I-Endocarditis echaphazelekayo

Umxholo

• Ziintoni iimpawu ze-endocarditis yosulelo?
• Ngubani osemngciphekweni omkhulu wokufumana isifo se-endocarditis?
• Ukuchonga i-endocarditis yosulelo
• Ukunyanga i-endocarditis yosulelo
• Antibiotic kunye nonyango lokuqala
• Ugqirha
• Ukubuyisela kwimeko yesiqhelo kunye nembonakalo

Yintoni isifo esosulelayo?

Isifo esosulelayo i-endocarditis sisifo esivela kwiiveluvu zentliziyo okanye i-endocardium. I-endocardium luludwe lwendawo engaphakathi yamagumbi entliziyo. Le meko ihlala ibangelwa ziibhaktheriya ezingena egazini kwaye zichaphazele intliziyo. Intsholongwane inokuvela kwi:

• umlomo
• ulusu
• amathumbu
• inkqubo yokuphefumla
• indawo yokuchama

Xa le meko ibangelwa yintsholongwane, ikwabizwa ngokuba yi-bacterial endocarditis. Kwiimeko ezinqabileyo, inokubangelwa kukungunda okanye ezinye iintsholongwane.

Isifo esosulelayo i-endocarditis yimeko enzima efuna unyango olukhawulezileyo. Ukuba ishiywe ingaphendulwanga, intsholongwane ingonakalisa iipilisi zentliziyo yakho. Oku kungakhokelela kwiingxaki kubandakanya:

• ukubetha
• umonakalo kwamanye amalungu
• ukumelwa yintliziyo
• ukufa

Le meko inqabile kubantu abaneentliziyo ezisempilweni. Abantu abanezinye iimeko zentliziyo basemngciphekweni omkhulu.

Kusenokufuneka ukuba uthathe amayeza okubulala iintsholongwane ngaphambi kweenkqubo ezithile zonyango kunye namazinyo ukuba usemngciphekweni omkhulu wokufumana isifo se-endocarditis. Amayeza okubulala iintsholongwane anceda ukuyeka iintsholongwane zingene kwigazi lakho kwaye zibangele usulelo. Thetha kugqirha wakho okanye ugqirha wamazinyo ngaphambi kwayo nayiphi na inkqubo yotyando.

Ziintoni iimpawu ze-endocarditis yosulelo?

Iimpawu ziyahluka kuye ngomntu. Kwabanye abantu, iimpawu ziza ngokukhawuleza, ngelixa abanye bephuhlisa iimpawu kancinci kancinci. Thetha nogqirha wakho ukuba unazo naziphi na iimpawu ezidweliswe ngezantsi. Abantu abasemngciphekweni omkhulu we-endocarditis kufuneka bathathe unonophelo oluthile.

Iimpawu zingabandakanya:

• ifiva
• iintlungu zesifuba
• ubuthathaka
• igazi kumchamo
• Ukugodola
• ukubila
• ukuqaqamba kolusu olubomvu
• amabala amhlophe emlonyeni okanye ngolwimi
• iintlungu kunye nokudumba kumalungu
• iintlungu zemisipha kunye nokuthantamisa
• umbala wokuchama ongaqhelekanga
• ukudinwa
• ukukhohlela
• ukuqhawukelwa ngumphefumlo
• umqala obuhkungu
• Ukudibana kwesono kunye nentloko ebuhlungu
• isicaphucaphu okanye ukugabha
• ukuhla ukusinda

Isifo se-endocarditis esisongela sisongela ubomi ukuba asinyangwa ngokukhawuleza. Ngelishwa, iimpawu ze-endocarditis echaphazelayo inokufana nezinye izifo. Thetha nogqirha wakho ngokukhawuleza ukuba ufumana naziphi na iimpawu ezidweliswe apha ngasentla.

Ngubani osemngciphekweni omkhulu wokufumana isifo se-endocarditis?

Unokuba semngciphekweni wale meko ukuba une:

• Ivaluva zentliziyo ezingezizo
• isifo sentliziyo esibelekwe
• isifo sentliziyo
• izivalo zentliziyo ezonakalisiweyo
• isifo sentliziyo
• Imbali ye-endocarditis
• Imbali yokusebenzisa iziyobisi ngokungekho mthethweni
• i-mitral valve prolapse kunye ne-valve regurgitation (evuzayo) kunye / okanye amaphepha e-valve ajiyile

Umngcipheko we-endocarditis osulelayo ungaphezulu emva kweenkqubo ezivumela ukufikelela kwintsholongwane kwigazi. Oku kubandakanya:

• iinkqubo zamazinyo ezibandakanya iintsini
• ukufakwa kwee-catheters okanye iinaliti
• iinkqubo zokunyanga usulelo

Ezi nkqubo azibeki uninzi lwabantu abasempilweni emngciphekweni. Nangona kunjalo, abantu abanomngcipheko omnye okanye nangaphezulu wokufumana isifo se-endocarditis kufuneka balumke ngakumbi. Ukuba ufuna enye yezi nkqubo, thetha nogqirha wakho kuqala. Unokufakwa kwii-antibiotics ngaphambi kokutyelela.

