Kab mob endocarditis yog ib qho mob ntawm cov ntaub so ntswg ntawm lub valvular apparatus ntawm lub plawv thiab endothelium los ntawm ntau yam kab mob thiab opportunistic pathogens. Feem ntau, qhov no pathology cuam tshuam rau lub plawv li qub. Niaj hnub no, tus kab mob no feem ntau tshwm sim nyob rau hauv keeb kwm ntawm degenerative hloov nyob rau hauv lub li qub, tab sis nyob rau hauv tej rooj plaub nws yuav tshwm sim los ntawm rheumatism. Feem ntau tus kab mob cuam tshuam rau mitral thiab aortic li qub, thiab tsuas yog nyob rau hauv ib tug me me ntawm cov neeg mob qhov zoo ntawm lub cev muaj peev xwm cuam tshuam. Lawv feem ntau cuam tshuam rau cov neeg quav yeeb tshuaj uas txhaj tshuaj, lossis hauv cov neeg mob vim yog siv cov catheters venous.
Kev kho mob ntawm cov kab mob endocarditis yuav tsum muaj txoj hauv kev, yog li nws yog ib qho tseem ceeb kom paub meej qhov kev kuaj mob sai li sai tau thiab ua raws li txhua tus kws kho mob cov lus pom zoo.
Yog vim li cas
Cov kab mob tuaj yeem ua rau muaj kab mob. Niaj hnub no, cov kws tshaj lij txheeb xyuas ntau dua 100 tus kab mob, cov no suav nrog:
- Ystreptococcus,
- staph,
- Yenterococcus,
- nceb thiab lwm yam.
Tseem tseem muaj qhov pheej hmoo ntawm kev mob plawv:
- congenital thiab kis tau lub plawv tsis xws luag;
- presence of artificial li qub;
- sagging valve hniav;
- kev tsis sib haum xeeb thiab cov yam ntxwv ntawm lub siab.
Kab mob Extracardiac kuj tuaj yeem ua rau mob endocarditis:
- siv cov txheej txheem kev kuaj mob thaum nkag mus rau hauv lub cev yog qhov tsim nyog los kuaj xyuas qhov tseeb;
- tshuaj tiv thaiv kab mob;
- thib ob immunodeficiency, thaum lub cev tiv thaiv tau txo qis heev, thiab qhov no tshwm sim yog tias tus neeg mob tsis tswj hwm cov tshuaj tua kab mob lossis feem ntau cuam tshuam los ntawm cov kab mob tsis zoo;
- kev ua haujlwm uas cuam tshuam rau cov mucous daim nyias nyias ntawm cov kab mob ua pa, txoj hnyuv thiab lub plab, qhov tso zis, thaum muaj kab mob hauv cov kabmob no.
Kab mob endocarditis: kev faib tawm
Los ntawm keeb kwm, tus kab mob tau muab faib ua thawj thiab theem nrab. Thawj feem ntau tshwm sim nyob rau hauv cov kab mob septic tiv thaiv keeb kwm yav dhau ntawm ib qho kev hloov pauv ntawm lub plawv li qub. Yog hais tias tus kab mob endocarditis thib ob tshwm sim, lub valve thiab cov hlab ntsha twb muaj kev hloov pauv vim qhov tshwm sim tsis zoo, mob rheumatism, syphilis, thiab keeb kwm ntawm kev phais.
Raws li chav kho mob, cov ntaub ntawv hauv qab no yog qhov txawv:
- mob ntev li ob lub hlis, txhim kho zoo li hauv lub cev muaj tus mob septic mob, tom qab raug mob hnyav lossis kev kho mob ntawm cov hlab ntsha, lub plawv kab noj hniav: nosocomial angiogenic sepsis. Nws yog yus muaj los ntawm ib tug pathogenic microorganisms, hnyav septicCov tsos mob.
- Subacute kav ntev li ob lub hlis, txhim kho yog tias kev kho mob ntawm cov kab mob endocarditis tsis raug xaiv los yog tus kws kho mob cov lus pom zoo tsis ua raws li tus neeg mob.
- Long.
Nyob rau hauv cov neeg uas muaj kev quav yeeb quav tshuaj, qhov chaw kho mob ntawm tus kab mob yog cov hluas, kev loj hlob sai ntawm ventricular tsis ua hauj lwm ntawm sab xis, feem ntau intoxication, ntsws puas.
Nyob rau hauv cov neeg laus, tus kab mob no yuav yog vim muaj cov kab mob ntev ntawm lub plab zom mov, foci ntawm tus kab mob, kev puas tsuaj rau lub plawv li qub.
