In recent years, with the rapid development of medical technology, and in particular with the widespread application of advanced life support technologies such as ECMO (peroxide of the outer membrane lung), the success rate for the treatment of outbreaks of myocarditis has increased significantly. However, even if the patient succeeds in getting out, some of the patients may still face the challenge of complications such as heart disorder and chronic heart failure. As a senior medical practitioner, I am well aware that chronic management at this stage is essential for patient rehabilitation.
Today, I will provide you with some knowledge of how to manage chronically after an outbreak of myocarditis has been successfully treated, including how to avoid aggravating conditions, what medications are needed, what everyday life or physical activity can endure, and what symptoms can presage an increase.
I. Avoiding incentives and safeguarding health
1. Prevention of infection: Winter is a high-prevalence season for respiratory virus infection, which is a common cause of myocarditis. Patients should therefore improve their personal hygiene, wash their hands and wear masks, avoid moving to densely populated sites and reduce the risk of infection.
2. Rational diet: a balanced diet contributes to increased immunity and the promotion of myocardial recovery. Patients should eat more vitamin- and protein-rich foods, such as fresh vegetables, fruits, fish, skinny meat, etc., and avoid eating spicy, greasy, irritating foods and limiting salt intake to reduce the heart burden.
3. Regularity: to ensure adequate sleep, to avoid staying up late and overworking. Regularity helps to regulate the functioning of the body and promotes the repair and regeneration of myocardial cells.
4. Avoiding emotional fluctuations: Long-term stress and emotional fluctuations can have a negative impact on the heart. Patients should learn to regulate their emotions, maintain a calm mind and ease their stress by listening to music, reading and walking.
5. Prohibition of alcohol: smoking and drinking increase the heart burden and discourage the recovery of myocardiitis. Patients should stop smoking and limit alcohol intake.
II. Drugs on demand, scientific treatment
1. Antiviral drugs: In the case of myocarditis caused by viral infections, doctors may prescribe antiviral drugs to remove the internal virus and prevent recurrence.
2. Improvement of myocardial metabolic drugs: e.g. phosphate hormones, aux enzymes Q, etc., which help
Improves the energy metabolism of myocardial cells and promotes myocardial recovery. 3. Anti-cardiological disorders: For patients with heart disorders, the doctor will issue the corresponding anti-heart disorders to maintain the normal rhythm of the heart.
For chronic heart disorders, urea can help to remove excess water from the body and reduce the burden on the heart; for ACEI (vascular tension transfer enzyme inhibitors) or ARB (vascular stressor receptors) drugs can help to improve the heart function and prevent further expansion of the heart.
5. Beta receptor retardants: This type of drug helps to protect the heart by reducing the heart rate and the oxygen consumption of myocardial muscles. Please note that the above-mentioned drugs are to be used under the supervision of a doctor and that patients must not stop or change their dose.
III. Rationalizing daily living and physical activity
1. Daily life: Patients can carry out routine domestic activities, such as cleaning, cooking, etc., but should avoid overwork. Maintain indoor air flow to avoid being kept in a closed environment for long periods of time.
2. Physical activity: Following a doctor ‘ s assessment, the patient can properly carry out light physical activity such as walking, yoga, etc., which contributes to physical improvement and rehabilitation. However, intense physical activity, such as running, swimming, etc., should be avoided in order not to increase the heart burden.
3. Sexual life: People with myocardia can have sexual life but should be restrained from being too frequent or too intense to aggravate the condition.
Watch out for signs of increased condition
1. Continuing increase in chest pain: If there is a continued increase in chest pain, which may mean that myocarditis is on the rise, immediate medical attention should be given.
2. Increased respiratory difficulties: Patients may experience increased respiratory difficulties when myocardial inflammation causes impairment of the heart function and should be treated in a timely manner.
Oedema: If the patient suffers from symptoms such as an oedema to the lower leg and an oedema to the abdomen, which may mean a further decline in the function of the heart, he should be treated in a timely manner.
Cardiopathic disorders: Patients who experience an excessive, slow or irregular heart rate may be the result of a damaged heart-transmission system and should be referred to the doctor immediately.
5. Deterioration of whole-body symptoms: Increased symptoms such as continued fever, physical inactivity and appetite may mean that myocarditis is deteriorating and should be treated in a timely manner.
In short, chronic management after successful treatment of patients with an outbreak of myocarditis is a long and complex process. Patients are required to follow the guidance of a doctor, to rationalize their lifestyle, to take their medications on time, to organize their daily and physical activities in a rational manner and to be alert to signs of increased illness. Only in this way will it be possible to effectively prevent complications, improve the quality of life and safeguard their health.
