He ʻōkana kupaianaha maoli kou puʻuwai , ʻeā? Akā, i kekahi manawa, hiki i kahi germ liʻiliʻi mai kahi ʻē aʻe o kou kino ke hele ma o kou kahe koko a hōʻeha nui i kou puʻuwai. He maʻi hoʻoweliweli ola kēia i ʻike ʻia ʻo endocarditis. ʻO ka ʻike mua ʻana i nā hōʻailona a me ka ʻimi koke ʻana i ke kōkua lapaʻau he mea nui loa ia no kou palekana.
He aha maoli ka endocarditis?
I ka ʻōlelo maʻalahi, ʻo ka endocarditis kahi maʻi a me ka mumū o ka uhi o loko o kou mau keʻena puʻuwai a me nā valves puʻuwai, i ʻike ʻia ma ke ʻano lapaʻau ʻo ka endocardium . ʻO ka mea maʻamau, hoʻoulu ʻia e nā germs, e like me ka bacteria .
E noʻonoʻo i nā germs mai kou waha, ʻili, a i ʻole ka ʻōnaehana hanu e komo ana i kou kahe koko. Hele kēia mau microbes me kou koko a hiki i kou puʻuwai. ʻOiai ke kūʻē nei ka puʻuwai olakino i kēlā mau maʻi, inā ua hōʻino ʻia a nāwaliwali paha kou mau valves puʻuwai, hiki i kēia mau germs ke hoʻopili i kēlā mau wahi palupalu, e aʻa, a hoʻomaka e hoʻonui.
I ka ulu ʻana o kēia mau germs, hui pū lākou me nā hunaola koko a me nā olonā e hana i nā ulu liʻiliʻi i kapa ʻia he mau mea kanu . Hiki i kēia mau mea kanu ke hōʻino nui i kou mau valves puʻuwai. Hiki iā lākou ke pale i nā valves mai ka pani pono ʻana, alakaʻi i ke kahe ʻana o ke koko, a i ʻole e hoʻopau loa i ka hana o kou puʻuwai.
ʻElua ʻano nui
ʻO ka maʻamau, ua hoʻokaʻawale ʻia ka endocarditis i ʻelua mau pūʻulu:
1. Infective Endocarditis: ʻO kēia ke ʻano maʻamau. E like me ka inoa e hōʻike nei, ua hoʻokumu ʻia e nā germs e like me ka bacteria a i ʻole nā haʻi e komo ana i ka puʻuwai. Hoʻohana pinepine nā kauka i kēia ʻo Bacterial Endocarditis (BE) .
2. ʻO ka Endocarditis ʻaʻole maʻi: He mea kākaʻikahi loa kēia. ʻOiai ke kūkulu mau ʻia nei nā mea kanu ma ka puʻuwai, ʻaʻole lākou i hoʻokumu ʻia e nā germs. Kāhea mākou i kēia mau mea kanu sterile . ʻO ka maʻamau, hiki mai kēia kūlana me nā pilikia olakino e hoʻonui ai i ka pilikia o ke kāpili ʻana o ke koko, e like me ka lupus a i ʻole ka antiphospholipid syndrome .
He aha nā hōʻailona o ka maʻi, a pehea e ʻike ai iā lākou?
Hiki ke paʻakikī nā hōʻailona o kēia ʻano; hiki ke ʻike koke ʻia a ulu mālie paha i loko o kekahi mau pule.
| Nā Hōʻailona Maʻamau o ka Infective Endocarditis | |
|---|---|
| • Kuni (ma luna o 38.4°C / 100°F) | • Luhi a nāwaliwali paha |
| • Anuanu a me ka hou o ka pō | • Pōkole o ka hanu (Dyspnea) |
| • ʻEha nā hono a me nā ʻiʻo | • ʻEha o ka umauma |
| • Ka nalowale o ka makemake a me ka emi ʻana o ke kaumaha | • Ka wikiwiki o ka puʻuwai (Tachycardia) |
| • ʻŌhūhū ʻili | • Ka pehu ʻana i loko o ka ʻōpū a i ʻole nā wāwae |
| • Koko i loko o ka mimi (Hematuria) | • He kani puʻuwai ʻē i ʻike ʻia e ke kauka (Hear murmur) |
| Inā ʻike ʻoe i kēia mau hōʻailona, e ʻoluʻolu e hele koke i ka Lumi Hoʻōla Pilikia (ER) kokoke loa. He kūlana hoʻoweliweli kēia i ke ola. | |
Hiki i ka endocarditis infective ke hōʻike iā ia iho ma nā ʻano ʻelua:
- ʻOi loa: Hiki koke mai kēia. Me nā hōʻailona e like me ke kuni nui a me ka wikiwiki o ka puʻuwai , hiki ke lilo i mea hoʻoweliweli i ke ola i loko o kekahi mau lā.
