Myocarditis

Anter

• He aha ka myocarditis?
• He aha ke kumu o ka myocarditis?
• Nā mea hoʻomaʻi
• ʻO bacteria
• Fungi
• Nā Parasite
• Nā maʻi maʻi autoimmune
• He aha nā hōʻailona?
• Pehea ia ʻike?
• Nā pilikia o ka myocarditis
• Pehea e mālama ʻia ai ka myocarditis?
• Hiki ke pale ʻia?
• He aha ka kuanaʻike?

He aha ka myocarditis?

ʻO Myocarditis kahi maʻi i kaha ʻia e ka hoʻā o nā mākala puʻuwai i ʻike ʻia ma ke ʻano he myocardium - ka papa muscular o ka paia puʻuwai. ʻO kēia mākala ke kuleana no ka ʻaelike a me ka hoʻomaha ʻana e pauma i ke koko i loko a i waho o ka puʻuwai a i ke koena o ke kino.

Ke hele a wela kēia mākala, hiki i kona hiki ke pume i ke koko ke lilo i mea liʻiliʻi loa. ʻO kēia ke kumu o nā pilikia e like me ka puʻuwai puʻuwai maʻamau, ʻeha o ka umauma, a i ʻole pilikia i ka hanu ʻana. I nā hihia koʻikoʻi, hiki iā ia ke kumu i ke kahe o ke koko e alakaʻi i kahi puʻuwai puʻuwai a hahau paha, hōʻino i ka puʻuwai me ka puʻuwai ʻole, a i ʻole make.

ʻO ka maʻamau, ʻo ka līlū kahi pane kino i kekahi ʻano ʻeha a maʻi paha. E noʻonoʻo i ka wā e ʻoki ai i kou manamana lima: i loko o kahi manawa pōkole, pehu ka mea a puni ka ʻoki a ʻulaʻula, ʻo ia nā hōʻailona maʻamau o ka mumū. Ke hana nei ka ʻōnaehana pale i loko o kou kino i nā hunaola kūikawā e holo wikiwiki i ka pūnaewele o ka ʻeha a hoʻokō i nā hoʻoponopono.

Akā i kekahi manawa ka ʻōnaehana pale ʻē aʻe a i ʻole kahi kumu ʻē aʻe o ka mumuna e alakaʻi ai i ka myocarditis.

He aha ke kumu o ka myocarditis?

I nā manawa he nui, ʻaʻole i loaʻa ke kumu kūpono o ka myocarditis. Ke loaʻa ke kumu o ka myocarditis, he maʻa mau ia i hele i ke kaʻi o ka puʻuwai, e like me ka maʻi viral (ʻo ka mea maʻamau) a i ʻole kahi maʻi bacteria, parasite, a maʻi fungal paha.

Ke hoʻāʻo nei ka maʻi, e hakakā ke ʻōnaehana paleʻāina, e hoʻāʻo nei e pakele i ka maʻi. ʻO kēia ka hopena i kahi pane hoʻoweliweli e hoʻonāwaliwali paha i kaʻiʻo o ka puʻuwai puʻuwai. ʻO kekahi mau maʻi autoimmune, e like me lupus (SLE), hiki ke hoʻohuli i ka ʻōnaehana pale pale i ka puʻuwai, e hopena ai i ka mumū a me ka hōʻino ʻia o myocardial.

He paʻakikī pinepine e hoʻoholo pololei i ke kumu o ka myocarditis, akā hiki i nā culprits hiki ke hoʻokomo i nā kumu aʻe.

Nā mea hoʻomaʻi

Wahi a ka Myocarditis Foundation, ʻo nā virus kekahi o nā kumu maʻamau o ka myocarditis infectious. ʻO nā mea ʻino maʻamau e hoʻokumu i ka myocarditis me Coxsackievirus hui B (kahi enterovirus), Human Herpes Virus 6, a me Parvovirus B19 (ke kumu o ka maʻi ʻelima).

ʻO nā mea ʻē aʻe e pili ana i nā echoviruse (ʻike ʻia ke kumu o ka maʻi gastrointestinal), ka maʻi Epstein-Barr (nā mea hiki ke loaʻa i ka mononucleosis infectious), a me ka maʻi ʻo Rubella (nā kumu o nā maʻi Geremania).

