Koj lub siab yog ib lub cev zoo kawg nkaus, puas yog? Tab sis qee zaum, txawm tias ib tug kab mob me me los ntawm lwm qhov chaw hauv peb lub cev tuaj yeem mus ncig los ntawm cov ntshav thiab ua rau lub plawv puas tsuaj. Qhov ntawd yog ib qho mob hnyav, txawm tias yuav ua rau tuag taus uas peb tab tom tham txog hnub no, hu ua endocarditis. Nws yog ib qho tseem ceeb heev uas yuav tsum paub qhov no kom zoo thiab tau txais kev kho mob sai sai.
Endocarditis yog dab tsi?
Hais yooj yim xwb, mob endocarditis yog kev kis kab mob thiab o ntawm sab hauv ntawm koj lub plawv (uas peb hu ua endocardium) thiab cov qhov plawv. Feem ntau nws yog tshwm sim los ntawm cov kab mob, xws li cov kab mob bacteria .
Xav txog seb, ib tug kab mob los ntawm koj lub qhov ncauj, daim tawv nqaij, lossis ib qho chaw hauv koj txoj kev ua pa nkag mus rau hauv koj cov ntshav. Tom qab ntawd, cov kab mob no mus nrog cov ntshav thiab mus rau koj lub plawv. Lub plawv noj qab nyob zoo tsis yooj yim kis kab mob. Tab sis yog tias muaj qee qhov kev puas tsuaj lossis qhov tsis muaj zog hauv koj lub plawv, cov kab mob yuav mus thiab lo rau cov chaw tsis muaj zog, cog hauv paus rau ntawd, thiab pib loj hlob.
Thaum cov kab mob no loj hlob nyob ntawd, lawv tsim cov me me, zoo li cov ntshav txhaws thiab cov ntaub so ntswg fibrous. Peb hu cov no ua 'zaub'. Cov 'zaub' no tuaj yeem ua rau lub plawv puas tsuaj loj heev. Qhov no tuaj yeem ua rau lub plawv tsis kaw zoo, ua rau ntshav ntws, lossis ua rau lub plawv tsis ua haujlwm kiag li.
Muaj ob hom tseem ceeb ntawm qhov no.
Endocarditis muaj ob hom loj.
1. Kab mob Endocarditis uas kis tau los ntawm kab mob: Qhov no yog hom kab mob uas kis tau los ntawm kab mob uas nkag mus rau hauv lub plawv. Cov kws kho mob qee zaum hu nws tias '(Bacterial Endocarditis - BE)'.
2. Kab mob Endocarditis uas tsis kis kab mob: Qhov no tsis tshua muaj. Ntawm no, cov 'zaub' hauv lub plawv tsis yog los ntawm cov kab mob. Peb hu cov no '( sterile vegetations)'. Cov mob no feem ntau tshwm sim nrog cov kab mob uas ua rau cov ntshav txhaws yooj yim. Piv txwv li, nws tuaj yeem pom nrog cov mob xws li '( lupus )' kab mob thiab '(Antiphospholipid syndrome)'.
Cov tsos mob ntawm tus kab mob endocarditis yog dab tsi? Koj paub lawv li cas?
Cov tsos mob ntawm tus kab mob no nyuaj me ntsis, vim tias lawv tuaj yeem tshwm sim sai sai, lossis lawv tuaj yeem tshwm sim maj mam dhau ob peb lub lis piam.
| Cov tsos mob ntawm tus kab mob endocarditis uas tshwm sim ntau zaus | |
|---|---|
| • Kub taub hau (ntau tshaj 38.4°C Celsius / 100°F Fahrenheit) | • Qaug zog |
| • Hnov txias, kub taub hau, thiab tawm hws thaum hmo ntuj | • Ua pa nyuaj (Ua tsis taus pa) |
| • Mob pob qij txha thiab mob nqaij | • Mob hauv siab |
| • Tsis xav noj mov thiab poob phaus | • Lub plawv dhia ceev ceev (Tachycardia) |
| • Mob pob khaus ntawm daim tawv nqaij | • Mob plab los yog ob txhais ceg o |
| • Ntshav nyob hauv cov zis (Hematuria) | • Lub suab plawv tsis zoo li qub thaum tus kws kho mob kuaj mob (Lub plawv nrov nrov) |
| Yog koj muaj cov tsos mob no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd. Qhov no yog ib qho mob uas yuav ua rau tuag taus. | |
Kab mob endocarditis tuaj yeem muaj ob hom:
- Mob hnyav: Qhov no pib sai sai. Nws tuaj yeem ua rau tuag taus hauv ob peb hnub, nrog rau cov tsos mob xws li kub taub hau thiab lub plawv dhia ceev.
