Endocarditis ndi matenda a mkati mwake. Endocarditis kawirikawiri imayambitsidwa ndi matenda a bakiteriya ndipo ikhoza kuphatikizapo mapuloteni a mtima wa valves ndi minofu ya mtima yokha. Kupereka maantibayotiki pofuna kuteteza endocarditis amatchulidwa kuti "endocarditis prophylaxis."
Zomwe Zimayambitsa Endocarditis Prophylaxis
Chifukwa endocarditis ikhoza kusokoneza mitima ya minofu ndi yamtima, nthawi zonse ndi vuto lalikulu ndipo nthawi zambiri limayambitsa moyo.
Kuwonjezera pamenepo, matenda a endocarditis angakhale ovuta kuchiza, popeza mankhwala angapangitse milungu ingapo ya mankhwala osokoneza bongo, ndipo nthawi zina amafuna opaleshoni ya mtima yotseguka. Mwachiwonekere, ndi bwino kuteteza endocarditis kusiyana ndi kuchiza.
Ngakhale mayesero akuluakulu a chipatala akuwonetsa kuti mphamvu ya endocarditis prophylaxis ikusowa, pali zifukwa zamphamvu zogwiritsira ntchito.
Theory of Endocarditis Prophylaxis
Kwa anthu ambiri, pamene angapo mabakiteriya amalowa m'magazi, chitetezo cha thupi chikhoza kuchotsa mabakiteriya m'magazi mofulumira komanso moyenera.
Komabe, mwa anthu omwe ali ndi matenda amtundu wina, mabakiteriya angagwidwe mkati mwa magazi osokonezeka mkati mwa mtima, ndipo kenako "amamatira" kumalo osungira, komwe angayambitse matenda.
Lingaliro la nyuma la endocarditis prophylaxis ndi kugwiritsa ntchito maantibayotiki kuti aphe mabakiteriya aliwonse omwe alowa m'magazi asanakhale nawo mwayi wokonza matenda mkati mwa mtima.
Pachifukwa ichi, akatswiri amalimbikitsa kuti anthu omwe ali pangozi yaikulu yotenga matenda a endocarditis ayenera kulandira ma antibayotiki asanayambe njira zamankhwala zomwe zingayambitse mabakiteriya m'magazi.
Kodi Kuyenera Kugwiritsa Ntchito Prophylaxis Nthawi Yanji?
Umboni waposachedwapa umasonyeza kuti anthu ambiri omwe ali ndi vuto la mtima ali pachiopsezo chochepa cha matenda otchedwa endocarditis kuposa omwe poyamba ankakhulupirira, choncho safunikira endocarditis prophylaxis.
Malangizowa adasinthidwa kwambiri ndi American Heart Association ndi American College of Cardiology kuti amvetsetse kumvetsetsa kwatsopano.
Endocarditis prophylaxis tsopano ikulimbikitsidwa kokha kwa anthu omwe ali pachiopsezo chochuluka cha matenda a endocarditis.
Izi zikuphatikizapo:
- odwala okhala ndi valve yamtima
- odwala omwe amakonzanso mtima pogwiritsa ntchito ma prosthetic (zolemba: izi sizikuphatikizapo mitsempha yamatumbo )
- odwala okhala ndi mbiri yakale ya endocarditis
- odwala omwe ali ndi matenda ena a mtima omwe sagwiritsidwa ntchito mopanda malire kapena osakonzekera bwino
- odwala omwe asintha mitima yawo ndipo kenako amayamba mavuto a mtima
Tiyenera kudziwa kuti malangizo omwe alipo panopa sapereka endocarditis prophylaxis kwa odwala ambiri aortic stenosis , aortic regurgitation , kapena mitral valve matenda (kuphatikizapo omwe ali ndi mitral valve prolapse ), kapena odwala omwe ali ndi hypertrophic cardiomyopathy .
Ndondomeko ziti?
Malangizo atsopano amalimbikitsa prophylaxis pokhapokha mwa njira zamankhwala izi:
- Njira za mano zomwe zimakhudza kugwiritsidwa ntchito kwa mano kapena mizu ya mano, kuphatikizapo kuyeretsa mano nthawi zonse.
- njira zomwe zimafunikila kuwonetsetsa kapena zochitika zapumtima kapena pakamwa, monga tonsillectomy , kapena bronchoscopy ndi biopsy.
- Njira zomwe zimakhudzana ndi zomwe zimayambitsa matendawa.
Chochititsa chidwi, antibiotic prophylaxis sichikulimbikitsidwanso njira zothandizira m'mimba kapena m'mimba.
Ndi Antibayotiki Yanji?
Kawirikawiri, amoxicillin imalimbikitsidwa ngati mankhwala osakaniza ngati prophylaxis ikufunika. American Heart Association ili ndi chitsogozo cha endocarditis prophylaxis chomwe chimatchula ma antibayotiki ena ngati vuto la amoxicillin silikugwiritsidwa ntchito.
Zotsatira:
Wilson W, Taubert KA, Gewitz M, et al. "Kuteteza matenda opatsirana pogonana: malangizo ochokera ku American Heart Association: chitsogozo cha American Heart Association Rheumatic Fever, Endocarditis, ndi Komiti ya Kawasaki Disease, Council on Cardiovascular Disease in Young, ndi Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, ndi Care of Care and Outcomes Kafukufuku Wopangira Ntchito Zogwirira Ntchito. " Kudutsa. 2007 Oct 9; 116 (15): 1736-54.
Nishimura RA, Otto CM, Bonow RO, ndi al. 2014 AHA / ACC chitsogozo cha odwala odwala matenda a valvular: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014; 63: e57.