Endocarditis ke tšoaetso ea lesela la ka hare la pelo (lesela la ho qetela). Hangata endocarditis e bakoa ke tšoaetso ea baktheria 'me e ka kenyeletsa lesela la pelo la valves le la mesifa ea pelo. Ho fana ka lithibela-mafu ho leka ho thibela endocarditis ho bitsoa "endocarditis prophylaxis."
Rationale Behind Endocarditis Prophylaxis
Hobane endocarditis e ka senya pelo ea mesifa le mesifa ea pelo, kamehla ke bothata bo tebileng 'me hangata bo beha bophelo kotsing.
Ho feta moo, endocarditis e ka ba thata ho e phekola, kaha phekolo e ka hloka libeke tse 'maloa tsa lithibela-mafu tse kenang ka hare ho' mele, 'me ka linako tse ling ho hlokahala hore u buuoe ka pelo e bulehileng. Ho hlakile hore ho molemo ho thibela endocarditis ho feta ho e phekola.
Le hoja liteko tse kholo tsa litliniki li paka hore katleho ea endocarditis prophylaxis e haelloa, ho na le mabaka a matla a mohloli oa tšebeliso ea eona.
Theory of Endocarditis Prophylaxis
Batho ba bangata, ha palo e nyenyane ea libaktheria e kenella mali, mokhoa oa ho itšireletsa oa 'mele o ka hlakola baktheria maling kapele le ka mokhoa o atlehang.
Leha ho le joalo, ho batho ba nang le mefuta e itseng ea mathata a pelo, libaktheria li ka kenngoa ka har'a tšollo ea mali e tšabehang ka hare ho pelo, 'me ka mor'a moo li "khomarela" sepakapakeng, moo li ka baka tšoaetso.
Khopolo ea endocarditis prophylaxis ke ho sebelisa lithibela-mafu ho bolaea libaktheria leha e le life tse kenang mali pele li e-ba le monyetla oa ho theha tšoaetso ka hare ho pelo.
Ka lebaka lena, litsebi li khothalletsa hore batho ba kotsing e kholo ea ho ba le endocarditis ba lokela ho fumana lithibela-mafu tsa prophylactic pele ba e-ba le mekhoa ea phekolo e ka 'nang ea kenya baktheria maling.
Ke Eng e Lokelang ho Sebelisoa ha Prophylaxis?
Bopaki ba morao tjena bo fana ka maikutlo a hore batho ba bangata ba nang le maemo a pelo ba hlile ba le kotsing e tlaase ea ho qetela ho e-na le lefu la endocarditis ho feta pele ba lumela, kahoo ha ba hloke endocarditis prophylaxis.
Tataiso e 'nile ea ntlafatsoa haholo ke American Heart Association le American College of Cardiology ho bontša kutloisiso ena e ncha.
Joale endocarditis prophylaxis e khothalletsoa feela bakeng sa batho ba kotsing e kholo ea endocarditis.
Tsena li kenyelletsa:
- bakuli ba nang le li-valves tsa pelo tsa maiketsetso
- bakuli ba 'nileng ba lokisoa ke pelo ba sebelisa lisebelisoa tsa maiketsetso (lintlha: sena ha se kenyeletse mahlaseli a methapo ea mali)
- bakuli ba nang le histori e fetileng ea endocarditis
- bakuli ba nang le boloetse ba lefu la pelo bo sa lokisetsoeng kapa bo sa sebetsanoeng
- bakuli ba fetisitseng lipelo tse qetellang ba hlaolela mathata a li-valve tsa pelo
Ke habohlokoa ho hlokomela hore tataiso ea morao-rao ha e buelle endocarditis prophylaxis ho bakuli ba bangata ba nang le aortic stenosis , aortic regurgitation , kapa mafu a mitral valve (ho akarelletsa le a nang le mitral valve prolapse ), kapa bakeng sa bakuli ba nang le hypertrophic cardiomyopathy .
Ke Mekhoa efe?
Tsamaiso e ncha e buella prophylaxis feela bakeng sa mekhoa ena ea bongaka:
- mekhoa ea meno e amang ho sebelisoa ha meno kapa metso ea meno, ho akarelletsa le ho hloekisa meno kamehla.
- mekhoa e hlokang hore ho be le litlhaloso kapa litlhoko tsa phefumoloho kapa molomo, tse kang tonsillectomy , kapa bronchoscopy le bothata.
- mekhoa e amanang le ho ameha ha lisele tse nang le tšoaetso.
Ka ho hlakileng, lithibela-mafu prophylaxis ha li sa khothaletsoa bakeng sa mekhoa ea tsamaiso ea 'meleng kapa ea genitourinary.
Ke lithibela-mafu life?
Ka kakaretso, amoxicillin e khothalletsoa e le lithibela-mafu tse khethollang haeba prophylaxis e hlokahala. American Heart Association e na le tataiso ea endocarditis prophylaxis e thathamisang mefuta e meng ea lithibela-mafu haeba ho ka etsahala hore amoxicillin e se ke ea sebelisoa.
Lisebelisoa:
Wilson W, Taubert KA, Gewitz M, et al. "Thibelo ea mafu a nang le tšoaetso ea mafu a mangata: tataiso e tsoang ho American Heart Association: tataiso e tsoang ho American Heart Association Rheumatic Fever, Endocarditis le Komiti ea Kawasaki ea Mafu, Lekhotla la Matšoao a Mafu a Bacha, le Lekhotla la Bongaka ba Bophelo bo Botle, Lekhotla la Ts'ebetso ea Melello ea Mahlaba le Anesthesia, le boleng ba tlhokomelo le liphello tsa lipatlisiso tsa lihlopha tsa basebetsi. " Ho potoloha. 2007 Oct 9; 116 (15): 1736-54.
Nishimura RA, Otto CM, Bonow RO, le al. 2014 AHA / ACC tataiso ea tsamaiso ea bakuli ba nang le lefu la pelo ea valvular: tlaleho ea American College of Cardiology / American Heart Association Tlhahlobo ea Makhotla a Boitliso. J Am Coll Cardiol 2014; 63: e57.