Infoc Enditis

Anter

• He aha nā hōʻailona o ka endocarditis infective?
• ʻO wai ka makaʻu nui no ka endocarditis infective?
• ʻIke i ka endocarditis infective
• Ke mālama nei i ka endocarditis infective
• Nā lāʻau Antibiotics a me ka lāʻau lapaʻau mua
• ʻOki kino
• Loaʻa a me ka nānā

He aha ka endocarditis infective?

ʻO ka infocarditis infective kahi maʻi i loko o nā puʻuwai puʻuwai a i ʻole endocardium. ʻO ka endocardium ka uhi o nā ʻilikai o loko o nā keʻena o ka puʻuwai. Hoʻokumu pinepine ʻia kēia ʻano e nā bacteria e komo ana i ke kahe o ke koko a me ka maʻi ʻana i ka puʻuwai. Hiki ke kumu o nā koʻohune i ka:

• waha
• ʻili
• ʻōpū
• ʻōnaehana hanu
• ʻāpana mimi

Ke hoʻokumu ʻia kēia ʻano e ka bacteria, ʻike ʻia ia ʻo endocarditis bacteria. I nā hihia maʻamau, hiki i ka fungi a i ʻole nā ​​microorganism ʻē aʻe ke kumu.

ʻO ka endocarditis infective kahi kūlana koʻikoʻi e koi ai i ka lāʻau lapaʻau koke. Inā haʻalele ʻole ʻia, hiki i ka maʻi ke hōʻeha i kou mau puʻuwai puʻuwai. Hiki i kēia ke alakaʻi i nā pilikia e like me:

• hahau
• poino i nā ʻokana ʻē aʻe
• puʻuwai puʻuwai
• make

Laha kēia ʻano i nā poʻe me nā puʻuwai olakino. ʻO ka poʻe i loaʻa nā ʻano puʻuwai ʻē aʻe i ka makaʻu kiʻekiʻe.

Pono paha ʻoe e lawe i nā lāʻau ʻalopika ma mua o kekahi o nā kaʻina hana olakino a me nā niho inā ʻoe i makaʻu nui no ka endocarditis infective. Kōkua nā lāʻau antibiotic i ka hoʻōki ʻana i nā koʻohune mai ke komo ʻana i kou kahawai a hana i ka maʻi. E kamaʻilio me kāu kauka lapaʻau a i ʻole kauka niho ma mua o ke kaʻina hana.

He aha nā hōʻailona o ka endocarditis infective?

Hoʻololi nā ʻōuli i kēlā me kēia kanaka. I kekahi poʻe, hele koke mai nā ʻōuli, ʻoiai hoʻomohala mālie kekahi mau hōʻailona. E kamaʻilio me kāu kauka inā ʻike ʻoe i kekahi o nā ʻōuli i helu ʻia ma lalo. Pono e mālama nui ka poʻe hopohopo nui i ka endocarditis.

Pākuʻi ʻia paha nā ʻōuli:

• fiva
• ʻeha ka umauma
• nāwaliwali
• koko i ka mimi
• haʻalulu
• ka houʻu ʻana
• ʻehu ʻulaʻula
• nā kiko keʻokeʻo ma ka waha a i ʻole ma ke alelo
• ka ʻeha a me ka pehu ʻana o nā hono
• ʻeha nā mākala a me ka palupalu
• kala mimi ʻokoʻa
• luhi
• ʻūhā
• pokole o ka hanu
• eha ka 'ā'ī
• sinus congestion a me ka ʻeha o ke poʻo
• nausea a luaʻi paha
• Kaumaha emi

Hiki i ka endocarditis infective ke hoʻoweliweli i ke ola inā ʻaʻole mālama koke ʻia. Minamina, ʻo nā hōʻailona o ka endocarditis infective hiki ke like me nā maʻi ʻē aʻe. E kamaʻilio koke me kāu kauka inā ʻike ʻoe i kekahi o nā ʻōuli i helu ʻia ma luna.

ʻO wai ka makaʻu nui no ka endocarditis infective?

Hiki paha iā ʻoe ke makaʻu no kēia ʻano inā loaʻa iā ʻoe:

• kiwikā puʻuwai puʻuwai
• maʻi puʻuwai congenital
• maʻi maʻi puʻuwai
• pōpilikia naʻau
• hypertrophic cardiomyopathy
• kahi moʻolelo o endocarditis
• mōʻaukala o ka hoʻohana lāʻau lāʻau kū ʻole
• mitral kiwikā prolaps a me ka nohona kiwikā regurgitation (kulu) a me / a mānoanoa kiwikā leaflets

ʻOi aku ka kiʻekiʻe o ka endocarditis infective ma hope o nā kaʻina hana e ʻae ai i ka bacteria i ke kahe o ke koko. Pākuʻi ʻia kēia mau mea:

• nā kaʻina hana niho e pili ana i ka gum
• hoʻokomo o catheters a nila paha
• nā kaʻina hana e mālama ai i nā maʻi

ʻAʻole hoʻokau kēia mau kaʻina hana i ka hapanui o ka poʻe olakino i ka makaʻu. Eia naʻe, ʻoi aku ka makaʻala o ka poʻe i loaʻa hoʻokahi a ʻoi paha nā mea pilikia no ka endocarditis infective. Inā makemake ʻoe i kekahi o kēia mau kaʻina hana, e kamaʻilio mua me kāu kauka. Hoʻokomo ʻia ʻoe i nā antibiotic ma mua o kāu kipa.