ʻO bacteria

Hiki i ka Myocarditis ke hopena mai maʻi me Staphylococcus aureus a i ʻole Corynebacterium diptheriae. Staphylococcus aureus ʻo ia ka bacteria e hiki ke kumu i impetigo a lilo i methicillin resistence strain (MRSA). ʻO Corynebacterium diptheriae ka maʻi bacteria kēlā kumu diphtheria, i huehue maʻiʻaʻai e luku i nā tonsils a me nā puʻupaʻa.

Fungi

ʻO nā maʻi hū, nā hopena, a me nā fungi ʻē aʻe i kekahi manawa ke kumu i ka myocarditis.

Nā Parasite

ʻO nā parasites nā microorganism e ola i nā meaola ʻē aʻe e ola. Hiki iā lākou ke kumu i ka myocarditis. He kakaikahi kēia ma ʻAmelika Hui Pū ʻIa akā ʻike pinepine ʻia ma Central a me ʻAmelika Hema (kahi o ka parasite ʻO Trypanosoma cruzi kumu i kahi kūlana i kapa ʻia ʻo Chagas disease).

Nā maʻi maʻi autoimmune

ʻO nā maʻi Autoimmune e hoʻoulu ai i nā wahi ʻē aʻe o ke kino, e like me ka rheumatoid arthritis a i ʻole SLE, hiki i kekahi manawa ke kumu i ka myocarditis.

He aha nā hōʻailona?

ʻO ka mea weliweli e pili ana i ka myocarditis hiki iā ia ke hoʻopili i kekahi, kū i kēlā me kēia makahiki, a hoʻomaka paha me ka ʻole e hōʻike i nā ʻōuli. Inā hoʻomohala nā ʻōuli, ʻano like lākou me kēlā mau ʻōuli i ʻike ʻia me ka flu, e like me:

• luhi
• pokole o ka hanu
• fiva
• ʻeha pū
• ʻōhū o lalo
• manaʻo ʻaʻano ma ka umauma

I nā manawa he nui, e emi paha ka myocarditis ma kāna iho me ka ʻole o ka lapaʻau ʻana, e like me ka ʻoki ʻana o kou manamana lima i ka hopena e hoʻōla ai. ʻOiai kekahi mau hihia e hele nei no kahi manawa lōʻihi ʻaʻole loa e hana i nā ʻōuli emo ʻole o ka holo pono ʻole o ka puʻuwai.

Akā, hūnā, hiki iā lākou ke hōʻino i ka puʻuwai puʻuwai kahi e hōʻike lohi ai nā ʻōuli o ka puʻuwai i ka hala ʻana o ka manawa. I nā hanana ʻē aʻe, wikiwiki paha ka puʻuwai i ka hōʻike ʻana i kāna mau hakakā, me nā ʻōuli e like me ka ʻeha o ka umauma, ka pōkole o ka hanu, ka palpitations o ka puʻuwai, a me ka ʻole o ka puʻuwai.

Pehea ia ʻike?

ʻOiai paʻakikī e kuhikuhi i ka myocarditis, hiki i kāu kauka ke hoʻohana i nā hoʻokolohua he nui e hoʻoliʻiliʻi i ke kumu o kāu mau hōʻailona. Aia kēia mau hoʻāʻo:

• hoʻāʻo koko: e nānā i nā hōʻailona o ka maʻi a me nā kumuwaiwai
• umauma X-ray: e hōʻike i ka anatomy umauma a me nā hōʻailona kūpono o ka puʻuwai puʻuwai
• electrocardiogram (ECG): e ʻike i nā helu puʻuwai abnormal a me nā mele e hiki ai ke hōʻike i kahi puʻuwai puʻuwai i hōʻino ʻia
• echocardiogram (kiʻi ultrasound o ka puʻuwai): e kōkua i ka ʻike ʻana i nā pilikia pili i ke kūkulu a i ʻole i nā hana pili i ka naʻau a me nā moku pili
• biopsy myocardial (ka laʻana o ka puʻuwai puʻuwai puʻuwai): i kekahi mau hihia, hiki ke hana ʻia i ka manawa o ka catheterization puʻuwai e ʻae ai i ke kauka e nānā i kahi ʻāpana o nāʻiʻo muscular mai ka puʻuwai

Nā pilikia o ka myocarditis

Hiki paha i ka Myocarditis ke hōʻeha i ka puʻuwai. ʻO ka pane o ka ʻōnaehana pale kino, ma muli o ka maʻi a me nā maʻi ʻē aʻe e hiki ai i ka myocarditis, hiki ke hōʻeha i nā mea like ʻole me kekahi mau kemika a i ʻole nā ​​maʻi autoimmune e hiki ai ke myocarditis. Hiki i kēia ke alakaʻi i ka hopena ʻole o ka puʻuwai a me ka make hope loa. He kakaikahi kēia mau hihia, ʻoiai ka hapanui o nā mea maʻi i loaʻa i ka myocarditis e hoʻōla hou a hoʻomaka hou i ka hana puʻuwai olakino.