- Subacute: Qhov no tshwm sim qeeb qeeb, dhau lub lis piam lossis lub hlis.Cov tsos mob xws li xav tias qaug zog thiab kub taub hau me ntsis yog thawj qhov tshwm sim.
Feem ntau cov mob endocarditis uas tsis yog kab mob kis tsis ua rau muaj tsos mob. Yog cov tsos mob ntawm tus kab mob tseem ceeb (xws li lupus) ua rau nws tshwm sim.
Leej twg muaj feem yuav muaj qhov teeb meem no ntau dua?
Kab mob Endocarditis tsis yog ib yam kab mob uas pom ntau heev, tab sis qee tus neeg muaj feem yuav mob nws ntau dua.
- Cov neeg uas muaj cov hlab plawv cuav, cov tshuab pacemakers, lossis cov tshuab defibrillators : Cov khoom siv no yuav muaj feem kis tau cov kab mob ntau dua.
- Cov neeg uas tau muaj mob endocarditis ua ntej lawm: Yog tias koj tau muaj mob ib zaug lawm, muaj kev pheej hmoo tias nws yuav tshwm sim dua.
- Cov neeg uas muaj tej yam mob plawv: tshwj xeeb yog kab mob plawv valve thiab hypertrophic cardiomyopathy.
- Cov neeg siv tshuaj IV: Cov kab mob tuaj yeem nkag mus rau hauv cov ntshav ncaj qha los ntawm cov koob txhaj tshuaj qias neeg.
- Cov neeg uas tsis tu cev qhov ncauj thiab hniav zoo: Cov kab mob hauv qhov ncauj tuaj yeem nkag mus rau hauv cov ntshav tau yooj yim vim yog cov hniav lwj thiab kab mob ntawm cov pos hniav.
- Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog: Cov neeg uas muaj kab mob xws li ntshav qab zib lossis cov neeg uas noj tshuaj uas ua rau lub cev tiv thaiv kab mob tsis muaj zog.
- Cov neeg uas tau phais lub plawv yav dhau los.
Yog tias tsis kho ces yuav muaj teeb meem dab tsi?
Yog tias qhov no tsis raug lees paub thiab kho raws sijhawm, nws tuaj yeem muaj cov teeb meem loj heev. Qhov no tsis yog ib yam kab mob uas yuav tsum tau saib yooj yim.
Yuav ua li cas yog tias kev kho mob qeeb:
- Cov hlab ntsha hauv lub plawv raug puas tsuaj tag, ua rau ntshav xau (Cov hlab ntsha hauv lub plawv xau)
- Lub plawv tsis ua haujlwm
- Cov pob khaus nyob ib puag ncig lub plawv
- Lub plawv dhia tsis xwm yeem (Arrhythmia)
- Cov nroj tsuag me me ntawd tuaj yeem tawg thiab thaiv cov hlab ntsha hauv lub hlwb, ua rau mob stroke.
- Tus kab mob kis mus thoob plaws lub cev, ua rau muaj mob hnyav hu ua sepsis.
- Thaum kawg, kev tuag kuj yuav tshwm sim.
Cov kws kho mob nrhiav tau qhov no li cas?
Yog koj muaj cov tsos mob thiab tej yam uas ua rau koj muaj feem yuav mob, koj tus kws kho mob yuav kuaj mob sai li sai tau. Qhov no feem ntau yuav muaj ntau yam kev kuaj mob.
- Kev kuaj ntshav:
- Kev kuaj kab mob ntshav:Nov yog li cas koj thiaj paub tseeb tias hom kab mob twg nyob hauv cov ntshav.
- Kev suav cov ntshav kom tiav: Xyuas seb puas muaj kab mob.
- Kev kuaj C-reactive protein: Tshawb xyuas seb puas muaj o hauv lub cev.
- Kev ntsuam xyuas duab ntawm lub plawv:
- Echocardiogram: Qhov no yog kev luam theej ntawm lub plawv. Nws tuaj yeem pom tseeb tias lub plawv ua haujlwm li cas, puas muaj kev puas tsuaj rau cov qhov valve, thiab seb puas muaj 'cov nroj tsuag'.
