Anogumbura mwoyo chirwere: rwarisa endocarditis

Infective endocarditis - kuzvimba womukati lining kwemoyo, mwoyo mavharuvhu, kutsemuka rusvingo. Classic utachiona hwakakura chirwere anonzi zelenyaschy streptococcus. Kare, chirwere ichi kunzi subacute kwemabhakitiriya endocarditis. vanachiremba vakawanda vanodavira mukunopera yake kugadzira rheumatic nefivhiri. Zvino, infective endocarditis anoonekwa ari oga chirwere chinobata zvose dzakachinjwa uye sanganisika endocardium.

Mumakore achangopfuura kuitika infective endocarditis kwakawedzera kakawanda. Izvi imhaka vasanyanye ari immunological reactivity chavagari, uyewo nokuwedzera virulence kuti utachiona pamusana safunga kushandisa mishonga inorwisa mabhakitiriya. More nevakawanda varume, hafu infective endocarditis hwapedyo pamusoro pakanyorwa yaivapo mwoyo chirwere.

etiology

Kukura infective endocarditis zvinokosha streptococci, staphylococci, pneumococci, Salmonella utachiona, notumwe. Infective endocarditis, kurova kurudyi mwoyo hwapedyo pashure akadzokorora intravenous majekiseni muropa nezvinodhaka mibvunzo kuchena zvinhu. Chimwe chikonzero zvakanaka madziro endocarditis endovascular mitoo vari cardiology. The chirwere kazhinji ikabuda varwere angiogenic sepsis pamwe chinoda kugadziriswa thrombus riri ventricle komoyo myocardial transmural.

Zvinokonzera zvinosanganisira pave mazino, gastroenterology uye Urological chirwere uye dzokurapwa dzokuvhiya, kutsva, otolarinogologicheskie oparesheni.

zvekuchipatara mufananidzo

Infective endocarditis kazhinji anooneka usingaonekwi kumurwere. Pane vakawanda zvakawanda zvive, kurukutika, nefivhiri pamwe chills, nomusoro. Dzimwe mavambo endocarditis kunogona kuva chakasimba uye afanane marariya, brucellosis, kana typhus. Mune zvisingawanzoitiki Muzviitiko, chirwere unogona kutanga hemiplegia, marwadzo, kutaura zvirwere. Izvi imhaka chepfungwa vascular embolism, itsvo kana chirwatata.

On ongororo, varwere kuona kuchinja ruvara. Zvinova kwese kuti chirwere mumvuri iyi kofi nomukaka, inova nokuratidzwa mberi kupererwa neropa. Mune ramangwana, hapana kuzvimba uye pasty ruvara rweganda. Netsoka dzake pane imwe Hemorrhagic nekumhanyirira. Typical ndiyo shanduko minwe; ivo prinimat tsitsi Drum tsotso, uye chipikiri - nguva mahwindo.

Varwere vanotsutsumwa kurwadziwa mumwoyo, kupfupika mweya, palpitations. Kukurirwa ari kutsemuka, mitral kana tricuspid vharafu sevanhu ukama zviratidzo chirwere yavo. The kukundwa of myocardium pachena kwakaderera pasi, tachycardia, protodiastolic gallop mutinhimira, mwoyo mutinhimira nenyonganiso - arrhythmias uye blockades. Possible vharafu perforation.

In infective endocarditis kazhinji inobata itsvo uye zvatichiri kana diffuse glomerulonephritis, uko kunoratidzwa wakawedzera BP, chimiro edema, Urinary syndrome. Possible myocardial chirwatata, thromboembolism mapazi pulmonary tsinga, chemwoyo, mabayo.

chirwere miedzo

Nokuti nechirwere kuti endocarditis vakashandisa ECG, echocardiography, chipfuva radiography. Kubva Murabhoritari zvidzidzo kugadza vakawanda kuongorora ropa uye chirimwa weti, ropa riri tsika ropa.

mabatiro

Kana akaora vanofungidzirwa infective endocarditis, kurapwa hwobva kutanga kugadzwa antibacterial mishonga. Kuziva mhando utachiona hwakakura murwere ushandiswe mishonga inorwisa mabhakitiriya. Mishonga vanofanira kuva intravenous uye intramuscular.

Fungidziro chirwere kunoenderana mhando mumiriri, nehanya vayo mushonga, kuvapo yematambudziko, murwere zera.