I-Endocarditis enesifo
-Delile
- Ziyini izimpawu ze-infectous endocarditis?
- Ngubani osemngciphekweni omkhulu we-infectous endocarditis?
- Ukuhlonza i-endocarditis enesifo
- Ukwelapha i-endocarditis ethelelanayo
- Ama-antibiotic kanye nokwelashwa kokuqala
- Ukuhlinzwa
- Ukululama nombono
Yini i-infectous endocarditis?
I-endocarditis enesifo ukutheleleka kuma-valves enhliziyo noma i-endocardium. I-endocardium ulwelwesi lwezindawo ezingaphakathi zamagumbi enhliziyo. Lesi simo sivame ukubangelwa amagciwane angena egazini futhi athelele inhliziyo. Amagciwane angavela ku:
- umlomo
- isikhumba
- amathumbu
- uhlelo lokuphefumula
- umgudu womchamo
Lapho lesi simo sibangelwa amagciwane, saziwa nangokuthi i-bacterial endocarditis. Ezimweni ezingavamile, kungabangelwa isikhunta noma ezinye izinto ezincane eziphilayo.
I-endocarditis enesifo yisimo esibi esidinga ukwelashwa ngokushesha. Uma ishiywe ingalashwa, ukutheleleka kungalimaza ama-valve enhliziyo yakho. Lokhu kungaholela ezinkingeni kufaka phakathi:
- unhlangothi
- ukulimala kwezinye izitho
- ukuhluleka kwenhliziyo
- ukufa
Lesi simo asivamile kubantu abanezinhliziyo ezinempilo. Abantu abanezinye izimo zenhliziyo basengozini enkulu.
Kungase kudingeke ukuthi uthathe ama-antibiotic ngaphambi kwezinqubo ezithile zezokwelapha nezamazinyo uma usengozini enkulu yokuthola i-endocarditis yokutheleleka. Ama-antibiotic asiza ukumisa amabhaktheriya ekungeneni egazini lakho nokudala ukutheleleka. Khuluma nodokotela wakho ohlinzayo noma wamazinyo ngaphambi kwanoma iyiphi inqubo yokuhlinzwa.
Ziyini izimpawu ze-infectous endocarditis?
Izimpawu ziyahlukahluka kuye ngomuntu. Kwabanye abantu, izimpawu zifika ngokuzumayo, kanti ezinye ziba nezimpawu kancane kancane. Khuluma nodokotela wakho uma uhlangabezana nanoma yiziphi izimpawu ezibalwe ngezansi. Abantu abasengozini enkulu ye-endocarditis kufanele banakekele ngokukhethekile.
Izimpawu zingafaka:
- imfiva
- ubuhlungu besifuba
- ubuthakathaka
- igazi emchameni
- Ukugodola
- ukujuluka
- ukuqubuka kwesikhumba okubomvu
- amabala amhlophe emlonyeni noma olimini
- ubuhlungu nokuvuvuka kwamalunga
- ubuhlungu bemisipha nobumnene
- umbala womchamo ongajwayelekile
- ukukhathala
- ukukhwehlela
- ukuphelelwa umoya
- Umphimbo obuhlungu
- isiminyaminya sinus kanye ikhanda
- isicanucanu noma ukuhlanza
- ukuncipha komzimba
I-endocarditis enesifo ingabeka impilo engozini uma ingalashwa ngokushesha. Ngeshwa, izimpawu ze-endocarditis ezithathelwanayo zingafana nezinye izifo eziningi. Khuluma nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezibalwe ngenhla.
Ngubani osemngciphekweni omkhulu we-infectous endocarditis?
Ungaba sengozini yalesi simo uma une:
- ama-valve enhliziyo yokufakelwa
- isifo senhliziyo esizalwa naso
- isifo senhliziyo senhliziyo
- ama-valve enhliziyo alimele
- i-cardiomyopathy ye-hypertrophic
- umlando we-endocarditis
- umlando wokusetshenziswa kwezidakamizwa ngokungemthetho
- i-mitral valve prolapse ne-valve regurgitation (evuzayo) kanye / noma amapheshana e-valve ajiyile
Ingcuphe yokutheleleka nge-endocarditis iphezulu ngemuva kwezinqubo ezivumela ukungena kwamagciwane egazini. Lokhu kufaka phakathi:
- izinqubo zamazinyo ezibandakanya izinsini
- ukufakwa kwama-catheters noma izinaliti
- izinqubo zokwelapha izifo
Lezi zinqubo azibeki abantu abaningi abaphilile engcupheni. Kodwa-ke, abantu abanesici esisodwa noma eziningi zobungozi be-endocarditis yokutheleleka kudingeka baqaphele kakhulu. Uma udinga enye yalezi zinqubo, khuluma nodokotela wakho kuqala. Ungafakwa kuma-antibiotic ngaphambi kokuvakasha kwakho.
