Bite se niba agakoko kinjiye mu mutima? Gusobanukirwa Endocarditis mu buryo bworoshye - Nirogi Lanka

Umutima wawe ni urugingo rutangaje rwose, si byo se? Nyamara, rimwe na rimwe, n'agakoko gato gaturuka ahandi mu mubiri wawe gashobora kunyura mu maraso yawe kagatera umutima wawe kwangirika gukomeye. Iyi ni indwara ishobora gushyira ubuzima mu kaga izwi nka endocarditis. Kumenya ibimenyetso hakiri kare no gushaka ubuvuzi bwihuse ni ingenzi cyane kugira ngo ugire umutekano.

Endocarditis ni iki mu by'ukuri?

Muri make, endocarditis ni indwara iterwa no kubyimba kw'imbere mu cyumba cy'umutima n'imiyoboro y'umutima, izwi mu buvuzi nka endocardium . Ikunze guterwa na mikorobe, nka bagiteri .

Tekereza mikorobe ziva mu kanwa kawe, ku ruhu rwawe, cyangwa mu buryo bw'ubuhumekero zinjira mu maraso yawe. Izi mikorobe zigendana n'amaraso yawe zikagera ku mutima wawe. Mu gihe umutima muzima ukunda kwandura bene ubwo buryo, niba imiyoboro y'umutima wawe yamaze kwangirika cyangwa gucika intege, izi mikorobe zishobora kwihambira kuri utwo duce twibasiwe, zigashinga imizi, hanyuma zigatangira kwiyongera.

Uko utwo dukoko tugenda dukura, twishyira hamwe n’uturemangingo tw’amaraso n’udusimba tw’amaraso kugira ngo tugire utuntu duto twitwa vegetables . Ibi bimera bishobora kwangiza cyane utwuma tw’umutima wawe. Bishobora kubuza utwuma gufunga neza, bigatera amaraso kuva, cyangwa bigatuma imikorere y’umutima wawe ihagarara burundu.

Hari ubwoko bubiri bw'ingenzi

Endocarditis muri rusange igabanywamo ibyiciro bibiri:

1. Indwara yandura: Iyi ni yo ndwara ikunze kugaragara cyane. Nk'uko izina ribigaragaza, iterwa na mikorobe nka bagiteri cyangwa ibihumyo byinjira mu mutima. Abaganga bakunze kuyita Bagiteri Endocarditis (BE) .

2. Endocarditis idatera indwara: Ibi bibaho gake cyane. Nubwo ibimera bikivuka ku mutima, ntabwo biterwa na mikorobe. Ibi tubyita ibimera bidafite indwara . Iyi ndwara ikunze kubaho hamwe n'ibibazo by'uburwayi byongera ibyago byo kuvura amaraso, nka lupus cyangwa antiphospholipid syndrome .

Ibimenyetso ni ibihe, kandi wabimenya ute?

Ibimenyetso by'iyi ndwara bishobora kuba bigoye; bishobora kugaragara mu buryo butunguranye cyangwa bigakura buhoro buhoro mu byumweru byinshi.

Indwara ya Endocarditis ishobora kugaragara mu buryo bubiri:

• Indwara ikabije: Ibi bibaho mu buryo butunguranye. Iyo habayeho ibimenyetso nk'umuriro mwinshi n'umuvuduko w'umutima utera cyane, bishobora gushyira ubuzima mu kaga mu minsi mike.
• Subacute: Ibi bikura buhoro buhoro mu byumweru cyangwa amezi menshi. Akenshi bitangirana n'ibimenyetso byoroheje nko kunanirwa muri rusange cyangwa umuriro utari mwinshi.

Mu gihe cy'indwara ya endocarditis idaterwa n'ubwandu , akenshi nta bimenyetso byihariye by'indwara y'umutima ubwawo; ahubwo, ushobora kubona ibimenyetso by'indwara isanzwe (nk'indwara ya lupus).

Ni nde uri mu kaga gakomeye?

Endocarditis ntabwo ikunze kugaragara cyane, ariko hari abantu bamwe na bamwe bafite ibyago byinshi byo kurwara:

• Abafite uturindankuba tw’umutima tw’ubukorano, abakora pacemakers, cyangwa abakora defibrillators : Ibi bikoresho bishobora kwangizwa na bagiteri.
• Abantu bahoze bafite endocarditis: Iyo umaze kuyirwara, ibyago byo kongera kuyirwara biba byinshi.
• Abantu bafite indwara zimwe na zimwe z'umutima: Cyane cyane abafite indwara y'umutima cyangwa indwara y'umutima iterwa n'ubwonko .
• Abakoresha imiti ya IV: Inshinge zanduye zishobora kwinjiza mikorobe mu maraso.
• Abafite isuku nke mu kanwa: Indwara z'ishinya no kwangirika kw'amenyo bituma bagiteri zo mu kanwa zinjira mu maraso byoroshye.
• Abantu bafite ubudahangarwa bw'umubiri budakomeye: Abantu bafite indwara nka diyabete cyangwa abafata imiti igabanya ubudahangarwa bw'umubiri.
• Abantu bigeze kubagwa imitsi y'umutima mbere.

