Myocarditis

ʻO Myocarditis ka mumū o ka puʻuwai puʻuwai.

Kapa ʻia kēia ʻano myocarditis pediatric ke hiki mai i nā keiki.

ʻO Myocarditis kahi maʻi maʻamau. ʻO ka hapa nui o nā manawa, pili ia i kahi maʻi i hiki i ka puʻuwai.

Ke loaʻa ʻoe i kahi maʻi, hana i kāu ʻōnaehana pale pale i nā hunaola kūikawā e pale aku i ka maʻi. Inā pili ka maʻi i kou puʻuwai, e komo nā pūnaewele hakakā i ka maʻi i loko o ka puʻuwai. Eia nō naʻe, hiki i nā kemika i hana ʻia e kēia mau pūnaewele ke hōʻino pū i ka mākala puʻuwai. ʻO ka hopena, hiki i ka puʻuwai ke lilo i mānoanoa, pehu, a nāwaliwali.

Hoʻokumu ʻia nā hihia he nui e kahi virus i hiki i ka puʻuwai. Hiki i kēia ke hoʻopili i ka maʻi flu (flu), coxsackievirus, parovirus, cytomegalovirus, adenovirus, a me nā mea ʻē aʻe.

Hoʻokumu ʻia paha ia e nā maʻi bacteria e like me ka maʻi Lyme, streptococcus, mycoplasma, a me chlamydia.

Nā kumu ʻē aʻe o ka myocarditis me:

• Nā hopena i kekahi mau lāʻau, e like me kekahi lāʻau chemotherapy
• Hōʻike i nā kemika i ke kaiapuni, e like me nā metala kaumaha
• Nā maʻi ma muli o ka fungus a nā parasites
• Pāhawewe
• Nā maʻi Autoimmune e hoʻonā i ke kino a puni ke kino

I kekahi manawa ʻaʻole ʻike ʻia ke kumu kūpono.

ʻAʻohe paha ʻōuli. Kūlike paha nā ʻōuli me ka flu. Inā kū nā ʻōuli, pili pū paha lākou:

• ʻO ka ʻeha o ka umauma e like paha me ka hōʻeha puʻuwai
• Ka luhi a listlessness paha
• ʻO ka fiva a me nā ʻōuli ʻē aʻe o ka maʻi e pili ana i ka ʻeha poʻo, nā ʻeha o ka ʻeha, ʻeha puʻu, diarrhea, a me nā huehue
• ʻEha hui a pehu paha
• Huʻi wāwae
• ʻO Pale, nā lima a me nā wāwae anuanu (kahi hōʻailona o ka holo maikaʻi ʻole)
• Hanu wikiwiki
• Helu puʻuwai wikiwiki

Nā ʻōuli ʻē aʻe i hiki ke loaʻa me kēia maʻi.

• Fainting, pili pinepine i nā rhythm puʻuwai kūlike ʻole
• Puka mimi haʻahaʻa

Hiki i ka Myocarditis ke paʻakikī ke kuhi no ka mea pinepine nā hōʻailona a me nā ʻōuli i nā maʻi o ka puʻuwai a me nā mumū, a i ʻole kahi maʻi maikaʻi ʻole o ka maʻi flu.

Lohe paha ka mea lawelawe olakino i ke kani o ka puʻuwai wikiwiki a i ʻole kani hewa ka puʻuwai ʻoiai e hoʻolohe ana i ka umauma o ke keiki me kahi stethoscope. ʻIke paha kahi hoʻokolohua kino i ka wai i nā akemāmā a me ka pehu ʻana o nā wāwae i nā keiki nui.

Aia paha he mau hōʻailona o ka maʻi, e laʻa me ke kuni a me nā ʻino.

