Intliziyo yakho yenye yezona zitho zimangalisayo emzimbeni wethu. Kodwa ngamanye amaxesha, intsholongwane encinci engena emzimbeni wethu inokuhamba iye kwiivalvu zentliziyo kwaye ibangele ingxaki enkulu kunokuba ucinga. Namhlanje siza kuthetha ngesimo esibi nesisongela ubomi esibizwa ngokuba yi-'Infective Endocarditis' kunye nesizathu sokuba kufuneka utyando. Nangona esi sisihloko sinzima kancinci, masizame ukusiqonda ngokulula.
Ngamafutshane, yintoni i-Infective Endocarditis?
Nantsi into eyenzekayo: Ngokwesiqhelo, xa sikhupha izinyo, senziwa i-endoscopy, okanye senza olunye utyando, iintsholongwane ezifana neebhaktheriya okanye iifungi zinokungena egazini lethu. Ngokwesiqhelo, ezi ntsholongwane azinakwenza umonakalo omkhulu kwiivalvu zentliziyo ephilileyo. Ziyakwazi ukumelana nosulelo.
Nangona kunjalo, ukuba kukho ubuthathaka, isifo, okanye ingxaki yokuzalwa kwiivalvu zentliziyo yakho, iintsholongwane ezingena egazini zinokunamathela kwezo valves zifana nembewu ehluma kumhlaba otyebileyo, zimile apho, zize ziqale ukwanda. Oku sikubiza ngokuba yi-'Infective Endocarditis'.
Le meko iyichaphazela njani impilo yakho?
Ukuba azinyangwa, ezi ntsholongwane ziyanda kwiivalvu zentliziyo, zenze into efana nokukhula kweentsholongwane. Kwizonyango, ezi ntsholongwane sizibiza ngokuba zizityalo . Ezi zizityalo nje ezincinci ezikhula kwiivalvu.
Ezi ntsholongwane zivelisa ii-enzymes eziqala ukutshabalalisa izicubu zevalvu yentliziyo ezisempilweni. Oku kubangela:
- Ubuthathaka bevalvu: Ivalvu isenokungavaleki kakuhle kwaye igazi lisenokuqala ukuvuza ngasemva (ivalvu evuzayo).
- Ukusilela kwentliziyo: Xa iivalvu zingasebenzi kakuhle, intliziyo ayikwazi ukupompa igazi ngendlela efanele. Oku akusiso isifo sentliziyo, kodwa kubuthathaka bentliziyo kancinci kancinci.
- I-Embolism: Eyona nto iyingozi kukuba iqhekeza elincinci lesinye sezo zityalo linokwaphuka lize lihambe negazi lize livale umthambo wegazi kwenye indawo emzimbeni. Esi qhekeza sibizwa ngokuba yi-embolus . Ukuba sibambeka emthambo wegazi engqondweni, singabangela isifo sohlangothi , kwaye ukuba sibambeka emiphungeni, sinokubangela imeko esongela ubomi ebizwa ngokuba yi- pulmonary embolism .
Iindlela zonyango kunye nesidingo sotyando
Unyango lwesi sifo luxhomekeke kuhlobo lwentsholongwane ebangela usulelo kunye nobunzima besifo. Ukuba sifunyenwe kwangethuba, esi sifo sinokunyangwa ngokuthatha amayeza okubulala iintsholongwane anamandla kangangeeveki ezimbalwa.
Nangona kunjalo, ukuba izityalo zakheke kwiivalvu, ukuba iivalvu zonakele, okanye ukuba ivalvu yokwenziwa osele unayo isulelekile, utyando ludla ngokuba yimfuneko.
Yintoni onokuyilindela kutyando:
- Ukupheliswa ngokupheleleyo kosulelo olungalawulekiyo.
- Ukulungisa umonakalo kwiivalvu okanye ukususa ivalvu eyonakeleyo nokufaka entsha.
- Ukuthintela iingxaki ezinzima ezifana nokungakwazi ukuzenzela nto.
Utyando lufanele lwenziwe nini?
Ixesha lotyando lixhomekeke kubukhulu bemeko yakho. Ngamanye amaxesha utyando lunokufuneka lwenziwe kwangethuba, ngelixa ngamanye amaxesha lunokuthatha ixesha elide. Makhe sijonge ukuba zeziphi ezo meko.
