I-endocarditis ye-Infection iyisifo esibangela iindonga zangaphakathi zentliziyo (endocardium) kunye neenqanawa ezikufutshane, kunye neentsimbi zentliziyo. I-endocarditis echaphazelekayo ibangelwa yiindidi ezahlukahlukeneyo ze-microorganisms:
- streptococci;
- staphylococci;
- enterococci;
- Pseudomonas aeruginosa;
- iifungi ze-Candida, njl.
Ubunokwenzeka bokuphela kwe-endocarditis
Usulelo luhlala lusichaphazela i-valve heart valve okanye i-endocardium. Iqela lomngcipheko liquka izigulane ezinokulimala kwe-rheumatic, atherosclerotic and traumatic valve. Kwakhona, esi sifo siqhelekile kubantu abaneenqwelwana ze-valve kunye ne-pacemakers yokufakelwa. Umngcipheko wokuphucula i-endocarditis echaphazelekayo ukwanda kunye nexesha elide lokuxhamla kunye nokulwa ne-immunodeficiency states.
Izibonakaliso zokuphela kokuphefumula
Imbonakalo ebalulekileyo yesi sifo kukuba:
- umkhuhlane (rhoqo okanye i-wavy);
- ukukhupha;
- ubuthathaka jikelele, ukukhathala;
- intlungu esifuba;
- tachycardia;
- ukunyuka komzimba;
- intlungu;
- isikhumba esomileyo;
- ukugqithisa isikhumba;
- ukubola kwegazi kwi-retina, njl
I-endocarditis ye-Infective - i-classification
Kuze kube kutshanje, i-endocarditis echaphazelekayo yahlukana yaba yinto eqaqambileyo. Namhlanje eli sigama asisetyenzisiweyo, kwaye eso sifo sibalwa ngolu hlobo lulandelayo.
Ngendawo:
- i-valves yasekhaya ekhohlo;
- i-valve ye-prosthetic valve (ngasekuqaleni nasemva kwexesha);
- elisekunene;
- inxulumene nokufakela kwesi sixhobo.
Ngendlela yokusuleleka:
- ezinxulumene nokunakekelwa kwezonyango;
- ngaphandle kwesibhedlele;
- idibene nokusetyenziswa kweziyobisi.
Ngokwendlela yesifo:
- esebenzayo;
- buyiswa.
Ukuxilongwa kwe-endocarditis
Ukuseka ukuxilongwa ngokuchanekileyo, iindlela ezilandelayo zokuxilongwa zifunekayo:
- ukubethelwa kunye nokuxubusha kwentliziyo;
- uvavanyo lwegazi lweklinikhi kunye negazi (ezininzi);
- echocardiography.
Iingxaki ze-endocarditis
Ngesi sifo, isifo singasasazeka nakwezinye izitho, kubangele izifo ezilandelayo:
- Ukusuka kwiintso: ukusabalalisa i-glomerulonephritis, i-nephrotic syndrome, i-nephritis egxile, ukungaphumeleli kwe-renal.
- Ukususela esibindi: i- cirrhosis , i-hepatitis, i-abscess.
- Ukusuka kwicala lepeni: i-abscess, splenomegaly, infarction.
- Ukusuka kwicala lomphunga: i-pulmonary hypertension, i-infarction pneumonia, i-abscess.
- Ukususela kwicala le-nervous system: i-abscess cassbral, ukuphazamiseka okukhulu kwe-cerebral circulation, meningitis , meningoencephalitis, hemiplegia.
- Ukususela kwicala leempahla: i-thromboses, vasculitis, aneurysms.
Ukuba i-endocarditis yokusuleleka ingaphathwa, ingakhokelela kwiinkathazo ezibulalayo:
- tshutshiswa;
- ukuhluleka kweqela;
- ukuhluleka kwentliziyo;
- ukuxhamla kwengqondo.
Unyango lwe-endocarditis
Xa ukuxilongwa "kwe-infoconitis endocarditis" ngokukhawuleza kuqhubeka unyango lwe-antibiotic. Ukukhethwa kweziyobisi kuxhomekeke kuhlobo lwe-pathogen kunye novelwano lwayo kumachiza omzimba. Isilwayo sinolawulo lwe-intravenously kwixesha elithile phakathi kweeyunithi (ukugcina uxinzelelo oluthe ngqo lwe-antibiotics egazini). Kwakhona, izidakamizwa ezichasayo, izidlovetics, antiarrhymics, njl njl njl. Ingadluliselwa. Ubude bonyango ubuncinane inyanga. Kwinkqubo yokonyango, uvavanyo oluqhelekileyo lwe-diagnostic lwenziwa.
Unyango oluphandwayo lufunekayo xa:
- ukungabikho kwempembelelo efanelekileyo yeyeza-antibiotics;
- ukuhluleka kwentliziyo engapheliyo;
- sepsis;
- ikhefu lentliziyo;
- ukubandakanyeka kwinkqubo ye-valve yeprothesis;
- ukuphindaphinda rhoqo.
Iprophylaxis ye-endocarditis ephene
Ukuthintela kwesi sifo, okubandakanya ukuthatha i-antibiotics, kwenziwa kwizigulane ezisengozini kwiimeko ezinjalo:
- kunye namazinyo kunye neminye imiba emlonyeni, emzimbeni, emphefumlweni kunye nasendlebe ephakathi, ehamba kunye nokuphuma kwegazi;
- ngeendlela zokunyangwa kwamathambo kunye nezindlela zokugonywa.