Endocarditis bụ ọrịa nke n'ime obi obi (njedebe endocardial). Ọrịa nje bacteria na-ebute ọrịa endocarditis ma nwee ike ịgụnye ngọngọ endocardial nke obi valves na nke obi obi. Ejiri ọgwụ nje mee ihe iji gbalị igbochi endocarditis bụ "endocarditis prophylaxis."
Rationale Behind Endocarditis Prophylaxis
Ebe ọ bụ na endocarditis nwere ike imebi obi obi na obi valves, ọ bụ mgbe niile nnukwu nsogbu ma na-adịkarị ndụ.
Ọzọkwa, endocarditis nwere ike isi nnọọ ike ịgwọ, ebe ọ bụ na ọgwụgwọ nwere ike ịchọ izu ole na ole nke ọgwụ nje nje, na mgbe ụfọdụ, ịchọrọ ịwa obi. N'ụzọ doro anya, ọ ka mma iji gbochie endocarditis karịa ịme ya.
Ọ bụ ezie na ọnwụnwa ndị siri ike na-egosi na njedebe nke endocarditis prophylaxis adịkwaghị, e nwere ezigbo ihe mgbakwasị ụkwụ maka ya.
Theory of Endocarditis Prophylaxis
N'ọtụtụ mmadụ, mgbe obere nje bacteria na-abanye n'ọbara, usoro nchebe nke ahụ nwere ike ikpochapụ nje bacteria na ọbara ngwa ngwa ma rụọ ọrụ nke ọma.
Otú ọ dị, n'ime ndị nwere ụdị nsogbu obi, nje bacteria nwere ike ịdaba n'ime ọbara ọgbụgba na-agbanye n'ime obi, ma 'dụ' na endocardial lining, ebe ha nwere ike ịkpata ọrịa.
Ebumnuche n'azụ endocarditis prophylaxis bụ iji ọgwụ nje mee ihe iji gbuo nje bacteria na-abanye n'ọbara tupu ha enwe ohere iji dozie ọrịa n'ime obi.
N'ihi nke a, ndị ọkachamara na-atụ aro na ndị nwere nnukwu ihe ize ndụ nke ịmepụta endocarditis kwesịrị ịnweta ọgwụ nje ndị na-akpata prophylactic tupu ha enwe usoro ọgwụgwọ nwere ike ịmebata bacteria n'ime ọbara.
Kedu Mgbe E Kwesịrị Iji Njikere Eme Ihe?
Ihe ngosi nke oge a na-enye echiche na ọtụtụ ndị nwere obi obi na-enwekarị ihe ize ndụ nke endocarditis karia na mbụ ekwenyere, ya mere adịghị mkpa endocarditis prophylaxis.
Ndi ndu American Heart Association na American College of Cardiology ka emetuta nduzi ndi a iji gosiputa echiche ohuru a.
A na-atụ aro na endocarditis prophylaxis nanị maka ndị mmadụ nọ n'ọnọdụ kasị njọ maka endocarditis.
Ndị a gụnyere:
- ndị na-arịa ọrịa na-arụ ọrụ
- ndị ọrịa nwere mgbatị obi site na iji ihe gbasara prosthetic (dee: nke a anaghị agụnye ụdọ akwara ọbara)
- ndị ọrịa nwere akụkọ ihe mere eme nke endocarditis
- ndị ọrịa na-arịa ọrịa ọrịa obi na-arịa ọrịa na-enweghị atụ ma ọ bụ nke edozibeghị
- ndị ọrịa ndị transplanted obi ndị na-emesị ghọọ nsogbu valve obi
O kwesiri iburu n'uche na nduzi nke ugbu a adighi adighi akwado endocarditis prophylaxis maka otutu ndi mmadu nwere oria ogwu, oria ogwu, ma obu mmeri valve (tinyere ndi nwere otutu valve prolapse ), ma obu maka ndi nwere oria na hypertrophic cardiomyopathy .
Kedu usoro?
Ntụziaka ọhụrụ ahụ na-akwado prophylaxis nanị maka usoro ọgwụgwọ ndị a:
- usoro nke eze na-etinye aka n'olu ma ọ bụ mgbọrọgwụ nke ezé, gụnyere ịmecha ahụ eze.
- usoro nke choro ntughari ma ọ bụ biopsies nke traktị na iku ume, dịka tonsillectomy , ma ọ bụ bronchoscopy na biopsy.
- usoro ndị metụtara ikuku nke oria nje.
N'ụzọ doro anya, a naghịzi akwado ọgwụ prophylaxis maka usoro nke eriri afọ ma ọ bụ usoro genitourinary.
Kedu ọgwụ nje?
N'ozuzu, a na-atụ aro ịṅụ ọgwụ na-egosi na ọ bụrụ na a chọrọ prophylaxis. Òtù Na-ahụ Maka Obi n'America nwere nduzi nke endocarditis prophylaxis na-edepụta ọgwụ ndị ọzọ dị iche iche ma ọ bụrụ na amoxicillin enweghị ike iji.
Isi mmalite:
Wilson W, Taubert KA, Gewitz M, et al. "Mgbochi nke endocarditis infective: ntụziaka site na American Heart Association: ntụziaka site na American Heart Association Rheumatic Fever, Endocarditis, na Kọmitii Ọrịa Kawasaki, Council on Disease Cardiovascular in the Young, na Council on Clinical Cardiology, Council on Cancer Cardiovascular and Anesthesia, na Nlekọta Nlekọta na Nsonaazụ Nchọpụta Mgbasaozi Ọrụ. " Nsogbu. 2007 Ọkt 9; 116 (15): 1736-54.
Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA / ACC maka nduzi nke ndị nwere ọrịa obi valvular: akụkọ nke American College of Cardiology / American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014; 63: e57.