He aha te Endocarditis? Tohutohu, Take, me te Maimoatanga

Ko te endocarditis te mate o te paparanga o roto o ngā rūma o tō ngākau me ngā wae, e kiia ana ko te endocardium. Whakaarohia he manuhiri pūngāwerewere kore e pai e noho ana i roto i tētahi o ngā kōpū tino nui o tō tinana.

Ka puta tēnei āhuatanga ina tomo ngā mate pūngāwerewere, te nuinga o ngā pūngāwerewere, ki roto i tō toto ka haere ki tō ngākau. Ahakoa te ahua wehi, ka taea te whakaora i te endocarditis ina kitea wawe, ā, ko te mārama ki ngā tohu ka āwhina i a koe ki te whiwhi i te tiaki e hiahia ana koe i te wa tika.

He aha ngā tohu o te endocarditis?

Ka puta haere mai ngā tohu o te endocarditis i roto i ngā wiki, i te tere rānei i roto i ngā rā. Ko te mea uaua ko ngā tohu tuatahi he rite ki te mate huka e kore e haere.

Ko ēnei ngā tohu ka kitea e koe, mai i te mea noa ki te mea iti ake:

• Te kirika me te wiri e mau ana mō ngā rā
• Te ngenge e tino kaha ake ana i te ngenge noa
• Te mamae o ngā uaua me ngā hononga puta noa i tō tinana
• Te wera o te po e whakamakuku ana i ō kakahu, i ō moenga rānei
• Te poto o te manawa, ina koa i ngā mahi noa
• Te mamae o te uma ka kaha ake pea ina manawa hohonu koe
• He ngākau hou, he rerekētanga rānei i tetahi e noho ana
• Te pupuhi o ō waewae, o ō waewae, o tō kopu rānei
• Ngā tohu whero iti, ngawari ki runga i ō ringa, i ō waewae rānei
• Ngā tohu whero iti, whero pango rānei i raro i ō maihao, i runga rānei i tō kiri

Ka kitea hoki e ētahi atu te iti o ngā tohu penei i te ngaro o te taumaha, te toto i roto i tō mimi, i ngā tohu whero iti, kore mamae rānei i roto i ō kanohi. Ko ēnei tohu e tika ana kia whakawhitiwae atu ki te taote, no te mea ka taea e rātou te tohu kei pā ana te mate ki ētahi atu wāhanga o tō tinana.

He aha ngā take o te endocarditis?

Ka puta te endocarditis ina tomo ngā pūngāwerewere, ngā harore, ngā mate pūngāwerewere rānei ki roto i tō toto ka piri ki te kōpū ngākau pakaru, kī rānei. He kaha te tiaki o tō ngākau i te mate, engari ka taea e ētahi āhuatanga te whakawehi.

Ko ngā take tino noa o te endocarditis ko ēnei:

• Ngā pūngāwerewere Staphylococcus, ka taea te tomo mā ngā mate kiri, mā ngā mahi hauora rānei
• Ngā pūngāwerewere Streptococcus, te nuinga mai i ngā mate niho, i te kore rānei o te horoi waha
• Ngā pūngāwerewere Enterococcus, ka hono pea ki ngā mate ara toto, ki ngā mate puku rānei
• Ngā pūngāwerewere rōpū HACEK, he iti ake te noa engari ka taea te whakaputa i ngā mate e puea haere ana

Ka taea e ēnei mate te tomo ki roto i tō toto mā ngā mahi o ia rā penei i te horoi i ō niho, ina koa ki te mate ngāoi koe. Ka taea hoki e ngā mahi hauora, tae atu ki te mahi niho, te pokanga, te tā rānei, te whakarato i ngā huarahi tomo.

I roto i ngā take onge, ka taea e ngā harore penei i te Candida, i te Aspergillus rānei te whakaputa i te endocarditis, ina koa ki ngā tāngata he ngoikore o rātou pūnaha ārai mate, ki ngā tāngata e whakamahi ana i ngā rongoā intravena.

