Endocarditis

Umxholo

• Zithini iimpawu ze-endocarditis?
• Zintoni izizathu ze-endocarditis?
• Imiba yomngcipheko we-endocarditis
• Ichongwa njani i-endocarditis?
• Uvavanyo lwegazi
• I-echocardiogram yeTransthoracic
• I-echocardiogram yeTransesophageal
• Electrocardiogram
• I-X-ray yesifuba
• Inyangwa njani i-endocarditis?
• Amayeza okubulala iintsholongwane
• Ugqirha
• Zeziphi iingxaki ezinxulunyaniswa ne-endocarditis?
• Ingakhuselwa njani i-endocarditis?

Yintoni i-endocarditis?

I-Endocarditis kukukrala kwentliziyo yakho yangaphakathi, ebizwa ngokuba yi-endocardium. Ngokuqhelekileyo kubangelwa yiibhaktheriya. Xa ukudumba kubangelwa lusulelo, imeko ibizwa ngokuba yi-infectous endocarditis. I-Endocarditis ayiqhelekanga kubantu abaneentliziyo ezisempilweni.

Zithini iimpawu ze-endocarditis?

Iimpawu ze-endocarditis azisoloko ziqatha, kwaye zinokuphuhla kancinci ngokuhamba kwexesha. Kumanqanaba okuqala e-endocarditis, iimpawu ziyafana kwezinye izifo ezininzi. Kungenxa yoko le nto iimeko ezininzi zingafunyanwa.

Uninzi lweempawu ziyafana neemeko zomkhuhlane okanye ezinye izifo, ezinje nge-pneumonia. Nangona kunjalo, abanye abantu bafumana iimpawu ezinzima ezivela ngokukhawuleza. Ezi mpawu zinokubangelwa kukudumba okanye umonakalo onxulumene noko.

Iimpawu eziqhelekileyo ze-endocarditis zibandakanya:

• ukumbombozela kwentliziyo, esisandi esingaqhelekanga sentliziyo sokuhamba kwegazi elinxungupheleyo entliziyweni
• ulusu oluthuthu
• umkhuhlane okanye ukubanda
• ukubila ebusuku
• intlungu yesihlunu okanye edibeneyo
• isicaphucaphu okanye ukuncipha kokutya
• uvakalelo olupheleleyo kwinxalenye ephezulu yasekhohlo yesisu sakho
• ukunciphisa umzimba ngempazamo
• iinyawo ezidumbileyo, imilenze, okanye isisu
• ukukhohlela okanye ukuphefumla kancinci

Iimpawu eziqhelekileyo ze-endocarditis zibandakanya:

• igazi kumchamo wakho
• ukuhla ukusinda
• udakada owandisiweyo, onokuba nokuthamba ukubamba

Utshintsho kulusu lunokwenzeka, kubandakanya:

• amabala athambileyo abomvu okanye amfusa ngaphantsi kolusu lweminwe okanye lweenzwane
• amabala amancinci abomvu okanye amfusa avela kwiiseli zegazi eziphume kwimithambo yegazi, edla ngokubonakala emhlophe emehlweni, ngaphakathi kwezidlele, eluphahleni lomlomo, okanye esifubeni

Iimpawu kunye neempawu zesifo esosulelayo i-endocarditis ziyahluka kakhulu kumntu kumntu. Banokutshintsha ngokuhamba kwexesha, kwaye baxhomekeke kwisizathu sosulelo lwakho, impilo yentliziyo, kunye nokuba lukhona kangakanani usulelo. Ukuba unembali yeengxaki zentliziyo, utyando lwentliziyo, okanye i-endocarditis yangaphambili, kuya kufuneka unxibelelane nogqirha ngokukhawuleza ukuba unayo nayiphi na le mpawu. Kubaluleke kakhulu ukuba uqhagamshelane nogqirha wakho ukuba unefiva engapheliyo engayi kuqhekeka okanye udinwe ngokungaqhelekanga kwaye ungazi ukuba kutheni.

Zintoni izizathu ze-endocarditis?

