Endocarditis

Anter

• He aha nā hōʻailona o ka endocarditis?
• He aha nā kumu o ka endocarditis?
• Nā kumu pilikia no ka endocarditis
• Pehea e ʻike ʻia ai ka endocarditis?
• Hōʻike koko
• Transthoracic echocardiogram
• Echocardiogram Transesophageal
• Uila uila
• X-ray umauma
• Pehea e mālama ʻia ai ka endocarditis?
• Nā Antibiotics
• ʻOki kino
• He aha nā pilikia e pili ana i ka endocarditis?
• Pehea e pale ai i ka endocarditis?

He aha ka endocarditis?

ʻO Endocarditis ka mumū o ka pale o loko o kou puʻuwai, i kapa ʻia ʻo endocardium. Hoʻokumu pinepine ʻia e ka bacteria. Ke hoʻokumu ʻia ka mumū e ka maʻi, ua kapa ʻia ke ʻano he endocarditis infective. ʻAʻole maʻamau ka endocarditis i ka poʻe me nā puʻuwai olakino.

He aha nā hōʻailona o ka endocarditis?

ʻAʻole paʻakikī nā ʻōuli o ka endocarditis, a ulu lohi paha lākou i ka hala ʻana o ka manawa. I nā wā mua o ka endocarditis, like nā ʻōuli me nā maʻi ʻē aʻe. ʻO kēia ke kumu i ʻike ʻole ʻia ai nā hihia he nui.

ʻO nā ʻōuli he nui e like me nā hihia o ka maʻi flu a i ʻole nā ​​maʻi ʻē aʻe, e like me ka niumonia. Eia nō naʻe, ʻike kekahi poʻe i nā ʻōuli ʻehaʻeha e kū koke ana. ʻO kēia mau ʻōuli ma muli paha o ka hoʻāhu a i ʻole nā ​​ʻino i pili iā ia.

ʻO nā ʻōuli maʻamau o endocarditis me:

• ʻōhumu ka naʻau, kahi kani naʻau kūlohelohe o ke kahe koko e kahe ana ma o ka puʻuwai
• ʻili mae
• ke kunu a i ʻole ke anuanu
• puhū pō
• ʻehaʻeha a ʻeha pū paha
• nausea a hōʻemi paha i ka makemake
• kahi manaʻo piha i ka ʻaoʻao hema hema o kou ʻōpū
• lilo kaumaha kaumaha ʻole
• nā wāwae pehu, nā wāwae, a me ka ʻōpū
• hanu a pōkole paha o ka hanu

ʻO nā ʻōuli liʻiliʻi o ka endocarditis me:

• ke koko i kou mimi
• Kaumaha emi
• he spleen hoʻonui ʻia, a palupalu paha e hoʻopā

Hiki paha i nā loli i ka ʻili ke loaʻa, e like me:

• ʻulaʻula a poni paha nā kiko ma lalo o ka ʻili o nā manamana lima a me nā manamana wāwae
• ʻulaʻula ʻulaʻula a poni paha nā wahi o ke koko i kahe mai nā ipu capillary i haki, i ʻike mau ʻia ma nā keʻokeʻo o nā maka, i loko o nā papalina, ma luna o ka waha, a i ʻole i ka umauma.

Hoʻololi nui nā ʻōuli a me nā ʻōuli o ka endocarditis infectious i kēlā me kēia kanaka. Hiki iā lākou ke loli i ka hala ʻana o ka manawa, a kaukaʻi ʻia i ke kumu o kou maʻi, ke olakino puʻuwai, a pehea ka lōʻihi o ka maʻi. Inā loaʻa iā ʻoe kahi moʻolelo o nā pilikia puʻuwai, ka puʻuwai puʻuwai, a i ʻole endocarditis mua, pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā loaʻa kekahi o kēia mau ʻōuli. He mea nui ia e kāhea aku i kāu kauka inā he kuni mau kou e haki ʻole ai ʻole ʻoe e māluhiluhi maʻamau ʻole a ʻike ʻole i ke kumu.

He aha nā kumu o ka endocarditis?

ʻO ke kumu nui o ka endocarditis kahi ulu ulu o nā bacteria. ʻOiai ke noho maʻamau nei kēia mau koʻohune ma loko a ma waho o nā papa o kou kino, lawe paha ʻoe iā lākou i loko i kou kahawai ma ka ʻai ʻana a me ka inu ʻana. Hiki i nā bacteria ke komo i loko o nā ʻoki o kou ʻili a i ʻole ka waha o ka waha. Kūʻaleʻa kāu ʻōnaehana pale pale i nā germat ma mua o ka pilikia ʻana, akā ua holo kēia hana i kekahi poʻe.

