Intliziyo yakho sisitho esimangalisayo ngokwenene, akunjalo? Sekunjalo, ngamanye amaxesha, kwanentsholongwane encinci evela kwenye indawo emzimbeni wakho inokudlula egazini lakho ibangele umonakalo omkhulu entliziyweni yakho. Esi sisifo esisongela ubomi esaziwa ngokuba yi-endocarditis. Ukuqaphela iimpawu kwangethuba nokufuna unyango ngokukhawuleza kubaluleke kakhulu ukuze ukhuseleke.
Yintoni kanye kanye i-endocarditis?
Ngamafutshane, i-endocarditis lusulelo kunye nokudumba kwengaphakathi legumbi lentliziyo yakho kunye neevalvu zentliziyo, eyaziwa ngokwezonyango njenge- endocardium . Ixhaphake kakhulu ziintsholongwane, ezifana neebhaktheriya .
Khawuthelekelele iintsholongwane ezivela emlonyeni wakho, eluswini, okanye kwinkqubo yokuphefumla zingena egazini lakho. Ezi ntsholongwane zihamba negazi lakho zize zifikelele entliziyweni yakho. Nangona intliziyo ephilileyo idla ngokuxhathisa ezo zifo, ukuba iivalvu zentliziyo yakho sele zonakele okanye zibuthathaka, ezi ntsholongwane zinokunamathela kwezo ndawo zibuthathaka, zimile iingcambu, zize ziqale ukwanda.
Njengoko ezi ntsholongwane zikhula, zihlangana neeseli zegazi kunye nemicu ukuze zenze izityalo ezincinci ezibizwa ngokuba zii-vegetarian . Ezi zityalo zingonakalisa kakhulu ii-valve zentliziyo yakho. Zinokuthintela ii-valve ukuba zivaleke kakuhle, zikhokelele ekuvuzeni kwegazi, okanye zibangele nokuba ukusebenza kwentliziyo yakho kungasebenzi ngokupheleleyo.
Kukho iintlobo ezimbini eziphambili
I-Endocarditis ngokubanzi yahlulwe yangamacandelo amabini:
1. I-Infective Endocarditis: Le yeyona ndlela ixhaphakileyo. Njengoko igama lisitsho, ibangelwa ziintsholongwane ezifana neebhaktheriya okanye iifungi ezingena entliziyweni. Oogqirha badla ngokubiza oku ngokuthi yi-Bacterial Endocarditis (BE) .
2. I-Endocarditis engeyongozi: Oku kunqabile kakhulu. Nangona izityalo zisakhula entliziyweni, azibangelwa ziintsholongwane. Ezi sizibiza ngokuba ziizityalo ezingeyongozi . Le meko idla ngokuvela kunye neengxaki zonyango ezinyusa umngcipheko wokuqhekeka kwegazi, njenge -lupus okanye i-antiphospholipid syndrome .
Zithini iimpawu, kwaye ungazibona njani?
Iimpawu zale meko zinokuba nzima; zinokuvela ngequbuliso okanye zikhule kancinci kancinci kwiiveki ezimbalwa.
| Iimpawu eziqhelekileyo ze-Infective Endocarditis | |
|---|---|
| • Umkhuhlane (ngaphezulu kwama-38.4°C / 100°F) | • Ukudinwa okanye ubuthathaka ngokubanzi |
| • Ukugodola nokubila ebusuku | • Ukuphefumla nzima (Dyspnea) |
| • Iintlungu zamalungu nezihlunu | • Iintlungu zesifuba |
| • Ukulahlekelwa ngumdla wokutya kunye nokunciphisa umzimba | • Isantya sentliziyo esikhawulezayo (iTachycardia) |
| • Ukurhawuzelela kwesikhumba | • Ukudumba esiswini okanye emilenzeni |
| • Igazi elikwimchamo (iHematuria) | • Isandi sentliziyo esingaqhelekanga esifunyenwe ngugqirha (Intliziyo ikhalaza) |
| Ukuba ufumana ezi mpawu, nceda uye kwiGumbi loNgxamiseko (ER) elikufutshane ngoko nangoko. Le yimeko enokuba yingozi ebomini. | |
I-Infective Endocarditis ingabonakala ngeendlela ezimbini:
- I-Acute: Oku kwenzeka ngequbuliso. Ngeempawu ezifana nomkhuhlane ophezulu kunye nokubetha kwentliziyo ngokukhawuleza, kunokuba yingozi ebomini kwiintsuku ezimbalwa.
