Infective endocarditis chirwere chinopisa mukati memadziro emwoyo (endocardium) uye nemikombe yakakura iri pedyo, pamwe nemagetsi emwoyo. Kusapindira endocarditis kunokonzerwa nemhando dzakasiyana siyana dzemakiromita:
- streptococci;
- staphylococci;
- enterococci;
- Pseudomonas aeruginosa;
- fungi ye genus Candida, nezvimwewo.
Izvo zvinogona kutapurirwa endocarditis
Utachiwana hunowanzobata hutachiona hwemwoyo hunovharidza mwoyo kana endocardium. Iboka rinotyisa rinosanganisira varwere vane rheumatic, atherosclerotic uye zvinotyisa zvinokuvadza valve. Uyewo, chirwere chacho chinowanzoonekwa nevanhu vane mavharese evhavha uye maitiro ekugadzirisa. Ngozi yekutapurirwa chirwere chinotapukira chinowedzera nekuwedzera kwenguva yakawanda nekuputika uye kurwisa immunodeficiency states.
Zviratidzo zvehupombwe endocarditis
Iko kuratidzwa kukuru kwechirwere ichi:
- fever (nguva dzose kana yevy);
- sweating;
- kushaya simba, kunyanya;
- kurwadziwa mubhokisi;
- tachycardia;
- kuyerwa kwemuviri;
- joint pain;
- ganda rakaoma;
- ruvara rweganda;
- haemorrhage kune retina, nezvimwewo.
Infective endocarditis - classification
Kusvikira munguva pfupi ichangopfuura, endocarditis inotapukira yakapatsanurwa kuva yakaoma uye yechirwere. Mazuva ano izwi iri risina kushandiswa, uye chirwere chinosarudzwa sezvinotevera.
Nekugara munzvimbo:
- left-hand handed native valve;
- kuruboshwe-sided prosthetic valve (kutanga nekupera);
- right-sided;
- inobatanidza nekuiswa kwechigadzirwa.
Nenzira yeutachiona:
- zvine chokuita neutano;
- kunze kwechipatara;
- inobatanidza ne-intravenous drug use.
Maererano nechimiro chechirwere ichi:
- kushanda;
- returnable.
Kuongororwa kwehupombwe endocarditis
Kuti ugadzirise kunyatsoongorora, nzira dzinotevera dzinoongorora dzinodiwa:
- kunyoresa uye kukanganisa kwemwoyo;
- kuchipatara uye biochemical blood test (multiple);
- echocardiography.
Zvinetso zvekuvhiringidza endocarditis
Nehosha iyi, chirwere chinogona kupararira kune dzimwe nhengo, zvichikonzera zvirwere zvinotevera:
- Kubva pamutsvo: inoparadzanisa glomerulonephritis, nephrotic syndrome, focal nephritis, kusagadzikana kwetsvina.
- Kubva pachiropa: cirrhosis , hepatitis, abscess.
- Kubva kune rumwe rutivi rwepleen: abscess, splenomegaly, infarction.
- Kubva kumativi emapapu: pulmonary hypertension, infarction pneumonia, abscess.
- Kubva kune rumwe rutivi rwenheyo system: cerebral abscess, kushungurudzika kwakanyanya kwechirwere chemawere, meningitis , meningoencephalitis, hemiplegia.
- Kubva kumativi emidziyo: zvipembenene, vasculitis, aneurysms.
Kana kutapurika endocarditis isingarapwa, kunogona kutungamirira kumatambudziko anouraya:
- septic shock;
- multiple organ failure;
- acute heart failure;
- embolism muuropi.
Kurapa kwekuputika endocarditis
Apo kuongororwa kwe "infective endocarditis" inobva yaenderera mberi nekurapa maantibiotic. Kusarudzwa kwechirwere ichi kunobva kune rudzi rwepathogen uye ruzivo rwemishonga inorwisa mabhakitiriya. Chirwere chacho chinotarisirwa intravenously pane zvimwe zvikamu pakati pejojo (kuchengetedza zvakanyanya kufungidzira kwemishonga inouraya muropa). Uyewo, anti-inflammatory drugs, diuretics, antiarrhythmics, nezvimwewo zvinogona kurongerwa. Nguva yehutano inenge mwedzi. Mukati yekurapa, nguva dzose kuongororwa kuongororwa kunoitwa.
Mushonga wokuvhiya unotarisirwa apo:
- kusava nemafungiro akanaka emishonga inorwisa mabhakitiriya;
- chronic heart failure;
- sepsis;
- benzi remoyo;
- kubatanidzwa mukushanda kwevhavhavharavha;
- nguva dzose embolism.
Prophylaxis yekupererwa endocarditis
Kudzivirira kwechirwere, chinosanganisira kutora antibiotics, kunoitwa nevarwere vari pangozi mumamiriro ezvinhu akadaro:
- uye mazino uye mamwe manzwiro pamuromo, mumasasa, mumapfupa ekufema uye mukati mezeve, iyo inoperekedzwa neropa;
- pamwe nechingwa uye kupindira kwekuroreswa kweukoro.