- Kev kuaj mob plawv los ntawm txoj hlab pas (transesophageal echocardiogram): Qhov no kuj yog ib hom kev kuaj mob plawv (echo). Txawm li cas los xij, yuav muab ib lub raj me me ntxig rau hauv caj pas thiab luam theej ze rau lub plawv. Qhov no tuaj yeem tsim cov duab meej dua.
- Kev kuaj MRI ntawm lub plawv: Qee zaum, qhov kev kuaj no kuj tseem yuav tsum tau ua.
Cov kev kho mob yog dab tsi?
Kab mob Endocarditis yog ib yam mob uas yuav tsum tau mus pw hauv tsev kho mob thiab kho mob. Kev kho mob tseem ceeb yog siv tshuaj tua kab mob los ntawm cov hlab ntsha (IV antibiotics).
Kev kho mob no yuav txuas ntxiv mus rau ob peb lub lis piam, qee zaum ntev txog 6 lossis 8 lub lis piam. Thaum twg pom hom kab mob hauv koj cov ntshav lawm, koj tus kws kho mob yuav xaiv cov tshuaj tua kab mob uas haum rau nws. Thaum koj kho mob, koj cov tsos mob yuav raug saib xyuas tsis tu ncua, thiab koj cov kev kuaj ntshav yuav raug rov ua dua kom paub tseeb tias tus kab mob ploj mus lawm.
Muaj tej lub sij hawm, yog tias tus kab mob ua rau lub plawv puas tsuaj loj heev, tej zaum yuav siv tshuaj kho xwb los tsis tau. Tej zaum yuav tsum tau phais kho lub plawv puas lawm los yog muab lub plawv cuav tso rau hauv.
Puas tiv thaiv tau qhov teeb meem no?
Txawm hais tias nws tsis tuaj yeem tiv thaiv tau tag nrho los xij, muaj tej yam uas peb ua tau los txo qhov kev pheej hmoo. Koj yuav tsum ceev faj tshwj xeeb txog cov no yog tias koj nyob rau hauv pawg muaj kev pheej hmoo siab.
- Ua kom koj lub qhov ncauj thiab cov hniav huv si: Txhuam koj cov hniav kom huv si txhua hnub. Ntxuav cov hniav ntawm koj cov hniav. Mus ntsib koj tus kws kho hniav tsis tu ncua kom paub seb koj lub qhov ncauj puas noj qab haus huv. Qhov no yog qhov tseem ceeb tshaj plaws.
- Cov lus qhia tshwj xeeb rau cov tib neeg uas muaj kev pheej hmoo siab: Yog tias koj muaj lub qhov ntswg prosthetic, tau muaj mob endocarditis yav dhau los, lossis muaj lwm yam mob plawv uas muaj kev pheej hmoo siab, koj tus kws kho mob yuav pom zoo kom koj noj tshuaj tua kab mob ua ntej qee yam kev kho hniav (piv txwv li, rho hniav, phais cov pos hniav). Qhov no yog los tua cov kab mob uas yuav nkag mus rau hauv cov ntshav thaum lub sijhawm kho hniav ua ntej lawv mus txog lub plawv.
- Qhia rau koj cov kws kho mob:Ib txwm qhia koj tus kws kho mob hauv tsev neeg thiab kws kho hniav txog koj qhov mob plawv thiab qhov pheej hmoo ntawm endocarditis.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Endocarditis yog ib qho mob hnyav heev uas tshwm sim los ntawm cov kab mob nkag mus rau hauv lub plawv.
- Nco ntsoov txog cov tsos mob xws li kub taub hau uas tsis paub meej, qaug zog, hws hmo ntuj, thiab ua pa nyuaj. Tsis txhob tsis quav ntsej cov no.
- Yog tias koj muaj cov tsos mob saum toj no, tshwj xeeb tshaj yog tias koj muaj kab mob plawv lossis lwm yam mob uas muaj feem yuav mob, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Kev tswj hwm kev noj qab haus huv ntawm cov hniav zoo yog ib txoj hauv kev zoo tshaj plaws los txo qhov kev pheej hmoo ntawm endocarditis.
- Yog tias koj nyob rau hauv pawg muaj kev pheej hmoo siab, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob ua ntej kev kho mob lossis kev kho hniav.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus