Isifo sentliziyo yokukrala: endocarditis esosulelayo

Infective endocarditis - ukudumba ephakathi ingaphakathi wentliziyo, kwemithambo intliziyo, udonga aortic. pathogen ezaziwa esi sifo uthathwa iStreptococcus zelenyaschy. Ngaphambili, esi sifo kuthiwa endocarditis subacute virus. oogqirha abaninzi bakholelwa isigaba sakhe sokugqibela nophuhliso samathambo. Ngoku, endocarditis infective kugqalwa sisifo esahlukileyo echaphazela zombini lungiswa kunye endocardium lomelele.

Kwiminyaka yakutshanje isehlo endocarditis infective liye landa izihlandlo eziliqela. Oku kungenxa ukuhla kwi reactivity ngumzimba yabantu, kwakunye nokwanda kwi virulence iintsholongwane ngenxa yokusetyenziswa kwawo kakubi antibiotics. Ivame kakhulu emadodeni, isiqingatha endocarditis infective ukuvela imvelaphi yesifo sentliziyo ezikhoyo.

umyalezo weimeyile

Xa kuphuhliso endocarditis infective zezi streptococci ebalulekileyo, staphylococci, pneumococci, iSalmonella neentlobo, zomngundo. endocarditis Infective, ukubetha kwicala lasekunene intliziyo phambili emva ngokuphindaphindiweyo izitofu efakwa yezidakamizwa izinto ngobunyulu ethandabuzekayo. Esinye isizathu sokuba ubuchule endocarditis endovascular lasekunene-kabini ezi zentliziyo. Le isifo eyenzeke kwizigulane kunye nokudumba angiogenic kunye iyabhiqiza thrombus elime kule ventricle wentliziyo transmural engabalulekanga.

izinto ezinegalelo ziquka uphuhliso yamazinyo, Move kunye neenkqubo yomchamo zokuxilonga ngamayeza nokunyanga, ukutsha, operation otolarinogologicheskie.

picture clinical

Infective endocarditis kusoloko kubonakala ayibonakali isigulane. Kukho umkhuhlane jikelele, ukudinwa, umkhuhlane kunye Ukugodola, ebuhlungu. Ngamanye amaxesha ekuqaleni endocarditis kunokuba etsolo kwaye kufana seengcongconi, iBrucellosis, okanye yesifo. Kwiimeko ezinqabe kakhulu, esi sifo uqale Hemiplegia, iintlungu, ukuphazamiseka intetho. Oku kungenxa Cerebral Embolism semithambo, izintso okanye udakada.

Ngosuku loviwo, izigulane ukuqinisekisa utshintsho umbala. Iba okufana le umthunzi sifo wekofu ubisi, nto leyo ibonakalisa anemia okuqhubekayo. Kwixesha elizayo, ukudumba apho nebala pasty. Ezinyaweni zakhe kukho nerhashalala ukopha. Nasi kutshintshwe iminwe: bona prinimat uhlobo yeentsasa igubu, kanye nail - windows ixesha.

Izigulane ezikhala intlungu entliziyweni, ukuphelelwa umoya, iyangongoza. Ngenxa ekubulaleni aortic, mitral okanye isivalo tricuspid abavelayo ezinxulumene iimpawu zesifo yabo. Ekubulaleni myocardium kubonakale buthathaka ngezandi, tachycardia, protodiastolic wokuphalisa isingqisho, intliziyo isingqi ukuphazamiseka - arrhythmias kunye ekuvaleni. valve perforation kunokwenzeka.

Xa endocarditis infective ivame izintso glomerulonephritis focal okanye kwentamo, nto leyo lubonakala ngokwanda uxinzelelo lwegazi, ukubonakala nokudumba, womchamo syndrome. spleen kunokwenzeka engabalulekanga, amasebe thromboembolism kwemithambo pulmonary, isifo sentliziyo, inyumoniya.

iimvavanyo zokufumanisa isifo

Kuba lokufunyaniswa endocarditis kusetyenziswa ECG, echocardiography, esifubeni ray. Ukusuka zaselebhu izifundo amisele uhlalutyo jikelele igazi nomchamo, izityalo igazi kwinkcubeko igazi.

unyango

Ukuba ngokwezonyango basole endocarditis infective, unyango kufuneka ngoko nangoko ukuqala ngokuqeshwa unyango antibacterial. Ukuqinisekisa uhlobo pathogen isigulane emiselweyo antibiotics ebanzi-omoya. Antibiotics kufuneka efakwa kunye intramuscular.

Abantu abane kwesi sifo kuxhomekeke kuhlobo umenzeli, ubuzaza balo-zintsholongwane, ubukho iingxaki, ubudala yesigulane.