Chii chinonzi bacterial endocarditis uye ndezvipi zviratidzo

Zvemukati

• Zviratidzo zvehutachiona endocarditis
• Nei matambudziko emazino anogona kukonzera endocarditis
• Kurapa sei endocarditis

Bhakitiriya endocarditis chirwere chinokanganisa zvimiro zvemukati zvemwoyo, zvinodaidzwa kuti endothelial pamusoro, kunyanya mavharuvhu emoyo, nekuda kwekuvapo kwehutachiona hunosvika muropa. Ichi chirwere chakakomba, chiine mukana wakakura wekufa uye icho chinogona kuve chakanangana nematambudziko akati wandei, senge sitiroko, semuenzaniso.

Iko kushandiswa kwejekiseni zvinodhaka, kuboora, kurapwa kwemazino pasina epamberi mishonga inorwisa mabhakitiriya, zvigadzirwa zvemukati, zvakadai semagetsi ekugadzira pacem kana mavhavha epurasitiki, pamwe nehemodialysis, zvinogona kuwedzera mukana wehutachiona endocarditis. Zvisinei, chikonzero chinowanzoitika munyika dzakaita seBrazil, chinoramba chiri chirwere cherheumatic valve.

Kune mhando mbiri dzehutachiona endocarditis:

1. Acute bhakitiriya endocarditis: hutachiona hunokurumidza kukura, uko kwakanyanya kupisa, malaise, kudonha mamiriro uye zviratidzo zvekutadza kwemoyo, sekuneta kwakanyanya, kuzvimba kwetsoka nemakumbo, uye kufema kwekufema;
2. Subacute bhakitiriya endocarditis: murudzi urwu munhu anogona kutora mavhiki mashoma kana mwedzi kuti aone endocarditis, achiratidza zvishoma zviratidzo, zvakadai sefivha shoma, kuneta uye zvishoma nezvishoma uremu.

Kuongororwa kwehutachiona endocarditis kunogona kuitwa kuburikidza nemiedzo yakadai seyemaccardiography, inova mhando yeiyo ultrasound mumoyo, uye kuburikidza nekuongororwa kweropa kuitira kuti uone huvepo hwehutachiona muropa, hunowonekwa sebacteremia. Dzidza zvakawanda nezve bacteremia.

Zviratidzo zvehutachiona endocarditis

Zviratidzo zveacute bacterial endocarditis inogona kuva:

• Kupisa zvakanyanya;
• Chills;
• Kufema kwekufema;
• Zvidiki zvidiki zvekubuda ropa muzvanza nemakumbo.

Mune subacute endocarditis, zviratidzo zvinowanzo kuve:

• Low fever;
• Ziya rousiku;
• Kuneta nyore;
• Kushaiwa kudya;
• Kuponda;
• Zviduku zvidiki zvinorwadza paminwe kana zvigunwe;
• Kubvaruka kwetsinga dzeropa diki mune chena chikamu cheziso, mudenga remuromo, mukati mematama, muchipfuva kana muzvigunwe kana zvigunwe.

Kana zviratidzo izvi zviripo, zvinokurudzirwa kuenda kuimba yekukurumidzira nekukurumidza nekuti endocarditis chirwere chakakomba chinogona kutungamira kurufu nekukurumidza.

Nei matambudziko emazino anogona kukonzera endocarditis

Chimwe chezvikonzero zvikuru zve endocarditis iko kuita kwemazino maitiro senge kubviswa kwezino kana kurapwa kwecaries. Mune zviitiko izvi, caries bacteria uye izvo zvakasikwa zviripo mumuromo zvinogona kutakurwa kuburikidza neropa kudzamara zvazviunganidzira mumoyo, uko zvinokonzeresa hutachiona hutachiona.

Nechikonzero ichi, vanhu vari panjodzi huru ye endocarditis, sevarwere vane mavhavha ekunyepedzera kana ma pacemaker, vanofanirwa kushandisa maantibhakitiriya 1 awa pamberi pemamwe maitiro emazino, kuitira kudzivirira mabhakitiriya endocarditis.

Kurapa sei endocarditis

Kurapa kwe endocarditis kunoitwa nekushandiswa kwemishonga inorwisa mabhakitiriya, iyo inogona kuve yemuromo kana kuiswa yakananga kune tsinga, zvinoenderana neiyo microorganism inowanikwa muropa. Mune zviitiko zvakakomba zvakanyanya, uko pasina mhedzisiro yakanaka nekushandiswa kwemishonga inorwisa mabhakitiriya uye zvinoenderana nehukuru hwehutachiona uye nzvimbo yacho, kuvhiyiwa kunoratidzwa kutsiva mavharuvhu emoyo nema prostheses.

Prophylaxis ye endocarditis inoitwa kunyanya kune vanhu vari panjodzi yekuvandudza endocarditis, senge:

• Vanhu vane mavhavha ekugadzira;
• Varwere vakatove neecococititis;
• Vanhu vane chirwere chevharuvhu uye avo vakatoita moyo wekuisira;
• Varwere vane chirwere chepfungwa chekuzvarwa.

Asati arapwa mazino, chiremba wemazino anofanira kuraira murwere kuti atore 2 g ye amoxicillin kana 500 mg yeAzithromycin kweinenge 1 awa kurapwa. Mune zvimwe zviitiko chiremba wemazino anofanirwa kuraira mashandisirwo emishonga inorwisa mabhakitiriya kwemazuva gumi isati yatanga kurapwa kwemazino. Dzidza zvakawanda nezve kurapwa kwehutachiona endocarditis.