Bwanji ngati kachilombo kalowa mumtima? Kumvetsa Endocarditis mosavuta - Nirogi Lanka

Mtima wanu ndi chiwalo chodabwitsa kwambiri, sichoncho? Komabe, nthawi zina, ngakhale kachilombo kakang'ono kochokera kwina kulikonse m'thupi lanu kamatha kuyenda m'magazi anu ndikuwononga mtima wanu kwambiri. Uwu ndi matenda oopsa omwe amadziwika kuti endocarditis. Kuzindikira zizindikiro msanga ndikupempha thandizo lachipatala mwachangu ndikofunikira kwambiri kuti mukhale otetezeka.

Kodi matenda a endocarditis kwenikweni ndi chiyani?

Mwachidule, endocarditis ndi matenda ndi kutupa kwa mkati mwa zipinda za mtima wanu ndi ma valve a mtima, omwe amadziwika kuti endocardium . Amayambitsidwa kwambiri ndi majeremusi, monga mabakiteriya .

Tangoganizirani tizilombo toyambitsa matenda tochokera mkamwa mwanu, pakhungu, kapena m'njira yopumira tikulowa m'magazi mwanu. Tizilombo toyambitsa matenda timeneti timayenda ndi magazi anu n’kufika mumtima mwanu. Ngakhale kuti mtima wathanzi nthawi zambiri umalimbana ndi matenda otere, ngati ma valve a mtima wanu awonongeka kale kapena kufooka, tizilomboti tingamangirire kumadera omwe ali pachiwopsezo, kumera mizu, ndikuyamba kuchulukana.

Pamene tizilombo toyambitsa matenda tikukula, timasonkhana pamodzi ndi maselo a magazi ndi ulusi kuti tipange tinthu tating'onoting'ono totchedwa zomera . Zomerazi zimatha kuwononga kwambiri ma valve a mtima wanu. Zingalepheretse ma valve kutseka bwino, kuyambitsa kutuluka kwa magazi, kapena kupangitsa kuti ntchito ya mtima wanu isagwire bwino ntchito.

Pali mitundu iwiri ikuluikulu

Endocarditis nthawi zambiri imagawidwa m'magulu awiri:

1. Matenda a Endocarditis Opatsirana: Uwu ndi mtundu wofala kwambiri. Monga momwe dzinalo likusonyezera, umayamba chifukwa cha majeremusi monga mabakiteriya kapena bowa omwe amalowa mumtima. Madokotala nthawi zambiri amatcha izi Bacterial Endocarditis (BE) .

2. Endocarditis yosayambitsa matenda: Izi zimachitika kawirikawiri. Ngakhale zomera zimapangikabe pamtima, sizimayambitsidwa ndi majeremusi. Timatcha zomera zosabala . Matendawa nthawi zambiri amapezeka limodzi ndi mavuto azachipatala omwe amawonjezera chiopsezo cha magazi kuundana, monga lupus kapena antiphospholipid syndrome .

Kodi zizindikiro zake ndi ziti, ndipo mungazizindikire bwanji?

Zizindikiro za vutoli zingakhale zovuta; zingawonekere mwadzidzidzi kapena kukula pang'onopang'ono pakatha milungu ingapo.

Matenda a Endocarditis amatha kuonekera m'njira ziwiri:

• Pachimake: Izi zimachitika mwadzidzidzi. Ndi zizindikiro monga kutentha thupi kwambiri komanso kugunda kwa mtima mofulumira, zimatha kukhala zoopsa patatha masiku ochepa.
• Subacute: Izi zimachitika pang'onopang'ono kwa milungu ingapo kapena miyezi ingapo. Nthawi zambiri zimayamba ndi zizindikiro zochepa monga kutopa kwambiri kapena kutentha thupi pang'ono.

Pankhani ya endocarditis yopanda matenda , nthawi zambiri sipamakhala zizindikiro zenizeni za vuto la mtima lokha; m'malo mwake, mutha kukumana ndi zizindikiro za vuto la matenda lomwe limayambitsa matendawa (monga lupus).

Ndani ali pachiwopsezo chachikulu?

Matenda a Endocarditis si ofala kwambiri, koma anthu ena ali pachiwopsezo chachikulu:

• Anthu omwe ali ndi ma valve opangidwa a mtima , ma pacemaker, kapena ma defibrillator : Zipangizozi zimakhala zosavuta kukhudzidwa ndi mabakiteriya.
• Anthu omwe kale anali ndi endocarditis: Mukangodwala, chiopsezo chanu chobwereranso chimakhala chachikulu.
• Anthu omwe ali ndi matenda ena a mtima: Makamaka omwe ali ndi matenda a valve ya mtima kapena hypertrophic cardiomyopathy .
• Ogwiritsa ntchito mankhwala a IV: Singano zodetsedwa zimatha kulowetsa majeremusi mwachindunji m'magazi.
• Anthu omwe ali ndi vuto la kusasamalira bwino mano: Matenda a mkamwa ndi kuwola kwa mano zimathandiza kuti mabakiteriya a mkamwa alowe mosavuta m'magazi.
• Anthu omwe ali ndi chitetezo chamthupi chofooka: Anthu omwe ali ndi matenda monga matenda a shuga kapena omwe amamwa mankhwala oletsa chitetezo chamthupi.
• Anthu omwe adachitidwapo opaleshoni ya valavu ya mtima kale.