Dab tsi ntawm daim ntawv nquag thiab tsis ua haujlwm. Raws li qhov kev puas tsuaj, tus kab mob ua rau muaj kev puas tsuaj tsawg rau cov nplooj ntawv ntawm lub plawv li qub los yog nrog cov kab mob uas dhau mus lawm.
Muaj ntau ntau hom kab mob endocarditis:
- kis-tshuaj lom - nrog rau nws, tus neeg mob muaj cov kab mob bacteremia, adhesion ntawm cov kab mob mus rau qhov hloov pauv endocardium, tsim cov nroj tsuag microbial;
- kis-kev tsis haum, feem ntau hu ua immuno-inflammatory los ntawm kws kho mob, nws yog tus cwj pwm los ntawm kev kho mob cov cim ntawm kev puas tsuaj rau cov kab mob hauv nruab nrog cev: kab mob siab, myocarditis, nephritis thiab lwm yam;
- dystrophic txhim kho nyob rau lub sijhawm thaum cov txheej txheem septic lossis lub plawv tsis ua haujlwm pib.
Daim ntawv dystrophic yog tus cwj pwm los ntawm kev loj hlob ntawm qhov mob hnyav thiab hloov tsis tau ntawm cov kab mob hauv nruab nrog cev. Hauv feem ntau cov neeg mob, cov neeg mob muaj tshuaj lom myocardial degeneration nrogntau foci ntawm necrosis. Lub myocardium raug cuam tshuam rau ntau dua 90% ntawm cov neeg mob tom qab mob endocarditis ntev.
Cov tsos mob ntawm endocarditis yog dab tsi?
Feem ntau, cov tsos mob ntawm endocarditis tshwm sim tom qab cov kab mob nkag mus rau hauv cov hlab ntsha. Nyob ntawm seb muaj pes tsawg tus kab mob, lub cev yuav ua li cas rau lawv, cov tshuaj tiv thaiv tshwj xeeb dab tsi uas tus neeg muaj rau tus kab mob, tus kab mob no tuaj yeem ua haujlwm lossis tsis ua haujlwm. Qhov no txhais tau hais tias cov tsos mob ntawm tus kab mob endocarditis tuaj yeem mob hnyav lossis lawv yuav tsis ua txhua yam.
Tsis tas li, tus kab mob tuaj yeem ua rau nyuaj lossis tsis nyuaj. Hauv qhov thib ob, cov txheej txheem ntawm tus kab mob tsis ua rau tib neeg muaj teeb meem, tab sis daim ntawv nyuaj tuaj yeem kis tus kab mob mus rau cov kab mob nyob ze. Lub cev hauv endocarditis tuaj yeem teb rau kev kis kab mob nrog cov tsos mob hauv qab no:
- lub cev kub;
- nrawm nrawm thiab qaug zog;
- Nyob zoo ib tsoom phooj ywg;
- qaug zog thoob plaws lub cev;
- mob pob qij txha;
- tawm hws ntau dhau, tshwj xeeb tshaj yog thaum yav tsaus ntuj;
- o, feem ntau nyob rau hauv qis extremities, nyob rau hauv cov ntaub ntawv siab heev yuav kis tau mus rau lub plab;
- malaise;
- ua tsis taus pa;
- Nyob tsis tshua muaj, muaj kab mob ntawm daim tawv nqaij.
Txhawm rau kom paub meej tias muaj kab mob hauv tib neeg lub cev, nws yog qhov yuav tsum tau txiav txim siab seb tus kab mob twg "taug kev" los ntawm cov hlab ntsha. Tsis tas li ntawd, tus neeg mob yuav raug yuam kom nrhiav kev pab yog tias muaj qhov tshwm sim ntawm anemia hauv cov zis.muaj ntshav, qib ntawm leukocytes siab dua li qub, lub plawv yws.
Tom qab thawj cov tsos mob ntawm tus kab mob endocarditis tshwm sim, koj yuav tsum tau mus ntsib kws kho mob, mus kuaj thiab pib kho raws sijhawm.
Txoj kev kuaj mob
txhawm rau kuaj xyuas "mob kab mob endocarditis", koj yuav tsum tau ua ntau txoj kev tshawb fawb uas yuav pab txheeb xyuas qhov tshwm sim ntawm cov txheej txheem pathological hauv lub cev. Hauv cov xwm txheej ib txwm, kev kuaj mob yog ua raws li cov cim hauv qab no:
- kev ua npaws;
- tsis xws luag hauv li qub, tshwm sim raws li myocardial yws;
- thamboembolic teeb meem;
- zoo rau cov kab mob.
