Ciwon ciki

Endocarditis shine kumburi daga cikin rufin ɗakunan zuciya da bawul na zuciya (endocardium). Kwayar cuta ce ke haifar da ita ko kuma, da wuya kwayar cuta ta fungal.

Endocarditis na iya ƙunsar tsokawar zuciya, kofofin zuciya, ko rufin zuciya. Wasu mutanen da suka ci gaba endocarditis suna da:

• Haihuwar zuciya
• Lalacewa ko ɓacin zuciya mara kyau
• Tarihin endocarditis
• Sabuwar bawul na zuciya bayan tiyata
• Iyayen yara (cikin kwayar cutar)

Endocarditis yana farawa lokacin da kwayoyin cuta suka shiga cikin jini sannan suyi tafiya zuwa zuciya.

• Kwayar cuta ta kwayar cuta ita ce mafi yawan cututtukan endocarditis.
• Endocarditis kuma na iya haifar da fungi, kamar Candida.
• A wasu lokuta, ba a iya samun dalilin hakan.

Gerwayoyin cuta na iya shiga cikin jini yayin:

• Lines na tsakiyar hanyar shiga
• Yin amfani da maganin allura, daga amfani da allurai marasa tsabta (marasa tsabta)
• Kwanan nan aikin tiyata
• Sauran tiyata ko ƙananan hanyoyin zuwa hanyar numfashi, sashin fitsari, fata mai cutar, ko ƙashi da tsokoki

Kwayar cututtukan endocarditis na iya bunkasa a hankali ko kwatsam.

Zazzabi, sanyi, da zufa sune alamomin ci gaba. Wadannan wani lokaci na iya:

• Kasance cikin kwanaki kafin wasu alamun bayyanar su bayyana
• Ku zo ku tafi, ko ku zama sananne sosai da dare

Hakanan ƙila ku sami gajiya, rauni, da ciwo a cikin tsokoki ko haɗin gwiwa.

Sauran alamun na iya haɗawa da:

• Areasananan yankuna na zub da jini a ƙarƙashin kusoshi (zubar jini)
• Ja, tabon fata mara zafi akan tafin hannu da tafin kafa (raunukan Janeway)
• Ja, nodes masu raɗaɗi a cikin kusassun yatsu da yatsun kafa (ƙoshin Osler)
• Breatharancin numfashi tare da aiki
• Kumburin kafafu, kafafu, ciki

Mai ba da sabis na kiwon lafiya na iya gano wani sabon gunaguni na zuciya, ko canji a cikin gunaguni na baya.

Gwajin ido na iya nuna zubar jini a cikin tantanin ido da kuma wani yanki na tsakiya na shara. Wannan binciken an san shi da suna Roth spots. Zai iya zama ƙananan, wuraren nuna jini na jini a saman idanun ko fatar ido.

Gwajin da za a iya yi sun hada da:

• Al'adar jini don taimakawa gano ƙwayoyin cuta ko naman gwari da ke haifar da kamuwa da cutar
• Cikakken ƙididdigar jini (CBC), furotin C-reactive (CRP), ko erythrocyte sedimentation rate (ESR)
• Echocardiogram don kallon bawul na zuciya

Kuna iya buƙatar kasancewa a asibiti don samun maganin rigakafi ta jijiya (IV ko intravenously). Al'adun jini da gwaje-gwaje zasu taimaka wa mai ba ku zaɓi zaɓi mafi kyau na rigakafi.

Kuna buƙatar buƙatar maganin rigakafi na dogon lokaci.

• Mutane galibi suna buƙatar magani don makonni 4 zuwa 6 don kashe dukkanin ƙwayoyin cuta daga ɗakunan zuciya da bawul.
• Magungunan rigakafi da aka fara a asibiti zasu buƙaci a ci gaba a gida.

Yin aikin tiyata don maye gurbin bawul din zuciya galibi ana buƙata yayin:

• Kamuwa da cuta yana ɓarkewa a ƙananan ƙananan, yana haifar da shanyewar jiki.
• Mutum ya kamu da ciwon zuciya sakamakon larurar zuciya.
• Akwai shaidar lalacewar gabobin da suka fi tsanani.

Samun magani ga endocarditis yanzunnan yana inganta damar samun sakamako mai kyau.

Problemsarin manyan matsalolin da zasu iya haɓaka sun haɗa da:

• Abswayar kwakwalwa
• Damagearin lalacewar bawul na zuciya, yana haifar da gazawar zuciya
• Yada kamuwa da cutar zuwa wasu sassan jiki
• Bugun jini, sanadiyyar ƙananan kumbura ko yanki na kamuwa da cuta ya karye kuma ya yi tafiya zuwa kwakwalwa

Kira mai ba ku sabis idan kun lura da waɗannan alamun alamun yayin ko bayan jiyya:

• Jini a cikin fitsari
• Ciwon kirji
• Gajiya
• Zazzabi wanda baya tafiya
• Zazzaɓi
• Numfashi
• Rashin ƙarfi
• Rage nauyi ba tare da canjin abinci ba

Heartungiyar Zuciya ta Amurka ta ba da shawarar rigakafin rigakafin rigakafi ga mutanen da ke cikin haɗarin cututtukan endocarditis, kamar waɗanda suke da:

• Wasu laifofin haihuwa na zuciya
• Dasawar zuciya da matsalolin bawul
• Bawul din zuciya na kwalliya (bawul na zuciya wanda wani likita ya saka)
• Tarihin baya na endocarditis

Wadannan mutane ya kamata su karbi maganin rigakafi lokacin da suke:

• Hanyoyin hakori waɗanda ke iya haifar da zub da jini
• Hanyoyin da suka shafi hanyar numfashi
• Hanyoyin da suka shafi tsarin fitsari
• Hanyoyin da suka shafi hanyar narkewa
• Hanyoyi kan cututtukan fata da cututtukan nama mai laushi

Maganin kamuwa da bawul; Staphylococcus aureus - endocarditis; Enterococcus - endocarditis; Streptococcus viridans - endocarditis; Candida - endocarditis

• Tiyata bawul na zuciya - fitarwa

• Zuciya - sashi ta tsakiya
• Zuciya - gaban gani
• Janeway rauni - kusa-kusa
• Janeway rauni a yatsa
• Bawul na zuciya

Baddour LM, Freeman WK, Suri RM, Wilson WR. Cututtukan zuciya da jijiyoyin jini. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 73.

Baddour LM, Wilson WR, Bayer AS, et al. Inocarditis mai tasiri a cikin manya: ganewar asali, maganin cututtukan ƙwayoyin cuta, da kuma kula da rikitarwa: bayanin kimiyya ga ƙwararrun masu kiwon lafiya daga Heartungiyar Zuciya ta Amurka. Kewaya. 2015; 132 (15): 1435-1486. PMID: 26373316 www.ncbi.nlm.nih.gov/pubmed/26373316.

Fowler VG, Bayer AS, Baddour LM. Ciwon endocarditis. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 76.

Fowler VG, Scheld WM, Bayer AS. Endocarditis da cututtukan intravascular. A cikin: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, da Ka'idojin Bennett da Aiwatar da Cututtukan Cutar. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 82.