Chii chinonzi Endocarditis? Zviratidzo, Zvinokonzera, & Kurapa

Endocarditis chirwere chinokanganisa ganda riri mukati mekamuri dzemoyo nemavharuvhu, rinonzi endocardium. Fungidzira sehutachiona hwemabhakitiriya husina kukoka hwakagara mumwe wemashandisirwo akakosha emuviri wako.

Iyi chirwere chinoitika kana hutachiona, kazhinji mabhakitiriya, kupinda muropa rwako woenda kumoto. Kunyange zvazvo zvinonzwa zvichitya, endocarditis inorapika kana yakawanikwa pakutanga, uye kunzwisisa zviratidzo kunogona kukubatsira kuti uwane kurapwa kwaunoda nekukurumidza.

Ndeapi zviratidzo zve endocarditis?

Zviratidzo zve endocarditis zvinogona kuonekwa zvishoma nezvishoma kwemavhiki kana kuoneka kamwe kamwe mukati memazuva. Chikamu chinonyengera ndechekuti zviratidzo zvepakutanga kazhinji zvinonzwa sekuflu isingazomboenda.

Heano zviratidzo zvaunogona kuona, kubva kune akajairika kusvika kune asingawanzoitika:

• Fivha nekudedera kunoramba kwenguva yakareba
• Kuneta kunonzwa kwakasimba kupfuura kuneta kwenguva dzose
• Marwadzo emhasuru nemapfupa mumusoro wako wose
• Kuora mwero usiku kunonetesa nguo dzako kana mashiti
• Kushomeka kwemhepo, kunyanya panguva yemabasa akajairika
• Kurwadziwa pachipfuva kunogona kuipa kana uchifema zvakadzika
• Murmur itsva yemoyo kana kuchinja kuripo
• Kutemwa mumitsipa, makumbo, kana mudumbu
• Macheka maduku, matsvuku anorwadza pamaoko ako kana pasi
• Macheka maduku matsvuku kana epepuru pasi pehove dzako kana paganda rako

Vamwe vanhu vanonzwawo zviratidzo zvisingawanzoitika senge kurasikirwa nekukurumidza kwekuoma, ropa mune weti, kana macheka maduku, asina kurwadza matsvuku mumaziso avo. Izvi zviratidzo zvinoda kurapwa nekukurumidza nekuti zvinoratidza kuti chirwere ichi chinokanganisa zvimwe zvikamu zvemuviri wako.

Chii chinokonzera endocarditis?

Endocarditis inoitika kana mabhakitiriya, howa, kana mamwe hutachiona kupinda muropa rwako wozununguka kune tishu yemoyo yakakuvadzwa kana isina kujairika. Mwoyo wako kazhinji une dziviriro yakasimba kubva kune hutachiona, asi mamiriro ezvinhu akati anogona kuita kuti uve munzvimbo ine njodzi.

Zvinokonzera zvakajairika zve endocarditis zvinosanganisira:

• Mabhakitiriya eStaphylococcus, anogona kupinda kuburikidza nehutachiona hwepande kana nzira dzekurapa
• Mabhakitiriya eStreptococcus, kazhinji kubva kune hutachiona hwemazino kana kuchenesa kwakaipa kwemukanwa
• Mabhakitiriya eEnterococcus, dzimwe nguva anobatanidzwa nehutachiona hwekutambudzika kana matumbo
• Mabhakitiriya eHACEK, asingawanzoitika asi anogona kukonzera hutachiona hunokura zvishoma nezvishoma

Aya hutachiona anogona kupinda muropa rwako kuburikidza nemabasa ezuva nezuva senge kuburitsa mazino ako, kunyanya kana uine chirwere chegumbo. Nzira dzekurapa, kusanganisira basa remadzino, kuvhiya, kana kunyange kuwana tattoo, zvinogona kupa nzira dzekupinda.

Muitiro usina kujairika, howa senge Candida kana Aspergillus inogona kukonzera endocarditis, kunyanya kune vanhu vane masimba emuviri asina simba kana avo vanoshandisa mishonga inopinda mutsinga.

Ndeapi njodzi dze endocarditis?

