Myocarditis i loko o ke keiki:ʻike, Symptoms a me ka nohoʻana. Children ka Heart Center

Myocarditis i loko o ke keiki ua diagnosed kŘpa a pinepine i loko o kēia 'inikua hana. Ia lakou e ike koke e mai la oia i keia pilikia maʻi, a inā haʻalele untreated ke alakai i ka mea complications. I mea no ke aha la i na makua i hoihoi i ka 'ike e pili ana i ka maʻi. No ke aha la ka ia he maʻi e hoʻomōhala ai a hiki i na kamalii uuku, a me ka mea symptoms e au e nānā aku ai? Pehea e holo ai ka Inc a me ka mea mau i nā wānana no ka mea e hoomanawanui i uuku?

Helehelena a me nā 'ano o ka maʻi

Kaʻia "myocarditis" ua manaoia i ka maʻi i ka pu ma ka li nui o ka naau Muscle. Kēia maʻi ua diagnosed i loko o nā mea maʻi o kekahi makahiki. Myocarditis i loko o ke keiki a adolescent hiki apuepue e manao like i kekahi ke nānā hihia.

Nā kumu o ka hoʻoʻino lesions o ka myocardium hiki e loa okoa, HEN, mai anal i loko o'aʻaʻa nā mea palahēhē a pau me ka loa allergic reactions a me intoxications. Muli o kona kulana pinepine, i ka li nui encompasses ole wale o ka naau Muscle, akā, i kokoke hale, a me ka pericardium, ipu koko a me ka 'ē aʻe nā loko.

I ka papa kuhikuhiE kumu o ka myocarditis

Ua Ua manao ia li nui o ka naau Muscle hiki e pili ana iʻaneʻane kekahi ike ano o ka maʻiʻaʻai.

• Ma ka hapanui o na hihia, ka "culprits" o ka myocarditis i nā mea hoʻomaʻi - adenovirus, enterovirus Coxsackie, a me ka parvovirus, cytomegalovirus, hepatitis nā mea hoʻomaʻi, a me ka maʻi palū.
• Li nui o ka myocardium, a me kekahi manawa i ka mea koʻohune kumu. I ka maʻi e hoʻomōhala ana i ma luna o ke kāʻei kua o ka tuberculosis, brucellosis, he mea koʻohune meningitis. O hoʻoʻino kaʻina ia lŘlŘ ka wā ho'ā hope o streptococcal maʻiʻaʻai.
• Make rickettsial meaola pinepine hiki aku ai i ka li nui o ka naau Muscle. 'Ākena Makaʻu nā Q ke kuni, typhus kuni, pohaku mauna.
• Ma ke kūlana o ka pathogen i hana pathogenic fungi, a pakahi aku la ia fungi genus Candida.
• Aia i protozoal myocarditis, ulu ma ke kāʻei kua o ka toxoplasmosis, malaria, leishmaniasis.
• Helminths (Echinococcus, Trichinella) i hoʻonāukiuki li nui.
• Aia iʻawahia myocarditis kena ae la ma ka 'ai, inu o arsenic, o Hereme, kalapona monoxide.
• I kekahi manawa, i ka maʻi e hoʻomōhala ana i loko o ka lapaʻauʻia, a ma hope o hoike o vaccination sera.

• 'Ākena Makaʻu nā nahesaʻaki a me insect.
• Helu waiwai, e like me loa hypothermia, hyperthermia, waiū i ionizing pāhawewe ma ke kino i ka hoʻonāukiukiʻana li nui.
• Na kekahi kamepiula kumumea nā systemic lupus erythematosus, rheumatoid arthritis a me kekahi 'ē aʻe autoimmune maʻi.

Me oe e ike, he nui na kumu no ka ulu myocarditis. Lapaʻau 'ana e hoʻohui i ka papa inoa o ka iniiaiie maʻi me ka mea e loli ai i ka pomaikai ana o ke Inc.

