He aha ka Endocarditis? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka endocarditis kahi maʻi o ka papa o loko o nā keʻena o kou naʻau a me nā valve, i kapa ʻia ʻo ka endocardium. E noʻonoʻo iā ia he malihini bacteria ʻaʻole i makemake ʻia i noho i loko o kekahi o nā ʻāpana nui loa o kou kino.

Hana kēia maʻi ke komo nā germs, maʻamau nā bacteria, i loko o kou kahe koko a hele i kou naʻau. ʻOiai ke kani nui nei, hiki ke mālama ʻia ka endocarditis ke hopu ʻia i ka wā mua, a hiki i ka hoʻomaopopo ʻana i nā hōʻailona ke kōkua iā ʻoe e loaʻa koke ka mālama āu e pono ai.

He aha nā hōʻailona o ka endocarditis?

Hiki i nā hōʻailona o ka endocarditis ke ulu mālie i nā hebedoma a i ʻole e ʻike koke ʻia i loko o nā lā. ʻO ka ʻāpana paʻakikī, ʻo nā hōʻailona mua e like pinepine me ka maʻi flu ʻaʻole e hele.

Eia nā hōʻailona āu e ʻike ai, mai nā mea maʻamau loa a hiki i nā mea liʻiliʻi:

• Fever a me nā chills e mau ana no nā lā
• Ka luhi e ʻoi aku ka ikaika ma mua o ka luhi maʻamau
• ʻEha nā ʻiʻo a me nā hui ma kou kino holoʻokoʻa
• Nā sweats o ka pō e hoʻoinu i kou lole a i ʻole nā ​​pale
• Pōkole o ka hanu, ʻoi aku hoʻi i ka wā o nā hana maʻamau
• ʻEha umauma e hiki ke ʻoi aku ka ʻino ke hanu hohonu ʻoe
• Kahi murmur hou o ka naʻau a i ʻole nā ​​hoʻololi i ka mea i loaʻa
• ʻO ka pehu i kou mau wāwae, nā wāwae, a i ʻole ka ʻōpū
• Nā wahi ʻulaʻula liʻiliʻi, palupalu ma kou mau lima a i ʻole nā ​​papa
• Nā wahi ʻulaʻula a ʻulaʻula paha ma lalo o kou mau kui a i ʻole ma kou ʻili

ʻIke kekahi poʻe i nā hōʻailona liʻiliʻi e like me ka nalowale kaumaha koke, ke koko i loko o ko lākou mimi, a i ʻole nā ​​wahi ʻulaʻula liʻiliʻi, ʻeha ʻole i ko lākou mau maka. Pono kēia mau hōʻailona i ka nānā ʻana o ke kauka koke no ka mea hiki iā lākou ke hōʻike i ka hoʻopilikia ʻana o ka maʻi i nā ʻāpana ʻē aʻe o kou kino.

He aha ka mea e hoʻokumu ai i ka endocarditis?

Hoʻomohala ʻia ka endocarditis ke komo nā bacteria, nā fungi, a i ʻole nā ​​germs ʻē aʻe i loko o kou kahe koko a hoʻopili i ka ʻiʻo naʻau i hōʻino ʻia a i ʻole ʻaʻole maʻamau. Loaʻa i kou naʻau nā pale ikaika i ka maʻi, akā hiki i kekahi mau kūlana ke hoʻoliʻiliʻi iā ia.

ʻO nā mea hana maʻamau ma hope o ka endocarditis:

• Nā bacteria Staphylococcus, hiki ke komo ma o nā maʻi ʻili a i ʻole nā ​​kaʻina hana lapaʻau
• Nā bacteria Streptococcus, pinepine mai nā maʻi niho a i ʻole ka mālama waha maikaʻi ʻole
• Nā bacteria Enterococcus, i kekahi manawa pili i nā maʻi urinary tract a i ʻole nā ​​maʻi bowel
• Nā bacteria HACEK group, ʻaʻole maʻamau akā hiki ke hoʻokumu i nā maʻi ulu mālie

Hiki i kēia mau germs ke komo i loko o kou kahe koko ma o nā hana i kēlā me kēia lā e like me ka holoi ʻana i kou mau niho, ʻoi aku hoʻi inā loaʻa iā ʻoe ka maʻi gum. Hiki i nā kaʻina hana lapaʻau, me ka hana niho, ka ʻoki kino, a i ʻole ke kiʻi ʻana i ka peʻa, ke hāʻawi aku i nā wahi komo.

