Matenda a Endocarditis

Zamkati

• Kodi zizindikiro za matenda opatsirana a endocarditis ndi ziti?
• Ndani ali pachiwopsezo chachikulu chotenga matenda opatsirana endocarditis?
• Kuzindikira matenda opatsirana endocarditis
• Kuchiza matenda opatsirana endocarditis
• Maantibayotiki ndi chithandizo choyambirira
• Opaleshoni
• Kuchira komanso malingaliro

Kodi infective endocarditis ndi chiyani?

Matenda opatsirana a endocarditis ndi matenda m'matumba amtima kapena endocardium. Endocardium ndikulumikiza kwamkati mwa zipinda zamtima. Vutoli limayamba chifukwa cha mabakiteriya omwe amalowa m'magazi ndikupatsira mtima. Mabakiteriya amachokera ku:

• pakamwa
• khungu
• matumbo
• dongosolo kupuma
• thirakiti

Matendawa akamayambitsidwa ndi bakiteriya, amadziwika kuti bacterial endocarditis. Nthawi zina, imathanso kuyambitsidwa ndi bowa kapena tizilombo tina.

Matenda opatsirana a endocarditis ndi vuto lalikulu lomwe limafunikira chithandizo chamankhwala mwachangu. Ngati atapanda kuchiritsidwa, matendawa amatha kuwononga mavavu amtima wanu. Izi zitha kubweretsa mavuto kuphatikiza:

• sitiroko
• kuwonongeka kwa ziwalo zina
• kulephera kwa mtima
• imfa

Vutoli silikupezeka mwa anthu omwe ali ndi mitima yathanzi. Anthu omwe ali ndi vuto lina la mtima ali pachiwopsezo chachikulu.

Mungafunike kumwa maantibayotiki musanalandire njira zina zamankhwala ndi mano ngati muli pachiwopsezo chotenga matenda opatsirana a endocarditis. Maantibayotiki amathandiza kuti mabakiteriya asalowe m'magazi anu ndikupangitsa matenda. Lankhulani ndi dokotala wanu wamankhwala kapena wamano musanachite opaleshoni iliyonse.

Kodi zizindikiro za matenda opatsirana a endocarditis ndi ziti?

Zizindikiro zimasiyanasiyana malinga ndi munthu. Kwa anthu ena, zizindikiro zimabwera mwadzidzidzi, pomwe ena amakhala ndi zizindikiro pang'onopang'ono. Lankhulani ndi dokotala ngati mukukumana ndi zina mwazizindikiro zomwe zili pansipa. Anthu omwe ali pachiwopsezo chachikulu cha endocarditis ayenera kusamala kwambiri.

Zizindikiro zimaphatikizapo:

• malungo
• kupweteka pachifuwa
• kufooka
• magazi mkodzo
• kuzizira
• thukuta
• zidzolo zotupa
• mawanga oyera mkamwa kapena lilime
• kupweteka ndi kutupa m'malo olumikizirana mafupa
• kupweteka kwa minofu ndi kukoma mtima
• mtundu wosadziwika wa mkodzo
• kutopa
• chifuwa
• kupuma movutikira
• chikhure
• sinus kuchulukana ndi mutu
• nseru kapena kusanza
• kuonda

Matenda opatsirana a endocarditis atha kukhala owopsa ngati atapanda kuchiritsidwa mwachangu. Tsoka ilo, zizindikiro za matenda opatsirana a endocarditis amatha kufanana ndi matenda ena ambiri. Lankhulani ndi dokotala wanu nthawi yomweyo ngati mukumane ndi zina mwazizindikiro zomwe zatchulidwa pamwambapa.

Ndani ali pachiwopsezo chachikulu chotenga matenda opatsirana endocarditis?

Mutha kukhala pachiwopsezo cha izi ngati muli:

• mavavu amtima wokumba
• matenda obadwa nawo amtima
• matenda a valavu ya mtima
• mavavu amtima owonongeka
• hypertrophic cardiomyopathy
• mbiri ya endocarditis
• mbiri yogwiritsa ntchito mankhwala osokoneza bongo
• kutulutsa kwa mitral valve ndikubwezeretsanso ma valve (ikudontha) ndi / kapena timapepala tating'onoting'ono ta ma valve

Chiwopsezo chotenga matenda opatsirana endocarditis chimakhala chachikulu pambuyo pa njira zomwe zimalola kuti mabakiteriya azilowa m'magazi. Izi zikuphatikiza:

• Njira zamano zophatikizira m'kamwa
• Kuyika kwa catheters kapena singano
• njira zochizira matenda

Njirazi sizimaika anthu ambiri athanzi pachiwopsezo. Komabe, anthu omwe ali ndi chiwopsezo chimodzi kapena zingapo zoopsa za matenda opatsirana ayenera kukhala osamala kwambiri. Ngati mukufuna imodzi mwanjira izi, kambiranani ndi dokotala poyamba. Mutha kuthiridwa maantibayotiki musanapite kukacheza.