Unobangela oyintloko we-endocarditis kukugcwala kwebhaktheriya. Nangona ezi bhaktiriya zihlala zihlala ngaphakathi okanye ngaphandle komzimba wakho, ungazingenisa ngaphakathi kwigazi lakho ngokutya okanye ukusela. Iibhaktheriya zinokungena ngokusika kwesikhumba sakho okanye umlomo. Amajoni akho omzimba ahlala elwa neentsholongwane ngaphambi kokuba zibangele ingxaki, kodwa le nkqubo iyasilela kwabanye abantu.

Kwimeko yesifo esosulelayo se-endocarditis, iintsholongwane zihamba ngokuhamba kwegazi lakho ziye entliziyweni yakho, apho ziphindaphindeka khona kwaye zibangele ukudumba. I-Endocarditis inokubangelwa ngumngundo okanye ezinye iintsholongwane.

Ukutya nokusela ayizizo kuphela iindlela ezinokuthi iintsholongwane zingene emzimbeni wakho. Banokungena kwigazi lakho ngoku:

• ukuxukuxa
• ukuba nococeko lomlomo okanye isifo seentsini
• ukuba nenkqubo yamazinyo esika iintsini zakho
• Ukosulelwa sisifo esosulela ngokwabelana ngesondo
• usebenzisa inaliti engcolileyo
• ngokusebenzisa indawo yokuhlala yokuchama okanye yokufaka amanzi emithanjeni

Imiba yomngcipheko we-endocarditis

Imiba yomngcipheko wokuphuhlisa i-endocarditis ibandakanya oku kulandelayo:

• ukutofa iziyobisi ezingekho mthethweni ngenaliti eneentsholongwane kunye nefungi
• izilonda ezibangelwa kukulimala kwentliziyo yesivalo, esivumela iintsholongwane okanye iintsholongwane ukuba zikhule
• ukonakala kwethishu ekubeni ne-endocarditis kwixa elidlulileyo
• ukuba nesiphene sentliziyo
• ukubuyiselwa kwentliziyo yevalvu yentliziyo

Ichongwa njani i-endocarditis?

Ugqirha wakho uya kuhamba phezu kweempawu zakho kunye nembali yonyango ngaphambi kokuba enze naluphi na uvavanyo. Emva kolu hlaziyo, baya kusebenzisa i-stethoscope ukumamela intliziyo yakho. Ezi mvavanyo zilandelayo zinokwenziwa:

Uvavanyo lwegazi

Ukuba ugqirha ukrokrela ukuba une-endocarditis, uvavanyo lwenkcubeko yegazi luya kuyalelwa ukuba luqinisekise ukuba ingaba ibacteria, ifungi, okanye ezinye iintsholongwane ziyayibangela. Olunye uvavanyo lwegazi lunokutyhila ukuba iimpawu zakho zibangelwa yenye imeko, njenge-anemia.

I-echocardiogram yeTransthoracic

I-transthoracic echocardiogram luvavanyo lokulinganisa olungasetyenziselwa ukujonga intliziyo yakho kunye nezivalo zayo. Olu vavanyo lusebenzisa amaza e-ultrasound ukwenza umfanekiso wentliziyo yakho, ngenkqubo yokucinga ebekwe ngaphambili esifubeni sakho. Ugqirha wakho unokusebenzisa olu vavanyo lokucinga ukuze ajonge iimpawu zomonakalo okanye iintshukumo ezingaqhelekanga zentliziyo yakho.

I-echocardiogram yeTransesophageal

Xa i-transthoracic echocardiogram inganikezeli ngolwazi olwaneleyo lokuvavanya intliziyo yakho ngokuchanekileyo, ugqirha wakho unokuyalela uvavanyo olongezelelweyo lokucinga olubizwa ngokuba yi-transesophageal echocardiogram. Oku kusetyenziselwa ukujonga intliziyo yakho ngendlela yakho.

Electrocardiogram

I-electrocardiogram (ECG okanye i-EKG) inokucelwa ukuba ufumane umbono ongcono wento yombane wentliziyo yakho. Olu vavanyo lunokufumanisa isingqi sentliziyo esingaqhelekanga okanye inqanaba. Ingcali iya kunamathisela ii-electrode ezithambileyo ezili-12 ukuya kwezili-15 kulusu lwakho. Ezi electrode ziqhotyoshelwe kwizikhokelo zombane (iingcingo), eziqhotyoshelwe kumatshini we-EKG.