Hiki i kahi x-ray umauma ke hōʻike i ka hoʻonui ʻana (pehu) o ka puʻuwai. Inā kānalua ka mea hāʻawi i ka myocarditis e pili ana i ka hoʻokolohua a me ka x-ray umauma, hana ʻia paha kahi electrocardiogram e kōkua i ka ʻike ʻana i ka ʻike. ʻO ka biopsy puʻuwai ke ala pololei loa e hōʻoia ai i ke kuhi, akā ʻaʻole pono ia i nā manawa a pau. Eia kekahi, ʻaʻole hiki i kahi biopsy puʻuwai ke hōʻike i ka hōʻailona inā ʻaʻole i loko o kahi ʻāpana o nā puʻuwai puʻuwai i lawe ʻia ka meaola i manaʻo ʻia a i ʻole nā ​​mea hōʻike ʻē aʻe.

ʻO nā hoʻokolohua ʻē aʻe e pono ai e hoʻopili ʻia:

• ʻO nā moʻomeheu koko e nānā i ka maʻi
• Nānā ke koko e nānā i nā mea ʻino e kūʻē i nā virus a i ʻole ka mākala puʻuwai ponoʻī
• Nā ho'āʻo koko e nānā i ka hana o ke ake a me ka hakuʻala
• Helu piha koko
• Nā hoʻāʻo kūikawā e nānā ai i ka loaʻa ʻana o nā mea ʻino i loko o ke koko (viral PCR)

Hoʻolālā ʻia ka mālama ʻana i ke kumu o ka pilikia, a pili pū paha iā:

• Nā Antibiotics e hakakā i ka maʻi bacteria
• Kapa ʻia nā lāʻau i nā steroid e hōʻemi i ka pehu
• Intravenous immunoglobulin (IVIG), kahi lāʻau i hana ʻia i nā mea (i kapa ʻia he antibodies) e hoʻopuka ai ke kino e hakakā i ka maʻi, e kaohi i ke kaʻina hana hoʻomeamea.
• Diuretics e wehe i ka nui o ka wai mai ke kino
• Papaʻai paʻakai haʻahaʻa
• Hoʻoemi hana

Inā nāwaliwali ka puʻuwai puʻuwai, e kauoha ana kāu mea hāʻawi i nā lāʻau e mālama ai i ka maikaʻi ʻole o ka puʻuwai. Pono paha nā mele naʻau maʻamau e hoʻohana i nā lāʻau ʻē aʻe. Pono paha ʻoe i kahi hāmeʻa e like me ka pacemaker, a i ʻole implantable cardioverter-defibrillator's e hoʻoponopono i kahi puʻuwai puʻuwai koʻikoʻi weliweli. Inā aia ke koko i loko o ka lumi o ka puʻuwai, e loaʻa pū iā ʻoe ka lāʻau lapaʻau lahilahi.

Kākaʻikahi, pono ʻia kahi transplant puʻuwai inā ua nāwaliwali loa ka puʻuwai puʻuwai e hana.

Hiki ke hoʻololi i ka hopena, kaukaʻi ʻia i ke kumu o ka pilikia a me ke olakino olakino o ke kanaka. E ola hou paha kekahi poʻe. Loaʻa i nā poʻe ʻē aʻe i ka pau ʻole o ka puʻuwai.

Komo pū nā pilikia:

• Cardiomyopathy
• Hewa puʻuwai
• Pericarditis

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o myocarditis, keu hoʻi ma hope o kahi maʻi hou.

E ʻimi koke i ke kōkua lapaʻau inā:

• Kūpilikiʻi kāu mau ʻōuli.
• Ua hōʻoia ʻia ʻoe me ka myocarditis, a ua hoʻonui ʻoe i ka ʻeha o ka umauma, ka pehu ʻana, a me nā pilikia hanu.

E mālama i nā kūlana e kumu koke ai i ka myocarditis e hōʻemi i ka pilikia.

Hoʻonā - ka puʻuwai puʻuwai

• Myocarditis
• Puʻuwai - ʻāpana ma waena o ka waena
• Puʻuwai - ʻike mua

ʻO Cooper LT, ʻo Knowlton KU. Myocarditis. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 79.

Knowlton KU, Savoia MC, Oxman MN. Myocarditis a me pericarditis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 80.

ʻO McKenna WJ, ʻo Elliott P. Nā maʻi o ka myocardium a me ka endocardium. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 54.