ʻO nā pilikia ʻē aʻe e pili ana i nā pilikia me ka puʻuwai o ka puʻuwai a i ʻole ka helu, hōʻeha puʻuwai, a me ka hahau. I nā kūlana kakaikahi, pono paha kahi transplant puʻuwai wikiwiki.

Pili pū ʻia ka Myocarditis me ka make koke, me ka 9 pakeneka o nā autopsies o nā mākua e hōʻike ana i ka mumū o ka puʻuwai puʻuwai. Lele kēia helu i ka 12 pākēneka no nā autopsies o nā ʻōpio makua e hōʻike ana i ka mumū puʻuwai puʻuwai.

Pehea e mālama ʻia ai ka myocarditis?

Hoʻomaʻo ʻia ka myocarditis i:

• corticosteroid therapy (e kōkua i ka hōʻemi ʻana i ka mumū)
• nā lāʻau lapaʻau naʻau, e like me ka beta-blocker, ACE mea kāohi, a i ʻole ARB
• nā hoʻololi o ka lawena, e like me ka hoʻomaha, ka palena o ka wai, a me ka papa paʻakai haʻahaʻa
• diuretic therapy e mālama i ka hoʻoheheʻe o ka wai
• lāʻau hoʻoikaika kino antibiotic

Pili ka mālama ʻana i ke kumu a me ke koʻikoʻi o ka mumū myocardial. I nā manawa he nui, hoʻomaikaʻi kēia me nā ana kūpono, a e hōʻola loa ʻoe.

Inā hoʻomau kāu myocarditis, hiki i kāu kauka ke kauoha aku i ka corticosteroid e kōkua i ka hoʻēmi ʻana i ka pehu. E paipai paha lākou i ka hoʻomaha, ka palena o ka wai, a me ka papa paʻakai haʻahaʻa. Hiki i ka lāʻau lapaʻau antibiotic ke kōkua i ka mālama ʻana i ka maʻi inā loaʻa ʻoe i ka myocarditis bacteria. Kauoha ʻia ʻo Diuretic therapy e kāpae i ka nui o ka wai mai ke kino. Kau kauka paha i kau kauka e kōkua i ka puʻuwai e hana maʻalahi.

ʻO ka hana ʻaneʻane āpau o kēia mau hoʻoponopono e hōʻoluʻolu i ka ukana hana ma ka puʻuwai i hiki iā ia ke hoʻōla iā ia iho.

Inā hāʻule ka puʻuwai, hiki ke hana i nā kaʻina hana hoʻouka hou aʻe i ka haukapila. Pono e kanu i kahi pacemaker a me / a i ʻole defibrillator. Ke hōʻino loa ka puʻuwai, hiki i nā kauka ke koi aku i kahi kuʻi puʻuwai.

Hiki ke pale ʻia?

ʻAʻohe ala e pale pono ai i ka myocarditis, akā kōkua ka hōʻalo ʻana i nā maʻi ʻino. ʻO kekahi o nā ala i hōʻike ʻia e hana pēlā e hoʻopili:

• hana i ka wahine palekana
• ke kū nei i kēia lā me nā lāʻau āpau
• hoʻomaʻemaʻe kūpono
• ka hōʻalo ʻana i nā kikika

He aha ka kuanaʻike?

ʻO ka nānā no ka myocarditis ka maikaʻi loa. ʻO ka manawa o ka hana hou ʻana e manaʻo ʻia he 10 a 15 paha ka pākēneka, e like me ka Myocarditis Foundation.ʻO ka hapanui o ka poʻe me ka myocarditis e ola hou a ʻaʻohe o lākou hopena hopena wā lōʻihi i ko lākou puʻuwai.

Nui aʻe nā mea e aʻo ʻia e pili ana i ka myocarditis. Manaʻo nā kauka ʻaʻohe hoʻoilina myocarditis a loaʻa ʻole kekahi mau ʻāpana e hōʻike ana he.