Ni izihe ngorane zishobora guterwa n'iyo zitavuwe?

Ingorane zishobora guterwa no gutinda kuvurwa zirimo:

• Kwangirika gukomeye kw'imitsi y'umutima, bigatera kuva kw'amaraso (imitsi y'umutima iva).
• Gutangira gucika intege k'umutima.
• Imiterere y'ibibyimba hafi y'umutima.
• Imivuduko y'umutima idasanzwe (Arrhythmia).
• Indwara yo mu bwonko, iterwa n'ibice by'ibimera bicika bigafunga imiyoboro y'amaraso mu bwonko.
• Sepsis, indwara ishobora gushyira ubuzima mu kaga.
• Mu bihe bikomeye, ikibabaje ni uko bishobora kwica umuntu.

Abaganga bapima iki kibazo gute?

Niba ugaragaje ibimenyetso kandi ufite ibimenyetso bizwi by’ibyago, muganga wawe azabanza gusuzuma vuba. Ibipimo bikurikira bikunze gukorwa:

• Ibipimo by'amaraso:
• Gupima amaraso: Ibi bigaragaza ubwoko nyabwo bwa bagiteri mu maraso yawe.
• Umubare w'amaraso yose: Kugira ngo harebwe ibimenyetso by'ubwandu.
• Ikizamini cya C-reactive protein (CRP): Kugira ngo upime urugero rw'ububyimbirwe mu mubiri wawe.

• Ibizamini byo gushushanya:
• Echocardiogram: Isuzuma ry'umutima wawe. Ritanga ishusho isobanutse y'uko umutima wawe ukora, ibyangiritse byose mu mitsi, ndetse n'uko ibimera biri.
• Echocardiogram ya Transesophageal: Isuzuma ryihariye aho agakoresho gato kagenzurwa mu mwobo kugira ngo kabone uko kabona umutima mu buryo bworoshye kandi bwimbitse.
• MRI y'umutima: Ibi bishobora gusabwa mu bihe bimwe na bimwe kugira ngo bisobanuke neza.

Ni ubuhe buryo bwo kuvura?

Endocarditis ni indwara ikomeye isaba kujya mu bitaro byihutirwa. Uburyo bw'ibanze bwo kuvura ni uguhabwa imiti igabanya ubukana bw'indwara zo mu mitsi (IV).

Ubu buvuzi busanzwe bumara ibyumweru byinshi, rimwe na rimwe bugafata ibyumweru 6 kugeza kuri 8. Iyo bagiteri runaka imaze kumenyekana, muganga wawe azagukorera imiti igabanya ubukana bw’indwara ziterwa n’ibyo ukeneye. Mu gihe cyose cy’ubuvuzi bwawe, itsinda ry’abaganga rizakurikirana ibimenyetso byawe neza kandi rikore ibizamini by’amaraso kugira ngo barebe ko ubwandu bwarangiye burundu.

Ese iki kibazo gishobora kwirindwa?

Nubwo atari ko indwara zose zishobora kwirindwa, ushobora gufata ingamba zikomeye zo kugabanya ibyago byawe, cyane cyane niba uri mu itsinda ry’abantu bafite ibyago byinshi byo kwandura.

• Komeza isuku yo mu kanwa: Koza amenyo yawe buri munsi kandi ukoreshe uruziga rw'amenyo. Kwipimisha amenyo buri gihe ni bwo buryo bwiza bwo kwirinda ko bagiteri zinjira mu maraso.
• Inama zihariye ku bantu bafite ibyago byinshi: Niba ufite umugozi w’umutima ukozwe mu buryo bw’inyongera, amateka ya endocarditis, cyangwa indwara zimwe na zimwe z’umutima wavukanye, muganga wawe ashobora kukwandikira imiti igabanya ubukana mbere yo kubagwa amenyo runaka (urugero, gukuramo amenyo cyangwa kubagwa ishinya). Ibi birimbura bagiteri mbere yuko zigira amahirwe yo kugera ku mutima wawe.
• Menya neza itsinda ry'abaganga bawe: Buri gihe menya neza ko umuganga wawe w'ibanze n'umuganga w'amenyo bazi neza indwara y'umutima wawe n'ibyago byawe byo kurwara indwara ya endocarditis.

Endocarditis, indwara z'umutima, Nirogi Lanka, indwara y'imitsi y'umutima, ubuzima bw'umutima