I-X-ray yesifuba

Umphunga owileyo okanye ezinye iingxaki zemiphunga zinokubangela ezinye zeempawu ezifana ne-endocarditis. IX-ray yesifuba inokusetyenziselwa ukujonga imiphunga yakho kwaye ujonge ukuba ithe yawa okanye ukuba ulwelo lwakhiwe kuyo. Ulwelo oluninzi lubizwa ngokuba yi-pulmonary edema. IX-reyi inokunceda ugqirha wakho axelele umahluko phakathi kwe-endocarditis kunye nezinye iimeko ezibandakanya nemiphunga yakho.

Inyangwa njani i-endocarditis?

Amayeza okubulala iintsholongwane

Ukuba i-endocarditis yakho ibangelwa ziibhaktheriya, iya kunyangwa ngeyeza lonyango elifaka intsholongwane. Ugqirha wakho uya kukucebisa ukuba uthathe i-antibiotics de kube unyango lwakho kunye nokuvuvukala okuhambelanayo kunyangwa ngokufanelekileyo. Uya kuzifumana esibhedlele ubuncinci iveki, de ubonakalise iimpawu zokuphucula imeko. Kuya kufuneka uqhubeke nokunyanga isibulala-zintsholongwane ukuphuma kwakho esibhedlele. Unokwazi ukutshintshela kwi-antibiotics yomlomo kamva kunyango lwakho. Unyango lwe-antibiotic luthatha ukugqiba.

Ugqirha

Isifo esosulelayo se-endocarditis okanye ii-valves zentliziyo ezonakalisiweyo ezibangelwa yi-endocarditis inokufuna utyando ukulungisa. Utyando lunokwenziwa ukususa naziphi na izicwili ezifileyo, izicwili ezibomvu, ulwakhiwo lwamanzi, okanye inkunkuma kwizicubu ezinesifo. Utyando lunokwenziwa ukulungisa okanye ukususa i-valve yentliziyo eyonakalisiweyo, kwaye endaweni yayo kwenziwe ngezinto ezenziwe ngabantu okanye izicwili zezilwanyana.

Zeziphi iingxaki ezinxulunyaniswa ne-endocarditis?

Iingxaki zinokuvela kumonakalo obangelwe lusulelo lwakho. Oku kunokubandakanya isingqisho sentliziyo esingaqhelekanga, esinjenge-atrial fibrillation, amahlwili egazi, okunye ukwenzakala komzimba, kunye ne-hyperbilirubinemia ene-jaundice. Igazi elosulelekileyo linokubangela ukuba ii-emboli, okanye amahlwili, ahambe aye kwamanye amalungu omzimba wakho.

Amanye amalungu anokuchaphazeleka kubandakanya:

• izintso, ezinokuthi zitshise, zibangele imeko ebizwa ngokuba yi-glomerulonephritis
• imiphunga
• ingqondo
• amathambo, ngakumbi ikholamu yakho yomqolo, enokosulelwa, ibangele i-osteomyelitis

Ibhakteria okanye ifungi inokujikeleza entliziyweni yakho kwaye ichaphazele le mimandla. Ezi ntsholongwane zinokubangela ukuba amathumba akhule kumalungu akho okanye kwamanye amalungu omzimba wakho.

Ezinye iingxaki ezinzima ezinokuvela kwi-endocarditis zibandakanya ukubetha kunye nokusilela kwentliziyo.

Ingakhuselwa njani i-endocarditis?

Ukuba nococeko lomlomo kunye nokugcina ukuqeshwa kwamazinyo rhoqo kunokunceda ukunciphisa umngcipheko weebhaktheriya ezakhayo emlonyeni wakho nokungena kwigazi lakho. Oku kunciphisa umngcipheko wokuphuhlisa i-endocarditis kusulelo lomlomo okanye ukwenzakala. Ukuba uye wafumana unyango lwamazinyo olwalulandelwa ngamayeza okubulala iintsholongwane, qiniseka ukuba uthabathe amayeza akho okubulala iintsholongwane njengoko kuyalelwe.

Ukuba unembali yesifo sentliziyo, isifo sentliziyo, okanye i-endocarditis, jonga iimpawu kunye neempawu ze-endocarditis. Nika ingqalelo ekhethekileyo kumkhuhlane ongapheliyo kunye nokudinwa okungachazwanga. Nxibelelana nogqirha wakho ngokukhawuleza ukuba unayo nayiphi na le mpawu.

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