- Subacute: Hoʻomaka mālie kēia i loko o kekahi mau pule a i ʻole mau mahina. Hoʻomaka pinepine ia me nā hōʻailona liʻiliʻi e like me ka luhi maʻamau a i ʻole ke kuni haʻahaʻa.
I nā hihia o ka endocarditis non-infective , ʻaʻohe hōʻailona kikoʻī o ke kūlana puʻuwai ponoʻī; akā, hiki iā ʻoe ke ʻike i nā hōʻailona o ke kūlana olakino ma lalo (e like me lupus).
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia?
ʻAʻole maʻamau ka Endocarditis, akā ʻoi aku ka nui o ka pilikia o kekahi poʻe:
- ʻO ka poʻe me nā kiwikā puʻuwai hana, nā pacemakers, a i ʻole nā defibrillators : Hiki i kēia mau mea hana ke hoʻopili ʻia e ka bacteria.
- ʻO ka poʻe i loaʻa mua i ka endocarditis: Ke loaʻa iā ʻoe, ʻoi aku ke kiʻekiʻe o kou pilikia o ka hoʻi hou ʻana.
- ʻO nā kānaka me kekahi mau maʻi puʻuwai: ʻOi aku ka poʻe me ka maʻi valve puʻuwai a i ʻole ka hypertrophic cardiomyopathy .
- Nā mea hoʻohana lāʻau lapaʻau IV: Hiki i nā nila i haumia ke hoʻokomo pololei i nā germs i loko o ke koko.
- ʻO ka poʻe me ka maʻemaʻe waha maikaʻi ʻole: ʻO ka maʻi ʻāʻī a me ka pala o nā niho e ʻae i nā bacteria o ka waha e komo maʻalahi i ke koko.
- Nā kānaka me nā ʻōnaehana pale kino nāwaliwali: ʻO ka poʻe me nā maʻi e like me ka maʻi diabetes a i ʻole ka poʻe e lawe ana i ka lāʻau immunosuppressive.
- ʻO nā kānaka i hana mua ʻia i ke ʻoki ʻana o ka valve puʻuwai.
He aha nā pilikia inā ʻaʻole mālama ʻia?
Inā ʻaʻole i ʻike koke ʻia a mālama ʻia, hiki i kēia ʻano ke alakaʻi i nā hopena koʻikoʻi. ʻAʻole kēia he ʻano hiki ke hoʻowahāwahā ʻia.
ʻO nā pilikia kūpono mai ka hoʻopaneʻe ʻana o ka mālama ʻana:
- Ka pōʻino nui i nā kiwikā o ka puʻuwai, e alakaʻi ana i ka leakage (Leaky heart valve).
- Hoʻomaka ka hāʻule ʻana o ka puʻuwai.
- Hoʻokumu ʻia ʻana o nā abscesses a puni ka puʻuwai.
- Nā ʻano puʻuwai kūpono ʻole (Arrhythmia).
- ʻO ka hahau ʻana, i hoʻokumu ʻia e nā ʻāpana o nā mea kanu e haki ana a ālai ana i kahi kīʻaha koko i loko o ka lolo.
- ʻO Sepsis, kahi maʻi ʻōnaehana e hoʻoweliweli ana i ke ola.
- I nā hihia koʻikoʻi, hiki ke make.
Pehea e ʻike ai nā kauka i kēia?
Inā hōʻike ʻoe me nā hōʻailona a ua ʻike ʻia nā kumu pilikia, e hoʻonohonoho kāu kauka i kahi hōʻoia wikiwiki. Hana pinepine ʻia nā hoʻokolohua aʻe:
- Nā hoʻāʻo koko:
- Moʻomeheu koko: Hōʻike kēia i ke ʻano kikoʻī o ka bacteria i loko o kou koko.
- Helu koko piha: No ka nānā ʻana i nā hōʻailona o ka maʻi.
- Hoʻāʻo protein C-reactive (CRP): No ke ana ʻana i nā pae o ka mumū i loko o kou kino.
- Nā hoʻāʻo kiʻi:
- Echocardiogram: He ultrasound o kou puʻuwai. Hāʻawi ia i kahi ʻike maopopo o ke ʻano o ka hana ʻana o kou puʻuwai, nā pōʻino valve, a me ke alo o nā mea kanu.