Mamiriro ezvinhu emwoyo nemabasa ehupenyu anogona kuwedzera mikana yako yekuwana endocarditis. Kunzwisisa izvi njodzi kunokubatsira iwe nachiremba wako kuti mutange matanho akakodzera.

Njodzi dzinobatanidzwa nemwoyo dzinosanganisira:

• Hutachiona hwe endocarditis hwakapfuura
• Mavharuvhu emwoyo ekugadzira kana mamwe michina yemoyo yakasimbiswa
• Kukanganisika kwemoyo kubva pakuzvarwa
• Mavharuvhu emoyo akakuvadzwa kubva kune mamiriro ezvinhu senge rheumatic fever
• Hypertrophic cardiomyopathy, mamiriro umo tsandanyama yemoyo inowedzera

Mabasa ehupenyu nezvinhu zvekurapa zvinosimudzira njodzi yako zvinosanganisira:

• Kushandisa mishonga inopinda mutsinga, iyo inopa mukana chaiwo kweropa rako
• Kuchenesa kwakaipa kwemanzino kana matambudziko emazino asina kurapwa
• Nzira dzekurapa dzakawanda dzinosanganisira catheters kana zvinyorwa
• Masimba emuviri asina simba kubva kune mamiriro ezvinhu senge HIV kana kurapwa kenza
• Dialysis yeitsvo kwenguva yakareba

Zera rinotambawo basa, nevanhu vanopfuura makore 60 vane njodzi yakakwira nekuda kwekuchinja kwevharuvhu zera uye nzira dzekurapa dzakawanda.

Rini unofanira kuona chiremba we endocarditis?

Unofanira kubata nachiremba wako nekukurumidza kana ukawana fivha inoramba iripo pamwe nezvimwe zviratidzo zvinotyisa. Kurapwa pakutanga kunogona kudzivirira matambudziko akakomba uye kuvandudza mugumisiro wako zvakanyanya.

Tsvaga kurapwa kwekukurumidza kwezvemamiriro ezvinhu kana iwe ukaona:

• Fivha yakakwira ine kudedera kwakasimba kunoshanduka nekuzorora
• Kushomeka kwemhepo kamwe kamwe kana kuoma kufema
• Kurwadziwa pachipfuva kunonzwa kwakasimba kana kukanganisa
• Zviratidzo zvekuvhunduka, senge kushaya simba kamwe kamwe, kuvhiringidzika, kana kuoma kutaura
• Kuneta kwakasimba pamwe nezvimwe zviratidzo zvakanyorwa pamusoro

Usamirire kuona kana zviratidzo zvichinzwa zviri nani zvega. Endocarditis inogona kukurumidza kuwedzera, uye kurapwa nekukurumidza kunokosha kuti uwane mugumisiro wakanaka.

Ndeapi matambudziko anogona kuitika e endocarditis?

Pasina kurapwa kwakakodzera, endocarditis inogona kutungamira kumatambudziko akakomba anokanganisa mwoyo wako nemamwe matunhu emuviri. Kunzwisisa izvi zvinogona kuitika hazvisi zvekukutyisa, asi kusimbisa kuti nei kurapwa pakutanga kuchikosha kwazvo.

Matambudziko ane chekuita nemwoyo anogona kusanganisira:

• Kukuvadzwa kwevharuvhu yemoyo kunokanganisa kuyerera kweropa kuburikidza nemwoyo wako
• Kukundikana kwemoyo kana mwoyo wako usingakwanisi kuburitsa ropa zvakakodzera
• Kusaenzana kwemoyo kunogona kuda kurapwa kwenguva refu
• Abscesses kana mabhegi ehutachiona mukati metsandanyama yemoyo

Hutachiona hunogona kupararira kunze kwemoyo wako, zvichikonzera:

• Kuvhunduka kana zvinhu zvakasvibiswa zvikaenda kuuropi rwako
• Kukuvadzwa kweitsvo kana kukundikana kweitsvo
• Matambudziko emuviri, kusanganisira pneumonia kana lung abscesses
• Hutachiona hwemapfupa hunokonzera kurwadziwa kwenguva refu nekukwira
• Spleen yakakura inogona kukonzera kurwadziwa mudumbu

Aya matambudziko ane mukana mukuru wekuitika mune zviitiko zvisina kurapwa kana kurapwa kwakakanganiswa. Nekurapwa kwakakodzera kweantibiotic kwakatangwa pakutanga, vanhu vazhinji vanodzoka zvakanaka pasina kuona aya matambudziko akakomba.