Kuzindikira matenda opatsirana endocarditis

Mukapita kukaonana ndi dokotala, mudzafunsidwa koyamba kuti mufotokozere zomwe zikuwonetsa. Dokotala wanu adzakuyesani. Amamvera mtima wanu ndi stethoscope ndikuyang'ana phokoso lakung'ung'udza, komwe kumatha kupezeka ndi matenda opatsirana endocarditis. Dokotala wanu amathanso kuyang'ana ngati ali ndi malungo ndikumverera ngati nthenda yakulitsa ndikudina pamimba yanu yakumanzere.

Ngati dokotala akukayikira kuti matendawa ndi endocarditis, magazi anu adzayesedwa ngati ali ndi mabakiteriya. Kuwerengera kwathunthu kwa magazi (CBC) kungagwiritsidwenso ntchito pofufuza kuchepa kwa magazi. Kuchepa kwa maselo ofiira amwazi kumachitika ndi matenda opatsirana a endocarditis.

Dokotala wanu akhoza kuyitanitsa echocardiogram, kapena ultrasound yamtima. Njirayi imagwiritsa ntchito mafunde akumveka kuti apange chithunzi. Wendani wa ultrasound atha kuyikidwa pachifuwa. Kapenanso, chida chaching'ono chimatha kumangirizidwa kummero kwanu ndikum'mero. Izi zitha kupereka chithunzi chatsatanetsatane. Echocardiogram imayang'ana minofu, mabowo, kapena zosintha zina mu valavu yamtima wanu.

Dokotala wanu amathanso kuyitanitsa electrocardiogram (EKG). EKG imayang'anira zochitika zamagetsi mumtima mwanu. Kuyesa kosavutaku kumatha kupeza kugunda kwamtima kosafunikira komwe kumayambitsidwa ndi endocarditis.

Kuyesa mayeso kumatha kuwona ngati mtima wanu wakula. Akhozanso kuzindikira zizindikiro zakuti matenda afalikira mbali zina za thupi lanu. Mayesowa ndi awa:

• X-ray pachifuwa
• kujambulidwa kwa tomography (CT)
• kujambula kwa maginito (MRI)

Mukapezeka ndi matenda opatsirana a endocarditis, mudzalandiridwa kuchipatala nthawi yomweyo kuti mukalandire chithandizo.

Kuchiza matenda opatsirana endocarditis

Matenda opatsirana a endocarditis amatha kuwononga mtima osasinthika. Ngati singagwidwe ndikuchiritsidwa mwachangu, imatha kukhala pangozi. Muyenera kuthandizidwa kuchipatala kuti mupewe matendawa ndikupangitsa mavuto.

Maantibayotiki ndi chithandizo choyambirira

Mukakhala mchipatala, zizindikilo zanu zofunikira zidzayang'aniridwa. Mupatsidwa maantibayotiki kudzera m'mitsempha (IV). Mukapita kunyumba, mukapitiliza kumwa mankhwala opatsirana pakamwa kapena IV kwa milungu ingapo. Munthawi imeneyi, mupitiliza kuchezera dokotala wanu. Kuyesedwa magazi pafupipafupi kumatsimikizira ngati matendawa akutha.

Opaleshoni

Kuchita opaleshoni kungafunike ngati mavavu amtima wanu awonongeka. Dokotala wanu angakulimbikitseni kukonzanso valavu yamtima. Valavu amathanso kusinthidwa pogwiritsa ntchito valavu yatsopano yopangidwa ndi nyama kapena zida zopangira.

Kuchita opaleshoni kungakhale kofunikira ngati maantibayotiki sakugwira ntchito kapena ngati matendawa ndi fungal. Mankhwala opatsirana pogwira sikuti nthawi zonse amakhala othandiza pa matenda amtima.

Kuchira komanso malingaliro

Ngati atapanda kuchiritsidwa, vutoli likhala lakupha. Komabe, anthu ambiri amatha kuchira ndi mankhwala a maantibayotiki. Mpata wochira umadalira pazinthu kuphatikizapo zaka zanu komanso chifukwa cha matenda anu. Kuphatikiza apo, odwala omwe amalandira chithandizo msanga amakhala ndi mwayi wopezanso bwino.

Zingakutengereni nthawi kuti muchiritse kwathunthu ngati opaleshoni idafunika.