Ukuchonga i-endocarditis yosulelo

Xa undwendwela ugqirha wakho, uya kucelwa kuqala ukuba uchaze iimpawu zakho. Ugqirha wakho uya kuthi enze uvavanyo lomzimba. Bayimamela intliziyo yakho nge-stethoscope kwaye bajonge izandi zokumbombozela, ezinokubakho ngesifo esosulelayo se-endocarditis. Ugqirha wakho unokujonga umkhuhlane kwaye azive ngepelen eyandisiweyo ngokucinezela kwisisu sakho sasekhohlo.

Ukuba ugqirha ukrokrela i-endocarditis yosulelo, igazi lakho liya kuvavanywa kwiibhaktheriya. Inani elipheleleyo legazi (CBC) linokusetyenziselwa ukukhangela i-anemia. Ukunqongophala kweeseli ezibomvu zegazi kunokwenzeka nge-endocarditis echaphazelayo.

Ugqirha wakho angayalela i-echocardiogram, okanye i-ultrasound yentliziyo. Le nkqubo isebenzisa amaza esandi ukuvelisa umfanekiso. I-wand ye-ultrasound ingafakwa kwisifuba sakho. Ngaphandle koko, isixhobo esincinci sinokucinywa emqaleni nasemqaleni. Oku kunokunika umfanekiso ogcwele ngakumbi. I-echocardiogram ibheka izicubu ezonakalisiweyo, imingxunya, okanye olunye utshintsho olwenziwe kwivelufa yentliziyo yakho.

Ugqirha wakho unokuyalela i-electrocardiogram (EKG). I-EKG ibeka iliso kwimisebenzi yombane entliziyweni yakho. Olu vavanyo lubuhlungu lunokufumana ukubetha kwentliziyo okungaqhelekanga okubangelwa yi-endocarditis.

Ukujonga iimvavanyo kunokujonga ukuba intliziyo yakho ikhulile. Banokukwazi ukubona imiqondiso yokuba usulelo lunwenwele nakwezinye iindawo zomzimba wakho. Olu vavanyo lubandakanya:

• X-reyi yesifuba
• Iskena sekhompyuter ye-tomography (CT)
• imaging yamagnetic resonance (iMRI)

Ukuba ufunyaniswe une-endocarditis yosuleleko, uya kungeniswa esibhedlele kwangoko ukuze ufumane unyango.

Ukunyanga i-endocarditis yosulelo

Isifo esosulelayo i-endocarditis sinokubangela umonakalo ongenakulungiseka entliziyweni. Ukuba ayibanjwanga kwaye inyangwe ngokukhawuleza, inokuba sengozini yobomi. Uya kudinga ukunyangwa esibhedlele ukunqanda ukosuleleka kubi kwaye kubangele iingxaki.

Antibiotic kunye nonyango lokuqala

Ngelixa usesibhedlele, iimpawu zakho ezibalulekileyo ziya kujongwa. Uya kunikwa amayeza okubulala iintsholongwane (IV). Nje ukuba ugoduke, uya kuqhubeka ngomlomo okanye nge-IV i-antibiotics ubuncinci iiveki ezine. Ngeli xesha, uya kuqhubeka undwendwela ugqirha wakho. Uvavanyo lwegazi rhoqo luya kujonga ukuba usulelo luyaphela na.

Ugqirha

Utyando lunokufuneka ukuba iivevithi zentliziyo yakho zonakalisiwe. Ugqirha wakho ugqirha unokucebisa ukulungisa i-valve yentliziyo. Ivelufa nayo inokutshintshwa kusetyenziswa ivalve entsha eyenziwe ngezicwili zezilwanyana okanye ngezinto ezingezizo.

Utyando lunokufuneka kwakhona ukuba ii-antibiotics azisebenzi okanye ukuba usulelo lungumngundo. Amayeza okubola ahlala esebenza kwizifo entliziyweni.

Ukubuyisela kwimeko yesiqhelo kunye nembonakalo

Ukuba ishiywe inganyangwa, le meko iya kubulala. Nangona kunjalo, uninzi lwabantu luyakwazi ukuphola ngonyango lwe -antibiotic. Ithuba lokuchacha kwakhona lixhomekeke kwizinto kubandakanya iminyaka yakho kunye nonobangela wosulelo lwakho. Ukongeza, abaguli abafumana unyango kwangoko banethuba elingcono lokuchacha ngokupheleleyo.

Kungathatha ixesha elide ukuba uphinde uchache ngokupheleleyo xa kufuneka utyando.