Endocarditis waa infakshan ku dhaca maqaarka gudaha ee wadnaha (maqaarka agagaarka ah). Endocarditis waxaa badanaa keena infekshanka bakteeriyada waxayna ku lug leedahay qashinka gubashada ee wadnaha wadnaha iyo muruqyada wadnaha. Siinta daawada disha jeermiska cudurada keena ee loo yaqaan 'endocarditis prophylaxis.'
Mucaaradku waxay ku xigaan Endocarditis Prevention
Sababtoo ah endocarditis waxay burburin kartaa muruqyada wadnaha iyo wadnaha wadnaha, marwalba waa dhibaato halis ah, badanaaba nolosheeda khatar ku ah.
Waxaa intaa dheer, endokarditis-ka ayaa adkaan karta in lagu daaweeyo, maadaama daaweyntu u baahan tahay dhowr todobaad oo antibiyootiko ah, marmarna waxay u baahan tahay qalliinka wadnaha furan. Sida iska cad, waxaa fiican in laga hortago endokarditis-ka sidii loo daweyn lahaa.
In kasta oo tijaabooyinka caafimaad ee ugu weyn ee caddaynaya waxtarka loo yaqaan 'endocarditis prophylaxis' la'aanteed, waxaa jira sababo xoog leh oo loo isticmaalo isticmaalka.
Daraasada Endocarditis Painylaxis
Dadka badankood, marka tiro yar oo ah bakteeriyadu gasho dhiigga, habka difaaca jirka ayaa si dhakhso ah iyo si hufan leh uga dhigi kara bakteeriyada dhiiga.
Si kastaba ha noqotee, dadka qaba noocyada dhibaatooyinka wadnaha qaarkood, bakteeriyadu waxay ku xannibi kartaa dhiigga qulqulaya ee wadnaha dhexdiisa ah, kadibna "dhejis" ujirta qatarta, halkaasoo ay keeni karaan caabuq.
Fekerka ka dambeeya endocarditis prophylaxis waa isticmaalka antibiyootiko si loo dilo bakteeriyada galeysa dhiigga ka hor inta aanay fursad u helin inay ku dhiciyaan cudurka wadnaha.
Sababtan awgeed, khabiiradu waxay ku talinayaan in dadka qaba khatarta sare ee cudurka loo yaqaan 'endocarditis' ay waajib ku tahay inay qaataan antibiyootikada faafa kahor intaanay haysanin habab caafimaad oo ay u badan tahay in ay bakteeriyadu ku shubaan dhiigga.
Goorma ayay tahay in la isticmaalo kahortaga?
Caddaynta dhowaan waxay soo jeedinaysaa in dadka qaba xaaladaha wadnaha intooda ugu badani ay halis weyn ugu yahiin inay joojiyaan cudurka loo yaqaan 'endocarditis' marka loo eego hore loo rumaystay, sidaas darteed uma baahna 'endocarditis prophylaxis'.
Tilmaamaha ayaa waxaa si weyn u cusbooneysiiyay Heart Association Association iyo College of Cardiology ee Maraykanka si ay u muujiyaan fahamkan cusub.
Endocarditis prophylaxis waxaa hadda lagu talinayaa kaliya dadka ku jira khatarta ugu badan ee loo yaqaan endocarditis.
Kuwaas waxaa ka mid ah:
- bukaanka leh qalab dabiici ah oo dabiici ah
- bukaannada leh qalabka dayactirka wadnaha iyadoo la isticmaalayo qalabka daaweynta (fajac: tan kuma jiraan stent coronary artery)
- bukaanka qaba taariikhda hore ee cudurka endokarditis
- bukaanka qaba cudurrada wadnaha ee lagu dhasho ee aan dhicin ama aan dhammeystirnayn
- bukaanka kuwaas oo lafilaa wadnaha oo dib u dhac ku yimaada dhibaatooyinka wadnaha wadnaha
Waxaa haboon in la ogaado in tilmaan-bixiyeyaashu aysan kugula talineynin in loo yaqaan 'endocarditis prophylaxis' oo loogu talagalay bukaanka badankooda leh stenosis aortic , aortic aortic , ama cudur mitral ah (oo ay ku jiraan kuwa leh mitral valve prolapse ), ama loogu talagalay bukaanka qaba kiniiniyada wadnaha ee hypertrophic cardiomyopathy .
Nidaamkee?
Tilmaamaha cusubi waxay kugula talinayaan in la sii daayo oo kaliya hababka caafimaad ee loogu talagalay:
- nidaamyada ilkaha ee ku lug leh maareynta cirridka ama xididdada ilkaha, oo ay ku jiraan nadiifinta ilkaha ee joogtada ah.
- hababka loo baahan yahay in la jeexay ama biopsies ee mareenka neefta ama afka, sida qumanka tiibayda , ama bronkoskopi oo laga qaado dheecaan.
- hannaanka la xidhiidha jeexjeexyada unugyada cudurka qaba.
Waxaa macquul ah, in antibiyootikada loo yaqaan 'prophylaxisis' aan lagula talin hababka nidaamyada habka dheef-shiid kiimikaad ama jimicsiga.
Waa kuwee Antibiotics?
Guud ahaan, amoxycillin waxaa lagula taliyaa sidii antibiyootikada doorashada haddii loo baahdo baaritaanka. American Heart Association waxay leedahay hage loogu talagalay endocarditis prophylaxis oo ku qoran liiska antibiyootigyada kale ee loo yaqaan 'amoxicillin' aan loo isticmaali karin.
Ilaha:
Wilson W, Taubert KA, Gewitz M, iyo al. "Ka hortagga infekshanka infakshanka infakshanka: tilmaamaha ka yimaada Wadnaha Wadnaha Mareykanka: tilmaam ka yimid Xarunta Qalitaanka Wadnaha ee Maraykanka 'Rheumatic Fever', Endocarditis, iyo Guddiga Cudurka Kawasaki, Golaha Cudurka Wadnaha iyo Dhakhtarka Wadnaha, iyo Golaha Daaweynta Wadnaha iyo Qalitaanka Wadnaha Suuxinta, iyo Tayada Daryeelka iyo Natiijooyinka Cilmi-baarista Isku-darka Isku-dhafiska. " Wareegid. 2007 Oct 9; 116 (15): 1736-54.
Nishimura RA, Otto CM, Bonow RO, et al. 2014 AHA / ACC talooyin loogu talagalay maareynta bukaanka qaba cudurrada wadnaha ee wadnaha: warbixinta Kulliyaanka Maraykanka ee Wadnaha (Cardiology) / Qalabka American Heart Association Association ee Tilmaamaha Tababarka. J Am Coll Cardiol 2014; 63: e57.