I ka poʻe maʻamau i ka hōʻoia o ka myocarditis o ka puʻuwai, hiki ke nīnau -ʻo keʻano o ka maʻi, a pehea e mālama ai. Ma muli o ka maopopo loa o ka maʻi loa. ʻO ka hopena o kēia maʻi he 4% ia o nā maʻi o ka'ōnaeʻa cardiovascular. Akāʻo ka myocarditis o ka naʻau ke kumu o ka pilikia nui, no laila, pono i nā mea a pau keʻike e pili ana i nā hōʻailona a me nāʻano o ka mālamaʻana.
Nā kumu o ka myocarditis
ʻO ka myocarditis he mumū nui o ka membbra muscular o ka puʻuwai o kahi maʻi pīpī,ʻano hauʻoli, a pilikino paha. ʻO ka'ōpala o kēia maʻi he nui a hoʻomau. ʻAʻole i "paʻa" kēia maʻi i kekahi mau makahiki. Aia i ka poʻeʻelemakule a me ka poʻe'ōpio. ʻO ka hopena o ka papahana inflammatory ka hoʻonuiʻia o nā mea pili a me ka ulu wikiwiki o cardiosclerosis. Ma muli o kēia, ua hoʻoemi nuiʻia ka hana hana pāhū o ka māmā o ka puʻuwai. ʻO ka hopena, ua hoʻopauʻia ka'ōpū o ka naʻau, aia kekahi hanana holoʻokoʻa holoʻokoʻa a i kekahi manawa ka hopena kēia i kahi hopena hopena.
ʻO nā kumu o ka myocarditis o ka naʻau he mau maʻiʻeha:
- ka bacteria (ka pailapona bacteria, salmonella, staphylococcus);
- nā viral (mau maʻi polu, Coxsackie, adenovirus, herpes a iʻole he maʻi maʻi);
- parasitic (echinococcus a trichinella);
- fungal (Candida a iʻole Aspergillus).
ʻO keʻano kūpilikiʻi o kēia maʻi e hana pinepineʻia me ka diphtheria, nā lepsis a me ka ulaula. I nā kumu kūikawā, e ulu ana ka maʻi ma nā maʻiʻeha a me ke kinoʻole:
- rheumatism;
- lupus erythematosus;
- vascularitis;
- ʻo ka rumatika.
Nā hōʻaia o myocarditis
I ke kumu mua o ka uluʻana, hōʻike ka myocarditis, e like me nā maʻi maʻi'ē aʻe, he hōʻino i ka naʻau. ʻO kekahi mau mea maʻi e hoʻopiʻi no ka hōʻemiʻana o ka hanu a me ka nāwaliwali (kahi maopopo loa i kaʻikeʻana i ka wā o ka ikaika). ʻO kaʻu myocarditis, ka mea e hana me ka hanaʻole o ka ventricle hema o ka puʻuwai, hiki ke ulu i waho me kaʻikeʻole i nāʻike keu.
Inā heleʻole ka mea maʻi i ka mea huli maʻi a hoʻomaka i ka maʻi, e holomua ka maʻi a e loaʻa i ka mea maʻi:
- ke kaumaha a iʻole ka paroxysmal pain i loko o ka puʻuwai;
- piʻi nui ka wela ;
- ka eha i loko o nā hui;
- ka nui o ka ikaika o ka ikaika;
- ke kūkuluʻana i ka edema āpau (me ka leona ventricular pololei).
Hiki ke hoʻonuiʻia ka nui o ka naʻau me ka myocarditis intermittent. ʻO kaʻili o nā mea maʻi ke pale, a i kekahi manawa he hiwī kāpiana. ʻO ka pulupiliʻana me kēia maʻi he wikiwiki a hoʻoulu. Me ka'ōleloʻana i ka pōʻino o ka naʻau me ka myocarditis, aia ka ikaika ikaika o nā kohe pūpū.
Hanaʻia o myocarditis
ʻO ka pae nui o ka myocarditis o ka puʻuwai he mau hopena maikaʻi loa, no laila,ʻo ia ka mea e pono ai ka hoʻolālāʻana, kahi kokoke i ka palena o ka hoʻolālā kino a me ka moe hoʻomaha no 4 a 8 mau wiki. Hoʻomaka ka lawelaweʻana i ka lāʻau hōʻailona me ka'ōhumu anti-inflammatory noʻonoʻo. Hoʻohanaʻia nā lāʻau lapaʻau e like me:
- Hō'ālua;
- Nā Palapala;
- Prednisolone.
No ka hoʻomaʻemaʻeʻana i ka myocarditis, hoʻohanaʻia kekahiʻano viral i nā lāʻau lapaʻau e kohoʻia ma muli o keʻano o ka pathogen. Eia kekahi laʻana, me ka maʻi bacteria meocarditis,ʻo Vancomycin a me Doxycycline. Akā me nā hua'ōlelo anti-inflammatory non-steroidal Diclofenac a me Ibuprofen.
ʻO ka mea nui eʻole e hoʻopoina i ka loiloi loa o ka myocarditis o ka puʻuwai. Inā hōʻoleʻole nā mea lapaʻau i nā hualoaʻa, aʻaʻoleʻoe e maikaʻi, pono e haʻi i ke kauka no ia mea. Malia paha o kahi alakahi e kōkua iāʻoeʻo ka hoʻohuliʻana i ka naʻau.