Ukuhlonza i-endocarditis enesifo
Lapho uvakashela udokotela wakho, uzocelwa kuqala ukuthi uchaze izimpawu zakho. Udokotela wakho uzobe esehlola ngokomzimba. Bazolalela inhliziyo yakho nge-stethoscope futhi bahlole imisindo yokububula, okungenzeka kube khona nge-endocarditis ethelelanayo. Udokotela wakho futhi angahlola umkhuhlane futhi azizwe ngesipele esikhulisiwe ngokucindezela esiswini sakho sangaphezulu kwesokunxele.
Uma udokotela wakho esola i-endocarditis yokutheleleka, igazi lakho lizohlolwa ukuthola amagciwane. Ukubalwa kwegazi okuphelele (i-CBC) kungasetshenziswa futhi ukuhlola i-anemia. Ukushoda kwamaseli abomvu egazi kungenzeka nge-endocarditis ethathelwanayo.
Udokotela wakho angalawula i-echocardiogram, noma i-ultrasound yenhliziyo. Le nqubo isebenzisa amaza omsindo ukukhiqiza isithombe. Induku ye-ultrasound ingabekwa esifubeni sakho. Ngenye indlela, ithuluzi elincane lingafakwa emqaleni wakho bese lingena emphinjeni. Lokhu kunganikeza isithombe esinemininingwane eminingi. I-echocardiogram ibheka izicubu, izimbobo, noma ezinye izinguquko ezonakele ku-valve yenhliziyo yakho.
Udokotela wakho futhi anga-oda i-electrocardiogram (EKG). I-EKG ibheka umsebenzi kagesi enhliziyweni yakho. Lokhu kuhlolwa okungenabuhlungu kungathola ukushaya kwenhliziyo okungajwayelekile okubangelwa i-endocarditis.
Ukuhlola ukuhlolwa kungabheka ukuthi inhliziyo yakho ikhulisiwe yini. Bangakwazi futhi ukuthola izimpawu zokuthi ukutheleleka sekusabalele nakwezinye izindawo zomzimba wakho. Ukuhlolwa okunjalo kufaka:
- X-ray esifubeni
- ukuskena kwe-computed tomography (CT)
- i-magnetic resonance imaging (i-MRI)
Uma kutholakala ukuthi une-endocarditis enesifo, uzolaliswa esibhedlela ngokushesha ukuze uthole ukwelashwa.
Ukwelapha i-endocarditis ethelelanayo
I-endocarditis enesifo ingadala ukulimala okungenakulungiseka enhliziyweni. Uma ingabanjwa futhi yelashwe ngokushesha, ingaba yingozi empilweni. Uzodinga ukwelashwa esibhedlela ukuvikela ukuthi ukutheleleka kungabi kubi futhi kudale izinkinga.
Ama-antibiotic kanye nokwelashwa kokuqala
Ngesikhathi usesibhedlela, izimpawu zakho ezibalulekile zizoqashwa. Uzonikezwa ama-antibiotic ngemithambo (IV). Uma usugodukile, uzoqhubeka nemithi elwa namagciwane ngomlomo noma nge-IV okungenani amasonto amane. Ngalesi sikhathi, uzoqhubeka uvakashela udokotela wakho. Ukuhlolwa kwegazi njalo kuzohlola ukuthi ukutheleleka kuyaphela yini.
Ukuhlinzwa
Ukuhlinzwa kungadingeka uma ama-valve enhliziyo yakho elimele. Udokotela wakho ohlinzayo angancoma ukulungisa i-valve yenhliziyo. I-valve nayo ingashintshwa kusetshenziswa i-valve entsha eyenziwe ngezicubu zezilwane noma izinto zokwenziwa.
Ukuhlinzwa kungadingeka futhi uma ama-antibiotic engasebenzi noma uma ukutheleleka kungu-fungal. Imithi elwa namagciwane ayisebenzi njalo ekuthelelekeni enhliziyweni.
Ukululama nombono
Uma ishiywe ingelashwa, lesi simo sizobulala. Kodwa-ke, iningi labantu liyakwazi ukwelulama ngokwelashwa kwama-antibiotic. Ithuba lokululama lincike ezintweni ezibandakanya iminyaka yakho kanye nembangela yokutheleleka kwakho. Ngaphezu kwalokho, iziguli ezithola ukwelashwa ngaphambi kwesikhathi zinethuba elingcono lokululama ngokugcwele.
Kungakuthatha isikhathi eside ukuthi uphinde ululame ngokuphelele uma kudingeka ukuhlinzwa.