Yog tias koj ua ECG, ces koj tuaj yeem pom qhov tshwm sim ntawm sab laug ventricular hypertrophy ntawm nws, yog tias muaj cov txheej txheem ntawm aortic lossis mitral valve tshwm sim hauv lub cev. Tab sis txoj cai ventricular hypertrophy tau pom thaum lub tricuspid valve lossis pulmonary artery raug cuam tshuam.
Muaj peev xwm ua tau thiab muaj qhov tshwm sim xws li kev cuam tshuam kev cuam tshuam, atrial thiab ventricular neeg ntaus ntxov ntxov, nyob rau qee kis, atrial fibrillation lossis flutter tuaj yeem kuaj pom. ECG pab txhawm rau txheeb xyuas tus kab mob thaum ntxov, uas yav tom ntej muab txoj hauv kev los ua kom tiav kev kho mob thiab zam qhov teeb meem loj. Koj tuaj yeem tshawb xyuas cov haujlwm ntawm lub plawv yog tias koj siv lub cardiovisor rau kev kuaj mob, uas yuav ua rau nws muaj peev xwm txheeb xyuas qhov sib txawv me ntsis hauv kev ua haujlwm ntawm lub plawv cov leeg.
Echocardiography raug pom zoo rau txhua tus neeg mobuas xav tias muaj kab mob endocarditis. Kev kuaj mob yuav pab txhawm rau txheeb xyuas qhov xwm txheej ntawm lub li qub, nthuav tawm calcification, rupture ntawm lub valve nplooj ntawv lossis chords, thiab paub qhov txawv ntawm qhov abscess ntawm lub nplhaib valve. Feem ntau cov txheej txheem no yog siv los qhia meej txog qhov xwm txheej ntawm cov kab mob hauv lub plawv, txhawm rau txiav txim siab qhov xav tau kev phais mob sai, thaum lub valve tsis txaus ua rau mob hnyav.
kuaj ntshav yog suav tias yog cov ntaub ntawv:
- general;
- Ybiochemical;
- immunological.
Kev tshuaj ntsuam dav dav yuav qhia tau tias muaj ntshav qab zib, hloov pauv ntawm leukocyte mis rau sab laug, tab sis qhov tseem ceeb tshaj plaws yog qhov siab ntawm ESR. Biochemistry qhia txog qhov muaj C-reactive protein, ntau ntawm fibrinogen, tsawg albumin, nce hauv feem ntawm γ-globulins. Kev tiv thaiv kab mob yuav ua rau nws muaj peev xwm txheeb xyuas cov kab mob rheumatoid, qib siab ntawm cov khoom xyaw ntxiv.
Nws kuj tau pom zoo kom mus kuaj ntshav kom tsis muaj menyuam. Tab sis ntawm no nws yog ib qho tseem ceeb heev uas yuav tsum tau coj cov ntshav kom raug, txoj kev tshawb no tuaj yeem ua tiav ob peb zaug txhawm rau kom tau txais cov ntaub ntawv ntseeg tau ntau dua li qhov tshwm sim.
Txhawm rau txhawm rau txhim kho cov txiaj ntsig ntawm kev kho mob, nws yog ib qho tseem ceeb tsis yog tsim kom muaj kev kuaj mob, tab sis kuj yog hom kab mob.
Tus kab mob tshwm sim nws tus kheej thaum yau
Kab mob endocarditis hauv cov menyuam yaus muaj ntau heev. Cov tsos mob ntawm qhov tshwm sim ntawm tus kab mob tuaj yeem yog:
- mob toxicosis;
- endocardial o;
- thaiv cov hlab ntsha los ntawm cov ntshav txhaws,uas, ntxiv rau, tuaj yeem rhuav tshem ntawm myocardium cuam tshuam los ntawm tus kab mob.
Nyob rau hauv cov menyuam yaus, thawj qhov kev mob tshwm sim cuam tshuam rau aortic thiab mitral li qub, thaum qhov mob thib ob cuam tshuam rau sab hauv ntawm lub plawv. Cov tsos mob ntawm tus kab mob no zoo ib yam li cov neeg laus, tab sis qhov kev hloov tsis zoo yuav tshwm sim sai dua, uas ua rau muaj kev puas tsuaj loj rau cov kab mob hauv nruab nrog cev.