- I-Subacute: Oku kukhula kancinci kwiiveki okanye kwiinyanga ezininzi. Ngokuqhelekileyo kuqala ngeempawu ezincinci ezifana nokudinwa ngokubanzi okanye umkhuhlane ophantsi.
Kwimeko ye -endocarditis engeyoyosulelo , ngokuqhelekileyo akukho zimpawu zithile zesifo sentliziyo ngokwaso; endaweni yoko, unokufumana iimpawu zesifo esisisiseko (njenge-lupus).
Ngubani osengozini enkulu?
I-Endocarditis ayiqhelekanga kangako, kodwa abantu abathile basengozini enkulu:
- Abo banezivali zentliziyo ezenziweyo, ii-pacemaker, okanye ii-defibrillators : Ezi zixhobo zinokubambeka lula kwiintsholongwane.
- Abantu ababekhe baba ne-endocarditis ngaphambili: Wakuba sele unayo, umngcipheko wakho wokuphinda ubuye uba phezulu.
- Abantu abaneengxaki ezithile zentliziyo: Ingakumbi abo banesifo se-valve yentliziyo okanye i-hypertrophic cardiomyopathy .
- Abasebenzisi beziyobisi ezine-IV: Iinaliti ezingcolileyo zinokungenisa iintsholongwane ngqo egazini.
- Abo bangenalo ucoceko lomlomo: Isifo seentsini kunye nokubola kwamazinyo kuvumela iintsholongwane zomlomo ukuba zingene egazini ngokulula.
- Abantu abaneenkqubo zomzimba ezibuthathaka: Abantu abaneengxaki ezifana nesifo seswekile okanye abo basebenzisa amayeza okunciphisa umzimba.
- Abantu abakhe benza utyando lwevalvu yentliziyo ngaphambili.
Zithini iingxaki ezinokubakho xa zinganyangwa?
Ukuba ayifunyaniswanga kwaye inyangwa ngokukhawuleza, le meko inokukhokelela kwimiphumo emibi kakhulu. Le ayisiyongxaki inokungahoywa.
Iingxaki ezinokubakho ngenxa yokulibaziseka konyango ziquka:
- Umonakalo omkhulu kwiivalvu zentliziyo, nto leyo ekhokelela ekuvuzeni (ivalvu yentliziyo evuzayo).
- Ukuqala kokusilela kwentliziyo.
- Ukwakheka kwamathumba ajikeleze intliziyo.
- Ukungalungelelani kwentliziyo (i-Arrhythmia).
- Istroke, esibangelwa ziziqwenga zezityalo eziqhekekayo zize zivale umthambo wegazi engqondweni.
- I-Sepsis, usulelo olusongela ubomi emzimbeni.
- Kwiimeko ezinzima, ngelishwa, kunokuba yingozi.
Oogqirha bayixilonga njani le nto?
Ukuba ubonakalisa iimpawu kwaye unezinto ezinobungozi ezaziwayo, ugqirha wakho uya kubeka phambili ukuxilongwa ngokukhawuleza. Olu vavanyo lulandelayo ludla ngokwenziwa:
- Uvavanyo lwegazi:
- Inkcubeko yegazi: Oku kuchonga uhlobo oluchanekileyo lweebhaktheriya egazini lakho.
- Ubalo lwegazi olupheleleyo: Ukujonga iimpawu zosulelo.
- Uvavanyo lwe-C-reactive protein (CRP): Ukulinganisa amanqanaba okuvuvukala emzimbeni wakho.
- Uvavanyo lomfanekiso:
- I-Echocardiogram: I-ultrasound yentliziyo yakho. Ibonelela ngombono ocacileyo wendlela intliziyo yakho esebenza ngayo, nawuphi na umonakalo wevalvu, kunye nokuba khona kwezityalo.
