Yintoni i-endocarditis kunye nendlela yokuyinyanga

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Izizathu ezinokubangela i-endocarditis
• Iindidi eziphambili ze-endocarditis
• Unyango lwenziwa njani

I-Endocarditis kukudumba kwethishu eligcina ngaphakathi entliziyweni, ngakumbi iivevvu zentliziyo. Ihlala ibangelwa lusulelo kwelinye icala lomzimba elisasazeka ngegazi de lifike entliziyweni kwaye, ngenxa yoko, linokwaziwa ngokuba yi-infectous endocarditis.

Kuba ihlala ibangelwa ziibhaktheriya, i-endocarditis ihlala inyangwa ngokusetyenziswa kwee-antibiotics ezilawulwa ngqo emthanjeni. Nangona kunjalo, ukuba inesinye isizathu, i-endocarditis inokunyangwa nge-antifungals okanye nje iziyobisi ezichasayo ukudambisa ukungonwabi. Kuxhomekeka kubunzulu beempawu, kusenokucetyiswa ukuba uhlale esibhedlele.

Jonga indlela i-bacterial endocarditis iphathwa ngayo.

Iimpawu eziphambili

Iimpawu ze-endocarditis zinokuvela kancinci ngokuhamba kwexesha kwaye, ngenxa yoko, kuhlala kunzima ukuba zichongwe. Ezona zixhaphakileyo zibandakanya:

• Umkhuhlane oqhubekayo kunye nokugodola;
• Ukubila okugqithisileyo kunye nokuqaqamba komzimba;
• Ulusu oluthuthu;
• Iintlungu kwezihlunu kunye namalungu;
• Isihlunu kunye nokunciphisa ukutya;
• Iinyawo nemilenze idumbile;
• Ukukhohlela okungapheliyo kunye nokuphefumla okufutshane.

Kwiimeko ezinqabileyo, ezinye iimpawu zinokubonakala, ezinje ngokuhla kobunzima, ubukho begazi kumchamo kunye nokonyusa ubuntununtunu kwicala lasekhohlo lesisu, ngaphezulu kwendawo yobudlova.

Nangona kunjalo, ezi mpawu zinokwahluka kakhulu ngakumbi ngokwesizathu se-endocarditis. Ke, ngalo lonke ixesha kukho ukukrokrela ingxaki yentliziyo, kubaluleke kakhulu ukuba uqhagamshelane nodokotela wezifo zentliziyo ngokukhawuleza okanye uye esibhedlele kuvavanyo lokuchonga isifo njenge-electrocardiogram kwaye uqinisekise ukuba kukho ingxaki efuna unyango.

Jonga ezinye iimpawu ezili-12 ezinokubonisa ingxaki yentliziyo.

Indlela yokuqinisekisa ukuxilongwa

Ukuxilongwa kwe-endocarditis kunokwenziwa ngugqirha wezifo zentliziyo. Ngokubanzi, uvavanyo luqala ngovavanyo lweempawu kunye nokuqaqanjelwa yintliziyo, kodwa kuyafuneka ukuba wenze uvavanyo lokuqonda isifo njenge-echocardiogram, i-electrocardiogram, i-X-ray yesifuba kunye novavanyo lwegazi.

Izizathu ezinokubangela i-endocarditis

Unobangela ophambili we-endocarditis kukusulelwa ziibhaktheriya, ezinokubakho emzimbeni ngenxa yosulelo kwenye indawo emzimbeni, njengezinyo okanye inxeba lolusu, umzekelo. Xa amajoni omzimba engakwazi ukulwa nezi bhaktheriya, anokugqibela ngokusasazeka ngegazi aze afikelele entliziyweni, ebangela ukudumba.

Ke, njengeebhaktheriya, ifungi kunye neentsholongwane ezinokuchaphazela intliziyo, zikhokelela kwi-endocarditis, nangona kunjalo, unyango lwenziwa ngokwahlukileyo. Ezinye zeendlela eziqhelekileyo zokuphuhlisa i-endocarditis zibandakanya:

• Ukuba nezilonda zomlomo okanye usulelo lwamazinyo;
• Ukubamba isifo esidluliselwa ngeentlobano zesini;
• Ukuba nenxeba elosulelekileyo eluswini;
• Sebenzisa inaliti engcolileyo;
• Sebenzisa inkqubo yokuchama ixesha elide.

Asinguye wonke umntu ophuhlisa i-endocarditis, njengoko amajoni omzimba ekwazi ukulwa uninzi lwezi ntsholongwane, nangona kunjalo, abantu abadala, abantwana okanye abantu abanezifo ezizimele emngciphekweni omkhulu.

Iindidi eziphambili ze-endocarditis

Iindidi ze-endocarditis zinxulumene nesizathu esivela kuzo kwaye zahlelwa:

• I-endocarditis echaphazelekayo: xa kubangelwa kukungena kwebhaktheriya entliziyweni okanye iifungi emzimbeni, kubangela izifo;
• I-endocarditis engosuleliyo okanye i-endocarditis yaselwandle: xa ivela njengesiphumo seengxaki ezahlukeneyo, ezinje ngomhlaza, i-rheumatic fever okanye izifo ezenzekelayo.

Ngokunxulumene ne-endocarditis esosulelayo, neyona ixhaphakileyo, xa ibangelwa yintsholongwane, ibizwa ngokuba yi-bacterial endocarditis, xa ibangelwa ngumngundo ibizwa ngokuba yi-fungal endocarditis.

Xa ibangelwa ngumkhuhlane wamathambo ibizwa ngokuba yi-rheumatic endocarditis kwaye xa ibangelwa yilupus ibizwa ngokuba yiLibman Sacks endocarditis.

Unyango lwenziwa njani

Unyango lwe-endocarditis lwenziwa ngamayeza okubulala iintsholongwane okanye ii-antifungal, ngeedosi eziphezulu, ngaphakathi, ngaphakathi, ubuncinci iiveki ezi-4 ukuya kwezi-6. Ukuthomalalisa iimpawu, iziyobisi ezichasayo, amayeza omkhuhlane kwaye, kwezinye iimeko, zimiselwa i-corticosteroids.

Kwiimeko apho ukutshatyalaliswa kwentliziyo yevalve ngokusuleleka kwenzeka, utyando lunokuba yimfuneko ukubuyisela ivalve eyonakeleyo ngeprosthesis enokuba yeyokuzalwa okanye yentsimbi.

I-Endocarditis xa ishiywe inganyangwa inokubangela iingxaki ezinje ngokusilela kwentliziyo, isifo sentliziyo, ukubetha, ukubola kwemiphunga okanye iingxaki zezintso ezinokuqhubela phambili ukusilela kwezintso.