ʻIke i ka endocarditis infective

Ke kipa aku ʻoe i kāu kauka, e noi mua ʻia ʻoe e wehewehe i kāu mau hōʻailona. E hana ana kāu kauka i kahi hoʻokolokolo kino. E hoʻolohe lākou i kou puʻuwai me kahi stethoscope a nānā i nā kani o kahi ʻōhumu, kahi e loaʻa ai me ka endocarditis infective. E nānā paha kāu kauka no ke kuni a manaʻo no kahi spleen hoʻonui ʻia ma ke kaomi ʻana i kou ʻōpū hema hema.

Inā kānalua kāu kauka i ka endocarditis infective, e hoʻāʻo ʻia kou koko no ka bacteria. Hiki ke hoʻohana ʻia kahi helu piha o ke koko (CBC) e nānā no ka anemia. Hiki ke loaʻa kahi hemahema o nā hunaola ʻulaʻula me ka endocarditis infective.

E kauoha paha kāu kauka i kahi echocardiogram, a i ʻole kahi ultrasound o ka puʻuwai. Hoʻohana kēia kaʻina hana i nā nalu kani e hana i kiʻi. Hoʻokomo ʻia paha ke kani ultrasound ma kou umauma. ʻOkoʻa, e wili ʻia paha kahi mea liʻiliʻi i lalo i kou puʻu a i loko o kou esophagus. Hiki i kēia ke hāʻawi i kahi kiʻi kikoʻī kikoʻī. Nānā ka echocardiogram no nā mea i hōʻino ʻia, nā lua, a i ʻole nā ​​hoʻololi kūloko ʻē aʻe i loko o kāu kiʻina puʻuwai.

E kauoha paha kāu kauka i kahi electrocardiogram (EKG). Nānā kahi EKG i ka hana uila i kou puʻuwai. Hiki i kēia hōʻoia hōʻeha ʻole ke loaʻa i kahi puʻuwai puʻuwai kūpono ʻole i hoʻokumu ʻia e endocarditis.

Hiki i nā hoʻāʻo kiʻi ke nānā inā ua hoʻonui ʻia kou puʻuwai. Hiki paha iā lākou ke ʻike i nā hōʻailona o ka maʻi i pāhola ʻia i nā wahi ʻē aʻe o kou kino. ʻO ia mau hoʻāʻo e:

• umauma X-ray
• kamepiula tomography compute (CT)
• kiʻi resonance ʻume mākenēki (MRI)

Inā ʻike ʻia ʻoe me ka endocarditis infective, e hoʻokomo koke ʻia ʻoe i ka haukapila no ka lāʻau.

Ke mālama nei i ka endocarditis infective

Hiki i ka endocarditis infective ke kumu i ka hōʻino i ka puʻuwai. Inā ʻaʻole e hopu a mālama koke ʻia, hiki ke lilo i mea hoʻoweliweli i ke ola. Pono ʻoe e mālama ʻia i kahi haukapila e pale ai i ka maʻi mai nā mea ʻino a hiki i nā pilikia.

Nā lāʻau Antibiotics a me ka lāʻau lapaʻau mua

ʻOiai ma ka haukapila, e nānā ʻia kāu mau hōʻailona koʻikoʻi. Hāʻawi ʻia ʻoe i nā lāʻau antibiotic (IV). Ke hoʻi ʻoe i ka home, e hoʻomau ʻoe me nā antibiotic waha a i ʻole IV no ʻehā mau pule. I kēia manawa, e kipa mau ʻoe i kāu kauka. ʻO nā hoʻokolohua koko maʻamau e nānā i ka hala ʻana o ka maʻi.

ʻOki kino

Pono paha ke ʻōpala inā ua hōʻino ʻia nā valves o kou puʻuwai. Hiki paha i kāu kaukukiko ke paipai i ka hoʻoponopono ʻana i ka kiʻekiʻena puʻuwai. Hiki ke pani ʻia i ka kiwikā e hoʻohana nei i ka nohona hou i hana ʻia mai nā kiko holoholona a i ʻole nā ​​mea hana hana.

Pono paha ke ʻoki kino inā ʻaʻole holo nā antibiotic a i ʻole inā he fungal ka maʻi. ʻAʻole kūpono nā lāʻau lapaʻau anttifungal no nā maʻi i loko o ka puʻuwai.

Loaʻa a me ka nānā

Inā haʻalele ʻole ʻia, e make ana kēia ʻano. Eia nō naʻe, hiki i ka hapanui o ka poʻe ke ola me ka lāʻau antibiotic. Aia ka manawa o ke ola ʻana i nā kumu e like me kou makahiki a me ke kumu o kāu maʻi. Eia hou, ʻo nā mea maʻi e loaʻa i ka mālama mua ʻana ka manawa kūpono no ka hoʻoponopono hou ʻana.

Lōʻihi paha kēia iā ʻoe e hoʻōla holoʻokoʻa inā pono ke ʻoki.