Ke ano a me nāʻano likeʻole o ka maʻi

He nui na ano o ka Mea Maluna o ka maʻi. Ua waiho mua 'ana no nā koho no ka ulu i ka maʻi, ke kaumaha ma muli o ka hihia. Akā, i ka manawa o kaʻike, poe akamai i huki noonoo i nā aʻe:

• Inā mākou e kamaʻilio e pili ana i ka papa o ka maʻi, i ka myocarditis hiki e huʻi, subacute paha maʻi.
• Ke kaumaha ma muli o ka oolea o ka maʻi hiki e mehana, lōpū ole loa.
• Ke kauka kokoke mai noonoo ana i ka lapaʻau hoike ana - o na keiki e ike hiki ke typical 'ano o ka li nui, e like me koʻu manaʻo mai a me ka asymptomatic.
• A ka mea, i ka waiwai o ka loa o ka hoʻoʻino kaʻina - ma keia hihia mea nui kaʻawale (laila ua kaʻawale, hookahi kahua o ka li nui) a me ka eiei? Myocarditis (pili pathology i ka pau Muscle).

Pehea ka myocarditis i loko o nā keiki? ka papa kuhikuhi kahua

Myocarditis keiki e hoʻomōhala ana i loko o kekahi mau kahua o ka hoʻonaʻauao - i loko o ke kālā no lapaau mea ekolu:

1. Kahua o ka viremia - mea hoʻomaʻi (particles) ( 'ole' ē aʻe pathogens) hāʻule i loko o ka myocardium. Mua, ka mea e paa ana ma ka ili o ka Muscle keena, a laila, komo i ka myocytes. Ma keia kahua, he mea ho'ā hope o ka'ōnaehana paleʻea oihana, i ua pu ma ka mahuahua hoʻololi kemikala a me ka kala o ka interferon.
2. Autoimmune kahua ma i nui hoʻokāʻoi'ōnaehana paleʻea halepaahao muli, a mahuahua pae antikardialnyh nā mea'aʻaʻa i loaa ma ka myocardium, he kūlana me ka hoohuoi ana kona hana. Ma keia ke kahua o ka ho'ā ' hoʻoʻino uao. Aia hoʻopilikia maoli microvasculature.
3. Inā i ka maʻi, ua maikaʻi nō, a laila, he mea ka ka ho'ēmiʻana o edema a me ke kahua o ka fibrotic 'ō a ma ka naau Muscle. Inā ua ole i haawiia lapaʻau maikaʻi nā hualoaʻa (paha hoi ma kahi ee), ka maʻi i maʻi. I ka maʻi aat i nā ulu complications, a me ka naau e hemahema, cardiomegaly, cardio.

Ke kaʻina o kaʻike, a me ka ninaninau ana i ke keiki, e kōkua i ke kauka loaʻa mai i ka palapala o ka maʻi, kona kumu, e like me ke kahua o ka? Acaeoey - e loaa ana i ka 'ikepili ke hana i kekahi io ka hoʻokō hana regimen wale nō ma hope.

Symptoms o ka maʻi i loko o ke keiki

Na hoailona o ka maʻi hilinaʻi nui ma luna o na mea he nui aʻe - i ke kumukuai o ka lawe i ka mooolelo o ka keiki ka makahiki, kumu a me ke ano o ka maʻi. No loa myocarditis i keiki na kamalii uuku. Kid lohi ho onui ana ke kaupaonaʻana, lilo lethargic a me ka AEeOEXAaI, e like me ka hiki i ke kaʻina hana o ka hanai ana ia mea Hawaiʻi. A pēpē o ka ili o kona maka, pinepine loaʻa iā ia kekahi i kekahi oho tint.

Kekahi symptom ua manaoia e e pokole o ka hanu. Ua mua ikeia ma ka manawa o ka ha awina - ke kao koke, a hanu ana ua hoopili ana ua kahikoia a nani, e auau, na naau oʻu ka neʻe 'ana, e ai ana. E like me ka maʻi progresses ha pilikia e ike ia hiki ma ka quiescent moku'āina. No ka mea, o ka ulu naau hoʻokō 'ole' ikea edema - kekahi manawa ka mea, i ka wi, ma muli o ia i ka bebe kaumaha no ka hana dramatically. keiki ka keia hookolokolo ana hōʻike i hoonee aku i ake a me ka spleen.