Endocarditis inogona kudzivirirwa sei?

Kunyangwe usingakwanisi kudzivirira kesi yega yega ye endocarditis, mazano akati anogona kuderedza njodzi yako zvakanyanya. Kuchenesa kwakanaka kwemukanwa kunoumba hwaro hwekudzivirira sezvo muromo wako uri nzira yakajairika yekupinda mabhakitiriya.

Matanho ekudzivirira zuva nezuva anosanganisira:

• Kuburitsa mazino ako kaviri pazuva ne fluoride toothpaste
• Kuchenesa mazino ako zuva nezuva kubvisa mabhakitiriya pakati pemazino
• Kushandisa antibacterial mouthwash sezvakarayirwa nachiremba wemazino
• Kuronga kucheneswa kwemanzino nguva dzose nekuongororwa
• Kurapa matambudziko emazino nekukurumidza usati awedzera

Kana uine mamiriro ezvinhu emwoyo ane njodzi yakakwira, chiremba wako anogona kukurudzira antibiotic prophylaxis usati waita mamwe mabasa emazino kana ekurapa. Izvi zvinosanganisira kutora antibiotics usati waita nzira yekudzivirira mabhakitiriya kuti asatanga hutachiona mumoyo wako.

Mamwe matanho ekudzivirira anosanganisira kudzivisa kushandisa mishonga inopinda mutsinga, kuchengeta zvidimbu kana maronda akachena uye akavharwa, uye kutsvaga kurapwa nekukurumidza kune chero hutachiona mune dzimwe nzvimbo dzemuviri wako.

Endocarditis inozivo sei?

Kuziva endocarditis kunoda kusanganiswa kwekuongororwa kwechiremba, bvunzo yeropa, uye ongororo dzemafomu. Chiremba wako anotanga nekuteerera mwoyo wako uye kukubvunza nezvezviratidzo zvako nehupenyu hwako hwekurapa.

Bvunzo yeropa inotamba basa rakakosha mukuziva:

• Blood cultures kuziva mabhakitiriya chaiwo anokonzera hutachiona
• Kuverenga kwakakwana kweropa kuongorora zviratidzo zvehutachiona
• Zviratidzo zvekuzvimba senge C-reactive protein uye erythrocyte sedimentation rate
• Mamwe bvunzo ekuongorora basa reitsvo nechiropa

Chiremba wako anogona kukupa echocardiogram, iyo inoshandisa mafungu ekuita mifananidzo yakajeka yemoyo wako. Iyi bvunzo inogona kuratidza mavharuvhu emoyo akasvibiswa, abscesses, kana mamwe matambudziko. Dzimwe nguva transesophageal echocardiogram yakadzama inodiwa, uko probe inoiswa zvinyoro nyoro pasi pehuro yako kuti uwane mifananidzo yakajeka.

Mamwe ongororo dzemafomu anogona kusanganisira CT scans kana MRI kuongorora matambudziko mune dzimwe nhengo. Maitiro ekuziva anogona kutora nguva, asi inokosha pakusarudza kurapwa kwakanakisa.

Kurapa kwe endocarditis ndekupi?

Kurapa kwe endocarditis kazhinji kunosanganisira antibiotics inopinda mutsinga inopiwa muchipatara kwemavhiki mazhinji. Antibiotics chaiyo inotsamira pane mabhakitiriya ari kukonzera hutachiona hwako uye kuti anonzwa sei kune mishonga yakasiyana.