| Ixesha Lotyando | |
|---|---|
| Iimeko apho kunokufuneka utyando olungxamisekileyo | |
| Isizathu | Inkcazo |
| Ukumelwa yintliziyo | Ukuba intliziyo ayikwazi ukupompa igazi ngokufanelekileyo ngenxa yomonakalo kwiivalvu. |
| Imifuno Emikhulu | Kukho umngcipheko omkhulu wokuba la maqhekeza aqhekeke aze abangele i-embolism. |
| Ukungaphumeleli ukuphendula kwii-antibiotics | Ukuba usulelo alunakulawuleka nasemva kokuba unikwe amayeza okubulala iintsholongwane. |
| Usulelo lwevalvu yokufakelwa | Ukuba ivalvu yokufakelwa ekhoyo inosulelo. |
| Ithumba lentliziyo | Ukuba usulelo lubangele izinto ezifana namathumba kwimisipha yentliziyo. |
| Amatyala Otyando Olulibazisekileyo | |
| Iingxaki zenkqubo yemithambo-luvo | Ukuba isigulana sele sinengxaki efana nestroke, utyando lunokumiswa ide imeko yobuchopho izinze. |
| Ukuba usulelo lunokulawulwa | Ukuba usulelo alunzima kwaye umngcipheko weengxaki uphantsi, utyando lunokwenziwa emva kokuba kunikwe amayeza okubulala iintsholongwane apheleleyo kwaye usulelo luphelile. |
Ndingazi njani ukuba utyando lufanelekile kum?
Esi asisosigqibo osenza wedwa. Ugqirha wakho kunye neqela leengcali zentliziyo benza esi sigqibo kunye. Baza kwenza uvavanyo oluninzi.
- Uvavanyo lwegazi: Chonga uhlobo oluchanekileyo lwebhaktheriya okanye ifungus ebangela usulelo.
- I-Echocardiogram (TEE/TTE): Oku kufana nokuskena kwentliziyo. Kunokujonga izinto ezininzi, njengobungakanani bezityalo ezikwiivalufa, umonakalo kwiivalufa, kunye nokuba kukho ukuvuza kwegazi na.
- Ii-CT Scans: Ukujonga iingxaki ezikwingqondo okanye kwamanye amalungu omzimba.
Kwenzeka ntoni emva kotyando? Kwaye zithini iingozi?
Kuya kufuneka uhlale kwigumbi labagula kakhulu (ICU) kwiintsuku ezimbalwa zokuqala emva kotyando. Ukusebenza kwentliziyo yakho kuya kuhlolwa. Kuya kufuneka uthathe amayeza okubulala iintsholongwane ngemithambo okanye ngendlela yeepilisi kangangeeveki ezininzi de usulelo luphele ngokupheleleyo. Kuya kufuneka uphumle ngokwaneleyo emva kokuba ubuyele ekhaya. Kuqhelekile ukuziva udiniwe kwaye ubuhlungu.
Njengalo naluphi na utyando olukhulu, kukho iingozi. Ezi ziquka ukopha kakhulu, ukubetha kwentliziyo okungahambelaniyo (i-arrhythmia), amahlwili egazi, ukukhubazeka , kunye nosulelo lwevalvu esandul’ ukufakwa. Kodwa khumbula, iingozi zokungatyandwa zinkulu kakhulu. Ugqirha wakho uza kukuchazela ezi ngozi.
Ixesha lokubona ugqirha emva kotyando
Kubaluleke kakhulu ukufuna iingcebiso zonyango ngokukhawuleza ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokubuyela ekhaya.
- Intlungu yesifuba okanye ukuziva uxinezelekile esifubeni.
- Ubomvu okanye ukopha okungaqhelekanga kwinxeba lotyando.
- Ububomvu, ukudumba, okanye ubushushu obujikeleze inxeba.
- Ukuba uziva umkhuhlane okanye umkhuhlane.
- Ukuba uziva uphelelwa ngumphefumlo okanye intliziyo yakho ibetha ngokukhawuleza (iintlungu ezibukhali).
I-Infective Endocarditis ayisosifo esimele sithathwe lula. Nangona kunjalo, ngonyango olufanelekileyo ngexesha elifanelekileyo, kwaye ukuba kuyimfuneko, utyando, ubomi obuninzi bungasindiswa.
Umyalezo Wokuya Ekhaya
- I-infective endocarditis lusulelo olubi olubangelwa ziintsholongwane ezingena kwiivalvu zentliziyo. Lufuna unyango olukhawulezileyo.
- Nangona ekuqaleni inyangeka ngee-antibiotics, utyando ludla ngokuba yimfuneko xa iivalvu zonakele okanye izityalo ezinkulu zikhula.
- Utyando lunokulawula usulelo, lugcine ukusebenza kwentliziyo, kwaye luthintele iingxaki ezinzima ezifana nokukhubazeka.
- Ixesha lotyando limiselwa liqela lezonyango ngokusekelwe kwimeko yakho yempilo.
- Kuthatha ixesha ukuchacha emva kotyando. Landela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uhlale uqaphela iimpawu ezilumkisayo. Thetha nogqirha wakho ukuba uneengxaki.
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