Lapaʻau kiʻi o ke keiki mua ma mua o nā makahiki

Ma mua na keiki, i ka lapaʻau kiʻi oiʻokoʻa. I loko o 2-3 pule ma hope o ka iniiaiie maʻiʻaʻai myocarditis ua i hōʻike 'ia. A laila, na symptoms e oi hai. Na hoailona o ka maʻi nā:

• mae o ka ili integument;
• luhi, nawaliwali, hōʻemi iki mahuahua ma ka wela;
• nalowale o ka ikaika loa ka makemake, a nolaila, ke kaupaonaʻana ka ho'ēmiʻana;
• eha i loko o nāʻiʻo a me ka ami, a me kekahi manawa ma ka abdomen;
• like me ka maʻi progresses, keiki hoʻomaka i ka ohumu ana o kaʻeha ma ka naʻau;
• pokole o ka hanu a me ka naau palpitations.

Myocarditis:ʻike, o ka maʻi

Me ia i ka maʻi o ka nui o ka pololeiʻike. Ke kamaiki mea pono e kelepona i nā keiki i ka cardiology waena. Ua koi 'ia nā kēia kaʻina hana no kaʻike,:

• I hoʻomaka me ke keiki a me nā mākua e paa ana ia i kekahi kino e e mōʻaukala, e hooholo i ke alo o kekahi mau symptoms.
• Ua i ka hookolokolo ana, ke kauka i hāʻupu aʻe myocarditis - he akamai kiai ana kona maka, i ili cyanosis, kokololio naʻau ana, imua o ka edema a me ka pokole o ka hanu.
• Performed biochemical a serological koko ho'āʻo e hoʻoholo i ke alo o ka maʻiʻaʻai a me ka li nui.
• Pahu X-Ray e leie aku ka hoʻomalu, e ike i ke anoe o na palena o ka naau, a me ka alo o ke koko stagnation i loko o nā ipu o nā maʻiʻaʻai, i hōʻoia ana i ke alo o ka li nui i loko o ka myocardium.

• Pono hana electrocardiography a me ka echocardiography - kēia mau kaʻina hana i ka manawa o ka naau, e ninaninau, a Loiloi i ka degere o ka hoʻopilikia.
• A biopsy o ka myocardium ua hōʻike wale nō i loko o ka loa loa hihia, no ka mea, e kokua hoʻoholo i ka nui o ka hoʻoʻino kaʻina.

Lapaau ana i ka maʻi. I kauka kaumaha?

O ka holo ana, i ka lapaau hilinaʻi nui ma luna o ke kumu a me ka loa o ka maʻi? Acaeoey. No ka laʻana, ma ke alo o ka mea koʻohune nā mea palahēhē pono antibiotics, oiai mea hoʻomaʻi lesions ua hōʻike loaa antiviral ai '. Nō hoʻi, nā mamo hoakaka immunomodulators, hiki normalize i ka hana o ka pale maomeka.

E hoʻopau aat i nā mea maʻi lawe nonsteroidal Anati-hoʻoʻino ai '( "Voltaren", "Brufen", "Indomethacin"). I loa hoopii, ka hoʻohana 'ana o steroid hōmona lapaʻauʻia i mea nui mana ma ka kaua li nui. E hoʻopau edema diuretics i hoʻohana ', hiki i ka pakele ana i oi loli. Ua mea i nui, e hookomo ma ke ano o ka Inc wikamina hoomakaukau. Inā ia mea he maʻi kaʻina, hōʻike Spa lapaau. Inā he mea he paakiki arrhythmia, i mea ole amenable i ka lāʻau lapaʻau, oe e pono ke pacemaker implantation.

