Endocarditis - vana

Lining yemukati yemakamuri emoyo uye mavharuvhu emoyo anonzi endocardium. Endocarditis inoitika kana munyama uyu uchinge wazvimba kana kuzvimba, kazhinji kazhinji nekuda kwehutachiona pamavhavha emwoyo.

Endocarditis inoitika apo hutachiona hunopinda muropa uye hwofamba kuenda pamoyo.

• Hutachiona hutachiona ndicho chinonyanya kukonzera
• Zvirwere zvefungal zvakanyanya kushomeka
• Mune zvimwe zviitiko, hapana hutachiona hunogona kuwanikwa mushure mekuedzwa

Endocarditis inogona kusanganisira yemwoyo mhasuru, yemagetsi mavharuvhu, kana lining yemoyo. Vana vane endocarditis vanogona kuve nemamiriro ezvinhu akadai se:

• Kuremara kwekuzvarwa kwemoyo
• Yakakuvara kana isina kujairika moyo vharuvhu
• New moyo vharafu mushure mekuvhiyiwa

Njodzi yacho yakakwira muvana vane nhoroondo yekuvhiyiwa moyo, iyo inogona kusiya nzvimbo dzakaomarara mumutsara wemakamuri emoyo.

Izvi zvinoita kuti zvive nyore kubhakitiriya kunamatira kune iyo lining.

Utachiona hunogona kupinda muropa.

• Nenzira yepakati venous yekuwana tambo iri munzvimbo
• Panguva yekuvhiyiwa mazino
• Munguva yekumwe kuvhiya kana madiki maitiro kune emhepo uye mapapu, weti turakiti, hutachiona ganda, kana mapfupa nemhasuru
• Kufamba kwebhakitiriya kubva mudumbu kana pahuro

Zviratidzo zve endocarditis zvinogona kukura zvishoma nezvishoma kana kamwe kamwe.

Fivha, kutonhora, uye kudikitira ndizvo zvinowanzoitika zviratidzo. Izvi dzimwe nguva zvinogona:

• Kuvapo kwemazuva pasati paonekwa zvimwe zviratidzo
• Huya uende, kana kuve unonyanya kuoneka panguva yehusiku

Zvimwe zviratidzo zvinogona kusanganisira:

• Kuneta
• Kushaya simba
• Joint kurwadziwa
• Kutambudzika kwemhasuru
• Kunetseka kufema
• Kuonda
• Kupererwa nechido

Matambudziko eurouro, senge kubatwa uye kusagadzikana kwepfungwa

Zviratidzo zve endocarditis zvinogona zvakare kusanganisira:

• Nzvimbo diki dzekubuda ropa pasi pezvipikiri (splinter hemorrhages)
• Tsvuku, isina kurwadziwa ganda mavara pane zvanza nemakumbo (Janeway maronda)
• Dzvuku, mapundu anorwadza mumapedhi eminwe nezvigunwe (Osler node)
• Kufema kwekufema
• Kuzvimba kwetsoka, makumbo, dumbu

Anopa rubatsiro kumwana wako anogona kuita transthoracic echocardiography (TTE) kutarisa endocarditis muvana vane makore gumi kana gumi.

Mimwe bvunzo inogona kusanganisira:

• Ropa tsika yekubatsira kuona hutachiona kana chakuvhe chiri kukonzera hutachiona
• Yakazara kuverenga ropa (CBC)
• C-inoshanda mapuroteni (CRP) kana erythrocyte sedimentation mwero (ESR)

Kurapa kwe endocarditis kunoenderana ne:

• Chikonzero chehutachiona
• Zera remwana
• Kukura kwezviratidzo

Mwana wako anozofanirwa kunge ari muchipatara kuti agamuchire mishonga inorwisa mabhakitiriya kuburikidza netsinga (IV). Tsika dzeropa uye bvunzo zvichabatsira mupi kusarudza iyo yakanakira antibiotic.

Mwana wako achazoda kurapwa kwenguva refu.

