Kodi bakiteriya endocarditis ndi ziti ndipo ndizizizindikiro ziti

Zamkati

• Zizindikiro za bakiteriya endocarditis
• Chifukwa chomwe mavuto amano amatha kuyambitsa endocarditis
• Kodi chithandizo cha endocarditis

Bakiteriya endocarditis ndi matenda omwe amakhudza mkati mwa mtima, wotchedwa endothelial pamwamba, makamaka mavavu amtima, chifukwa chakupezeka kwa mabakiteriya omwe amafika m'magazi. Ndi matenda oopsa, omwe ali ndi mwayi wambiri wakufa ndipo amatha kuphatikizidwa ndi zovuta zingapo, monga sitiroko.

Kugwiritsa ntchito mankhwala ojambulidwa, kuboola, mankhwala amano opanda mankhwala am'mbuyomu, zida za intracardiac, monga ma pacemaker kapena ma prostheses a valve, komanso hemodialysis, zitha kuwonjezera mwayi wa bakiteriya endocarditis. Komabe, chifukwa chofala kwambiri m'maiko ngati Brazil, chimakhalabe matenda a rheumatic valve.

Pali mitundu iwiri ya bakiteriya endocarditis:

1. Mabakiteriya ovuta endocarditis: ndimatenda omwe akuyenda mofulumira, pomwe kutentha thupi, malaise, kudwala komanso kuwonongeka kwa mtima kumawoneka, monga kutopa kwambiri, kutupa kwa mapazi ndi miyendo, ndi kupuma movutikira;
2. Subacute bakiteriya endocarditis: mu mtundu uwu munthu amatha kutenga milungu ingapo kapena miyezi ingapo kuti adziwe matenda a endocarditis, osonyeza zizindikiro zochepa, monga kutentha thupi, kutopa komanso kuwonda pang'onopang'ono.

Kuzindikira kwa bakiteriya endocarditis kumatha kupangidwa kudzera mayeso monga echocardiography, womwe ndi mtundu wa ultrasound mumtima, komanso kudzera m'mayeso amwazi kuti muzindikire kupezeka kwa bakiteriya m'magazi, omwe amadziwika kuti bacteremia. Dziwani zambiri za bacteremia.

Zizindikiro za bakiteriya endocarditis

Zizindikiro za bakiteriya pachimake endocarditis zitha kukhala:

• Kutentha thupi;
• Kuzizira;
• Kupuma pang'ono;
• Tizigawo ting'onoting'ono ta magazi m'manja ndi m'miyendo.

Mu subacute endocarditis, zizindikilozo nthawi zambiri zimakhala:

• Kutentha kwakukulu;
• Thukuta usiku;
• Kutopa kosavuta;
• Kusowa kwa njala;
• Kupopera;
• Zilonda zazing'ono zazing'ono zala kapena zala zakumapazi;
• Kung'ambika kwa mitsempha yaying'ono m'magazi oyera, m'maso, mkati mwa masaya, pachifuwa kapena zala kapena zala zakumapazi.

Ngati zizindikirozi zilipo, ndibwino kuti mupite kuchipatala mwachangu chifukwa endocarditis ndimatenda akulu omwe amatha kupha msanga.

Chifukwa chomwe mavuto amano amatha kuyambitsa endocarditis

Chimodzi mwazomwe zimayambitsa endocarditis ndikuchita kwa njira zamano monga kuchotsera dzino kapena chithandizo cha caries. Pakadali pano, mabakiteriya am'mimba komanso omwe amapezeka mwakamwa amatha kunyamulidwa kudzera m'magazi mpaka atadziunjikira mumtima, pomwe amayambitsa matenda amtundu.

Pachifukwa ichi, anthu omwe ali pachiwopsezo chachikulu cha endocarditis, monga odwala omwe ali ndi ma prosthetic valve kapena ma pacemaker, amafunika kugwiritsa ntchito maantibayotiki ola limodzi musanachitike njira zina zamano, kuti apewe bakiteriya endocarditis.

Kodi chithandizo cha endocarditis

Chithandizo cha endocarditis chimachitika pogwiritsa ntchito maantibayotiki, omwe amatha kukhala amkamwa kapena ogwiritsidwa ntchito molunjika pamitsempha, malinga ndi tizilombo tomwe timapezeka m'magazi. Pazovuta kwambiri, pomwe palibe zotsatira zabwino zogwiritsa ntchito maantibayotiki ndipo kutengera kukula kwa kachilomboka ndi malo ake, opaleshoni imawonetsedwa kuti imalowetsa ma valves amtima ndi ma prostheses.

Prophylaxis ya endocarditis imachitika makamaka kwa anthu omwe ali pachiwopsezo chachikulu chotenga endocarditis, monga:

• Anthu okhala ndi mavavu opanga;
• Odwala omwe adwala kale endocarditis;
• Anthu omwe ali ndi matenda a valavu komanso omwe adalandira kale mtima;
• Odwala omwe amabadwa ndi matenda amtima.

Asanalandire chithandizo chilichonse cha mano, dokotala ayenera kulangiza wodwalayo kuti atenge 2 g wa amoxicillin kapena 500 mg wa Azithromycin osachepera ola limodzi asanalandire chithandizo. Nthawi zina dotolo wamano amayenera kulangiza kugwiritsa ntchito maantibayotiki masiku 10 asanayambe kulandira mano. Dziwani zambiri za chithandizo cha bakiteriya endocarditis.