Okuvuthayo isifo senhliziyo: endocarditis ezithathelwanayo

Infective endocarditis - ukuvuvukala kwangaphakathi ulwelwesi lwesisu, kwenze inhliziyo, valve inhliziyo, udonga yomthambo i-aorta. lwegciwane Classic lesi sifo kubhekwa streptococcus zelenyaschy. Ngaphambili, lesi sifo okuthiwa subacute endocarditis virus. Odokotela abaningi abakholelwa esiteji okokugcina ukuthuthukiswa imfiva rheumatism. Manje, endocarditis infective kubhekwa isifo ahlukene esithinta kokubili Ushintshe futhi endocardium njengoba yayinjalo.

Eminyakeni yamuva nokudlondlobala endocarditis infective liye landa izikhathi eziningana. Lokhu kungenxa ukwehla ngo reactivity immunological sabantu, kanye nokwanda virulence kwamagciwane ngenxa ukusetshenziswa engenangqondo kwama-antibiotic. Kwande amadoda, isigamu endocarditis infective eba ku ngemuva yesifo senhliziyo ezikhona.

omsakazo

Ngo ukuthuthukiswa endocarditis infective kukhona streptococci ezibalulekile, staphylococci, pneumococci, Salmonella zamagciwane, isikhunta. endocarditis Infective, ukushaya ohlangothini lwesokunene inhliziyo kukhulisa nangemva kokuyalwa kaningi imijovo emthanjeni yezidakamizwa ezingabazekayo ubumsulwa izinto. Esinye isizathu sokuba ilungelo emaceleni amasu endocarditis endovascular kukhona nezenhliziyo. Lesi sifo ngokuvamile eba in iziguli sepsis angiogenic nge iqhubeka thrombus elise-ventricle wenhliziyo transmural esivimba amanzi.

izici ezibangela zihlanganisa ukuthuthukiswa yamazinyo, Gastroenterology kanye nezinqubo urological zokuxilonga nokwelapha, ukusha, ukusebenza otolarinogologicheskie.

emitholampilo isithombe

Infective endocarditis kukhulunywa ngayo kaningi ezingabonakali esigulini. Kukhona ukucobeka jikelele, ukukhathala, imfiva kanye Ukugodola, ikhanda. Ngezinye izikhathi ukuqala endocarditis kungaba oyingozi futhi sifana umalaleveva, brucellosis, noma yesifo sezintwala. Ezimweni ezingavamile, lesi sifo uyaqala nge hemiplegia, ubuhlungu, inkulumo iziyaluyalu. Lokhu kungenxa cerebral semithambo embolism, izinso noma ubende.

On luhlolo, iziguli ukucacisa ushintsho umbala. Kuba ejwayelekile salokhu umthunzi isifo ikhofi ubisi, okuyinto siwukubonakaliswa anaemia ezithuthukayo. Esikhathini esizayo, lapho ukuvuvukala nebala pasty. Ngezinyawo zakhe kukhona ukuqubuka oluhambisana. Nasi ushintsho neminwe: bona prinimat uhlobo sigubhu izinti, nail - amawindi isikhathi.

Iziguli esekhala ubuhlungu enhliziyweni, iphika, palpitations. Lapho kunqotshwa we yomthambo i-aorta, mitral noma valve tricuspid avele kabanzi ngezimpawu zesifo zabo ezihlobene. Ukunqotshwa kwe-myocardium kuyadamba obusobala amathoni, tachycardia, protodiastolic gallop isigqi, inhliziyo isigqi thuthuva - arrhythmias futhi blockades. Okungenzeka valve perforation.

Ngo endocarditis infective ivame nezinso glomerulonephritis ebalulekile noma ehlasela umzimba wonke, okuyinto livezwa anda blood pressure, ukubukeka edema, urinary syndrome. Okungenzeka ubende esivimba amanzi, amagatsha thromboembolism we Umthambo yamaphaphu, isifo senhliziyo, i-pneumonia.

ukuhlola ukuthi kungakanani abakwaziyo

Ukuze sitholakele endocarditis esetshenziswa ECG, echocardiography, esifubeni X ray. Kusukela laboratory izifundo liqoke ukuhlaziywa jikelele igazi umchamo, isitshalo igazi ngegazi isiko.

ukwelashwa

Uma isifo kusolwa endocarditis infective, ukwelashwa kufanele ngokushesha uqale ukuqashwa yokwelapha elwa namagciwane. Ukuze nithole uhlobo lwegciwane nesineke ezinqunyiwe imithi elwa namagciwane ezibanzi-bohlu. Imithi elwa namagciwane kufanele kube emthanjeni futhi esicutshini.

Izibikezelo lesi sifo incike uhlobo ejenti, ukuzwela yayo lo muthi, khona izinkinga, ubudala lesiguli.