Kodi endocarditis ndi chiyani?

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Zomwe zingayambitse endocarditis
• Mitundu yayikulu ya endocarditis
• Momwe mankhwalawa amachitikira

Endocarditis ndikutupa kwa minofu yomwe imayang'ana mkati mwa mtima, makamaka mavavu amtima. Nthawi zambiri zimayambitsidwa ndi matenda m'mbali ina ya thupi yomwe imafalikira kudzera m'magazi mpaka ikafika pamtima, chifukwa chake, imadziwikanso kuti infective endocarditis.

Chifukwa nthawi zambiri chimayambitsidwa ndi mabakiteriya, endocarditis nthawi zambiri imachiritsidwa pogwiritsa ntchito maantibayotiki omwe amaperekedwa mwachindunji mumtsempha. Komabe, ngati ili ndi chifukwa china, endocarditis amathanso kuchiritsidwa ndi mankhwala ophera fungal kapena mankhwala oletsa kutupa kuti athetse vuto. Kutengera ndikulimba kwa zizindikilozo, atha kulimbikitsidwabe kuti azikhala mchipatala.

Onani momwe bacterial endocarditis imathandizidwira.

Zizindikiro zazikulu

Zizindikiro za endocarditis zitha kuwoneka pang'onopang'ono pakapita nthawi ndipo, chifukwa chake, nthawi zambiri zimakhala zovuta kuzizindikira. Chofala kwambiri ndi ichi:

• Kutentha kwa thupi ndi kuzizira;
• Thukuta lokwanira komanso kufooka kwakukulu;
• Khungu lotuwa;
• Kupweteka kwa minofu ndi mafupa;
• Nseru ndi kuchepa kwa njala;
• Kutupa mapazi ndi miyendo;
• Kukhosomola kosalekeza komanso kupuma movutikira.

Nthawi zina, zizindikilo zina zitha kuwonekeranso, monga kuchepa thupi, kupezeka kwa magazi mumkodzo komanso kuwonjezeka kwazinthu kumanzere kwa pamimba, kudera la ndulu.

Komabe, izi zimatha kusiyanasiyana makamaka kutengera zomwe zimayambitsa endocarditis. Chifukwa chake, paliponse pomwe pali kukayikira za vuto la mtima, ndikofunikira kwambiri kukaonana mwachangu ndi katswiri wa zamtima kapena kupita kuchipatala kukayezetsa matenda monga electrocardiogram ndikutsimikizira ngati pali vuto lililonse lomwe likufunika chithandizo.

Onani zizindikiro zina 12 zomwe zitha kuwonetsa vuto la mtima.

Momwe mungatsimikizire matendawa

Kuzindikira kwa endocarditis kumatha kupangidwa ndi katswiri wa zamagetsi. Nthawi zambiri, kuwerengetsa kumayambira pakuwunika zizindikiritso komanso kuzindikira kwa ntchito ya mtima, koma ndiyofunikanso kuyesa mayeso ena monga echocardiogram, electrocardiogram, X-ray pachifuwa ndi kuyesa magazi.

Zomwe zingayambitse endocarditis

Choyambitsa chachikulu cha endocarditis ndimatenda omwe amabwera ndi thupi chifukwa cha matenda kwina kulikonse, monga dzino kapena bala la khungu, mwachitsanzo. Chitetezo cha mthupi sichitha kulimbana ndi mabakiteriyawa, amatha kumafalikira kudzera m'magazi ndikufika pamtima, ndikupangitsa kutupa.

Chifukwa chake, chifukwa mabakiteriya, bowa ndi mavairasi amathanso kukhudza mtima, zomwe zimayambitsa endocarditis, komabe, chithandizo chimachitidwa mosiyana. Zina mwa njira zofala kwambiri zopangira endocarditis ndi monga:

• Kukhala ndi zilonda mkamwa kapena matenda amano;
• Kugwira matenda opatsirana pogonana;
• Kukhala ndi bala lotenga khungu pakhungu;
• Gwiritsani ntchito singano yakuda;
• Gwiritsani ntchito kafukufuku wamikodzo kwa nthawi yayitali.

Sikuti aliyense amakhala ndi endocarditis, chifukwa chitetezo cha mthupi chimatha kulimbana ndi tizilombo tating'onoting'ono tomwe, komabe, okalamba, ana kapena anthu omwe ali ndi matenda omwe amadzichitira okha ali pachiwopsezo chachikulu.

Mitundu yayikulu ya endocarditis

Mitundu ya endocarditis ndi yogwirizana ndi yomwe idayambira ndipo amagawidwa mu:

• Matenda opatsirana endocarditis: ikayambitsidwa ndikulowa kwa mabakiteriya mumtima kapena bowa mthupi, kuyambitsa matenda;
• Matenda osapatsirana a endocarditis kapena apanyanja endocarditis: ikayamba chifukwa cha mavuto osiyanasiyana, monga khansa, rheumatic fever kapena matenda omwe amadzichotsera okha.

Pokhudzana ndi endocarditis yopatsirana, yomwe imafala kwambiri, ikayambitsidwa ndi mabakiteriya, amatchedwa bacterial endocarditis, ikayambitsidwa ndi bowa amatchedwa fungal endocarditis.

Ikayambitsidwa ndi rheumatic fever imatchedwa rheumatic endocarditis ndipo ikayambitsidwa ndi lupus amatchedwa Libman Sacks endocarditis.

Momwe mankhwalawa amachitikira

Chithandizo cha endocarditis chimachitika kudzera mu maantibayotiki kapena ma antifungal, muyezo waukulu, kudzera m'mitsempha, kwa milungu yosachepera 4 mpaka 6. Pofuna kuthetsa zizindikiro, mankhwala osokoneza bongo, mankhwala a malungo ndipo, nthawi zina, amaikidwa corticosteroids.

Pomwe kuwonongeka kwa valavu yamtima ndimatenda kumachitika, kuchitidwa opaleshoni kungakhale kofunikira kuti mutenge valavu yowonongeka ndi bandala yomwe ingakhale yachilengedwe kapena yachitsulo.

Endocarditis ikasiyidwa osalandila imatha kubweretsa zovuta monga mtima kulephera, matenda amtima, sitiroko, kupindika kwa m'mapapo kapena mavuto a impso omwe amatha kukula mpaka impso kulephera.