I ke kumu o ka endocarditis infective, hele nā ​​mikamina ma waena o kou kahe o ke koko a i loko o kou puʻuwai, kahi e hoʻonui ai lākou a hoʻoulu i ka huhū. Hiki ke kumu ʻia ka endocarditis e nā fungi a i ʻole nā ​​g germ.

ʻAʻole wale ka ʻai ʻana a me ka inu ʻana i nā ala e hiki ai i nā g germ ke komo i loko o kou kino. Hiki iā lākou ke komo i loko o kou kahawai ma o:

• palaki ʻana i kou mau niho
• loaʻa ka hoʻomaʻemaʻe waha a maikaʻi ʻole i ka maʻi gum
• ka loaʻa ʻana o kahi hana niho e ʻoki ai i kou mau ʻulā
• ʻaelike ʻana i ka maʻi lele
• e hoʻohana ana i kahi nila kele
• ma o kahi catheter urinary e noho ana a i ʻole catheter intravenous

Nā kumu pilikia no ka endocarditis

ʻO nā kumu pilikia no ka hoʻomohala ʻana i ka endocarditis me kēia mau mea:

• e hoʻokomo ana i nā lāʻau lapaʻau intravenous i pāpā ʻia me ka nila i hoʻowahāwahā ʻia me nā bacteria a fungi paha
• nā scarring i hoʻokumu ʻia e ka pōʻino o ka puʻuwai puʻuwai, e ʻae ai e ulu ka bacteria a i ʻole nā ​​g germ
• pohō nāʻiʻo mai ka loaʻa ʻana o ka endocarditis i ka wā i hala
• he kīnā kīnā ʻole
• ka loaʻa ʻana o kahi pani pani puʻuwai puʻuwai

Pehea e ʻike ʻia ai ka endocarditis?

E hele ana kāu kauka i kāu mau hōʻailona a me ka mōʻaukala olakino ma mua o ka hoʻokolokolo ʻana. Ma hope o kēia loiloi, e hoʻohana lākou i kahi stethoscope e hoʻolohe i kou puʻuwai. E hana ʻia paha nā hōʻike aʻe:

Hōʻike koko

Inā kānalua kāu kauka ua loaʻa ʻoe i ka endocarditis, e kauoha ʻia kahi hōʻike moʻomeheu koko e hōʻoia inā ʻo ke koʻohune, fungi, a i ʻole nā ​​microorganism aʻe ke kumu iā ia. Hiki i nā hoʻokolohua koko ʻē aʻe ke hōʻike inā loaʻa ʻia kāu mau ʻōuli e kekahi ʻano, e like me ka anemia.

Transthoracic echocardiogram

ʻO kahi echocardiogram transthoracic kahi hōʻike kiʻi kiʻi ʻole e hoʻohana ʻia e ʻike i kou puʻuwai a me kāna mau kiwikā. Hoʻohana kēia ho'āʻo i nā nalu ultrasound e hana i kiʻi o kou puʻuwai, me ka probe kiʻi i kau ʻia ma mua o kou umauma. Hiki i kāu kauka ke hoʻohana i kēia hōʻike kiʻi e nānā i nā hōʻailona o ka hōʻino a i ʻole neʻe maʻamau o kou puʻuwai.

Echocardiogram Transesophageal

Ke hāʻawi ʻole kahi echocardiogram transthoracic i ka lawa o ka ʻike e nānā pono ai i kou puʻuwai, e kauoha paha kāu kauka i kahi hoʻokolohua kiʻi hou aʻe i kapa ʻia he echocardiogram transesophageal. Hoʻohana ʻia kēia e ʻike i kou puʻuwai ma ke ala o kou esophagus.

Uila uila

Noi paha kahi electrocardiogram (ECG a i ʻole EKG) e kiʻi i kahi ʻike ʻoi aku o ka hana uila o kou puʻuwai. Hiki i kēia hoʻāʻo ke ʻike i kahi rhythm puʻuwai a helu ʻole paha. E hoʻopili kahi ʻenehana i 12 a 15 mau uila uila i kou ʻili. Hoʻopili kēia mau uila i nā alakaʻi uila (uea), a laila hoʻopili ʻia i ka mīkini EKG.

X-ray umauma

Hiki i kahi ʻōpala i hiolo a i ʻole nā ​​pilikia māmā ʻē aʻe ke kumu i kekahi o nā ʻōuli like e like me endocarditis. Hiki paha ke hoʻohana ʻia kahi hihi X e nānā i kou mau māmā a ʻike inā ua hina lākou a i ʻole inā ua kūkulu ka wai i loko o lākou. Kapa ʻia kahi kūkulu ʻana o ka wai i ka edema pulmonary. Hiki i ka X-ray ke kōkua i kāu kauka e haʻi i ka ʻokoʻa ma waena o endocarditis a me nā kūlana ʻē aʻe e pili ana me kāu mau māmā.