I nā hihia liʻiliʻi, hiki i nā fungi e like me Candida a i ʻole Aspergillus ke hoʻokumu i ka endocarditis, ʻoi aku hoʻi i nā poʻe me nā ʻōnaehana pale ʻole i nā maʻi a i ʻole nā ​​mea e hoʻohana ana i nā lāʻau intravenous.

He aha nā pilikia o ka endocarditis?

ʻO kekahi mau kūlana o ka naʻau a me nā ʻano ola ke hoʻonui i kou manawa e loaʻa ai ka endocarditis. Ke kōkua nei ka hoʻomaopopo ʻana i kēia mau pilikia iā ʻoe a me kāu kauka e lawe i nā palekana kūpono.

ʻO nā pilikia pili i ka naʻau:

• Ka maʻi endocarditis ma mua
• Nā valves naʻau artificial a i ʻole nā ​​mea hana naʻau ʻē aʻe i hoʻokomo ʻia
• Nā hemahema naʻau i hānau ʻia mai ka hānau ʻana
• Nā valves naʻau i hōʻino ʻia mai nā kūlana e like me ka maʻi rheumatic
• Hypertrophic cardiomyopathy, kahi kūlana kahi e mānoanoa ai ka ʻiʻo naʻau

ʻO nā mea pili ola a me nā mea lapaʻau e hoʻonui i kou pilikia:

• Ka hoʻohana ʻana i nā lāʻau intravenous, kahi e hāʻawi ai i ka komo pololei i kou kahe koko
• Ka mālama niho maikaʻi ʻole a i ʻole nā ​​pilikia niho i mālama ʻole ʻia
• Nā kaʻina hana lapaʻau pinepine e pili ana i nā catheters a i ʻole nā ​​nui
• ʻO ka ʻōnaehana pale i hoʻoemi ʻia mai nā kūlana e like me ka HIV a i ʻole ka mālama ʻana i ka maʻi kanesa
• Ka dialysis kidney lōʻihi

He kuleana ke makahiki, me nā kānaka ma luna o 60 mau makahiki e kū i ka pilikia kiʻekiʻe ma muli o nā hoʻololi valve pili i ka makahiki a me nā kaʻina hana lapaʻau pinepine.

I ka wā e ʻike ai i ke kauka no ka endocarditis?

Pono ʻoe e hoʻokaʻaʻike koke i kāu mea mālama ola inā loaʻa iā ʻoe kahi mahana mau loa me nā hōʻailona pilikia ʻē aʻe. Hiki i ka mālama mua ke pale aku i nā pilikia nui a hoʻomaikaʻi nui i kou hopena.

E ʻimi i ka mālama olakino pilikia inā ʻike ʻoe:

• Fever kiʻekiʻe me nā chills nui ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• Pōkole koke o ka hanu a i ʻole ka pilikia hanu
• ʻEha umauma e ʻike ʻia he ʻoi a i ʻole ka haki
• Nā hōʻailona o ka hahau, e like me ka nāwaliwali koke, ka huikau, a i ʻole ka pilikia e ʻōlelo
• Ka luhi nui i hui pū ʻia me nā hōʻailona ʻē aʻe i helu ʻia ma luna

Mai kali e ʻike inā hoʻomaikaʻi nā hōʻailona ma luna o lākou iho. Hiki i ka endocarditis ke holomua koke, a he mea nui ka mālama koke no ka hopena maikaʻi loa.

He aha nā pilikia hiki ke loaʻa i ka endocarditis?