Raws li kev kuaj mob, ntshav, zis, ECG thiab cov noob ntawm cov kab mob yog siv.
Cov koob tshuaj ntau ntawm "Penicillin" ua ke nrog "Gentamicin" raug pom zoo ua kev kho mob. Tab sis koj yuav tsum nco ntsoov tias tus kws kho mob thiab txhua tus neeg mob yuav tsum suav cov koob tshuaj ntawm txhua cov tshuaj, nyob ntawm nws hnub nyoog thiab lub cev hnyav.
Nyob rau hauv lub cev tiv thaiv kab mob, ntxiv rau: "Aspirin", "Ibufen", "Diclofenac" thiab lwm yam tshuaj tiv thaiv kab mob.
Rau cov menyuam yaus, kev tiv thaiv kab mob endocarditis yog ib qho tseem ceeb heev, uas yog siv los kho cov kab mob foci ntev: tonsillitis, caries, sinusitis thiab lwm yam. Kev kho kab mob tua kab mob kuj ua rau muaj txiaj ntsig zoo, tshwj xeeb tshaj yog thaum muaj tus kab mob nrog kub taub hau.
Yog tsis ua li cas, qhov teeb meem yuav hnyav dua li qhov lawv xav tau.
Kev nyuaj siab
Ib qho teeb meem loj tshaj plaws ntawm cov kab mob endocarditis tuaj yeem suav tias yog embolism - ib qho kev tshem tawm ntawm ib feem ntawm lub pob valve, cov ntshav txhaws thiab nws cov hlab ntsha ntxiv. Embolusyuav nres ntawm qhov chaw uas nws qhov loj me sib haum mus rau txoj kab uas hla ntawm cov hlab ntsha. Yog hais tias lub detachment ntawm lub valve particle tshwm sim nyob rau hauv sab laug ntawm lub plawv, ces embolization sai sai tsim nyob rau hauv cov hlab ntsha ntawm lub voj voog loj, nyob rau hauv cov ntaub ntawv no cov hnyuv, spleen los yog lub raum yuav raug kev txom nyem. Nyob rau hauv lawv, kev tuag ntawm tus kheej ntu tshwm sim, lossis, hauv cov lus yooj yim, lub plawv nres.
Yog tias cov ntshav txhaws tawm ntawm sab xis, ces cov hlab ntsha ntawm lub voj voog me - cov hlab ntsha pulmonary, raug thaiv, uas txhais tau hais tias mob ntsws infarction. Lwm yam teeb meem kuj tuaj yeem tshwm sim vim endocarditis:
- lub plawv tsis ua hauj lwm;
- kev mob plawv;
- myocarditis;
- pericarditis;
- raum puas;
- spleen lesion;
- vascular puas;
- faults in the paj hlwb.
Yog vim li cas nws thiaj tseem ceeb kom pib kho sai sai thiab ua raws li tag nrho cov lus pom zoo kho mob. Kab mob endocarditis tuaj yeem ua rau tuag taus.
Txoj Kev Kho Mob
Ua ntej tshaj, yog tias tus neeg mob muaj mob endocarditis, nws yuav tsum rov xav txog nws cov zaub mov, txo qis ntsev. Txoj kev kho mob muaj cov hauv qab no:
- ua raws txoj cai;
- khoom noj khoom haus;
- tshuaj tua kab mob;
- Yimmunomodulatory therapy;
- kev kho kom tshem tawm;
- Yglucocorticoids;
- kev kho mob;
- surgery.
Tom qab kuaj pom tseeb, tus neeg mob yuav tsum tau mus rau kev kho moblub koom haum.
Hais txog kev noj zaub mov, tom qab nkag mus rau hauv tsev kho mob, tus neeg mob tau pom zoo kom ua raws li kev noj zaub mov 10, uas yog tus cwj pwm los ntawm kev txwv ntsev - tsis pub ntau tshaj 5 g ib hnub twg. Nyob rau hauv lub neej yav tom ntej, thaum qhov ntsuas qhov mob thiab lub raum ua haujlwm zoo li qub, koj tuaj yeem suav nrog cov tais diav uas paub thiab ntau cov zaub thiab txiv hmab txiv ntoo tshiab hauv koj cov zaub mov.
Kev kho kab mob tua kab mob yog lub hauv paus ntawm kev kho mob rau cov kab mob endocarditis. Kev txais tos ntawm cov tshuaj tua kab mob yuav tsum tau pib tam sim tom qab kev pom zoo ntawm kev kuaj mob. Cov tshuaj tua kab mob yog siv ntau ntau, uas yog txhaj rau hauv lub cev intravenously. Kev kho mob tuaj yeem ntev - los ntawm ib hlis mus rau peb.