Pehea e mālama ʻia ai ka endocarditis?

Nā Antibiotics

Inā hoʻokumu ʻia kāu endocarditis e ka bacteria, e mālama ʻia ia me ka lāʻau antibiotic intravenous. E aʻo aku kāu kauka iā ʻoe e lawe i nā lāʻau ʻaloʻalo a hiki i ka mālama pono ʻia ʻana o kāu maʻi a me nā maʻi e pili ana. E loaʻa paha kēia mau mea iā ʻoe i ka haukapila no hoʻokahi pule, a hiki i kou hōʻike ʻana i nā hōʻailona o ka hoʻomaikaʻi. Pono ʻoe e hoʻomau i ka lāʻau antibiotic i ka hoʻokuʻu ʻia ʻana mai ka haukapila. Hiki paha iā ʻoe ke hoʻololi i nā lāʻau antibiotic oral ma hope i kāu lapaʻau ʻana. Lawe ʻia ka lāʻau lāʻau antibiotic e hoʻopau.

ʻOki kino

ʻO ka endocarditis infective lōʻihi a i ʻole nā ​​pahū puʻuwai i hōʻino ʻia e hopena ʻia e endocarditis e pono ai ke ʻoki e hoʻoponopono. Hiki ke hana i kahi ʻoki e wehe i nā mea make, nāʻiʻo makaʻu, nā wai paʻa, a i ʻole nā ​​ʻōpala mai nā mea maʻi. Hiki paha ke hana ʻoki kino e hoʻoponopono a kāpae paha i kāu kiʻo puʻuwai i hōʻino ʻia, a hoʻololi iā ia me nā mea i hana ʻia e ke kanaka a i ʻole nā ​​mea holoholona.

He aha nā pilikia e pili ana i ka endocarditis?

Hiki ke ulu i nā pilikia mai ka hōʻino ʻia e kāu maʻi. Hiki i kēia ke hoʻopili i kahi puʻuwai puʻuwai abnormal, e like me ka atrial fibrillation, ke koko koko, nā ʻeha ʻino ʻē aʻe, a me ka hyperbilirubinemia me ka jaundice. Hiki i ke koko i hoʻopili ʻia ke kumu i ka emboli, a i ʻole nā ​​clots, e huakaʻi i nā wahi ʻē aʻe o kou kino.

ʻO nā lālā ʻē aʻe i hiki ke hoʻopili ʻia:

• nā puʻupaʻa, e lilo i wela, hiki i kahi ʻano i kapa ʻia ʻo glomerulonephritis
• māmā
• lolo
• iwi, ʻo ia hoʻi kou kolamu o ka iwi, i maʻi paha, e hoʻomaka ana i ka osteomyelitis

Hiki i ke koʻohune a i ʻole fungi ke hele mai i kou puʻuwai a hoʻopili i kēia mau wahi. Hiki i kēia mau mikamina ke kumu i nā abscesses e hoʻomohala i kāu mau lālā a i ʻole nā ​​ʻāpana ʻē aʻe o kou kino.

ʻO nā pilikia koʻikoʻi i hiki ke ala aʻe mai endocarditis me ka hahau a me ka puʻuwai ʻole.

Pehea e pale ai i ka endocarditis?

ʻO ka hoʻomaʻemaʻe o ka waha maikaʻi a me ka mālama ʻana i nā manawa kau niho maʻamau hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i ka hopena o nā bacteria i loko o kou waha a komo i loko o kou kahena koko. Hoʻoemi kēia i kou makaʻu i ka hoʻomōhala ʻana i ka endocarditis mai kahi maʻi maʻi waha a i ʻole ʻeha. Inā ua hana ʻoe i kahi lāʻau lapaʻau niho i ukali ʻia me nā lāʻau ʻalopika, e nānā pono e lawe i kāu lāʻau ʻaloʻalo e like me ke kuhikuhi.

Inā loaʻa iā ʻoe kahi moʻolelo o ka maʻi puʻuwai congenital, kahi kīʻaha puʻuwai, a i ʻole endocarditis, e kiaʻi no nā hōʻailona a me nā ʻōuli o ka endocarditis. E nānā pono i ke kuni hoʻomau a me ka luhi ʻole. E kāhea koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli.

E hōʻalo hoʻi ʻoe i:

• ʻoki kino
• kāhiko
• Hoʻohana lāʻau IV
• i kekahi kaʻina hana e ʻae ai i nā germs e komo i loko o kou koko