Ọrịa

Endocarditis bụ mbufụt nke n'ime ime ime ụlọ obi na valvụ obi (endocardium). Ọ bụ nje na-ebute ya ma ọ bụ, adịkarịghị ọrịa fungal.

Endocarditis nwere ike ịgụnye akwara obi, valvụ obi, ma ọ bụ mkpuchi obi. Fọdụ ndị na-amalite endocarditis nwere:

• Omumu nke obi
• Valvụ obi mebiri emebi ma ọ bụ na-adịghị ahụkebe
• Akụkọ banyere endocarditis
• Obi obi ọhụrụ mgbe a wachara gị ahụ
• Addiction addictionụ ọgwụ ọjọọ nke nne na nna (ogwu)

Endocarditis na-amalite mgbe ụmụ nje banye n'ọbara wee banyezie n'obi.

• Nje bacteria bụ ihe kachasị akpata endocarditis.
• Endocarditis nwekwara ike ịbụ fungi, dịka Candida.
• N'ọnọdụ ụfọdụ, enweghị ike ịchọta ihe kpatara ya.

Germs nwere ike ịbanye n'ọbara n'oge:

• Usoro uzo ikuku
• Ntu ogwu ogwu, site na iji ogwu adighi ocha (nke adighi adi)
• Surgerywa ahụ eze na-adịbeghị anya
• Surwa ndị ọzọ ma ọ bụ obere usoro ịkpụ ume, akụkụ urinary, akpụkpọ anụ nwere ọrịa, ma ọ bụ ọkpụkpụ na akwara

Mgbaàmà nke endocarditis nwere ike ịmalite nwayọọ nwayọọ ma ọ bụ na mberede.

Ahụ ọkụ, akpata oyi, na ọsụsọ bụcha mgbaàmà. Ndị a mgbe ụfọdụ nwere ike:

• Nọrọ ruo ụbọchị ole na ole tupu ihe mgbaàmà ọ bụla apụta
• Bịa ma gawa, ma ọ bụ bụrụ onye a ma ama karị n'abalị

May nwekwara ike inwe ike ọgwụgwụ, adịghị ike, na mgbu na mgbu na akwara ma ọ bụ nkwonkwo.

Ihe ịrịba ama ndị ọzọ nwere ike ịgụnye:

• Obere mpaghara ọbara ọgbụgba n'okpuru mbọ (ọgbụgba ọgbụgba)
• Ọcha ọbara ọbara, ntụpọ anụ ahụ na-adịghị egbu mgbu na ọbụ aka na ọbụbọ (ọnya Janeway)
• Red, nhụjuanya na-egbu mgbu na pads nke mkpịsị aka na mkpịsị ụkwụ (Osler nodes)
• Iku ume ọkụ ọkụ na ọrụ
• Mgbapu ụkwụ, ụkwụ, afọ

Onye nlekọta ahụike nwere ike ịchọpụta nkpu obi ọhụrụ, ma ọ bụ mgbanwe na ntamu obi gara aga.

Nnyocha anya nwere ike igosi ọbara ọgbụgba na retina na mpaghara etiti mkpocha. A maara nchọpụta a dị ka ntụpọ Roth. Enwere ike ịnwe obere, ebe pere mpe nke na-agba ọbara n'elu anya ma ọ bụ nkuanya.

Ule nke enwere ike ime gunyere:

• Omenala ọbara iji nyere aka chọpụta nje ma ọ bụ ero nke na-ebute ọrịa ahụ
• Ọnụọgụ ọbara zuru ezu (CBC), protein protein C-reactive (CRP), ma ọ bụ ọnụ ọgụgụ erythrocyte sedimentation (ESR)
• Echocardiogram iji lee obi obi

Nwere ike ịnọ n'ụlọ ọgwụ iji nweta ọgwụ nje site na akwara (IV ma ọ bụ intravenously). Omenala ọbara na ule ga-enyere onye na-eweta gị aka ịhọrọ ọgwụ mgbochi kacha mma.