Me ka mālama pono ʻole, hiki i ka endocarditis ke alakaʻi i nā pilikia nui e hoʻopilikia i kou naʻau a me nā ʻāpana ʻē aʻe o ke kino. ʻAʻole manaʻo ʻia ka hoʻomaopopo ʻana i kēia mau mea e hoʻoweliweli iā ʻoe, akā e hōʻike i ke kumu e nui ai ka mālama mua.

Hiki i nā pilikia pili i ka naʻau ke komo:

• Ka hōʻino ʻana i ka valve naʻau e hoʻopilikia i ke kahe koko ma o kou naʻau
• Ka hāʻule ʻana o ka naʻau ke hiki ʻole i kou naʻau ke puʻunaue i ke koko
• Nā rhythms naʻau kūpono ʻole e pono ai ka mālama mau
• Abscesses a i ʻole nā ​​ʻeke o ka maʻi i loko o ka ʻiʻo naʻau

Hiki i ka maʻi ke pālahalaha ma mua o kou naʻau, e hoʻokumu ana i:

• Hahau inā hele ka mea maʻi i kou lolo
• Ka hōʻino ʻana i ka puʻupaʻa a i ʻole ka hāʻule ʻana o ka puʻupaʻa
• Nā pilikia o ka māmā, me ka pneumonia a i ʻole nā ​​abscesses māmā
• Nā maʻi hui e hoʻokumu i ka ʻeha mau a me ka pehu
• ʻO ka spleen nui e hiki ke hoʻokumu i ka ʻeha ʻōpū

ʻOi aku ka nui o kēia mau pilikia i nā hihia i mālama ʻole ʻia a i ʻole ke hoʻokaʻulua ʻia ka mālama. Me ka lāʻau antibiotic kūpono i hoʻomaka ʻia i ka wā mua, hoʻōla maikaʻi ka hapa nui o nā kānaka me ka ʻole o ka ʻike ʻana i kēia mau pilikia nui.

Pehea e pale aku ai i ka endocarditis?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i kēlā me kēia hihia o ka endocarditis, hiki i kekahi mau hoʻolālā ke hoʻemi nui i kou pilikia. Hoʻokumu ka mālama waha maikaʻi i ke kumu o ka pale ʻana mai ka waha ke komo pinepine o nā bacteria.

Nā hana pale i kēlā me kēia lā:

• Ka holoi ʻana i kou mau niho ʻelua manawa i kēlā me kēia lā me ka toothpaste fluoride
• Ka floss i kēlā me kēia lā e wehe i nā bacteria ma waena o nā niho
• Ka hoʻohana ʻana i ka mouthwash antibacterial e like me ka ʻōlelo a kāu kauka niho
• Ka hoʻonohonoho ʻana i nā hoʻomaʻemaʻe niho maʻamau a me nā nānā
• Ka mālama ʻana i nā pilikia niho koke ma mua o ka ʻino ʻana

Inā loaʻa iā ʻoe nā kūlana naʻau pilikia kiʻekiʻe, hiki i kāu kauka ke ʻōlelo aku i ka prophylaxis antibiotic ma mua o kekahi mau hana niho a i ʻole lapaʻau. ʻO kēia ka lawe ʻana i nā antibiotics ma mua o ke kaʻina hana e pale aku ai i nā bacteria mai ka hoʻokumu ʻana i ka maʻi i kou naʻau.

ʻO nā hana pale ʻē aʻe e komo pū ana me ka pale ʻana i ka hoʻohana ʻana i nā lāʻau intravenous, ka mālama ʻana i nā ʻoki a i ʻole nā ​​ʻeha maʻemaʻe a uhi ʻia, a me ka ʻimi ʻana i ka mālama koke no nā maʻi ʻē aʻe i kou kino.

Pehea e ʻike ʻia ai ka endocarditis?

Pono ka ʻike ʻana i ka endocarditis i ka hui pū ʻana o ka nānā ʻana o ke kauka, nā hoʻokolohua koko, a me nā haʻawina kiʻi. E hoʻomaka kāu kauka ma ka hoʻolohe ʻana i kou naʻau a me ka nīnau ʻana e pili ana i kou mau hōʻailona a me ka mōʻaukala lapaʻau.