Lapaʻau ua lawe mai i loko o ka haukapila 'ia, ka mea mea kupono e koho maikai, na keiki o ka cardiology oaio me ka maikai' Oihana. Ma ka pau 'ana o ka papa o ka Inc ke keiki pono nō undergo regular ponopono-UPS - i mua o kela mau mahina, a laila, palua ka makahiki (me kekahi' ano papa o ka maʻi). Küpinaʻi a me ka electrocardiography, umauma X-Ray, koko ho'āʻo ma E e hana ma ke kamepiula - ka wale ala loa, e hai i ke alo o complications a recurrence.

keiki o kaʻai me ka myocarditis

na makua he nui i hoihoi i loko o na ninau i keia la e pili ana i ke kumu a me ka mea e hoʻomōhala ana i mea he myocarditis i loko o nā keiki. Symptoms a me ka lapaau ana i ka maʻi, kona kumu - ia meaʻiʻo nui wahi. Akā, e pono ke kuai noonoo ana ma ka lapaau ana o ke keiki e pono ai i ka kūikawāʻai (ina ia mea,ʻaʻole e pili ana i keiki).

Poe akamai i waiho aku i ka haʻalele i ka hoʻomālamalama mai carbohydrates - oe E e haawi aku i kou pēpē i ka muffin, kokoleka, keʻokeʻo i ka berena, nulu'Īkalia. Ka mea hiki ke auou caiaiai hūʻole pastries. Nō hoʻi, mai i lawe hewa i ka palemo iho a me ka spicy ai, momoma ai a me ka iʻa, Nā Kopa a me nā kai, waiho ihola richness - maikaʻi e ai ai wiwi moa a me akepaa (ma ke alanui, he mea pono e hoʻomākaukauʻai no ka hui). Fish ua ia, akā, wale ina ia mea he haʻahaʻa-momonaʻano likeʻole. Ka helu o nā hua e hoi e kaupalena.

I kaʻai i nā haleʻuwī waiū huahana, hawaiian hua a me kaʻai iā (koe plums, quince, paakiki ohia a me na ohia, hua waina). Kokoleka a me nā meaʻono hoʻi ke auou caiaiai me ka meli, Jam, marmalade a me ka marshmallow.

Time] ma ka myocarditis

Myocarditis i loko o ke keiki oi loa pilikia i loko o ka mahina mua o ke ola - i loko o kēia mau makahiki pae ana o nā mea maʻi, i ka loa pinepine ia malama make. Prognosis hilinaʻi nui ma luna o ke kino a me ka degere o ka maʻi oolea. No ka laʻana, he mehana ano o ka maʻi a me kekahi manawa, aole e koi lapaau. Mea koʻohune aat i amenable i ka lapaʻau uuku, akā, i ka wa a mea hoʻomaʻi lesions o ka neʻeʻana o ka maʻi i ole eʻoi aku ka maikaʻi.

Iwaena o na keiki kula-elemakule a me adolescents i kākaʻikahi kākau adverse hanana - IeAUPIIe, IAa IO keiki koke ke ola a me ka hoʻi i ka maʻamau ola. Eia naʻe, i kekahi manawa, i myocarditis naʻau hoʻokino sclerotic wahi i hiki ke malama i ka ke kumu o ka naau ole i loko o adulthood.

kāohi lapaau

Eia naʻe,ʻaʻole nō he paʻa loa o ka myocarditis. Eia naʻe, poe akamai i waiho aku i ka hahai i kekahi mau rula. E ia A hapai wahine lehulehu i ko lakou ola, pale aku i ka ulu ana o infectious maʻi, e pale aku hui 'ana me toxins ho'āʻo mau.

No ka mea keiki moku'āina E e ua hoʻonānā pono - infectious a me ka hoʻoʻino mai E e diagnosed aʻia i ka manawa. Ma outbreaks o ke anu i hiki ia mea,ʻaʻole e pono e ae i ke keiki i ka hui 'ana me mailoko o kanaka. Ikaika ma luna o ka moku'āina o ka'ōnaehana paleʻea'ōnaehana he aha ka mea i kuponoʻai, he akaka kūmau, lōpū physical haʻawina a me ka a.