Ciwon ciki

Myocarditis shine kumburin ƙwayar tsoka.

Yanayin ana kiransa yara myocarditis lokacin da yake faruwa ga yara.

Myocarditis cuta ce da ba a sani ba. Mafi yawan lokuta, yakan faru ne ta hanyar kamuwa da cuta wanda yake kaiwa zuciya.

Lokacin da kake kamuwa da cuta, garkuwar jikinka tana samar da ƙwayoyin halitta na musamman don yaƙar cuta. Idan kamuwa da cutar ya shafi zuciyar ka, kwayoyin da ke yakar cutar sun shiga zuciyar. Koyaya, sinadaran da waɗannan ƙwayoyin sukeyi kuma zasu iya lalata tsokar zuciya. A sakamakon haka, zuciya na iya zama mai kauri, kumbura, da rauni.

Yawancin lokuta ana haifar da kwayar cutar da take kaiwa zuciya. Wadannan na iya hada da kwayar cutar mura, mura, coxsackievirus, parovirus, cytomegalovirus, adenovirus, da sauransu.

Hakanan yana iya haifar da cututtukan ƙwayoyin cuta kamar su cutar Lyme, streptococcus, mycoplasma, da chlamydia.

Sauran dalilan kamuwa da cutar myocarditis sun hada da:

• Amsawa ga wasu magunguna, kamar wasu magungunan ƙwayoyin cuta
• Bayyanawa ga sunadarai a cikin yanayi, kamar ƙarfe masu nauyi
• Kamuwa da cuta saboda naman gwari ko parasites
• Radiation
• Rashin lafiyar kansa wanda ke haifar da kumburi cikin jiki

Wasu lokuta ba za a iya gano ainihin dalilin ba.

Babu alamun bayyanar. Kwayar cutar na iya zama kama da mura. Idan bayyanar cututtuka ta faru, zasu iya haɗawa da:

• Jin zafi na kirji wanda zai yi kama da ciwon zuciya
• Gajiya ko rashin tsari
• Zazzaɓi da sauran alamun kamuwa da cuta ciki har da ciwon kai, ciwon tsoka, ciwon makogwaro, gudawa, ko kumburi
• Hadin gwiwa ko kumburi
• Kumburin kafa
• Kodadde, hannaye masu sanyi da ƙafafu (alamar rashin kyau wurare dabam dabam)
• Saurin numfashi
• Saurin bugun zuciya

Sauran alamun da zasu iya faruwa tare da wannan cuta:

• Sumewa, galibi yana da alaƙa da bugun zuciya mara tsari
• Urinearancin fitsari

Cutar Myocarditis na iya zama da wuya a iya ganowa saboda alamomi da alamomin suna yawan yin kama da na sauran cututtukan zuciya da huhu, ko kuma mummunar cutar mura.

Mai ba da sabis na kiwon lafiya na iya jin saurin bugun zuciya ko sautunan zuciya mara kyau yayin sauraren kirjin yaro tare da stethoscope. Gwajin jiki na iya gano ruwa a cikin huhu da kumburi a ƙafafun yara ƙanana.

Akwai alamun kamuwa da cuta, gami da zazzaɓi da rashes.

X-ray na kirji na iya nuna kara girma (kumburi) na zuciya. Idan mai bayarwa yana zargin cutar myocarditis dangane da gwaji da kuma kirjin kirji, ana iya yin kwayar cutar ta lantarki don taimakawa wajen gano cutar. Maganin zuciya shine hanya mafi dacewa don tabbatar da cutar, amma ba koyaushe ake buƙata ba. Hakanan, bugun zuciya ba zai iya bayyana asalin cutar ba idan karamin abin da aka cire ba ya dauke da kwayoyin da ake zargi ko wasu alamun.

Sauran gwaje-gwajen da za a iya buƙata sun haɗa da:

• Al'adun jini don bincika kamuwa da cuta
• Gwajin jini don neman rigakafin ƙwayoyin cuta ko ƙwayoyin zuciya kanta
• Gwajin jini don bincika aikin hanta da koda
• Kammala lissafin jini
• Gwaje-gwaje na musamman don bincika kasancewar ƙwayoyin cuta a cikin jini (kwayar cutar PCR)

Ana amfani da magani don dalilin matsalar, kuma yana iya haɗawa da:

• Maganin rigakafi don yaƙi da kamuwa da ƙwayoyin cuta
• Magungunan da ake kira steroids don rage kumburi
• Intravenous immunoglobulin (IVIG), wani magani ne wanda aka sanya shi daga abubuwa (wanda ake kira antibodies) wanda jiki ke samarwa don yakar kamuwa da cuta, don sarrafa tsarin kumburi
• Diuretics don cire ruwa mai yawa daga jiki
• Cincin gishiri mara nauyi
• Rage aiki

Idan jijiyar zuciya ta yi rauni, mai ba ka sabis zai rubuta magunguna don magance raunin zuciya. Rwayoyin da ba na al'ada ba na iya buƙatar amfani da wasu magunguna. Hakanan zaka iya buƙatar na'urar kamar na'urar bugun zuciya, ko implantable cardioverter-defibrillator’s don gyara mummunan bugun zuciya mara kyau. Idan dunƙulen jini ya kasance a cikin ɗakin zuciya, ku ma za ku sami maganin rage jini.

Ba da daɗewa ba, ana iya buƙatar dasa zuciya idan tsokar zuciya ta zama ba ta da ƙarfi ta aiki.

Sakamakon na iya bambanta, ya danganta da dalilin matsalar da lafiyar mutum gaba ɗaya. Wasu mutane na iya murmurewa gaba ɗaya. Wasu kuma na iya samun wadatar zuci.

Matsaloli na iya haɗawa da:

• Ciwon zuciya
• Ajiyar zuciya
• Ciwon mara

Kira mai ba ku sabis idan kuna da alamun bayyanar cutar ta myocarditis, musamman bayan kamuwa da cutar kwanan nan.

Nemi taimakon likita kai tsaye idan:

• Alamun ku masu tsanani ne.
• An gano ku tare da ƙwayar cuta, kuma kun ƙara yawan ciwon kirji, kumburi, ko matsalolin numfashi.

Bi da yanayin da ke haifar da cutar sankarar bargo da sauri don rage haɗarin.

Kumburi - ƙwayar tsoka

• Ciwon ciki
• Zuciya - sashi ta tsakiya
• Zuciya - gaban gani

Cooper LT, Knowlton KU. Ciwon ciki. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 79.

Knowlton KU, Savoia MC, Oxman MN. Myocarditis da pericarditis. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 9th ed. Philadelphia, PA: Elsevier; 2020: babi na 80.

McKenna WJ, Elliott P. Cututtuka na myocardium da endocardium. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 54.