He kuleana nui nā hoʻokolohua koko i ka ʻike ʻana:

• Nā moʻomeheu koko e ʻike i nā bacteria kikoʻī e hoʻokumu ana i ka maʻi
• Ka helu koko piha e nānā i nā hōʻailona o ka maʻi
• Nā mea hōʻailona inflammatory e like me ka C-reactive protein a me ka erythrocyte sedimentation rate
• Nā hoʻokolohua hou aku e loiloi i ka hana o ka puʻupaʻa a me ke ate

E kauoha paha kāu kauka i kahi echocardiogram, kahi e hoʻohana ai i nā nalu kani e hana i nā kiʻi kikoʻī o kou naʻau. Hiki i kēia hoʻokolohua ke hōʻike i nā valves naʻau maʻi, nā abscesses, a i ʻole nā ​​pilikia ʻē aʻe. I kekahi manawa pono kahi echocardiogram transesophageal kikoʻī hou aku, kahi i hoʻokomo mālie ʻia ai kahi probe i lalo o kou puʻu no nā kiʻi maopopo.

Hiki i nā haʻawina kiʻi hou aku ke komo pū me nā CT scans a i ʻole MRI e nānā i nā pilikia i nā ʻāpana ʻē aʻe o ke kino. Hiki i ke kaʻina hana ʻike ke lawe i ka manawa, akā he mea nui ia no ke koho ʻana i ka mālama maikaʻi loa.

He aha ka mālama no ka endocarditis?

ʻO ka mālama ʻana no ka endocarditis ʻaneʻane mau loa e komo pū ana me nā antibiotics intravenous i hāʻawi ʻia ma ka haukapila no nā hebedoma he nui. ʻO nā antibiotics kikoʻī e hilinaʻi ana i nā bacteria e hoʻokumu ana i kou maʻi a me ka nui o ko lākou pane i nā lāʻau like ʻole.

ʻO kāu mālama antibiotic maʻamau:

• Nā antibiotics laulā mua a hiki i ka loaʻa ʻana o nā hopena moʻomeheu
• Nā antibiotics kikoʻī ke ʻike ʻia nā bacteria kikoʻī
• ʻEhā a ʻeono mau hebedoma o ka mālama intravenous no ka hapa nui o nā hihia
• Nā hoʻokolohua koko maʻamau e nānā i kou pane i ka mālama
• Ka hoʻoponopono ʻana i nā antibiotics inā pono ma muli o kou holomua

Hiki i kekahi mau mea maʻi ke kūpono no ka mālama antibiotic outpatient ma hope o ka mālama mua ʻana ma ka haukapila, me ka hoʻohana ʻana i kahi laina PICC a i ʻole nā ​​mea komo intravenous lōʻihi. ʻAe kēia iā ʻoe e loaʻa ka mālama ma ka home ʻoiai e mālama ana i kāu mau hana i kēlā me kēia lā.

Pono paha ka ʻoki kino i kekahi mau kūlana, e like me ka wā i hōʻino nui ʻia ai nā valves naʻau, ke pane ʻole nā ​​maʻi i nā antibiotics wale nō, a i ʻole ke ulu ʻana o nā pilikia e like me nā abscesses. Hiki i nā koho ʻoki ke komo pū me ka hoʻoponopono ʻana a i ʻole ka hoʻololi ʻana i ka valve, ma muli o kou kūlana kikoʻī.

Pehea e mālama ai i nā hōʻailona i ka wā o ka mālama ʻana i ka endocarditis?

ʻOiai nā antibiotics e hana nui ana i ka mālama ʻana i ka endocarditis, hiki iā ʻoe ke lawe i nā hana e kākoʻo i kou hoʻōla a mālama i nā hōʻailona. He mea nui ka hoʻomaha i ka wā o ka mālama ʻana, no ka mea pono i kou kino ka ikehu e hakakā i ka maʻi.

