Yini i-endocarditis nokuthi ungayelapha kanjani

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingenzeka ze-endocarditis
• Izinhlobo eziyinhloko ze-endocarditis
• Yelashwa kanjani

I-Endocarditis ukuvuvukala kwezicubu ezifaka ngaphakathi enhliziyweni, ikakhulukazi ama-valve enhliziyo. Imvamisa kubangelwa ukutheleleka kwenye ingxenye yomzimba esakazeka ngegazi kuze kufike enhliziyweni ngakho-ke, kungaziwa nangokuthi i-infectous endocarditis.

Ngenxa yokuthi kuvame ukubangelwa amagciwane, i-endocarditis ivame ukuphathwa ngokusetshenziswa kwama-antibiotic afakwa ngqo emthanjeni. Kodwa-ke, uma inesinye isizathu, i-endocarditis nayo ingalashwa ngama-antifungal noma nje imishanguzo elwa nokuvuvukala ukuqeda ukungakhululeki. Ngokuya ngobukhulu bezimpawu, kusenganconywa ukuhlala esibhedlela.

Bona ukuthi i-bacterial endocarditis iphathwa kanjani.

Izimpawu eziyinhloko

Izimpawu ze-endocarditis zingavela kancane ngokuhamba kwesikhathi futhi, ngakho-ke, kaningi akulula ukuzibona. Okuvame kakhulu kufaka:

• Umkhuhlane oqhubekayo nokugodola;
• Umjuluko owedlulele kanye ne-malaise ejwayelekile;
• Isikhumba esiphaphathekile;
• Ubuhlungu emisipheni nasemalungeni;
• Ukucanuzela kwenhliziyo nokwehla kwesifiso sokudla;
• Zivuvukele izinyawo nemilenze;
• Ukukhwehlela okungapheli nokuphefumula okuncane.

Ezimweni ezingavamile, ezinye izimpawu zingavela, njengokuncipha komzimba, ukuba khona kwegazi emchameni kanye nokuzwela okwandayo ohlangothini lwesobunxele besisu, ngaphezulu kwesifunda sobende.

Kodwa-ke, lezi zimpawu zingahluka kakhulu ikakhulukazi ngokusho kwembangela ye-endocarditis. Ngakho-ke, noma nini lapho kukhona ukusola kwenkinga yenhliziyo, kubaluleke kakhulu ukubonisana nodokotela wenhliziyo ngokushesha noma ukuya esibhedlela ukuyoxilongwa njenge-electrocardiogram futhi uqinisekise ukuthi kunenkinga ethile edinga ukwelashwa.

Bona ezinye izimpawu eziyi-12 ezingakhombisa inkinga yenhliziyo.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwe-endocarditis kungenziwa ngudokotela wenhliziyo. Ngokuvamile, ukuhlolwa kuqala ngokuhlolwa kwezimpawu nokuqina kokusebenza kwenhliziyo, kepha kuyadingeka futhi ukwenza ezinye izivivinyo zokuxilonga njenge-echocardiogram, i-electrocardiogram, i-X-ray yesifuba nokuhlolwa kwegazi.

Izimbangela ezingenzeka ze-endocarditis

Imbangela enkulu ye-endocarditis ukutheleleka ngamagciwane, angaba khona emzimbeni ngenxa yokutheleleka kwenye indawo emzimbeni, njengezinyo noma isilonda sesikhumba, ngokwesibonelo. Lapho amasosha omzimba engakwazi ukulwa nalawa mabhaktheriya, angagcina esabalala ngegazi futhi afinyelele enhliziyweni, abangele ukuvuvukala.

Ngakho-ke, njengoba amabhaktheriya, isikhunta kanye namagciwane nakho kungathinta inhliziyo, okuholele ku-endocarditis, kepha ukwelashwa kwenziwa ngokuhlukile. Ezinye zezindlela ezivame kakhulu zokuthuthukisa i-endocarditis zifaka:

• Ukuba nezilonda zomlomo noma ukutheleleka kwamazinyo;
• Ukubamba isifo esithathelwana ngocansi;
• Ukuba nesilonda esinegciwane esikhunjeni;
• Sebenzisa inaliti engcolisiwe;
• Sebenzisa uphenyo lomchamo isikhathi eside.

Akuwona wonke umuntu oba ne-endocarditis, njengoba amasosha omzimba ekwazi ukulwa iningi lalezi zinambuzane, kepha-ke, asebekhulile, izingane noma abantu abanezifo ezizimele abasengozini enkulu.

Izinhlobo eziyinhloko ze-endocarditis

Izinhlobo ze-endocarditis zihlobene nembangela eyazisungula futhi zihlukaniswa ku:

• I-endocarditis ethathelwanayo: lapho kubangelwa ukungena kwamagciwane enhliziyweni noma isikhunta emzimbeni, kubangele ukutheleleka;
• I-endocarditis engathathelani noma i-endocarditis yasolwandle: lapho ivela ngenxa yezinkinga ezahlukahlukene, njengomdlavuza, i-rheumatic fever noma izifo ezizimele.

Mayelana ne-endocarditis esithathelwanayo, okuyiyo evame kakhulu, uma ibangelwa amagciwane, ibizwa nge-bacterial endocarditis, uma idalwa isikhunta ibizwa nge-fungal endocarditis.

Uma ibangelwa yi-rheumatic fever ibizwa nge-rheumatic endocarditis futhi uma ibangelwa i-lupus ibizwa nge-Libman Sacks endocarditis.

Yelashwa kanjani

Ukwelashwa kwe-endocarditis kwenziwa ngama-antibiotic noma ama-antifungal, ngemithamo ephezulu, ngemithambo, okungenani amasonto ama-4 kuye kwayi-6. Ukudambisa izimpawu, izidakamizwa ezilwa nokuvuvukala, imithi yomkhuhlane futhi, kwezinye izimo, kunqunywa i-corticosteroids.

Ezimweni lapho kwenzeka khona ukubhujiswa kwe-valve yenhliziyo ngokutheleleka, kungahle kudingeke ukuhlinzwa ukuze kufakwe i-valve eyonakele nge-prosthesis engahle ibe ngeyokuzalwa noma yensimbi.

I-Endocarditis lapho ishiywe ingalashwa ingaholela ezinkingeni ezinjengokwehluleka kwenhliziyo, isifo senhliziyo, isifo sohlangothi, ukubola kwamaphaphu noma izinkinga zezinso ezingadlulela ekuhlulekeni okukhulu kwezinso.