongorora nekuti zviratidzo nezviratidzo zvinowanzo kuteedzera zveimwe hosha dzemwoyo nemapapu, kana chirwere chakaipa chefuruwenza.

Anopa hutano anogona kunzwa kukurumidza kurova kwemoyo kana kusanzwisisika kwemoyo kurira apo achiteerera pachipfuva chemwana ne stethoscope. Kuongorora kwemuviri kunogona kuona kuyerera mumapapu uye kuzvimba mumakumbo muvana vakura.

Panogona kuve nezviratidzo zvehutachiona, zvinosanganisira kupisa muviri uye mapundu.

Bhokisi x-ray rinogona kuratidza kuwedzera (kuzvimba) kwemoyo. Kana iye mupi achifungidzira myocarditis zvichibva pabvunzo uye chipfuva x-ray, electrocardiogram inogona zvakare kuitwa kubatsira kubatsira kuongororwa. Mwoyo biopsy ndiyo chaiyo nzira chaiyo yekusimbisa kuongororwa, asi haisi kugara ichidikanwa. Zvakare, moyo biopsy inogona kusaratidza kuratidzwa kana chidimbu chidiki chemoyo wemukati chabviswa chisina chinhu chinofungidzirwa kana zvimwe zviratidzo.

Mimwe bvunzo inogona kudikanwa inosanganisira:

• Tsika dzeropa kuongorora hutachiona
• Kuongororwa kweropa kutsvaga masoja ekudzivirira mavhairasi kana mhasuru yemoyo pachayo
• Kuongororwa kweropa kutarisa chiropa uye itsvo kushanda
• Yakazara kuverenga ropa
• Ongororo dzakakosha kuti utarise kuvapo kwemavhairasi muropa (hutachiona PCR)

Kurapa kunoitirwa chikonzero chechinetso, uye kunogona kusanganisira:

• Mishonga inorwisa mabhakitiriya kurwisa hutachiona hutachiona
• Mishonga inonzi steroids yekudzora kuzvimba
• Intravenous immunoglobulin (IVIG), mushonga wakagadzirwa nezvinhu (zvinodaidzwa kuti antibodies) izvo zvinogadzirwa nemuviri kurwisa hutachiona, kudzora kuzvimba
• Diuretics kubvisa yakawandisa mvura kubva mumuviri
• Kudya kwakaderera-munyu
• Basa rakaderedzwa

Kana tsandanyama yemwoyo isina kusimba, mupi wako achapa mishonga yekurapa kukundikana kwemoyo. Mamiriro emoyo asina kujairika angangoda kushandiswa kwemimwe mishonga. Iwe unogona zvakare kuda chishandiso senge pacemaker, kana inoisirwa cardioverter-defibrillator's kugadzirisa chakaipa chisina kujairika kurova kwemoyo. Kana ropa rakavhara riri mukamuri yemoyo, iwe unozogashira mushonga wekuonda ropa.

Kazhinji, kupinza kwemoyo kunogona kudikanwa kana moyo wemhasuru wave kushaya simba rekuita.

Mhedzisiro yacho inogona kusiyana, zvinoenderana nechakonzera dambudziko uye hutano hwomunhu hwese. Vamwe vanhu vanogona kupora zvachose. Vamwe vanogona kuve nekusingaperi kwemoyo kutadza.

Zvinetso zvinogona kusanganisira:

• Cardiomyopathy
• Kutadza kwemoyo
• Pericarditis

Fonera mupiki wako kana iwe uine zviratidzo zve myocarditis, kunyanya mushure meutachiona hwazvino.

Tsvaga rubatsiro rwechiremba ipapo kana:

• Zviratidzo zvako zvakanyanya.
• Wakaonekwa uine myocarditis, uye wakawedzera kurwadziwa pachipfuva, kuzvimba, kana matambudziko ekufema.

Rapa mamiriro anokonzera myocarditis nekukurumidza kudzikisa njodzi.

Kuzvimba - moyo mhasuru

• Myocarditis
• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa

Cooper LT, Knowlton KU. Myocarditis. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits. 79.

Knowlton KU, Savoia MC, Oxman MN. Myocarditis uye pericarditis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 80.

McKenna WJ, Elliott P. Zvirwere zveiyo myocardium uye endocardium. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 54.