Nā hana mālama kākoʻo:

• Ke loaʻa ʻana o ka hiamoe nui a me ka pale ʻana i nā hana ikaika
• Ke noho maikaʻi ʻana me ka wai a me nā wai olakino ʻē aʻe
• Ke ʻai ʻana i nā meaʻai momona e kākoʻo i kou ʻōnaehana pale
• Ke lawe ʻana i nā mea hoʻoemi ʻeha i kuhikuhi ʻia no nā ʻeha o nā ʻiʻo a me ka ʻoluʻolu ʻole
• Ke nānā ʻana i kou mahana a me ka hōʻike ʻana i ka mahana mau i kāu kauka

E makaʻala i kou mau hōʻailona a hōʻike i kekahi hoʻonui ʻana i kāu hui olakino koke. ʻO kēia ka hoʻonui ʻana i ka pōkole o ka hanu, ka ʻeha umauma, ka luhi nui, a i ʻole nā ​​hōʻailona hou e ulu ana i ka wā o ka mālama.

E hahai pono i nā ʻōlelo a pau o ka lāʻau lapaʻau, ʻoiai inā hoʻomaka ʻoe e ʻike maikaʻi ma mua o ka pau ʻana o ka papa holoʻokoʻa. Hiki i ka hoʻōki ʻana i nā antibiotics koke ke alakaʻi i ka hāʻule ʻana o ka mālama a me ke kūʻē ʻana i nā antibiotics.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Ke kōkua nei ka hoʻomākaukau ʻana no kāu hālāwai e hōʻoia iā ʻoe e loaʻa ka ʻike pololei loa a me ka mālama kūpono. E hoʻomaka ma ka kākau ʻana i kou mau hōʻailona a pau, me ka wā i hoʻomaka ai lākou a pehea lākou i loli ai i ka manawa.

ʻO ka ʻike e hōʻiliʻili ma mua o kāu kipa:

• Papa piha o nā lāʻau lapaʻau i kēia manawa, me nā lāʻau lapaʻau ma luna o ka counter a me nā mea hoʻohui
• Nā kikoʻī e pili ana i ka hana niho hou, nā kaʻina hana lapaʻau, a i ʻole nā ​​haukapila
• Mōʻaukala o nā pilikia naʻau, me nā ʻoki naʻau ma mua
• Mōʻaukala ʻohana o nā kūlana naʻau a i ʻole endocarditis
• Mōʻaukala huakaʻi hou a i ʻole ka hoʻopilikia ʻia i nā maʻi

E kākau i nā nīnau āu e makemake ai e nīnau i kāu kauka, e like me nā hoʻokolohua āu e pono ai, nā koho mālama i loaʻa, a me ka mea e manaʻo ai i ka wā hoʻōla. Ke kōkua nei ka loaʻa ʻana o kahi hoaaloha a i ʻole ʻohana hilinaʻi e hele pū me ʻoe e hoʻomanaʻo i ka ʻike nui i kūkākūkā ʻia i ka wā o ka hālāwai.

E lawe mai i nā moʻolelo lapaʻau ma mua e pili ana i nā kūlana naʻau, nā hopena hoʻokolohua hou, a i ʻole nā ​​hōʻuluʻulu hoʻokuʻu haukapila. Ke kōkua nei kēia ʻike i kāu kauka e hoʻomaopopo i kou kiʻi lapaʻau piha a hana i nā hoʻoholo mālama maikaʻi loa.

He aha ka mea nui e pili ana i ka endocarditis?

ʻO ka endocarditis kahi maʻi naʻau koʻikoʻi akā hiki ke mālama ʻia e pono ai ka nānā koke o ke kauka. ʻO ke kī i ka mālama holomua ka ʻike ʻana i nā hōʻailona i ka wā mua a me ka ʻimi ʻana i ka mālama koke, ʻoi aku hoʻi inā loaʻa iā ʻoe nā pilikia e like me nā pilikia valve naʻau a i ʻole ka endocarditis ma mua.