Kurapwa kwako kweantibiotic kazhinji kunosanganisira:

• Antibiotics yekutanga yakakura kusvika mugumisiro wekutanga uchinge wawana
• Antibiotics chaiyo kana mabhakitiriya chaiwo akaonekwa
• Mavhiki mana kusvika matanhatu ekurapa mutsinga kune zviitiko zvakawanda
• Bvunzo yeropa nguva dzose kuongorora mhinduro yako pakurapwa
• Kuchinja kweantibiotics kana zvichidiwa zvichienderana nekuvandudzika kwako

Vamwe varwere vanogona kukodzera kurapwa kweantibiotic kunze kwechipatara mushure mekurapwa kwekutanga muchipatara, vachishandisa PICC line kana mamwe maitiro ekupinda mutsinga kwenguva refu. Izvi zvinokubvumira kuti uwane kurapwa kumba uchichengeta mabasa ako ezuva nezuva.

Kuvhiya kunogona kudiwa mune zvimwe zviitiko, senge kana mavharuvhu emoyo akakuvadzwa zvakanyanya, kana hutachiona husina kupindura kune antibiotics chete, kana matambudziko senge abscesses achiitika. Sarudzo dzekuvhiya dzinogona kusanganisira kugadzirisa kana kutsiva vharuvhu, zvichienderana nemamiriro ako chaiwo.

Nzira yekutarisira sei zviratidzo panguva yekurapwa kwe endocarditis?

Kunyangwe antibiotics ichikwanisa kurapa endocarditis, unogona kutora matanho ekutsigira kupora kwako uye kutarisira zviratidzo. Kuzorora kunokosha panguva yekurapwa, sezvo muviri wako uchida simba rekukunda hutachiona.

Matanho ekutsigira anosanganisira:

• Kurara zvakakwana uye kudzivisa mabasa anorema
• Kuchengeta mvura yakawanda nemimwe michero ine hutano
• Kudya zvokudya zvine hutano kutsigira masimba emuviri wako
• Kutora mushonga wekurwadziwa wakanyorwa wekurwadziwa kwemhasuru nekuneta
• Kuongorora tembiricha yako uye kuudza chiremba wako nezvefivha inoramba iripo

Cherechedza zviratidzo zvako uye uudze timu yako yekurapa chero kuwedzera nekukurumidza. Izvi zvinosanganisira kuwedzera kushomeka kwemhepo, kurwadziwa pachipfuva, kuneta kwakasimba, kana zviratidzo zvitsva zvinoitika panguva yekurapwa.

Tevedza mirairo yemishonga yose zvakanyatsonaka, kunyangwe kana iwe ukatanga kunzwa uri nani usati wapedza kosi yose. Kumisa antibiotics pakutanga kunogona kutungamira pakukundikana kwekuporesa uye kusagadzikana kweantibiotic.

Unofanira kugadzirira sei kuonana nachiremba wako?

Kugadzirira kuonana kwako kunobatsira kuve nechokwadi chekuti unowana kuongororwa kwakanyanya uye kurapwa kwakakodzera. Tanga nekunyora zviratidzo zvako zvose, kusanganisira apo zvakatanga uye kuti zvakachinja sei nekufamba kwenguva.

Ruvara rwekuunganidza usati wasvika:

• Rondedzero yakakwana yemishonga iripo ikozvino, kusanganisira mishonga inotengeswa pasina chitupa uye zvinowedzerwa
• Mashoko nezvebasa remadzino rachangobva kuitwa, nzira dzekurapa, kana kupinda muchipatara
• Nhoroondo yematambudziko emwoyo, kusanganisira kuvhiya kwemoyo kwakapfuura
• Nhoroondo yemhuri yematambudziko emwoyo kana endocarditis
• Nhoroondo yekufamba kwakapfuura kana kuonana nehutachiona

Nyora mibvunzo yaunoda kubvunza chiremba wako, senge bvunzo dzaunoda, sarudzo dzekurapa dziripo, uye zvaunofanira kutarisira panguva yekupora. Kuva neshamwari yakavimbika kana nhengo yemhuri inokubatsira kunogona kukubatsira kuyeuka ruzivo rwakakosha rwakakurukurwa panguva yekuonana.

Uyai nemagwaro ekurapa apfuura ane chekuita nematambudziko emwoyo, migumisiro yebvunzo yakapfuura, kana zvinyorwa zvekuenda muchipatara. Iyi ruzivo inobatsira chiremba wako kunzwisisa mufananidzo wako wose wekurapa uye kuita sarudzo dzakanakisa dzekurapa.

