Myocarditis: he aha ia, nā hōʻailona nui a me ka mālama ʻana

Anter

• Nā hōʻailona nui
• Pehea e hana ʻia ai ke kuhi
• Pehea e mālama ai i ka myocarditis
• Hiki ke hopena

ʻO ka Myocarditis kahi mumū o ka puʻuwai puʻuwai e hiki ke ala aʻe ma ke ʻano he pilikia i nā ʻano maʻi like ʻole i ke kino, e hana ana i nā ʻōuli e like me ka ʻeha o ka umauma, ka liʻiliʻi o ka hanu a me ka ʻoliʻoli.

I ka hapanui o nā hihia, kū mai ka myocarditis i ka wā o ka maʻi virus, e like me ka maʻi influenza a i ʻole ka moa moa, akā hiki ke hana ʻia inā loaʻa kahi maʻi ma nā koʻohune a me nā fungi, a ma ia manawa he mea maʻamau ka holomua o ka maʻi. Eia hou, hiki i ka myocarditis ma muli o nā maʻi autoimmune, e like me Systemic Lupus Erythematosus, hoʻohana ʻana i kekahi mau lāʻau a me ka ʻai nui ʻana i nā mea inu ʻona, no ka laʻana.

Hiki ke hoʻōla a myocarditis a nalo pinepine i ka wā e ola ai ka maʻi, akā naʻe, ke kaumaha loa ka mumū o ka puʻuwai a hele ʻole paha, pono paha e noho i ka haukapila.

Nā hōʻailona nui

I nā hihia milder, e like me ke anu a flu paha, no ka laʻana, ʻaʻole nā ​​myocarditis e hana i kekahi ʻōuli. Eia nō naʻe, i nā hihia ʻoi loa, e like me nā maʻi maʻi bacteria, e ʻike ʻia nā mea penei:

• ʻEha o ka umauma;
• Puʻuwai puʻuwai maikaʻi ʻole;
• Manaʻo o ka pōkole o ka hanu;
• Luhi nui loa;
• ʻO ka pehu ʻana o nā wāwae a me nā wāwae;
• Puʻupuʻu.

I nā keiki, ma ka ʻaoʻao ʻē aʻe, ʻike ʻia kekahi mau ʻōuli ʻē aʻe, e like me ka hoʻonui ʻana i ka fiva, ka hanu wikiwiki ʻana a me ka nāwaliwali. I kēia mau hihia, paipai ʻia e nīnau koke i ka pediatrician e nānā koke i ka pilikia a hoʻomaka i ka lāʻau kūpono.

Ma muli o ke kū ʻana o ka myocarditis i ka wā o ka maʻi, hiki i nā ʻōuli ke paʻakikī e ʻike a, no laila, pono e hele i ka haukapila ke hala nā hōʻailona ma mua o 3 mau lā, no ka mea, no ka mumū o ka puʻuwai puʻuwai, hoʻomaka ka puʻuwai e kū. paʻakikī i ka pauma pono ʻana i ke koko, kahi e hiki ai ke hoʻonāukiuki i ka arrhythmia a me ka puʻuwai.

Pehea e hana ʻia ai ke kuhi

Ke kānalua ʻia ka myocarditis, hiki i ke kauka meaola ke kauoha i kekahi mau hoʻokolohua e like me ka X-ray umauma, electrocardiogram a i ʻole echocardiogram e ʻike ai i nā loli i ka hana o ka puʻuwai. He mea nui kēia mau hoʻāʻo no ka mea o nā maʻi wale nō ke kumu o ka maʻi i loko o ke kino, me ka loli ʻole o ka puʻuwai.

Hoʻohui ʻia, noi ʻia kekahi mau hoʻokolohua hoʻokolohua e nānā i ka hana o ka puʻuwai a me ka hiki ke loaʻa i ka maʻi, e like me VSH, PCR dosage, leukogram and konsentration of cardiac markers, e like me CK-MB a me Troponin. ʻIke i nā hoʻāʻo e loiloi i ka puʻuwai.

Pehea e mālama ai i ka myocarditis

Hana pinepine ʻia ka mālama ʻana ma ka home me ka maha no ka hōʻalo ʻana i ka hana nui e ka puʻuwai. Eia nō naʻe, i kēia wā, pono e mālama pono ʻia ka maʻi i hoʻokumu ʻia i ka myocarditis a, no laila, pono paha e lawe i nā lāʻau ʻaloʻalo, antifungals a i ʻole antivirals, no ka laʻana.

Eia hou, inā ʻike ʻia nā ʻōuli o ka myocarditis a i ʻole inā hoʻowalewale ka mumū i ka hana o ka puʻuwai, hiki i ka cardiologist ke ʻōlelo i ka hoʻohana ʻana i kekahi mau lāʻau e like me:

• Nā Kālā Hoʻōla Koko kiʻekiʻe, e like me captopril, ramipril a i ʻole losartan: hoʻomaha lākou i nā kīʻaha koko a hoʻoikaika i ke kahe o ke koko, hoʻoliʻiliʻi i nā ʻōuli e like me ka ʻeha o ka umauma a me ka liʻiliʻi o ka hanu;
• Nā poloka beta, e like me ka metoprolol a i ʻole bisoprolol: kōkua i ka hoʻoikaika ʻana i ka puʻuwai, ka kaohi ʻana i ka kuʻi ʻole o ka pā ʻole.
• ʻO Diuretics, e like me ka furosemide: hoʻopau i ka nui o nā wai mai ke kino, hoʻemi i ka pehu ʻana i nā wāwae a hoʻoikaika i ka hanu.

I nā hihia ʻoi loa, kahi a myocarditis e hana ai i nā loli he nui i ka hana o ka puʻuwai, pono paha e noho i ka haukapila e hana pololei i nā lāʻau i ke aʻa a i ʻole e kau i nā hāmeʻa, e like me ka pacemaker, i kōkua i ka puʻuwai e hana.

I kekahi mau hanana kakaikahi loa, kahi e hoʻoweliweli ai ka naʻau o ka puʻuwai, pono paha e hana i kahi kuʻi naʻau pōpilikia.

Hiki ke hopena

I ka hapanui o nā hihia, nalo ka myocarditis me ka waiho ʻole ʻana i kekahi ʻano sequelae, he mea maʻamau ʻaʻole ʻike ka mea ua loaʻa iā ia kēia pilikia puʻuwai.

Eia nō naʻe, ke kaumaha loa ka ʻōpala i ka puʻuwai, hiki iā ia ke waiho i nā leona paʻa i ka puʻuwai puʻuwai e alakaʻi i ka hoʻomaka ʻana o nā maʻi e like me ka maikaʻi ʻole o ka puʻuwai a i ʻole ke kiʻekiʻe o ke koko. I kēia mau hihia, e paipai ka cardiologist i ka hoʻohana ʻana i kekahi mau lāʻau i pono e hoʻohana ʻia no kekahi mau mahina a i ʻole no ke ola holoʻokoʻa, kaukaʻi ʻia i ka paʻakikī.

E ʻike i nā lāʻau i hoʻohana pinepine ʻia e mālama ai i ke koko kiʻekiʻe.