Hoʻōla piha ka hapa nui o nā kānaka me ka endocarditis ke mālama ʻia me nā antibiotics kūpono. Pane maikaʻi ka maʻi i ka mālama ʻana, a hiki ke pale ʻia nā pilikia me ka hoʻokomo mua. E hana pū kāu hui olakino me ʻoe i ka wā o ka mālama ʻana e hōʻoia i ka hopena maikaʻi loa.

ʻO ka pale ʻana ma o ka mālama waha maikaʻi a me ka prophylaxis antibiotic kūpono no nā kānaka pilikia kiʻekiʻe ke kūlana maikaʻi loa. Inā loaʻa iā ʻoe nā manaʻo e pili ana i kou pilikia no ka endocarditis, e kūkākūkā i nā hana pale me kāu kauka i kāu mau nānā maʻamau.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka endocarditis

Hiki ke hoʻōla piha ʻia ka endocarditis?

ʻAe, hiki ke hoʻōla piha ʻia ka endocarditis me ka mālama antibiotic kūpono. Hoʻōla piha ka hapa nui o nā kānaka me ka ʻole o nā pilikia lōʻihi ke hopu ʻia ka maʻi i ka wā mua a mālama ʻia me ka kūpono. Eia naʻe, pono paha i kekahi mau kānaka ka nānā mau a i ʻole ka mālama hou aku inā loaʻa ka hōʻino ʻana i ka valve naʻau i ka wā o ka maʻi.

Pehea ka lōʻihi e hoʻōla ai mai ka endocarditis?

Hoʻololi ka manawa hoʻōla ma muli o ka nui o ka maʻi a me kou olakino holoʻokoʻa. Mālama maʻamau nā antibiotics i ʻehā a ʻeono mau hebedoma, a hoʻomaka ka hapa nui o nā kānaka e ʻike maikaʻi i loko o ka hebedoma mua o ka mālama. Hoʻōla piha, me ka hoʻi ʻana i nā hana maʻamau, maʻamau i ʻelua a ʻekolu mau mahina ma hope o ka pau ʻana o nā antibiotics.

Hiki iā ʻoe ke loaʻa hou i ka endocarditis?

ʻO ka mea pōʻino, ʻae. Ke hoʻonui nei ka loaʻa ʻana o ka endocarditis i hoʻokahi manawa i kou pilikia e loaʻa hou ia, ʻoi aku hoʻi inā loaʻa iā ʻoe nā kūlana naʻau a i ʻole nā ​​valves naʻau artificial. ʻO ia ke kumu e pono ai nā kānaka me ka endocarditis ma mua ke makaʻala nui e pili ana i ka pale ʻana a pono paha i ka prophylaxis antibiotic ma mua o kekahi mau kaʻina hana lapaʻau.

He mea hoʻopilikia anei ka endocarditis?

ʻAʻole hoʻopilikia ka endocarditis iho a ʻaʻole hiki ke pālahalaha mai ke kanaka a i ke kanaka ma o ka pilina maʻamau. Eia naʻe, hiki i nā bacteria e hoʻokumu ana i ka endocarditis ke hoʻoili ʻia ma o nā hana e like me ka kaʻana like ʻana i nā nui a i ʻole kekahi mau ʻano o ka pilina pili. Hoʻomohala maʻamau ka maʻi ke komo kēia mau bacteria i kou kahe koko a hiki i kou naʻau.

He aha ka mea e hana ai inā hele ʻole ka endocarditis i ka mālama ʻia?

Hiki i ka endocarditis i mālama ʻole ʻia ke hoʻoweliweli i ke ola a alakaʻi paha i nā pilikia nui e komo pū ana me ka hāʻule ʻana o ka naʻau, ka hahau, ka hōʻino ʻana i ka puʻupaʻa, a i ʻole nā ​​abscesses i nā ʻāpana ʻē aʻe o ke kino. Hiki i ka maʻi ke pālahalaha i kou kino holoʻokoʻa, e hoʻokumu ana i ka sepsis. ʻO ia ke kumu he mea nui loa ka mālama lapaʻau koke inā kānalua ʻia ka endocarditis.