- ʻO ka echocardiogram Transesophageal: He scan kūikawā kahi e alakaʻi ʻia ai kahi probe liʻiliʻi i lalo o ka esophagus e kiʻi i kahi hiʻohiʻona kiʻekiʻe o ka puʻuwai mai kahi hiʻohiʻona kokoke.
- MRI Puʻuwai: Pono paha kēia i kekahi mau hihia no ka maopopo hou aku.
He aha nā koho lapaʻau?
He maʻi koʻikoʻi ka Endocarditis e pono ai ke komo koke ʻia i ka haukapila. ʻO ka lāʻau lapaʻau mua ka lawelawe ʻana i nā lāʻau antibiotic intravenous (IV).
Hoʻomau pinepine kēia lāʻau lapaʻau no kekahi mau pule, i kekahi manawa he 6 a 8 mau pule. Ke ʻike ʻia nā bacteria kikoʻī, e hoʻopilikino kāu kauka i ka lāʻau antibiotic i kāu mau pono. Ma loko o kāu lāʻau lapaʻau, e nānā pono kāu hui lapaʻau i kāu mau hōʻailona a hana i nā hoʻāʻo koko hahai e hōʻoia i ka hoʻomaʻemaʻe loa ʻia o ka maʻi.
I kekahi mau hihia, inā hōʻino nui ka maʻi i ke kūkulu ʻana o kou mau kiwikā puʻuwai, ʻaʻole lawa paha ka lāʻau lapaʻau wale nō. I kēlā mau kūlana, pono paha ke ʻoki ʻana e hoʻoponopono i ka kiwikā i hōʻino ʻia a hoʻololi paha me kahi kiwikā prosthetic.
Hiki ke pale ʻia kēia maʻi?
ʻOiai ʻaʻole hiki ke pale ʻia nā hihia āpau, hiki iā ʻoe ke hana i nā hana koʻikoʻi e hoʻohaʻahaʻa i kou pilikia, ʻoiai inā ʻoe i loko o kahi hui pilikia kiʻekiʻe.
- E mālama i ka hoʻomaʻemaʻe waha maikaʻi loa: E palaki i kou mau niho i kēlā me kēia lā a hoʻohana i ka floss. ʻO ka nānā mau ʻana i nā niho ke ala kūpono loa e pale aku ai i ka bacteria mai ke komo ʻana i ke koko.
- ʻŌlelo aʻoaʻo kūikawā no nā poʻe pilikia kiʻekiʻe: Inā he valve puʻuwai prosthetic kou, he mōʻaukala o ka endocarditis, a i ʻole kekahi mau maʻi puʻuwai hānau, hiki i kāu kauka ke kuhikuhi i nā antibiotic prophylactic ma mua o nā kaʻina hana niho kikoʻī (e like me ka unuhi ʻana i nā niho a i ʻole ke ʻoki ʻana i nā ʻāʻī). Hoʻopau kēia i ka bacteria ma mua o ko lākou loaʻa ʻana o ka manawa e hiki ai i kou puʻuwai.
- E hoʻomaopopo i kāu hui lapaʻau: E hōʻoia mau i kāu kauka mua a me kāu kauka niho e ʻike piha i kou kūlana puʻuwai a me kou pilikia no ka endocarditis.
Leka Lawe-Home mai Nirogi Lanka
- He maʻi ʻino loa ka Endocarditis e hoʻopilikia ai i ka puʻuwai.
- E makaʻala pono i nā hōʻailona e like me ke kuni i wehewehe ʻole ʻia, ka luhi mau, ka hou ʻana i ka pō, a i ʻole ka paʻakikī o ka hanu ʻana. Mai hoʻowahāwahā i kēia mau hōʻailona.
- Inā ʻike ʻoe i kēia mau hōʻailona, ʻoiai inā he maʻi puʻuwai kou, e ʻimi koke i ka mālama ma ka keʻena pilikia kokoke loa.
- ʻO ka hoʻomaʻemaʻe niho maikaʻi kou pale maikaʻi loa e kūʻē i ka endocarditis.
- Inā ʻoe i loko o kahi hui pilikia kiʻekiʻe, e hoʻomaopopo mau i kāu kauka a kauka niho paha e pili ana i kou kūlana puʻuwai ma mua o ke kau ʻana i kekahi kaʻina hana.
Endocarditis, maʻi puʻuwai, Nirogi Lanka, maʻi valve puʻuwai, olakino puʻuwai