Kev xaiv tshuaj thiab koob tshuaj raug xaiv raws li cov kab mob twg tau txheeb xyuas, thiab nws qhov rhiab heev rau cov tshuaj tua kab mob yog dab tsi. Cov neeg mob tau pom zoo rau penicillins, aminoglycosides, cephalosporins, tab sis feem ntau lawv muab ob peb tshuaj ib zaug.
Cov tshuaj tua kab mob feem ntau raug tso tawm los ntawm ob lub raum thiab metabolized hauv daim siab, yog li cov koob tshuaj yuav tsum tau hloov kho nyob ntawm seb cov kab mob no cuam tshuam li cas hauv ib tus neeg mob.
Yog tias cov tshuaj tua kab mob raug xaiv raug, ces twb tau 10 hnub tom qab pib kho, pom tau tias muaj txiaj ntsig zoo. Qee tus neeg mob yuav muaj kev tiv thaiv kab mob tshuaj tua kab mob, thiab qhov no yuav yog vim muaj ntau yam:
- kev ntsuas kho mob lig ua tiav;
- muaj ntau hom kab mob hauv lub cev ib zaug;
- sivkoob tshuaj tsis txaus;
- immunodeficiency;
- kev loj hlob ntawm tus kab mob hauv lub hnub nyoog laus nrog cov kab mob sai sai;
- Ntau lub valve tsis ua haujlwm;
- prosthetic valve endocarditis;
- txhim kho tus kab mob hauv tib neeg ntawm hemodialysis lossis siv tshuaj.
Yuav kom cov kev kho mob tau txais txiaj ntsig zoo, nws yog qhov tseem ceeb los kho cov txheej txheem ntawm kev kho mob.
Cov khoom pov tseg ntawm cov kab mob thiab cov co toxins ua rau lub cev tsis muaj zog. Cov tshuaj tua kab mob, uas tau noj rau lub sijhawm ntev hauv cov kab mob endocarditis ntawm lub plawv, kuj ua rau muaj kev cuam tshuam zoo sib xws. Yog li, koj yuav tsum tau ua txhua yam kev ntsuas los txhawb kev tiv thaiv:
- xav kom noj cov tshuaj thymus, uas muaj cov nyhuv immunotropic, rau ib chav kawm tsawg kawg yog 10 txhaj tshuaj;
- txog 4 plasmapheresis thiab cov txheej txheem hemosorption;
- mus txog 6 infusions ntawm antistaphylococcal lossis antipseudomonal plasma;
- ib txwm tib neeg immunoglobulin txog 10 txhaj tshuaj rau ib chav kawm;
- ntshav irradiation nrog ultraviolet lub teeb mus txog 7 txheej txheem;
- laser irradiation ntawm cov ntshav intravascular - 10 zaug.
Txhawm rau tshem tawm cov co toxins tawm hauv lub cev, "Hemodez", "Reopoliglyukin", "Glucose solution 5%", "Sodium chloride" tov 9% thiab lwm yam yog txhaj tshuaj intravenously.
Lub etiology ntawm kab mob endocarditis yog xws li kev tiv thaiv kab mob tuaj yeem tshwm sim ua ntej, qhov twg yuav tsum tau kho glucocorticoid. Nws tau tham ntau xyoo lawmqhov ceev ntawm nws lub sijhawm teem tseg, tab sis muaj ob peb lub ntsiab lus qhia rau kev siv:
- kev poob siab;
- mob hnyav tiv thaiv kab mob;
- ua xua rau tshuaj tua kab mob;
- tshuaj tiv thaiv kab mob thib ob.
kho mob kuj pom zoo:
- yog tias koj cov pob qij txha raug mob, ces koj tsis tuaj yeem ua yam tsis muaj tshuaj tiv thaiv kab mob steroidal;
- yog tias cov hlab ntshav tsis ua haujlwm, cov tshuaj diuretics, peripheral vasodilators thiab cardiac glycosides raug pom zoo, tab sis tom kawg tau ceev faj heev;
- nrog rau kev txhim kho ntawm thromboembolism, anticoagulants, antiplatelet cov neeg ua haujlwm thiab thrombolytics tau muab;
- ntshav ntshav yuav xav tau cov tshuaj ntxiv hlau;
- antihypertensives pom zoo kom txo cov ntshav siab;
- xav tau kev kho ntau yam tshuaj vitamin;
- kev kho dysbacteriosis tseem xav tau.