- I-Transesophageal echocardiogram: Iskeni ekhethekileyo apho iprobe encinci ikhokelwa khona ukuya ezantsi kwi-esophagus ukuze kufumaneke umbono ocacileyo wentliziyo ukusuka kwimbono esondeleyo.
- I-MRI yentliziyo: Oku kunokufuneka kwiimeko ezithile ukuze kucace ngakumbi.
Ziziphi iindlela zonyango?
I-Endocarditis yimeko enzima efuna ukulaliswa esibhedlele ngoko nangoko. Unyango oluphambili kukunikwa amayeza okubulala iintsholongwane (IV).
Olu nyango luhlala luqhubeka kangangeeveki ezininzi, ngamanye amaxesha luhlala iiveki ezi-6 ukuya kwezi-8. Nje ukuba iibhaktheriya ezithile zichongiwe, ugqirha wakho uya kulungelelanisa unyango lwe-antibiotics ngokweemfuno zakho. Kuyo yonke unyango lwakho, iqela lakho lezonyango liya kujonga iimpawu zakho ngokusondeleyo kwaye lenze uvavanyo lwegazi olulandelayo ukuqinisekisa ukuba usulelo luphelile ngokupheleleyo.
Kwezinye iimeko, ukuba usulelo lubangela umonakalo omkhulu kwi-valve yentliziyo yakho, amayeza odwa anganelanga. Kwiimeko ezinjalo, utyando lunokufuneka ukuze kulungiswe i-valve eyonakeleyo okanye kufakwe i-valve yokufakelwa.
Ngaba le meko ingathintelwa?
Nangona ingezizo zonke iimeko ezinokuthintelwa, ungathatha amanyathelo abalulekileyo okunciphisa umngcipheko wakho, ingakumbi ukuba ukwiqela elinomngcipheko ophezulu.
- Gcina ucoceko lomlomo oluhle kakhulu: Hlamba amazinyo akho yonke imihla kwaye usebenzise i-floss. Ukuhlolwa rhoqo kwamazinyo yeyona ndlela isebenzayo yokuthintela iintsholongwane ukuba zingangeni egazini.
- Ingcebiso ekhethekileyo kubantu abasengozini enkulu: Ukuba unevalvu yentliziyo yokufakelwa, imbali ye-endocarditis, okanye ezinye iingxaki zentliziyo ozalwe nazo, ugqirha wakho unokukunika amayeza okuthintela amazinyo ngaphambi kokuba kwenziwe iinkqubo ezithile zamazinyo (umz., ukukhupha amazinyo okanye utyando lweentsini). Oku kutshabalalisa iintsholongwane ngaphambi kokuba zibe nethuba lokufikelela entliziyweni yakho.
- Gcina iqela lakho lezonyango linolwazi: Soloko uqinisekisa ukuba ugqirha wakho oyintloko kunye nogqirha wakho wamazinyo bayazi kakuhle imeko yakho yentliziyo kunye nomngcipheko wakho we-endocarditis.
Umyalezo Wokuya Ekhaya Ovela eNirogi Lanka
- I-Endocarditis sisifo esibi kakhulu esichaphazela intliziyo.
- Nika ingqalelo kwiimpawu ezifana nomkhuhlane ongachazwanga, ukudinwa okungapheliyo, ukubila ebusuku, okanye ubunzima bokuphefumla. Ungaze uzityeshele ezi mpawu.
- Ukuba ufumana ezi mpawu, ingakumbi ukuba unesifo sentliziyo esingaphantsi, funa unyango olukhawulezileyo kwicandelo likaxakeka elikufutshane.
- Ucoceko oluhle lwamazinyo yeyona ndlela ilungileyo yokuzikhusela kwi-endocarditis.
- Ukuba ukwiqela elisengozini enkulu, soloko wazisa ugqirha wakho okanye ugqirha wamazinyo ngemeko yakho yentliziyo ngaphambi kokuba wenze naluphi na utyando.
I-Endocarditis, usulelo lwentliziyo, iNirogi Lanka, isifo sevalvu yentliziyo, impilo yentliziyo
