Ngokuvame kakhulu ezigulini ezine-myocarditis yenhliziyo, umbuzo uvela - uhlobo luni lwesifo, nendlela yokuluphatha ngayo. Lokhu kungenxa yokuthi lesi sifo asivamile. Izifo zalesi sifo zingamaphesenti angu-4 azo zonke izifo ze-cardiovascular system. Kodwa i-myocarditis yenhliziyo ingabangela izinkinga ezinkulu, ngakho-ke kubalulekile ukuthi wonke umuntu azi izimpawu nezindlela zokwelapha.
Izimbangela ze-myocarditis
I-myocarditis yisifo sokuvuvukala okunzima kwesibindi semisipha senhliziyo yesifo esithathelwanayo-sokugula, isifo se-rheumatic noma esithathelwanayo. Inkambo yesifo iyingozi futhi ingapheli. Lesi sifo "asibophekile" eminyakeni ethile. Kubonakala asebekhulile, nasebancane. Umphumela wenqubo yokuvuvukala ukusabalalisa kwezicubu ezixhumeneyo nokuthuthukiswa okusheshayo kwe-cardiosclerosis. Ngenxa yalokhu, umsebenzi wokumpompa we-muscle wenhliziyo unciphile kakhulu. Ngenxa yalokho, isigqi senhliziyo siyaphazanyiswa, kukhona ukwehluleka okukhulu kokujikeleza futhi ngezinye izikhathi lokhu kuholela emphumela wokubulala.
Izimbangela ze-myocarditis yenhliziyo yizifo ezithathelwanayo:
- amabhaktheriya (amabhaktheriya e-corneal diphtheria, i-salmonella, i-staphylococcus);
- ama-viral (ama-influenza, iCoxsackie, i-adenovirus, i-herpes noma i-hepatitis);
- i-parasitic (echinococcus noma i-trichinella);
- fungal (Candida noma Aspergillus).
Isimo esinzima salesi sifo ngokuvamile sivela nge-diphtheria, i-sepsis nomswakama omnyama. Ezimweni ezingavamile, lesi sifo siba nezifo ezithathelwanayo nezisimiso:
- i-rheumatism;
- i-lupus erythematosus;
- i-vasculitis;
- i-arthritis ye-rheumatoid.
Izimpawu ze-myocarditis
Esikhathini sokuqala sokuthuthukiswa, i-myocarditis ibonisa, njengezinye izifo zenhliziyo, ukwephulwa kwenhliziyo yesigqi. Ezinye iziguli nazo zikhononda ngokuphefumula nobuthakathaka (ikakhulu ngokucacile ukuthi ziyabonakala ngenkathi zisebenza ngokomzimba). I-myocarditis, eyenzeka ngaphandle kokungasebenzi kahle kwe-ventricle yesokunxele yenhliziyo, ingahlakulela ngaphandle kwempawu ecacile nhlobo.
Uma isiguli singahambi ku-cardiologist bese siqala ukwelashwa, lesi sifo sizoqhubeka futhi isiguli siyoba nalokhu:
- ukucindezeleka noma ubuhlungu be-paroxysmal enhliziyweni;
- ukujuluka okukhulu ;
- ubuhlungu emajoyini;
- ukunyuka kwengcindezi yomzimba;
- ukwakheka kwe-edema ye-peripheral (kuphela nge-lesi-ventricular lesion).
Ubukhulu benhliziyo nge-myocarditis ephakathi. Isikhumba seziguli sivulekile, futhi ngezinye izikhathi sinomthunzi we-cyanotic. Ukugxila nalesi sifo kuyashesha futhi kuhlelekile. Ngokwehluleka kwenhliziyo nge-myocarditis, kukhona ukuvuvukala okuqinile kwemivalo yomlomo wesibeletho.
Ukwelashwa kwe-myocarditis
Isigaba esibucayi se-myocarditis senhliziyo sinemiphumela emibi kakhulu, ngakho-ke sidinga ukunakekelwa esibhedlela, imingcele ephelele yokusebenza kanye nokuphumula okuphuthumayo kokulala kwamasonto amane kuya kwangu-8. Imithi yokwelashwa kufanele iqale njalo nge-non-specific anti-inflammatory therapy. Ukusetshenziswa kungaba izidakamizwa ezifana nalezi:
- Indomethacin;
- I-Voltaren;
- I-Prednisolone.
Ukuze ukwelashwa kwe-myocarditis, izinhlobo ezihlukahlukene zegciwane zisebenzisa izidakamizwa ezikhethwe kuye ngohlobo lwe-pathogen. Ngokwesibonelo, nge-bacterium myocarditis, ama-antibiotics Vancomycin noma i-Doxycycline anqunywe. Kodwa ngezidakamizwa ezingezange-steroidal ezilwa nokuvuvukala uDiclofenac no-Ibuprofen.
Into esemqoka mayelana nokuthi ubani akufanele akhohlwe ukuthi i-myocarditis yenhliziyo iyingozi kakhulu. Uma izinyathelo zokwelapha azilethi imiphumela, futhi uzizwa ungcono, kufanele utshele udokotela ngakho. Mhlawumbe indlela kuphela ezokusiza ukuguqulwa kwenhliziyo.