Then ga-ahụzi ọgwụgwọ ọgwụ mgbochi ogologo oge.

• Ndị mmadụ na-achọkarị ọgwụgwọ maka izu 4 ruo 6 iji gbuo nje niile sitere na ụlọ obi na valves.
• Ọgwụ mgbochi nje nke bidoro n'ụlọ ọgwụ ga-ekwesiri ịga n'ihu n'ụlọ.

Wa ahụ iji dochie valvụ obi na-adịkarị mkpa mgbe:

• Ọrịa ahụ na-agbaji obere iberibe, na-ebute ọrịa strok.
• Onye ahu na - amalite iku obi ma o bu obi obi nke mebiri emebi.
• Enwere ihe akaebe nke mmebi ahụ dị oke njọ.

Inweta ọgwụgwọ maka endocarditis ozugbo na-emezi ohere nke ezigbo nsonaazụ.

Nnukwu nsogbu ndị nwere ike ibilite gụnyere:

• Brain etuto
• Mmebi ọzọ na valvụ obi, na-akpata nkụda obi
• Gbasa ọrịa ahụ n'akụkụ ndị ọzọ nke ahụ
• Ọrịa strok, nke obere mkpụchi ma ọ bụ iberibe ọrịa ahụ na-agbaji na-aga ụbụrụ

Kpọọ onye na-eweta gị ma ọ bụrụ na ị chọpụta ihe mgbaàmà ndị a n'oge ma ọ bụ mgbe ị gwọchara ya:

• Ọbara na mmamịrị
• Obi mgbu
• Ike ọgwụgwụ
• Ahụ ọkụ nke na-adịghị apụ apụ
• Ahụ ọkụ
• Ọnụ ọgụgụ
• Adịghị ike
• Iwetulata ibu n’enweghi mgbanwe na nri

Hearttù American Heart Association na-atụ aro ọgwụ nje na-egbochi mgbochi maka ndị nọ n'ihe ize ndụ maka ọrịa endocarditis na-efe efe, dị ka ndị nwere:

• Defọdụ ntụpọ ọmụmụ nke obi
• Nsogbu obi na nsogbu valve
• Prosthetic obi valves (obi valves ịtinye site dọkịta na-awa)
• Akụkọ banyere endocarditis gara aga

Ndị a kwesịrị ịnara ọgwụ nje mgbe ha nwere:

• Usoro eze nke nwere ike ibute ọbara ọgbụgba
• Usoro nke metụtara tract iku ume
• Usoro nke metụtara urinary tract system
• Usoro nke metụtara akụkụ nri nri nri
• Usoro maka ọrịa anụ ahụ na ọrịa anụ ahụ dị nro

Ọrịa Valve; Staphylococcus aureus - endocarditis; Enterococcus - endocarditis; Streptococcus viridans - endocarditis; Candida - endocarditis

• Surgerywa ahụ valvụ obi - ihapu

• Obi - ngalaba site n'etiti
• Obi - echiche dị n'ihu
• Janeway lesion - dị nso
• Ọkpụkpụ Janeway na mkpịsị aka
• Obi valves

Baddour LM, Freeman WK, Suri RM, Wilson WR. Ọrịa obi. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 73.

Baddour LM, Wilson WR, Bayer AS, et al. Ọzọ Ọrịa endocarditis na ndị okenye: nchoputa, ọgwụgwọ antimicrobial, na njikwa nke nsogbu: nkwupụta sayensị maka ndị ọkachamara ahụike sitere na American Heart Association. Mgbaghari. 2015; 132 (15): 1435-1486. PMID: 26373316 www.ncbi.nlm.nih.gov/pubmed/26373316.

Fowler VG, Bayer AS, Baddour LM. Ọrịa endocarditis. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke iri abụọ na ise. Philadelphia, PA: Elsevier Saunders; 2016: isi 76.

Fowler VG, Scheld WM, Bayer AS. Endocarditis na ọrịa intravascular. Na: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, na Bennett Prinkpụrụ na Omume nke Ọrịa Na-efe Ọrịa. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: isi nke 82.