Kodi mavuto ake ndi otani ngati sanachiritsidwe?

Mavuto omwe angakhalepo chifukwa cha kuchedwa kwa chithandizo ndi awa:

• Kuwonongeka kwakukulu kwa ma valve a mtima, zomwe zimapangitsa kuti pakhale kutuluka kwa madzi (Leaky heart valve).
• Kuyamba kwa kulephera kwa mtima.
• Kupangika kwa matuza kuzungulira mtima.
• Kusakhazikika kwa kugunda kwa mtima (Arrhythmia).
• Stroke, yomwe imayamba chifukwa cha zidutswa za zomera zomwe zimasweka ndikutseka mtsempha wamagazi muubongo.
• Sepsis, matenda opatsirana omwe amaika moyo pachiswe.
• Pa milandu yoopsa, mwatsoka ikhoza kupha.

Kodi madokotala amazindikira bwanji izi?

Ngati muli ndi zizindikiro ndipo muli ndi zinthu zodziwika bwino zomwe zingakuike pachiwopsezo, dokotala wanu adzakupatsani chithandizo chamankhwala mwachangu. Mayeso otsatirawa nthawi zambiri amachitidwa:

• Mayeso a magazi:
• Kusanthula magazi: Izi zimasonyeza mtundu weniweni wa mabakiteriya m'magazi mwanu.
• Kuchuluka kwa magazi: Kufufuza zizindikiro za matenda.
• Kuyesa kwa C-reactive protein (CRP): Kuyeza kuchuluka kwa kutupa m'thupi lanu.

• Mayeso ojambula zithunzi:
• Echocardiogram: Kuwunika mtima wanu pogwiritsa ntchito ultrasound. Kumakuthandizani kuona bwino momwe mtima wanu ukugwirira ntchito, kuwonongeka kulikonse kwa valavu, komanso kupezeka kwa zomera.
• Kujambula kwa mtima kwa transesophageal echocardiogram: Kujambula kwapadera komwe kachipangizo kakang'ono kamatsogozedwa pansi pa esophagus kuti kawone bwino mtima kuchokera pafupi.
• MRI ya Mtima: Izi zingafunike nthawi zina kuti zimveke bwino.

Kodi njira zochiritsira ndi ziti?

Endocarditis ndi matenda oopsa omwe amafunika kugonekedwa kuchipatala nthawi yomweyo. Chithandizo chachikulu ndi kupereka mankhwala opha tizilombo toyambitsa matenda m'mitsempha (IV).

Mankhwalawa nthawi zambiri amapitilira kwa milungu ingapo, nthawi zina amatha milungu 6 mpaka 8. Mabakiteriya enieni akapezeka, dokotala wanu adzasintha mankhwala opha maantibayotiki kuti agwirizane ndi zosowa zanu. Pa chithandizo chanu chonse, gulu lanu lachipatala lidzayang'anira zizindikiro zanu mosamala ndikuchita mayeso a magazi otsatira kuti atsimikizire kuti matendawa atha kwathunthu.

Kodi vutoli lingapewedwe?

Ngakhale kuti si milandu yonse yomwe ingapewedwe, mungachite zinthu zofunika kwambiri kuti muchepetse chiopsezo chanu, makamaka ngati muli m'gulu la anthu omwe ali pachiwopsezo chachikulu.

• Sungani ukhondo wabwino wa mkamwa: Tsukani mano anu tsiku lililonse ndipo gwiritsani ntchito floss. Kuyezetsa mano nthawi zonse ndiyo njira yothandiza kwambiri yopewera mabakiteriya kulowa m'magazi.
• Malangizo apadera kwa anthu omwe ali pachiwopsezo chachikulu: Ngati muli ndi valavu ya mtima yopangidwa ndi prosthetic, mbiri ya endocarditis, kapena matenda ena a mtima obadwa nawo, dokotala wanu angakupatseni mankhwala ophera maantibayotiki musanachite opaleshoni inayake ya mano (monga kuchotsa mano kapena opaleshoni ya chingamu). Izi zimawononga mabakiteriya asanafike pamtima panu.
• Dziwani gulu lanu lachipatala: Nthawi zonse onetsetsani kuti dokotala wanu wamkulu ndi dokotala wanu wa mano akudziwa bwino za vuto lanu la mtima komanso chiopsezo chanu cha matenda a endocarditis.

Endocarditis, matenda a mtima, Nirogi Lanka, matenda a valavu ya mtima, thanzi la mtima