Thaum mob hnyav heev, yuav tsum tau phais.
Kev phais rau endocarditis
Qee zaum, kev phais ntawm qhov cuam tshuam yog qhov tseem ceeb. Lub hom phiaj tseem ceeb ntawm kev cuam tshuam kev phais yog kev tshem tawm ntawm foci ntawm cov kab mob uas cuam tshuam rau lub li qub. Qhov cuam tshuam li qub hauv cov kab mob endometritis tau raug tshem tawm thiab hloov nrog lub prosthesis.
Kev ua haujlwm tuaj yeem pom thaum muaj:
- nrawm nrawm ntawm lub plawv tsis ua haujlwm vim muaj kev puas tsuaj loj rau lub valve;
- ua tiav cov tshuaj tiv thaiv kab mob;
- valvular abscessesnplhaib los yog infarction;
- thrombosis hauv lub cev tseem ceeb;
- prosthetic valve endocarditis;
- kab mob rov tshwm sim;
- xov loj loj loj ntawm lub li qub.
sijhawm ua haujlwm txo qis kev tuag. Tab sis nws tsuas tuaj yeem ua tau yog tias endocarditis yog ib qho kev ywj pheej pathology, lwm qhov nws tsis muaj kev nkag siab.
Huab cua
Endocarditis yog ib yam mob hnyav uas muaj qhov tsis zoo. Hauv cov neeg mob uas tsis muaj lub cev tsis muaj zog, ua tsis taus pa thiab mob plawv, tus kab mob tuaj yeem kho tau, tshwj xeeb tshaj yog tias kev kho tau pib thaum ntxov. Yog hais tias ib tug neeg poob mob nrog endocarditis, thiab nyob rau hauv tas li ntawd mus rau nws, nws muaj mob plawv los yog lub cev tiv thaiv kab mob yog txaus suppressed, ces cov teeb meem ntawm lub neej yuav ua rau muaj teeb meem rau tus neeg mob thaum kawg.
Kev mob tshwm sim tuaj yeem hnyav zuj zus yog tias cov tsos mob pib tshwm sim tom qab nkag mus rau hauv tsev kho mob, thawj peb hnub. Yog hais tias gram-negative microflora, Staphylococcus aureus, Cochiella thiab Brucella insensitive rau tshuaj tua kab mob, fungal flora tau sown los ntawm tus neeg mob cov ntshav.
Thaum sab xis ntawm lub siab raug cuam tshuam, qhov kev cia siab zoo dua. Rheumatoid endocarditis kuj tsis muaj kev hem thawj rau lub neej.
txoj kev tiv thaiv
Kev Tiv Thaiv muaj cov haujlwm hauv qab no:
- koj yuav tsum tau ua raws li lub cev kev ua si thiab kev noj zaub mov kom zoo txhawm rau txhawm rau kuaj tsawg dua thiab siv cov kev cuam tshuam hauv kev kho mob;
- nws yog ib qho tseem ceeb kom paub lub sijhawm foci ntawm tus kab mob: kho cov hniav, ntxuav cov tonsils nrog tonsillitis, xyuas kom cov dej ntws tawm ntawm cov sinuses nrog sinusitis;
- yog tias koj tseem xav tau kev kho mob, tom qab ntawd sab laj nrog tus kws tshaj lij, thiab tsis siv cov txheej txheem hauv tsev;
- yog lub neej thiab kev ua haujlwm cuam tshuam nrog kev raug mob ntau zaus, koj yuav tsum tswj kev tiv thaiv;
- yog tias tau txais kev raug mob, ces yuav tsum tau kho lub qhov txhab kom zoo siv tshuaj tua kab mob;
- yog tus kws kho mob pom zoo kom noj tshuaj tua kab mob rau qee yam, ces qhov no yuav tsum tau ua thiab nco ntsoov ua raws li tag nrho cov lus pom zoo.
Cov tsos mob thiab cov txheej txheem rau tus kab mob endocarditis, siv rau hauv kev kuaj mob ntawm tus kab mob no, tso cai rau koj txheeb xyuas tus kab mob sai sai. Tsuas yog rau qhov no koj yuav tsum tau mus ntsib kws kho mob sai ntawm thawj qhov kev mob tshwm sim. Tsuas yog kuaj xyuas raws sijhawm thiab kev kho mob yuav pab kom tsis txhob muaj qhov tshwm sim, tab sis kuj tseem tuag.