He aha ngā take morearea mō te endocarditis?

Ka taea e ētahi āhuatanga o te ngākau me ngā āhuatanga noho te whakanui ake i ō tūponotanga ki te whanake i te endocarditis. Ko te mārama ki ēnei take morearea ka āwhina i a koe me tō taote ki te tango i ngā whakarite tika.

Ko ngā take morearea e pā ana ki te ngākau ko ēnei:

• Te mate endocarditis i mua
• Ngā wae ngākau mahi, ngā taputapu ngākau whakatō rānei
• Ngā hapa ngākau whānau mai i te whānau
• Ngā wae ngākau pakaru mai i ngā āhuatanga penei i te kirika rheumatic
• Te cardiomyopathy hypertrophic, he āhuatanga e pakaru ana te uaua ngākau

Ko ngā take noho me ngā take hauora e whakanui ana i tō morearea ko ēnei:

• Te whakamahinga rongoā intravena, e whakarato ana i te uru tika ki tō toto
• Te kore o te horoi niho, te kore rānei o ngā raruraru niho
• Ngā mahi hauora maha e whakamahi ana i ngā catheter, i ngā ngira rānei
• Te pūnaha ārai mate kua whakaitihia mai i ngā āhuatanga penei i te HIV, i te maimoatanga mate pukupuku rānei
• Te dialysis whatukuhu roa

He mahi anō te tau, me ngā tāngata neke atu i te 60 e pā ana ki te morearea teitei nā ngā huringa wae e pā ana ki te pakeketanga me ngā mahi hauora maha ake.

Nōhea te kite i te taote mō te endocarditis?

Me whakapiri atu koe ki tō kaiwhakarato hauora i te wa tonu ki te whanake koe i te kirika mau tonu me ētahi atu tohu āwangawanga. Ka taea e te maimoatanga wawe te aukati i ngā raruraru nui ka whakapai ake i tō hua.

Rapua te tiaki hauora āwangawanga ki te wheako koe i:

• Te kirika teitei me te wiri nui e kore e pai ake mā te okioki
• Te poto o te manawa, te uaua rānei ki te manawa
• Te mamae o te uma e tino kaha ana, e pakaru ana rānei
• Ngā tohu o te pōka, penei i te ngoikore ohorere, te whakapohehe, te uaua rānei ki te kōrero
• Te ngenge nui me ētahi atu tohu kua whakarārangihia i runga ake nei

Kaua e tatari kia pai ake ngā tohu. Ka taea e te endocarditis te tere haere, ā, he mea nui te maimoatanga tere mō te hua pai rawa atu.

He aha ngā raruraru pea o te endocarditis?

Kaore he maimoatanga tika, ka taea e te endocarditis te arahi ki ngā raruraru nui e pā ana ki tō ngākau me ētahi atu kōpū. Ko te mārama ki ēnei tūponotanga ehara i te mea hei whakawehi i a koe, engari hei whakamārama he aha te nui o te maimoatanga wawe.

Ka taea e ngā raruraru e pā ana ki te ngākau te whakauru:

• Te pakaru o te wae ngākau e pā ana ki te rere toto puta noa i tō ngākau
• Te kore o te ngākau ina kore e taea e tō ngākau te pupuhi toto
• Ngā rereketanga o te ngākau ka hiahia pea ki te maimoatanga haere tonu
• Ngā abscesses, ngā putea mate rānei i roto i te kōpū ngākau

Ka taea hoki e te mate te horapa atu i tō ngākau, te whakaputa:

• Te pōka ki te haere te mea kua pā ki tō roro
• Te pakaru whatukuhu, te kore rānei o te whatukuhu
• Ngā raruraru o te pūhau, tae atu ki te mate pūhau, ki ngā abscesses pūhau rānei
• Ngā mate hononga e whakaputa ana i te mamae mau tonu me te pupuhi
• Te kōpū nui e taea ai te mamae o te kopu

He nui ake te tūponotanga o ēnei raruraru ki ngā take kaore i te maimoatia, ki te whakaroa rānei te maimoatanga. Mā te rongoā antibiotic tika i te timatanga wawe, ka ora pai te nuinga o te iwi kaore e wheako i ēnei raruraru nui.