Chii chinonyanya kukosha nezve endocarditis?

Endocarditis chirwere chakakomba asi chinorapika chemwoyo chinoda kurapwa nekukurumidza. Kiyi yekurapa kwakabudirira ndeyekuziva zviratidzo pakutanga uye kutsvaga kurapwa nekukurumidza, kunyanya kana uine njodzi senge matambudziko evharuvhu yemoyo kana endocarditis yakapfuura.

Vanhu vazhinji vane endocarditis vanodzoka zvakakwana kana vakarapwa neantibiotics yakakodzera. Hutachiona kazhinji hunopindura zvakanaka pakurapwa, uye matambudziko anogona kudzivirirwa nekuita zvinhu pakutanga. Timu yako yekurapa ichaita basa newe panguva yekurapwa kuti uve nechokwadi chemugumisiro wakanaka.

Kudzivirira kuburikidza nekuchenesa kwakanaka kwemukanwa uye antibiotic prophylaxis yakakodzera kune vanhu vane njodzi yakakwira inoramba iri nzira yakanakisa. Kana uine hanya nezve njodzi yako ye endocarditis, kurukura mazano ekudzivirira nachiremba wako panguva yekuongororwa kwako nguva dzose.

Mibvunzo inobvunzwa kazhinji nezve endocarditis

Endocarditis inogona kupora zvachose here?

Hungu, endocarditis inogona kupora zvachose ne kurapwa kwakakodzera kweantibiotic. Vanhu vazhinji vanodzoka zvakakwana pasina matambudziko emangwana kana hutachiona hwakawanikwa pakutanga uye hwakarapwa zvakakodzera. Zvisinei, vamwe vanhu vanogona kuda kuongororwa kwenguva refu kana kurapwa kuwedzerwa kana kukuvadzwa kwevharuvhu yemoyo kuitika panguva yehutachiona.

Zvinotora nguva yakareba sei kupora kubva ku endocarditis?

Nguva yekupora inosiyana zvichienderana nekuoma kwehutachiona uye hutano hwako hwese. Kurapwa kweantibiotic kazhinji kunotora mavhiki mana kusvika matanhatu, uye vanhu vazhinji vanotanga kunzwa vari nani mukati mevhiki rekutanga rekurapwa. Kupora zvachose, kusanganisira kudzoka kumabasa akajairika, kazhinji kunotora mwedzi miviri kusvika mitatu mushure mekupedza antibiotics.

Unogona kuwana endocarditis kakawanda here?

Zvinosuruvarisa, hungu. Kuva ne endocarditis kamwe kunowedzera njodzi yako yekuiwana zvakare, kunyanya kana uine mamiriro ezvinhu emwoyo kana mavharuvhu emoyo ekugadzira. Ndosaka vanhu vane endocarditis yakapfuura vanofanira kungwarira zvikuru nezve kudzivirira uye vanogona kuda antibiotic prophylaxis usati waita mamwe mabasa ekurapa.

Endocarditis inotapuriranwa here?

Endocarditis pachayo haina kutapuriranwa uye haigone kupararira kubva kumunhu kuenda kune mumwe munhu kuburikidza nekuonana kwenguva dzose. Zvisinei, mabhakitiriya anokonzera endocarditis anogona dzimwe nguva kutapuriranwa kuburikidza nemabasa senge kugovana zvinyorwa kana mamwe marudzi ekuonana kwepedyo. Hutachiona kazhinji hunoitika kana aya mabhakitiriya apinda muropa rwako woenda kumoyo wako.

Chii chinoitika kana endocarditis isina kurapwa?

Endocarditis isina kurapwa inogona kuuraya uye inogona kutungamira kumatambudziko akakomba kusanganisira kukundikana kwemoyo, kuvhunduka, kukuvadzwa kweitsvo, kana abscesses mune dzimwe nhengo. Hutachiona hunogona kupararira mumusoro wako wose, zvichikonzera sepsis. Ndosaka kurapwa kwakakurumidza kwakakosha kana endocarditis ichifungidzirwa.