Yotupa matenda a mtima: opatsirana endocarditis

Infective endocarditis - kutupa lamkati akalowa mtima, mavavu mtima, kung'ambika khoma. Classic tizilomboto matendawa imatengedwa zelenyaschy streptococcus. Poyamba, matenda otchedwa subacute bakiteriya endocarditis. madokotala ambiri amakhulupirira siteji komaliza chitukuko cha matenda enaake ophwanya m'thupi. Tsopano, infective endocarditis imatengedwa matenda osiyana imagwira onse kusinthidwa ndi endocardium wawo.

M'zaka zaposachedwapa zochitika za endocarditis infective chawonjezeka kangapo. Ichi ndi chifukwa kuchepa mu reactivity immunological ya anthu, komanso kuwonjezeka mu virulence tizilombo toyambitsa matenda chifukwa cha ntchito zopanda chilungamo cha mankhwala. More zofala amuna, theka la endocarditis infective akufotokozera pa maziko a matenda wogwila mtima.

etiology

Mu chitukuko cha endocarditis infective ndi zofunika streptococci, staphylococci, pneumococci, nsomba tizilombo, bowa. Infective endocarditis, kumenya kumanja mtima akufotokozera pambuyo mobwerezabwereza mtsempha jekeseni wa mankhwala osokoneza bongo zokayikitsa chiyero zinthu. Chifukwa china chabwino amaganiza njira endocarditis endovascular ndi cardiology. Matendawa zambiri akufotokozera odwala ndi angiogenic sepsis ndi zamafinya zinangoti thrombus ili mu ventricle za mtima transmural m'mnyewa wamtima.

Kupititsa zinthu monga chitukuko cha mano, gastroenterology ndi Urological matenda ndiponso zochizira, zilonda zamoto, otolarinogologicheskie ntchito.

chithunzi matenda

Infective endocarditis umatchulidwatchulidwa kosaoneka ndi wodwalayo. Pali malaise ambiri, kutopa, malungo ndi kuzizira, kupweteka. Nthawi zina chiyambi cha endocarditis kungakhale kovuta ndipo akufanana malungo, brucellosis, kapena Nthenda yofanana ndi tayifodi. Nthawi zina matendawa angayambe ndi hemiplegia, ululu, lokhudza kulankhula. Ichi ndi chifukwa oziziritsa mtima embolism, impso kapena ndulu.

Kuzionetsetsa, odwala kudziwa kusintha mtundu. Zimakhala lililonse mthunzi matenda a khofi ndi mkaka, amene kumasonyeza kupata magazi m'thupi. Mu m'tsogolomu kutupa ndi pasty complexion. Pa mapazi ake pali munthu hemorrhagic totupa. Chitsanzo cha kusintha kwa zala: iwo prinimat mtundu wa ng'oma timitengo, ndi msomali - mazenera nthawi.

Odwala amadandaula ululu mu mtima, kufupika kwa mpweya, palpitations. Ndi kugonjetsedwa kwa kung'ambika, mitral kapena vavu tricuspid amaoneka zokhudza matenda awo. Kugonjetsedwa kwa myocardium kuwonetseredwa chifooke malankhulidwe, tachycardia, protodiastolic gallop mungoli, mtima mungoli chisokonezo - arrhythmias ndi blockades. N'zotheka vavu perforation.

Mu endocarditis infective zambiri zimakhudza impso ndi focal kapena akakufunsani glomerulonephritis, amene anaonetsa kuthamanga kuchuluka magazi, kuoneka edema, matenda a njira ya mkodzo. N'zotheka m'mnyewa wamtima ndulu, nthambi thromboembolism a mtsempha wamagazi ndi m'mapapo mwanga, matenda a mtima, chibayo.

mayesero matenda

Kwa matenda a endocarditis ntchito ECG, echocardiography chifuwa radiography. Kuyambira zasayansi maphunziro kusankha kusanthula ambiri a magazi ndi mkodzo, mbewu magazi chikhalidwe magazi.

chithandizo

Ngati kukomoka amaganiziridwa infective endocarditis, mankhwala ayenera yomweyo kuyamba ndi kuika mankhwala antibacterial. Kudziwa mtundu wa tizilomboto mtima Kwalamulidwa yotakata-sipekitiramu mankhwala. Mankhwala ayenera kukhala mu mtsempha ndi mu mnofu.

Kulosera tsogolo la matenda a matenda zimatengera mtundu wa wothandizira, tilinazo yake antibayotikiyo, pamaso pa mavuto, m'badwo wodwalayo.