Me pēhea te aukati i te endocarditis?

Ahakoa kaore e taea e koe te aukati i ia take o te endocarditis, ka taea e ētahi rautaki te whakaiti nui i tō morearea. Ko te horoi waha pai te turanga o te aukati, no te mea ko tō waha te huarahi noa mō ngā pūngāwerewere.

Ko ngā mahi aukati o ia rā ko ēnei:

• Te horoi i ō niho rua i te rā mā te miraka fluoride
• Te whakamahi i te floss i ia rā hei tango i ngā pūngāwerewere i waenganui i ngā niho
• Te whakamahi i te wai horoi waha antibacterial kia rite ki te tohutohu a tō kaitātari niho
• Te whakarite i ngā horoi niho me ngā tirotiro auau
• Te maimoatanga i ngā raruraru niho i te wa tika i mua i te kino

Ki te whai koe i ngā āhuatanga ngākau morearea teitei, ka tūtohutia pea e tō taote te prophylaxis antibiotic i mua i ētahi mahi niho, mahi hauora rānei. Ko te tikanga tenei te tango i ngā rongoā antibiotic i mua i te mahi hei aukati i ngā pūngāwerewere mai i te whakatū i te mate i roto i tō ngākau.

Ko ētahi atu mahi aukati ko te karo i te whakamahinga rongoā intravena, te pupuri i ngā kotinga, i ngā whara rānei kia ma, kia hipoki, me te rapu i te maimoatanga tere mō ngā mate i ētahi atu wāhanga o tō tinana.

Me pēhea te whakatau i te endocarditis?

Ko te whakatau i te endocarditis e hiahia ana ki te whakakotahitanga o te tirotiro hauora, ngā whakamātautau toto, me ngā rangahau whakaahua. Ka tīmata tō taote mā te whakarongo ki tō ngākau me te uiui mō ō tohu me tō hītori hauora.

He mahi nui ngā whakamātautau toto ki te whakatau:

• Ngā tikanga toto hei tautuhi i ngā pūngāwerewere motuhake e whakaputa ana i te mate
• Te tatau toto katoa hei tirotiro i ngā tohu o te mate
• Ngā tohu mumura penei i te pūtau C-reactive me te tere o te erythrocyte sedimentation
• Ngā whakamātautau atu hei aromatawai i te mahi whatukuhu me te ate

Ka tono pea tō taote i te echocardiogram, e whakamahi ana i ngā ngaru oro hei whakaputa i ngā whakaahua taipitopito o tō ngākau. Ka taea e tēnei whakamātautau te whakaatu i ngā wae ngākau kua pā, ngā abscesses, ngā raruraru rānei. I ētahi wā, he mea nui ake te echocardiogram transesophageal, kei reira tetahi rongoā e whakatōngia ana ki raro i tō korokoro mō ngā whakaahua marama ake.

Ka taea e ngā rangahau whakaahua atu te whakauru i ngā CT scan, i ngā MRI rānei hei tirotiro i ngā raruraru i ētahi atu kōpū. Ka roa pea te tukanga whakatau, engari he mea nui mō te whiriwhiri i te maimoatanga tino whai hua.

He aha te maimoatanga mō te endocarditis?

Ko te maimoatanga mō te endocarditis tata tonu te whakauru i ngā rongoā antibiotic intravena i te hohipera mō ngā wiki maha. Ko ngā rongoā antibiotic motuhake e whakawhirinaki ana ki tehea pūngāwerewere e whakaputa ana i tō mate me te pehea o te ngawari ki ngā rongoā rerekē.

