Endocarditis wani kamuwa da cuta ne a cikin rufin zuciya (matsakaicin launi). Endocarditis yawanci lalacewa ne ta hanyar kamuwa da cuta na kwayar cuta kuma zai iya haɗawa da launi na wucin gadi na kwakwalwar zuciya da kuma zuciyar tsohuwar jiki. Yin amfani da maganin rigakafi don kokarin hana endocarditis ake kira "endocarditis prophylaxis."
Bayanin Bayan Endocarditis Prophylaxis
Domin endocarditis zai iya lalata zuciya tsohuwar zuciya da kwakwalwar zuciya, yana da matsala mai tsanani kuma yana da barazanar rai.
Bugu da ƙari kuma, endocarditis zai iya zama da wuyar magancewa, tun da magani zai iya buƙatar makonni da dama na maganin rigakafi, kuma a wasu lokuta yana buƙatar bugun zuciya na zuciya. Babu shakka, yana da kyau don hana endocarditis fiye da bi da shi.
Duk da yake manyan gwaje-gwaje na asibitocin da ke tabbatar da tasirin endocarditis prophylaxis sun rasa, akwai maƙalari masu mahimmanci don amfani.
Ka'idar Endocarditis Prophylaxis
A mafi yawancin mutane, lokacin da ƙananan kwayoyin halitta ke shiga cikin jini, hanyar kare jiki ta jiki zai iya cire kwayoyin cutar daga jini da sauri kuma inganci.
Duk da haka, a cikin mutanen da ke da wasu matsalolin zuciya, kwayoyin zasu iya kamawa cikin jini mai rikitar jini a cikin zuciya, sannan kuma "tsaya" a kan rufin katako, inda zasu iya haifar da kamuwa da cuta.
Manufar da ke bayan endocarditis prophylaxis shine a yi amfani da maganin rigakafi don kashe duk kwayoyin da ke shiga jini kafin su sami zarafin kafa wani kamuwa da cuta a cikin zuciya.
Saboda haka, masana sun ba da shawarar cewa mutanen da ke da babban haɗari na ƙaddamar da cutocarditis ya kamata su karbi maganin rigakafi kafin suyi amfani da hanyoyin kiwon lafiya wanda zai iya haifar da kwayoyin cutar cikin jini.
Yaya Ya kamata A Yi Amfani da Cutar?
Shaidu na yanzu sun nuna cewa mafi yawan mutanen da ke da halin zuciya sun kasance a cikin ƙananan haɗari ga endocarditis fiye da yadda suka rigaya suka gaskanta, sabili da haka basu buƙatar endoparditis prophylaxis.
Jagoran sun riga sun inganta ta hanyar Ƙungiyar Zuciya ta Amirka da Kwalejin Kwalejin Nahiyar Amirka don suyi tunanin wannan sabon fahimtar.
An riga an bayar da shawarar maganin prophylaxis ne kawai ga mutanen da ke cikin haɗari ga endocarditis.
Wadannan sun haɗa da:
- marasa lafiya tare da wucin gadi na wucin gadi
- marasa lafiya da suka yi gyare-gyare ta hanyar yin amfani da kayan hawan gwal (bayanin kula: wannan ba ya haɗa da sifofin maganin jinin zuciya)
- marasa lafiya tare da tarihin baya na endocarditis
- marasa lafiya tare da wasu marasa lafiya ko marasa lafiya marasa lafiya
- marasa lafiya waɗanda suka canza zukatansu waɗanda suka haifar da matsalolin matsaloli na zuciya
Ya kamata mu lura cewa jagororin yanzu ba su bayar da shawarar endocarditis prophylaxis ga mafi yawan marasa lafiya da cututtukan daji , maye gurbi , ko maganin ƙwayar valve (ciki har da waɗanda ke ci gaba da bazawar valve ), ko kuma marasa lafiya marasa lafiya.
Wadanne hanyoyi?
Sabon jagororin sun bada shawarar prophylaxis kawai don wadannan hanyoyin kiwon lafiya:
- ƙwayoyin ƙwayar ƙwayoyi waɗanda ke shafe ƙwayar gumis ko tushen hakora, ciki har da tsabtace hakori.
- hanyoyin da ake buƙatar haɗuwa ko biopsies na fili ko bakin, irin su tonsillectomy , ko bronchoscopy tare da biopsy.
- hanyoyin da suka shafi haɗuwa da ƙwayoyin cutar.
Hakanan, ba a ƙara maganin kwayar cutar kwayoyin ba don hanyoyin hanyoyin da ke cikin gastrointestinal ko tsarin genitourinary.
Wadanne maganin rigakafi?
Bugu da ƙari, ana bada shawara a matsayin mai amfani da kwayar cutar idan za a buƙatar prophylaxis. Ƙungiyar Zuciya ta Amirka tana da jagora ga maganin endocarditis prophylaxis wanda ya tsara wasu maganin maganin rigakafi idan ba'a iya amfani da shi ba.
Sources:
Wilson W, Taubert KA, Gewitz M, et al. "Rigakafin cututtuka: Ƙaddamarwa daga Ƙungiyar Zuciya ta Amirka: jagorancin Cibiyar Zuciya ta Amirka, Rheumatic Fever, Endocarditis, da Kawasaki Disease Committee, Majalisar kan cutar cututtukan zuciya a cikin Young, da Majalisar kan Kwayar Kwayoyin Gwiwar Halitta, Ƙungiyar Ƙwararriyar Kwayoyin Cutar da Cutar Anesthesia, da kuma Ayyukan Gudanar da Kulawa da Ayyukan Gudanar da Nazarin Harkokin Kasuwanci. " Yanayi. 2007 Oktoba 9; 116 (15): 1736-54.
Nishimura RA, Otto CM, Bonow RO, et al. 2014 Dokar AIHA / ACC don kula da marasa lafiya da cututtukan zuciya: rahoton na Kwalejin Ƙungiyar Harkokin Kasuwancin Amirka da Cibiyar Harkokin Kasuwancin Amirka game da Sharuɗɗan Ɗaukaka. J Am Coll Cardiol 2014; 63: e57.