I-myocarditis yisifo esiyingozi senhliziyo, lapho isisindo se-myocardial sishiswa khona. Izifundo zalesi sifo zaqala esikhathini eside - ekuqaleni kwekhulu le-19, futhi kusukela ngaleso sikhathi, imithi ifundele ngokwanele ngalezi zinkinga.
Kungani kwenzeka i-myocarditis?
Namuhla kunokwethenjelwa ukuthi i-myocarditis ibangela amagciwane, ama-microbes, isikhunta kanye ne-protozoa. Isibangela esivame kakhulu se-myocarditis yisifo segciwane, futhi kulesi sitatimende kunamaqiniso amaningana:
- Phakathi nezinkathi zezifo zengculaza, amacala we-myocarditis avame ukulotshwa;
- lapho ehlola i-nasopharynx nomchamo wesiguli nge-acute myocarditis, odokotela bathola izifo zokulwa namagciwane;
- kusuka kumagciwane we-myocardium kanye nama-agent awo ayedwa.
Njengoba kunikezwe lokhu, kungase kuthiwe ukuthi ukutheleleka ngegciwane kungabangela umuthi we-myocarditis, kodwa lokhu akufaki ukutholakala kwezifo eziningi.
Izinhlobo ze-myocarditis
Ngaphambi kokuba wazi izimpawu ze-myocarditis, udinga ukuqonda izinhlobo zayo, okuyizinombolo ezingu-5 namuhla:
- i-rheumatic - ibangelwa umonakalo ohlelweni kumagundane enhliziyo;
- ezithathelwanayo - ezibangelwa amabhaktheriya namagciwane;
- i-allergenic - ivela emlandweni we- reaction onergic to imithi;
- ezivela ngenxa yezifo zesistimu zezicubu ezixhumeneyo, futhi ngenxa yokulimala - ukushisa, irradiation radioactive, njll;
- idiopathic - inezimbangela ezingaziwa zenzeke.
Izimpawu ze-myocarditis
Izimpawu ze-myocarditis zingase zihluke - zithobe noma zilukhuni. Baxhomeke kulokho okubangele ukuvuvukala kwe-myocardium.
Izimpawu zomtholampilo ze-myocarditis ezithathelwanayo
I-myocarditis esithathelwanayo ingaba yinto enzima futhi ihlukumezeka. Izimpawu zalo zivela komnene kuya ezinzima, kuye ngezici eziningi. Kwenzeka ezinhlobonhlobo zezifo ezithathelwanayo - umkhuhlane we-typhoid, umkhuhlane omnyama, umkhuhlane we-pneumonia, i-tonsillitis, njll.
Izimpawu zesifo esithathelwanayo sithinta nokuthi yiziphi izinguquko ezenzeka ku-myocardium: uma kungumbuzo wezilonda ezidlulayo, imisipha esebenzayo iyathinteka futhi inhliziyo ihluleka . Uma kukhona i-lesion egxile, ukudluliselwa kwemizwa kuhlupheka, okuholela ekwephuleni isigqi senhliziyo.
Ekuhlolweni kuvezwe ukuthi inhliziyo ikhuphuka ububanzi, kanti ek isibonakaliso se-myocarditis siboniswa ngamathoni angathembekile. Emisipha, kungenzeka kube nomsindo.
I-Tachycardia ingenye yezibonakaliso zokuqala ze-myocarditis, kodwa akuhlali njalo ihambisana nomkhuhlane futhi ayihlangene naso. Okucacile ukuthi i-myocarditis iwukuthi i-tachycardia yenza njengobonakaliso obuthakathaka besisindo senhliziyo.
Nge-myocarditis ephawulekayo, izimpawu zifana nalokhu: isiguli singase sibe nesifo esikhumbeni, izibilini ezinomuncu, zibone ukuphefumula nokubuhlungu enhliziyweni. Ukungaqiniseki kwe-Vascular kuyisici sokwemithi ye-myocarditis esithathelwanayo. Phakathi kwezimpawu ze-myocarditis kubuye kugcinwe ukushisa okuncane nokukhukhumeza.
Izimpawu ze-myocarditis egazini cishe azifani nezibonakaliso zemithi ye-myocarditis, ngoba lapha umehluko kuphela ku-agent e causative - amabhaktheriya noma amagciwane.
Isiguli kuzo zombili izimo zinciphisa ukucindezelwa kwegazi, kungenzeka kube ne-ciliary noma i-extrasystolic arrhythmia.
Izimpawu ze-rheumatic myocarditis
Ukubonakaliswa kwe-rheumatic myocarditis akukona okunzima njengokwendlela yesifo esithathelwanayo noma segciwane. Isiguli sinomuzwa wokuphefumula, njengomthetho, kuphela emva kwemithwalo, kanye nokuzwa okungajabulisi enhliziyweni. Ukuphazamiseka emsebenzini wakhe kuyinto engavamile, naphezu kwalokhu, kubaluleke kakhulu ukugcina i-cardiologist.
Ekuhlolweni, ukunyuka okuncane enhliziyweni ngakwesobunxele noma ukukhuliswa okungajwayelekile kungabonwa.
Izimpawu ze-idiopathic myocarditis
Nge-idiopathic myocarditis, inkambo yesi sifo inzima kakhulu.
Idiopathic myocarditis ingahambisana nokuphazamiseka kwenhliziyo enzima kanye nenkambo embi. Kunombono wokuthi le fomu ye-myocarditis ingahlotshaniswa nokukhathazeka okuzenzakalelayo.
Izimpawu ze-myocarditis yokugula
Nge-myocarditis yokugula, izimpawu ziyabonakala emahoreni angu-48 emva kokuphathwa kwemithi, okubangela ukubola. Ukubonakaliswa kwalo akufani neze nokubonakaliswa kwe-myocarditis engasetshenziselwayo neyomzimba.