Ko tō maimoatanga antibiotic te nuinga ko ēnei:

• Ngā rongoā antibiotic whānui tuatahi kia tae mai ngā hua whakatipu
• Ngā rongoā antibiotic e whai take ana ina tautuhia ngā pūngāwerewere motuhake
• Wha atu ki ono wiki o te maimoatanga intravena mō te nuinga o ngā take
• Ngā whakamātautau toto auau hei tirotiro i tō whakautu ki te maimoatanga
• Te whakarerekētanga o ngā rongoā antibiotic ki te hiahiatia e runga ana i tō ahunga whakamua

Ka taea e ētahi turoro te whai i te maimoatanga antibiotic i waho o te hohipera i muri i te maimoatanga hohipera tuatahi, mā te whakamahi i te raina PICC, i ētahi atu huarahi uru intravena roa rānei. Ka taea tenei e koe te whiwhi maimoatanga i te kāinga me te pupuri i ō mahi o ia rā.

Ka hiahiatia pea te pokanga i ētahi wā, penei i te wa e pakaru ana ngā wae ngākau, ina kore e whakautu ngā mate ki ngā rongoā antibiotic anake, ki te whanake rānei ngā raruraru penei i ngā abscesses. Ko ngā whiringa pokanga ka taea te whakauru i te whakatikatika wae, i te whakakapi rānei, e whakawhirinaki ana ki tō āhuatanga motuhake.

Me pēhea te whakahaere i ngā tohu i te wa e maimoatia ana te endocarditis?

Ahakoa ko ngā rongoā antibiotic te mahi nui ki te maimoatanga i te endocarditis, ka taea e koe te tango i ngā mahi hei tautoko i tō ora me te whakahaere i ngā tohu. He mea nui te okioki i te wa e maimoatia ana, no te mea e hiahia ana tō tinana ki te kaha hei whawhai i te mate.

Ko ngā mahi tiaki tautoko ko ēnei:

• Te whiwhi i te moe nui me te karo i ngā mahi kaha
• Te noho makuku pai mā te wai me ētahi atu wai hauora
• Te kai i ngā kai kai pai hei tautoko i tō pūnaha ārai mate
• Te tango i ngā kai whakaora mamae kua tohua mō ngā mamae uaua me te kore ngāwari
• Te tirotiro i tō pāmahana me te whakaatu i te kirika mau tonu ki tō taote

Tātai atu ki ō tohu me te whakaatu i tetahi kino ki tō rōpū hauora i te wa tonu. Koinei te whakauru i te poto o te manawa, te mamae o te uma, te ngenge nui, ngā tohu hou rānei e whanake ana i te wa e maimoatia ana.

Whai i ngā tohutohu rongoā katoa, ahakoa ka tīmata koe te pai ake i mua i te mutu o te akoranga katoa. Ko te mutu o ngā rongoā antibiotic i te wa wawe ka arahi ki te kore o te maimoatanga me te ārai antibiotic.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka āwhina i te whakarite kia whiwhi koe i te whakatau tika me te maimoatanga tika. Tīmata mā te tuhituhi i ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te pehea o te huringa i te wā.

Ngā korero hei kohikohi i mua i tō haerenga:

• Rārangi katoa o ngā rongoā o nāianei, tae atu ki ngā rongoā-ā-kaute me ngā taapiri
• Ngā kōrero mō ngā mahi niho hou, ngā mahi hauora, ngā noho hohipera rānei
• Hītori o ngā raruraru ngākau, tae atu ki tetahi pokanga ngākau i mua
• Hītori whānau o ngā āhuatanga ngākau, o te endocarditis rānei
• Hītori haere hou, te pā rānei ki ngā mate

Tuhituhia ngā pātai e hiahia ana koe ki te ui ki tō taote, penei i ngā whakamātautau ka hiahia pea koe, ngā whiringa maimoatanga e wātea ana, me te aha e tatari ana i te wā whakaora. Ko te whai hoa whakawhirinaki, mema whānau rānei hei hoa atu i a koe ka āwhina i a koe ki te maumahara i ngā korero nui i kōrerotia i te wā o te hui.

