Mea Kākau: Morris Wright
Lā O Ka Hana: 27 Apelila 2021
HōʻAno Hou I Ka Lā: 19 Nowemapa 2024
Anonim
He aha ka endocarditis koʻohune a he aha nā hōʻailona - Ola Kino
He aha ka endocarditis koʻohune a he aha nā hōʻailona - Ola Kino

Anter

ʻO ka endocarditis koʻohune he maʻi ia e hoʻopili i nā hanana o loko o ka puʻuwai, i kapa ʻia ka pae endothelial, ʻo ka hapanui o nā puʻuwai puʻuwai, ma muli o ke kū ʻana o nā bacteria i hiki i ke kahe o ke koko. He maʻi nui ia, me ka manawa kūpono o ka make a hiki ke hoʻopili ʻia me kekahi mau pilikia, e like me ka hahau ʻana, no ka laʻana.

Ka hoʻohana ʻana i nā lāʻau hoʻōki, ʻoki hou ʻana, nā mālama niho me ka ʻole o ka lāʻau antibiotic, nā intracardiac ponoʻī, e like me nā pacemakers a i ʻole nā ​​prostheses valves, a me hemodialysis, hiki ke hoʻonui i ka manawa o ka bacteria endocarditis. Eia nō naʻe, ʻo ke kumu maʻamau i nā ʻāina e like me Brazil, koe ka maʻi maʻi rumatika.

ʻElua ʻano o ka endocarditis bacteria:

  1. Endocarditis koʻohune koʻikoʻi: he maʻi holomua wikiwiki ia, kahi i loaʻa ai ke kuni kiʻekiʻe, malaise, hāʻule ke kūlana maʻamau a me nā ʻōuli o ka puʻuwai puʻuwai, e like me ka luhi nui, ka pehu ʻana o nā wāwae a me nā wāwae, a me ka hanu liʻiliʻi;
  2. Endocarditis koʻohune Subacute: i kēia ʻano hiki i ke kanaka ke hala i mau pule a mau mahina paha e ʻike ai i ka endocarditis, e hōʻike ana i nā ʻōuli kikoʻī kikoʻī ʻole, e like me ke kuni liʻiliʻi, ka luhi a me ka hoʻoliʻiliʻi kaumaha.

Hiki ke hana ʻia ke diagnostical o ke koʻokoʻo endocarditis ma o nā hoʻokolohua e like me echocardiography, kahi ʻano o ultrasound i ka puʻuwai, a ma o nā hoʻokolohua koko e ʻike ai i ke kū ʻana o ka maʻi i loko o ke kahe o ke koko, ke ʻano he bacteremia. E aʻo hou e pili ana i ka bacteremia.


Ke kū nei o nā koʻohune i loko o nā kiwikā aortic a mitral paha

Nā ʻōuli o ka endocarditis koʻohune

ʻO nā ʻōuli o ka endocarditis maʻi koʻohune hiki ke:

  • Wela wela;
  • ʻO Chills;
  • Ka pōkole o ka hanu;
  • ʻO nā kiko liʻiliʻi o ke kahe ʻana ma ka palma a me nā wāwae.

I ka endocarditis subacute, maʻa mau nā ʻōuli:

  • Kaha wela;
  • ʻO ka hou i ka pō;
  • Māluhiluhi maʻalahi;
  • Kaʻai ʻole;
  • Slimming;
  • Nā puʻupuʻu ʻeha liʻiliʻi ma nā manamana lima a me nā manamana wāwae paha;
  • ʻO ka haki ʻana o nā kīʻaha koko liʻiliʻi i ka ʻāpana keʻokeʻo o nā maka, i ke kaupaku o ka waha, i loko o nā papalina, i ka umauma a i nā manamana lima a i ʻole nā ​​manamana wāwae.

Inā loaʻa kēia mau ʻōuli, pono e hele koke i ka lumi pilikia no ka mea he maʻi nui ka endocarditis e hiki ai i ka make koke.


No ke aha e hiki ai i nā pilikia o ka niho ke hana i ka endocarditis

ʻO kekahi o nā kumu nui o endocarditis ka hana o nā kaʻina hana niho e like me ka unuhi ʻana o ka niho a i ʻole ka mālama ʻana i nā caries. I kēia mau hihia, hiki ke halihali ʻia nā caries bacteria a me nā mea kūlohelohe i ka waha ma o ke koko a hiki i ka hōʻiliʻili ʻana i loko o ka puʻuwai, kahi e hoʻopili ai i nā maʻi o ke kino.

No kēia kumu, pono ka poʻe e hopohopo nui nei i ka endocarditis, e like me nā mea maʻi me nā valves prosthetic a i ʻole pacemakers, e hoʻohana i nā antibiotic i hoʻokahi hola ma mua o kekahi mau kaʻina niho, i mea e pale aku ai i ka endocarditis bacteria.

Pehea ka mālama ʻana o endocarditis

Hana ʻia ka lapaʻau ʻana o endocarditis me ka hoʻohana ʻana i nā lāʻau ʻaloʻalo, hiki ke waha a hoʻopili ʻia paha i ka aa, e like me ka microorganism i ʻike ʻia i loko o ke koko. I nā hihia ʻoi loa, kahi i loaʻa ʻole kahi hopena maikaʻi me ka hoʻohana ʻana i nā lāʻau ʻaloʻalo a kaukaʻi ʻia i ka nui o ka maʻi a me kona wahi, hōʻike ʻia ke kahakaha e hoʻololi i nā valves puʻuwai me nā prostheses.


Hana ʻia ka Prophylaxis o endocarditis i ka poʻe i makaʻu nui i ka hoʻomōhala ʻana i ka endocarditis, e like me:

  • ʻO nā kānaka me nā valves hoʻopunipuni;
  • ʻO nā mea maʻi i loaʻa i ka endocarditis;
  • ʻO ka poʻe me ka maʻi maʻi a me ka mea i loaʻa i ka naʻau i ka wā kahiko;
  • ʻO nā mea maʻi me ka maʻi puʻuwai congenital.

Ma mua o ka hoʻomaʻamaʻa niho ʻana, pono i ka dentist e ʻōlelo i ka mea maʻi e lawe i 2 g o amoxicillin a i ʻole 500 mg o Azithromycin ma ka liʻiliʻi he 1 hola ma mua o ka lapaʻau ʻana. I kekahi mau hihia e pono i ka dentist e ʻōlelo aʻoaʻo i ka hoʻohana ʻana o nā antibiotic no 10 mau lā ma mua o ka hoʻomaka ʻana o ka lapaʻau niho. E aʻo hou aʻe e pili ana i ka mālama ʻana no ka endocarditis bacteria.

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