• Mwana wako anozoda mushonga uyu kwemasvondo mana kusvika masere kuti auraye zvakakwana mabhakitiriya ese kubva kumakamuri emoyo nemavharuvhu.
• Mishonga inorwisa mabhakitiriya yakatanga muchipatara inoda kuenderera mberi kumba kana mwana wako agadzikana.

Kuvhiya kutsiva hutachiona hwemwoyo hutachiona kunogona kudikanwa kana:

• Mishonga inorwisa mabhakitiriya haishande kurapa hutachiona
• Hutachiona huri kupaza kuita zvidimbu zvidiki, zvichikonzera sitiroko
• Mwana anokura kutadza kwemoyo semhedzisiro yemagetsi mavharuvhu
• Iyo vharafu yemoyo yakakuvara zvakanyanya

Kuwana kurapwa kwe endocarditis ipapo ipapo kunovandudza mikana yekubvisa hutachiona uye kudzivirira matambudziko.

Izvo zvinogona kunetsa zve endocarditis muvana ndeizvi:

• Kukuvadza kwemoyo nemagetsi mavharuvhu
• Kusuruvara mumhasuru yemwoyo
• Inotapurika clot mune coronary arteri
• Sitiroko, inokonzerwa nemakunduru madiki kana zvidimbu zvehutachiona zvinotsemuka uye kuenda kuuropi
• Kupararira kwehutachiona kune zvimwe zvikamu zvemuviri, zvakadai semapapu

Fonera mupi wemwana wako kana iwe ukaona zvinotevera zviratidzo panguva kana mushure mekurapwa:

• Ropa mune weti
• Kurwadziwa pachifuva
• Kuneta
• Kupindwa nechando
• Unhu
• Kushaya simba
• Kurera huremu pasina shanduko mukudya

IAmerican Heart Association inokurudzira kudzivirira mishonga inorwisa mabhakitiriya kune vana vari panjodzi yekuwana endocarditis, sevaya vane:

• Humwe hwakagadziriswa kana husina kurongeka hurema hwekuzvarwa kwemoyo
• Moyo kupinza uye mavhavha matambudziko
• Yakagadzirwa nemunhu (chakagadzirwa) mavharuvhu emoyo
• Nhoroondo yapfuura ye endocarditis

Vana ava vanofanirwa kuwana maantibioti kana vaine:

• Maitiro emazino ayo anogona kukonzera kubuda ropa
• Maitiro anosanganisira yekufema turakiti, iyo weti turakiti, kana iyo yekugaya nzira
• Maitiro pazvirwere zveganda uye zvakapfava hutachiona hutachiona

Valve hutachiona - vana; Staphylococcus aureus - endocarditis - vana; Enterococcus - endocarditis- vana; Streptococcus viridians - endocarditis - vana; Candida - endocarditis - vana; Bhakitiriya endocarditis - vana; Chirwere endocarditis - vana; Congenital chirwere chemoyo - endocarditis - vana

• Mavharuvhu emwoyo - maonero epamusoro

Baltimore RS, Gewitz M, Baddour LM, et al; American Heart Association Rheumatic Fever, Endocarditis, uye Kawasaki Chirwere Dare reDare reCardiovascular Disease muVadiki uye kanzuru yeCardiovascular uye Stroke Nursing. Infective endocarditis muhucheche: 2015 kugadzirisa: chirevo chesainzi kubva kuAmerican Heart Association. Kutenderera. 2015; 132 (15): 1487-1515. PMID: 26373317 www.ncbi.nlm.nih.gov/pubmed/26373317.

Kaplan SL, Vallejo JG. Inotapukira endocarditis. Mune: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. Feigin naCherry's Bhuku reBhuku rePediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 26.

Marcdante KJ, Kliegman RM. Inotapukira endocarditis. Mune: Marcdante KJ, Kliegman RM, eds. Nelson Zvakakosha zvePediatrics. 8th ed. Philadelphia, PA: Elsevier; 2019: chits. 111.

Mick NW. Chirwere chepwere. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 166.