Kawe mai i ngā rēkōta hauora o mua e pā ana ki ngā āhuatanga ngākau, ngā hua whakamātautau hou, ngā korero tukunga hohipera rānei. Ka āwhina ēnei korero i tō taote ki te mārama ki tō whakaahua hauora katoa me te mahi i ngā whakatau maimoatanga pai rawa atu.

He aha te mea nui mō te endocarditis?

Ko te endocarditis he mate ngākau nui engari ka taea te whakaora e hiahia ana ki te tiaki hauora tere. Ko te kī ki te maimoatanga angitu ko te mohio wawe ki ngā tohu me te rapu i te tiaki tere, ina koa ki te whai koe i ngā take morearea penei i ngā raruraru wae ngākau, i te endocarditis i mua rānei.

Ka ora katoa te nuinga o te iwi me te endocarditis ina maimoatia ki ngā rongoā antibiotic tika. Ko te mate te nuinga e whakautu pai ana ki te maimoatanga, ka taea te aukati i ngā raruraru mā te whakauru wawe. Ka mahi ngātahi tō rōpū hauora ki a koe puta noa i te maimoatanga hei whakarite i te hua pai rawa atu.

Ko te aukati mā te horoi waha pai me te prophylaxis antibiotic tika mō ngā tāngata morearea teitei tonu te rautaki pai rawa atu. Ki te whai koe i ngā āwangawanga mō tō morearea mō te endocarditis, kōrerohia ngā rautaki aukati ki tō taote i ō tirotiro auau.

Ngā pātai uiui noa mō te endocarditis

Ka taea te whakaora katoa i te endocarditis?

Ae, ka taea te whakaora katoa i te endocarditis mā te maimoatanga antibiotic tika. Ka ora katoa te nuinga o te iwi kaore he raruraru roa ina kitea wawe te mate ka maimoatia tika. Heoi, ka hiahia pea etahi ki te tirotiro haere tonu, ki te maimoatanga atu rānei ki te puta he pakaru o te wae ngākau i te wa o te mate.

E hia te roa o te ora mai i te endocarditis?

Ka rerekē te wā whakaora e whakawhirinaki ana ki te kaha o te mate me tō hauora katoa. Ko te maimoatanga antibiotic te nuinga e toru ki ono wiki, ā, ka tīmata te nuinga o te iwi te pai ake i roto i te wiki tuatahi o te maimoatanga. Ko te whakaora katoa, tae atu ki te hokinga mai ki ngā mahi noa, te nuinga e rua ki te toru marama i muri i te mutu o ngā rongoā antibiotic.

Ka taea e koe te whiwhi endocarditis neke atu i te kotahi wa?

Aroha mai, ae. Ko te whai endocarditis kotahi ka whakanui ake i tō morearea ki te whanake ano, ina koa ki te whai koe i ngā āhuatanga ngākau, i ngā wae ngākau mahi rānei. Koinei te take e hiahia ana ngā tāngata me te endocarditis i mua ki te tino tupato ki te aukati, ka hiahia pea ki te prophylaxis antibiotic i mua i ētahi mahi hauora.

He mate pukupuku te endocarditis?

Ko te endocarditis anō ehara i te mate pukupuku, kaore hoki e taea te horapa atu i te tangata ki te tangata mā te hononga noa. Heoi, ko ngā pūngāwerewere e whakaputa ana i te endocarditis ka taea te horapa i ētahi wā mā ngā mahi penei i te whakamahinga ngira, i ētahi momo hononga tata rānei. Ko te mate te nuinga e whanake ana ina tomo ēnei pūngāwerewere ki roto i tō toto ka tae ki tō ngākau.

He aha te mea ka puta ki te kore e maimoatia te endocarditis?

Ka taea e te endocarditis kaore i te maimoatia te mate, ka arahi pea ki ngā raruraru nui tae atu ki te kore o te ngākau, te pōka, te pakaru whatukuhu, ngā abscesses rānei i roto i ngā kōpū maha. Ka taea hoki e te mate te horapa puta noa i tō tinana, te whakaputa i te sepsis. Koinei te take he mea tino nui te maimoatanga hauora tere ki te whakaarohia te endocarditis.