He aha ka endocarditis a pehea e mālama ai ia
Anter
- Nā hōʻailona nui
- Pehea e hōʻoia ai i ke kuhi
- Nā kumu kūpono o ka endocarditis
- Nā ʻano nui o endocarditis
- Pehea e hana ai i ka lāʻau
ʻO Endocarditis ka hoʻā o nā mea i kolo i ka loko o ka puʻuwai, ʻo ia hoʻi nā kiʻo puʻuwai. Hoʻokumu pinepine ʻia ia e kahi maʻi i kekahi ʻāpana o ke kino e hohola ma o ke koko a hiki i ka puʻuwai a, no laila, hiki ke ʻike ʻia he endocarditis infective.
Ma muli o ka hopena pinepine ʻia e ka bacteria, mālama pinepine ʻia ka endocarditis me ka hoʻohana ʻana i nā lāʻau ʻaloʻalo i lawelawe ʻia i loko o ke aa koko. Eia nō naʻe, inā he kumu hou aʻe ia, hiki ke mālama ʻia ka endocarditis me nā antifungals a i ʻole nā lāʻau anti-inflammatory wale nō e hōʻoluʻolu ai i ka pilikia. Kaukaʻi ʻia i ka ikaika o nā ʻōuli, koi ʻia paha e noho i ka haukapila.
E ʻike pehea e mālama ʻia ai ka endocarditis bacteria.
Nā hōʻailona nui
Hiki ke hōʻike lohi i nā ʻōuli o ka endocarditis ma luna o ka manawa a, no laila, ʻaʻole maʻalahi ke ʻike pinepine. ʻO ka mea maʻamau e hoʻopili ʻia:
- Ke kuni hoʻomau a me ke anuanu;
- Ka nui o ka hou a me ka malaise nui;
- ʻIli pale;
- ʻEha ma nā mākala a me nā hono;
- Nausea a hoʻemi i ka makemake;
- Nā kapuaʻi a me nā wāwae pehu;
- Huhū mau a me ka hanu ʻole.
I nā hanana rarer, ʻike ʻia kekahi mau ʻōuli ʻē aʻe, e like me ka pohō kaumaha, ke kū ʻana o ke koko i ka mimi a hoʻonui i ka ʻike ma ka ʻaoʻao hema o ka ʻōpū, ma luna o ka māhele o ka iwi.
Eia nō naʻe, hiki ke loli iki i kēia mau ʻōuli keu hoʻi e like me ke kumu o ka endocarditis. No laila, ke kānalua ʻia ka pilikia o ka puʻuwai, he mea nui ia e nīnau koke aku i ke kauka lāʻau a i ʻole e hele i ka haukapila no nā hoʻokolohua diagnostics e like me ka electrocardiogram a hōʻoia inā aia kekahi pilikia e pono ai ka lāʻau.
E ʻike i 12 mau ʻōuli ʻē aʻe e hōʻike i kahi pilikia puʻuwai.
Pehea e hōʻoia ai i ke kuhi
ʻO ke kuhi o ka endocarditis hiki ke hana ʻia e ka cardiologist. ʻO ka maʻamau, hoʻomaka ka loiloi me ka loiloi i nā hōʻailona a me ka auscultation o ka hana o ka puʻuwai, akā pono nō hoʻi e hana i nā hoʻokolohua diagnostics e like me echocardiogram, electrocardiogram, umauma X-ray a me nā hoʻokolohua koko.
Nā kumu kūpono o ka endocarditis
ʻO ke kumu nui o ka endocarditis ka maʻi e nā bacteria, a hiki ke loaʻa i loko o ke kino ma muli o kahi maʻi i kahi ʻē aʻe i ke kino, e like me ka niho a ʻeha paha o ka ʻili, no ka laʻana. Ke hiki ʻole i ka ʻōnaehana pale pale ke hakakā me kēia mau koʻohune, hiki iā lākou ke hoʻopau i ka hoʻolaha ʻana ma o ke koko a hiki i ka puʻuwai, e hoʻoulu ana i ka mumū
No laila, ʻo ka bacteria, fungi a me nā mea hoʻomaʻi pū kekahi hiki ke hoʻopili i ka puʻuwai, e hopena ai i ka endocarditis, akā, hana ʻokoʻa ka lāʻau. ʻO kekahi o nā ala maʻamau e hoʻomohala i ka endocarditis me:
- Loaʻa ka ʻeha o ka waha a i ʻole ka maʻi niho;
- Ke kiʻi nei i kahi maʻi i loaʻa i ka moekolohe;
- Loaʻa i kahi maʻi maʻi i ka ʻili;
- E hoʻohana i kahi nila kele;
- E hoʻohana i ka ʻimi urinary no kahi wā lōʻihi.
ʻAʻole hoʻomohala nā kānaka āpau i ka endocarditis, no ka mea hiki i ka ʻōnaehana pale pale ke hakakā me ka hapa nui o kēia mau microorganism, eia nō naʻe, ʻoi aku ka makaʻu o ka poʻe ʻelemākule, nā keiki a i ʻole nā poʻe me nā maʻi autoimmune.
Nā ʻano nui o endocarditis
Pili nā ʻano endocarditis i ke kumu i hoʻomaka ʻia ai a hoʻokaʻawale ʻia lākou i:
- Endocarditis maʻi lele: ke kumu ia o ke komo ʻana o nā koʻohune i loko o ka puʻuwai a i ʻole fungi i loko o ke kino, e hōʻeha ana i nā maʻi;
- Endocarditis non-infectious a i ʻole endocarditis maritime: ke kū aʻe ma ke ʻano he hopena o nā pilikia like ʻole, e like me ka maʻi ʻaʻai, ka maʻi rumatika a i ʻole nā maʻi autoimmune.
E pili ana i ka endocarditis infectious, ʻo ia ka mea maʻamau, ke kumu ʻia e nā bacteria, ua kapa ʻia ia endocarditis bacterial, ke kumu ʻia e fungi ua kapa ʻia ʻo fungal endocarditis.
Ke kumu ia e ka rumatika fever ua kapa ʻia ia he endocarditis rheumatic a ke kumu ʻia e lupus ua kapa ʻia ʻo Libman Sacks endocarditis.
Pehea e hana ai i ka lāʻau
Hana ʻia ka lāʻau no ka endocarditis ma o nā antibiotic a i ʻole nā antifungals, i nā lāʻau kiʻekiʻe, intravenously, no 4 a 6 mau pule. I mea e hōʻoluʻolu ai i nā ʻōuli, nā lāʻau anti-inflammatory, nā lāʻau no ka fiva, a i kekahi mau manawa, kauoha ʻia nā corticosteroids.
I nā hihia kahi e luku ʻia ai ka pā o ka puʻuwai e ka maʻi, hiki i ke ʻoki ke pono e pani i ka wili i hōʻino ʻia me kahi prostesis e biological a metallic paha.
ʻO ka endocarditis ke haʻalele ʻole ʻia hiki ke alakaʻi ʻia i nā pilikia e like me ka puʻuwai puʻuwai, hōʻeha puʻuwai, hahau, embolism pulmonary a i ʻole nā pilikia puʻuwai e hiki ke holomua i ka maikaʻi ʻole o ka hakuʻala.